Akekho ongagwenywa umonakalo wobunzima obunzima, ikakhulukazi emabhulashini, ngoba uma uwela umuntu uzama ukugwema ukulimaza ngosizo lwalezi zingxenye zomzimba. Futhi, ukulimala komunwe kungenzeka ngenxa yokuphathwa okungalungile kwezinqubo ezithinta noma ezicindezelayo. Ukuthi umunwe wonakaliswe kanjani, futhi isimo sokwehlukana sincike, futhi ngenxa yalokho, ekwelapheni.
Izimbangela zokuphulwa kweminwe
Ngokuvamile, iminwe yalimala kubagijimi: abadlali be-volleyball, abadlali bebhola basketball, ama-gymnasts namabhokisi, nakuba lezi zinsuku zivikelwe amagilavu akhethekile. Futhi izingane nabantu abane-osteoporosis basengozini.
Kunoma yikuphi, ukuhlukunyezwa kuhlale kungenxa yokulimala okuqondile:
- umthelela;
- uphonsa into enzima ebhulashi;
- hit the brush ngaphansi indlela yokuhamba.
Ukuphuka komunwe: izimpawu eziyinhloko
Ukuhlukunyezwa akukwazi njalo ukuzimisela ngokuzimela (ngenxa ye-edema), kodwa ngokuvamile kulula ukuba umuntu aqonde ukuthi umonakalo wawunzima kakhulu, futhi mhlawumbe ithambo lonakalisiwe.
Izimpawu ezisemqoka zomunwe ophukile engalo:
- ubuhlungu;
- i-edema;
- i-hematoma;
- umkhawulo ekuhambeni;
- nge-fracture evulekile, ukushaqeka okuphazamisayo nokuphuma kwegazi kungenzeka.
Okubi kakhulu ukuphulwa kwesithupha, ngoba kulokhu, amandla omsebenzi abuyiselwe isikhathi eside, ngisho noma ukwelashwa kungalungile, umonakalo ungaba iminyaka eminingi uzinikela ngokunyakaza okulinganiselwe kwesandla. Uma ucindezela ku-axis yomunwe wakho, ubuhlungu buyanda.
Ifomu eliphansi kunazo zonke lokuphulwa kwesithupha libhekwa ukuthi iphothi layo lilimale, kepha ngokuvamile lokhu kubeka isitsha sezinsizi, okungase kuhlale kukhubazekile. Kubi nakakhulu uma umunwe uphukile ngaphansi kokujoyina futhi ithambo le-metacarpal lithinteka - yilokho okuthiwa yi-Bennett ukuphuka.
Ngokwezibalo, iningi labantu liphendukela ekusizeni ngenxa yomunwe omncane ophukile engalweni, kodwa ngenhlanhla, ayiyidlale indima ebalulekile emsebenzini wokushayela, ngakho-ke, noma ngabe ngemuva kokwelashwa kukhona izinhlungu ezincane nokunyakaza okulinganiselwe, lokhu ngeke kuthinte ukusebenza kwebhashishi.
Ukuphuka komunwe ophakathi, kanye nokuphuka komunwe, kube ingozi ekhethekile kuphela uma kwenzeka umonakalo ohlangene, i-tk. lolu hlobo lokuphuka lukhuni ukuphulukisa ngaphandle kwemiphumela: ngokuvamile abantu banokubuhlungu okungapheli neminwe ayinakuguquguquka njengangaphambili.
Ukuhlukaniswa kweminwe yezinhlamvu
Kuye ngomugqa wokuphuka, hlukanisa:
- i-linear;
- ishintshiwe;
- emaphethelweni.
Ukuhlukana komugqa kuthathwa ngokushesha futhi kulula kunabanye, futhi kunzima kakhulu kule ndawo yokubukwa kubhekwa njengenhlanhla, lapho ithambo lihlukaniswa ngezicucu ezincane.
Futhi, i-fractures ivulekile futhi ivaliwe. Ngokwehluleka okuvaliwe, kunzima ukuyihlolisisa ngaphandle kosizo lodokotela, kepha ukuphuka okuvulekile kuhlale kuvele ngaphandle kwe-radiography kanye nochwepheshe.
I-Fractures ingaba nezindawo ezihlukene: nomonakalo ohlangene noma amathambo. Kodwa lezi zinhlobo zezinhlanzi zingahlanganiswa: ngakho-ke, ukuphulwa kwesibalo somunwe wesandla kungavuleka noma kuvaliwe, kodwa uma okokuqala kulimala, kuvame ukuba nefomu elivulekile elinomonakalo ku-nail. Ukulimala okunjalo kwenzeka esikhathini sokuphila kwansuku zonke uma uphawula umunwe wakho ngomnyango noma uphonsa into enzima kuwo.
Ukwelashwa kokuphulwa komunwe
Ukwelapha kuqala ngokuqinisekiswa kokuxilongwa futhi le X-ray yenziwe.
Uma ukuphuka kuvulekile, lokhu kubeka umzimba engozini, ngoba ukutheleleka kungangena ngaphakathi kwilonda, futhi imishanguzo yezokwelapha ihlale iqondiswe ngaleyo fractures. Odokotela ukulungisa ithambo kungase kudingeke enze umsebenzi, ukuze umunwe kamuva ufeze kahle.
Ngenqamuzana evulekile, i-bandage eqinile isetshenziswa ukuyeka igazi, futhi ukugaya kungase kudingeke.
Lapho ukufuduka kwenziwa ngokuphindaphindiwe, kwenzeka ngokushesha emnyangweni wezinhlekelele, ngaphansi kwe-anesthesia yendawo.
Ngemuva kokuba odokotela bebonile ukuphulwa komunwe okuvaliwe, faka i-plaster, engabanjwa ngaphezu kwamasonto amathathu.
Uma isikhumba sisusiwe, iziguli zingazizwa zingenakunwe kweminwe ngemva kokuphuka, kanti kulokhu zibekwe izinqubo zokuzivocavoca nezindlela zokwelapha. Ngokuhamba kwesikhathi, lesi sibonakaliso senzeka lapho umunwe uvuselelwe ngokugcwele.