Ingabe unalolu hlobo lobuhlungu emlenzeni wakho? Ake sixoxe ngoJones Fracture!

Wake wajika umlenze wakho ngokuzumayo noma wezwa umsindo "wokuqhekeka" ngaphandle konyawo lwakho ngenkathi udlala ezemidlalo? Ngaleso sikhathi, ungase uzibuze, "Kwenzekani nje? " Kungaba yisimo esibizwa ngokuthi ukuphuka kwe-Jones , esizokhuluma ngaso namuhla. Ungakhathazeki, sizokhuluma ngalokhu kalula, ngendlela ongayiqonda.

Kuyini ukuphuka kukaJones? Kalula nje...

Kalula nje, ukuphuka kukaJones kuyithambo eliphukile onyaweni lwakho. Uzwane lwakho olupinki lunethambo elide elixhumanisa nelinye ingxenye yonyawo lwakho, akunjalo? Yilokho odokotela abakubiza ngokuthi ithambo lesihlanu le-metatarsal . Ukuphuka kukaJones kuwukuphuka kwaleli thambo.

Lokhu kuvame ukwenzeka uma unyawo lwakho luphendulelwa ngaphakathi, bese kuthi kungazelelwe kufakwe amandla amakhulu noma ingcindezi ngaphandle konyawo lwakho. Cabanga ngesimo lapho ngokuzumayo ukhubeka phezu konyawo lwakho ngenkathi ugijima.

• Ukusebenzisa unyawo ngokweqile ngokuphindaphindiwe : njengokugijima emhlabathini oqinile usuku lonke, noma ukusebenza umsebenzi odinga ukuma isikhathi eside.
• Ukulimala kwezemidlalo : Lokhu kungenzeka ikakhulukazi emidlalweni yokugxuma njenge-basketball ne-volleyball, noma emidlalweni eshintsha indlela ngokushesha njengebhola lezinyawo nekhilikithi.
• Ukuwa nokushelela : Lokhu kungenzeka ngenxa yezinto ezifana nokuwa phansi ezitebhisini noma ukushelela endaweni eshelelayo bese ufika phansi ngokuzumayo.

Ezimweni eziningi, ukuhlinzwa kuyadingeka ukuze kuphulukiswe leli thambo kahle. Kungathatha izinyanga eziningana ukuze liphulukiswe ngokuphelele.

Uyini umehluko phakathi kokuphuka kwe-Jones nokuphuka kwe-avulsion?

La magama amabili angase abonakale edida kancane, kodwa womabili avela ethanjeni lesihlanu le-metatarsal esilikhulume ngaphambili. Kodwa-ke, kunomehluko omncane kodwa obalulekile phakathi kwala ma-fracture amabili.

Cabanga ngethambo lakho lesihlanu le-metatarsal njengengxenye encane yokhuni. Odokotela bahlukanisa ithambo libe izingxenye ezintathu, noma 'izindawo'. Lezi zindawo zisiza udokotela ukuqonda kahle ukuthi ithambo liphuke kuphi.

• Indawo 1: Lena yingxenye yokuqala yethambo, eduze nephakathi konyawo. Ukuphuka lapha kubizwa ngokuthi ukuphuka kwe-avulsion . Ngezinye izikhathi kubizwa ngokuthi ukuphuka kwe-dancer noma ukuphuka kwe-pseudo-Jones . Lokhu kuphuka ngokuvamile akudingi ukuhlinzwa. Ngokuvamile kuyaphola cishe ezinyangeni ezimbili nge-boot noma i-cast.

• Indawo 2 (`Indawo 2`):Lena yingxenye yethambo engemuva kwendawo yokuqala, phakathi kwethambo. Uma sikhuluma iqiniso, lena yingxenye "yomzimba" wethambo eza ngemuva kwendawo yokuqala, efana "nekhanda ". Ukuphuka kwamathambo kule ndawo yesibili yilokho esikubiza ngokuthi 'ukuphuka kukaJones'. Lokhu ngokuvamile kudinga ukuhlinzwa. Kungenzeka kakhulu ukuthi kubangele izinkinga kunamanye amaphutha emlenzeni.

• Indawo 3: Lena ingxenye yethambo, lapho ixhuma khona emathanjeni eminwe. Ukuphuka kwale ndawo kuvame ukubizwa ngokuthi ukuphuka kokucindezeleka, okubangelwa ukucindezeleka okuqhubekayo. Lokhu kuthatha isikhathi eside ukuphulukiswa futhi ngezinye izikhathi kudinga ukuhlinzwa.

La magama angase abonakale edida kancane kuwe. Kodwa ungakhathazeki. Uma uphuka umlenze wakho noma kuphi, isinyathelo sokuqala esibaluleke kakhulu ukubona udokotela ngokushesha okukhulu. Udokotela uzochaza ukuthi hlobo luni lokuphuka onalo nokuthi yini okufanele uyenze ngakho.

Zivame kangakanani izimpaphe zikaJones? Ngubani okungenzeka kakhulu ukuthi zibe nazo?

Ukuphuka kwezinyawo kukaJones kungenye yezinkinga ezivame kakhulu zokuphuka kwezinyawo. Abadlali, abadansi, kanye nabantu abasebenza emisebenzini edinga ukuma nokuhamba usuku lonke basengozini enkulu.

• Abasubathi (ikakhulukazi labo abadlala imidlalo yokugijima nokugxuma)
• Abadansi
• Abantu abama futhi bahambe isikhathi eside ngenkathi besebenza

Ngokuvamile, amadoda aneminyaka engaba ngu-30 ubudala kanye nabesifazane abaneminyaka engaphezu kuka-70 banamathuba amaningi okuthola ama-fracture kaJones kunabantu bamaqembu eminye iminyaka.

Futhi, abantu abane -osteoporosis ( isifo esibangela ukuncipha kwamathambo) basengozini enkulu yokuthola ukuphuka kwethambo likaJones, kanye nanoma yikuphi ukuphuka kwethambo.

Ziyini izimpawu zokuphuka kwe-Jones?

Uma unesifo sokuphuka kwe-Jones, ungase ube nezimpawu ezifana nalezi:

• Ubuhlungu obukhulu: ikakhulukazi ngaphandle konyawo.
• Ukuvuvukala.
• Ubuhlungu (ubuhlungu uma uthinta noma ucindezela).
• Ubunzima bokuhamba ngendlela evamile.
• Ukuphuka noma ukushintsha kombala wesikhumba.
• Iqhubu elingavamile noma ushintsho esimweni kungabonakala onyaweni (`ukukhubazeka noma iqhubu`).

Kuyini ukuphuka kukaJones "owaxoshwa"?

Uma uya kudokotela, ungase uzwe amagama athi “displaced” noma “non-displaced.” Kalula nje , “displaced fracture” yilapho izingcezu ezimbili zamathambo eziphukile sezihlukene, kushiye isikhala esikhulu phakathi.Lokhu kusho ukuthi ithambo liphukile, kodwa izingcezu ezimbili eziphukile azikashukumi kakhulu futhi azikho endaweni efanayo. Ngokuvamile, "ukuphuka okususiwe" kudinga ukuhlinzwa. Ukuphuka "okungasusiwe" kungase kungadingi ukuhlinzwa.

Yiziphi izimbangela eziyinhloko zokuphuka kwethambo likaJones?

Njengoba sesixoxile ngaphambili, ukuphuka kukaJones kwenzeka lapho umlenze wakho, ikakhulukazi lapho isithende sakho siphakanyisiwe futhi sigobile, uzwa ukushayeka ngokuzumayo. Kunezimbangela ezimbalwa eziyinhloko:

• Ukusebenzisa ngokweqile okuphindaphindiwe: Ukuhamba njalo, ukugijima, noma ukuma ezindaweni eziqinile. Isibonelo, abanye abantu banemisebenzi ebadinga ukuba bame usuku lonke, futhi basengozini enkulu.
• Ukulimala kwezemidlalo: Lokhu kungenzeka uma ugxumagxuma phezulu naphansi kwezemidlalo efana ne-basketball kanye ne-volleyball, noma uma ujika umlenze ngokushesha kwezemidlalo efana nebhola, ikhilikithi, kanye ne-netball. Lolu hlobo lokulimala lungenzeka nalapho udlala i-volleyball emadolobheni ethu.
• Ukuwa nokushelela: Izimo ezinjengokuwa phansi ezitebhisini ekhaya, ukushelela endaweni emanzi njengendlu yokugezela, bese ushaya unyawo lwakho phansi ngokuzumayo.

Ungakuthola kanjani ukuphuka kwe-Jones? (`Ukuxilongwa`)

Udokotela wakho uzokuhlola kuqala ('ukuhlolwa ngokomzimba'). Ngemuva kwalokho, bazo-oda izivivinyo eziningana ezikhethekile ('izivivinyo zokuthatha izithombe') ukuhlola isimo samathambo akho.

Ziyini lezi zivivinyo?

• Ama-X-ray: I-X-ray ingabonisa ngokucacile ukuthi uphuke i-Jones noma uphuke elinye ithambo nokuthi ungakanani umonakalo owenziwe emathanjeni.
• I-MRI Scan (I-Magnetic Resonance Imaging - I-MRI): Ngezinye izikhathi udokotela udinga ukubona izinga eliphelele lomonakalo emathanjeni nasezicutshini ezizungezile, njengemisipha nemisipha. Yilapho-ke kwenziwa khona i-MRI scan.
• I-CT scan (`I-CT scan - I-Computed Tomography scan`): Uma udinga ukuhlinzwa, udokotela ohlinzayo uzodinga isithombe esicacile somonakalo emathanjeni akho. I-CT scan ingabheka amathambo nezicubu ezizungezile ngokuningiliziwe kune-X-ray.

Ilashwa kanjani i-Jones fracture?

Ukwelashwa kokuphuka kwethambo likaJones kuncike ebunzimeni bokuphuka kwethambo. Kodwa-ke, izingcezu zamathambo aphukile zidinga ukuhlanganiswa futhi zelashwe. Kunezindlela eziningana zokwelapha odokotela abazisebenzisayo ukusiza.

1. Ukungakwazi ukuhamba

Uma ukuphuka kungekubi kakhulu, okusho ukuthi izingcezu zamathambo aziqhelelene kakhulu (azihambile), kuzodingeka ufake i-cast noma ibhuzu elikhethekile emlenzeni wakho. Lokhu kuzogqokwa cishe amasonto ayisithupha kuya kwayisishiyagalombili. Phakathi nalesi sikhathi, kuzodingeka futhi uthathwe ama-X-ray ukuqinisekisa ukuthi ithambo liphola kahle.

2. Ukunciphisa okuvaliwe

Uma kwenzeka amanxeba aphukile kakhulu (ikakhulukazi uma esusiwe), inqubo ebizwa ngokuthi i-closed reduction isetshenziswa ukuqondisa amathambo. Lokhu kuhilela inqubo engeyona eyokuhlinzwa lapho udokotela ebamba khona izingcezu zamathambo aphukile ngaphandle komzimba wakho, ezicindezela futhi ezibuyisela endaweni yazo. Lokhu kwenziwa ukuze ungezwa ubuhlungu, kanje:

• I-anesthetic yendawo inikezwa ukuze iqede kuphela indawo lapho kwaphuka khona.
• Kunikezwa imithi yokudambisa umzimba wonke.
• Lokhu kungenziwa ngaphansi kwe-anesthesia ejwayelekile.

Ngemva kokunciphisa okuvaliwe, udokotela uzofaka i-cast noma i-boot emlenzeni wakho.

3. Ukuhlinzwa kukaJones kokuphuka kwamathambo

Uma kwenzeka amanxeba aphukile kakhulu, kudingeka ukuhlinzwa. Udokotela ohlinzayo ulungisa izingcezu zamathambo aphukile bese ezilungisa ukuze zinganyakazi zize ziphole. Lokhu kubizwa ngokuthi i-internal fixation . Lokhu kusho ukuthi udokotela ohlinzayo ufaka izinto zokufakelwa zensimbi ethanjeni lakho ukuze alibambe lihlale endaweni yalo. Izindlela ezisetshenziswa kulokhu yilezi:

• Izinduku: Induku yensimbi efakwa phakathi kwethambo kusukela phezulu kuya phansi.
• Amapuleti kanye/noma izikulufo: Amapuleti ensimbi nezipikili ezifakwa ethanjeni ukuze zibambe izingcezu zamathambo ndawonye.
• Izikhonkwane nezintambo: Lezi zisetshenziswa lapho kunezingcezu ezincane zamathambo kunezinye izinto ezibambekayo. Zivame ukufakwa nezinduku noma amapuleti.

Abanye abantu banama-implant ensimbi emizimbeni yabo impilo yabo yonke. Kwabanye, badinga ukuhlinzwa ukuze basuswe ngemva kokuba ithambo selipholile.

4. Ukufakelwa kwamathambo

Uma ukuphuka kwe-Jones yakho kuphumile kakhulu, noma uma ithambo lingapholi kahle, kungadingeka ukuthi uhlinzwe ngethambo . Yilapho udokotela ohlinzayo efaka khona izicubu zethambo ezengeziwe ukuze ahlanganise ithambo lakho eliphukile ndawonye. Ngemuva kwalokho, ithambo liqiniswa ngedivayisi yokuqinisa yangaphakathi kuze kube yilapho likhula futhi. Kungathathwa lokhu kufakelwa kwethambo okulandelayo:

• Ukusuka kwenye indawo emzimbeni wakho - ngokuvamile ingxenye ephezulu yethambo lakho lesinqe.
• Kusuka komunye umnikeli (`umnikeli wangaphandle`).
• Ingxenye yokufakelwa yokwenziwa.

Ukuhlinzwa kwe-Jones fracture kuvame ukwenziwa njengezinqubo zokulaliswa esibhedlela. Uzokwazi ukuya ekhaya ngosuku olufanayo nokuhlinzwa.

Ngemva kokuhlinzwa, umlenze wakho uzohlala ungasebenzi. Kuzodingeka ugqoke ibhuzu noma i-cast ngaphambi kokuthi ubeke isisindo kuwo bese uwusebenzisa futhi.

Yimiphi imithi esetshenziswayo yokwelapha ama-fracture kaJones?

Amanye amaphilisi okuqeda ubuhlungu , njenge-aspirin noma i-ibuprofen, anikezwa ukunciphisa ubuhlungu.Ukopha kanye nezinye izinkinga zingavela ngemva kokuhlinzwa. Ngakho-ke, udokotela wakho ohlinzayo uzokutshela ukuthi imiphi imithi ongayithatha ukuze unciphise ubuhlungu ngemva kokuhlinzwa.

Yiziphi izinkinga zokwelashwa kokuphuka kukaJones?

Izinkinga ezingase zenzeke ngemva kokuhlinzwa kukaJones zifaka:

• I-Acute Comppartment Syndrome (ACS): Uma ingcindezi ngaphakathi kwemisipha ikhula futhi ukugeleza kwegazi kuya ezicutshini kuyeka, kungenzeka umonakalo ohlala njalo wemisipha kanye nemizwa.
• Malunion: Lokhu kwenzeka lapho izingcezu zethambo lakho eliphukile zingalingani kahle njengoba ziphola, kodwa kunalokho ziqala ukuhamba ndawonye.
• Ukungahlangani: Lokhu kuyingozi kakhulu. Izingcezu zamathambo azibuyi ndawonye, ​​noma azihlangani kahle. Ingozi yokungahlangani iphakeme kakhulu ekuqhekekeni kukaJones kunakwezinye izingcezu. Kuthiwa cishe umuntu oyedwa kwabathathu uzoba nalesi simo.
• Okunye ukulimala kwangaphakathi: Ithambo eliphukile lingabangela nomonakalo emisipheni ezungezile, ezinzwa, emithanjeni yegazi, emisipha, kanye nasemisipha.
• Ukwaphuka kwethambo: Ukuphuka kwethambo likaJones kungenzeka kakhulu ukuthi kuphinde kwaphuka kunezinye izimpaphe.

Imithi efana nama-NSAID ingabangela nemiphumela emibi: ukopha, izilonda zesisu, ubuhlungu besisu, nezinkinga zamathumbu.

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokwelashwa?

Kungathatha amasonto amaningana ukuthi izimpawu zakho ziphele futhi ukwazi ukuhamba futhi. Kuye ngohlobo lokuhlinzwa olwenzile, ungase ungakwazi ukufaka isisindo emlenzeni wakho cishe amasonto ayisishiyagalombili. Kancane kancane uzokwazi ukusebenza nokuhamba futhi. Kufanele ukwazi ukuqhubeka nayo yonke imisebenzi yakho evamile, okuhlanganisa nezemidlalo, zingakapheli izinyanga ezingu-3-4.

Kodwa-ke, uma uzwa ubuhlungu obungabekezeleleki obungapheli, bona udokotela wakho ngokushesha.

Yini okufanele ngiyenze ukuze nginciphise ingozi yokuphuka kwe-Jones?

Landela lawa macebiso okuphepha alula ukuze ugweme izingozi ezinjalo:

• Gqoka imishini yokuphepha efanele ngesikhathi somsebenzi noma ezemidlalo.
• Gcina ikhaya lakho nendawo yakho yokusebenza icocekile, ingenazo izinto ezingadingekile nezinto ezingakuphazamisa.
• Sebenzisa imishini efanele njalo (njengeladi) uma ufinyelela into ephezulu endlini. Ungalokothi ukhwele ezihlalweni noma ematafuleni ukuze ufinyelele izinto.
• Landela uhlelo lokudla nokuzivocavoca olusiza ukugcina amathambo akho ephilile .
• Uma uneminyaka engaphezu kwengu-50, noma uma othile emndenini wakho ene-osteoporosis, khuluma nodokotela wakho mayelana nokuhlolwa kokuqina kwamathambo .

Ungakuvimbela kanjani ukuphuka kwe-Jones?

Gwema ukusebenzisa izinyawo zakho ngokweqile ngangokunokwenzeka. Nika umzimba wakho isikhathi sokuphumula nokululama ngemva kokusebenza kanzima ngokomzimba. Uma usebenzisa i-walker noma induku ukuze ikusize uhambe, ungalokothi uzame ukuhamba ngaphandle kwazo. Qaphela kakhulu lapho uhamba ezindaweni ezingalingani, njengetshe eliyinhlabathi.

Kwenzekani uma ngiphuka uJones?

Uma uphuke uJones, ungalindela ukululama okuphelele. Kodwa-ke, uzodinga ukwelashwa ngokomzimba ukuze uthole amandla nobubanzi bokunyakaza emlenzeni wakho.

Kuthatha isikhathi esingakanani ukuthi ukuphuka kukaJones kuphole?

Lokhu kuncike ebunzimeni bokuphuka kwakho kanye nokwelashwa okudingayo. Iningi labantu lithatha cishe izinyanga ezintathu kuya kwezine ukuphulukiswa ngenxa yokuphuka kwe-Jones.

Uma unenkinga efana nokungahlangani noma ukuqhekeka kwethambo, isikhathi sakho sokululama singase sibe side. Futhi, uma uke waxhunyelelwa amathambo ukuze kulungiswe ukuphuka kwethambo lakho le-Jones, kuzothatha isikhathi eside ukuthi umzimba wakho ululame.

Ingabe ngeke ngikwazi ukuya emsebenzini/esikoleni?

Uma usakwazi ukwenza umsebenzi wakho noma ukufunda ngenkathi umlenze wakho ungasakwazi ukunyakaza, ngeke kudingeke uyeke ukuya emsebenzini noma esikoleni.

Khuluma nodokotela wakho ohlinzayo noma udokotela ngaphambi kokuqala noma yimuphi umsebenzi womzimba ngesikhathi sokululama kwakho.

Igama lokugcina mayelana nokuphuka kukaJones...

Umbono wokulimala kukaJones uhle. Ngisho noma uhlinzwa, ungalulama ngokuphelele.

Kufanele ngiye nini egumbini lezimo eziphuthumayo?

Uma ucabanga ukuthi uphuke kabi ngenxa yokulimala kwethambo - noma okunye ukuphuka kwethambo - kufanele ubonane nodokotela ngokushesha okukhulu. Yiya ekamelweni lezimo eziphuthumayo ngokushesha uma unezinye zezimpawu ezilandelayo:

• Ubuhlungu obungabekezeleleki.
• Uma ungakwazi ukuhambisa ingxenye yomzimba ongayihambisa ngokujwayelekile.
• Uma ingxenye yomzimba wakho ibukeka ingajwayelekile noma ibonakala sengathi isuke endaweni yayo.
• Uma ungabona ithambo ngesikhumba sakho.
• Ukuvuvukala okukhulu.
• Uma kuvela imivimbo emisha kanye nalezi ezinye izimpawu.

Uma uke waba nengozi enkulu (ukulimala), hamba uye esibhedlela ngokushesha.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

• Yiliphi ithambo lami eliphukile?
• Ingabe nginokuphuka kwethambo lesihlanu le-metatarsal, noma olunye uhlobo lokuphuka kwethambo lesihlanu le-metatarsal?
• Ingabe ngizodinga ukuhlinzwa?
• Kuzothatha isikhathi esingakanani ukuphulukiswa?
• Ngingaqala nini futhi umsebenzi womzimba?

Ukuphuka kwethambo likaJones kungaba yinto ephazamisayo, ikakhulukazi uma ubudlala umdlalo owuthandayo futhi ngokungazelelwe ukhishwa esibhedlela izinyanga eziningi. Kodwa khumbula, noma ngabe uhlinzwa, ukuphuka kwethambo likaJones kuyisimo esisabela kahle ekwelashweni, futhi ungalulama ngokuphelele. Khuluma nodokotela wakho ngendlela ongawagcina ngayo amathambo akho eqinile futhi enempilo, futhi uthole ukuhlolwa njalo kokuqina kwamathambo uma uneminyaka engaphezu kwengu-50 noma uma othile emndenini wakho ene-osteoporosis.

Ukuphuka kukaJones , ukuphuka kwezinyawo, ithambo le-metatarsal, ukuphuka kwethambo, ubuhlungu bezinyawo, ukulimala kwezemidlalo, ukuphulukiswa kwethambo