Palibe amene sangathe kuwonongeka mosiyana, makamaka kuphulika, chifukwa pamene mugwa munthu amayesetsa kupewa kuvulazidwa ndi ziwalo izi za thupi. Ndiponso, kuwonongeka kwalakwa kungabwere chifukwa cha kusayenerera kosayenera kwa njira zomwe zimapotoza kapena kupopera. Momwe chala chawonongeka, ndipo chikhalidwe cha fracture chimadalira, ndipo chifukwa chake, pa chithandizo chake.
Zifukwa za zala zakuphwanyika
Nthawi zambiri, zala zimavulala kwa othamanga: osewera mpira, masewera a basketball, masewera olimbitsa thupi ndi opha masewera, ngakhale kuti mapetowa amatetezedwa ndi magolovesi apaderadera. Komanso ana ndi anthu omwe ali ndi matenda odwala matendawa amapezeka pangozi.
Mulimonsemo, mvulayi imayamba chifukwa chovulazidwa:
- zotsatira;
- ponyani chinthu cholemera pa brush;
- Gwiritsani ntchito burashi pansi pa njira yosunthira.
Kusweka kwa chala: zizindikiro zazikulu
Kugwidwa sikungadziwikire nthawi zonse (chifukwa cha edema), koma nthawi zambiri zimakhala zosavuta kuti munthu amvetsetse kuti kuwonongeka kunali koopsa, ndipo mwina fupa lawonongeka.
Zizindikiro zazikulu za chala chophwanyika pa mkono:
- ululu;
- edema;
- hematoma;
- choletsedwa mu kuyenda;
- ndi kutseguka kwatseguka, kudodometsa koopsa ndi kutuluka mwazi kotheka.
Chowopsa kwambiri ndi kuphulika kwa thupi, chifukwa pakadali pano, ntchito yowonjezera ikubwezeretsedwanso, ndipo ngakhale chithandizocho sichili cholakwika, kuwonongeka kungachitike kwa zaka zambiri kudzidziwitsa nokha kulowera kwa dzanja. Ngati inu mumakanikizira pazitsulo za chala chanu, ululu umakula.
Kupweteka kwambiri kwa thupi kumaganiziridwa ngati nsonga yake yawonongeka, koma nthawi zambiri pamakhala chipilala cha msomali, chomwe chingathe kukhala chopunduka. Zimakhala zovuta kwambiri ngati chala chimathyoka pansi pa mgwirizano ndipo mfupa imodzi ya metacarpal imakhudzidwa - ichi ndi chomwe chimatchedwa Bennett kupasuka.
Malinga ndi chiwerengero, anthu ambiri amapita kukawathandiza chifukwa cha chala chaching'ono pamanja, koma mwamwayi, sichigwira ntchito yofunika kwambiri pa ntchito ya burashiyo, choncho, ngakhale ngati mankhwalawa atakhalapo ululu wazing'ono komanso kusayenda pang'ono, izi sizidzakhudza kugwira ntchito kwa burashi.
Mphuno yapakati, komanso kuphwanyika kwa phokoso, zimakhala zoopsa pokhapokha ngati zowonongeka, tk. Kugwidwa kwa mtundu uwu n'kovuta kuchiza popanda zotsatira: nthawi zambiri anthu amamva ululu ndi zala zosasinthasintha sizinasinthe monga kale.
Chizindikiro cha zophulika zala
Malingana ndi mzere wa fracture, tisiyanitsa:
- mzere;
- choyimilidwa;
- m'mphepete.
Mphuno yowonjezera imachiritsidwa mofulumira ndi yosavuta kuposa ena, ndipo zovuta kwambiri kuchokera ku mbali iyi zikuwoneka ngati zinyama, pamene fupa limagawanika kukhala zidutswa zing'onozing'ono.
Ndiponso, ziphuphu zimatseguka ndi kutsekedwa. Pakutha kutsekedwa, zimakhala zovuta kuziwonetsera popanda thandizo la dokotala, koma kutseguka kumatsegulidwa nthawizonse popanda radiography ndi katswiri.
Fractures ikhoza kukhala ndi malo osiyana: ndi kuwonongeka kwa mgwirizano kapena fupa. Koma mitundu yosiyanasiyana ya fracture ikhoza kuphatikizidwa: motero, kupunduka kwa phalanx kwa chala cha dzanja kungatsegulidwe kapena kutsekedwa, koma ngati choyamba chimawonongeka, nthawi zambiri chimakhala ndi mawonekedwe otseguka ndi kuwonongeka kwa msomali. Kuvulala koteroko kumachitika m'moyo wa tsiku ndi tsiku ngati mutasunsa chala chanu ndi chitseko kapena kusiya chinthu cholemetsa.
Kuchiza kwa kupweteka kwa chala
Chithandizo chimayamba ndi kutsimikiziridwa kwa matendawa komanso chifukwa cha X-ray.
Ngati fracture imatseguka, izi zimapangitsa thupi kukhala pangozi, chifukwa matendawa amatha kudutsa mu bala, ndipo ma antibayotiki amalembedwa nthawi zonse. Madokotala kukonza fupa angafunikire kuchitapo opaleshoni, kotero kuti pakhomo pake padzakhala bwino.
Ndi kutseguka kotseguka, nsalu yomangiriza imagwiritsidwa ntchito kuti asiye magazi, ndipo kumeta kungakhalenso kofunikira.
Pamene kusamukira kumapangidwanso, kumapezeka nthawi yomweyo mu dipatimenti yachisokonezo, pansi pa anesthesia.
Madokotala atadziwa kuti atsekedwa pang'ono, apangitse pepala, yomwe imakhala yosapitirira masabata atatu.
Pamene pulasitala wachotsedwa, odwala angawonongeke zala zawo zitatha, ndipo pakadali pano amalembedwa kuti azitha kuchita masewero olimbitsa thupi komanso mankhwala. Pakapita nthawi, chizindikiro ichi chimapezeka pamene chala chimabwezeretsedwa.