Iimpawu kunye noNyango lweeCollarbones ezaphukileyo

Kubantu abane-collarbone eyaphukileyo, ngaba unyango olulondolozayo lunokunceda kwinkqubo yokubuyisela?

I-Collarbone eyaphukileyo

I-collarbones ephukileyo ixhaphake kakhulu ukulimala kwamathambo okunokuthi kwenzeke kuyo nayiphi na iminyaka yobudala. Eyaziwa nangokuthi i-clavicle, lithambo elingaphezulu kwesifuba, phakathi kwe-breastbone / sternum kunye ne-shoulder blade / scapula. I-clavicle inokubonwa ngokulula kuba kuphela ulusu lugubungela inxalenye enkulu yethambo. Iifractures zeClavicle zixhaphake kakhulu, kwaye zibalelwa kwi-2% - 5% yazo zonke iifractures. (IRadiopaedia. 2023) I-collarbones eyaphukileyo iyenzeka:

• Iintsana - ngokuqhelekileyo ngexesha lokuzalwa.
• Abantwana kunye nabaselula - kuba i-clavicle ayiphuhli ngokupheleleyo kude kube sekupheleni kweshumi elivisayo.
• Iimbaleki - ngenxa yeengozi zokubethwa okanye ukuwa.
• Ngeentlobo ezahlukeneyo zeengozi kunye nokuwa.
• Uninzi lwee-collarbones eziphukileyo zinokunyangwa ngonyango olungenalo utyando, ngokuqhelekileyo, kunye ne-sling ukuvumela ukuba ithambo liphilise kunye nonyango lomzimba kunye nokubuyisela.
• Ngamanye amaxesha, xa i-clavicle fractures iguqulwa kakhulu ngaphandle kokulungelelaniswa, unyango lotyando lunokucetyiswa.
• Kukho iindlela zonyango ezimele zixoxwe kunye nogqirha wamathambo, i-physical therapist, kunye / okanye i-chiropractor.
• I-collarbone eyaphukileyo ayibi kakhulu kunamanye amathambo aphukileyo.
• Emva kokuba ithambo eliphukile liphilisa, abaninzi abantu banoluhlu olupheleleyo lokunyakaza kwaye banokubuyela kwimisebenzi ngaphambi kokuphuka. (Johns Hopkins Medicine. 2023)

iintlobo

Ukulimala kwe-clavicle ephukileyo kuhlukaniswe kwiintlobo ezintathu kuxhomekeke kwindawo yokuphuka. (IRadiopaedia. 2023)

Ukuqhekeka kwe-Mid-Shaft Clavicle

• Ezi zenzeke kwindawo esembindini enokuba kukuqhekeka okulula, ukwahlula, kunye/okanye ukuqhekeka kwiziqwenga ezininzi.
• Iikhefu ezininzi - iifractures zecandelo.
• Ukufuduswa okubalulekileyo – ukwahlukana.
• Ubude obufutshane bethambo.

I-Distal Clavicle Fractures

• Oku kwenzeka kufutshane nesiphelo sekhola kwindawo yegxalaba.
• Le nxalenye yegxalaba ibizwa ngokuba yi-acromioclavicular/AC joint.
• I-Distal clavicle fractures ingaba neendlela ezifanayo zonyango njengokulimala ngokubambisana kwe-AC.

Ukuqhekeka kweClavicle ephakathi

• Ezi zinto aziqhelekanga kwaye zihlala zihambelana nokulimala kwi-sternoclavicular joint.
• Ilungu le-sternoclavicular lixhasa igxalaba kwaye lilo lodwa ilungu elidibanisa ingalo nomzimba.
• Ukukhula kweplati yokuphuka kwe-clavicle kunokubonwa ekupheleni kwentsha kunye ne-20 yokuqala.

iimpawu

Iimpawu eziqhelekileyo zekhola ephukileyo ziquka: (Ithala leencwadi leSizwe loNyango: MedlinePlus. 2022)

• Intlungu phezu kwekhola.
• intlungu Gxalaba.
• Ubunzima bokuhambisa ingalo.
• Ubunzima bokuphakamisa ingalo ukusuka kwicala.
• Ukudumba nokugruzuka egxalabeni.
• Ukugruzuka kunokuphumela ezantsi esifubeni nasekhwapheni.
• Ukuba ndindisholo nokutshotshozela phantsi kwengalo.
• Ukukhubazeka kwekhola.

1. Ukongeza ekudumbeni, abanye abantu banokuba neqhuma kwindawo apho kwaphuka khona.
2. Kungathatha iinyanga ezininzi ukuze eli qhuma liphole ngokupheleleyo, kodwa oku kuqhelekile.
3. Ukuba iqhuma libonakala lidumbile okanye licaphukile, yazisa umboneleli wezempilo.

UkuDumba kweClavicular

• Xa i-sternoclavicular joint ikhula okanye ikhula, ibizwa ngokuba yi-clavicular swelling.
• Ngokuqhelekileyo kubangelwa kukwenzakala, isifo, okanye usulelo oluchaphazela ulwelo olufumaneka kumalungu. (UJohn Edwin, et al., 2018)

Ukuqondwa

• Kwikliniki yezempilo okanye kwigumbi likaxakeka, iX-reyi iya kufunyanwa ukuhlola uhlobo oluthile lokwaphuka.
• Baya kwenza uviwo ukuqinisekisa ukuba imithambo-luvo kunye nemithambo yegazi ejikeleze i-collarbone eyaphukileyo ayinqunyulwanga.
• Imithambo-luvo kunye neenqanawa azifane zilimale, kodwa kwiimeko ezinzima, ezi nzakala zingenzeka.

impatho

Unyango lufezwa ngokuvumela ithambo ukuba liphilise okanye ngotyando ukubuyisela ulungelelwaniso olufanelekileyo. Olunye unyango oluqhelekileyo lwamathambo aphukileyo alusetyenziswanga kwi-clavicle fractures.

• Umzekelo, ukuphosa i-collarbone ephukileyo ayenziwa.
• Ukongezelela, ukusetha kwakhona ithambo okanye ukunciphisa okuvaliweyo akukwenziwanga ngenxa yokuba akukho ndlela yokubamba ithambo eliphukileyo ngolungelelwaniso olufanelekileyo ngaphandle kokuhlinzwa.

Ukuba utyando lukhetho, umboneleli wezempilo ujonga le miba ilandelayo: (Isemgangathweno. 2023)

Indawo yoLwahlulo kunye neDinga lokufuduswa

• Iifractures ezingenandawo okanye ezincinci zokufuduswa zihlala zilawulwa ngaphandle kotyando.

ubudala

• Abantu abancinci banamandla okwandisiweyo okuphinda bachache kukwaphuka ngaphandle kotyando.

Ukucuthwa kweqhekeza leqhekeza

• Ukuqhekeka okufudukayo kunokuphilisa, kodwa xa kukho ukucutha okucacileyo kwekhola, utyando luyimfuneko.

Okunye Ukwenzakala

• Abantu abanokulimala kwentloko okanye iifractures ezininzi banokunyangwa ngaphandle kokuhlinzwa.

Ulindelo Lwesigulane

• Xa ukwenzakala kubandakanya imbaleki, umsebenzi onzima, okanye ingalo yeyona nto iphambili, kunokubakho isizathu esingakumbi sotyando.

Ingalo eyongameleyo

• Xa iifractures zenzeka kwingalo elawulayo, iziphumo zibonakala zibonakala.

Uninzi lwezi fractures zinokulawulwa ngaphandle kokuhlinzwa, kodwa kukho iimeko apho utyando lunokuvelisa iziphumo ezingcono.

Ixhasa uNyango oluNgelulo utyando

• Isilingi okanye i-figure-8 clavicle brace.
• Umzobo we-8 awukabonakali uchaphazela ulungelelwaniso lokwaphuka, kwaye abantu abaninzi bahlala befumana isilingi sikhululeke ngakumbi. (Isemgangathweno. 2023)

1. I-collarbones ephukile kufuneka iphilise kwiiveki ezi-6-12 kubantu abadala
2. Iiveki ezi-3-6 kubantwana
3. Izigulane ezincinci zihlala zibuyela kwimisebenzi epheleleyo phambi kweeveki ze-12.
4. Iintlungu zidla ngokudamba kwiiveki ezimbalwa. (Isemgangathweno. 2023)
5. I-immobilization ayifane ifuneke ngaphaya kweeveki ezimbalwa, kwaye kunye nomsebenzi wokukhanya ocacileyo kagqirha kunye nokubuyisela intshukumo ethambileyo ngokuqhelekileyo kuqala.

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Ukwenzakala Ixesha Elide

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Ucaphulo

IRadiopaedia. Ukwaphuka kweClavicular.

Johns Hopkins Medicine. Ukwaphuka kweClavicle.

Ithala leencwadi leSizwe loNyango: MedlinePlus. I-collarbone eyaphukileyo - i-aftercare.

Isemgangathweno. Ukwaphuka kweClavicle.

Edwin, J., Ahmed, S., Verma, S., Tytherleigh-Strong, G., Karuppaiah, K., & Sinha, J. (2018). Ukudumba komdibaniso we-sternoclavicular: ukuphononongwa kwe-pathologies ephazamisayo kunye ne-non-traumatic. EFORT vula uphononongo, 3(8), 471–484. doi.org/10.1302/2058-5241.3.170078