Kugwa kungayambitse kupasuka kwa Wrist Common komwe Kumachepetsa Kuchiritsa
Kugwa pa mkono wotambasula kungapangitse zopweteka kapena kupweteka kwa wrist. Kugwa koteroko kungayambitse kupweteka kwa pakhosi (navicular) bone mu dzanja. Thupi laling'ono limeneli ndi limodzi mwa mafupa asanu ndi atatu a carpal omwe ali m'manja. Nthaŵi zina amatchedwa kukhetsa bokosi lamoto monga momwe mawuwa amagwiritsidwira ntchito pamalo amenewa.
Chifukwa Chakuphulika kwa Scaphoid Sachedwa Kuchiritsa
Nkhonozi zimakhala pansi pa chinsalu, ndipo zimawoneka ngati nyemba za impso.
Thupi lovuta kwambiri limakhala ndi magazi ochepa komanso osawerengeka omwe angathe kusokonezeka mosavuta ndi kupasuka. Magazi a scaphoid amachokera ku chotengera chaching'ono chomwe chimalowa mbali yakutali kwambiri ya fupa ndipo chimatulukanso kupyola mafupa kuti apereke zakudya ku maselo a mafupa. Chifukwa pali ichi chokha, magazi ochepa, kuphwanyidwa pakati pa fupa kumatha kuchepetsa kuthamanga kwa magazi ku gawo lochepa la fupa. Pachifukwa ichi, ziphuphu zofufuzika zimafuna kuthandizidwa mwamsanga ndi mankhwala. Mafupa amphwayi amachiritsa pang'onopang'ono kapena sangachiritse konse.
Kugwiritsidwa Ntchito kwa Kuphulika Kwambiri
Ngati muli ndi ululu kapena kupweteka kwakukulu pambali pa thumba la dzanja, makamaka mutagwera pa mkono wotambasula, mukhoza kukhala ndi vuto la scaphoid. Zizindikiro zina zimaphatikizapo kutupa pachifuwa, kuvutikira kugulitsa zinthu, ndi kupsinjika kapena kupweteka mu bokosi lamoto la chifuwa (malo otayika pakati pa nsalu za dzanja).
Odwala ambiri amapezeka kuti ali ndi chifuwa cholimba ngati atasweka. Kuzindikira kumakhala kovuta chifukwa nthawi zambiri fracture sizimawoneka pa x-rays mpaka masabata pambuyo pake machiritso ayamba. Chifukwa cha izi, zimakhala zachilendo kuti madokotala apange chovulala chamanja ngati kuti poyamba sanagwidwe ndi scaphoid, ndiyeno kubwereza x-ray mkati mwa masabata awiri.
Chithandizo cha Mphuno Yophulika
Ngati kuli kosavuta, kusagwedezeka kwa anthu osagwedezeka, madokotala am'mafupa amachititsa kuti chivulazocho chisawonongeke kuti awone ngati kupweteka kwachiritsi kumachiza nthawi yake. Bwerezani ma-ray-amatenga milungu ingapo kapena miyezi ingapo, ndipo dokotala akhoza kuyang'ana machiritso oyenera, omwe angatenge masabata 10 mpaka 12. Ngati singachiritse, opaleshoni ingaganizidwe.
Ngati kutsekemera kwa chiphalaphalako kumatuluka , malo omwe simungagwirizane nawo ndi apamwamba, ndipo dokotala wanu angakulimbikitseni opaleshoni yoyamba kuti apatsenso mafupa. Komanso, ngati fracture sichiritse ndi mankhwala oponyedwa (kuchepa), opaleshoni idzakonzedwa. Kuchita opaleshoni imeneyi kumaphatikizapo kuponyera mafupa m'malo ndi zikopa. Mapulogalamu atsopano opanga opaleshoni akupangidwira opanga mankhwala, kuphatikizapo opaleshoni yamakono. Nthawi zina mafupa amatha kugwiritsidwa ntchito, ndipo kafukufuku akugwiritsidwa ntchito pogwiritsira ntchito Bone Morphogenic Proteins (BMP). Katemera amagwiritsidwa ntchito kuthetsa mafupa a scaphoid pambuyo pa opaleshoni.
Kukhazikitsidwa Pambuyo pa Kuphulika kwa Scaphoid
Kubwezeretsa ndi mbali yofunikira ya machiritso chifukwa cha nthawi yolepheretsa nthawi yaitali kuti athetse vutoli. Zochita zolimbitsa thupi zowonjezera zingathe kuyambitsidwa patatha kutayika, potsatira njira zolimbikitsira zowonjezera manja ndi zowonjezera.
Kukonzekera, kutchulidwa, ndi kugwiritsidwa ntchito kumafunikanso kuwonjezeredwa.
Mmene Mungapewere Kupasuka kwa Scaphoid
Njira yabwino yothetsera vutoli ndi kugwiritsa ntchito zida zoyenera kuteteza ngati kuli kotheka. Alonda a alonda amathandiza kwambiri pa masewera monga kupalasa, kutchipa kwa snowboard ndi masewera ambiri olankhulana nawo.
Gwero:>
Kuphulika kwa mpweya wa Wrist, OrthoInfo, American Academy of Orthopedic Surgeons, March, 2016.