Ngaba unale ntlungu emlenzeni wakho? Makhe sithethe ngoJones Fracture!

Ngaba wakha wajika umlenze wakho ngequbuliso okanye weva isandi "sokuqhekeka" ngaphandle konyawo lwakho ngelixa udlala imidlalo? Ngelo xesha, usenokuba uzibuza, "Yintoni le isanda kwenzeka? " Isenokuba yimeko ebizwa ngokuba yi-Jones fracture , esiza kuthetha ngayo namhlanje. Ungakhathazeki, siza kuthetha ngale nto ngokulula, ngendlela onokuyiqonda.

Yintoni ukwaphuka kukaJones? Ngamafutshane...

Ngamafutshane, ukwaphuka kukaJones lithambo elaphukileyo enyaweni yakho. Uzwane lwakho olupinkie lunethambo elide elidibana nelinye ithambo lonyawo lwakho, akunjalo? Yiloo nto oogqirha bayibiza ngokuba yithambo lesihlanu le-metatarsal . Ukuphuka kukaJones kukuphuka kweli thambo.

Oku kwenzeka rhoqo xa unyawo lwakho lujikelwe ngaphakathi, kwaye ngequbuliso kufakwa amandla amakhulu okanye uxinzelelo ngaphandle konyawo lwakho. Khawuthelekelele imeko apho ngequbuliso ukhubeka phezu konyawo lwakho ngelixa ubaleka.

• Ukusebenzisa unyawo kakhulu ngokuphindaphindiweyo : njengokubaleka emhlabeni oqinileyo imini yonke, okanye ukusebenza umsebenzi ofuna ukuma ixesha elide.
• Ukulimala kwezemidlalo : Oku kunokwenzeka ngakumbi kwimidlalo yokutsiba efana nebasketball kunye nevolleyball, okanye kwimidlalo etshintsha indlela ngokukhawuleza njengebhola ekhatywayo kunye nekhilikithi.
• Ukuwa nokutyibilika : Oku kungenzeka kwizinto ezinje ngokuwa phantsi kwezinyuko okanye ukutyibilika kwindawo etyibilikayo uze ngequbuliso uwele emhlabeni.

Kwiimeko ezininzi, kufuneka utyando ukuze kupholiswe eli thambo ngokufanelekileyo. Kungathatha iinyanga ezininzi ukuze liphole ngokupheleleyo.

Yintoni umahluko phakathi kokuqhekeka kweJones nokuqhekeka kwe-avulsion?

La magama mabini asenokubonakala edida kancinci, kodwa omabini afumaneka kwithambo lesihlanu le-metatarsal esilikhankanyileyo ngaphambili. Nangona kunjalo, kukho umahluko omncinci kodwa obalulekileyo phakathi kwezi zaphuko zimbini.

Cinga ngethambo lakho lesihlanu le-metatarsal njengeqhekeza elincinci lomthi. Oogqirha bahlula ithambo libe ziinxalenye ezintathu, okanye `ii-zones`. Ezi ndawo zinceda ugqirha ukuba aqonde kakuhle apho ithambo liphuke khona.

• Indawo 1: Le yinxalenye yokuqala yethambo, kufutshane nombindi wonyawo. Ukuqhekeka apha kubizwa ngokuba kukuqhekeka kwethambo . Ngamanye amaxesha kuthiwa kukuqhekeka kwethambo lomdansi okanye kukuqhekeka kwethambo le-pseudo-Jones . Oku kuqhekeka kwethambo akudingi utyando. Kudla ngokuphola emva kweenyanga ezimbini xa kufakwe isihlangu okanye i-cast.

• Indawo yesi-2 (`Indawo yesi-2`):Le yinxalenye yethambo esemva kwendawo yokuqala, embindini wethambo. Ngokuchanekileyo, le yinxalenye "yomzimba" wethambo eza emva kwendawo yokuqala, efana "nentloko ". Ukuqhekeka kule ndawo yesibini yinto esiyibiza ngokuba yi-'Jones fracture'. Ezi zihlala zifuna utyando. Zinokubangela iingxaki kunezinye iindawo zokuqhekeka emlenzeni.

• Indawo 3: Eli licala elinye lethambo, apho lidibana khona namathambo eminwe. Ukuqhekeka kule ndawo kudla ngokubizwa ngokuba kukuqhekeka koxinzelelo, okubangelwa kuxinzelelo oluqhubekayo. Oku kuthatha ixesha elide ukuphola kwaye ngamanye amaxesha kufuna utyando.

La magama asenokubonakala edida kancinci kuwe. Kodwa ungakhathazeki. Ukuba uphuke umlenze naphi na, inyathelo lokuqala elibalulekileyo kukubona ugqirha ngokukhawuleza. Ugqirha uza kukuchazela ukuba loluphi uhlobo lokwaphuka onalo kunye nento omawuyenze ngako.

Ziqheleke kangakanani iintlungu zokwaphuka kwemisipha kaJones? Ngubani onokuthi abe nazo?

Ukuqhekeka kweenyawo kukaJones yenye yezona zinto zixhaphakileyo zokuqhekeka kweenyawo. Abadlali, abadanisi, kunye nabantu abasebenza kwimisebenzi efuna ukuma nokuhamba imini yonke basengozini enkulu.

• Abadlali (ingakumbi abo badlala imidlalo yokubaleka nokutsiba)
• Abadanisi
• Abantu abama baze bahambe ixesha elide ngelixa besebenza

Ngokuqhelekileyo, amadoda aneminyaka emalunga nama-30 ubudala kunye nabasetyhini abaneminyaka engaphezu kwama-70 ubudala banamathuba amaninzi okuba neentlungu zokwaphuka kwamalungu omzimba kaJones kunabantu abakwezinye iindidi zobudala.

Kwakhona, abantu abane -osteoporosis ( isifo esibangela ukubhitya kwamathambo) basengozini enkulu yokuba ne-Jones fracture, kunye nayo nayiphi na i-fracture.

Zithini iimpawu zokuphuka kwethambo likaJones?

Ukuba uneentlungu zeJones, unokufumana iimpawu ezifana nezi:

• Intlungu ebuhlungu: ingakumbi ngaphandle kwenyawo.
• Ukudumba.
• Ukuthamba (intlungu xa ichukunyiswa okanye icinezelwe).
• Ubunzima bokuhamba ngokuqhelekileyo.
• Ukugruzuka okanye ukutshintsha kombala wolusu.
• Iqhuma okanye utshintsho olungaqhelekanga kwimilo lunokubonwa enyaweni (`ukukhubazeka okanye isigqubuthelo`).

Yintoni ukwaphuka kukaJones "ogxothiweyo"?

Xa usiya kugqirha, unokuva amagama athi "displaced" okanye "non-displaced." Ngamafutshane , "displaced fracture" kuxa iziqwenga ezimbini zamathambo eziphukileyo zihlukene, zishiya umsantsa omkhulu phakathi.Oku kuthetha ukuba ithambo laphukile, kodwa iziqwenga ezibini ezaphukileyo azishukumanga kakhulu kwaye azikho kwindawo efanayo. Amaxesha amaninzi, "amathambo aqhekekileyo" afuna utyando. Amathambo aqhekekileyo "angasuswanga" asenokungafuni utyando.

Zithini izizathu eziphambili zokuqhekeka kwamalungu omzimba kaJones?

Njengoko besikhe sathetha ngaphambili, ukwaphuka kukaJones kwenzeka xa umlenze wakho, ingakumbi xa isithende sakho siphakanyisiwe kwaye sigobile, ngequbuliso ufumana ukungqubana. Kukho izizathu ezimbalwa eziphambili:

• Ukusebenzisa ngokugqithisileyo okuphindaphindiweyo: Ukuhambahamba rhoqo, ukubaleka, okanye ukuma kwiindawo eziqinileyo. Umzekelo, abanye abantu banemisebenzi efuna ukuba bame imini yonke, kwaye basengozini enkulu.
• Ukulimala kwezemidlalo: Oku kunokwenzeka xa utsiba phezulu nasezantsi kwimidlalo efana nebhasikithi kunye nevolibholi, okanye xa ujika umlenze ngokukhawuleza kwimidlalo efana nebhola ekhatywayo, ikhilikithi, kunye nebhola yomnyazi. Olu hlobo lokulimala lunokwenzeka xa udlala ivolibholi kwiilali zethu.
• Ukuwa nokutyibilika: Iimeko ezinje ngokuwa phantsi kwezinyuko ekhaya, ukutyibilika kwindawo emanzi njengegumbi lokuhlambela, uze ngequbuliso ubethe unyawo lwakho phantsi.

Ungayixilonga njani i-Jones fracture? (`Uxilongo`)

Ugqirha wakho uza kuqala akuhlole (uvavanyo lomzimba). Emva koko, baya kuyalela iimvavanyo ezikhethekileyo ezininzi (uvavanyo lomfanekiso) ukujonga imeko yamathambo akho.

Zithini ezi mvavanyo?

• Ii-X-reyi: I-X-reyi ingabonisa ngokucacileyo ukuba uphuke ithambo likaJones okanye elinye ithambo kunye nokuba umonakalo owenziweyo emathanjeni ungakanani.
• I-MRI Scan (I-Magnetic Resonance Imaging - MRI): Ngamanye amaxesha ugqirha kufuneka abone yonke inqanaba lomonakalo emathanjeni nakwizicwili ezijikelezileyo, ezifana nezihlunu kunye nemisipha. Kulapho kwenziwa khona i-MRI scan.
• I-CT scan (`CT scan - I-Computed Tomography scan`): Ukuba kufuneka wenze utyando, ugqirha wotyando uya kufuna umfanekiso ocacileyo womonakalo owenzeka emathanjeni akho. I-CT scan inokujonga amathambo kunye nezicubu ezingqongileyo ngokweenkcukacha ezingaphezulu kune-X-ray.

Inyangwa njani i-Jones fracture?

Unyango lokwaphuka kwethambo likaJones luxhomekeke kubukhulu bokwaphuka kwalo. Nangona kunjalo, amathambo aphukileyo kufuneka ahlanganiswe aze aphiliswe. Kukho unyango oluninzi olusetyenziswa ngoogqirha ukunceda.

1. Ukungakwazi ukuhambahamba

Ukuba ukwaphuka akukubi kakhulu, oko kuthetha ukuba iziqwenga zamathambo azikude kakhulu (azikho kwindawo yazo), kuya kufuneka ufake isamente okanye isihlangu esikhethekileyo emlenzeni wakho. Oku kuya kunxitywa malunga neeveki ezintandathu ukuya kwezisibhozo. Ngeli xesha, kuya kufuneka uthathe ii-X-ray ukuqinisekisa ukuba ithambo liphola kakuhle.

2. Ukunciphisa okuvaliweyo

Kwabo baphuke kakhulu (ingakumbi ukuba baphumile), inkqubo ebizwa ngokuba yi-closed reduction isetyenziselwa ukulungelelanisa amathambo. Oku kubandakanya inkqubo engeyoyotyando apho ugqirha ebamba amathambo aphuke ngaphandle komzimba wakho, ewacinezela aze awabuyisele endaweni yawo. Oku kwenziwa ukuze ungabi nantlungu, ngolu hlobo:

• I-anesthetic yendawo inikwa kuphela indawo ephukileyo ukuze ivale iintlungu.
• Kunikwa amayeza okuthomalalisa umzimba wonke.
• Oku kungenziwa phantsi kwe-anesthesia jikelele.

Emva kokunciphisa okuvaliweyo, ugqirha uza kubeka isamente okanye isihlangu emlenzeni wakho.

3. Utyando lukaJones lokuqhekeka kwamathambo

Xa amathambo aqhekeke kakhulu, kufuneka utyando. Ugqirha ulungisa amathambo aphukileyo aze awalungise ukuze angashukumi de aphole. Oku kubizwa ngokuba yi -internal fixation . Oku kuthetha ukuba ugqirha ufaka izinto ezifakelweyo zesinyithi ethanjeni lakho ukuze alibambe lihlale lihleli. Iindlela ezisetyenziswayo koku zezi:

• Iinduku: Yintonga yesinyithi efakwa embindini wethambo ukusuka phezulu ukuya ezantsi.
• Iipleyiti kunye/okanye izikrufu: Iipleyiti zesinyithi kunye nezikhonkwane ezifakwa ethanjeni ukuze zibambe iziqwenga zamathambo ndawonye.
• Iiphini kunye neengcingo: Ezi zisetyenziswa apho kukho iziqwenga zamathambo ezincinci kunezinye izinto ezifakelweyo. Zihlala zibekwe ngeentonga okanye iipleyiti.

Abanye abantu banee-implants zesinyithi emizimbeni yabo ubomi babo bonke. Abanye, kufuneka batyandwe ukuze zisuswe emva kokuba ithambo lipholile.

4. Ukufakelwa kwamathambo

Ukuba ukwaphuka kweJones yakho kususwe kakhulu, okanye ukuba ithambo alipholi kakuhle, kunokufuneka wenze i-bone graft . Kulapho ugqirha otyandayo efaka khona izicubu zethambo ezongezelelweyo ukuze adibanise ithambo lakho elaphukileyo. Emva koko, ithambo liqiniswa ngesixhobo sokulungisa sangaphakathi de likhule kwakhona. Ezi graft zethambo zilandelayo zingathathwa:

• Ukusuka kwenye indawo emzimbeni wakho - idla ngokuba ngentla kwethambo lakho lesinqe.
• Kusuka komnye umnikeli (`umnikeli wangaphandle`).
• Isiqwenga sokutshintsha esenziweyo.

Utyando lokuqhekeka kwethambo likaJones ludla ngokwenziwa njengeenkqubo zokulaliswa ngaphandle kwesibhedlele. Uya kukwazi ukuya ekhaya ngaloo mini inye yotyando.

Emva kotyando, umlenze wakho uza kungakwazi ukuhamba. Kuya kufuneka unxibe isihlangu okanye i-cast ngaphambi kokuba ubeke ubunzima kuwo kwaye uyisebenzise kwakhona.

Ngawaphi amayeza asetyenziswayo xa kuqhekeka amalungu omzimba kaJones?

Ezinye izithomalalisi zentlungu , ezifana ne-aspirin okanye i-ibuprofen, zinikwa ukunciphisa iintlungu.Ukopha kunye nezinye iingxaki zinokwenzeka emva kotyando. Ngoko ke, ugqirha wakho uza kukuxelela ukuba zeziphi amayeza onokuwasebenzisa ukunciphisa iintlungu emva kotyando.

Zithini iingxaki zonyango lukaJones lokuqhekeka kwamathambo?

Iingxaki ezinokwenzeka emva kotyando lukaJones ziquka:

• I-Acute Comppartment Syndrome (ACS): Ukuba uxinzelelo olungaphakathi kwimisipha luyanda kwaye ukuhamba kwegazi kwizicubu kuyeka, ukonakala kwemisipha kunye nemithambo-luvo kunokwenzeka.
• Malunion: Kulapho iziqwenga zethambo lakho elaphukileyo zingahambelani kakuhle njengoko ziphola, kodwa endaweni yoko ziqala ukuhamba kunye.
• Ukungadibani: Le yeyona iyingozi kakhulu. Iziqwenga zamathambo azibuyi zihlangane, okanye azihlangani kakuhle. Umngcipheko wokungadibani uphezulu kakhulu kwiimfanta zikaJones kunakwezinye izimfanta. Kuthiwa malunga nomntu omnye kwabathathu uya kuba nale meko.
• Eminye imonakalo yangaphakathi: Ithambo elaphukileyo linokubangela umonakalo kwizihlunu ezijikelezileyo, kwiimithambo-luvo, kwimithambo yegazi, kwimisipha, nakwimisipha.
• Ukuqhekeka: Ukuqhekeka kweJones kunokwenzeka ukuba kuqhekeke kwakhona kunezinye iiqhekeko.

Amayeza afana ne-NSAIDs anokubangela ezinye iziphumo ebezingalindelekanga: ukopha, izilonda zesisu, iintlungu zesisu, kunye neengxaki zamathumbu.

Ndiza kuziva bhetele nini emva konyango?

Kungathatha iiveki ezininzi ukuba iimpawu zakho ziphele kwaye ukwazi ukuhamba kwakhona. Ngokuxhomekeke kuhlobo lotyando olwenzileyo, usenokungakwazi ukufaka ubunzima emlenzeni wakho kangangeeveki ezisibhozo. Uya kukwazi kancinci ukusebenza nokuhamba kwakhona. Kuya kufuneka ukwazi ukuqhubeka nayo yonke imisebenzi yakho yesiqhelo, kuquka nemidlalo, kwiinyanga ezi-3-4.

Nangona kunjalo, ukuba ufumana intlungu enganyamezelekiyo nengapheziyo, bonana nogqirha wakho ngoko nangoko.

Ndingenza ntoni ukunciphisa umngcipheko wokwaphuka kwethambo likaJones?

Landela la macebiso alula okhuseleko ukuze uphephe iingozi ezinjalo:

• Nxiba izixhobo zokhuseleko ezifanelekileyo ngexesha lomsebenzi okanye kwezemidlalo.
• Gcina ikhaya lakho nendawo yakho yokusebenza icocekile, ingenazo izinto ezingafunekiyo nezinto ezinokukuphazamisa.
• Soloko usebenzisa izixhobo ezifanelekileyo (ezifana neleli) xa ufikelela kwinto ephezulu endlwini. Ungaze ukhwele ezitulweni okanye etafileni ukuze ufikelele kwizinto.
• Landela indlela yokutya kunye nesicwangciso sokuzilolonga esinceda ukugcina amathambo akho esempilweni .
• Ukuba ungaphezulu kwama-50 eminyaka ubudala, okanye ukuba kukho umntu kusapho lwakho onesifo se-osteoporosis, thetha nogqirha wakho malunga novavanyo lokuqina kwamathambo .

Ungayithintela njani i-Jones fracture?

Kuphephe ukusebenzisa iinyawo zakho kakhulu kangangoko unako. Nika umzimba wakho ixesha lokuphumla nokuchacha emva komsebenzi onzima womzimba. Ukuba usebenzisa isixhobo sokuhamba okanye intonga ukukunceda uhambe, ungaze uzame ukuhamba ngaphandle kwazo. Lumka kakhulu xa uhamba kwiindawo ezingalinganiyo, njengegrabile.

Kuza kwenzeka ntoni ukuba ndiphuke umqolo ngenxa yokwaphuka kwethambo likaJones?

Ukuba uneentlungu zeJones, ungalindela ukuba uphile ngokupheleleyo. Nangona kunjalo, uya kufuna unyango lomzimba ukuze ufumane amandla kunye nomgama wokunyakaza emlenzeni wakho.

Kuthatha ixesha elingakanani ukuba ukwaphuka kukaJones kuphole?

Oku kuxhomekeke kubukhulu bokwaphuka kwakho kunye nonyango olufunekayo. Uninzi lwabantu luthatha malunga neenyanga ezintathu ukuya kwezine ukuphola emva kokwaphuka kukaJones.

Ukuba unengxaki efana nokungadibani okanye ukuqhekeka kwethambo, ixesha lakho lokuchacha linokuba lide. Kwakhona, ukuba ukhe wafakelwa amathambo ukuze kulungiswe ukwaphuka kwethambo lakho laseJones, kuya kuthatha ixesha elide ukuba umzimba wakho uphile.

Ngaba andizukukwazi ukuya emsebenzini/esikolweni?

Ukuba usenokwenza umsebenzi wakho okanye ufunde ngelixa umlenze wakho ungashukumi, akuyi kufuneka uyeke ukuya emsebenzini okanye esikolweni.

Thetha nogqirha wakho okanye ugqirha wakho ngaphambi kokuba uqalise nayiphi na imisebenzi yomzimba ngexesha lokuchacha kwakho.

Igama lokugqibela malunga nokuqhekeka kukaJones...

Ithemba lokuba uJones uza kwaphuka lihle. Nokuba uza kutyandwa, ungachacha ngokupheleleyo.

Ndingaya nini kwigumbi likaxakeka?

Ukuba ucinga ukuba uphuke ithambo likaJones – okanye naluphi na olunye uphuke ithambo – kufuneka ubone ugqirha ngokukhawuleza. Yiya kwigumbi longxamiseko ngokukhawuleza ukuba unezinye zezi mpawu zilandelayo:

• Intlungu enganyamezelekiyo.
• Ukuba awukwazi ukuhambisa inxalenye yomzimba, unokuyihambisa ngokuqhelekileyo.
• Ukuba inxalenye yomzimba wakho ibonakala ingaqhelekanga okanye ibonakala ngathi ihambile endaweni yayo.
• Ukuba unokubona ithambo ngesikhumba sakho.
• Ukudumba okukhulu.
• Ukuba kukho imivumbo emitsha ebonakala kunye nezinye iimpawu.

Ukuba ufumene ingozi enkulu (ukwenzakala), yiya esibhedlele ngokukhawuleza.

Ndingayibuza yiphi imibuzo ugqirha wam?

• Ngowuphi uthambo lwam owaphukileyo?
• Ngaba ndinokwaphuka kwethambo lesihlanu le-metatarsal, okanye olunye uhlobo lokuphuka kwethambo lesihlanu le-metatarsal?
• Ngaba ndiza kufuna utyando?
• Kuza kuthatha ixesha elingakanani ukuphiliswa?
• Ndingawuqala nini kwakhona umsebenzi womzimba?

Ukuphuka kwethambo likaJones kunokuba yinto ephazamisayo, ingakumbi ukuba ubudlala umdlalo owuthandayo kwaye ngequbuliso ushiywa ngaphandle kangangeenyanga. Kodwa khumbula, nokuba utyando, ukuphuka kwethambo likaJones yimeko esabela kakuhle kunyango, kwaye ungaphila ngokupheleleyo. Thetha nogqirha wakho malunga nendlela onokugcina ngayo amathambo akho omelele kwaye esempilweni, kwaye ufumane uvavanyo rhoqo loxinano lwamathambo ukuba ungaphezulu kweminyaka engama-50 okanye ukuba kukho umntu kusapho lwakho one-osteoporosis.

Ukwaphuka kweenyawo kukaJones , ukwaphuka kweenyawo, ithambo le-metatarsal, ukwaphuka kwethambo, iintlungu zeenyawo, ukwenzakala kwezemidlalo, ukuphiliswa kwethambo