Indlela yokuQinisekisa unyango olufanelekileyo lweAnkle ephukile
Kungakhathaliseki ukuba luphi uhlobo lweqhekeza lwamaqhubu olwenzekayo, kukho imigaqo ethile yokwenza unyango engenziwa ngeendlela ezimbalwa ezilula. Udokotela wakho ugqirha uya kunceda ekukhokeleni kwiinkcukacha ezithile, njengokuba ukuhlinzwa kuyimfuneko, kodwa nakhu ezinye zezinto ezisiseko.
- Icebo kunye neNtaba
Ukuvuvukala kubonakala kulandelelwe i-ankle ephukile. Inxalenye ebalulekileyo yokonyango kweqhekeza le-ankle kukunciphisa ukuvuvukala. Ukunciphisa ukuvuvukala kuya kunceda ukulawula intlungu evela kwintlungu ye-ankle kunye nokunciphisa umonakalo kumathishini ajikelezileyo.
- Ukuchithwa kwempahla
Ukuchithwa kwe-fracture ye-ankle kuvame ukuqhutyelwa kwigumbi elingxamisekileyo. Ngokuqhelekileyo, kuya kufakwa isalathiso sokuvumela ukudibanisa i-ankle kunye nokuvuvukala. Ukuba i-fracture fracture ayiphumelelwanga kakubi, i-splint ingagcinwa ngaphandle kokuhambisa isangqa ephukile. Ukuba i- bone ephukile ayikho kwindawo, inqubo ebizwa ngokuthi ukunciphisa i-fracture iya kwenziwa ukwenzela ukubeka kwakhona ithambo. - Iintonga
Iintonga zibalulekileyo kuba phantse zonke iintlobo zee-ankle fractures ziza kufuna enye inqanaba lokuphumla emva kokulimala. Ngamanye amaxesha, izigulane aziyi kukwazi ukubeka ubunzima emagqabini kwiinyanga eziliqela, ngamanye amaxesha kwiintsuku ukuya kwiiveki. Ukuqaphela xa unokubeka ubunzima kwi-ankle ephukile kuxhomekeke kuhlobo lwentsimbi yeqhekeza; Oku kuza kuxoxwa nodokotela wakho.
I-Ankle Fracture Surgery
Ukugqiba ukuba i- ankle ephukile idinga ukuhlinzwa ngokuxhomekeka kwizinto ezimbalwa ezibalulekileyo:
- Ukuzinza kwendima ye-ankle
Into ebalulekileyo ekufuneka iqwalaselwe xa isigqibo malunga nokunyangwa kwe-ankle fracture kukuzinza kwe-joint joint. Umxhasi we-ankle apho afika khona amathambo amathathu, kwaye avumela inyawo ukuba liguqe kwaye lihla. Ukuba azinakho ukuhamba, ukuhamba kwesibambano kunokungaphumeleli, kwaye kukho amathuba amaninzi okuphuhliswa kwe-arthritis yangaphambili. Isizathu sokuba umdibaniselwano ukhuphe ngokukhawuleza ufana nemoto egqithise amathaya xa iivili zihambelana ngokufanelekileyo. Isizathu esivakalayo sokwenza utyando kwi-ankle ephukile kukuba ngenxa yokuhlanganiswa okungaqinisekiyo.
- Iimpilo zonyango kunye neemeko zonyango
Imiba ethile ngempilo yesigulane inokuchaphazela isigqibo sokuqhubeka nokuhlinzwa. Nangona iinjongo kukunika wonke umntu ithuba lokubuyisela ngokupheleleyo emva kokulimala, kungenakukufanelekela ingozi yokuhlinzwa kwezinye izigulane. Ukukhathazeka ngokukodwa ngamathambo amaqhekeza ngabantu abangasengozini enkulu yokusuleleka kunye nokuphilisa iingxaki. Ezi zibandakanya abantu abomsi, abanesifo sikashukela, okanye abaneesifo se-vascular peripheral (iingxaki zokuhambisa). Kufuneka kuqatshelwe ukuba kwiimeko ezininzi, uphando luyacetyiswa nakubantu abanezi meko. Nangona kunjalo, kunokukho utshintsho kwi-post-operative management ukuvuselela izigulane ngaphantsi. - Vula iifractures
Kukho iintlobo zokulimala ezidinga ukuhlinzwa, enye ityala livulekile , elibizwa ngokuba yi-fractal break. Ezi nzakalo zenzeka xa kukho unxibelelwano phakathi kwesikhumba kunye nokuphuka. Ezi nzakala zinethuba eliphezulu lokusuleleka, kwaye ngoko utyando olukhawulezayo luhlala luyimfuneko ukuba luhlambulule indawo yesilonda kwaye ngokukhawuleza okanye luzinze ngokusisigxina.
Imithombo:
UMichelson JD "I-Ankle Fractures eziphumo ezibangelwa ukulimala kwe-Rotational" J Am Acad Orthop Surg November / Disemba 2003; 11: 403-412.