Ukuba uye wahlulwa isalathisi ephukile kwaye kwafuneka utyunjwe ngamacwecwe kunye nezikrini zokunciphisa ukuphuka, unokuzibuza ukuba ungabuyela nini. Esinye isixa sokuphilisa kufuneka senze ekuqaleni, kodwa emva kwexesha, enye yeenjongo zakho ingaba ukubuyela emva kokuphuka kwakho. Ingaba kukho indlela ekhuselekileyo yokufumana ixesha lokuqalisa ukusebenza emva kokuhlinzwa kwe-ankle, kwaye unokwenzela uncedo lomzimba?
Kuthatha ixesha elingakanani ngaphambi kokuba uhlasele umgwaqo uze uphinde usebenze emva kokuqhekeka kwe-ankle?
I- ankle ephukile ingaba namava obuhlungu kunye namaxhala. Unokudinga utyando oluthiwa ukulungiswa kwangaphakathi ngaphakathi (ORIF) ukulungisa ukuphuka. Noko ke, amaninzi amaqatha akho angancitshiswa ngaphandle kokungenelela. Ngandlela-thile, mhlawumbi uya kufuneka ugqoke ukuphosa emlenzeni wakho ixesha elide ukuvumela izinto ukuba ziphilise kakuhle. Eli xesha le-immobilization liyimfuneko ukuqinisekisa ukuba i-ankle yakho imphilisa ngokufanelekileyo. Enye yeengxaki zokungasebenzi emva kokuqhekeka kweenyawo: isangqa sakho siba buthathaka kwaye izihlunu zijikeleze idibeneyo zomelele.
Emva kokuqhaqha kwesangqa okanye utyando lwe-ankle, cishe uya kuba nexesha elinzima ukwenza imisebenzi efana nokuhamba nokuqhuba imoto. Yaye ukuba unomdla wokuba usebenze, kungase kube ixesha elide ngaphambi kokuba ubuyele ekusebenzeni.
Qinisekisa ukuba usebenze ngokusondeleyo kunye nogqirha wakho kunye nomzimba wenyama xa uthe wabuhlungu. Bobabini banokukunceda ukuba ufezekise injongo yakho yokugqibela okanye usebenze. Ngaphezu koko, sebenza nzima kwipilisi yonyango kwaye wenze konke okusemandleni akho ukuba uhlale ukhuthazwa . Isimo sengqondo esifanelekileyo sinokuhamba ixesha elide ekuncedeni ukuba ufezekise injongo yakho yokubuyela ekusebenzeni.
Iimpazamo eziqhelekileyo Emva kwe-Ankle Fracture
Ukuphazamiseka okuqhelekileyo okufuneka usebenze emva kokuba i-fracture fracture ifaka:
- Ukuvuvukala
- Ubuhlungu
- Ukulahlekelwa kweendwendwe (ROM)
- Amandla amaninzi
- Ukuxinwa kweethambo (uma uhlinzwa)
- Ubhaliso obuncitshisiweyo kunye nobuchule
- Unzima ukuhamba nokusebenza
Unokuqala ufuneke uhambe kunye nesistim sokuncedisa njengendlela yokuhamba okanye iinqumle emva kokuphula i-iqela lakho. Ingcali yakho yomzimba ingakunceda ukhethe idilesi echanekileyo. Unako kwakhona ukuqinisekisa ukuba isixhobo sakho sokuncedisa sisisiseko esifanelekileyo kuwe kwaye ukuba usebenzisa kakuhle.
Umgulana wakho womzimba angasebenza nawe ukukunceda ukuphucula ezinye zezinto eziyimpembelelo. Unokumisela imisebenzi eyenzelwe ukwandisa i-ROM yangasese. Ukuqiniswa kunye nokusetyenziswa kwe-plyometric kungenziwa ukwenzela ukuba uqinisekise ukuba imisipha exhasa isondo lakho iqinile, kwaye ibhodi yeBAP ingasetyenziswa ekuncedeni ukuphucula ibhalansi kunye nomnini wempahla emlenzeni wakho olimele.
Umthetho kaWolff uthi ithambo likhula ngokuphendula kwiingcinezelo ezibekwa kuso. Umgulana wakho wenyama uza kukunceda uqhube phambili kumanyathelo afanelekileyo okusisisindo esenza ukuba uqiniseke ukuba uxinzelelo olwaneleyo nolungelelweyo lubekwe kwi-ankle yakho yokuphilisa.
Ngoko Ndingaqalisa Nini Ukuqalisa Emva Kokuhlukana Kwe-Ankle?
Wonke umntu uhlukile, kwaye ezininzi izinto zinganciphisa ubuchule bakho bokubuyela emva kokuqhutyelwa kweqhekeza okanye ukuhlinzwa. Ezi ziquka:
- Ubunzima bekhefu
- Ingaba okanye ukuhlinzwa kwakwenziwa
- Impumelelo yonyango lomzimba
- Isixa semizamo obeka kuyo ekuvuseleleni kwakho
- Intsalela encinane
Ngokubanzi, unokuzama ukuqala ukusebenza malunga neenyanga ezintathu ukuya kwezine emva kokulimala kwakho. Ngalesi sihlandlo, amathambo e-ankle akho kufuneka aphiliswe kakuhle kwaye i-ROM yakho kunye namandla kufuneka ukuba sisondele kwizinto eziqhelekileyo. Unokuqhuba inkqubela yee-mileage ngokude nje ukuba intlungu yakho iyancinci kwaye i-ROM yakho kunye namandla akho ahlala ehle kakhulu.
Kwiinyanga ezintandathu ukuya kweyisithoba emva kokulimala kwakho, kufuneka ukwazi ukuqhuba ngaphandle kweengxaki.
Kwakhona, wonke umntu uhluke kwaye yonke into eyenza ukulimala iyahluke . Abanye abantu bayakwazi ukuqhuba ngokukhawuleza emva kokuphula i-ankle. Ngelishwa, abanye abantu bayaqhubeka bengancinci ngenxa yentlungu, ukulahlekelwa kweROM, okanye amandla angancinci emva kokulimala kwabo kwaye kunokuthatha ixesha elide ukubuyela ekusebenzeni. Kwaye kukho abanye abantu abanokuze babuyele ekusebenzeni, nangona emva kokubeka umgudu wabo wokubuyisela ukuhamba okuqhelekileyo kunye namandla phezu kweenyawo zabo.
Kumele usebenze ngokusondeleyo kunye nogqirha wakho kunye nomzimba wenyama ukuze uqiniseke ukuba ukusebenza kuphephile kuwe kwaye ukusekela iinjongo ezingqinisisekiyo kunye nokulindela emva kokuqhekeka kweenyawo. Oku kubandakanya ukuba neengcamango ezibonakalayo zokulimala kwakho kunye nobuchule bakho.
ILizwi
Ukuqhekeka kwe-ankle kungabangela ukulimala okubuhlungu, kwaye kunokuthatha ixesha elide kunye nomgudu wokubuyela kwinqanaba lakho langaphambili lomsebenzi. Ukuba ungumgijimi oye wahlulwa i-ankle fracture, amathuba anqwenela ukubuyela ekusebenzeni ngokukhawuleza. Ukusebenza nogqirha wakho kunye nomgulana womzimba unokuqinisekisa ukuba udala isicwangciso esiqinileyo ukuba ufike ngokukhawuleza kwaye ubaleke ngokusemthethweni ekusebenzeni.
> Umthombo:
> Beckenkamp, P, et al. Ukugqitywa kweMisebenzi yePhysical Ukulandela i-Ankle Fracture: Uhlolo lokuHlola ngokuHlololwa kweMeta. UJOSPT, 44 (11) 2014. 841-51.