Ulwazi malunga neAnki
I-ankle ehlanjwayo ivela emva kwebala elikhawulezileyo okanye ukujikeleza kweenyawo. I-ankle sprain iyakwenzeka ngexesha lezemidlalo okanye kwimisebenzi yansuku zonke. Yonke into ithatha isinyathelo esingathandekiyo okanye ukungalingani komhlaba ukuze kubangele i-ankle sprain-yingakho ezi nzakala ziphakathi kweengxaki eziqhelekileyo zomzimba.
I-ankle ehlanjwe ngokuqhelekileyo iyenzeka xa umntu ehla ekungxumeni okanye eqhubela kwindawo engalinganiyo.
Ngokomzekelo, ii-ankle eziphambili zivame ukubonwa xa abadlali bebhokisi bebholabhokisi behla bexhamla kunye nomhlaba kwelinye inyawo lomdlali. I-Ankle sprains iyenzeka nangomsebenzi oqhelekileyo wemihla ngemihla njengokungena kwi-curb okanye ukuhambisa phezu kweqhwa.
I-ankle sprain yingozi kwiimigamentshini ezixhasa isangqa. Iigamente ziyizakhiwo ezilawula ukunyakaza okudityanisiweyo. Xa isangqa senzeke, i-ligament isetyenzisiwe kakhulu, kwaye inxalenye okanye ichithwe ngokupheleleyo.
Kukho iindidi ezibanzi zamagxa ezinqamlekileyo:
- Inversion Ankle Sprains
Uhlobo oluqhelekileyo lwentsimbi ye-ankle lwenzeka xa unyawo lugqityiwe, lujikeleza ngaphakathi. Xa lolu hlobo lwenqama lwenzeka, i-outer, okanye i-lateral, i-ligaments isetyenziswe kakhulu. Kukho iimbalo zengqumbo ezintathu ezisezantsi zenkxaso ezixhasa ingxenyana yangaphandle yombutho. Phantse i-90% ye-ankle sprains yingozi yokwenyuka. Ubunzima buhlala buhlala ngaphandle kwesikhumba, kwaye ngokuqhelekileyo akukho nto encinci kwi-inside of the joint.
- I-Eversion Ankle Sprains
Olunye uhlobo lwe-ankle ehlanjululwayo libizwa ngokuba ngumonakalo we-eversion, apho unyawo luguqa ngaphandle. Xa oku kwenzeka, i- ligament yangaphakathi, ebizwa ngokuba yi-deltoid ligament, isetyenziswe kakhulu. Izigulane ziza kuba neentlungu kumxhelo wangaphakathi lwentsimbi.
Ukongezelela, kukho ukuhluka okunye okubizwa ngokuba yi- ankle sprain .
Ezi nzakalo zinokubuyiswa okunzima kunokuba zibandakanya iigamente ezingaphezu kweenyawo kunye nakwicala lomdibaniselwano. I-ligament edibanisa amathambo amabini omlenze abizwa ngokuba yi-syndesmosis, kunye ne-ankle sprains zibandakanya ukulimala kulo mzila.
IAnkle Sprain Symptoms
Iimpawu eziqhelekileyo ze-ankle sprain ziquka:
- Ukuvuvukala kwendibano ye-ankle
- Ukuqhaqhazela emagqabeni, ngamanye amaxesha kwinqanaba neenzwane
- Ubuhlungu obujikeleze i-ankle
- Ubunzima ukuguqa i-ankle phezulu okanye phantsi
- Ukukhathazeka xa uzama ukuhamba
Iqondo leempawu lithenda ukudibanisa kakuhle kunye nomlinganiselo womonakalo kwiigamente. Uninzi oogqirha basebenzise inkqubo yokucwangcisa ukuhlula i-ankle sprains. Gcinani engqondweni, ezi zigaba ezibanzi, kwaye akusiyo yonke ibakala i-ankle sprain iziphatha ngokufanayo. Ezi zigaba zinika umdlali onokulimala ngengqondo yobunzima bokulimala kunye nokuxela ukubuyiswa.
- IBanga I-Ankle Sprain:
Iibakala ze-bakala ze-ankle zenza ilula ye-ligament. Iimpawu zivame ukukhawulelana nentlungu nokuvuvukala. Uninzi lwezigulana zihamba ngaphandle kweentonga, kodwa zingenako ukugijima okanye ukuzula. - I-Bakala lesi-2 i-Ankle:
I-grade 2 ye-ankle sprain yinkqonkqenkqqqqqqqqqqqqqqqqqqqqqqqqqqqqngqqqqqqqqqqqngqhqlqlclclnlg Ngokuqhelekileyo ukuvuvukala okuphawulekayo kunye nokuphazamiseka okubangelwa ukuphuma kwegazi phantsi kwesikhumba. Izigulane zihlala zibuhlungu xa zihamba, kodwa zingathatha amanyathelo ambalwa.
- I-Grade III I-Ankle Sprain:
Iibhola ze-bakala III zinezikhala ezipheleleyo zegigaments. I-ankle isoloko ibuhlungu, kwaye ukuhamba kunokuba nzima. Izigulana ziyakwenza isikhalazo sokungazinzi, okanye ukuvakalelwa kwindlela ehlangeneyo.
Njengoko kushiwo ngaphambili, intlungu kunye nokuvuvukala yimiqondiso eqhelekileyo ye-ankle sprain. Izigulane zihlala zibona ukuqhwalala kwindawo yokulimala. Oku kutyhutyha kuya kuhla kweenyawo ukuya ezinzwaneni kwiintsuku emva kokuba i-ankle sprain-isizathu sokuba ludlado ludonsa igazi phantsi phaya.
Nini ukubona iDokotela
Ukuba unayo impawu ebalulekileyo emva kwe-ankle, ufanele ufune unyango.
Iimpawu ezifanele ziphakamise ingqalelo zibandakanya:
- Ukungakwazi ukuhamba kwi-ankle
- Ukuvuvukala okuphawulekayo
- Iimpawu ezingakhange ziphucule ngokukhawuleza okanye ziqhubeke ngaphaya kweentsuku ezimbalwa
- Ubuhlungu enyawo okanye ngaphezulu kweenyawo
Ukuhlukana phakathi kwe-ankle kunye ne- brac fracture kunzima, kwaye ngamanye amaxesha i-x-ray iyadingeka. Nangona iintlungu ezidityanisiweyo kunye nokuvuvukala ziimpawu eziqhelekileyo emva kwesangqa esilula, iimpawu ezifana nokungakwazi ukubeka umlenze emlenzeni okanye intlungu ngqo kwithambo kufuneka ziphakame inkxalabo. Ukuba ucinga ukuba usenokwenza okungaphezulu kokugcinwa kwesikhumba, kufuneka ufune unyango.
Umqhubi ophezulu wesikhumba luhlobo oluthile lokulimala kwiigaments ngaphezu kweenyawo. Kwinqanaba eliphezulu lamanzi, iigaments ngaphezu kwendibano yalimala. Le mijelo, ebizwa ngokuba yi- syndesmosis ligaments, zidibanisa amathambo amabini ama-shin (tibia kunye ne-fibula), kwaye inokufuna ixesha elide lokuvuselela .
IAnkle Sprain Treatment
Unyango lwee-ankle eziphambili kubalulekile kuba ubuyele kwimisebenzi eqhelekileyo ngexesha elifanelekileyo kubalulekile kwizigulane ezininzi. Uphulo luqala ngohlobo oluqhelekileyo lwe-RICE (Ukuphumla, i-Ice, Compress and Elevation), kodwa kufuneka iqhubele phambili ngokukhawuleza ekuhlaziyweni nasekuqiniseni. Kukho kwiimeko ezingavamile ukuhlinzwa kuqwalaselwe unyango lwe-ankle sprain.
> Imithombo:
> Maffulli N, Ferran NA. "Ukulawulwa kokungazinzi kwesigxina kunye nesigulo esingapheliyo" J Am Acad Orthop Surg. 2008 Oct; 16 (10): 608-15.