Ukulimala ku-Distal Fibula we-Ankle
I-malleolus yesikhashana yilawa igama elinikezwa ithambo ngaphandle kwengxube yezinyosi. Leli thambo liyingxenye ye-fibula, elinye lamathambo amabili omlenze; elinye ithambo lomlenze libizwa ngokuthi i-tibia (bone bone). I-tibia ithatha iningi lesisindo somzimba (cishe amaphesenti angu-90), kanti i-fibula ibambe amaphesenti angu-10 kuphela wesisindo somzimba.
Ama-fractures of the lateal malleolus yilohlobo oluvame kakhulu lwe- ankle fracture .
Lezi zingozi zivame ukuqhutshwa lapho izinsizwa ziphikisiwe noma zigoqwe, ngokuvamile zinezinyathelo ezingahambi kahle noma ezingalingani. Izindaba ezinhle ukuthi i-malleolus fractures ehamba phambili iyabhekwa njengama-fractures aqinile futhi angaphathwa ngaphandle kokuhlinzwa.
Izimpawu ze-Lateral Malleolus Fractures
I-lateral malleolus fractures ibangela ubuhlungu, ukuvuvukala, nokulimala eduze kwesikhumba. Ubuhlungu kwezinye izindawo ezinyaweni nezinyawo kufanele kube yisizathu sokusola ukulimala okungaphezu kwe-ankle kunesifo esingenalutho esisodwa esikude siphumelele.
Ubuhlungu nokuvuvukala engxenyeni yangaphakathi ye-ankle (kanye ne-lateral malleolus fracture) kungase kubonise ukuthi kungenzeka ukulimala okuthiwa i- bimalleolar efana ne-fracture -uhlobo oluthile lokuphuka kwe -ankle elingaguquki okungadinga ukuhlinzwa. Noma ubani onokuphulwa kwe-malleolus lateral kufanele ahlolwe ngenxa yezibonakaliso zokwehluleka okukhulu kwe-ankle.
Ukulimala kwe-ankle okungazinzile kungukulimala okwenzeka lapho ukuqubuzana kubangela ukuhlanganiswa kwe-ankle ukuthi kungasebenzi kahle.
Ngakho-ke, uma amathambo ephilisa endaweni lapho i-ankle engasebenzi khona kahle, kungenzeka ukuthi isifuba siphuthukise isifo samathambo esikhumba sangaphambili . Izindaba ezinhle ukuthi ukuphela kwama-malleolus fractures okuqhelile okwezinye izikhathi kuhlale kuzinzile ama-ankle fractures ngakho-ke akanalo le nkinga.
Ukwelashwa kwe-Lateral Malleolus Fractures
Ukwelashwa kwesiteleka esisemthethweni se-malleolus fracture kufanele kube nemizamo yokunciphisa ukuvuvukala okulandelayo ngokuqhubeka kancane kancane ekuthwaleni isisindo.
- Isicelo se-Ice : Isicelo se- Ice siyasiza ekunciphiseni ubuhlungu nasekunciphiseni ukuvuvukala.
- Ukuphakama : Ukuphakama kubalulekile ukugcina ukuvuvukala kunciphile. Qinisekisa ukuthi i-ankle yakho ingaphezu kwenhliziyo yakho (Ukuze wenze lokhu, kufanele ulale phansi, awukwazi ukukwenza uhlezi!).
- Imithi elwa no -Inflammatory: Imithi engaqinisekisiwe yokuvuvukala , kuhlanganise noMotrin (Ibuprofen) ne-Aleve (Naproxen) iyasiza ekulawuleni kokubili ukuvuvukala nobuhlungu.
- Ukuphumula / Ukungaqediki: Ngenkathi ukuqubuzana kwe-ankle ehlelekile kungase kusekele isisindo sakho, kusiza ukunciphisa ukulinganisa isisindo ukusiza ukulawula ubuhlungu nokuvuvukala. Ngokuvamile, isonto noma amabili ngezinsimbi zizolawula lezi zimpawu.
Lapho kuthuthukiswa isisindo, kunezifundo eziningi ezenzelwe ukuhlola ukuthi ukuvikelwa kwe-ankle kungcono kangakanani. Abanye odokotela basebenzisa ukuhamba ngezinyawo, ukuhamba ngezinyawo, izindiza, ama-ankle braces, noma ngisho nezicathulo eziphakeme eziphezulu (ukugibela amabhuzu). Okubalulekile ukuthi akekho umehluko owatholakali uma uqhathanisa lezi zinhlobo ezahlukene zokusekela kwe-ankle. Noma ngabe yini ekunika inkxaso nokududuzeka kufanele isebenze ngokulinganayo.
Ingabe Ukuhlinzwa Kunokubaluleka?
Impendulo ecacile yukuthi ukuhlinza kuyindlela engcono kakhulu yokuzinza kwe-lateral malleolus fractures. Isizathu siwukuthi ukwelashwa okungewona ukwelashwa kuboniswe ukuthi kuphumelela kakhulu ekwelapheni ithambo eliphukile.
Ngaphezu kwalokho, ukuhlinzwa kunethuba kokubili ukutheleleka nezinkinga zokuphulukisa (cishe amaphesenti angu-2) futhi lokhu kungabangela izinkinga ezinkulu. Abantu abaye bahlinzwa ukuvuvukala kwe-fibula bane-inflammation engapheli emasendeni abo. Okokugcina, lapho abantu benamathele ensimbi ezungeze isisindo, bangase bakhethe ukuthi insimbi isuswe phansi komgwaqo. Lokhu kuzodinga inqubo yesibili yokuhlinzwa lapho kuqala kungadingeki. Ngakho-ke uma ukuhlinzeka kungavunyelwe, cishe kungcono kakhulu!
> Umthombo:
> Koehler SM, Eiff P. Sibutsetelo se-ankle fractures kubantu abadala. Ku: UpToDate. UGreyzel J (Umq.) 2017.