Ngaba uphuke ithambo elingaphezulu kwesithende sakho? Masithethe ngale Talus Fracture!

Ngaba wakha wajika umlenze wakho ngequbuliso, iqatha lakho lidumbile kwaye libuhlungu, kwaye awukwazi nokuhamba? Ukuba kunjalo, kusenokwenzeka ukuba waphukile i-talus, ithambo elibalulekileyo eqatheni lakho. Namhlanje, siza kuthetha ngokuba yintoni ukwaphuka kwe-talus, ukuba kwenzeka njani, kunye nento enokwenziwa ngayo.

Yintoni iTalus Bone? Ibaluleke kangakanani?

Ngamafutshane, i-talus yakho lithambo elincinci kodwa elibaluleke kakhulu elunyaweni lwakho elidibanisa iqatha lakho nomlenze wakho. Cinga ngayo, amathambo amabini amade kumlenze wakho ongezantsi (i-tibia kunye ne-fibula) ayadibana ukuze enze ilungu lakho leqatha. Eli lungu likuvumela ukuba ushukumise unyawo lwakho phezulu nasezantsi.

Kwakhona, ithambo le-talus lihlala phezu kwethambo lesithende sakho (i-calcaneus). La mathambo mabini ayadibana ukuze enze ijoyinti ebizwa ngokuba yi-subtalar joint. Eli joyinti likuvumela ukuba ushukumise unyawo lwakho ukusuka kwelinye icala ukuya kwelinye, ngaphakathi nangaphandle.

Ithambo le-talus lenza enye into ebalulekileyo. Oko kukuthi, linceda ekudluliseleni ubunzima bomzimba wakho ezinyaweni ngokusebenzisa iqakala. Eli thambo ligqunywe kakhulu sisicwili esithambileyo nesityibilikayo esibizwa ngokuba yi-cartilage . Le cartilage yiyo evumela amathambo ukuba ahambe kakuhle ngaphandle kokukhuhlana. Ngoko ke, mhlawumbi ungabona ukuba ithambo le-talus libaluleke kangakanani ekushukumeni nasekuzinzeni kweqakala. Yiyo loo nto ukuba ithambo le-talus laphuka, linokunciphisa kakhulu intshukumo yakho kwaye lenze kube nzima ukwenza imisebenzi yemihla ngemihla.

Ziziphi iintlobo zeTalus Fractures?

Ithambo le-talus linokwaphuka kwiindawo ezahlukeneyo nangeendlela ezahlukeneyo. Makhe sijonge ezinye zezona ntlobo ziphambili:

• Intamo yokwaphuka kweTalus: Olu lolona hlobo luqhelekileyo lokwaphuka kwetalus. "Intamo" yetalus ngumbindi wethambo. Ngokukodwa, intamo yindawo emxinwa phakathi "komzimba" wetalus - inxalenye ekufutshane neqakala, ngaphantsi kwe-tibia - kunye "nentloko" - inxalenye esezantsi emlenzeni.
• Ukuqhekeka kweenkqubo ezisecaleni: Inkqubo esecaleni yinxalenye ephumayo yethambo le-talus. Ezi qhekeko zihlala zenzeka xa iqatha lijika ngequbuliso kwaye ngokukhawuleza liphuma ngaphandle. Ngamanye amaxesha zibizwa ngokuba "zii-snowboarder fractures" kuba zixhaphakile phakathi kwabakhweli be-snowboard.
• Ukuqhekeka kwethambo elibuhlungu: Oku kwenzeka xa i-ligament (njengebhanti edibanisa amathambo) okanye i-tendon (njengebhanti edibanisa umsipha nethambo) enamathele kwithambo le-talus itsalwa ngequbuliso, nto leyo ebangela ukuba iqhekeza elincinci lethambo le-talus lisuke kwindawo yokuncamathisela.
• Ukuqhekeka koxinzelelo: Ezi ziintanda ezincinci kakhulu kwithambo le-talus. Zidla ngokubangelwa kukusetyenziswa kakhulu kwethambo le-talus okanye uxinzelelo oluphindaphindayo kwithambo. Umzekelo, oku kunokwenzeka kubagijimi ababaleka imigama emide.

Iintlobo ze-talus fractures zihlelwa njani?

Oogqirha bahlulahlula la maqhekeza ethambo ngokusekwe ekubeni amathambo aphukileyo asuswa kangakanani kwindawo yawo eqhelekileyo.

• Ukuqhekeka okungaguquki kakhulu okanye okuzinzileyo: Apha, nangona ithambo le-talus laphukile, iziqwenga zamathambo azikasuki kangako kwindawo yazo yokuqala. Uninzi lwazo zimi ngomgca, phantse ngokuchanekileyo.
• Ukuqhekeka kwamathambo: Kule meko, ithambo liphukile kwaye amaqhekeza asuke kwindawo yawo eqhelekileyo .
• Ukuqhekeka okuvulekileyo okanye okudibeneyo: Le yimeko enzulu ngakumbi. Apha, ithambo eliphukileyo liqhekeza ulusu lize liphume. Kwimeko enjalo, kukho ithuba elikhulu lokonakala kwimisipha ejikelezileyo, imisipha, kunye nemisipha. Kwakhona, iintsholongwane zinokungena zibangele usulelo.

Zithini iimpawu zethambo le-talus elaphukileyo?

Ngoku, zithini iimpawu ukuba une-talus fracture enje? Eyona nto iphambili ziintlungu ezinkulu zeqakala kunye nokudumba. Khawuthelekelele, masithi ngequbuliso uwe kwindawo ephakamileyo, okanye wenze ingozi yebhayisekile. Emva koko unentlungu enganyamezelekiyo kwindawo yeqakala, kwaye umlenze wakho uyadumba.

Yintoni enye enokwenzeka?

• Kuba nzima ukuhamba. Usenokungakwazi nokubeka unyawo lwakho emhlabeni.
• Andikwazi ukutyeba emlenzeni wam.
• Kunokwenzeka ukudumba.
• Xa uyichukumisa ngesandla sakho , uziva uthambile.
• Abanye abantu banokuba nezinto ezifana namaqhuqhuva aqhekekileyo . Ukuba uzibona ezi zinto, ungoyiki, kodwa kungcono ukubona ugqirha ngoko nangoko.

Eyona nto ibalulekileyo kukufuna iingcebiso zonyango ngokukhawuleza ukuba ufumana ezi mpawu.

Zivela njani ezi zifo ze-talus?

Ezi zifo ze-talus zihlala zivela kwimiphumo yokwenzakala enamandla aphezulu .

• Iingozi zeemoto, iingozi zeebhayisekile.
• Ukuwa ukusuka kwindawo ephakamileyo. Cinga ngako njengomntu owela emthini, okanye kwisakhiwo eside.
• Oku kunokwenzeka nakwimidlalo (ukulimala kwezemidlalo) . Njengoko bekutshiwo ngaphambili, oku kuqheleke kakhulu phakathi kwabakhweli be-snowboard.
• Ngamanye amaxesha, ukujika nje iqatha lakhoNangona kunjalo, iziqwenga ezincinci zinokuqhekeka emaphethelweni e-talus. Nangona kunjalo, ezi azisoloko zinkulu njengeengozi ezinkulu.

Oogqirha bafumanisa njani ukuba i-talus fracture yaphukile?

Xa ubona ugqirha onenxeba elinje, baya kuqala bahlole iqatha lakho nonyawo ngononophelo. Baza kukhangela ukudumba, ukukrweleka, kunye nawo nawuphi na umkrwelo okanye amanxeba eluswini. Ukongeza:

• Baza kukucela ukuba ushukumise iminwe yakho ukuze babone ukuba akukho monakalo kwimithambo-luvo .
• Baza kujonga ukubetha kwentliziyo yakho baze baqinisekise ukuba igazi lakho lilungile .
• Baza kujonga ukuba akukho manzi aqokelelene ngaphakathi kwemisipha yemilenze yakho. Oku kubizwa ngokuba yi-compartment syndrome . Le yimeko eyingozi kuba inokubangela ukulahleka kwemvakalelo kunye nokusebenza emlenzeni wakho.
• Ngokuxhomekeke kuhlobo lwengozi, nezinye iingozi ziya kuhlolwa.

Emva koko, ugqirha uya kuyalela iimvavanyo zokufota ezifana nezi:

• I-X-reyi: Oku kungabonisa izinto ezininzi, njengokuthi ingaba i-talus yakho yaphukile na, ukuba iziqwenga zamathambo zikwindawo ezifanelekileyo na, ukuba zingaphi iziqwenga ezikhoyo, kunye nokuba iphi na indawo eyaphukileyo.
• I-CT Scan (i-Computed Tomography - i-CT scan): Ngamanye amaxesha i-X-ray yodwa isenokungabonisi yonke indawo yokuqhekeka. I-CT scan ingathatha imifanekiso eneenkcukacha ezithe vetshe yomlenze wakho. Oku kunokuba luncedo kakhulu ekuvavanyeni ngokuchanekileyo ubukhali bokwenzakala kunye nobunzima bokwaphuka.

Iphathwa njani i-talus fracture?

Unyango lokwaphuka kwe-talus luyahluka ngokuxhomekeke kuhlobo lokwaphuka kunye nobunzima bokwenzakala.

Okokuqala, i-splint (inkxaso yexeshana) iya kubekwa emlenzeni nasemaqakaleni ukuze ikuthintele ekuyishukumiseni.

Emva koko, ukuba ukwaphuka kuzinzile kwaye amathambo adibene kakuhle, utyando lusenokungabi yimfuneko. Kwimeko ezinjalo, ugqirha unokucebisa oku kulandelayo:

• Ukugalela: Kufakwa isamente emlenzeni nasemaqatheni ukuze ibambeke de amathambo aphole. Le samente idla ngokunxitywa kangangeeveki ezi-6-8 . Ngeli xesha, kufuneka uqaphele kakhulu ukuba ungabeki ubunzima obukhulu emlenzeni wakho.
• Ukuvuselelwa: Emva kokuba i-cast isusiwe, uza kunikwa umthambo okhethekileyo wokukunceda ufumane amandla kunye nokusebenza kwakhona emlenzeni nasemaqakaleni. Oku kuza kwenziwa phantsi kweliso lengcali ye-physiotherapist.

Nangona kunjalo, utyando luyacetyiswa kwiintlobo ezininzi zeethambo eziqhekekileyo.Ngenxa yokuba ezi zingozi zihlala zibangelwa kukwenzakala ngamandla amakhulu, kukho ithuba elikhulu lokuba iziqwenga zamathambo ziya kushenxiswa. Ukuba iziqwenga zamathambo azikho kwindawo yazo, ugqirha weenyawo neqakala uya kwenza utyando ukuze azibuyisele endaweni yazo.

• Ukunciphisa Okuvulekileyo Nokulungiswa Kwangaphakathi (i-ORIF): Ukuba ithambo liqhekekile laba ziingceba ezininzi, ugqirha unokwenza inkqubo ebizwa ngokuba yi-ORIF. Kule nkqubo, ugqirha usika ulusu, abuyisele iziqwenga zamathambo kwiindawo zazo ezifanelekileyo, aze asebenzise iipleyiti zesinyithi kunye/okanye izikrufu ukubamba ithambo lide liphole.
• I-External fixator: Ngamanye amaxesha, utyando lwe-ORIF lusenokungenzeki ngoko nangoko ngenxa yokudumba kakhulu emva kokwenzakala. Kwiimeko ezinjalo, ugqirha angasebenzisa i-external fixator. Kwimeko enjalo, ugqirha ufaka iiphini ezinkulu emathanjeni akho ngesikhumba aze azidibanise ngeebhari ezikhethekileyo ngaphandle ukuze abambe okwethutyana iziqwenga zamathambo endaweni yazo. Emva kokuba ukudumba kuyehlile, ugqirha angazama kwakhona i-ORIF surgery.

Zeziphi iingxaki ezinokubakho ukuba azinyangwa okanye azinyangwanga kakuhle?

Ukuba ukwaphuka kwe-talus akuphathwanga kakuhle, okanye ukuba akuphili kakuhle, iingxaki zinokubakho. Ngamanye amaxesha ezi zinokuba ziingxaki zexesha elide.

• I-Posttraumatic arthritis: Njengoko besitshilo ngaphambili, ithambo le-talus ligqunywe kakhulu yi-cartilage. Xa i-talus yenzakele, i-cartilage eyijikelezileyo nayo yonakala. Xa umphezulu wale cartilage ungalingani kwaye urhabaxa, ukuguguleka kuqala ukwenzeka kwilungu. Ekuhambeni kwexesha, oku kunokukhokelela kwi-arthritis, enokubangela intlungu eqhubekayo kunye nokuqina.
• UMalunion: Oku kuthetha ukuba ithambo elaphukileyo liphole ngendlela engafanelekanga, likwimeko engaqhelekanga . Ukuba oku kuyenzeka, kunokubangela iingxaki zexesha elide ezifana notshintsho kwimo yonyawo, ubunzima bokuhamba, kunye nentlungu.
• Ukungadibanisi: Oku kuthetha ukuba ithambo elaphukileyo alipholanga kakuhle emva kwexesha elide, nangona unyango lufunyenwe . Ukuba oku kuyenzeka, kunokufuneka utyando olongezelelweyo.
• I-Avascular necrosis okanye i-osteonecrosis: Ukuhanjiswa kwegazi kwi-talus kunzima kancinci. Xa kuqhekeka, ingakumbi kwindawo yentamo, le mithambo yegazi inokonakala kwaye ukuhanjiswa kwegazi emathanjeni kunokuncipha okanye kunqunyulwe ngokupheleleyo.Ukuba oku kuyenzeka, iiseli zamathambo aziyi kufumana ioksijini kunye nezondlo kwaye ziya kuqala ukufa. Oku kubizwa ngokuba yi-avascular necrosis. Oku kwenza ithambo libe buthathaka kwaye ekugqibeleni linokuwa. Le yingxaki enkulu kakhulu.

Injani inkqubo yokuphiliswa? Ndimele ndilindele ntoni?

Emva kotyando, uza kuva iintlungu. Ugqirha wakho uza kukunika amayeza eentlungu . La asenokuba zii-opioids, amayeza angengo-steroidal anti-inflammatory (NSAIDs), okanye amayeza okudambisa iintlungu asekuhlaleni.

Nje ukuba ithambo lakho le-talus lipholile, ugqirha wakho uza kukuthumela kwi-rehabilitation okanye kwi-physiotherapy. Oku kubaluleke kakhulu. Olu qheliselo luya kukunceda ufumane amandla okunyakaza, uzinzo, kunye namandla eqakaleni lakho.

Xa uqala ukuhamba kwakhona, usenokufuna ukunxiba isihlangu esikhethekileyo okanye usebenzise intonga ekuqaleni. Awuyi kukwazi ukufaka ubunzima obupheleleyo emlenzeni wakho ngoko nangoko. Kungathatha iinyanga ezininzi.

Ugqirha uza kuthatha ii-X-reyi ngamanye amaxesha ukujonga ukuba ithambo lipholile kakuhle na nokuba iipleyiti ezinamatheleyo zisendaweni yazo.

Ithini ingqikelelo yexesha elide yokuqhekeka kwe-talus?

Nokuba utyando okanye akunjalo, umlenze wakho uza kuba nesamente okanye i-splint. Ngeli xesha, awuyi kukwazi ukuyifaka ubunzima okanye ukuhamba ngayo. Ngokuxhomekeke kubukhulu bokwenzakala kwakho, kusenokufuneka unxibe isamente iiveki ezisi-8 ukuya kwezili-12, okanye nangaphezulu .

Okukhona ukwenzakala kukubi, kokukhona i-cast iya kuba mide. Nokuba ithambo lipholile, abanye abantu banokuqhubeka nokuba neentlungu, ukuqina, kunye nokudumba eqatheni . Nangona kunjalo, ngonyango olufanelekileyo kunye nokuzilolonga, uninzi lwabantu lunokubuyela kwimisebenzi yabo yesiqhelo xa ugqirha wabo ebanike imvume.

Ndiza kukwazi nini ukubuyela emsebenzini?

Oku kuya kwahluka ngokuxhomekeke kubukhulu bokwenzakala kwakho kunye nohlobo lomsebenzi wakho. Ngokwesiqhelo, awuyi kukwazi ukubuyela emsebenzini ubuncinane iiveki ezimbini . Ukuba usebenza ngeenyawo zakho imini yonke (umz., umncedisi evenkileni, utitshala), usenokungakwazi ukubuyela emsebenzini ngokupheleleyo ukuya kuthi ga kunyaka .

Ungakwazi ukuhamba phezu kwethambo le-talus elaphukileyo?

Oku kuxhomekeke kuhlobo lokwaphuka kwe-talus onayo. Ukuphuka kwe-talus kudla ngokuba yingozi enkulu. Kunokubangela ukulahleka okukhulu kokushukuma kunye nokusebenza kwamalungu eqakala kunye neenyawo. Oku kunokuchaphazela amandla akho okuhamba kunye nokukwazi kwakho ukuthwala ubunzima ezinyaweni zakho. Ngoko ke, ungaze uzame ukuhamba ngomlenze owaphukileyo ngaphandle kwengcebiso kagqirha.

Kuthatha ixesha elingakanani ukuba ukwaphuka kwe-talus kuphole?

Ngokuxhomekeke kubunzima bengozi, usenokuba neenyanga ezintathu okanye nangaphezulu.Kusenokufuneka unxibe isamente. Iintlungu, ukudumba, kunye nokuqina kusenokuqhubeka nokuba isamente isusiwe. Kungathatha ixesha elide ukuphola ngokupheleleyo nokubuyela esiqhelweni.

Injani intlungu yokuqhekeka kwetalus?

Ukuphuka kwe-talus kukwenzakala okubangela umonakalo omkhulu. Abo bakha bakubona oku bathi kubuhlungu kakhulu .

Ungayilungisa njani ithambo le-talus elaphukileyo?

Ezinye iingozi ezincinci ze-talus zinokunyangwa nge-cast uze emva koko uzilolonge ngonyango. Nangona kunjalo, uninzi lweengozi ze-talus zifuna utyando ukuze kulungiswe amathambo.

Ukuphuka kwe-talus kukwenzakala okubuhlungu okuhlala kwenzeka ngenxa yesiganeko esichaphazela kakhulu, njengengozi yemoto okanye ukuwa ukusuka kwindawo ephakamileyo. Ukuba uphuke i-talus, kufuneka ubone ugqirha ngoko nangoko. Oku kudla ngokufuna utyando. Ngokuxhomekeke kubukhulu bokwenzakala, kunokufuneka unxibe isamente kangangeeveki ezimbini (kwisithuba esincinci sokwaphuka) ukuya kwiiveki ezili-12 nangaphezulu. Nangona ukwaphuka kwe-talus kunokuba buhlungu, unyango olufanelekileyo lunokunceda inkqubo yokuphiliswa kwaye lukubuyisele kubomi bakho besiqhelo ngokukhawuleza.

Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngoko ke, ngokwezinto esithethe ngazo, nazi izinto eziphambili ekufuneka uzikhumbule:

• Ukuphuka kwe-talus kunokuba yingozi enkulu , ngoko ke ukuba uneempawu , funa ingcebiso kagqirha ngokukhawuleza.
• Oku kudla ngokufuna utyando.
• Ixesha lokuphiliswa lingathatha iinyanga ezininzi , kwaye kufuneka uqaphele ukuba ungabeki ubunzima emlenzeni ngelo xesha.
• Ukuzilolonga ngokubuyisela umva kuyinxalenye ebalulekileyo yenkqubo yokuphiliswa. Kuphela xa kwenziwe ngokuchanekileyo apho unokuphinda usebenze ngokupheleleyo emlenzeni wakho.
• Ukuba ayinyangwa, iingxaki ezinkulu ezifana ne -arthritis, i-malonion, okanye i-avascular necrosis zinokwenzeka.
• Nangona oku kungaba ngamava anzima nabuhlungu, ngonyango olufanelekileyo kunye nokuvuselelwa, abantu abaninzi banokuphila kakuhle. Ke ngoko, kubalulekile ukuhlala uqinile.

Ukuba uneminye imibuzo malunga noku, ungathandabuzi ukubuza ugqirha wakho. Hlala usempilweni!

I- Talus, ukwaphuka, iqatha, unyawo, intlungu, ukudumba, utyando, iplasta, ukulungiswa kwempilo