Ukwaziswa Nge-Ankle Ehlutshiwe
I-ankle ehlongozwayo kwenzeka ngemuva kokunyakaza okungazelelwe noma ukuguquka kwezinyawo. I-ankle sprain ingenzeka ngesikhathi sezemidlalo noma emisebenzini yansuku zonke. Konke okudingekayo kuyisinyathelo esingathandeki noma indawo engalingani ukuze kubangele i-ankle sprain - yingakho lokhu kulimala kungenye yezinkinga ezivamile zomzimba wama-orthopedic.
I-ankle ehlutshiwe ngokuvamile ivela lapho umuntu ehlala ehlathini noma egijima endaweni engalingani.
Isibonelo, ama-ankles abhekwayo avame ukubonakala lapho abadlali bebhola basketball behla bephuma bese befika emanzini omunye womdlali. I-Ankle sprains iyenzeka futhi nemisebenzi eminingi yansuku zonke njengokungena emgqeni noma ukuhambisa phezu kweqhwa.
I-ankle sprain ukulimala emithanjeni esekela isonto. Imigqa yizakhiwo ezilawula ukunyakaza ngokweqile kokujoyina. Uma i-ankle iqhuma, i-ligament iselulelwe kakhulu, futhi ingacutshungulwa noma iqedwe ngokuphelele.
Kunezigaba ezimbili ezibanzi ze-ankle sprain:
- I-Inversion Ankle Sprains
Uhlobo oluvame kakhulu lwe-ankle sprain lwenzeka uma unyawo luguqulwa, ukuhlanekezela ngaphakathi. Uma lolu hlobo lwe-ankle luyaqhubeka, imilayezo yangaphandle, noma i-lateral, igxile kakhulu. Kunezinhlangothi ezintathu ze-backal ligaments ezisekela eceleni kwangaphandle. Cishe amaphesenti angama-90 e-ankle ahlaselwe yi-inversion. Ubuhlungu buhlala njalo ngaphandle kwe-ankle, futhi ngokuvamile akuyona into encane engaphakathi kokujoyina.
- I-Eversion Ankle Sprains
Olunye uhlobo lwe-ankle ehlongozwayo libizwa ngokuthi ukulimala kwa-eversion, lapho unyawo lucukele khona. Uma lokhu kwenzeka, igoli elingaphakathi, elibizwa ngokuthi i-ligament deltoid, lisule kakhulu kakhulu. Iziguli ziyoba nobuhlungu ohlangothini lwangaphakathi lwehlangene lezinyosi.
Ngaphezu kwalokho, kukhona ukuhluka okukodwa okubizwa ngokuthi i- ankle sprain .
Lokhu kulimala kunempilo elula kakhulu njengoba kuhilela imigqa engaphezu kwe-ankle kanye nangakwesokunxele. Umgogodla ohlanganisa amathambo amabili omlenze ubizwa ngokuthi i-syndesmosis, kanti ama-sprains aphezulu ahlanganisa ukulimala kule ligament.
I-Ankle Sprain Izimpawu
Izibonakaliso ezivame kakhulu ze-ankle sprain zihlanganisa:
- Ukuvuvukala okuhlangene kwe-ankle
- Ukudumala ezungeze isonto, ngezinye izikhathi ezinyaweni nasezinzwaneni
- Ubuhlungu obuzungeze isikhumba
- Kunzima ukugoqa isikhumba phezulu noma phansi
- Ukukhathazeka uma uzama ukuhamba
Izinga lezibonakaliso livame ukuhambisana kahle nokulimala kwemigqa. Odokotela abaningi basebenzisa uhlelo lokubamba ukuze bahlukanise ama-ankle sprains. Khumbula, lezi zigaba ezibanzi, hhayi zonke izigaba I-ankle sprain iziphatha ngokufanayo. Lezi zigaba zinikeza umgijimi olimalayo ukuthi unomqondo wokuqina kokulimala nokubikezelwa kokubuyiswa.
- Ibanga I-Ankle Sprain:
Ibanga I-ankle sprains lenza ukuba i-ligament ilulakwe. Izimpawu zivame ukulingana nobuhlungu nokuvuvukala. Iziguli eziningi zingakwazi ukuhamba ngaphandle kwamathanga, kepha kungenzeka ukuthi azikwazi ukugijima noma ukugijima. - I-Grade II I-Ankle Sprain:
I-grade II ye-ankle sprain yinkinga enkulu kakhulu ye-ligament. Ngokuvamile ukuvuvukala nokuqhekeka okubaluleke kakhulu okubangelwa ukuphuma kwegazi ngaphansi kwesikhumba. Iziguli ngokuvamile ziba nobuhlungu ngokuhamba, kodwa zingathatha izinyathelo ezimbalwa.
- I-Grade III I-Ankle Sprain:
I-grade III ye-ankle sprains yizinyembezi eziphelele zemizila. I-ankle ngokuvamile ibuhlungu kakhulu, futhi ukuhamba kungaba nzima. Iziguli zingase zikhononde ngokungahlali kahle, noma ukuzwa kwendlela ekuhlanganyeleni.
Njengoba sekushiwo ngaphambili, ubuhlungu nokuvuvukala yizimpawu ezivame kakhulu zomzimba we-ankle. Iziguli zivame ukubona ukulimala endaweni yokulimala. Lokhu kuphazamiseka kuzothuthela phansi unyawo kuya ezinzwaneni ezinsukwini emva kwe-ankle sprain - isizathu salokhu amandla adonsela phansi adonsa igazi phansi phansi.
Nini Ukubona Udokotela
Uma unayo izimpawu eziphawulekayo ngemuva kwe-ankle ehlutshiwe, kufanele ufune usizo lwezokwelapha.
Izimpawu okufanele ziphakame ukukhathazeka zihlanganisa:
- Ukungakwazi ukuhamba ekhanda
- Ukuvuvukala okuphawulekayo
- Izimpawu ezingaphuthumanga ngokushesha noma ziphikelela ezinsukwini ezimbalwa
- Ubuhlungu ezinyaweni noma ngaphezulu kwe-ankle
Ukuhlukanisa phakathi kwe-ankle ehlutshiwe kanye nokuphuka kwe-ankle kungaba nzima, futhi ngezinye izikhathi i-x-ray iyadingeka. Nakuba ubuhlungu obukhulu nokuvuvukala yizimpawu ezivamile ngemuva kwesinxephezelo esilula, izimpawu ezifana nokuhluleka ukubeka isisindo emlenzeni noma ubuhlungu ngqo kuthethi kufanele ziphakamise ukukhathazeka. Uma ucabanga ukuthi kungenzeka wenze okungaphezu kokugcina isikhumba esikhishwe, kufanele ufune usizo lwezokwelapha.
I- high-sprain sprain uhlobo oluthile lokulimala emithanjeni ngaphezu kwe-ankle. Esikhathini esiphezulu sezinsikazi, izigxobo ezingaphezu kwehlangene nazo zalimala. Lezi zimpawu, ezibizwa ngokuthi i- syndesmosis ligaments, zixhuma amathambo amabili ama-shin (tibia ne-fibula), futhi zingadinga isikhathi eside sokuvuselelwa .
I-Ankle Sprain Treatment
Ukwelashwa kwama-ankles okhethiwe kubalulekile ngoba ukubuyela emisebenzini evamile ngesikhathi esifanele kubalulekile iziguli eziningi. Ukwelashwa kuqala nge-standard RICE (Ukuphumula, i-Ice, Compression, kanye ne-Elevation), kodwa kufanele ngokushesha uthuthuke ekuvuseleleni nasekuqiniseni. Kuzimo ezingavamile kuphela ukuhlinzwa okubhekwa ukuphathwa kwe-ankle sprain.
> Imithombo:
> Maffulli N, Ferran NA. "Ukulawulwa kokungazinzi kahle kwe-ankle" (J Am Acad Orthop Surg. 2008 Oct; 16 (10): 608-15.