Salter-Harris kuputsika zvinyorwa
Kukura kweplate fractures kune kukuvara kunoitika mukukura vana nevechiri kuyaruka. Ikukuvara kunowanzoitika munzvimbo yefupa rinotakura kukura, mupanda wokukura pamagumo emapfupa akawanda. Apo chikamu ichi chemapfupa chakakanganiswa, pane kunetseka pamusoro pezvinogona kuitika matambudziko nehupenyu huri mberi kwefupa. Kurapa kwakakodzera kwekukura kweplate yakakosha kunokosha kuti uone kukura zvakakodzera kwomwana.
Sarter-Harris Classification for Growth Plate Fractures
Izvo zvinoreva kukura kweplate fractures zvinoenderana nezvimwe zvinhu, kusanganisira rudzi rwekukuvara. Nyanzvi dzechirongwa dzinoongorora mashizha ekurasira fractures maererano neSalter-Harris classification system. Ichi chikamu chinobatsira kusiyanisa marudzi akasiyana-siyana emakumbo uye inopa ruzivo rwekufananidzira zvakare. Iwe unogona kuona kukura kwepachipfetta inonzi Salter-Harris fractures nekuda kwechirongwa ichi.
Tora 1 Growth Plate Fracture
Nyora 1 Salter-Harris kuputsika kunowanzoitika kuvana vaduku. Izvi zvinokuvadza zvinopinda zvakananga pasi pembepa yekukura, uye pfupa rakapoteredza harina kubatanidzwa. Kazhinji, x-ray dzemwana ane chirwere chekukura 1 chikafu chinenge chichionekwa sechinyakare. Kuporesa kworudzi rwekutanga 1 fractures inowanzove yakakurumidza uye zvinetso hazvishamisi. Rudzi rwemhando yekutanga 1 kukura kwepacheni yakakuvara inobatwa nekanda.
Tora 2 Growth Plate Fracture
Chimiro chekusimudza 2 chikafu chinoputika chinotanga kupera neplate yekukura, asi kuputsika kunoramba kuchikwira kusvika mumumvuri wefupa (kure nemubatanidzwa).
Ichi ndicho chinonyanya kuwanda chekukura kweplate plate uye chinowanzoitika kune vakwegura vana. Kazhinji chimiro chekukura chikafu chechipiri chinofanira kuiswazve pasi peanesthesia , asi kuporesa kazhinji kunokurumidza uye zvinetso hazvishamisi.
Tora 3 Growth Plate Fracture
Chirwere chechitatu chinoputika chinotangawo kuburikidza nehomwe yekukura asi inoshanduka uye inopera kuburikidza nechokuguma kwefupa, uye mune imwe sangano iri pedyo.
Izvi zvinokuvadza zvingave zvine chokuita nokuti musanganiswa wekodheti unopesana nekuputsika. Nzvimbo yakakodzera inokosha mushure mekunge rudzi rwekukura 3 kuputika kuputika. Kukuvara uku kunowanzokonzera vana vakwegura.
Tora 4 Growth Plate Fracture
Tora 4 kukura kweplate fractures inotangira pamusoro pekukura kweplate, kuyambuka chikafu chekukura, uye ubuda kuburikidza nehuteteti wejoka. Izvi zvinokuvadza zvinogona kukanganisa hutakiti pamwe chete uye zvinogona kukanganisa kukura kwakakwana. Nzvimbo yakakodzera yakakoshawo nechirongwa chechina chekukura kweplate fractures, uye chirwere chinogona kudiwa kuti chibate mapfupa emapfupa munzvimbo yakakodzera.
Tora 5 Growth Plate Fracture
Tora 5 kukura kweplate injuries inowanikwa nehombodo yekukura inopwanyika. Tora 5 kukura kweplate fractures inofambisa kunyanya kufungidzira sezvinonzi bone pamwe nekureba kunogona kuchinjwa. Izvo zvipembenene zvinokanganisa zvinogona kukuvadza zvachose chibage chekukura, chinoda kuti chirwere chinotevera chidzorezve kugadzirisa kwechikwata.
Kurapa kwaSarter-Harris Fractures
Kurapa kwekukura kweplate fracture kunoenderana nezvinhu zvakasiyana-siyana kusanganisira rudzi rwekukuvara, kuoma kwekukuvara uye nguva yemwana. Utano hwakawanda hwehutano hunorapwa zvakanaka, asi zvose zvinoda kurapwa nekuchengetedzwa kwekuchengetedza kuti kuve nekurapa kwakakwana uye kuporesa.
Sources:
American Academy of Orthopedic Surgeons "Growth Plate Fractures May 2009.