Uhlobo olungavamile lwe-Ankle Ukulimala
I-talus ingenye yamathambo abalulekile abumba iqhaza le-ankle. Isebenza njengesixhumanisi esibalulekile phakathi komlenze nonyawo. I-talus nayo ithambo eliyingqayizivele elingaphezu kwengxenye eyodwa kwesigamu elihlanganiswe ne-cartilage ehlinzeka ngesikhumba futhi ivumela amathambo ukuba athuthe ngokukhululekile. I-talus ayifaki kuphela ekuhlanganyeleni kwe-ankle kodwa futhi iphinde ngaphansi kwe-ankle ehlangene ne-subtalar kanye ne-middlefoot ekuhlanganyeleni kwe-talonavicular.
Ukulimala kule talus kungaba nomthelela omkhulu ekunyameni kwamajoyina ezinyawo nezinyawo futhi kunciphisa ikhono lokuhamba futhi lithwale isisindo.
I-Talus fractures cishe yayingazwakala eminyakeni eyikhulu edlule. Uchungechunge lokuqala lwama-talus fractures luchazwe emadodeni abalimele eBrithani Royal Air Force ekuqaleni kwawo-1900. Igama elithi "aviators astragalus" lisetshenziselwa ukuchaza lezi ziphuka ezenzeke njengamaplanethi empi adala enza ukuqhuma komhlaba. Namuhla, ukushaywa kwetalus kubonakala emotweni nasezikhungweni zezithuthuthu, izingozi ze-snowboarding, nokuwa okukhulu.
Izimpawu ze-Talus Fracture
Iziguli ezinokuhlukumeza i-talus zinobuhlungu obuningi be-ankle , ubunzima bokufaka isisindo esikhwameni, nokuvuvukala emzimbeni we-ankle. Iziguli kufanele zihlole ngokushesha i-X-ray ukucacisa ukuthi kukhona yini ukuhlukunyezwa kwetalus noma ukulimala kwesikhumba.
Izimpawu ezivame kakhulu ze-talus fractures zifaka:
- Ukuvuvukala emzimbeni we-ankle
- Ubuhlungu ngokuhamba kwe-ankle
- Ama-blisters okuphuka
- Ukuthumba isikhumba
- Ukungakwazi ukubeka isisindo ekuhlanganyeleni
Izinketho zokwelapha
Ukwelashwa kwephutha le-talus kuncike ekubaleni kokulimala. Uma i-fracture ingekho esikhundleni, i-cast ingase yanele ukwelashwa. Uma ukuphuka kuphelile, ukuhlinzwa kungase kunconywe ukuze kulungiswe kabusha amathambo aphukile futhi kuqiniswe nabo ngezikulubo noma izikhonkwane.
Izinkinga ze-Talus Fracture
Kunezinkinga ezintathu ezinkulu ezivame ukwenzeka nge-talus fractures. Lezi zinkinga i-ankle arthritis, i-fracture malunion, ne-osteonecrosis. Ezinye izinkinga ezingase zibe khona zibandakanya ukutheleleka, ukungaboni, ukukhubazeka kwezinyawo , nobuhlungu obungapheli .
I-arthritis ivamile ngemuva kokuphuka kwetalus ngoba inqwaba yethambo limbozwe ngothambo. I-arthritis ingenzeka ngaphezu kwe-talus emhlanganyeni we-ankle, noma ngezansi kwetalus ekuhlanganyeleni kwe-subtalar . Lapho isifo sikhumba silimala, indawo evamile ebusayo ebomvu iyaba engalingani. Lezi zinhlawulo zingaholela ekugqokeni okusheshayo ekuhlanganyeleni, futhi ekugcineni ku-arthritis. Ngisho nangokwelashwa kokuhlinzwa kwe-talus fracture, ukuthuthukiswa kwe-arthritis kuvamile.
I-Malunion isho ukuthi ikhefu liphulukisiwe, kodwa isikhundla lapho amathambo aphulukisiwe akuyona into eqondakalayo ngokoqobo. Lokhu kungaholela ezinkingeni eziningana ezahlukene, ikakhulukazi ngezinyawo zomgwaqo lapho ukulungiswa kokuguqulwa kungaholela enkingeni yesikhathi eside futhi kunzima ukuhamba.
I-Osteonecrosis, noma i-necrosis ye-avascular, yinkinga etholakala ngokuvamile kuthelevishini. Ngenxa yokunikezwa kwegazi okungavamile kwithebula le-talus, lingaphazanyiswa lapho ithambo lilimala ekuphukeni. Ngaphandle kwegazi, amangqamuzana amathambo angafa (i-osteonecrosis) futhi ithambo alikwazi ukuphulukisa ( ukungabambisani ).
Ngisho nokuhlinzekwa ukubuyisela ithambo futhi ubambe izingcezu ezikhona, ukunikezwa kwegazi okulimazayo kungaholela kule nkinga yokucindezeleka.
Ukubuyiswa Kokulimala Nokubuyela Emidlalweni
Ukubuyiselwa kwe-talus fracture kude isikhathi eside kuze kube yilapho ithambo liphulukiswa, awukwazi ukubeka isisindo emkhawulweni. Ngakho-ke, izintambo eziningi ze-talus zidinga okungenani amasonto ayisishiyagalolunye kuya kwangu-12 okuvikelwa ekuthwaleni isisindo. Ngokulimala okuphawulekayo, isikhathi singase sibe eside. Ucwaningo luye lwabonisa ukuthi umphumela wokugcina weziguli uhambisana kahle ngokulimala kokuqala.
Ngemuva kokuthi isikhumba sakho sisebenzise kahle, ungaqala uhlelo lokuvuselela ukwelapha umzimba ukuze uphinde uthole ukunyakaza , ukuzinza, namandla okuhlangene.
Kungase kudingeke usebenzise umoba noma ugqoke isibopho esikhethekile futhi ungakwazi ukubeka isisindo sakho esigcwele ngezinyawo zakho izinyanga ezimbili kuya kwezintathu.
Isikhathi sodwa sizotshela ukuthi isiguli sizokwakha isifo samathambo noma i-osteonecrosis, ngakho-ke, udokotela wakho uzothola ama-x-ray ngezikhathi ezithile ukuze anqume impilo yethambo, nokwanela kokuphulukisa.
> Umthombo
- > I-Talus Fractures. I-American Academy Yabahlinzeki Bama-Orthopedic.