Indlela Yokuthola Ukwelashwa Okufanele Kwe-Ankle Ephukile
Kungakhathaliseki ukuthi kwenzekani ukuphuka kwe-ankle, kuneziqondiso ezithile eziyisisekelo zokwelapha ezingenziwa ngezinyathelo ezimbalwa ezilula. Udokotela wakho ohlinzayo uzokusiza ukukuqondisa ngokuqondene nemithi yokwelashwa, njengokuthi ukuhlinzwa kuyadingeka, kodwa nansi ezinye zezinto eziyisisekelo.
- Ice and Elevation
Ukuvuvukala kuyabonakala emhlabeni wonke emva kwesinqe esiphukile. Ingxenye ebalulekile yokwelashwa kwe-ankle fracture ukunciphisa ukuvuvukala. Ukwehlisa ukuvuvukala kuzokusiza ukulawula ubuhlungu obuvela ekuqhekekeni kwe-ankle nokunciphisa umonakalo kumathiski azungezile.
- Ukuchithwa kwempahla
Ukuchithwa kwe-ankle fracture kuvame ukuqhutshwa ekamelweni eliphuthumayo. Ngokuvamisekile, kuzothathwa ububanzi obukhulu ukuvumela ukuhlangana kwe-ankle ukuba kuphumule futhi ukuvuvukala kudlulele. Uma ukuphuka kwe-ankle kungekuhle ukufuduka, ukugqama kungagqoka ngaphandle kokuhambisa isikhumba esiphukile. Uma i- bone ephukile ingekho esikhundleni, kuyokwenziwa inqubo ebizwa ngokuthi ukunciphisa i-fracture ukuze iphinde ithole ithambo. - Amathrekhi
Amathrekhi abalulekile ngoba cishe zonke izinhlobo zezintambo zezintambo zizodinga ezinye izinga lokuphumula ngemuva kokulimala. Ngezinye izikhathi, iziguli ngeke zikwazi ukubeka isisindo ezinyangeni eziningana, ezinye izikhathi zingakapheli izinsuku ukuya kwamasonto. Ukunquma ukuthi ungakwazi ukubeka isisindo ku-ankle ephukile kuncike ekutheni uhlobo lwamaqanda aluphukile; lokhu kuyodingeka kukhulunywe nodokotela wakho.
Ukuhlinzwa Kwe-Ankle Fracture
Ukunquma uma inja ephukile idinga ukuhlinzekwa kuncike ezintweni ezimbalwa ezibalulekile:
- Ukuzinza kokuhlanganyela kwe-ankle
Isici esibaluleke kakhulu okumele sicabange ekunqumeni ukwelashwa kwe-ankle ukuphazamiseka ukuqiniswa kokuhlanganiswa kwe-ankle. Ukuhlanganiswa kwe-ankle lapho amathambo amathathu ahlangana khona, futhi uvumela inyawo ukuba liguqe futhi lihle. Uma engaqiniseki, ukuhamba komzimba kungabonakali, futhi kukhona amathuba amakhulu okuthuthukiswa kwe-arthritis yangaphambili ye-ankle. Isizathu sokuthi ihlangene iphuma masinyane ifana nemoto egqoke amathayi lapho amasondo engahambisani kahle. Isizathu esivame kakhulu sokuhlinzwa ngesikhumba esiphukile kungenxa yokujoyina okungazinzile.
- Impilo yesineke kanye nezimo zezokwelapha
Izinkinga ezicacile ngempilo yesiguli zingathonya isinqumo sokuqhubeka nokuhlinzwa. Nakuba umgomo ukunikeza wonke umuntu ithuba lokuthola ngokugcwele ngemva kokulimala, kungase kungabi nengozi yokuhlinzwa kwezinye iziguli. Okukhathazeka ngokukhethekile ngama-fracture ama-ankle ngabantu abangase babe engozini enkulu yokutheleleka nokucindezeleka. Lezi zihlanganisa abantu ababhema, abanesifo sikashukela, noma abanesifo se-peripheral vascular (izinkinga zokuhambisa). Kumele kuqashelwe, ukuthi ezimweni eziningi, ukuhlinzwa kusekunconywa ngisho nabantu abanezimo. Kodwa-ke, kungase kube nezinguquko ekuphathweni kwe-post-operative ukuvuselela iziguli kancane kancane. - Vula ama-fractures
Kunezinhlobo ezithile zokulimala okudinga ukuhlinzwa, icala elilodwa livulekile ukuvuleka , okubizwa nangokuthi ukuhlukunyezwa kwekhamera. Lokhu kulimala kwenzeka uma kukhona ukuxhumana phakathi kwesikhumba kanye nokwahlukana. Lokhu kulimala kunethuba eliphezulu lokutheleleka, ngakho-ke ukuhlinzwa okusheshayo kuyadingeka njalo ukuhlanza indawo yesilonda futhi kungahle kube khona okwesikhashana noma ukuzinza unomphela ukuhlukana.
Imithombo:
UMichelson JD "Ama-Ankle Fractures aphumela ekulimaleni kokushintshanisa" J Am Acad Orthop Surg November / December 2003; 11: 403-412.