Izahlulo eziqhelekileyo zomlenze, i-Ankle, kunye neenyawo

Amagqabhu Aphukileyo Omlenze Odla Ngokubanzi Unyango Lonyango

Uluphi uhlobo oluqhelekileyo lwezinto eziqhekezayo kwi-hip, idolo, i-ankle kunye neenyawo ezifuna unyango lomzimba njengenxalenye yenkqubo yokuphilisa?

Izahlulo eziqhelekileyo zomlenze, i-Ankle, kunye neenyawo

Umlenze ophukileyo ungabangela ukulimala okubuhlungu kunye nokwethusa. Ingakhokelela ekulahlekelweni okukhulu komsebenzi kwaye unokuphazamisa umsebenzi oqhelekileyo kunye nomsebenzi wokuzonwabisa. Ukuphulwa komlenze, xa kungenakunakekelwa kakuhle, kunokubangela ukukhubazeka okuhlala ixesha elide njengokulahlekelwa kwinqanaba lokuhamba (ROM) okanye ukunciphisa amandla . Ngoko ke, unyango lwangokwenyama emva kokuphuka luvame ukubaluleka.

Abantu abaninzi bayazibuza ukuba umlenze ophukile kunye nomlenze ophukileyo uthetha into efanayo. Benza. Ukuba ugqirha wakho ekutshilo ukuba uchithe ithambo lakho lethanga, kuthetha ukuba ithanga lakho liphuliwe.

Ukuphulwa komlenze kuphantse kubangelwa yintlungu kumzimba. Ukuwa, ukulimala kwezemidlalo okanye izingozi zeemoto kunokubangela ukuba ithambo emlenzeni lakho liphule.

Iimpawu zibandakanya, kodwa azikhawulelwanga, iintlungu, ukuhamba nzima, ukulimaza, ukuguqulwa kwegazi kunye nokuvuvukala, okanye ukukhubazeka okucacileyo emlenzeni. Ukuba uyakrokraza ukuba unomlenze ophukile, idolo, iinyawo okanye unyawo, kufuneka ufune unyango ngokukhawuleza. Shayela ugqirha wakho okanye uye kwisebe lakho lezengxamiseko zengingqi ukuze ufumane ingxaki echanekileyo yengxaki yakho kwaye unyamekele unyango olufanelekileyo. Ukungaphumeleli ukwenza oko kunokukhokelela ekukhubazekeni kwexesha elide kunye nokulahleka komsebenzi.

Ulwaphulo lokuqala lolwaphulo lomlenze luquka ukunciphisa ukuphulwa kunye nokuchithwa. Ukunciphisa yinkqubo apho amathambo aphukile abuye abuyiselwe kwindawo yawo echanekileyo. Oku kufuthi kwenziwe ngesandla, kodwa inkqubo yokucocwa ebizwa ngokuthi ukulungiswa kwangaphakathi kwe-ORIF) inokuba yimfuneko kwiintlobo ezinzima. Ukuchithwa kwempahla yinkqubo yokugcina amathambo kwindawo kunye nokusetyenziswa kwephosa okanye ukukhangela ukuqinisekisa ukuba ukuphilisa okufanelekileyo kwenzeka.

Xa ukuphuka kwakho kuphuluke ngokwaneleyo, ungathunyelwa kumgulana wenyama ukuze uncede ukuphucula ukuhamba kwakho kunye nomsebenzi. Umgulana wakho womzimba unokukunceda ukhethe isixhobo esincedisayo sokuncedisa ukuhamba ngexesha lokuqala lokuphulukisa xa kufuneka, kwaye unokukukhokela ekusebenzeni okufanelekileyo ukukunceda ukuphucula amandla kunye nobuninzi bezityalo emva kokuphuka.

Ngezantsi uludwe lweentlobo eziqhelekileyo ezinokuthi zenzeke emzimbeni wakho ophantsi odla ukufuna unyango lomzimba ukubuyisela ukuhamba ngokusebenzayo.

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I-Hip Fracture

Ukuqhekeka kwe-hip iyona nto ixhaphakileyo ithambo efuna ukuhlala esibhedlele.

Izifucu ze-Hip zenzeka ngokubanzi kubantu abadala, kwaye zi nokuba ngenxa yentlekele njengokuwa. Ngamanye amaxesha, iifracture pathologic (iifracture ezenzeka kwithambo echaphazeleka ngumhlaza okanye amathambo ama-metastases) okanye i-fracture ezenzekayo ngenxa yesifo sokubuthaka (njenge-osteoporosis), inokwenzeka.

Ngokuxhomekeka kobunzima bekhefu, inqubo ye-ORIF ingafuneka ukuba unciphise i-fracture yakho.

Ulwaphulo lomzimba luquka ukuphucula uhla lwezityalo kunye nokuqina ukuze kuphuculwe ukuhamba nokuhamba.

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I-Femur Fracture

Ukuqhekeza kwesifazana ngokuqhelekileyo kudinga amandla amaninzi okanye ukuwa. I-femur, okanye ithambo lesithambo, ithambo elide kunabo bonke emzimbeni kwaye linamandla kakhulu. Kukunceda uhambe, ugijime uze ume ngokuthe tye.

Ingxaki yokuya kwi-shaft ye-femy yakho ingabangela ukuba iphule, ekhokelela entlungu enkulu kunye nokulahleka komsebenzi. Amandla amaninzi adingekayo ukuze aphule i-femur kunezinye amathambo emlenzeni.

Ubunzima, ukulahlekelwa kwintlobo yesindululo, kunye nokunciphisa amandla emva kokuqhaqha kwesifazana kunokuphazamisa umlenze kunye namadolo, ulungele ngakumbi ukuhamba kwakho. Udweliso lwamaziko luyadingeka emva kokuphilisa ukubuyisela umsebenzi opheleleyo.

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I-Tibial Plateau Fracture

Ukuqhekeka kwetayilial plateau kwenzeka xa idolo lugxininisa ngamandla ngexesha loxinzelelo. I-plateau ye-tibial yindawo apho isifuba sakho shin kunye nethambo lakho lesithambo lihlangene emadolweni.

Ngamanye amaxesha, i-tibial fracture fractures idinga ukuhlinzwa.

Ekubeni i-plateau ye-tibial ihlangene neendolo, ukulahleka okukhulu kweendonga zeendolo kunye neamandla kunokubangela ukuphuka apha. Udweliso lwezinto eziphathekayo ludingeka ngokuphindaphindiweyo ukubuyisela umsebenzi omninzi kangangoko emva kokuphulwa kwephuko.

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Tibia / Fibula Fracture

I-tibia / fibula (i-tib / fib) i-fracture i- fracture ejwayelekile yamathambo ama-ankle .

I-tibia (ithambo lesifuba) kunye nefibula (ithambo kwicandelo langaphandle le-ankle yakho) likhona emlenzeni ophantsi kwaye uncede wenze inxalenye yesikhonkwane sakho seenyawo. Ngamanye amaxesha, elinye lamathambo, okanye i-tibia okanye i-fibula, iphukile.

Ukuba uthe wabandezeleka nge-tib / fib fracture, unokufuna ukuhlinzwa.

Ukwelapha ngokwenyama emva kokuqhaqha kwesikhumba kunakho ukubuyisela amandla akho, ukuhamba kwesantya, kunye nokuhamba ngokusebenzayo kwinqanaba eliphambi kwephuka lakho.

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Jones Fracture

I- Jones i-break break is break in the fifth metatarsal of foot. I-metatarsal yesihlanu yithambo elide enyawo lwakho elidibanisa ne-pinky toe yakho.

Ngokuqhelekileyo, ukukhathazeka okuncinane okunjengokugijima okanye ukuxuma kubangela ukuba uJohn aphule. Ukuqhekeka kwe-Jones kudla ngokuba yintlupheko yoxinzelelo , uhlobo lokuphuka oluvame ukubangelwa ukuxinezeleka ngokuphindaphindiweyo kwithambo kunokubangela ukulimala okukodwa.

Emva kokuphilisa, uluhlu lwenu lululo luyancitshiswa kwaye inzuzo yakho ingathinteka. Ngokuqhelekileyo, unyango lomzimba emva kokuqhaqha kukaJones luncedo ekubuyiseleni ukuhamba ngokusebenzayo ngokukodwa ngoxinzelelo lwexinzelelo, oludla ukuba lunobungozi obuthakathaka kunokuba u-Jones achukumisekile.

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I-Lisfranc Fracture

Ukuphulwa kwe-Lisfranc kukuqhekeka kunye nokuchithwa kweenyawo. Iinyawo ezinyawo ziyingxenye yonyawo lwakho phakathi kweenyawo zakho kunye neenzwane zakho. Apha, amaninzi amanqina akho enyawo ahlanganisene ukuze ancede unyawo lwakho luhambe kakuhle.

Ukuphulwa kwe-Lisfranc kunokwenzeka xa uphazamisa unyawo lwakho ngexesha lezemidlalo, ngakumbi xa ushukunywe kwindawo engalingani, okanye kwingozi yemoto.

Amancinci aseLisfranc aphulukisiwe aphathwa ngokungafihlisi kwindawo yokukhangela okanye ukuhamba, kodwa amanxeba amaninzi aseLisfranc adinga ukuhlinzwa.

Ukuqhekeza kwe-Lisfranc ngokuqhelekileyo kubangelwa ukulimala okunokubangela ukuba kunciphise kakhulu ukuhamba nokuhamba. Ukwelapha ngokwenyama emva kokuphazamiseka kwe-Lisfranc kunye nokuchithwa kubalulekile ukuphucula amandla kunye nobunzima bokunyakaza kwenyawo lwakho kunye neenyawo ukuze kukubuyisele kumgangatho owedlule wokuhamba.

ILizwi elivela kwiNtshukumo eFanayo kunye nokuPhulukiswa

Ukuphulwa komthetho kuqhelekileyo, kwaye ezininzi zezi zinto zingakhokelela ekunciphiseni ixesha elide ngamandla kunye nokuhamba ngaphandle kokunyanga. Ngokuphindaphindiweyo amaxesha, nangona kunjalo, ukusebenza kunye nomgulana womzimba kuvumela abantu ukuba babuyele kumgangatho wabo wangaphambili wokusebenza ngexesha.

> Umthombo:

> IMetzl, Jordan D. IiMviwo zeMidlalo kwi-Pediatrics Office. I-American Academy ye-Pediatrics, ngo-2017.