Ukwehluleka ukuvuvukala ukulimala ithambo endaweni lapho ithenda noma i-ligament ifinyelela ethempheni. Uma kwenzeka ukuphuka kokuvuvukala , i-tendon noma i-ligament idonsa ucezu lwesithambo. Ukuhlukunyezwa kwe-avulsion kungenzeka noma kuphi emzimbeni, kodwa kuvame kakhulu ezindaweni ezimbalwa ezithile.
Ukuhlukumezeka kwama-avulsion kuvame kakhulu ezinganeni kunabantu abadala. Kubantu abadala, i-ligaments kanye ne-tendon zivame ukulimala kuqala, kanti ezinganeni ithambo lingaphumeleli ngaphambi kokuba i-ligament noma i-tendon ilimele. Izingane zinephuzu elibuthakathaka emasikeni abo, elibizwa ngokuthi ipuleti lokukhula . Lena yindawo yethambo elikhulayo. Ezinganeni, izintambo noma imigqa eduze kwesikhala sokukhula singadonsa kanzima ukuze kubangele ipulazi lokukhula liphumele.
Izimbangela
Ngokuvamile ukuqhuma ukuvuvukala kwenzeka uma kukhona ukudonsa okungazelelwe okunamandla phezu kwethenda ngenkathi ithambo lihamba ngendlela ehlukile. Isibonelo ukulimala kumetatarsal yesihlanu , ithambo ngaphandle kwe-midfoot. Ithendononi ye-peroneal ifinyelela phansi kwaleli thambo. Ngokuvamile lapho unyawo luphikisiwe, ukukhwabanisa okunamandla kwethendononi ye-peroneal kudonsa unyawo ngenye indlela, kanti amandla aphikisayo asebenza ngezinyawo ngaphesheya. Lokhu kubangela ukuba ithambo litheke lapho i-tendon ihlangana khona nasetheni. Izindaba ezinhle ukuthi lezi ziphuka zivame ukuphulukisa ngokuphumula kanye nesikhathi esilula.
Ukulimala kokuzivocavoca okuphawuliwe kwifilimu ye-x-ray kungabuye kudideke, ngoba ngokuvamile lokhu kungahlobene nokulimala okudala. Ngezinye izikhathi ucezwana oluthambo lukhishwa emzimbeni esikhathini eside esidlule, futhi kuphela lapho i-x-ray itholakala izinyanga noma eminyakeni edlule i-fragment of bone ibonakala. Kubalulekile ukuthi ungalandeli ukwelashwa okuthile okungadingi ukungenelela. Ngakho-ke, ukuba nodokotela ongakwazi ukuhumusha ama-x-ray kuphela kodwa ufake lokho okutholakele kumongo womlando wakho wokulimala kanye nokuthola izivivinyo, kubalulekile.
Ukwelapha
Ngokuvamile, ukuphulwa kokuvuswa kungaphathwa ngaphandle kokuhlinzwa. Kuphela lapho i-fragment ye-bone idonsa ngaphezulu kwezingamamitha ambalwa ukusuka endaweni yayo evamile ukuthi ukuhlinzeka kudinga ukucatshangelwa.
Ngaphezu kwalokho, ukuqhuma okunye okuvelayo kuvela ngezicucu ezincane zethambo, okuvame ukuthi akudingeki ukuthi le fragment ihlelwe. Isibonelo, ama- ankle sprains angabangela izingcezu ezincane zokuvusa. Lezi zingozi zingase ziphathwe njenge-ankle , njengoba ingxenye encane yethambo ingathinti izinqumo zokwelashwa noma umphumela wesiguli.
Kukhona okunye ukukhathazeka mayelana nokwelashwa lapho ukuphuka kokuvuswa kuhilela ipuleji lokukhula enganeni ekhulayo. Ngoba amapuleti okukhula ayabalulekile ekuthuthukiseni imfucuza evamile, lokhu kulimala kumele kuphathwe ngokucophelela. Uma kukhona ukukhathazeka ukuthi ipuleti yokukhula ayilungiswanga kahle, ukuhlinzwa kungenziwa ukuze kulungiswe futhi kuqiniswe ipuleti lokukhula.
Ukuhlinzwa kungase kungadingeki uma ukuhlukunyezwa kwe-avulsion kuhambelana kahle, noma uma isiguli siseduze ngokwanele ukuvalwa kweplate ukuthi lokhu ukulimala ngeke kubangele izinkinga zokukhula okuhlala njalo.
Imithombo:
Schiller J, DeFroda S, I-Blood T. "Ukuhlukunyezwa Okunciphisa Ngokweqile Kwangaphakathi Kwezingane Nezingane Zasebekhulile" J Am Acad Orthop Surg. 2017 Apr; 25 (4): 251-259.