Ngaba uneentlungu ezibukhali phezulu komlenze wakho? Isenokuba yiLisfranc Yokulimala!

Ngamanye amaxesha, nokuba yinto encinci inokuba yingxaki enkulu, akunjalo? Khawuthelekelele ukuba ubuhamba ngezinyuko ngexhala uze uphoswe linyathelo, okanye ngequbuliso ukhubeke wajika iqatha lakho ngelixa udlala ikhilikithi nabahlobo bakho. Ukuba umphezulu womlenze wakho, oko kukuthi, inxalenye esuka kwibhulorho ukuya ezinzwaneni, ibuhlungu kakhulu, idumbile, kwaye mhlawumbi iluhlaza okwesibhakabhaka, usenokuba nesifo esibizwa ngokuba yiLisfranc Injury. Le yinto ekufuneka uyilumkele, kuba ukuba ayinyangwa kakuhle, inokubangela iingxaki kamva. Ngoko masithethe ngale nto ngokweenkcukacha, akunjalo?

Yintoni iLisfranc Injury?

Ngamafutshane, phezulu kwenyawo lakho, apho unamathambo amade adibana neenzwane zakho (siwabiza ngokuba "ngamathambo eMetatarsal" ), ilungu elidibanisa loo mathambo namanye amathambo amancinci (amathambo etarsal) embindini wenyawo lakho libizwa ngokuba yiLisfranc joint . Lifana nebhulorho encinci. Nakuphi na ukonakala kweli lungu - nokuba kukuqhekeka, ukuqhekeka, okanye ukukrazuka okanye ukuxinana kwimisipha (iibhanti eziqinileyo ezibamba amathambo) ezijikeleze ilungu - kuthathwa njengeLisfranc Injury.

Khawucinge ngendlela yaseKandy njengeyona ndawo inkulu edibana kuyo endleleni eya eColombo. Ukuba loo ndawo idibanayo iyaphazamiseka, yonke ithrafikhi iya kuphazamiseka, akunjalo? Ngendlela efanayo, le ndawo idibanayo yaseLisfranc ibaluleke kakhulu ekusebenzeni kakuhle kweenyawo zethu. Ukuba le ndawo incinci ayisebenzi kakuhle, usenokungabi nangxaki yokuhamba, ukubaleka, ukutsiba, kodwa nokuma nje.

Ngaba kukho iintlobo ezahlukeneyo zesi sifo?

Ewe, eli lungu leLisfranc linokwahlulwa libe ziintlobo ngeentlobo ngokuxhomekeke kwindlela elonakele ngayo. Oko kukuthi, olu hlu lusekelwe ekubeni leliphi icala lelungu lakho elonakeleyo kunye nendlela eyenzeke ngayo loo monakalo.

• Ukudilika kweLisfranc: Oku kwenzeka xa amathambo akwijoyinti etshintsha ukusuka kwenye indawo ukuya kwenye, kufana neeseti ezimbini zemizila kaloliwe etshintshayo.
• Ukuqhekeka kweLisfranc: Olu luhlobo oluthile lonyawo oluphukileyo. Ithambo elinye okanye ngaphezulu kwilungu leLisfranc linokwaphuka. Ngamanye amaxesha, linokuqhekeka libe ziingceba ezincinci.
• Ukukrazuka kweLisfranc / Ukukrazuka kweLigament: Oku kuxa imisipha ejikeleze ilungu itsalwa kakhulu, okanye ikrazuke kancinci okanye ngokupheleleyo. Kufana nebhande lerabha eliqhekekayo xa ulitsala ngamandla.

Ngamanye amaxesha olunye okanye ngaphezulu kwezi ntlobo zinokwenzeka kunye. Umzekelo, ukwaphuka kungahamba nokukrazuka kwemisipha.

Zithini iimpawu zoku? Kuvakala njani ukuba kuyenzeka?

Xa uneLisfranc Injury, iimpawu zihlala zibonakala phezulu kwenyawo lwakho, kufutshane nendawo obopha kuyo imitya yezihlangu zakho. Jonga ukuba unayo na kwezi:

• Ukugruzuka nokutshintsha kombala: Umphezulu womlenze unokuba luhlaza okwesibhakabhaka okanye mfusa. Ngokukodwa, abanye abantu banokubona ukugruzuka ezantsi konyawo . Olu luphawu lokulimala kweLisfranc.
• Intlungu ebuhlungu yomlenze: Intlungu inokuba nzima ukuyinyamezela, ingakumbi xa uzama ukuma, ukuhamba, okanye ukushukumisa umlenze wakho. Abanye abantu banokuziva behlatywa okanye betshiswa nokuba bame nje.
• Ukudumba: Umphezulu womlenze, kwaye ngamanye amaxesha lonke unyawo, lunokudumba kakhulu, njengebhaluni evuthelwayo.
• Ubunzima bokubeka ubunzima enyaweni: Ukuma okanye ukuhamba unyawo lwakho luthe tyaba kunokuba nzima kakhulu. Abanye abantu basenokungakwazi ukubeka unyawo lwabo emhlabeni kwaphela.

Ukuba unenye okanye ngaphezulu kwezi mpawu, musa ukuyeka nje, ucinga ukuba yinto elula leyo.

Kutheni oku kusenzeka? Zithini izizathu zoku?

Ukulimala kweLisfranc kudla ngokubangelwa ziingozi. Ngamafutshane, xa inxalenye engaphambili yonyawo (icala lezinzwane) icinezelwa emhlabeni, ukuba icala lesithende lijika ngequbuliso, eli lungu leLisfranc lingonakala.

• Ukuwa nokutyibilika: Oku kungenzeka kwizinto ezifana nokuwa phantsi kwezinyuko, ukutyibilika kwinto efana neoyile, ukuwela emngxunyeni, njl. Ngamanye amaxesha, nokuba ukhubeka kancinci ngelixa uphuma ecaleni kwendlela, oku kunokwenzeka.
• Ukulimala kwezemidlalo: Eli lungu linokwenzakala xa litshintsha indlela ngequbuliso, litsiba, okanye lingqubana nomnye umntu, ingakumbi kwimidlalo efana nebhola ekhatywayo, iragbi, kunye nebhasikithi. Abanye abadlali banamathuba amaninzi okujika umzimba wabo ongasentla ukuba izihlunu zabo zibambeke emhlabeni.
• Ukonzakala ngqo: Izinto ezinje ngokuwela into enzima emlenzeni (umz., isitena, ibhokisi enzima), ukubhajwa komlenze kwingozi yemoto, okanye ukuwa ukusuka kwindawo ephakamileyo (umz., ukusuka kwileli) nazo zinokubangela umonakalo omkhulu kweli lungu.

Khawuthelekelele, uNilanthi Akka wayesihla ngezinyuko ekhaya waza wajika umlenze wakhe emva kokuphosa inyathelo lokugqibela. Wayecinga ukuba kukukruquka nje. Kodwa nasemva kweentsuku ezimbini okanye ezintathu, intlungu nokudumba akuzange kuphele. Kuphela xa wayibonisa ugqirha apho wafumanisa ukuba yayiyiLisfranc Injury.

Ngubani onokuba nethuba elikhulu lokufumana esi sifo? Zithini izinto ezinokubangela umngcipheko?

Nabani na, nokuba uneminyaka emingaphi, unokufumana ukwenzakala eLisfranc. Nangona kunjalo, abanye abantu basengozini enkulu kancinci.

• Abantu abaneengxaki ezonakalisa iinyawo okanye ezinciphisa ukuva ezinyaweni:Lo mngcipheko uphezulu kakhulu kubantu abanesifo seswekile (`(Diabetes Mellitus)`). Kuba isifo seswekile sinokuwenza buthathaka umthambo ezinyaweni (`(diabetes-related neuropathy)`). Emva koko uvakalelo ezinyaweni luyehla. Kwanesilonda esincinci asinakuvakala kakuhle, ngoko ke sinokukhula size sibe sisifo esifana nesi. Kwakhona, isifo seswekile sinokubangela ukuncipha kokunikezelwa kwegazi ezinyaweni (`diabetes-related foot conditions`).
• Abantu abenza umsebenzi onzima: Abantu abasebenza kwishishini lokwakha, abaphakamisa iintsimbi, kunye nabo bama imini yonke basengozini.
• Abantu abadlala imidlalo yokhuphiswano okanye abadibana nabo: Njengoko bekutshiwo ngaphambili, oku kuqhelekile ukubonwa kubadlali bebhola ekhatywayo kunye neragbi.
• Kuthiwa abanye abantu basengozini enkulu kancinci ukuba bazalwa benonyawo olugobileyo.

Kuza kwenzeka ntoni ukuba oku akunyangwa kakuhle? Ngaba iingxaki ezibangelwa kuko ziyingozi?

Le yinto ekufuneka siyiqwalasele ngenyameko. Ukwenzakala kweLisfranc, ukuba akwenziwanga ngendlela efanelekileyo nangokukhawuleza, kunokukhokelela kwiingxaki ezinkulu kamva. Musa ukucinga nje ukuba, "Kukukruneka nje, kuza kuphola ngokwako."

Khumbula: Ukulimala kweLisfranc, ingakumbi okuphuke kakubi, kunokubangela iintlungu ezinde kunye nokungasebenzi kakuhle kweenyawo ukuba akuphathwanga kakuhle.

Iingxaki eziphambili ezinokwenzeka zezi:

• I-Arthritis: Xa inxalenye ethambileyo yelungu elichaphazelekayo ebizwa ngokuba yi-cartilage yonakele, ngokuhamba kwexesha, i-arthritis inokukhula. Ilungu liyadumba, liqine, kwaye libe buhlungu.
• Iintlungu ezingapheliyo: Nangona kucingelwa ukuba le meko "iphelile," abanye abantu banokuqhubeka beneentlungu. Ezi ntlungu zinokwenzeka xa uhamba okanye usebenza.
• Ii-arches ezidilikileyo kunye nezinye iingxaki zeenyawo: I-joint yeLisfranc inceda ukugcina i-arch yonyawo. Xa le joint yonakele, ngokuhamba kwexesha i-arch yonyawo inokudilika kwaye unyawo lunokuba tyaba. Imo yonyawo nayo inokutshintsha.
• Isifo seCompartment Syndrome: Esi sisifo esingaqhelekanga kodwa esibi kakhulu. Uxinzelelo olungaphakathi kwizicubu zomlenze lunokwanda, nto leyo ethintela ukuhanjiswa kwegazi. Oku kufuna unyango olukhawulezileyo.

Ugqirha uyixilonga njani le nto? Zeziphi iimvavanyo abazenzayo?

Xa usiya kugqirha oneentlungu zomlenze, into yokuqala aza kukubuza yona kukuba kwenzeke njani, ubusenza ntoni xa kwaqala ukuba buhlungu, kwaye uziva njani ngoku. Kubaluleke kakhulu ukuba umxelele kanye kanye okwenzekileyo.

Emva koko ugqirha uza kuhlola umlenze wakho ngononophelo.

• Jonga ukudumba kunye nokukrweleka.
• Bachukumisa iindawo ezahlukeneyo zonyawo, bezama ukukhomba indawo echanekileyo yentlungu.
• Ukuqina konyawo kuyajongwa. Ngamanye amaxesha ugqirha uya kuchukumisa unyawo lwakho kancinci ukuze abone ukuba amathambo ayashukuma na okanye kukho nayiphi na intshukumo engaqhelekanga.

Emva kovavanyo lomzimba, uvavanyo olunye okanye ngaphezulu lwemifanekiso, olufana nolu, lunokwenziwa ukuqinisekisa ukuba yintoni kanye kanye ingxaki:

• I-X-reyi yonyawo: Le yinto yokuqala ekufuneka uyijonge. Ingajonga amathambo aphukileyo, amalungu aphumileyo, okanye utshintsho kwisithuba esiphakathi kwamathambo. Ngamanye amaxesha, ugqirha wakho unokukucela ukuba ume nobunzima enyaweni yakho (i-X-reyi ethwala ubunzima). Ezinye iingozi zaseLisfranc azibonakali kwi-X-reyi ngaphandle kobunzima enyaweni.
• Iskeni ye-MRI (Magnetic Resonance Imaging): Oku kunokubona ngokucacileyo umonakalo kwi-ligaments, cartilage, kunye nezicubu ezithambileyo. Kunokubona nokuqhekeka kwamathambo amancinci angabonakaliyo kwi-X-ray.
• Iskeni ye-CT (Computed Tomography): Oku kunceda ukubona umonakalo emathanjeni, kunye nendlela amathambo aqhekeke ngayo (ingakumbi ukuba aqhekeke abe ziingceba ezininzi), ngendlela ecacileyo, enemilinganiselo emithathu (3D). Oku kudla ngokwenziwa ngaphambi kotyando.

Inyangwa njani? Yintoni enokwenziwa?

Kukho iindlela ezahlukeneyo zonyango zokwenzakala eLisfranc. Ugqirha wakho uya kugqiba ukuba loluphi unyango olufanelekileyo kuwe ngokusekwe kubukhulu bengozi, ukuba amathambo asuswe kangakanani, kunye nomonakalo kwimisipha.

• Qhotsa umlenze uze uwuphakamise (IRAYISI - Ukuphumla, Umkhenkce, Uxinzelelo, Ukuphakama): Le yinto yokuqala ekufuneka uyenze.
• Phumla: Phumla umlenze wakho. Nciphisa ukuhamba nokuma kangangoko unako.
• Umkhenkce: Zama ukugcina umlenze wakho uphezulu ngaphezu kwentliziyo yakho kangangoko unako. Ungayigcina iphakanyisiwe ngemiqamelo. Songa ipakethe yomkhenkce ngelaphu elincinci uze uyifake kwindawo eyonzakeleyo malunga nemizuzu eli-15-20. Yenza oku izihlandlo ezininzi ngemini. Musa ukufaka umkhenkce ngqo eluswini, kuba unokutshisa ulusu.
• Uxinzelelo: Ugqirha angacebisa ukuba afake ibhandishi elastiki ukulawula ukudumba.
• Ukuphakama: Gcina imilenze yakho iphakanyisiwe ngaphezu kwenqanaba lentliziyo yakho ngemiqamelo. Oku kuya kunciphisa ukudumba.

• Ukungakwazi ukuhamba komlenze:
• Ukuba ukwenzakala akukubi kakhulu, oko kuthetha ukuba ithambo alikho kude kakhulu nendawo yalo, ugqirha wakho angakufaka isihlangu okanye i-cast emlenzeni wakho. Oku kuya kuhlala malunga neeveki ezi-6 ukuya kwezi-8. Akuyongcinga ilungileyo ukubeka ubunzima emlenzeni wakho ngeli xesha. Kuya kufuneka usebenzise iintonga zokuhamba. Oku kuya kunceda ukunciphisa ubunzima emlenzeni wakho, kugcine ilungu lisendaweni yalo, kwaye kukuthintele ekubekeni ubunzima obuninzi emlenzeni wakho.

• Utyando lwaseLisfranc:
• Iingozi ezininzi zaseLisfranc, ingakumbi ukuba amathambo asusiwe okanye ilungu alizinzanga, zifuna utyando. Ugqirha uza kulungisa ilungu lakho laseLisfranc, abuyisele amathambo endaweni yawo, aze afake izixhobo ezifana neepleyiti kunye nezikrufu enyaweni lakho ukuze zihlale endaweni yazo.
• Emva kotyando, kuya kufuneka ungathwali ubunzima kangangenyanga enye okanye ezimbini. Emva koko, kunokufuneka unxibe isihlangu okanye i-cast iinyanga ezimbalwa.
• Xa ilungu lipholile kakuhle, ngesiqhelo emva kweenyanga ezi-4-6, ugqirha unokwenza olunye utyando oluncinci ukuze asuse iiphini kunye nezixhobo ebezifakiwe. Asinguye wonke umntu osusa ezi zinto, kuxhomekeke kugqirha ukuba agqibe.

• Iipilisi zokunciphisa iintlungu: Ugqirha wakho unokukunika amayeza okuthomalalisa iintlungu ukunceda ukunciphisa iintlungu nokudumba. Ungasebenzisa amayeza angengo-steroidal anti-inflammatory (NSAIDs) athengiswa ngaphandle kwe-akhawunti kagqirha (umz., i-ibuprofen, i-diclofenac) okanye i-acetaminophen (umz., i-acetaminophen). Nangona kunjalo, jonga ugqirha wakho ngaphambi kokuba uwathathe kangangeentsuku ezingaphezu kwe-10. Ugqirha wakho unokukunika amayeza okuthomalalisa iintlungu anamandla. Ugqirha wakho uya kukuxelela ukuba uwathathe kangaphi kwaye uwathathe kangaphi.

Kuthatha ixesha elingakanani ukuchacha?

Kungathatha iinyanga ezininzi, okanye unyaka, ukuba ukwenzakala kweLisfranc kuphole ngokupheleleyo kwaye ukwazi ukubuyela kwimisebenzi eqhelekileyo kunye nemidlalo. Oku kuyahluka ngokwenene kumntu ngamnye. Kuxhomekeke kwizinto ezininzi, kuquka uhlobo lokulimala onalo, ukuba bukhulu kangakanani, nokuba wenze utyando, ubudala bakho, kunye nempilo yakho ngokubanzi.

Eyona nto ibalulekileyo kukuba umzimba womntu wonke uphiliswe ngesantya esahlukileyo. Ngoko ke thetha nogqirha wakho malunga neshedyuli yakho yonyango kunye nenkqubo yokuchacha. Phumla, usele amayeza akho, kwaye uzilolonge njengoko ugqirha wakho ekuxelele.

• Unyango olungelulo utyando: Umlenze uhlala ungashukumi (ufakwe i-boot/cast) kangangeeveki ezi-6 ukuya kwezi-8. Emva koko, kuya kufuneka wenze unyango lomzimba (PT) . Ingcali yonyango lomzimba iya kukunceda ukuba ubuyele kancinci kancinci kwinqanaba lokushukuma, amandla, kunye nokulinganisela amalungu akho emilenze.
• Utyando lwaseLisfranc: Kuya kufuneka unxibe isihlangu okanye i-cast kangangeenyanga ezi-3 ukuya kwezi-4 emva kotyando. Ugqirha wakho uza kukuxelela ukuba ungaqala nini ukubeka ubunzima emlenzeni wakho kwaye ungaqala nini unyango lomzimba (PT). I-PT yinxalenye ebaluleke kakhulu koku.

Ngaba ungahamba nomntu olimale eLisfranc?

Usenokukwazi ukuhamba kancinci ngelixa unesilonda saseLisfranc, ingakumbi ukuba isilonda asinzima kakhulu. Nangona kunjalo, ukuba unentlungu okanye ezinye iimpawu, musa ukusebenzisa umlenze wakho ngenkani.Ukuba uqhubeka nokusebenzisa umlenze wakho ngolo hlobo, kukho ithuba elikhulu lokuba nokwenzakala okuncinci kuya kuba yingozi kakhulu kwaye kufuneke utyando. Kubalulekile ukuba nomonde ude uphole kakuhle.

Xa unxibe isihlangu okanye i-cast, unokukwazi ukuhamba njengoko ugqirha wakho ekuyalela (mhlawumbi usebenzisa iintonga). Nangona kunjalo, imisebenzi enzima yomzimba efana nokubaleka, ukutsiba, kunye nokuphakamisa iintsimbi kufuneka ithintelwe. Buza ugqirha wakho okanye ingcali yezonyango ukuba zeziphi imisebenzi ekufuneka uziphephe kunye nento onokuyenza de ube uphilile.

Ndifanele ndimbone nini ugqirha?

Ukuba uneempawu zokwenzakala eLisfranc (ezifana neentlungu nokudumba okukhankanyiweyo apha ngasentla) kwaye aziphucuki emva kweentsuku ezimbalwa zokuphumla nomkhenkce, ngokuqinisekileyo kuya kufuneka ubone ugqirha ngokukhawuleza. Ingakumbi ukuba:

• Ukuba awukwazi ukuma imilenze yakho inzima.
• Ukuba awukwazi ukuhamba kakuhle.
• Ukuba imo yonyawo ibonakala ngathi itshintshile.
• Ukuba kukho inxeba entendeni yonyawo.

Ukuba iimpawu ziyaphinda zibuye okanye ziyanda emva kokungakwazi ukuhamba okanye utyando, ukuba unesifiva, okanye ukuba kukho ubomvu obuphuma enxebeni, xelela ugqirha wakho ngoko nangoko.

Umyalezo obalulekileyo onokuwuthatha uye nawo ekhaya!

Cinga ngako, mhlawumbi uqengqele umlenze wakho phantsi kwezinyuko, okanye mhlawumbi wonzakele kwingozi enkulu efana nengozi yemoto. Nokuba yintoni na imbangela, ukuba unentlungu engaqhelekanga, ukudumba, okanye ukukrweleka emlenzeni wakho, kungcono ukubona ugqirha ngokukhawuleza kunokuba ungayithathi njengento "ekrwelekileyo nje."

Ingozi yaseLisfranc, ingakumbi eyophukileyo eLisfranc, inokukhokelela kwiingxaki ezinkulu (ezifana neentlungu ezingapheliyo kunye nesifo samathambo) ezinokuchaphazela ubomi bakho kamva ukuba azinyangwa ngokukhawuleza.

Ngoko ke, ukuba unengxaki ngeenyawo zakho, yinyamekele. Ukufuna ingcebiso kagqirha ngokukhawuleza kuya kukunceda ululame ngokukhawuleza kwaye kuthintele iingxaki ezizayo. Iinyawo zakho zibaluleke kakhulu kuwe, ngoko ke zinyamekele!

Ukulimala kweenyawo eLisfranc , iintlungu zeenyawo, iingxaki zemilenze, ukukhubeka kwamalungu, ukwaphuka kwamathambo, ukudumba kweenyawo