Ukuhlukana Okuvamile Komlenze, I-Ankle, Nezinyawo

Amathoni Aphukile Omlenze Okuvame Ukudinga Ukwelashwa Okusemzimbeni

Uhlobo olunjani oluvame kakhulu lwezinsalela emlonyeni, emadolweni, ezinyaweni nasezinyaweni ezidinga ukwelapha ngokomzimba njengengxenye yenqubo yokuphulukisa?

Ukuhlukana Okuvamile Komlenze, I-Ankle, Nezinyawo

Umlenze ophukile ungaba ukulimala okubuhlungu nokwethusa. Kungabangela ekulahlekelweni okuphawulekayo komsebenzi futhi kungaphazamisa umsebenzi ovamile kanye nomsebenzi wokuzilibazisa. Ukuphulwa komlenze, uma kungenakekelwa kahle, kungabangela ukukhubazeka okuhlala njalo njengokulahlekelwa kwezinyathelo zokuhamba (ROM) noma ukunciphisa amandla . Ngakho-ke, ukwelashwa ngokomzimba ngemva kokuphuka kubaluleke kakhulu.

Abantu abaningi bazibuza ukuthi umlenze ophukile nomlenze ophukile usho into efanayo. Benza. Uma udokotela wakho ekutshela ukuthi uphukile ithambo lakho lesitheni, kusho ukuthi ithanga lakho liphuliwe.

Imfucuza yomlenze isivele ibangelwa ukuhlukumezeka emzimbeni. Ukuwa, ukulimala kwezemidlalo noma izingozi zemoto kungenza wonke amathambo emlenzeni wakho aphule.

Izimpawu zihlanganisa, kepha azikhawulelwanga, ubuhlungu, ukuhamba kanzima, ukulimaza, ukuguqulwa kwemvelo nokuvuvukala, noma ukukhubazeka okusobala emlenzeni. Uma usola ukuthi unomlenze ophukile, udolo, unyawo noma unyawo, kufanele ufune usizo lwezokwelapha ngokushesha. Shayela udokotela wakho noma uye emnyangweni wakho ophuthumayo wendawo ukuze uthole ukuhlonza kahle inkinga yakho futhi uthole ukwelashwa okufanele. Ukwehluleka ukwenza kanjalo kungaholela ekukhubazekeni isikhathi eside nokulahlekelwa umsebenzi.

Ukwelashwa kokuqala kokuphulwa komlenze kufaka ukunciphisa ukuphulwa nokukhubazeka. Ukunciphisa inqubo lapho amathambo aphukile abuyele endaweni yawo efanele. Lokhu kuvame ukwenza ngesandla, kodwa inqubo yokuhlinza ebizwa ngokuthi ukulungiswa kwangaphakathi kokunciphisa ngaphakathi (ORIF) kungadingeka ukuze kube nokuhlukumeza okukhulu. Ukuchithwa kwempahla kuyindlela yokugcina amathambo endaweni kanye nokusetshenziswa kwe-cast or brace ukuqinisekisa ukuthi ukuphulukiswa kahle kwenzeka.

Uma ukuphuka kwakho sekuphulukisiwe ngokwanele, ungathunyelwa kumhlengikazi womzimba ukuze usize ukuthuthukisa ukuhamba nokusebenza kwakho. Umhlinzeki wakho wenyama angakusiza ukhethe idivayisi efanele yokusiza ukusiza ngokuhamba phakathi nezinyathelo zokuqala zokuphulukisa uma kudingekile, futhi ingakuqondisa ekuzivocavoceni okufanele ukusiza ukuthuthukisa amandla nobubanzi bokuhamba ngemuva kokuphuka.

Ngezansi uhlu lwezinhlaka ezivamile ezingenzeka emzimbeni wakho ophansi ovame ukudinga ukwelapha ngokomzimba ukuze ubuyisele ukuhamba okusebenzayo.

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I-Hip Fracture

Ukuqhekeka kwe-hip yi-bone evame kakhulu ephukile edinga ukunakekelwa esibhedlela.

Ama-Hip fracture ngokuvamile avela kubantu abadala, futhi kungenzeka ngenxa yokuhlukunyezwa njengokuwa. Ngezinye izikhathi, ama- fracture (i-fractures) eyenziwa ethangeni elithintekayo ngumdlavuza noma amathambo asetsheni) noma ukuqhuma okwenzeka njengomphumela webuthaka obuthakathaka (njenge-osteoporosis), kungenzeka.

Kuye ngokuthi kunzima kangakanani ukuphumula, inqubo ye-ORIF ingadingeka ukunciphisa ukuphuka kwesikhumba sakho.

Ukwelapha ngokomzimba kuhilela ukuthuthukisa ukuhamba kwemisipha kanye namandla ukuze kuthuthukiswe ukuhamba nokuhamba.

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I-Femur Fracture

Ukuhlukunyezwa kwesifazane kudinga amandla noma ukuwa okukhulu. I-femur, noma ithambo lesitheni, ithambo elide kakhulu emzimbeni futhi linamandla kakhulu. Kukusiza ukuthi uhambe, ugijime futhi ume ngokuqondile.

Ukuhlukumezeka emgodini wesifazane wakho kungase kubangele ukuthi iphule, okuholela ebuhlungu obukhulu nokulahlekelwa ukusebenza. Amandla amakhulu kakhulu adingekayo ukuze aphule i-femur kunamanye amathambo emlenzeni.

Ubuhlungu, ukulahlekelwa kokunyakaza kokuhamba, nokunciphisa amandla ngemuva kokuphuka kwesifazane kuphazamisa u-hip namadolo, okwehlisa ukuhamba kwakho. Ukwelapha ngokomzimba kuvame ukudinga emva kokuphulukiswa ukubuyisela umsebenzi ogcwele.

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I-Tibial Plateau Fracture

Ukuphuka kwetafula e-tibial kwenzeka lapho amadolo ehlushwa ukuphoqa ngamandla ngesikhathi sokuhlukunyezwa. I-plateau ye-tibial yindawo lapho ithambo lakho lesifuba nelithambo lakho lithemba ndawonye emadolweni akho.

Ngezinye izikhathi, ukulimala kwe-plateau kwe-tibial kudinga ukuhlinzwa.

Njengoba i-plateau ye-tibial ihlangene namadolo, ukulahleka okuphawulekayo kwamadolo wokuguqa namandla ngokuvamile kuphumela ekuphukeni lapha. Ukwelapha ngokomzimba kuvame ukudingwa ukuze ubuyisele umsebenzi omkhulu ngangokunokwenzeka ngemuva kokuphulukana nokuphulwa.

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I-Tibia / i-Fibula Fracture

Ukuphuka kwe- tibia / fibula (tib / fib) kuwukuhlukana okuvamile kwamathambo ama-ankle .

I-tibia (bone bone) ne-fibula (amathambo engxenyeni yangaphandle ye-ankle yakho) itholakala emlenzeni ophansi futhi usize uhlanganise ingxenye yehlanganiso lakho lezinsikazi. Ngezinye izikhathi, elinye lamathambo, noma i-tibia noma i-fibula, liphukile.

Uma uke wahlushwa i-tib / fib fracture, ungadinga ukuhlinzwa.

Ukwelapha ngokwemvelo ngemuva kokuphuka kwamazinyo kungase kuvuselele amandla akho, ukuhamba okuningi, nokuhamba komsebenzi kuya ezingeni ngaphambi kokuphuka kwakho.

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Jones Fracture

Ukufa kwe-Jones kuyisiphuzo ku- five metatarsal yonyawo. I-metatarsal yesihlanu yithambo elide ezinyaweni zakho ezixhuma ku-pinky toe yakho.

Ngokuvamile, ukuhlukunyezwa okuncane njengokugijima noma ukugxuma kubangela ukuhlukana kukaJones. Ukuphuka kwe-Jones ngokuvamile kubhekwa njengokuhlukumeza ukucindezeleka , uhlobo lokuphuka okuvame ukubangelwa ukucindezeleka okuphindaphindiwe ethambo ngaphandle kokulimala okukodwa.

Ngemuva kokuphulukiswa, ukuhamba kwakho kunganciphisa futhi kungenzeka ukuthi ukuphazamiseka kwakho kungathinteka. Ngokuvamile, ukwelapha ngokomzimba ngemva kokuhlukana kukaJones kuyasiza ekubuyiseleni ukuhamba okusebenzayo ikakhulukazi ngokuhlukunyezwa kwengcindezi, okuvame ukuba nesifo esibi kakhulu kunokuba i-Jones enzima ihlukane.

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Ukuphulwa kwe-Lisfranc

Ukuqhekeka kwe-Lisfranc ukuphulwa nokuhlukaniswa kwezinyawo zomphakathi. Inyawo langezinyawo liyingxenye yonyawo lwakho phakathi kwe-ankle nezinzwane zakho. Lapha, amathambo akho amaningi ezinyawo ahlangana ndawonye ukusiza unyawo lwakho luhambe kahle.

Ukungqubuzana kwe-Lisfranc kungenzeka uma uphazamisa unyawo lwakho ngesikhathi sezemidlalo, ikakhulu lapho uhamba endaweni engalingani, noma engozini yemoto.

Izindlala ezincane zaseLisfranc ziphathwa ngokungahambi kahle emotweni noma ukuhamba ngezinyawo, kodwa ukulimala okuningi kwe-Lisfranc kudinga ukuhlinzwa.

Ukuqhekeka kwe-Lisfranc kuvame ukulimala okubuhlungu okungabangela ukulinganiselwa okukhulu ekuhambeni nasekuhambeni. Ukwelapha ngokomzimba emva kokuhlukana kwe-Lisfranc nokuhlukaniswa kubalulekile ukuthuthukisa amandla nobubanzi bokunyakaza kwezinyawo nezinyawo ukuze kukubuyisele ezingeni lakho langaphambili lokuhamba ngekhono.

Izwi elivela emlenzeni ovamile wezinhlanzi nokuphulukisa

Ukuphulwa kwemilenze kuvamile, futhi eziningi zazo zingaholela ekunciphiseni isikhathi eside ngamandla nokuhamba ngaphandle kokwelapha ngokomzimba. Nokho, izikhathi ezivame ukusebenzisana nomhlengikazi womzimba kuvumela abantu ukuba babuyele ezingeni labo langaphambilini lekhono lokusebenza ngesikhathi.

> Umthombo:

> I-Metzl, i-Jordan D. Ezemithi Yezemidlalo eHhovisi LasePediatrics. I-American Academy of Pediatrics, ngo-2017.