Ingabe nawe uke wakhubeka iqakala lakho ngaphezu kweqakala? Ake sifunde ngokukhubeka kweqakala okuphezulu!

Kuvamile kakhulu ukukhuhla iqakala lakho, akunjalo? Ngezinye izikhathi kungaba yinto encane, kodwa ngezinye izikhathi kungaba nzima kakhulu. Wake wezwa nge-"High Ankle Sprain"? Lokhu kuhlukile kancane kunokukhuhla iqakala okuvamile, futhi kuthatha isikhathi eside ukuphola. Ake sixoxe ngalokhu ngokuningiliziwe namuhla, njengokukhuluma nomngane.

Kuyini ukukhubeka kweqakala okuphezulu?

Kalula nje, ukuklwebheka kweqakala okuphezulu kuwukudabuka noma ukulimala kwemisipha exhumanisa ithambo lakho lesifuba (i-tibia) nengaphandle lethambo lakho lesifuba (i-fibula). Le misipha yaziwa ngokwezokwelapha ngokuthi i-syndesmosis. Udokotela wakho angase futhi akubize ngokuthi ukulimala kwe-syndesmotic.

Cabanga nje, amathambo emilenze yethu axhumene namathambo onyawo esigxotsheni seqakala. Isigxobo seqakala sinengxenye ephezulu nengxenye engezansi. Ingxenye ephezulu yithambo elithi ``Tibia``` kanye nelithi ``Fibula``. Phakathi kwala mathambo amabili kanye namathambo onyawo, kukhona ithambo elibizwa ngokuthi ``Talus```. Ama-Ligaments ayizicubu ezinemicu, njengezintambo noma amabhande aqinile. Lezi yizona ezixhumanisa amathambo futhi zigcine amalunga eqinile.

Uyini umehluko phakathi kokukhubeka kweqakala eliphezulu nokukhubeka kweqakala okuphansi?

Umehluko phakathi kwalokhu okubili awukona nje indawo yokulimala. Ukukhubeka okukhulu kweqakala kwenzeka lapho iqakala lakho ligobile phezulu bese ulijika ngaphakathi noma ngaphandle. Lokhu kuvame ukubangelwa ukuqhuzuka.

Kodwa-ke, ukukhumuka kweqakala okuphansi, esivame ukukubiza ngokuthi "iqakala elikhumukile," kwenzeka lapho iqakala ligobhoza ngaphakathi. Ngezinye izikhathi kungenzeka nalapho ligobhoza ngaphandle. Kulokhu kukhumuka kweqakala okuphansi, imisipha engaphezulu kwalo ayonakali. Okusho ukuthi, uma umane ugobhoza umlenze wakho ngenkathi ugijima noma ugxuma, kuvame ukukhumuka kweqakala okuphansi.

Yimaphi ama-ligaments angalimala uma ukhumukile eqakaleni?

Kunezinhlobo eziningana zemisipha emikhulu engonakala uma ukhubeka iqakala phezulu:

• I-Anterior Inferior Tibiofibular Ligament: Lokhu kutholakala ngaphambili kwamathambo e-Tibia ne-Fibula.
• I-Posterior Inferior Tibiofibular Ligament: Lokhu kutholakala ngemuva kwamathambo e-tibia kanye ne-fibula.
• Ulwelwesi Oluhlangene: Lokhu kufana nolwelwesi. Lutholakala phakathi kwamathambo amabili `(Tibia)` kanye `(Fibula)` futhi kusiza ukugcina amathambo amabili eqinile.

Noma iyiphi yalezi zinhlayiya inganwetshwa, idabuke phakathi, noma idabuke ngokuphelele ngenxa yokukhubeka kweqakala okuphezulu.

Kuvame kangakanani ukuklwebheka kwamaqakala aphezulu?

Eqinisweni, ukuklwebheka kweqakala eliphezulu akuvamile njengokuklwebheka kweqakala eliphansi.Kuvame ukubonwa phakathi kwabadlali, ikakhulukazi:

• Ibhola lezinyawo
• Ibhola lomnqakiswano
• Ukulwa
• I-ice hockey
• Ukushushuluza eqhweni
• Ibhola Lezinyawo

Lesi simo sivame kakhulu kubantu abadlala imidlalo efana ne-basketball, i-volleyball, ne-volleyball. Lokhu kungenxa yokuthi le midlalo ihilela ingozi enkulu yokushaywa ngokuzumayo, ukuwa, kanye nokujijeka kwemilenze okungavamile.

Ziyini izimpawu zokukhubeka kweqakala okuphezulu?

Uma ukhubeka iqakala phezulu, ungase ube nezimpawu ezifana nalezi:

• Ukuvuvukala okuthile endaweni yeqakala, kodwa kungase kungabi kubi njengokukhubeka kweqakala okuphansi.
• Kunzima ukukala umlenze olimele, ikakhulukazi ukwenza izinto ezifana nokukhwela izitebhisi.
• Ngeke ukwazi ukuma ngezinzwane zakho (ukugoqa izinwele zakho). Ukwenza kanjalo kungabangela ubuhlungu obukhulu.
• Ukuphuka kuqala ezinsukwini ezimbalwa ngemva kokulimala. Lokhu kungabonakala ngezinye izikhathi ngaphezu kweqakala.

Into ebaluleke kakhulu ukubona udokotela uma unalezi zimpawu, hhayi nje ukucabanga ukuthi "ukuphazamiseka".

Yiziphi izimbangela zokukhubeka kwamaqakala aphezulu?

Njengoba sesike sakhuluma ngakho ngaphambili, ukukhubeka kweqakala okuphezulu kwenzeka lapho unyawo lwakho lugoba phezulu bese ngokuzumayo luphenduka ngaphakathi, ngaphandle, noma eceleni. Lokhu kungenzeka kakhulu uma ushayisana kunokumane ugingqa unyawo lwakho. Isibonelo, uma ugijima bese othile ekushaya unyawo lwakho, noma uma uwela onyaweni lwakho ngendlela engafanele ngenkathi ugxuma. Lokhu kuvame ukuba njalo uma ugijima noma ugxuma.

Kuhlonzwa kanjani ukugoba kweqakala okuphezulu?

Uma uya kudokotela, bazoqala bakubuze ukuthi kwenzeke kanjani lokhu, umlando wakho wezokwelapha, njll. Bese bezokwenza ukuhlolwa ngokomzimba.

Ukuze kutholakale ukuthi iqakala likhuphukile kakhulu, udokotela wakho angenza okulandelayo:

• Uzohlala esihlalweni, amadolo akho agobile futhi izinyawo namaqakala akho elenga phansi. Udokotela uzobe esesunduza unyawo lwakho phezulu bese eluphendula kancane ngaphandle. Uma uzwa ubuhlungu obukhulu, kungenzeka ukuthi ukuklwebheka kweqakala okuphezulu. Udokotela angase futhi enze lolu vivinyo ezinsukwini ezimbalwa ngemva kokulimala.
• Ukuhlolwa kokuncishiswa kwe-syndesmosis kwenziwa. Kulokhu kuhlolwa, udokotela ucindezela amathambo akho e-tibia kanye ne-fibula ndawonye. Lokhu kucindezela ulwelwesi oluhlukanisa amathambo. Uma uzwa ubuhlungu phezulu komlenze wakho, kungenzeka ukuthi kubangelwa ukuklwebheka okukhulu kweqakala.
• Bacindezela endaweni lapho kukhona khona "i-Interosseous Membrane" ukuze babone ukuthi kukhona yini ubuhlungu.
• I-ligament ephambi kweqakala iqinisiwe ukuze kubonakale ukuthi kukhona yini ubuhlungu.
• Ngaphezu kwalokho, udokotela angase acele ukuhlolwa kwezithombe. Isibonelo, i-X-ray, i-MRI (Magnetic Resonance Imaging), i-CT (Computed Tomography), futhi mhlawumbe ne-ultrasound. I-MRI iyindlela engcono kakhulu yokuhlola ukugoba kweqakala okuphezulu. Kodwa-ke, udokotela angase acele kuqala i-X-ray ukuze ahlole ezinye izimo, njengokuphuka kwamathambo.

Ukwelapha kanjani ukukhubeka kweqakala okuphezulu?

Uma unesilonda esinjengalesi, ungaqala ukuselapha ngendlela ye-RICE ezinsukwini ezintathu kuya kwezinhlanu zokuqala. Lokho kusho ukuthi:

• R - Phumula: Phumula umlenze olimele. Ungahambi kakhulu.
• I - Iqhwa: Faka iqhwa imizuzu eyi-15-20 izikhathi eziningana ngosuku. Lokhu kuzonciphisa ukuvuvukala nobuhlungu. Ungafaki iqhwa ngqo esikhumbeni, kodwa ligoqe ngendwangu.
• C - Ukucindezela: Ukugoqa iqakala ngokuqinile ngebhandeji elinwebekayo. Kodwa hhayi kakhulu kangangokuthi kunqamula ukugeleza kwegazi.
• E - Ukuphakama: Gcina umlenze wakho uphakeme ngaphezu kwenhliziyo yakho ngangokunokwenzeka, njengaphezu komcamelo.

Uma ufuna ukuhambahamba, kuzodingeka usebenzise izinduku zokusibekela.

Uma ubhekene nobuhlungu nokuvuvukala, ungasebenzisa imithi engeyona i-steroidal anti-inflammatory (NSAIDs) ongayithenga ekhemisi. Le mithi ingathathwa njengamaphilisi noma ngezinye izikhathi isetshenziswe njengokhilimu, ama-lotion, noma ama-spray. Kungcono ukubonisana nodokotela ngaphambi kokuyisebenzisa.

Udokotela wakho angase futhi akuncomele i-brace, i-tape, noma i-cast ukuze uvimbele iqakala lakho ukuthi lingaguquki.

Ngaphezu kwalokho, ukwelashwa ngokomzimba kubaluleke kakhulu. Kungafaka phakathi ukuzivocavoca okukhethekile, ukuzivocavoca kusetshenziswa amabhande okwelapha, kanye nokuzivocavoca emanzini (hydrotherapy). Ukuzivocavoca emanzini kulula ngoba kunciphisa isisindo emaqakaleni.

Ngaphandle kokuthi ukulimala kube kubi kakhulu, noma iqakala lihlala lingazinzile, ukuhlinzwa akunakwenzeka ukuthi kudingeke.

Kuthatha isikhathi esingakanani ukuthi ukukhubeka kweqakala eliphezulu kuphole?

Ngokuvamile kuthatha amasonto ayisithupha kuya kwayisishiyagalombili ukululama ekukhubekeni kweqakala okuphezulu. Uma ungumdlali, kungathatha isikhathi eside nakakhulu ukubuyela ekudlaleni. Ukukhubeka kweqakala okuphansi kuvame ukuphola ngokushesha kakhulu, ngakho-ke kubalulekile ukuba nesineke futhi ubelaphe.

Ungayinciphisa kanjani ingozi yokukhubeka kweqakala okuphezulu?

Ukuphuka kweqakala kuyingozi. Izingozi azinakuvinjelwa ngokuphelele. Kodwa-ke, kunezinto ezimbalwa ongazenza ukuze unciphise amathuba akho okulimala kweqakala okuphezulu:

• Landela uhlelo lokuzivocavoca oluqinisa futhi lugobe amalunga akho.
• Yenza uhlelo lokuzivocavoca oluthuthukisa ibhalansi yakho kanye nokuqonda kwakho. Ukuqonda kwakho isimo somzimba wakho kuyindlela yobuchopho bakho yokuzwa isimo somzimba wakho . Lokhu kubalulekile ukuze kube nokulinganisela.
• Sebenzisa izinto zokuzivikela ezifana nama-braces noma i-tape ukuvikela amaqakala akho ngenkathi udlala imidlalo.

Iyini inhloso/isibikezelo sokukhubeka kweqakala okuphezulu?

Ezimweni eziningi , ukukhubeka kweqakala okuphezulu kungelashwa ngempumelelo ngaphandle kokuhlinzwa. Kodwa-ke, kungenzeka ukuthi ulimaze iqakala lakho futhi. Ungase futhi ube nokuqina kweqakala esikhathini esizayo. Ngakho-ke, kubalulekile ukuliphatha kuze kube yilapho selipholile kahle bese uqhubeka nokuzivocavoca ukuze ugcine iqakala lakho liqinile.

Kufanele ubonane nini nodokotela uma ukhumukile eqakaleni?

Uma umlenze wakho ulimele futhi ungakwazi ukuwubeka isisindo, kufanele nakanjani ushayele udokotela noma uye egumbini lezimo eziphuthumayo. Kubalulekile ukuthola ukuthi unethambo eliphukile yini. Ngemuva kwalokho, kufanele uphathe ukulimala njengoba udokotela wakho ekutshelile.

Sonke sike sakhubeka amaqakala ethu ngesinye isikhathi, kodwa uma ulimala iqakala lakho ngenkathi ugxuma noma ugijima, kungaba ukukhubeka kweqakala okuphezulu. Ngakho-ke, qiniseka ukuthi ulandela imiyalelo kadokotela wakho uze ululame ngokugcwele.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

• Ukukhubeka kweqakala eliphezulu kuyisimo esibi kakhulu kunokukhubeka kweqakala eliphansi. Kwenzeka lapho imisipha engaphezulu kweqakala yonakele.
• Lokhu kuvame ukwenzeka ngesikhathi semidlalo, ikakhulukazi lapho kushayisana.
• Izimpawu zifaka phakathi ukuvuvukala, ubunzima bokuthwala isisindo, ukungakwazi ukuma eziqongweni zeminwe, kanye nokulunywa okulandelayo .
• Kubalulekile ukubonana nodokotela ukuze uthole ukuxilongwa okunembile kanye nokwelashwa. Ngokuvamile kudingeka i-MRI scan.
• Izindlela zokwelapha eziyinhloko indlela ye-RICE, imithi yokwelapha izinhlungu, kanye ne-physiotherapy. Kungathatha amasonto ayi-6-8 noma ngaphezulu ukuze kwelapheke.
• Uma unesineke ngokwelashwa, ulandela imiyalelo kadokotela wakho, futhi wenza izivivinyo zokuqinisa iqakala lakho, ungalulama kahle.

Uma uke waba nokuhlangenwe nakho okufanayo, noma uma unemibuzo eminye ngalokhu, ungangabazi ukukhuluma nodokotela. Hlala uphilile!

'ukuklwebheka okukhulu kweqakala, ukulimala kwe-syndesmotic, ukuklwebheka kweqakala, imisipha, i-tibia, i-fibula, ukulimala kwezemidlalo