Amathambo emilenze kunye neenyawo apho ukuqhutywa kwexinzelelo kudla khona. Amathambo amaninzi achaphazelekayo afaka iindawo ezingezantsi ze-tibia kunye namathambo e-fibula yomlenze kunye nesibini neyesithathu amathambo e-metatarsal enyawo.
Ukuphazamiseka kwengcinezelo kunokukhula emva kokunyanzeliswa ngokuphindaphindiweyo okanye ukulayishwa kwithambo. Ihluke kwi-bone ephukile eyenziwa ngokulimala ngokukhawuleza kuba ukuphuka kwengcinezelo kuqhubeka ekuphenduleni ukuxinezeleka okungapheliyo kwithambo.
Ngezinye izihlandlo ukuphazamiseka kwengcinezelo kubhekiselwa njengento yokuphuka kweenwele ngenxa yokuba ngokuqhelekileyo ibonisa kwi-X-ray njengenwele yeenwele. Ezi ntlobo zethambo zivame ukudibanisa nokusebenza kunye neminye imisebenzi yezemidlalo, ngokukodwa xa kukho ukwanda kwangoko kwenzo.
Ngezinye iinkcukacha ukuxinwa kweengcinezelo kwindawo ezithile kudibaniswa nemidlalo ethile okanye umsebenzi. Abagijimi banomngcipheko ophezulu kunemiqobo yokunyanzeliswa kwengxaki, kunye nemisebenzi ebandakanya uxinzelelo olunzulu kwi-forefoot, njengokudansa okanye ukulandelela kunye nensimu, ukuletha ingozi yokuxhatshazwa kwengcinezelo yeemetatarsals okanye ithambo lokuhamba ngonyawo lwenyawo.
Iimpawu kunye nokuxilongwa
Ubuhlungu obulethwa okanye obwenziwe bunzima ngokusebenza ngokunyaniseka kunokubonisa ukuphazamiseka kwengxaki; Intlungu inokuthi ivezwe ngokunyanzeliswa ngokuthe ngqo kwithambo. Ukuba ishiywe ingakhange iphendulwe, intlungu iya kuba yimbi kakhulu, kwaye ukuqhubeka uxinzelelo kwithambo kungabangela ukuphuka kweenwele ukuba kuphuhliswe ibe yintambo engapheliyo.
Yingakho kubalulekile ukunciphisa umsebenzi ophethe ubunzima kwaye ufune unyango xa kukho intlungu.
Ukuphazamiseka kwengcinezelo ephuhlisayo akunakuze kuboniswe rhoqo kwi-X-ray, engayifumana ingxaki yokuxilonga. Akuqhelekanga kwi-X-rays yokuqala yeethambo ukuba ibonise ukuhlukana, ngelixa i-X-ray yokulandela-iintsuku okanye iiveki kamva - iya kubonisa ukuba ukuphazamiseka kwengcinezelo kuye kwenzeka.
Abanikezeli bezonyango baya kusebenzisa ezinye iinkqubo zokuxilonga ukuba bayakrokraza ukuphazamiseka kwengxaki, njenge- CT scan okanye i- MRI , nangona i-X-rays yayinto evamile.
Unyango
Unyango olwenzelwe ukukhankanywa okanye ukuqinisekiswa kokunyanzelisa uxinzelelo luya kuquka ukuphumla okanye utshintsho kumsebenzi wezemidlalo okwaneleyo ukuvumela ukuphilisa. Ukuchithwa kwempahla kwisigxina sokuhamba okanye isicathulo esinzima esinokusikwa singasetyenzwa kwiiveki ezimbalwa, kuxhomekeke kwisilinganiselo sokuphuka kunye neempawu. Ukulandelelana kwe-X-ray okanye ezinye iimvavanyo zokuxilonga zisetyenziselwa ukuhlola ukuphulukiswa kwethambo.
Izinto zobungozi
Uxinzelelo lweengcinezelo zidla ngokudityaniswa nomsebenzi wezemidlalo, kodwa ezinye izinto zandisa ingozi. Nawuphi na umqathango obangela ukunyuka kwethambo kunciphise umngcipheko wokuphazamiseka kwengxaki, kuquka:
- Abasetyhini nabasetyhini abasemva kwamadoda abanesigxina esingaqhelekanga sokuya esikhathini, okubangelwa i-amenorrhea
- Ukusetyenziswa kotywala
- Ukulinganisela ukusetyenziswa kotywala obunzima
- Umzimba ophantsi
- Amachiza afana ne-corticosteroids kunye ne-DMPA (Depo-Provera)
- Amanqanaba aneleyo e-calcium kunye ne-vitamin D
- Ukungahambi kakuhle kweenyawo okanye iinyawo ze-biomechanics, ezinjengeenyawo eziphezulu
Imithombo:
Lappe, JM, Stegman, MR, kunye noReker, uRR. (2001) Impembelelo yezinto zokuphila kwiintlobo zengcinezelo yoxinzelelo kwi-Army. Osteoporosis International. 12 (1): 35-42.
Wilder, uRobert P. MD, FACSM, kunye noSethi, MD, Shikha. Ukulimala ngokweqile: i-tendinopathies, i-fractures, i-compartment syndrome, kunye neengqumbo ze-shin. Iikliniki kwiMidlalo yeMidlalo. I-Vol 23: 1, uJan 2004.