The Smith's break is a specific type of injury to the forearm bone (the radius) near the joint joint. Mukukuvara uku kune kushandiswa kwemapfupa akadai kuti chibatanidzo chemaoko chinosara pamberi pechigaro chavo chemaatomic chaiyo.Ukuvadzwa kunonyanya kuwanika mushure mokunge uchinge wawira kuruboshwe rworuvoko, kana kuti nokuwa noruoko rwakasimwa pasi muviri wako uchipoteredza ruoko.
A Smith's break is sometimes sometimes called a reverse Colles 'fracture. Kuparara kweColles kunewo rudzi rweharasi yeparalus inoputsika, asi bone rinosundirwa kumashure pane kunamatira mberi.
Mitauro yeFrist Fractures
Iko rinowanikwa pamwe nechokubatanidza chikamu chepamberi nechanza. Iko kubatana kunoumbwa nemapfupa maviri epamberi (radius uye ulna) inobatanidza pamwe nemapfupa maduku echiuno. Kazhinji, apo mumwe munhu ari kutsanangura kuputsika kwemaoko , vari kutaura pamusoro pekukuvadza kusvika kumagumo emusana wefu. Zvisinei, shoko rinoputsika kwemaoko rinogona kushandiswa kurondedzera zvimwe zvakaputsika zvakadai sefaphoid fractures , distal ulna fractures, nezvimwe zvikuvadza zvepfupa zvakapoteredza musanganiso wechipfu.
Nharaunda dzisina kufanira dzinogona kuitika mumhando dzakasiyana-siyana, uye rudzi rwakasiyana-siyana rwekuputsika runogona kubatsira kugona kurapa kwakanakisisa. Pane zvikonzero zvakawanda zvakasiyana-siyana kune kuputsika kunogona kukanganisa zvisarudzo pamusoro pokurapa kwakanaka; zvimwe zvezvinhu izvi zvinosanganisira:
- Kuputsika kwemafambiro (kure kure kwemafuro mapfupa?)
- Kuputsika kwekutsvaga / kubatanidzwa kwekubatana (Ko kuputika kunopinda mukati memubatanidzwa here?)
- Kugadzikana kweputsika (Mafupa angangodaro akagara sei?)
Mukuwedzera, kune nyaya dzakasiyana-siyana dzakanangana nevarwere vanogona kukurudzira chisarudzo chekuita zvakanakisisa kuputsika kwakananga.
Zvimwe zvezvinhu izvi zvinosanganisira:
- Zera remurwere
- Chiito chemuviri wemurwere
- Kutonga-maoko
- Zvimwe zvezvehutano (zvakadai seshuga, kushandiswa kwefodya, kusagadzikana)
Kurapa
Nemhaka yokuti kupera kwaSmith kwakanyanya kusagadzikana, kukuvara uku kunowanzodikanwa nekugadzirisa kugadzikana nedzimwe nzira. Kana kuputsika kwacho kwakasununguka kubva panzvimbo yayo chaiyo, inowanzodikanwa kuchengetedzwa pachigaro nemashonga ematare, kazhinji iplate uye zvipfeko . Zvimwe zvinogona kushandiswa kugadzikana kuputsika zvinosanganisira zvipinza zvinowanikwa kuburikidza neganda uye kugadzirirwa kunze . Vazhinji varwere vanosarudza iplate uye zvidzidzo kubvira apo kuputsika kwakachengetedzwa zvakasimba, uye vanogona kutanga kutanga kuedza kuvandudza kufamba kwekubatana.
Apo kukanda kunogona kuedzwa, asi kunoda kuongororwa zvakanyatsoonetseka kuti kuputsika kunogara munzvimbo yakakodzera sezvo pane chimiro chezviputsi izvi zvinodzokera zvakare munzvimbo yakasimuka.
Uyewo Anozivikanwa se: Wakavhunika, Wakavhunika Wrist
Sources:
Lichtman DM, et al. "AAOS Clinical Practice Guideline Summary Kuchengetedzwa Kwemashoko Emavara Akasiyana-siyana" J Am Acad Orthop Surg March 2010; 18: 180-189.