Ukwelapha ngokomzimba ngemuva kokuphuka kukaJones kungasiza ukuthuthukisa inyawo lakho lonke nezinyawo zezinyawo zokuhamba, amandla, nokuhamba komsebenzi.
Ukuphuka kwe-Jones kuyisiphuzo ku-five metatarsal, ithambo lonyawo lwakho oluxhumanisa u-pinky uzwane wakho kulo lonke unyawo lwakho. Ama-Fractures lapha ahlangenwe nakho okubuhlungu futhi anganciphisa ikhono lakho lokuhamba ngokujwayelekile futhi uhlanganyele emsebenzini, ukuzijabulisa, nomsebenzi wezemidlalo.
Yini Ebangela Ukuhlukana Kwama-Jones?
Ukuphuka kwe-Jones kubangelwa ukuqhuma okunamandla phansi noma ngaphandle kwengxenye yonyawo lwakho. Ngokuvamile kwenzeka emva kokugxuma phezulu futhi ukufika ngamandla ngamandla akho. Ngezinye izikhathi, isenzo esilula sokugijima singabangela i-microtrauma kuya ku-five metatarsal, futhi kungenzeka ukuqhuma kukaJones. Ukuqala kobuhlungu bakho kungase bufinyelele kancane futhi kwenzeke phakathi nesikhathi semasonto noma izinyanga. Uma lokhu kwenzeka, ngokuvamile kubhekwa njengokuhlukumeza ukucindezeleka , futhi ukuchazwa kwaloluhlobo lukaJonas luhlukunyezeka kunalokhu kuqhuma ama-Jones acacile.
Ziyini Izimpawu Nezibonakaliso Ze-Jones Fracture?
Izimpawu nezibonakaliso ze-Jones fracture zihlanganisa, kepha azikhawulelwe ku:
- Ubuhlungu engxenyeni engaphandle yonyawo lwakho
- Ukuvuvukala engxenyeni engaphandle yonyawo lwakho
- Ukukhipha noma ukulimaza onyaweni lwakho
- Kunzima ukuhamba noma ukuthwala isisindo ezinyaweni zakho
Uma ulimele unyawo lwakho noma uma uthuthukise lezi zimpawu, kubalulekile ukuthi uvakashele udokotela wakho noma umnyango ophuthumayo ngokushesha.
Ukwehluleka ukuthola ukwelashwa okufanele kunyawo lwakho kungabangela ukulahlekelwa okungapheli komsebenzi.
Ukuphathwa kokuqala kwe-Jones Fracture
Ngemva kokubika kudokotela wakho noma esibhedlela futhi uma kukhishwa ukuhlukunyezwa kukaJones, kungenzeka ukuthi i-x-ray iyothathwa ukuze ibone amathambo enyawo lwakho. Isithombe se-ray-ray sizobonisa ukuthi ukuphulwa kukhona (noma cha) futhi ukwelashwa okufanele kungenziwa.
Uma ukuhlukunyezwa kukaJones kuqinisekiswa, ukuphuka kufanele kunciphise , okuyinto inqubo lapho amathambo afakwa khona endaweni efanele. Izikhathi eziningi nge-Jones ephukile, izingcezu zethambo zisondelene ndawonye, kodwa ngokuhlukana okukhulu, inqubo yokuhlinzwa ebizwa ngokuthi ukulungiswa ngaphakathi kwangaphakathi (ORIF) kungadinga ukuthi kwenziwe ukuze unciphise amathambo.
Ngemuva kokunciphisa, udokotela wakho cishe uzofaka unyawo lwakho emgodleni ukuze usize ukuvimba ukuhlukana ngenkathi uphulukisa. Ngezinye izikhathi uyoba non-weight bearing, okusho ukuthi awukwazi ukubeka unyawo lwakho phansi bese uthwala isisindo kuso. Ngakho-ke, cishe uzodinga idivayisi yokusiza , njengezintambo noma i-walker, ukuhamba. Ukuvakashela ochwepheshe wezokwelapha kungase kube ukusiza ukuthi ufunde kanjani ukusebenzisa kahle idivayisi yakho yokusiza.
Yini Engayilindela Emitholampilo Yokwenyama
Ngemuva kokuthi inani elifanele lokuphulukisa lenzekile, ngokuvamile liviki elingama-6-8 ngemuva kokulimala, udokotela wakho uzothatha inhlanzi yakho. Ungamangazi uma unyawo lwakho lusalokhu lukhukhumele futhi luvuliwe. Lokhu kuvamile emva kokuhlukana kukaJones. Futhi, imisipha emlenzeni wakho ingase ibonakale encane kunomlenze wakho ongalimazi. Ngalesi sikhathi, udokotela wakho angakutjhelela ukwelashwa ngokomzimba ukusiza ngenqubo yakho yokuvuselela.
Ukugxila okuyinhloko kokwelapha ngokomzimba emva kokuhlukana kukaJones kuyinqobe imiphumela yokungabi namandla futhi ukuthuthukisa umsebenzi ohlobene nokuhamba nokuhambahamba. Ukwelapha ngokomzimba kungasiza futhi ukubeka ukucindezeleka okufanele emathanjeni akho okuphulukisa. Lokhu kubalulekile ngoba umthetho kaWolff uthi amathambo aphulukisa futhi akhule ekuphenduleni ukucindezeleka nokucindezeleka okubekiwe kuwo.
Ukwelapha ngokomzimba ngokuvamile kuqala ngokuhlola kokuqala lapho umhlinzeki wakho womzimba uzoqoqa ulwazi mayelana nokulimala kwakho. Ukukhubazeka okuvamile okulinganiswa nokuphathwa ngemva kokuhlukana kukaJones kuhlanganisa:
- Ububanzi bokuhamba . Ukuhamba kwezimpawu kubhekisela ekuhambeni kokuhamba ngokuzungezile okuhlangene noma amajoyina athile. Ngemuva kokuthi u-Jones ephukile futhi egqoke ukugxila enyaweni nasezinyaweni, amajoyini akho nezinyawo zakho kungenzeka ukuthi aqinile. Imisipha ezungeze izinyawo zakho, izinyawo, nezinzwane kungenzeka futhi zibe ziqinile, ngakho-ke ukuguquguquka nokuzivocavoca umzimba kungadingeka ukusiza ukuthuthukisa ukuhamba kwakho.
- Ukuvuvukala . Uma udokotela wakho esusa ukukhishwa kwakho, ungase ube nokuvuvukala eduze kwezinyawo zakho kanye nekhanda. Umhlinzeki wakho womzimba angase anike ama-exercises ukusiza ngokuvuvukala. Angase asebenzise ama-body agents njengokushisa noma iqhwa, noma izindlela zomzimba ezifana nokuvuselela kagesi kungasetshenziswa ukusiza ukuphatha ukuvuvukala.
- Ukuhlola kwe-Scar (uma unayo i-ORIF) . Uma uke wahlinzwa ukuze unciphise ukushona kukaJonas, uzoba nenxeba yokuhlinza engxenyeni engaphandle yonyawo lwakho. Ngezinye izikhathi, izicubu ezibomvu zakha lapho futhi zivimbela isikhumba nezicubu ezingaphansi kokuhamba ngendlela evamile. I-scar tissue massage ingahle ibekwe ukuze kusize ukuthuthukisa ukuhamba kwesibalo sakho.
- Ubuhlungu . Ngisho nangemva kwenkathi yokuphoqeleka, kungase kube khona ubuhlungu ezinyaweni nasezinyaweni emva kokuhlukana kukaJones. Njengoba usebenzisa unyawo lwakho ngaphezulu futhi uqale ukubeka isisindo esiningi futhi ngaphezulu, ezinye izimbungulu namalungu ezinyaweni zingase zibe nzima. Kungase kube khona ubuhlungu lapho kuvele khona ukuphuka. Isazi sakho somzimba singasebenzisa ukushisa, iqhwa, noma i- TENS ukusiza ukulawula ubuhlungu bakho.
- Amandla . Uma ungenakunyakaziswa ku-cast, imisipha yakho ayisetshenzisiwe ngakho-ke ingaba buthakathaka. Isazi sakho somzimba singakusiza ukuba uthuthukise amandla emisipha ezungeze unyawo lwakho nesikhumba. Njengoba uphilisa, ezinye izenzo zokuthuthukisa ibhalansi nokuzivocavoca umzimba kungadingeka ukuqinisekisa ukuthi uyakwazi ukuma, uhambe futhi ugijime ngokujwayelekile.
- Gait . I-Gait ibhekisela endleleni abantu abahamba ngayo, futhi ngemuva kokuthi u-Jones aphule, ukulahlekelwa kwakho kungase kungavamile. Umhlinzeki wakho womzimba angakusiza ukuba uthuthukise umthamo wakho ngokumisa umzimba nokubandakanya emisebenzini ethile ukuze usize ukuthuthukisa indlela ohamba ngayo. Angenza futhi izincomo ngokuthi iyiphi idivayisi yokusiza engcono kakhulu ukuthi uyisebenzise.
Uma i-PT yakho iqoqe ulwazi mayelana nesimo sakho, uzobe esebenza nawe ukuthuthukisa uhlelo olufanele lwezokwelapha.
I-PT Exercises ye-Jones Fracture
Isici esibaluleke kunazo zonke ekubuyiseleni kwakho kwe-Jones ukuphuka kuyisenzo sokusebenza. Ukuzivocavoca emva kokuphuka kukaJones kuhloswe ukusiza ukuthuthukisa uhla lwezinyathelo namandla okuzungeze unyawo lwakho nesikhumba. Lokhu kubalulekile ukusiza ukunqoba imiphumela emibi yokungabi namandla ngesikhathi izinto ziphulukisa.
Ukuzivocavoca okungase kubekiwe emva kokuhlukana kukaJones kungabandakanya:
- Uhla lwe-ankle lokunyakaza nokuzivocavoca
- Ukuzivocavoca okuqinisayo
- Izenzo zokuhamba ngezinyawo, njengendwangu ithawula ngezandla zakho
- Ukuzilinganisa nokuzivocavoca
I-PT yakho izokubonisa ukuthi iziphi izindlela zokuzivocavoca ezihamba phambili kuwe, futhi angase anikeze ama-exercises okwenziwe njengengxenye yohlelo lokuzivocavoca ekhaya.
Isazi sakho somzimba singase sisebenzise izindlela ezahlukene zokwelapha ukusiza ukulawula ubuhlungu bakho noma ukuvuvukala ngemva kokuhlukana kukaJones wakho. Izinto ezifana nokugqugquzela kagesi noma ukushisa neqhwa kungase kuzwe okuhle, kodwa ucwaningo lubonisa ukuthi ukusebenzisana okusebenzayo, njengokuzivocavoca, kuyasiza kakhulu ekubuyiseleni ukuhamba okusebenzayo ngemva kokuhlukana kukaJones.
Isikhathi sokuphulukisa sokuba i-Jones Fracture
Ngemuva kwamasonto ambalwa wezokwelapha, izinga lakho lobuhlungu kufanele libe ubuncane futhi amandla akho nobubanzi bokunyakaza ezinyaweni nasezintweni kufanele kube okuvamile. Isazi sakho somzimba sizoqhubekela phambili uhlelo lwakho ngesivinini esifanele wena ukuqinisekisa ukuthi ubuyela ezingeni lakho langaphambilini lomsebenzi ngokushesha. Ukuhlukunyezwa kukaJones kufanele kuphulukiswe ngokuphelele cishe kwezinyanga ezintathu ngemuva kokulimala, kuye ngokuthi ubunzima be-fracture.
Ukulimala kukaJones kungaba ukulimala okubuhlungu futhi kunganciphisa ikhono lakho lokuhamba ngokujwayelekile. Ukwelapha ngokomzimba kungasiza ukuqinisekisa ukuthi uyakwazi ukubuyela masinyane emsebenzini ojwayelekile kanye nomsebenzi ngemuva kokuhlukana kukaJones.
Umthombo:
I-Wheeless 'Bookbook of Orthopedics.