Ingaba umphezulu womlenze wakho uhlala uqaqamba? Isenokuba yiLisfranc Injury!

Ngaba wakha wehla ngezinyuko, ubaleka, okanye udlala imidlalo waza ngequbuliso waziva iintlungu ezibukhali kunye nokudumba phezulu konyawo lwakho, okanye phakathi komlenze wakho? Kwimeko enjalo, kukho ithuba elihle lokuba ukhe wenzakala eLisfranc . Lo menzakalo unzima kancinci, ngoko masiwazi ngcono namhlanje.

Yintoni iLisfranc Joint? Ngamafutshane...

Khawuthelekelele unezinzwane. Apho amathambo asuka ezinzwaneni (esizibiza ngokuba "ngamathambo e-metatarsal") aye kumlenze wonke adibene khona yiLisfranc joint . Kufana nendawo enkulu esixekweni. Ngenxa yokuba izinto ezininzi zisebenza kunye kwindawo enye, eli lungu libaluleke kakhulu ekulinganiseni kwethu nasekuhambeni emilenzeni yethu. Ngoko ke ukuba kukho nawuphi na umonakalo kweli lungu, silibiza ngokuba "kukwenzakala kweLisfranc".

Ziziphi iintlobo zokulimala eLisfranc?

Eli joint laseLisfranc lingonakaliswa ngamathambo akulo okanye zii-ligaments ezibambisayo. Ngokuxhomekeke kwindlela owenzeka ngayo umonakalo, linokwahlulwa libe ziintlobo ezahlukeneyo:

• Ukuqhekeka kweLisfranc : Oku kuxa amathambo akwilungu elidibeneyo ephuma kwindawo yawo eqhelekileyo. Kufana nokuthi ilungu "liyaqhekeka."
• Ukuqhekeka kweLisfranc : Oku kukwaphuka kwethambo lomlenze. Ithambo elinxulumene nelungu linokuqhekeka.
• Ukukrweleka kweLisfranc : Kulapho ke imisipha ebamba amathambo kunye itsalwa khona ize yonakale. Sidla ngokuyibiza ngokuba "yiqakala elikrwelekileyo."

Uzibona njani iimpawu zokulimala kweLisfranc?

Ukuba wenzakele eLisfranc, unokufumana iimpawu ezifana nezi, ngokuqhelekileyo kwinxalenye ephezulu, ephakathi yomlenze wakho:

• Imivumbo : Imivumbo ingabonakala kwinxalenye ephezulu yomlenze. Ngamanye amaxesha, imivumbo ingabonakala nakwindawo esezantsi yonyawo.
• Intlungu yomlenze : Intlungu inokwanda, ingakumbi xa umi, uhamba, okanye ushukumisa umlenze.
• Ukudumba : Indawo eyonzakeleyo ingadumba kakhulu.
• Ubunzima bokubeka umlenze wakho phantsi : Intlungu ingenza kube nzima ukubeka ubunzima emlenzeni wakho.

Khawucinge nje, xa uvuka kusasa uze ubeke umlenze wakho phantsi, uziva iintlungu ezinganyamezelekiyo, ngokungathi umlenze wakho uvuvukile... Kwimeko enjalo, ngokuqinisekileyo kuya kufuneka ubone ugqirha.

Kutheni le nto iLisfranc Injury isenzeka?

Amaxesha amaninzi, ezi ngozi zenzeka ngenxa yokuwa, ukutyibilika, okanye iingozi zemidlalo .

Ngamafutshane, ukuba isithende sakho ngequbuliso siqengqeleka ngaphakathi okanye ngaphandle, kwaye ubunzima bakho buwela ezinzwaneni, eli lungu leLisfranc lingonakala. Abadlali banokuba neengozi ezinjalo ngelixa bedlala imidlalo, kwaye ngamanye amaxesha nokukhubeka okuncinci okanye inyathelo kunokubangela oku kwenzakala. Khawuthelekelele, ukuba ngequbuliso ukhubeke kwaye ukhubeke kwindawo yokungcwaba ngelixa uhamba, okanye ukuba ukhubeke kwaye uwe esitulweni ngelixa usenza imisebenzi yasekhaya, oku kunokwenzeka.

Ukongeza, ezi nzakala zinokubangelwa kukwenzakala okukhulu okubeka uxinzelelo kwijoyinti yaseLisfranc. Umzekelo:

• Iingozi zezithuthi
• Ukuwa elelini
• Ukuwa into enzima emlenzeni
• Ukuhla ngezitebhisi ecaleni kwendlela

Ngubani osengozini enkulu yokufumana iLisfranc Injury?

Nangona nabani na enokufumana le ngozi, unokuba sengozini enkulu ukuba:

• Ukuba unemeko eyonakalisa iinyawo zakho, efana nesifo seswekile, okanye enciphisa uvakalelo ezinyaweni zakho (ingakumbi isifo seenyawo zeswekile kunye ne-neuropathy enxulumene nesifo seswekile)
• Ukuba unomsebenzi onzima ngokomzimba , phakamisa iintsimbi rhoqo, okanye usebenze ngezixhobo.
• Ukuba udlala imidlalo yokhuphiswano okanye udibana nemidlalo . Umzekelo, abantu abadlala imidlalo efana neragbi okanye ibhola ekhatywayo basengozini enkulu.

Kwenzeka ntoni ukuba iLisfranc ingenzakalanga kakuhle?

Oku kubaluleke kakhulu. Ukuba ukwenzakala kweLisfranc akuphathwanga kakuhle nangokukhawuleza, kunokukhokelela kwiingxaki ezinkulu kamva. Ezi ziquka:

• I-Arthritis : Imeko ebuhlungu ebangelwa kukudumba kwamalungu.
• Intlungu engapheliyo : Imeko apho umlenze uhlala uqaqamba.
• Ukubizwa kweenyawo kunye nezinye iingxaki zeenyawo : Ukuma kweenyawo kuyatshintsha, nto leyo eyenza kube nzima ukuhamba.

Ngoko ke, kubaluleke kakhulu ukufuna ingcebiso kagqirha kunokucinga ukuba kukwenzakala nje okuncinci.

Oogqirha bayixilonga njani inxeba laseLisfranc?

Xa ubona ugqirha, baza kuqala bahlole umlenze wakho. Baza kunikela ingqalelo kwizinto ezifana nokuma komlenze wakho, ukudumba, kunye neendawo ezibuhlungu xa ucinezelwe. Kuya kufuneka uxelele ugqirha ngendlela ofumene ngayo ukwenzakala kunye nokuba iimpawu zakho ziqale nini.

Emva koko, mhlawumbi uya kucelwa ukuba wenze uvavanyo olulodwa okanye ngaphezulu lwemifanekiso ekhethekileyo, olufana nolu:

• I-X-ray yeenyawo : Ukujonga amathambo aphukileyo.
• I-MRI scan : Oku kungabona umonakalo kwimisipha kwanokuqhekeka okuncinci emathanjeni.
• Iskeni ye-CT (`(iskeni ye-CT)`)Oku kunceda ukubona imeko yamathambo ngokucacileyo.

Inyangwa njani iLisfranc Injury?

Indlela yonyango ixhomekeke kuhlobo lwengozi, oko kukuthi, ukuba inzima kangakanani. Olu nyango lulandelayo ludla ngokusetyenziswa :

• Yiqhwa Uze Uphakamise Umlenze Wakho : Zama ukugcina umlenze wakho uphezulu ngaphezu kwenqanaba lentliziyo yakho kangangoko unako. Ungayigcina kwimiqamelo. Songa ipakethe yomkhenkce ngetawuli ebhityileyo uze uyibeke kwindawo eyonzakeleyo malunga nemizuzu engama-20. Yenza oku izihlandlo ezininzi ngemini.
• Ukungakwazi ukuhamba : Ugqirha wakho uhlala ebeka isihlangu okanye i-cast ekhethekileyo emlenzeni wakho. Oku kuya kunceda ukunciphisa ubunzima obungeyomfuneko emlenzeni wakho, ukunciphisa intshukumo, kunye nokunceda ukuba uphile. Kusenokufuneka usebenzise iintonga .
• Utyando lwaseLisfranc : Ukuba ukwenzakala kubangele ukuba ilungu lingaqini, oko kuthetha ukuba alilungiswanga kakuhle, unokufuna utyando. Ugqirha unokulungisa ijoyinti yaseLisfranc aze afake iipleyiti zesinyithi kunye nezikrufu ukuze ilungu lihlale lizinzile. Emva kotyando, kuya kufuneka uphumze unyawo lwakho inyanga okanye ezimbini. Kuya kufuneka unxibe isihlangu okanye i-cast ekhethekileyo kangangeenyanga eziliqela. Emva kokuba ilungu lipholile, ugqirha unokususa iipleyiti kunye nezikrufu.
• Izithomalalisi zentlungu : Ungasebenzisa izithomalalisi zentlungu ezifana neziyobisi ezichasene nokuvuvukala ezingezizo ii-steroidal (NSAIDs) (ezifana ne-ibuprofen) okanye i-acetaminophen (paracetamol) ukunciphisa iintlungu nokudumba. Nangona kunjalo, kungcono ukuthetha nogqirha wakho ngaphambi kokuba uthathe la mayeza kangangeentsuku ezingaphezu kwe-10. Ugqirha wakho angakunika nezithomalalisi zentlungu. Ugqirha wakho uya kukuxelela ukuba uthatha malini kwaye uthabathe kangaphi.

Ndifanele ndimbone nini ugqirha?

Ukuba uneempawu zokwenzakala eLisfranc, phumla iintsuku ezimbalwa, ufake umkhenkce, kwaye ukuba intlungu kunye nokudumba azipheli, qiniseka ukuba ubona ugqirha. Musa ukulibazisa, ingakumbi ukuba awukwazi ukubeka unyawo lwakho phantsi okanye ukuhamba ngokuqhelekileyo.

Ukuba iimpawu ziyaphinda zibuye okanye ziyanda, nokuba umlenze awushukumi (ufakwe isamente) okanye emva kotyando, xelela ugqirha wakho.

Kuthatha ixesha elingakanani ukuba iLisfranc Injury iphole?

Oku kuxhomekeke kakhulu kuhlobo lwengozi, oko kukuthi, luhlobo luni lwengozi, kwaye yenzeke njani. Khumbula, ayingomzimba womntu wonke ophilisayo ngesantya esifanayo. Ngoko ke thetha nogqirha wakho ngemeko yakho ethile.

• Unyango olungelulo utyando : Umlenze uhlala ungashukumi kangangeeveki ezi-6 ukuya kwezi-8, kulandele unyango lomzimba (`(Unyango lomzimba okanye i-PT)`).Kufuneka wenze njalo. Ingcali yonyango lomzimba ingakunceda ufumane amandla, ibhalansi, kunye nokuhambahamba emlenzeni wakho.
• Utyando lwaseLisfranc : Kuya kufuneka unxibe isihlangu okanye i-cast ekhethekileyo kangangeenyanga ezi-3 emva kotyando. Ugqirha wakho uza kukuxelela ukuba ungaluqala nini unyango lomzimba.

Ngaba ungahamba nomntu olimale eLisfranc?

Usenokukwazi ukuhamba nomonzakalo waseLisfranc. Nangona kunjalo, ukuba unentlungu okanye ezinye iimpawu, musa ukuwusebenzisa ngenkani umlenze wakho . Ukwenza njalo kunokwenza nokuba ukwenzakala okuncinci kube kubi ngakumbi kwaye kufuneke utyando.

Usenokukwazi ukuhamba unxibe isihlangu okanye i-cast ekhethekileyo, kodwa kuphephe ukubaleka, ukutsiba, okanye ukuzilolonga okunzima. Buza ugqirha wakho ukuba yintoni omele uyiphephe ngelixa uphola.

Umyalezo Wokuya Ekhaya

Ukulimala eLisfranc kunokubangelwa yinto encinci njengokuwa ngequbuliso ezitebhisini, okanye kunokubangelwa yinto enkulu njengengozi yemoto. Nokuba yintoni na imbangela, ukuba unentlungu engaqhelekanga, ukudumba, okanye ukukrweleka emlenzeni wakho, kubalulekile ukubona ugqirha ngokukhawuleza.

Ukulimala kusenokungabi nzima. Nangona kunjalo, ukwenzakala kweLisfranc, ingakumbi ukwaphuka, kunokubangela iingxaki ezinkulu kamva ukuba akunyangwa ngokukhawuleza. Ngoko ke, bubulumko ukufuna ingcebiso kagqirha kunokucinga nje ukuba "kuza kuphela."

Imilenze yakho ixabiseke kakhulu kuwe. Luxanduva lwakho ukuyinyamekela!

Ukulimala kweLisfranc , iintlungu zomlenze, iingxaki zeenyawo, ithambo le-metatarsal, ukukruneka kweenyawo, ukwaphuka kweenyawo, ukukhubeka kwamalungu