Ukukhula Kwethambo Eliphukile? Izimpawu, Izimbangela, Nokwelashwa

Ukukhula kwethambo eliphukile kuyiphukile ethambeni elithambile, elikhula, elikhona eduze ekupheleni kwamathambo omntwana. La mathambo okukhula, abizwa nangokuthi ama-physes, yizinda lapho kukhiqizwa khona ithambo elisha njengoba umntwana wakho ekhula abe mkhulu futhi aqine.

Cabanga ngamathambo okukhula njengezindawo zokwakha zeskeletini somntwana wakho. Enziwe ngegagasi elithambile kunethambo elijwayelekile, okwenza kube lula ukulimala ngesikhathi sobuntwana nasesikhathini sokuqina. Izindaba ezinhle ukuthi iningi lethambo eliphukile lokukhula liyaphola ngokuphelele ngenxa yokunakekelwa okuhle.

Ziyini izimpawu zokukhula kwethambo eliphukile?

Ukukhula kwethambo eliphukile kuvame ukubangela ubuhlungu obukhulu nokukhuluka eduze kwendawo elimele. Umntwana wakho angase akutshele ukuthi kubhlungu ukuhamba noma ukubeka isisindo esithombeni esithintekile.

Nazi izimpawu eziyinhloko okufanele uzibheke ngemuva kokulimaza:

• Ubuhlungu obukhulu, obukhulu eduze kwendawo yomlenze ngemuva kokwehla noma ukushaya
• Ukukhuluka nobuhlungu eduze kwendawo elimele
• Ubunzima noma ukungakwazi ukuhambisa indawo ethintekile ngokujwayelekile
• Ukuphambuka okubonakalayo noma isikhundla esingajwayelekile somlenze
• Ukushisa noma ukulunywa okuvela eduze kokulimaza
• Umntwana wakho okhetha ohlangothini olulodwa noma ukhubazeka ngokubonakalayo

Ngesinye isikhathi ubuhlungu bungase bube buthambile ekuqaleni, ikakhulu uma kuyisiqu esincane. Noma kunjalo, noma yiluphi ubuhlungu obuqhubekayo ngemuva kokulimaza kufanele butholakale ukunakekelwa kwezokwelapha ngoba amathambo okukhula angalimaza ngisho noma kungekho zimpawu ezicacile.

Ziyini izinhlobo zokukhula kwethambo eliphukile?

Odokotela bahlukanisa ukukhula kwethambo eliphukile besebenzisa uhlelo lwe-Salter-Harris, olusiza ekutholeni indlela yokwelapha engcono kakhulu. Uhlobo ngalunye luchaza ukuthi iphukile liphi nokuthi liyenzeka kanjani ngokuqondene nethambo lokukhula.

Izinhlobo eziyisihlanu eziyinhloko ziya kusuka okulula kuya kokunzima:

1. Uhlobo I: Iphukile liya ngqo ngaphesheya kwethambo lokukhula ngaphandle kokuthinta ithambo elizungezile
2. Uhlobo II: Iphukile liya ngaphesheya kwethambo lokukhula futhi liya esigxotsheni sethambo
3. Uhlobo III: Iphukile liwela ngaphesheya kwethambo lokukhula futhi liya endaweni yomlenze
4. Uhlobo IV: Iphukile liya ngaphesheya kwethambo lokukhula, isigxobo sethambo, nendawo yomlenze
5. Uhlobo V: Ithambo lokukhula licindezelwe, okuyilo eliqabukile kodwa elibi kakhulu

Izinhlobo I ne-II yizona ezivame kakhulu futhi ngokuvamile ziyaphola kahle ngokwelashwa okuhle. Izinhlobo III, IV, ne-V zidinga ukuphathwa ngokucophelela ngoba zihilela indawo yomlenze futhi zinezinkinga ezingaphezulu.

Yini ebangela ukukhula kwethambo eliphukile?

Ukukhula kwethambo eliphukile kwenzeka lapho amandla esetshenziswa ethambo lomntwana ngendlela elimaza indawo yegagasi elithambile. Njengoba amathambo okukhula ayiyona ingxenye ebuthakathaka yeskeletini elikhula, avame ukuphuka ngaphambi kwethambo eliqinile, elikhulile elizungezile.

Iningi lalezi zimo liyenzeka ngesikhathi semisebenzi yansuku zonke yobuntwana:

• Ukwenzakala kwezemidlalo, ikakhulukazi imidlalo yokuxhumana njengobhola noma ibhola
• Ukuwa kusuka emishini yokudlala, izibayisikili, noma ngesikhathi sokudlala
• Izingozi zezimoto noma ezinye izingozi ezinamandla amakhulu
• Ukushiswa ngqo esandleni noma emilenzeni ngesikhathi semisebenzi
• Ukulimala kokusetshenziswa okukhulu kusuka ekuhambeni okuphindaphindayo kwezemidlalo ezithile
• Izingozi ngesikhathi sokugibela, ukugibela ibhodi, noma imisebenzi efanayo

Ngesinye isikhathi lezi ziphukile zingase ziphumelele ezahlukweni ezingabonakali. Ukuqina okuphindaphindayo kusuka ekuqeqeshweni okunzima noma izimo ezingapheli ezwenza amathambo abe buthakathaka kungenza amathambo okukhula abe lula ukulimala ngokuhamba kwesikhathi.

Nini okufanele ubheke udokotela ngokukhula kwethambo eliphukile?

Kufanele ufuna ukunakekelwa kwezokwelapha ngokushesha uma umntwana wakho ehlushwa ubuhlungu obukhulu, ukukhuluka, noma ubunzima bokuhamba ngemuva kokulimaza. Ukukhula kwethambo eliphukile kudinga ukunakekelwa ngokushesha ukuvimbela izinkinga zesikhathi eside.

Ungalindi ukuthola usizo uma ubona noma yiziphi izimpawu zezexwayiso:

• Ubuhlungu obukhulu obungaphuli ngokuphumula nokukhathalela okuyisisekelo
• Ukuphambuka okubonakalayo noma isikhundla esingajwayelekile somlenze olimele
• Ukungenakukwazi ukuthwala isisindo noma ukusebenzisa indawo ethintekile ngokujwayelekile
• Ukuphefumula, ukugqolozha, noma ukushintsha kombala wesikhumba
• Izimpawu zokutheleleka njengobushushu, ukushisa okukhulu, noma ukubomvu okuqhakaza

Ngisho noma izimpawu zibonakala zithambile ekuqaleni, kungcono ukuba udokotela ahlole noma yiliphi ilimaza eduze kwendawo yomlenze kumntwana okhula. Ukuxilongwa okusheshayo nokwelashwa kuthuthukisa kakhulu amathuba okuphulukisa ngokuphelele ngaphandle kwemiphumela ehlala njalo.

Ziyini izimbangela zengozi zokukhula kwethambo eliphukile?

Izici ezithile zingenza umntwana wakho abe nethuba elikhulu lokukhula kwethambo eliphukile. Iminyaka idlala indima enkulu ngoba lezi zimo ziyenzeka kuphela lapho amathambo esakhula.

Nazi izimbangela zengozi eziyinhloko okufanele uzazi:

• Iminyaka phakathi kweminyaka eyi-9-14 lapho amathambo okukhula esebenza kakhulu
• Ukuhlanganyela emidlalweni yokuxhumana noma imisebenzi enamandla amakhulu
• Ukulimala kwangaphambili endaweni efanayo
• Ukukhula okusheshayo okungase kuqede amathambo okukhula okwesikhashana
• Ukulingana okubi noma ukushisa okungenele ngaphambi kwemisebenzi
• Izimo ezingaphansi ezithinta amandla amathambo

Abafana bavame ukuhlushwa yilezi ziphukile kuneentombi, ikakhulukazi ngoba ngokuvamile bahlanganyela emidlalweni eminingi yokuxhumana nemisebenzi engozi enkulu. Noma kunjalo, noma yimuphi umntwana omatasa angathinteka kungakhathaliseki ubulili noma izinga lomsebenzi.

Ziyini izinkinga ezingase zenzeke ngokukhula kwethambo eliphukile?

Ngenkathi iningi lokukhula kwethambo eliphukile liyaphola ngokuphelele ngaphandle kwezinkinga, ezinye zingase ziholele ezinkingeni zesikhathi eside uma zingaphathwa kahle. Ukukhathazeka okukhulu kakhulu ukulimala okuthinta ukukhula okujwayelekile kwethambo.

Izinkinga ezingase zenzeke zihlanganisa:

• Ukuphazamiseka kokukhula okwenza uhlangothi olulodwa lube lufushane kunolunye
• Ukuphambuka kwe-angular lapho ithambo likhula khona liqondile
• Ukuqala kwe-arthritis endaweni yomlenze eminyakeni eminingi kamuva
• Ukuqina noma ukunciphisa ukunyakaza kwendawo yomlenze
• Ubuhlungu obuhlala njalo noma ukungazinzi endaweni ethintekile

Ingozi yezinkinga ixhomeke ezintweni eziningi ezihlanganisa uhlobo lwe-fracture, indawo, iminyaka yomntwana wakho, nokuthi ukwelashwa kuqala nini. Iziphukile ezinzima kakhulu nalezo ezihilela amadolo noma izingalo zivame ukuba nezinga eliphezulu lezinkinga.

Ngenhlanhla, ngokunakekelwa kwezokwelapha okuhle nokulandelwa kwemiyalelo yokwelapha, abantwana abaningi baphola ngokuphelele futhi baqhubeka bekhula ngokujwayelekile. Ukuvakasha okuqhubekayo kokulandelela kusiza odokotela ukuba balandele ukuphulukisa futhi babambe noma yiziphi izinkinga ezingase zenzeke ekuqaleni.

Ukukhula kwethambo eliphukile kungavikeleka kanjani?

Ngenkathi ungakwazi ukuvimbela wonke ukulimala, kunezindlela ezisebenzayo zokunciphisa ingozi yomntwana wakho yokukhula kwethambo eliphukile. Gxila ekulungiseleleni okuhle, imishini efanele, nokukhetha imisebenzi ehlakaniphile.

Izindlela eziyinhloko zokuvimbela zihlanganisa:

• Ukuqinisekisa ukushisa okuhle nokulingana ngaphambi kwezemidlalo
• Ukusebenzisa imishini yokukhuselwa efanele yomsebenzi ngamunye
• Ukufundisa izindlela ezifanele nemikhuba yokudlala ephephile
• Ukuvumela ukuphumula okwanele phakathi kwemibuthano ebukhali
• Ukugcina ukudla okuhle ukuze usekele impilo yamathambo
• Ukulungisa noma yikuphi ukulimala kwangaphambili ngokuphelele ngaphambi kokubuyela emisebenzini

Khuthaza umntwana wakho ukuba akhulume ngebuhlungu noma ukungakhululeki ngesikhathi semisebenzi. Ukumfundisa ukulalela umzimba wakhe nokuthatha amabheki lapho kudingeka kungavimbela izinkinga ezincane ezingaba yingozi enkulu.

Ukukhula kwethambo eliphukile kuhlonzwa kanjani?

Ukuxilongwa kokukhula kwethambo eliphukile kuqala ngodokotela wakho ohlola indawo elimele futhi afunde ngendlela ilimaza elienzeke ngayo. Bayohlola ngobumnene ubuhlungu, ukukhuluka, nokukhula komlenze ngokucophelela ukuze bangabangeli ubuhlungu obengeziwe.

Inqubo yokuxilongwa ngokuvamile ihlanganisa:

1. Ukuhlolwa komzimba kwendawo elimele
2. I-X-rays ukubona amathambo namathambo okukhula
3. Umbhalo wezokwelapha ophelele mayelana nokulimala nezimpawu
4. Ukufana okwengeziwe njenge-MRI noma i-CT scan uma kudingeka
5. Ukuqhathaniswa nohlangothi olungalimali njengobhekiselele

Ngesinye isikhathi ukukhula kwethambo eliphukile kungase kube nzima ukubona kwi-X-rays ejwayelekile, ikakhulukazi kubantwana abancinyane lapho amathambo esakhula khona igagasi.

Ukukhula kwethambo eliphukile kuphathwa kanjani?

Ukuphathwa kokukhula kwethambo eliphukile kuncike kuhlobo nobunzima bokulimala. Izinjongo eziyinhloko ukusisiza ukuthi iphukile liphulukise kahle ngenkathi livikela ithambo lokukhula ekulimala okwengeziwe.

Iningi lokukhula kwethambo eliphukile lingaphathwa ngaphandle kokuhlinzwa:

• Ukunciphisa nge-cast noma i-splint ukuze ugcine amathambo esikhundleni esifanele
• Ukuphathwa kobuhlungu ngemithi efanele
• Ukubheka njalo ukuqinisekisa ukuphulukisa okuhle
• Ukubuyela kancane emisebenzini njengoba ukuphulukisa kuqhubeka

Iziphukile ezinzima kakhulu zingase zidinga ukwelashwa ngokuhlinzwa ukuze zibuyisele amathambo futhi ziqinisekise ngepini, izikrufu, noma iziplate. Ukuhlinzwa ngokuvamile kugcinelwa iziphukile ezihambile noma lezo ezihilela izindawo zomlenze.

Isikhathi sokuphulukisa sihluka, kodwa iningi leziphukile ezilula liyaphola phakathi kwamasonto angu-4-6. Ukulimala okunzima kakhulu kungase kudinge izinyanga eziningi ukuze kuphulukise ngokuphelele, futhi umntwana wakho uzodinga ukuvakasha okuqhubekayo kokulandelela ukuze alandele intuthuko.

Unganikeza kanjani ukwelashwa ekhaya ngesikhathi sokukhula kwethambo eliphukile?

Ukukhathalela ekhaya kudlala indima ebalulekile ekusizeni umntwana wakho ukuthi aphulukise ngokuphephile futhi ngokunethezeka. Ukulandela imiyalelo yodokotela wakho ngokucophelela kunika umntwana wakho ithuba elihle kakhulu lokuphulukisa ngokuphelele.

Gxila kulezi zindawo eziyinhloko zokunakekelwa ekhaya:

• Gcina i-cast noma i-splint ihlanzekile futhi yomile ngaso sonke isikhathi
• Phakamisa umlenze olimele uma kungenzeka ukuze unciphise ukukhuluka
• Nikeza imithi ephawulwe yobhlungu njengoba kuqondiswe
• Bheka izimpawu zezinkinga njengobhlungu obukhulu noma ukukhuluka
• Khuthaza ukuphumula futhi ugweme imisebenzi engase iphinde ilimale indawo
• Gcina ukudla okuhle ukuze usekele ukuphulukisa amathambo

Siza umntwana wakho ukuba ahlale ekhuthazekile ngesikhathi sokuphulukisa ngokuthola imisebenzi ephephile, ejabulisayo angayenza ngesikhathi ephulukisa. Ukufunda, ama-puzzles, imisebenzi yobuciko, noma ezinye imisebenzi ethule zingasiza ekuqedeni isikhathi ngaphandle kokubeka ingozi yokulimaza okwengeziwe.

Kufanele ulungiselele kanjani ukuvakasha kwakho kudokotela?

Ukuba ulungile ngokuya kudokotela kusiza ukuqinisekisa ukuthi uthola ulwazi oluwusizo kakhulu nokukhathalela umntwana wakho. Bhala phansi imibuzo yakho ngaphambi kwesikhathi ukuze ungakhohlwa ukukhathazeka okubalulekile.

Letha lezi zindaba ezibalulekile ukwabelana ngazo:

• Ukuthi ilimaza lenzeke kanjani ngempela nokuthi lenzeke nini
• Uhlu oluphelele lwemithi yomntwana wakho yamanje
• Umbhalo wokulimala kwangaphambili, ikakhulukazi endaweni efanayo
• Noma yikuphi ukushintsha kwezimpawu kusukela ekulimala
• Imibuzo mayelana nokuvinjelwa kwemisebenzi nesikhathi sokuphulukisa

Unganqikazi ukubuza noma yini ongayiqondi. Cela izincazelo ezicacile mayelana nenqubo yokwelapha, isikhathi esilindelekile sokuphulukisa, nezibonakaliso zezexwayiso okufanele uzibheke ekhaya.

Iyini into ebalulekile mayelana nokukhula kwethambo eliphukile?

Ukukhula kwethambo eliphukile kuyizimo ezivame kakhulu zobuntwana eziyaphola kahle ngokunakekelwa kwezokwelapha okuhle. Ngenkathi zingase zibonakale zesabekisa, abantwana abaningi benza ukuphulukisa okuphelele futhi baqhubeka bekhula ngokujwayelekile.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukunakekelwa kwezokwelapha okusheshayo kwenza umehluko omkhulu emiphumeleni. Themba izinzwa zakho uma kukhona okubonakala kungalungile ngemuva kokulimaza, futhi unganqikazi ukufuna ukuhlolwa kwezobungcweti.

Ngokwelashwa okufanele, isineke ngesikhathi sokuphulukisa, nokukhathalela okuqhubekayo kokulandelela, umntwana wakho angabuyela emisebenzini yakhe ayithandayo ngokuphephile. Gxila ekulandeleni iseluleko sezokwelapha nokusekela umntwana wakho ngesikhathi senqubo yokuphulukisa.

Imibuzo evame ukubuzwa mayelana nokukhula kwethambo eliphukile

Ingabe umntwana wami uzobe mfushane ngenxa yokukhula kwethambo eliphukile?

Iningi lokukhula kwethambo eliphukile alithinti ubude bokugcina lapho kuphathwa kahle. Izinkinga ezinkulu ezithinta ukukhula zimbalwa, ikakhulukazi ngokunakekelwa kwezokwelapha okusheshayo. Udokotela wakho uzolandelela ukukhula komntwana wakho ngesikhathi sokuvakasha kokulandelela ukuqinisekisa ukuthi intuthuko ejwayelekile iyaqhubeka.

Kuthatha isikhathi esingakanani ngaphambi kokuba umntwana wami abuyele ezemidlalo ngemuva kokukhula kwethambo eliphukile?

Ukubuyela ezemidlalo kuncike kuhlobo lwe-fracture, intuthuko yokuphulukisa, neminyaka yomntwana wakho. Iziphukile ezilula zingase zivumele ukubuyela emisebenzini ngeminyaka engu-6-8, kuyilapho ukulimala okunzima kakhulu kungase kudinge izinyanga eziningi. Udokotela wakho uzokukhokhela inqubo yokuphulukisa kancane kancane ukuze uvimbele ukulimala okwengeziwe.

Ingabe ukukhula kwethambo eliphukile kungenzeka ngaphezu kwesikhathi esisodwa endaweni efanayo?

Yebo, kungenzeka ukulimaza ithambo lokukhula elifanayo futhi, ikakhulukazi uma umntwana wakho ebuyela emisebenzini ngokushesha noma engaqedi ukuphulukisa kahle. Ukulandela iseluleko sezokwelapha nokwenza ukuphulukisa ngokuphelele kunciphisa kakhulu le ngozi.

Ingabe kukhona imisebenzi umntwana wami okufanele ayigweme unomphela ngemuva kokukhula kwethambo eliphukile?

Abantwana abaningi bangabuyela kuyo yonke imisebenzi yabo yangaphambili ngemuva kokuphola ngokuphelele. Noma kunjalo, udokotela wakho angase akhuthaze ukugwema imisebenzi ethile engozi enkulu okwesikhashana noma anikeze izinguquko zokunciphisa ingozi yokulimala kwesikhathi esizayo. Isimo ngasinye sihlukile futhi sincike ekulimala okuthile nentuthuko yokuphulukisa.

Kufanele ngenze nini uma umntwana wami ekhala ngebuhlungu e-cast yakhe?

Ukungakhululeki okuthile kuyinto evamile ekuqaleni, kodwa ukwanda kobuhlungu, ukuphefumula, ukugqolozha, noma ukushintsha kombala wesikhumba kudinga ukunakekelwa kwezokwelapha ngokushesha. Xhumana nodokotela wakho ngokushesha uma i-cast izizwa iqinile kakhulu, ibe namanzi, noma uma umntwana wakho eba nobushushu noma izimpawu ezingajwayelekile.