Khawuthelekelele ukuba ngequbuliso uqengqele iqatha lakho ngelixa usehla ngezinyuko, udlala imidlalo, okanye uhamba endleleni. Ngenxa yoko, uzive iintlungu ezinganyamezelekiyo kwaye awukwazi nokubeka unyawo lwakho phantsi. Eyona nto imbi kakhulu enokwenzeka ngexesha elinje kukwaphuka kweqatha. Nangona kunjalo, i-'Trimalleolar Fracture' iyinkimbinkimbi ngakumbi kwaye ifuna ingqalelo engakumbi. Ke namhlanje, masithethe ngale nto ngokulula, ngendlela onokuyiqonda.
Ngamafutshane, yintoni le Trimalleolar Fracture?
Eli gama lisenokuvakala liyinkimbinkimbi kancinci, kodwa intsingiselo ilula kakhulu. I-Trimalleolar ithetha 'isithathu'. Oku kuthetha ukuba onke amathambo amathathu aphambili enza ilungu leqakala lakho ayaphuka ngaxeshanye.
Amaqatha ethu enziwa kukudibana kweziphelo zamathambo amabini emlenzeni ongezantsi. Makhe sijonge ukuba ayintoni na.
- I-Tibia: Eli lithambo elikhulu nelinamandla kumlenze wakho ongezantsi. Kwicala lalo elisezantsi, linamalungu amabini enza i-ankle joint.
- I-Medial Malleolus: Eli liqhubu elinomqolo onokuliva ngaphakathi kweqakala lakho.
- I-Posterior Malleolus: Le yinxalenye engasemva kwethambo leqakala.
- I-Fibula: Eli lithambo elincinci elihamba ngaxeshanye ne-fibula, kwicala elisecaleni.
- I-Lateral Malleolus: Eli liqhubu elingaphandle kweqakala lakho onokulibamba ngesandla sakho.
Ngoko ke, kwi-'Trimalleolar Fracture', zonke ezi ndawo zintathu - i-medial malleolus, i-lateral malleolus, kunye ne-posterior malleolus - zaphukile. Zifana nesakhelo esixhasa ukuphuka komlenze kuzo zontathu iicala ngaxeshanye.
Ingaba lo yingozi enkulu?
Ewe, oku kukwenzakala okunzulu nokuntsonkothileyo kunokukruneka nje kweqakala. Kodwa ungakhathazeki, ukuba kunyangwa ngendlela efanelekileyo, kunokunyangeka ngokupheleleyo. Kukho izizathu ezahlukeneyo zokuba oku kunokuba yingozi:
- Utyando lunokufuneka: Ngokuqhelekileyo, utyando luyimfuneko ukulungisa olu hlobo lokwaphuka.
- Ixesha lokuphiliswa: Ngenxa yokuba onke amathambo amathathu kufuneka aphiliswe, usenokungakwazi ukubeka unyawo lwakho phantsi kangangeenyanga eziliqela. Oku kuthetha ukuba kuya kuba nzima ukwenza imisebenzi yemihla ngemihla, ukuya emsebenzini, nokuqhuba.
- Ukonakala kwezicubu ezingqongileyo: Xa ithambo liphuka, imisipha kunye nemisipha ejikelezileyo nayo inokonakala, nto leyo enokwenza ixesha lokuphiliswa liqhubeke ixesha elide.
- Umngcipheko wokuba nesifo samathambo: Kukho amathuba aphezulu okuba nesifo samathambo kuloo ndawo iqakala lidibene nayo kwixesha elizayo.
- Ukuqhwalela: Kwanasemva kokuba bephilile ngokupheleleyo, abanye abantu banokuba nokuqhwalela kancinci xa behamba okwethutyana.
Yintoni ebangela olu hlobo lokuhlukana?
Kukho izizathu ezininzi eziphambili ezibangela le meko. Makhe sijonge ukuba ziyintoni na.
| Isizathu | Inkcazo |
|---|---|
| Ukuwa | Isenokuba kukukhubeka, ukutyibilika, okanye ukuwa kwindawo ephakamileyo. |
| Iingozi zezithuthi | Ukulimala kakhulu eqatheni xa kukho iingozi zeemoto okanye iibhayisekile. |
| Iingozi zemidlalo | Ngexesha lokutshintsha kwesikhokelo ngequbuliso okanye ukuwa kwemidlalo efana nebhola ekhatywayo, iragbi, kunye nebasketball. |
| Ukuqengqeleka kweqatha | Ngokungazelelwe ugoba okanye ujika iqatha ngaphakathi okanye ngaphandle. |
Yintoni umahluko phakathi kwe-Trimalleolar kunye ne-Bimalleolar fractures?
Usenokuba ukhe weva nge-'Bimalleolar Fracture'. Umahluko phakathi kwezi zimbini ulula.
- Ukuqhekeka kweBimalleolar: Kule meko, ngamathambo amabini kuphela kumacala omabini eqatha (i-'medial' kunye ne-'lateral malleolus') aphukileyo.
- Ukwaphuka kweTrimalleolar: Kule meko, ukongeza kumathambo amabini, inxalenye engasemva yethambo leqakala (i-'posterior malleolus') nayo yaphukile. Oku kuthetha ukuba kukho ukwaphuka okuthathu.
Zithini iimpawu?
Xa ukwahlukana okunje kusenzeka, uqala ukuva ezi mpawu ngoko nangoko.
- Intlungu enganyamezelekiyo ngequbuliso.
- Ukungakwazi ukubeka unyawo phantsi okanye ukuhamba ngaloo mlenze.
- Ukudumba kwindawo yeqakala (mhlawumbi ukudumba okukhulu).
- Imbonakalo eluhlaza okwesibhakabhaka ejikeleze iqatha.
- Ngamanye amaxesha ungabona ukuguquka kwethambo ukuya kuthi ga kwinqanaba apho iziqwenga zamathambo zibonakala khona.
Ukuba unezi mpawu, eyona nto ingcono onokuyenza kukufuna ingcebiso yezonyango ngokukhawuleza, ngaphandle kokuhambisa umlenze wakho. Ukuba kunokwenzeka, yiya kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
Ugqirha unyanga njani oku?
Xa usiya esibhedlele, ugqirha uza kuqala akunike amayeza entlungu. Emva koko, uza kuthatha i-X-ray ukuqinisekisa ukwaphuka kwamathambo aze abone ukuba kunzulu kangakanani na. Ungadinga ne-CT scan okanye i-MRI scan ukuze ufumane umfanekiso ocacileyo.
Unyango lolu hlobo lokuqhekeka ludla ngokufuna utyando. Le nkqubo ibizwa ngokuba yi-Open Reduction Internal Fixation (ORIF).
Yintoni utyando lwe-ORIF?
Ithetha ukuba:
1. Ukunciphisa Ulusu: Ugqirha usika ulusu, aveze amathambo aphukileyo, aze awahlele kwakhona kwiindawo zawo ezifanelekileyo.
2. Ukulungiswa Kwangaphakathi: Iziqwenga zamathambo emva koko ziqiniswa ngaphakathi kusetyenziswa iipleyiti zesinyithi, izikrufu, okanye iingcingo ukuthintela ukuba zingaphinde zishukume.
Emva kolu tyando, kuya kufuneka unxibe isamente okanye i-brace ekhethekileyo emlenzeni wakho de ithambo liphole.
Ixesha lokuchacha kunye nezinto ekufuneka uzazi
Eli lixesha elinzima kubantu abaninzi, kuba lifuna umonde nexesha.
Ndiza kukwazi nini ukuhamba emva kotyando?
Ngokwesiqhelo, ugqirha wakho akakuvumeli ukuba ubeke ubunzima emlenzeni wakho owonzakeleyo okanye uwubeke emhlabeni ubuncinane iiveki ezi-6 emva kotyando. Oku kuyimfuneko ukuze amathambo aphile. Emva koko, ungaqala kancinci kancinci ukuhamba ubunzima emlenzeni wakho ngoncedo lwengcali ye-physiotherapist.
Ngaba ndiza kukwazi ukubuyela emsebenzini?
Oku kuyahluka ngokuxhomekeke kumsebenzi owenzayo.
- Umlenze kufuneka uhlale uphakanyisiwe, ubuncinane kwiiveki ezimbini zokuqala emva kotyando.
- Kunokuba nzima ukuhamba malunga neeveki ezi-6, ngoko ke ukuya nokubuya eofisini kunokuba yingxaki.
- Ngenxa yokuba usela amayeza okudambisa iintlungu, ngamanye amaxesha kunokuba nzima ukugxila emsebenzini.
Ngoko ke, kungcono ukuthetha nogqirha wakho uze uqale ukuzilolonga ngexesha elikufaneleyo.
Uza kukwazi nini ukuqhuba?
Oku kungathatha iinyanga ezininzi . Awunakuqhuba ngelixa isamente ikwindawo yayo. Kwanasemva kokuba isusiwe, kuya kufuneka ulinde ude ufumane amandla nolawulo lweqatha lakho. Ukuba uqhuba ngokukhawuleza kakhulu, unamathuba amaninzi okufumana enye ingozi.
Xa kufuneka ubone ugqirha ngokukhawuleza
Ngexesha lokuchacha kwakho, ukuba ufumanisa naziphi na iimpawu ezilandelayo, yazisa ugqirha wakho ngoko nangoko okanye uye kwiSebe leNgxamiseko (i-ETU) lesibhedlele esikufutshane.
- Ukuba uziva umkhuhlane okanye umkhuhlane.
- Ukuba ulwelo olufana nobovu luphuma kwinxeba lotyando.
- Ukuba indawo ejikeleze inxeba ibomvu, idumbile, kwaye ibuhlungu kakhulu ukuba ungayichukumisa.
- Ukuba ucinga ukuba uphinde wawa waza wenzakala umlenze wakho.
Ezi zinokuba ziimpawu zosulelo, ngoko ke kubaluleke kakhulu ukufuna unyango ngokukhawuleza.
Umyalezo Wokuya Ekhaya
- Ukwaphuka kweTrimalleolar yimeko embi apho amathambo amathathu eqatheni aphuka khona.
- Oku kudla ngokufuna utyando lwe-ORIF njengonyango.
- Kuthatha iinyanga ezininzi ukuphiliswa, kwaye ngelo xesha kubaluleke kakhulu ukuba nomonde nokulandela imiyalelo kagqirha.
- Unyango lwe-physiotherapy luyinxalenye ebalulekileyo yenkqubo yokuphiliswa. Musa ukuluphosa.
- Ukuba uziva udandathekile okanye uxhalabile ngexesha lokuchacha kwakho, thetha nogqirha wakho ngaloo nto. Yinto eqhelekileyo, kwaye ungafumana uncedo ngayo.
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