Ukulimala kweenyawo okubizwa ngokuba ngumntu wokuqala owawufundayo
I-Jones break, eyaziwa ngokuba yi-five metatarsal fracture, kukulimala kwisihlunu sesihlanu seetatarsal. I-bone metatarsal bone itholakala kwisiseko senzwane encinci, kwaye i-Jones breaks isenzeka kwindawo yangasese (phezulu kwethambo), ukuya kwinqanawa ukusuka kwisiseko sezinzwane ezincinane.
Le nzakalo yaqale yachazwa ngo-1902 nguSir Robert Jones kwinqaku ebizwa ngokuthi "Iingqungquthela ze-Base ye-First Metatarsal Bone ngoBugonyamelo olungekho ngqo." Wayequka iinkcazo zezigulane ezithandathu (enye eyedwa) eyabangela ukuhlukana kule ndawo ngaphandle kwempembelelo ngqo (ukulimala kwakhe kuthiwa kwenzeka ngelixa udansa ngeMexico).
Eli nqaku libandakanya iingubo esizikhethileyo ngoku ngokuzikhuphaza , ukuphazamiseka kwengqondo , kunye nento esibhekisela kuyo njengokwahlukana kukaJones.
Iimpawu
Izigulane eziqhubekayo zintlungu zikaJones zibuhlungu ngenxa yolu phaya oluphakathi / lwangaphandle lwenyawo, ukuvuvukala, nobunzima bokuhamba. Ngokuqhelekileyo ukuqhuma kukaJones kubangelwa ngaphandle kokulimala okanye impembelelo embi, kodwa ngamanye amaxesha kunokuba nzima (njengaDkt Jones) kwaye kubonwe ngexesha lokunyuka kwebhola okanye ibhola yebhola xa isithende siphelile emhlabeni. Ngokuqhelekileyo kukho ukwakhiwa okuqhubekayo kwintlungu kwindawo kwaye ekugqibeleni, kufinyelela kwindawo apho kunzima khona ukuhamba kwaye ugqiba ukubona ugqirha. Oku kungenziwa iiveki ukuya kwiinyanga ukusuka uqala ukuqala ukuva intlungu. Akunakho ukuvuvukala nokuguqulwa kwendawo kwindawo.
Ukuxilongwa
Ugqirha wakho uya kwenza uvavanyo olusemzimbeni kwaye uphulaphule imbali yakho yeempawu zakho. Mhlawumbi uya kufumana i-X-ray, eya kunceda ukuhlula ukuhlukana kukaJones kwixinzelelo lokuxinwa okanye ukuphazamiseka kwintliziyo kunye ne-os peroneum.
Indawo yokuncedisa i-break break in diagnostic. Iingqungquthela zikaJones zise-Zone 2 ye-five metatarsal, ngelixa iindawo ezivukekileyo zise-Zone 1 kwisiseko kunye nokuphazamiseka kwengqondo ku-Zone 3 kunye ne-shaft yesihlanu ye-metatarsal.
Unyango
Unyango lwe-Jones eliqhekezayo i-fracture iqulethe ukungabi nciphisa.
Izigulane akufanele zibeke ubunzima kwienyawo zize zifundiswe ngugqirha wazo. Iintonga ziya kusetyenziswa kwisigaba sokuqala sokuphilisa, esingaba sixhenxe kwiiveki ezisibhozo.
Izahluko zikaJones ziba yimimiselo engapheliyo xa ukuphuka kungaphumeleli ukudibanisa okanye ukuphilisa. Ukuba kunjalo, utyando luya kunconywa ukuba lukhuseleke ukuphulwa kwendawo kunye nesihlunu, kunye nokufakelwa kwethambo kungasetyenziselwa ukuvuselela impendulo yokuphilisa.
Ukuhlinzwa
Kwezinye izigulane, ngokukodwa abadlali abakhuphisanayo, utyando lunokucetyiswa ukuba uzame ukuphepha ixesha elide lokuphulukisa ukuba u-Jones aphule ukuphulukisa. Ugqirha unxulumene nemingcipheko echaphazelekayo okumelwe ilinganiswe malunga nesidingo sokuphilisa ngexesha elifanelekileyo. Thetha ugqirha ukuba ucinga ukuba unyango luyafuneka kwiimeko zakho.
Imithombo:
I-5 ye-Metatarsal Fracture Surgery, i-American Orthopedic Foot & Ankle Society.
UScott M. Strayer, amaFractures of Proximal Fifth Metatarsal, i- Am Fam Physician. Ngo-1999 kuMeyi 1; 59 (9): 2516-2522.