Zomwe Muyenera Kudziwa Zokhudza Kuzindikira ndi Kuchiza Thumbo Losweka

Zamkati

• Zizindikiro
• Zowopsa
• Matendawa
• Chithandizo
• Thandizo loyamba nthawi yomweyo
• Chithandizo chosagwira ntchito
• Mankhwala opangira opaleshoni
• Kuchira
• Zovuta
• Mfundo yofunika

Chidule

Chala chanu chachikulu chili ndi mafupa awiri otchedwa phalanges. Kuthyoka kofala kwambiri komwe kumalumikizidwa ndi chala chachikulu ndikumafupa akulu a dzanja lanu otchedwa metacarpal woyamba. Fupa ili limalumikizana ndi mafupa anu a thupi.

Metacarpal yoyamba imayamba ndikudula pakati pa chala chanu chachikulu ndi cholozera ndikubwerera kumafupa a carpal a dzanja lanu.

Malo omwe metacarpal yoyamba ilumikizana ndi dzanja lanu amatchedwa olowa carpo-metacarpal (CMC). zimachitika m'munsi mwa metacarpal yoyamba, pamwamba pa cholumikizira cha CMC.

Ngati mukuganiza kuti mwasweka chala chachikulu, muyenera kupeza chithandizo chamankhwala mwachangu.

Zizindikiro

Zizindikiro za chala chachikulu chimaphatikizapo:

• kutupa kuzungulira tsinde la chala chanu chachikulu
• kupweteka kwambiri
• malire kapena osakhoza kusuntha chala chanu chachikulu
• Kukoma mtima kwakukulu
• kusokoneza mawonekedwe
• kuzizira kapena kumva dzanzi

Zambiri mwazizindikirozi zimatha kuchitika ndikuthira kapena kulira kwa minyewa. Muyenera kukaonana ndi dokotala kuti athe kudziwa zomwe zavulaza.

Zowopsa

Thumbu losweka nthawi zambiri limayambitsidwa ndi kupsinjika kwachindunji. Zomwe zimayambitsa zimaphatikizapo kugwa padzanja lotambasulidwa kapena kuyesa kugwira mpira.

Matenda a mafupa ndi kuchepa kwa calcium kumawonjezera chiopsezo choduka chala chachikulu.

Chala chachikulu chogona chimatha chifukwa chochita zinthu monyanyira kapena mwangozi. Chala chanu chachikulu chimatha kuthanso kupindika kapena kupindika minofu. Masewera pomwe chala chophwanyika chitha kuchitika ndi awa:

• mpira
• baseball
• mpira wa basketball
• volleyball
• kulimbana
• hockey
• kutsetsereka

Kuvala zovala zoyenera, monga magolovesi, padding, kapena kujambula, kungathandize kupewa kuvulala kwa zala m'masewera ambiri.

Dziwani zambiri za chithandizo ndi kupewa kuvulala kwamasewera.

Matendawa

Muyenera kukaonana ndi dokotala nthawi yomweyo ngati mukuganiza kuti mwasweka chala. Mitundu yonse yovulalayo imafunikira kusunthika ndi chopindika ndikuchitidwa opaleshoni. Kudikirira chithandizo kumatha kubweretsa zovuta kapena kuchepetsa njira yanu yochira.

Dokotala wanu amayang'ana chala chanu chachikulu ndikuyesa mayendedwe anu palumikizidwe. Adzapinditsa chala chanu chammbali m'njira zosiyanasiyana kuti adziwe ngati mwavulaza mitsempha yanu.

X-ray ikuthandizani dokotala kuti azindikire kuphulika ndikudziwitseni kuti mwapuma nthawi yanji komanso mtundu wanji.

Chithandizo

Thandizo loyamba nthawi yomweyo

Ngati mukuganiza kuti mwaphwanya chala chanu chachikulu, mutha kupaka madzi oundana kapena madzi ozizira kuderalo kuti muchepetse kutupa. Kukhazikika kwa dzanja lanu ndi chopindika kungakuthandizeni ngati mukudziwa wina yemwe ali ndi chidziwitso choyenera kutero.

Phunzirani momwe mungapangire splint.

Sungani dzanja lanu lovulazidwa pamwamba pamtima mwanu. Izi zimathandiza kuchepetsa kutupa ndi magazi, ngati alipo.

Osadalira njirazi zokha. Ngati mukukayikira kuti waphulika kapena akuphulika, njirazi zitha kukuthandizani mukadikirira thandizo lachipatala mwachangu.

Chithandizo chosagwira ntchito

Ngati zidutswa zanu za mafupa osweka sizinasunthire patali ndi malo, kapena ngati kuphwanya kwanu kuli mkatikati mwa fupa, dokotala wanu amatha kukhazikitsa mafupa osachitidwa opaleshoni. Izi zimatchedwa kuchepetsa kutsekedwa. Zitha kukhala zopweteka, kotero kuti sedation kapena anesthesia itha kugwiritsidwa ntchito.

Mudzakhazikika mu gulu lapadera, lotchedwa spica cast, kwa milungu isanu ndi umodzi. Chotupachi chimagwira chala chanu chachikulu pomwe fupa lanu limachira. Spica imapangitsa kuti chala chanu chikhale cholimba ndikukulunga m'manja mwanu.

Mankhwala opangira opaleshoni

Ngati pakhala kusunthidwa kwakukulu kwa zidutswa za mafupa anu, kapena ngati kuphwanya kwanu kukufika palimodzi la CMC, mungafunike kuchitidwa opaleshoni kuti mukonzenso fupa. Izi zimatchedwa kuchepetsa kutseguka. Dokotala wa opaleshoni yemwe amachita opaleshoni yamanja mwina akuchita izi.

Pafupifupi gawo limodzi mwa magawo atatu a zopumira ku metacarpal yoyamba, pali chidutswa chimodzi chokha chophwanyika m'munsi mwa fupa. Izi zimatchedwa kusweka kwa Bennett. Dokotalayo amalowetsa zomangira kapena mawaya pakhungu lanu kuti zidutsazo zizikhala bwino pomwe fupa limachira.

Pakapumira kotchedwa Rolando fracture, pamakhala ming'alu ingapo kufupa lalikulu m'munsi mwa chala chanu. Mukamachita opaleshoni, katswiri amaika mbale yaying'ono ndi zomangira kuti agwirizane ndi zidutswa za mafupa anu pomwe fupa lanu limachira. Izi zimatchedwa kuchepetsedwa kotseguka ndikukonzekera kwamkati.

Nthawi zina, dotolo wanu amakulitsa chida chakunja kunja kwa khungu lanu. Izi zimatchedwa kukonza kwakunja.

Kuchira

Ngati mwakhazikitsidwa mu spica cast, muyenera kuvala kwa milungu isanu ndi umodzi. Nthawi zina ana safunika kuvala motalika choncho, onetsetsani kuti mukutsatira malangizo a dokotala wanu.

Ngati mwachitidwa opareshoni, muvala chovala kapena chopindika kwa milungu iwiri kapena isanu ndi umodzi. Pamenepo, zikhomo zilizonse zomwe zidalowetsedwa zidzachotsedwa. Thandizo lakuthupi nthawi zambiri limaperekedwa kuti likuthandizireni kuyendanso chala chanu chachikulu.

Kutengera kukula kwa kuvulala kwanu, zingatenge miyezi itatu kapena kupitilira apo kuti mugwiritsenso ntchito bwino dzanja lanu.

Zovuta

Matenda a nyamakazi ndi vuto lofala la chala chachikulu chophwanyika. Matenda ena amawonongeka nthawi zonse ndi kuvulala ndipo sangasinthe. Izi zimawonjezera mwayi wamatenda am'mimba olumikizana ndi chala chake chovulala.

Kafukufuku wa anthu omwe adalandira chithandizo chosagwiritsa ntchito mankhwala a Bennett ataphulika adapeza zovuta zambiri pakumaphatikizana kwamatenda pambuyo pake. Izi zidapangitsa kuti ntchito ya opaleshoni ya Bennett igwiritsidwe ntchito kwambiri. Palibe kafukufuku wapano waposachedwa wamalingaliro a anthu omwe achita opaleshoni chifukwa chovulala kwa Bennett.

Mfundo yofunika

Chala chaphwanyidwa chimavulala kwambiri ndipo chimafunikira thandizo lachipatala mwachangu. Malingana ngati mukufuna chithandizo choyenera komanso chofulumira, mwayi wanu wochira komanso kugwiritsa ntchito chala chanu chachikulu ndiabwino kwambiri.