Ukuphazamiseka kokucindezeleka kwamanzi kuyingozi yokulimala kwabadlali. Lezi zinkinga zokucindezeleka zivame ukuvela kubagijimi abadinga imfucumfucu kanye nokushintsha okusheshayo ekuqondeni - abagijimi abavame ukulimala kubandakanya abagijimi, ama-jumpers, ama-sprinters, basketball, nabadlali bebhola.
Okwenza Benzeke
I-navicular bone iklanyelwe ngezinkinga ezimbalwa ezenza ukuthi ikakhulukazi ihlaselwe ukulimala kokucindezeleka.
Enye yalezi zinkinga yindawo yethambo. Kutholakala phakathi kwezinyawo, ukucindezela okukhulu ukucindezela kugxile kuleli thambo, ikakhulukazi lapho unyawo luhlasela phansi. Inkinga yesibili i-blood supply ethandeni, ikakhulukazi indawo ephakathi yethambo lapho lezi zinkinga zokucindezeleka zivame ukuba khona. Le ndawo isendaweni ebizwa ngokuthi i- waterhed zone lapho ukuhlinzeka ngegazi kungenamandla kakhulu, okwenza kube nzima kanzima ukuphulukiswa kokulimala okuncane futhi ngaleyo ndlela kube khona amathuba okuqhubeka nokucindezeleka kokucindezeleka.
Izimpawu Zokulimala
Abadlali abavame ukukhalaza ngobuhlungu obungakaqondakali phakathi nje kwe-ankle. Ubuhlungu ngokuvamile buyinkimbinkimbi kakhulu ngesikhathi futhi ngemuva nje komsebenzi wezemidlalo futhi ixazulula emva kwesikhathi sokuphumula. Ezimweni ezimbi kakhulu, iziguli zingase zibe nobuhlungu nemisebenzi eminingi yesiko njengokuhamba. Ngokuvamile akukho mlando wokulimala okunzima, kunalokho abagijimi abaningi bachaza ubuhlungu obubuhlungu, obubuhlungu.
Ngeshwa, lokhu kuvame ukuholela ekubambezelekeni kokuxilongwa, futhi ngenkathi ngokuvamile kungabangeli izinkinga zesikhathi eside, kubambezela ukuqala kokwelashwa.
Ukusola ukuhlukunyezwa kwe-navicular fracture kuyasolwa lapho abadlali beba nobuhlungu ngokuqondile phezu kwethambo le-navicular. Kungase kube nezinga eliphansi lokuvuvukala endaweni.
Ngezinye izikhathi ukuhlukunyezwa kwe-navicular ukuphazamiseka kubonakala kwi-x-ray kodwa ngokuvamile kudinga ukuthi ezinye izivivinyo zitholakale. Izivivinyo ezibandakanya i-MRIs, i-CT, ne-bone scans zingasetshenziswa sonke ukubona lokhu kulimala.
Izinketho zokwelapha
Ukwelashwa okujwayelekile kwenkinga yokucindezeleka kwe-navicular kunokuphathwa okungenasidingo. Kodwa-ke, kubalulekile ukuthi ukwelashwa kufaneleke njengoba lezi zintambo zingeke ziphulukise uma zingakapheli kahle. Ukwelashwa okuvamile kunomsebenzi wokuphumula emisebenzini, ukulinganisa isisindo esinqunyiwe Isikhathi sokwelashwa sincike ezintweni eziningana, kodwa ngokuvamile kuvame ukusetshenziselwa amasonto ayisithupha, kulandelwa ukuqaliswa kancane kancane kwemisebenzi ethwala isisindo. Isikhathi esilungile sokubuyela kuma-athletics, esekelwe eziningana zezifundo zocwaningo, isilinganiso esiphakathi kwezinyanga ezingu-6.
Uma abagijimi bezama ukwenza okuningi, maduzane, lokhu kulimala kungathatha isikhathi eside ukuphulukisa futhi kungenakuphulukisa ngokuphelele. Ukuphuka okungahambi kahle ( okungabonakali ) kungadinga ukwelashwa ukuhlinzeka kangcono ithambo elimele futhi kushukumise impendulo yokuphilisa. Kwezinye izimo, abagijimi bangase bakhethe ukuqala ukwelashwa okuhlinzekwayo, ukuqinisekisa ukuthi ukwelashwa kuqhubeka ngokushesha, futhi kungathathi ithuba lokuthi ukwelapha ngaphandle kokusebenza kahle.
Imithombo:
Shindle MK, et al. "Ukucindezeleka Ukuhlukunyezwa Ngama-Tibia, Foot and Ankle" J Am Acad Orthop Surg. 2012 Mar; 20 (3): 167-76.