Hondo yakaputsika inowanzokuvadza. Kutaura zvazviri, kuputika kwemaoko ndiyo inonyanya kupera kuputsika, kuverenga kune zvinopfuura 10% zvezvese zvakaputsika zvemaoko kana makumbo. Inenge 3/4 yezvose zvinoputika kuputika kunoitika pamagumo emharafu bone - ichi chikamu chepafu chinonzi distal radius. Imwe yenzvimbo dzakanyanya kufanana dzemharaal distal fractures inonzi maClep fracture.
Colles Fracture Meaning
Iyo Colles inoputsika isiri yakasiyana-siyana yeharapalasi yakaputsika. Chikonzero icho chinonzi ma Colles kuputsika ndiye chiremba avhiya uyo akatanga kurondedzera iyi pattern yekukuvara mukutanga kwema 1800s. Dr. Abraham Colles aiva chiremba wokuvhiya weIreland uyo akatsanangura kukuvara uku uye mazita ake achiri kushandiswa nanhasi navanachiremba vazhinji vanotsanangura chimiro ichi chinokuvadza.
Apo murwere anotsigira kuputika kweColles, pane chibatanho chemaoko chinodzingirwa kumashure mushure mefupa remberi (radius). Kuparara kweMapurisa kakawanda kunowanzoitika mushure mekuwira kune ruoko rwakatambanudzwa. Ichokwadi kuti Colles yechokwadi yakaputsika inozivikanwa sechinhu chinoputika cheputika, zvichireva kuputsika hakupindi chikamu chetikitikiti chekubatanidza kwemaoko. Pane kudaro, kuputsa kuri pamusoro pehuwandu hwekubatana.
Kunyange zvazvo tsanangudzo yepakutanga yeChese yakaputsika yaiva yakasununguka kubva kune imwe nzvimbo, kureva kwemavara eparalus radial kuputsika, kazhinji zita reKaputsi kuputsika hakushandisi kushandiswa kune chero chinenge chikaputsika chesi.
Iwe unogona kunge wakamboudzwa kuti une ma Colles anoputsika kana uripo chaiwo iwe unopesana nepfungwa yakasiyana pane iyo Colles yakatsanangura makore 200 akapfuura. Mashoko akanaka ndeokuti, kana iwe usina maChesi echokwadi kuputsika kana chimwe chimiro chekuputsika kwemaoko, maitiro ekurapa akafanana akafanana.
Haasi Mavara Ose Akasiyana-siyana Anoparadzaniswa Ndeye Mavara
Ini kazhinji ndinoona varwere uye vanachiremba vachifananidza chero nzvimbo ipi neipi yakasiyana-siyana inoputsika seChese kuputsika. Izvi hazvirevi zvinyorwa zvakarurama, sezvo kune zvakawanda zvakasiyana-siyana kumharasi yeharasi yefracture (nzvimbo chaiyo, kutungamirirwa kwekusimuka) uye kuputika kweChechi ndeimwe yeiyo.
Muchiitiko changu, chokwadi cheColles kuputsika ndechekukuvara kunoshamisa. Kunyanya kakawanda ndinoona kuputika kunokonzerwa nekushaya simba kwemafupa, uye mumamiriro ezvinhu aya, kuputsika kunowanzoenda mukati mehutano hunobatana nehutu, chinetso chinonzi kuparara kwema-intra-articular. Kunyange zvazvo nzvimbo yekuputsika uku iri pedyo neChechi dzechokwadi dzakaputsika, zviri pachena kuti haisi kuipa kwakaitwa maColle. Saka fungidzira, iwe paunobva mubazi rehurumende rinoshamwaridzana, uye ivo vanokuudza kuti iri kuputsika kweKirasi, zvinokwanisika kukuvara kungave kwakasiyana zvakasiyana.
Treatment Options
Kugadzirisa kurapa kwakakodzera kweChete kuputsika kunoenderana nezvimwe zvinhu. Kunyanya, chiremba wako anovhiya achatsvaka kurongeka uye kugadzikana kweputsika. Mabhesi asina kunyatsogadzikana kana kusagadzikana angangodaro anoda kuti chirwere chigadzikane.
Kazhinji kacho Mapoka anoputika anogona kugadziridzwa pasina kuita chirwere; iyi ndiyo nzira inonzi kuderedza kuputsika .
Munguva iyi nzira, inenge iri musha kana aneshehesia yakawanda inotarisirwa kumurwere, uye chiremba achaisa zvakare mapfupa ndokuzoshandisa bvint kuti ibate mapfupa ari munzvimbo yakakodzera.
Zvichienderana nehuwandu hwekuparadzanisa kwepfupa remapfupa (radius) uye kusakanganiswa kwekudzivirira kwemaoko, kuparara kweChete kunogona kudiwa kuravhirwa kurapwa. Apo kukuvara uku kunonyanya kukosha kunogona kudikanwa kurapwa . Munguva yekuvhiya, chirwere chako chinogona kushandisa pini, mahwendefa, uye / kana zvipfeko kuchengetedza mapfupa munzvimbo yakanaka. Kunyange zvazvo kuvhiyiwa hakuiti kuti kupora kupfuure nokukurumidza, kunobata mapfupa ari munzvimbo yakakodzera apo vachirapa.
Uyezve, nokuti mapfupa anochengetedzwa zvakachengetedzwa nematare esimbi, kazhinji varwere havadi kuti zvipere.
Sources:
Bushnell BD uye Bynum DK. "Malunion of the Distal Radius" J Am Acad Orthop Surg January, 2007 vol. 15 no. 1 27-40.
Lichtman DM, et al. "AAOS Clinical Practice Guideline Summary Kuchengetedzwa Kwemashoko Emavara Akasiyana-siyana" J Am Acad Orthop Surg March 2010 18: 180-189.