Ingabe le ngxenye yomlenze wakho nayo ibuhlungu? Ake sixoxe nge-(5th Metatarsal Fracture)!

O, ngezinye izikhathi, kungakhathaliseki ukuthi ukuwa okuncane, ukukhubeka, noma ukujijeka okuncane emlenzeni, uhlangothi lozwane lwethu oluncane lungaba buhlungu, akunjalo? Kungaba buhlungu kangangokuthi awukwazi ngisho nokuhamba, futhi kungavuvukala futhi kube luhlaza okwesibhakabhaka. Isizathu salokhu kungaba ukuphuka kwethambo elincane onyaweni lwakho. Namuhla, sikhuluma ngesimo esinjengalesi, esibizwa ngokuthi `(5th Metatarsal Fracture)`, esingenzeka kubantu abaningi.

Kuyini lokhu kuphuka kwe-Metatarsal yesi-5?

Kalula nje, kukhona ithambo elide onqenqemeni lwangaphandle lonyawo lwakho, elixhumeka nozwane lwakho oluncane . Ungalizwa ngisho nangesandla sakho. Ngokwezokwelapha, leli thambo silibiza ngokuthi 'ithambo lesi-5 le-Metatarsal '. Ngakho-ke, uma leli thambo liphuka noma lihlukana ngesizathu esithile, silibiza ngokuthi 'i-5th Metatarsal Fracture'. Empeleni lokhu ukulimala kwezinyawo okuvamile kakhulu kunalokho esikucabangayo.

Zikhona yini izinhlobo zalezi zinhlungu?

Yebo, lokhu `(ukuqhekeka kwe-Metatarsal yesi-5)` kuhlukaniswe ngezinhlobo ezintathu eziyinhloko, kuye ngokuthi ithambo liphuka kuphi. Odokotela babiza lokhu ngokwendawo efanele. Sibiza ngokuthi i-Zone 1, i-Zone 2, kanye ne-Zone 3 .

Indawo 1: Ukuphuka Kwe-Avulsion

Lolu uhlobo oluvame kakhulu lokuphuka. Cabanga nje, cishe amaphesenti angama-93 awo abizwa ngokuthi "ama-Avulsion Fractures". Okwenzekayo lapha ukuthi lapho i-tendon noma i-ligament enamathele ngokuqinile ethanjeni idonswa kanzima kakhulu ngokuzumayo, leyo tendon noma i-ligament iphuma ethanjeni kanye nengxenye encane yayo. Kufana nokuthi uma sidonsa inkinobho yehembe elidala kakhulu, iphuma kanye nengxenye yendwangu.

Lokhu kuvame ukwenzeka lapho umlenze ugoqana ngaphakathi (njengokugoqana kweqakala). Ngezinye izikhathi odokotela bangacabanga ukuthi ukugoqana kweqakala kuwukuphuka kwe-avulsion ngoba ubuhlungu nokuvuvukala kuvamile kokubili.

Indawo 2: Uqhekeko lukaJones

Lolu hlobo lokuphuka, olubizwa ngokuthi "uJones Fracture," lwenzeka endaweni encane, ethize yethambo lesihlanu le-metatarsal. Kumane nje ukuthi ukunikezwa kwegazi kuncane kancane kunokwelinye ithambo . Uyazi, lapho ukunikezwa kwegazi kuncipha, noma yiliphi inxeba lithatha isikhathi eside ukuphola, futhi amathuba okuba nezinkinga ezahlukahlukene ayanda. Yingakho le "Jones Fracture" ithatha isikhathi eside ukuphola, futhi ingabangela nezinkinga.

Lokhu kungaba ukuphuka kokucindezeleka, okuwukuqhekeka okuncane kwezinwele okubangelwa ukucindezeleka okuqhubekayo kancane kancane ethanjeni ngokuhamba kwesikhathi. Noma kungaba ukuphuka okukhulu okubangelwa ingozi engazelelwe.Kungabuye kwenzeke ngezindlela ezilandelayo. Ngokuvamile kubangelwa ukusetshenziswa ngokweqile konyawo (ikakhulukazi kubadlali), ukucindezeleka okuphindaphindiwe, noma ukulimala okungazelelwe. Lokhu akuvamile kakhulu kune-Avulsion Fracture okukhulunywe ngayo ngaphambili, futhi kunzima kakhulu ukuyelapha.

Indawo 3: Ukuphuka kwe-Mid-shaft noma Ukuphuka kwe-Dancer

Lokhu kubizwa nangokuthi "Ukuqhekeka Kwe-Mid-shaft", futhi ngezinye izikhathi "Ukuqhekeka Komdansi" . Cishe kuqanjwe ngoba kuvamile kubadansi, ikakhulukazi lapho befika besuka ekugxumeni. Ngokuvamile kwenzeka ngengozi engazelelwe, njengokuthi "ukuhlukumezeka" noma ukujikijelwa komlenze okubukhali. Ukuqhekeka kwenzeka phakathi kwethambo, eduze "kwekhanda" kanye "nentamo".

Ubani ongathola ukuphuka okunje?

Empeleni, lokhu `(ukuqhekeka kwe-Metatarsal yesi-5)` kungenzeka kunoma ubani . Noma ubani kusukela enganeni encane kuya kumuntu osekhulile angathola lesi simo. Kodwa-ke, uma ubheka imibiko yezokwelapha kanye nedatha, kuthiwa kuvame kakhulu kwabesilisa abaneminyaka engama-30 kanye nakwabesifazane abaneminyaka engama-70 . Kuthiwa futhi `(ukuqhekeka kwe-Avulsion)` kanye `(ukuqhekeka kwe-Mid-shaft)` okukhulunywe ngakho ngaphambili kuvame kancane kwabesifazane kunakwabesilisa.

Yini ebangela lokhu kuphuka kwamathambo?

Kalula nje, imbangela eyinhloko yalokhu uhlobo oluthile lwengozi noma ukucindezeleka okuhlala isikhathi eside (ukuhlukumezeka noma ukucindezeleka okuphindaphindiwe) onyaweni lwakho. Cabanga ngezinto ezinjengalezi:

• Ukushaywa onyaweni ngokuzumayo, okunzima: Njengento enzima ewela onyaweni, noma eshayisana nento ethile.
• Ama-arches aphezulu: Abanye abantu bane-arches ephakeme kancane phansi konyawo lwabo, okungabeka ingcindezi enkulu ngemuva konyawo lwabo lapho behamba.
• Ukusebenzisa ngokweqile okuphindaphindiwe: Le ngozi iphezulu kakhulu kubasubathi, abagijimi, kanye nalabo abasebenza bemi isikhathi eside.
• Ukulimala kokuguqulwa kwemilenze: Lena imbangela evame kakhulu. Kungabangelwa izinto ezifana nokuwela emgodini ngenkathi uhamba noma ugingqa unyawo lwakho ngenkathi wehla ezitebhisini.
• Ukusonta noma ukusonta umlenze ngenxa yengozi noma ukulimala kwezemidlalo: Lolu hlobo lokuphuka lungenzeka uma umlenze usontekile noma usontekile ngendlela engalindelekile.

Ziyini izimpawu?

Uma une-`(5th Metatarsal Fracture)`, into yokuqala ozoyiqaphela ubunzima bokuhamba . Ungase ungakwazi ngisho nokubeka unyawo lwakho phansi. Ngaphezu kwalokho, ungase uqaphele lezi zimpawu ezilandelayo ngemuva konyawo lwakho (ozwaneni oluncane):

• Ukusha kanye nokuluhlaza okwesibhakabhaka : Indawo ingase iqale ukuphenduka ibe luhlaza okwesibhakabhaka ngemva kosuku olulodwa noma ezimbili.
• Ubuhlungu noma ukungakhululeki: Kubuhlungu ngisho noma ubamba isandla sakho, futhi kungase kube nobuhlungu ngisho noma umane umile lapho.
• Ukuvuvukala : Indawo izoqala ukuvuvukala, kungaba ngokushesha ngemva kwengozi noma ngokushesha ngemva kwalokho.
• Ubumnene : Indawo izwakala ibuhlungu uma ithintwa.

Ukubona kanjani lokhu ngqo?

Uma uya kudokotela onalezi zimpawu, uzoqala ngokukubuza imibuzo embalwa . Kwenzeke kanjani, ubuhlungu bube khona isikhathi esingakanani, futhi ubuhlungu buba bubi kangakanani? Udokotela uzohlola ngokucophelela unyawo lwakho ukuze abone ukuthi lubuhlungu kuphi, luvuvukele kangakanani, nokuthi ithambo lizwakala sengathi liyahamba yini.

Ngemuva kwalokho, kungase kwenziwe izivivinyo eziningana zokuthatha izithombe ukuqinisekisa isimo nokunquma uhlobo oluqondile lokuphuka:

• I-X-ray: Lolu uhlobo lokuhlolwa oluvame kakhulu. I-X-ray ingabonisa ukuthi ithambo lakho liphukile kuphi nokuthi liphukile kanjani. Kodwa-ke, amanye ama-fracture, njenge-Jones Fracture okukhulunywe ngayo ngaphambili, angase angabonakali ku-X-ray.
• I-CT scan (i-computed tomography scan) noma i-MRI (magnetic resonance imaging): Uma udokotela wakho esola ukuthi kukhona i-Jones Fracture noma efuna ukubona imininingwane eyengeziwe mayelana nokuqhekeka, angase acele i-CT scan. Lezi zithombe zingabonisa ithambo nezicubu ezithambile ezizungezile ngemininingwane eminingi.

Iphathwa kanjani?

Ukwelashwa kwe-"5th Metatarsal Fracture" kuncike ezintweni eziningana. Into eyinhloko okufanele icatshangelwe ukuthi izingcezu zamathambo aphukile "zisusiwe" noma "ziqondile" . Ngaphezu kwalokho,:

• Izinga lomsebenzi: Izinto ezinjengokuthi ungumdlali noma umuntu ohamba kakhulu.
• Ubudala.
• Impilo iyonke.

Ngemva kokucabangela konke lokhu, udokotela wakho uzonquma ukwelashwa okufanele kakhulu kuwe. Kunezindlela ezimbili zokwelapha eziyinhloko:

1. Ukungakwazi ukuhamba

Uma izingcezu zamathambo akho zingakashukumi, okusho ukuthi zisesendaweni efanayo, udokotela wakho cishe uzokutshela ukuthi ugcine umlenze wakho unganyakazi. Lokhu kubizwa ngokuthi ukuvimbela ukunyakaza .

• Ngokuphathelene ne-Zone 1 Avulsion Fracture esikhulume ngayo, lokhu ngokuvamile kuyindlela yokwelapha kuphela.
• Lokhu "(Ukuvimbela)" kungenziwa futhi njengesinyathelo sokuqala se- Zone 2 Jones Fracture .

Okwenzayo lapha ukufaka umlenze wakho epulasitikini, ebhuthini elikhethekile, noma esicathulweni esiqinile ukuze ungashukumi.Lokhu kuzonikeza ithambo eliphukile ithuba lokuphola kahle. Kuzodingeka futhi usebenzise izinduku zokusikela phakathi nalesi sikhathi, njengoba kungakuhle ukufaka isisindo emlenzeni. Ngokuvamile kuzodingeka uwugcine ungashukumi cishe amasonto ayisithupha kuya kwayisishiyagalombili .

2. Ukuhlinzwa

Kwezinye izimo, ukuhlinzwa kuyadingeka. Lokhu kufaka phakathi:

• Uma izingcezu zamathambo akho zithuthele ngaphezu kwamamilimitha amathathu (`displaced`) .
• Uma ungumdlali ovelele ( ngoba ufuna ukululama ngokushesha futhi ubuyele kwezemidlalo).
• Uma i-Zone 2 Jones Fracture ingaphenduli ekwelashweni okulindelekile kokungashukumi.
• Ukuhlinzwa kuvame ukunconywa kwiZone 3 (`IZone 3 Mid-shaft noma iDancer's Fracture`) .

Kulokhu kuhlinzwa, udokotela ohlinzayo wezinyawo neqakala (uDokotela Wezinyawo Neqakala) ufaka iphini elincane, isikulufu, induku, noma ipuleti ethanjeni ukuze abambe ithambo eliphukile endaweni yalo. Lezi zifakelo zivame ukuhlala emzimbeni ngisho nangemva kokuba ithambo selipholile futhi azisuswa ngokuvamile.

Kwezinye izimo eziyinkimbinkimbi, ithambo elonakele elizungeze ukuphuka kungadingeka lisuswe bese kufakwa ithambo elihlanganisiwe esikhundleni salo. Lokhu kuhilela ukufaka ithambo elilimele esikhundleni salo ngengxenye yethambo evela kwenye ingxenye yomzimba wakho noma komunye umthombo. Ungasebenzisa futhi idivayisi ebizwa ngokuthi i-bone healing stimulator , esiza ithambo ukuba liphole ngokushesha.

Ingabe izinkinga zingaba khona ngemva kokwelashwa?

Njenganoma yikuphi ukwelashwa kwezokwelapha, ezinye izinkinga zingase zenzeke ngemva kokwelashwa kwe-`(5th Metatarsal Fracture)`. Kodwa-ke, lezi azenzeki kuwo wonke umuntu, futhi umuntu ngamunye uhlukile. Ezinye zezinkinga ezivame kakhulu yilezi:

• Amahlule egazi : Ikakhulukazi ngemva kokuhlinzwa ngoba umlenze awusanyakazi.
• Ukulimala kwemithambo yegazi noma imizwa : Lokhu kungenzeka ngesikhathi sokuhlinzwa noma ngesikhathi sengozi.
• Ukopha ngokweqile .
• Ukutheleleka : Ikakhulukazi uma uhlinzwa.
• Ukuwohloka kwemisipha : Imisipha ingaba buthakathaka ngenxa yokungasetshenziswa.
• I-Nonunion noma i-Malunion : Ngezinye izikhathi izingcezu zamathambo eziphukile zingase zingahlangani kahle noma zingase zihlangane ngendlela engalungile.
• Ubuhlungu obuqhubekayo (`Ubuhlungu`) .

Okubalulekile: Ukuze unciphise ingozi yezinkinga ezinjengalezi, kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo.

Ngingazinakekela kanjani ngize ngilulame? Ngingazilawula kanjani izimpawu zami?

Ungenza lezi zinto ukuze zikusize ululame ngokushesha futhi unciphise ubuhlungu:

• Ukuphakamisa unyawo lwakho ngangokunokwenzeka: Uma uhleli, phakamisa unyawo lwakho phezu komcamelo noma esihlalweni ukuze lube ngaphezu kancane kwezinga lenhliziyo yakho. Lokhu kuzonciphisa ukuvuvukala.
• Faka iqhwa onyaweni lwakho: Faka iphakethe leqhwa eligoqwe ngendwangu endaweni elimele imizuzu eyi-15-20 izikhathi eziningana ngosuku emahoreni okuqala angama-24-48 ngemva kokulimala nangemva kwalokho. Lokhu kuzonciphisa ubuhlungu nokuvuvukala. Kodwa ungafaki iqhwa ngqo esikhumbeni.
• Ungabeki isisindo onyaweni lwakho kuze kube yilapho udokotela wakho ekuyala ukuthi ('Ukugcina isisindo singasonyaweni lwakho'): Uma usebenzisa izinduku zokusibekela, zisebenzise kahle.
• Uma ubhema, yeka ('Ukuyeka ukubhema'): Ukubhema nokusebenzisa imikhiqizo kagwayi kubambezela ukuphulukiswa kwamanxeba. Ngakho-ke, ukuyeka lo mkhuba kuzosiza kakhulu ekwelapheni ngokushesha.
• Ukuthatha imithi yobuhlungu: Thatha imithi yobuhlungu enqunywe udokotela wakho, njenge-ibuprofen noma i-naproxen, njengoba kuyalelwe. Lokhu kungasiza ekulawuleni ubuhlungu ezinsukwini zokuqala. Kodwa-ke, kungcono ukukhuluma nodokotela wakho mayelana nemithi efanele wena.

Ingabe ingozi yalolu hlobo lokuphuka ingancishiswa?

Nakuba kungenakuvinjelwa ngokuphelele, kunezinto ezimbalwa ongazenza ukuze unciphise ingozi yakho:

• Gcina isisindo somzimba esinempilo: Ukukhuluphala ngokweqile kubeka ingcindezi eyengeziwe ezinyaweni zakho.
• Uma unesifo sikashukela, silawule kahle: Abantu abanesifo sikashukela basengozini enkulu yokuphuka kwamathambo kanye nezinkinga ezihambisana naso. Abantu abakhuluphele nabo basengozini enkulu.
• Gqoka izicathulo ezikulingana kahle: Gqoka izicathulo ezisekela kahle izinyawo zakho, ikakhulukazi uma udlala imidlalo noma usebenza.
• Landela amasu okuzivocavoca afanele: Ungaqali ukuzivocavoca kanzima ngesikhathi esisodwa, kodwa khulisa kancane kancane amandla.
• Qaphela indawo ezungezile: Qaphela izindawo ezishelelayo ekhaya nasemsebenzini, futhi uqaphele imigodi emgwaqweni.

Yini engingayilindela uma nginokukhubazeka okunje?

Uma ukwaphuka kwakho kwelashwe ngendlela yokuvimbela ukunyakaza (iplasta), ungalindela ukuthi kuphole cishe emavikini ayisithupha kuya kwayisishiyagalombili .

Uma uke wahlinzwa, kungathatha cishe amasonto ayisikhombisa noma isikhathi eside ukuze ululame. Kodwa-ke, kungakhathaliseki ukuthi ukwelashwa kunjani, kuzodingeka ugweme ukufaka isisindo emlenzeni wakho okungenani amasonto ayisithupha .

Ngemva kokululama okuphelele, okungukuthi, ngokuvamileNgemva kwezinyanga ezintathu kuya kwezine, ungabuyela emisebenzini yakho evamile kanye nezemidlalo. Kodwa nalokho kufanele kwenziwe ngemvume kadokotela. Udokotela angase ancome ukwelashwa ngokomzimba ukuze abuyisele ukunyakaza namandla omlenze wakho. Ukwenza lokhu kuzivocavoca ngendlela efanele kubaluleke kakhulu ukuze ululame ngokushesha.

Kunini lapho ngidinga ukubona udokotela futhi?

Ngemva kokubuya ekhaya kusukela ekwelashweni, kufanele ubonane nodokotela wakho ngokushesha uma uba nomkhuhlane noma unesinye noma ngaphezulu salezi zimpawu emlenzeni wakho:

• Uma ubuhlungu bungasabekezeleleki (`Ubuhlungu obandayo`) .
• Uma ukuvuvukala kuyanda (`Ukuvuvukala okwandisiwe`) .
• Uma uzizwa ungenamizwa noma uzwa ukuqaqamba emilenzeni yakho .
• Uma isikhumba semilenze yakho siphenduka sibe nsomi , noma uma uzizwa ubanda kakhulu kunokujwayelekile.
• Uma kukhona ubomvu obuphuma enxebeni, noma uma kunephunga elibi (uma uke wahlinzwa).

Izimpawu ezinjengalezi zisho ukuthi kungase kube nenkinga. Ngakho-ke, kubalulekile ukufuna iseluleko sezokwelapha ngokushesha.

Ngakho-ke, yiziphi izinto okudingeka sizikhumbule? (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke ngithemba ukuthi usuyaqonda kangcono i-5th Metatarsal Fracture esikhulume ngayo namuhla.

Nakuba lesi kuyisimo esivame kakhulu kunalokho ongase ucabange, singelapheka ngokushesha uma uthola ukuxilongwa okufanele, uthola ukwelashwa okufanele, ulandela imiyalelo kadokotela wakho ngqo, futhi uthole ukuphumula okwanele.

Into ebaluleke kakhulu ukubona udokotela ngokushesha uma uzwane lwakho oluncane lubuhlungu, luvuvukala, noma luba nzima ukuhamba. Ngaleyo ndlela, ungathola ngokushesha ukuthi inkinga iyini, uthole i-X-ray uma kudingeka, bese uqala ukwelashwa okufanele. Ngaleyo ndlela, ungabuyela emisebenzini yakho evamile ngokushesha!

Ukuphuka , Ubuhlungu Bezinyawo, I-Metatarsal, Ukuphuka Kwe-Jones, Ukuphuka Kwe-Avulsion, Ukuphazamiseka Kwezinyawo, Ukuminyana Kweqakala