I-Ankle Fracture Rehab: Okumele Ukulindele
I-ankle ephukile inganciphisa amandla akho okwenza imisebenzi eyisisekelo efana nokusebenza nokuhamba. Lokhu ukulimala okubuhlungu kungaholela ekulahlekelweni kwamandla aphansi okuphelile, ukuhamba kokuhamba, nobuhlungu. Lezi zingqinamba zingenza ukwenza imisebenzi yakho evamile yansuku zonke kunzima noma ayikwazi. Ungase uzuze ekuphatheni okwenyama ngemuva kwe-ankle ephukile ukuze kukusize ukuhamba ngokugcwele kokusebenza futhi ubuyele ezingeni lakho langaphambilini lomsebenzi.
I-ankle yakho ihlangene lapho i-talus yezinyawo nezinyawo ze-tibia (bone bone) ne-fibula yomlenze ixhuma futhi ihamba. I-trauma lapha ingabangela ikhefu kunoma yikuphi noma wonke lawa mathambo futhi ubuhlungu obuningi buvame ukuphumela ngokushesha ngemva kokulimala. Uma usola ukuthi unothambo oluphukile ekhanda lakho, isinyathelo sakho sokuqala kufanele kube ukufuna usizo lwezokwelapha ngokushesha. Ukwehluleka ukwenza kanjalo kungaholela ekulahlekelweni okukhulu komsebenzi.
I-Ankle fractures cishe ihlale isenzeka ngesikhathi senzakalo esibuhlungu emzimbeni. Izingozi zezimoto, ukuwa, kanye nokulimala kwezemidlalo kungaholela ekuqhekekeni kwe-ankle. Izimpawu ezivamile zokuphuka kwe-ankle zihlanganisa ubuhlungu, ukuvuvukala, ukulimaza, nokuhluleka ukubeka isisindo esikhaleni esiphukile .
Yini Ongayilindela Ngemuva Kwe-Ankle Fracture
Ngesikhathi esesibhedlela ngemuva kokuphuka kwezinyosi, udokotela wakho uzozama ukunciphisa ukuphuka. Le nqubo isisiza ukuvumelanisa amathambo aphukile futhi uvumele ukuphulukiswa okuvamile okwenzekayo.
Uma ukuphuka kunzima, inqubo yokuhlinzeka ingenziwa njengendlela yokulungisa yangaphakathi evulekile (ORIF) . Phakathi nale nqubo, udokotela wakho ohlinzayo uzovumelanisa amathambo aphukile bese ubamba amathambo endaweni enezinduku zensimbi nezikuluzi.
Ngemuva kokuncipha kwe-ankle yakho, isangqa sakho cishe lizofakwa endaweni yokukhishwa.
Lokhu kuphazamisa isikhumba futhi kuvumela amathambo ukuba aphuluke kahle. Izikhathi eziningi ngemuva kokuphuka kwamagxolo , uzodinga uhlobo oluthile lwedivayisi yokusiza ukuhamba. Ungase ube ngaphansi kwemingcele ethile ethwala isisindo . Qinisekisa ukuthi ubuze udokotela wakho ukuthi uvumelekile kangakanani ukuthi ubeke isifuba sakho njengoba uphulukisa.
Ukwelashwa Kwemvelo Ngemva Kokuhlukana Kwe-Ankle
Lapho ukuphuka kwakho kuyancipha futhi kungenakulinganiswa, ungathunyelwa ekwelapheni ngokomzimba ukuze ufunde ukuthi ungasebenzisa kanjani idivayisi yakho yokusiza njengamacuce, umhlanga , noma uhambahamba . Udokotela wakho wezempilo kufanele akwazi ukukusiza uqonde imingcele yakho ethwala isisindo. Ukuzivocavoca ngobumnene emisipha yamadolo nezinyosi kungenziwa ukuze kuqinisekiswe ukuthi amaqembu amisipha akusiza ukuthi uhambe angabi buthakathaka ngenkathi ukuphuka kuphulukisa. Uma uphonswe noma u-brace, kungenzeka ukuthi ngeke ube nokuzivocavoca kwe-ankle yakho.
Ngemuva kokuba isikhumba sakho esiphukile siphulukiswe, udokotela wakho uzosusa isikhwama futhi akuvumele ukuthi uthwale isisindo esingaphezu kwesisindo sakho. Usengase usebenzise idivaysi yokusiza njengomhlanga we- quad noma izinsimbi zokuhamba.
Kuleli qophelo, uchwepheshe wakho wezokwelapha angakwazi ukuhlola ngokugcwele isonto lakho ukusiza ukunikeza ukwelashwa okufanele . Izingxenye zokuhlolwa kwe-ankle zingabandakanya:
- Gait
- Ububanzi bokuhamba
- Amandla
- Ukuvuvukala
- Ubuhlungu
- Ukuhlolwa kwe-Scar (uma une-ORIF yokuhlinzwa)
Ngemuva kokuhlola okuphelele, uchwepheshe wakho wezempilo angase aqale ukuhlinzeka ngemithi yokwelapha. Angasebenzisa izindlela zokwelapha ezifana nokushisa, iqhwa, noma ukugqugquzela kagesi ukusiza ukuphatha ukuvuvukala noma ubuhlungu ezungeze isikhumba sakho.
Ukwelashwa Kwemvelo Kuzivocavoca emva kwe-Ankle Fracture
Uhlelo lokuzivocavoca lwe-ankle kufanele lube yingxenye eyinhloko yokuvuselelwa kwe-ankle yakho ngemuva kokuhlukana. Ukuzivocavoca kungafaka:
- Ukuzivocavoca ukuhamba kwezinyawo
- Ukuzivocavoca okuqinisayo
- Ukuzivocavoca nge-Hip kanye namadolo (ukusiza ukuthuthukisa ikhono lokuhamba)
- Ukuzilinganisa nokuzivocavoca
- Ukuzivocavoca ukuthuthukisa ukuhamba okusebenzayo kanye nekhono lokuhamba
Kungenzeka ukuthi kuyodingeka wenze uhlelo lokuzivocavoca ekhaya lwesikhumba sakho esiphukile. Lolu hlelo lungase luqhubeke izinyanga ezimbalwa ngemuva kokuthi i-PT ivaliwe, futhi uhlelo lungase lube yingxenye ebalulekile empumelelweni yakho ye-rehab yesikhathi eside. Qinisekisa ukuthi ulandela izikhombisi-ndlela zakho zomzimba eduze futhi ubuze imibuzo uma unayo.
Umthetho kaWolff uthi amathambo akhula futhi avuselele ukubhekana nokucindezeleka okubekwa kuwo. Umhlinzeki wakho wenyama angasiza ukubeka izivivinyo ezisebenzisayo ukucindezeleka okulungile esiqondisweni esifanele ukuqinisekisa ukuthi ukuphulukiswa okukhulu kwethambo kwenzeka futhi ukuthi isikhumba sakho esiqhekekile sizosebenza kahle.
Ukuqeqeshwa kokuthola imali kuyoba okubalulekile ngemuva kokuqhekeka kwe-ankle. Isazi sakho somzimba singakusiza ukuba uthuthuke kusukela ekusebenziseni idivayisi yokusiza ukuhamba ngokuzimela. Ukuqhubeka okujwayelekile ukuhamba ngemva kokuqhekeka kwe-ankle kuhlanganisa:
- Ukusebenzisa umhambi ojwayelekile noma omsakazo
- Ukusebenzisa imikhonto emibili yokuhamba
- Ukusebenzisa i-crutch eyodwa
- Ukusebenzisa umoba ojwayelekile
- Ukuhamba kungekho usizo
Uma uke wahlinzwa ukuze unciphise ukuchotshozwa kwe-ankle yakho, kungase kube khona izicubu ezibomvu ezungeze ukuchotshozwa. Umhlinzeki wakho wezinto ezingokwenyama angenza massage izicubu ezibomvu kanye nokugqugquzela ukusiza ukuthuthukisa ukuhamba kwesibalo. Angakwazi futhi ukukufundisa indlela yokwenza amasu omunyu wokuzibulala uqobo.
Kuyoze kube nini ukuphilisa umzimba?
Wonke umuntu uphulukisa ngokuhlukile, futhi ukulimala kwe-ankle ukuphuka kwehlukile kunzima. I-PT yakho kufanele ixoxe nawe ngokuchasisa kwakho jikelele nge-ankle fracture rehab. Lokhu ukuguqulwa ngokujwayelekile kuxhomeke ekutheni i-ankle yakho ihamba kanjani lapho uqala ukuqala kabusha.
Ngokuvamile, ukwelashwa ngokomzimba we-ankle ephukile kuhlala cishe amasonto ayisithupha kuya kwangu-8. Okuhlangenwe nakho kwakho no-PT kungase kube mfushane noma okude kuncike ekulimazeni kwakho okuqondile.
Izwi elivela
Ukuphuka kwe-ankle kungaholela ekulahlekelweni okukhulu komsebenzi futhi kunciphise ikhono lakho lokuhamba, ukugijima noma ukubamba iqhaza ngokugcwele emisebenzini nasemisebenzini yokuzilibazisa. Ukwelapha ngokwemvelo ngemuva kokuphuka kwamazinyo kungakusiza ukuba uthuthukise ukuhamba futhi kukusize uphinde ubuye emsebenzini ojwayelekile kanye nomsebenzi.
Umthombo:
> Keene, D, > etal >. Ukunyakaza kokuqala kwe-ankle ngokumelene nokungasebenzi kahle ekulawulweni kokulandela kokusebenza kwe-ankle ukuphuka kubantu abadala: ukubuyekezwa okuhlelekile nokuhlaziywa kwe-meta. UJOSPT, 44: 9. 690-701.
> Safran, M., Stone, D., & Zachazewski, J. (2003). Imiyalo yeziguli zemithi yezemidlalo. I-Philadelphia: Saunders.