Ingabe ingxenye ephezulu yomlenze wakho iyabuhlungu ngaso sonke isikhathi? Kungaba ukulimala kweLisfranc!

Wake wehla ngezitebhisi, ugijima, noma udlala imidlalo wabe usuzizwa ubuhlungu obukhulu nokuvuvukala phezulu konyawo lwakho, noma phakathi nomlenze wakho? Uma kunjalo, kungenzeka ukuthi uke waba nokulimala eLisfranc . Lokhu ukulimala okuyinkimbinkimbi kancane, ngakho-ke ake sikwaze kangcono namuhla.

Iyini iLisfranc Joint? Kalula nje...

Ake sithi unezinzwane. Lapho amathambo asuka ezinzwaneni (esiwabiza ngokuthi "amathambo e-metatarsal") eya kulo lonke umlenze exhunywe khona yi- joint yaseLisfranc. Kufana nendawo enkulu edolobheni. Ngenxa yokuthi izinto eziningi zisebenza ndawonye endaweni eyodwa, leli joint libaluleke kakhulu ekulinganiseni kwethu nasekuhambeni emilenzeni yethu. Ngakho-ke uma kukhona umonakalo kuleli joint, silibiza ngokuthi "ukulimala kweLisfranc".

Yiziphi izinhlobo zokulimala eLisfranc?

Leli lunga le-Lisfranc lingalimala ngamathambo akulo noma ngama-ligaments awabamba ndawonye. Kuye ngokuthi umonakalo wenzeka kanjani, lingahlukaniswa ngezinhlobo eziningana:

• Ukuhlukana kwe-Lisfranc : Lokhu kwenzeka lapho amathambo asemalungeni ephuma endaweni yawo evamile. Kufana nokuthi ilunga "liyahlukana."
• Ukuphuka kweLisfranc : Empeleni lokhu kuwukuphuka kwethambo lomlenze. Ithambo elihlobene nelunga lingase liphuke.
• Ukuklwebheka kweLisfranc : Yilapho imisipha ebamba amathambo ndawonye idonswa khona futhi ilimale. Ngokuvamile lokhu sikubiza ngokuthi "iqakala eliklwebhekile."

Uzibona kanjani izimpawu zokulimala kwe-Lisfranc?

Uma unesifo sokulimala eLisfranc, ungase ube nezimpawu ezinjengalezi, ngokuvamile engxenyeni ephezulu, ephakathi yomlenze wakho:

• Imivimbo : Imivimbo ingavela engxenyeni engenhla yomlenze. Ngezinye izikhathi, imivimbo ingavela nangaphansi konyawo.
• Ubuhlungu bomlenze : Ubuhlungu bungakhula, ikakhulukazi lapho umi, uhamba, noma ushukumisa umlenze.
• Ukuvuvukala : Indawo elimele ingavuvukala kakhulu.
• Ubunzima bokubeka umlenze wakho phansi : Ubuhlungu bungenza kube nzima ukufaka isisindo emlenzeni wakho.

Cabanga nje, uma uvuka ekuseni ubeke umlenze wakho phansi, uzwa ubuhlungu obungabekezeleleki, njengokungathi umlenze wakho uvuvukele... Uma kunjalo, nakanjani udinga ukubona udokotela.

Kungani kwenzeka lokhu kulimala eLisfranc?

Ngokuvamile, lokhu kulimala kwenzeka ngenxa yokuwa, ukushelela, noma izingozi zemidlalo .

Kalula nje, uma isithende sakho sigoqeka ngokuzumayo, futhi isisindo sakho siwela ezinzwaneni, leli lunga leLisfranc lingalimaza. Abasubathi bangaba nalezi zingozi ngenkathi bedlala imidlalo, futhi ngezinye izikhathi ngisho nokukhubeka okuncane noma isinyathelo kungabangela lokhu kulimala. Cabanga nje, uma ngokuzumayo ukhubeke futhi ukhubeke emathuneni ngenkathi uhamba, noma uma ukhubeke futhi uwele esihlalweni ngenkathi wenza imisebenzi yasekhaya, lokhu kungenzeka.

Ngaphezu kwalokho, lokhu kulimala kungabangelwa nawukulimala okukhulu okufaka ingcindezi ejoyintini leLisfranc. Isibonelo:

• Izingozi zezimoto
• Ukuwa esitebhisini
• Ukuwa okuthile okusindayo emlenzeni
• Ukuwa phansi ezitebhisini eceleni komgwaqo

Ubani osengozini enkulu yokuthola ukulimala kwe-Lisfranc?

Nakuba noma ubani engathola lokhu kulimala, ungase ube sengozini enkulu uma:

• Uma unesifo esonakalisa izinyawo zakho, njengesifo sikashukela, noma esinciphisa ukuzwa ezinyaweni zakho (ikakhulukazi isifo sezinyawo esinesifo sikashukela kanye ne-neuropathy ehlobene nesifo sikashukela)
• Uma unomsebenzi onzima ngokomzimba , phakamisa izinsimbi njalo, noma usebenze ngezikhali.
• Uma udlala imidlalo yokuncintisana noma uthintana nemidlalo . Isibonelo, abantu abadlala imidlalo efana ne-rugby noma ibhola lezinyawo basengozini enkulu.

Kwenzekani uma ukulimala kwe-Lisfranc kungelashwa kahle?

Lokhu kubaluleke kakhulu. Uma ukulimala kwe-Lisfranc kungelashwa kahle futhi ngokushesha, kungaholela ezinkingeni ezinkulu kamuva. Lokhu kufaka phakathi:

• I-Arthritis : Isimo esibuhlungu esibangelwa ukuvuvukala kwamalunga.
• Ubuhlungu obungapheli : Isimo lapho umlenze uzwa ubuhlungu ngaso sonke isikhathi.
• Ukubiza amagama kanye nokunye ukukhubazeka kwezinyawo : Ukuma konyawo kuyashintsha, okwenza kube nzima ukuhamba.

Ngakho-ke, kubaluleke kakhulu ukufuna iseluleko sezokwelapha kunokucabanga ukuthi kumane nje ukulimala okuncane.

Odokotela bakuthola kanjani ukulimala kweLisfranc?

Uma ubona udokotela, bazoqala bahlole umlenze wakho. Bazonaka izinto ezifana nokuma komlenze wakho, ukuvuvukala, kanye nezindawo ezibuhlungu uma ucindezelwa. Kuzodingeka utshele udokotela ukuthi ukuthole kanjani ukulimala nokuthi izimpawu zakho zaqala nini.

Ngemuva kwalokho, cishe uzocelwa ukuba wenze ukuhlolwa okukodwa noma ngaphezulu okukhethekile kwesithombe, okufana nalokhu:

• I-X-ray yezinyawo : Ukuhlola amathambo aphukile.
• I-MRI scan : Lokhu kungabona umonakalo wemisipha ngisho nokuphuka okuncane emathanjeni.
• Ukuskena kwe-CT (`(ukuskena kwe-CT)`)Lokhu kusiza ukubona isimo samathambo ngokucacile.

Ilashwa kanjani iLisfranc Injury?

Indlela yokwelapha incike ohlotsheni lokulimala, okungukuthi, ukuthi kukhulu kangakanani. Izindlela zokwelapha ezilandelayo zivame ukusetshenziswa:

• Faka iqhwa bese uphakamisa umlenze wakho : Zama ukugcina umlenze wakho uphakeme ngaphezu kwezinga lenhliziyo yakho ngangokunokwenzeka. Ungawugcina emicamelweni. Songa iphakethe leqhwa ngethawula elincane bese ulibeka endaweni elimele cishe imizuzu engama-20. Yenza lokhu izikhathi eziningana ngosuku.
• Ukungasebenzi : Udokotela wakho uvame ukufaka ibhuzu noma i-cast ekhethekile emlenzeni wakho. Lokhu kuzosiza ekunciphiseni isisindo esingadingekile emlenzeni wakho, kunciphise ukunyakaza, futhi kusize ukuthi ululame. Kungase kudingeke futhi usebenzise izinduku zokusibekela .
• Ukuhlinzwa kweLisfranc : Uma ukulimala kubangele ukuthi ilunga lingazinzile, okusho ukuthi alilungiswanga kahle, ungase udinge ukuhlinzwa. Udokotela ohlinzayo angase alungise ilunga leLisfranc futhi afake amapuleti ensimbi nezikulufo ukuze ilunga lihlale liqinile. Ngemva kokuhlinzwa, kuzodingeka uphumule unyawo lwakho inyanga eyodwa noma ezimbili. Kuzodingeka ugqoke isicathulo noma i-cast ekhethekile izinyanga eziningana. Ngemva kokuba ilunga selipholile, udokotela angase asuse amapuleti nezikulufo.
• Iziqeda-zinhlungu : Ungasebenzisa iziqeda-zinhlungu njengemithi elwa nokuvuvukala engeyona i-steroidal (ama-NSAID) (njenge-ibuprofen) noma i-acetaminophen (i-paracetamol) ukunciphisa ubuhlungu nokuvuvukala. Kodwa-ke, kungcono ukukhuluma nodokotela wakho ngaphambi kokuthatha le mithi izinsuku ezingaphezu kweziyi-10. Udokotela wakho angase futhi akunike imithi yokwelapha iziqeda-zinhlungu. Udokotela wakho uzokutshela ukuthi kufanele uthathe malini nokuthi kufanele uwathathe kangaki.

Kufanele ngimbone nini udokotela?

Uma unezimpawu zokulimala kweLisfranc, phumula izinsuku ezimbalwa, ufake iqhwa, futhi uma ubuhlungu nokuvuvukala kunganciphi, qiniseka ukuthi ubona udokotela. Ungalibali, ikakhulukazi uma ungakwazi ukubeka unyawo lwakho phansi noma ukuhamba ngendlela evamile.

Uma izimpawu zibuya noma ziba zimbi kakhulu, kungakhathaliseki ukuthi umlenze awusakwazi ukuhamba (ufakwe ukhonkolo) noma ngemva kokuhlinzwa, tshela udokotela wakho.

Kuthatha isikhathi esingakanani ukuthi ukulimala kwe-Lisfranc kuphole?

Lokhu kuncike kakhulu ohlotsheni lokulimala, okungukuthi, uhlobo lokulimala, nokuthi kwenzeke kanjani. Khumbula, akuwona wonke umzimba ophulukiswa ngesivinini esifanayo. Ngakho-ke khuluma nodokotela wakho ngesimo sakho esithile.

• Ukwelashwa okungenakuhlinzwa : Umlenze uvame ukungasebenzi cishe amasonto ayi-6 kuya kwayi-8, kulandelwe ukwelashwa ngokomzimba (`(Ukwelashwa Ngomzimba noma i-PT)`).Kufanele wenze njalo. Udokotela wezokwelapha angakusiza ukuthi uthole amandla, ibhalansi, kanye nokunyakaza emlenzeni wakho.
• Ukuhlinzwa kweLisfranc : Kuzodingeka ugqoke isicathulo noma i-cast ekhethekile cishe izinyanga ezintathu ngemuva kokuhlinzwa. Udokotela wakho ohlinzayo uzokutshela ukuthi ungaqala nini ukwelashwa ngokomzimba.

Ungakwazi yini ukuhamba nokulimala kweLisfranc?

Ungase ukwazi ukuhamba nokulimala kweLisfranc. Kodwa-ke, uma unezinhlungu noma ezinye izimpawu, ungasebenzisi umlenze wakho ngenkani . Ukwenza kanjalo kungenza ngisho nokulimala okuncane kube kubi kakhulu futhi kudinge ukuhlinzwa.

Ungase ukwazi ukuhamba ugqoke isicathulo noma i-cast ekhethekile, kodwa gwema ukugijima, ukugxuma, noma ukuzivocavoca okunzima. Buza udokotela wakho ukuthi yini okufanele uyigweme ngenkathi welapheka.

Umlayezo Wokuya Nawe Ekhaya

Ukulimala eLisfranc kungabangelwa yinto encane njengokuwa ngokuzumayo ezitebhisini, noma kungabangelwa yinto enkulu njengengozi yemoto. Kungakhathaliseki ukuthi imbangela iyini, uma unobuhlungu obungavamile, ukuvuvukala, noma ukuphuka emlenzeni wakho, kubalulekile ukubona udokotela ngokushesha okukhulu.

Ukulimala kungase kungabi kubi kakhulu. Kodwa-ke, ukulimala kwe-Lisfranc, ikakhulukazi ukwaphuka, kungabangela izinkinga ezinkulu kamuva uma kungelashwa ngokushesha. Ngakho-ke, kuwukuhlakanipha ukufuna iseluleko sezokwelapha kunokumane ucabange ukuthi "kuzophela."

Imilenze yakho iyigugu kakhulu kuwe. Kungumthwalo wakho ukuyinakekela!

Ukulimala kweLisfranc , ubuhlungu bomlenze, izinkinga zonyawo, ithambo le-metatarsal, ukuklwebheka konyawo, ukuphuka konyawo, ukuhlukana kwamalunga