Ukuqhekeka kwe- Lisfranc iphukile amathambo noma amathambo endaweni ethile yonyawo lwakho. Kwenzeka lapho i-metatarsals, amathambo ende ahlanganisa izinzwane zakho ezinyaweni zakho, afaka ezintanjeni zakho zenyawo. Ngezinye izikhathi amathambo e-metatarsal ahlukaniswa lapho uhlushwa i- Lisfranc . Kulimala okubuhlungu okungaholela ekukhawulelweni okuphawulekayo kokuhamba nokuhamba.
Ukwelapha ngokomzimba emva kokuhlukana kwe-Lisfranc kuhilela ukuthuthukisa ukuhamba okuphansi nokuqina namandla okusiza ukubuyisela ikhono lokuhamba elivamile. I-PT yakho ingakusiza ukuthi ululame ngokugcwele futhi ubuyele ezingeni lakho langaphambilini lomsebenzi nomsebenzi.
Izimbangela ze-Fracture ye-Lisfranc
Isizathu esivame kakhulu sokuqhekeka kwe-Lisfranc siwela ngezinyawo zakho endaweni engavamile. Cabanga ufinyelela emgodini omncane otshanini, bese uphenduka ngokuzumayo ngonyawo lwakho. Le motion ephikisayo ingabangela amathambo amancane ezinyaweni zakho ukuba aphule, futhi ukujoyina okubizwa ngokuthi i- Lisfranc ngokuhlanganyela kungahle kube khona. Lawa mathambo avame ukuhamba aye ehlangothini olulodwa ngesikhathi sokuwa, futhi izigxoko ezisekela amathambo zivame ukuvuthwa.
Izimpawu ze-Fracture ye-Lisfranc
Izimpawu ezijwayelekile zokuphulwa kwe-Lisfranc zihlanganisa, kepha azikhawulelwe ku:
- Ukuvuvukala unyawo
- Ubuhlungu enyaweni
- Kunzima ukuhamba nokubeka ingcindezi ezinyaweni zakho
- Ukuqhekeka noma ukulimaza unyawo lwakho, ikakhulukazi phansi kwezinyawo zakho
- Ukukhubazeka okubonakalayo enyaweni lwakho
Initial Treatment
Uma usola ukuthi une-Lisfranc fracture (noma yimuphi omunye ukulimala okujulile) ezinyaweni zakho, kufanele ufune usizo lwezokwelapha ngokushesha. Iya kudokotela wakho noma umnyango ophuthumayo wendawo ukuze uhlolwe unyawo lwakho. I-x-ray ivame ukuqhutshwa ukuze kuqinisekiswe noma kukhishwe ukuhlukana kwe-Lisfranc.
Uma kuvele ukuphazamiseka kwe-Lisfranc, ukuphuka kufanele kuncishiswe . Lokhu kusho ukuthi amathambo enyawo lwakho kufanele afakwe endaweni efanele ukuvumela ukuphulukiswa okufanele kwenzeke. Ngezinye izikhathi, inqubo yokuhlinzwa ebizwa ngokuthi ukulungiswa kwangaphakathi kokunciphisa ngaphakathi (ORIF) kungase kudingeke kwenziwe ukuze kuqinisekiswe ukuthi amathambo enyawo lwakho kanye nokuhlanganyela kwakho abekwa endaweni efanele. Lokhu kuhilela ukusebenzisa izikrini, ucingo, noma izikhonkwane ukuze kuqiniswe ukuphuka kwakho.
Ngemuva kokunciphisa ukuphuka, unyawo lwakho luzodinga ukuba lukwazi ukungasebenzi kahle ukuze kuvumele amathambo aphukile ukuba aphulukise. Ngalesi sikhathi, ungase udingeke usebenzise i- walker , ama-crutches, noma amanye amadivayisi okusiza ukuze uhambe. Udokotela wakho anganciphisa inani lesisindo ongayifaka enyaweni lwakho ngenkathi ephilisa. Qinisekisa ukuthi ubuze udokotela wakho ngemingcele yakho ethwala isisindo futhi ulandele lezo zimingcele eduze ukuze uvumele ukuphulukiswa okuhle okwenzeke.
Yini Ongayilindela Ngokwelashwa Kwemvelo
Okokuqala, ngemuva kokulimala ungadinga imfundo yokuthi ungahamba kanjani kahle nomuntu ohambahambayo, ama-crutches noma umoba. Uchwepheshe wezokwelapha angakusiza ufunde ukuthi ungahamba kanjani nedivaysi yakho yokusiza , futhi angasiza ekuqinisekiseni ukuthi lilinganiselwe kahle .
Ngemva kwamasonto ayisithupha kuya kwangu-8 okuphulukisa, udokotela wakho cishe uzosusa ukuxoshwa ezinyaweni zakho nangokwelashwa kungase kuqale ukuvuselela unyawo lwakho nezinyawo.
Udokotela wakho angase anikeze isonto noma unyawo lokugqoka ukuthi ugqoke amasonto ambalwa. Lokhu kusiza ukuzinzisa ukujoyina isikhumba sakho ngenkathi uthola ukuhamba okujwayelekile ezinyaweni nasezinyaweni zakho.
Ukuvakasha kwakho kokuqala kokwelashwa ngokomzimba emva kokuhlukana kwe-Lisfranc kuzovame ukubandakanya ukuhlolwa kokuqala lapho umhlinzeki wakho wezinto ezibonakalayo eqoqa ulwazi mayelana nokulimala kwakho nesimo samanje. Ukukhubazeka okuvamile okulinganiswa phakathi nalokhu kuqokwa kuhlanganisa:
- Ububanzi bokuhamba
- Amandla
- Ubuhlungu
- Gait
- Ukuvuvukala
Ngemuva kokuqoqa ulwazi mayelana nesimo sakho, udokotela wakho ongokwenyama angakhipha ukwelashwa okufanele ukuthi uphinde uhambe ngendlela evamile.
Iminye imisebenzi nemithi ongayithola ngesikhathi yokwelashwa ngokomzimba kufaka phakathi, kodwa ayikhawulelwe ku:
- Izindlela zokwelapha: Ukuvuvukala nobuhlungu kungenzeka kube khona ezinyaweni zakho, ikakhulu ekuqaleni kokukhipha ukukhipha kwakho bese uqala ukuthola unyawo lwakho nezinyawo zakho zihamba. Umhlinzeki wakho wenyama angase anqume ukusebenzisa izibungu ze-whirlpool , ice, ukushisa noma ukuvuselela kagesi ukusiza ukulawula ubuhlungu nokuvuvukala ezinyaweni nasezinyaweni. Uhlobo oluthile lokuvuselela kagesi olubizwa ngokuthi ukuvuselela kagesi lwe-neuromuscular lungase lisetshenziselwe ukusiza imisipha yakho ifinyelele ekuvumelaneni kahle. Qinisekisa ukuthi ubuza imibuzo eminingi mayelana nokusetshenziswa kwama-physics nama-modalities. Amanxusa amaningi kanye nemigomo ayimvelo, futhi ucwaningo oluningi lubonisa ukuthi ukuvuselelwa okuphumelelayo kudinga ukuthi uhileleke ekuzivocavoca nasekuhambeni.
- Ukuqeqesha okuzuzwayo: Ukuqeqesha ukuqeqesha kuyimfundo ekhethekile nokuzivocavoca ukusiza ukuthuthukisa ikhono lakho lokuhamba. Umhlinzeki wakho womzimba angenza izincomo ukuthi iyiphi idivayisi yokusiza engcono kakhulu ukuthi uyisebenzise ngesikhathi sokuvuselelwa kwakho. Ungathuthuka ukusuka ku-walker ukuya emathangeni, bese uqhubeka uye emgqeni we- quad noma umhlanga ojwayelekile, futhi umhlinzeki wakho womzimba angaqiniseka ukuthi usebenzisa idivayisi yakho ngokufanele.
- Ukuvivinya ngokweqile: Ukuvivinya umzimba emva kokuphuka kwe-Lisfranc kuhilela ukuzivocavoca okuqondile ukuze uphinde uhambe ngendlela evamile ezinyaweni nasezinyaweni zakho. Ukuzivocavoca okuhamba phambili nokuzivocavoca kwama- alfabhethi kungasiza u-ankle nezinyawo zakho zihambe kangcono. Ukuzivocavoca umzimba kufanele kugxile ekuthuthukiseni ubude bezinhlanzi ezungeze unyawo lwakho nesikhumba. Amandla angathuthukiswa ngokuzivocavoca okuqondile. Njengoba uqhubeka ngokusebenzisa ukwelapha ngokomzimba futhi uthola ukuhamba okuningi, ibhalansi esithuthukisiwe kanye nokuzivocavoca okungalungile kungase kuqalwe. Uma ufisa ukubuyela ezingeni eliphezulu zezemidlalo, ukuhlolwa kwe-plyometric kungadingeka ukuze umzimba wakho ujwayele ukugxuma nokuhamba ngezinyawo zakho.
- Imithi yokwelashwa: Ukwelashwa kwezincwadi kuhilela umhlinzeki wakho wezandla usebenzisa izandla zakhe ukuze uhambise unyawo lwakho ezinkomba ezithile zokuthuthukisa ukuhamba. Uma usuhlinzwa, kungenzeka ukuthi ukugqugquzela izicubu ezibomvu kungadingeka ukuthuthukisa ukuhamba kwezicubu zokuhlinza ngezinyawo zakho. Ukuhlanganiswa okuhlangene kungenziwa ukuze kuthuthukiswe ukuhamba okuzungeze amalunga ezinyaweni nasezinyaweni, nakuba kufanele kuthathwe ukunakekelwa ukuze kungabikho ukuhlanganiswa kwe-Lisfranc noma amalunga eduze kwesayithi lokuqhekeka.
Ezinyangeni ezimbalwa emva kokulimala kwakho, kufanele uhambe ngendlela evamile futhi ubuhlungu ezinyaweni kufanele kube okungenani. Ngezinye izikhathi, unyawo lwakho lungase luqhubeke lulimaza izinyanga ezimbalwa isikhathi eside, futhi ungase ube ne-limp kancane lapho uhamba, kuye ngokuthi ubuhlungu bakho bubuhlungu kangakanani. Qinisekisa ukuthi ukhuluma nodokotela wakho kanye nomhlengikazi womzimba uma unenkinga mayelana nokuhamba kwakho kokusebenza kanye nomphumela wakho ngemva kokuhlukana kwe-Lisfranc.
Uma ngabe une-ORIF, ngezinye izikhathi udokotela wakho angase afune ukususa i-hardware eyasetshenziselwa ukuzinzisa amathambo akho. Lokhu kungadingeka ukuvumela ukuba ukunyakaza okujwayelekile kwenzeke futhi ezinyaweni. Khuluma nodokotela wakho ukuze ubone ukuthi lokhu kuyindlela yakho emva kokuhlukana kwe-Lisfranc. Kanti futhi, phakathi kwezinyawo ezinyaweni zingase zenzeke esikhathini esithile empilweni yakho emva kokuphuka kwe-Lisfranc, ikakhulukazi uma izakhiwo ezihlangene zonakaliswe ezinyaweni zakho.
Izwi elivela
Ukungqubuzana kwe-Lisfranc kungaba ukulimala okubuhlungu okungahle kunciphise ikhono lakho lokuhamba, ukusebenza, noma ukuhlanganyela emsebenzini wezemidlalo noma wokuzilibazisa. Ngokuhlanganyela ngokuzikhandla kwindlela yokwelashwa ngokomzimba , ungabuyela ngokushesha futhi ngokuphepha emsebenzini nomsebenzi ojwayelekile.
Umthombo:
I-Wheeless 'Bookbook of Orthopedics.