Ingabe uzwa ubuhlungu obukhulu phezulu komlenze wakho? Kungaba ukulimala kweLisfranc!

Ngezinye izikhathi, ngisho nesigameko esibonakala sincane singaba yinkinga enkulu, akunjalo? Cabanga ukuthi ubuhamba ngezitebhisi ngokwesaba waphuthelwa isinyathelo, noma ngokuzumayo wakhubeka wajika iqakala lakho ngenkathi udlala ikhilikithi nabangani bakho. Uma ingxenye ephezulu yomlenze wakho, okungukuthi, ingxenye esuka ebhulohweni iye ezinzwaneni, ibuhlungu kakhulu, ivuvukele, futhi mhlawumbe iluhlaza okwesibhakabhaka, ungase ube nesimo esibizwa ngokuthi iLisfranc Injury. Lokhu kuyinto okufanele uyiqaphele, ngoba uma ingelashwa kahle, ingabangela izinkinga kamuva. Ngakho ake sixoxe ngalokhu ngokuningiliziwe, akunjalo?

Kuyini ukulimala kweLisfranc?

Kalula nje, phezulu konyawo lwakho, lapho amathambo amade axhumanisa khona nezinzwane zakho (esiwabiza ngokuthi "amathambo e-metatarsal" ), ilunga elixhumanisa lawo mathambo namanye amathambo amancane (amathambo e-tarsal) phakathi konyawo lwakho libizwa ngokuthi ilunga le-Lisfranc . Lifana nebhuloho elincane. Noma yimuphi umonakalo kulelilunga – kungaba ukuphuka, ukuhlukana, noma ukudabuka noma ukucindezelwa kwemisipha (amabhande aqinile ahlanganisa amathambo) azungeze ilunga – kubhekwa njengokulimala kwe-Lisfranc.

Cabanga ngomgwaqo iKandy njengendawo enkulu yokuhlangana endleleni eya eColombo. Uma leyo ndawo yokuhlangana iphazamiseka, yonke ithrafikhi izophazamiseka, akunjalo? Ngendlela efanayo, le ndawo yokuhlangana iLisfranc ibaluleke kakhulu ekusebenzeni kahle kwezinyawo zethu. Uma le ndawo encane ingasebenzi kahle, ungase ungagcini nje ngokuba nobunzima bokuhamba, ukugijima, ukugxuma, kodwa futhi nokuma nje.

Ingabe kunezinhlobo ezahlukene zalesi sifo?

Yebo, leli lunga leLisfranc lingahlukaniswa ngezinhlobo eziningana kuye ngokuthi lonakele kanjani. Okusho ukuthi, lolu hlobo lwesigaba lusekelwe ekutheni iyiphi ingxenye yelunga lakho elilimele nokuthi umonakalo wenzeke kanjani.

• Ukuhlukana kwe-Lisfranc: Lokhu kwenzeka lapho amathambo asemajoyintini eshintsha esuka endaweni eyodwa aye kwenye, njengokungathi amasethi amabili emizila yesitimela ayashintsha.
• Ukuphuka kweLisfranc: Lolu uhlobo oluthile lonyawo oluphukile. Ithambo elilodwa noma ngaphezulu esihlanganisi seLisfranc lingaphuka. Ngezinye izikhathi, lingaphuka libe yizicucu ezincane.
• Ukuqhekeka kwe-Lisfranc / Ukudabuka kwe-Ligament: Lokhu kwenzeka lapho imisipha ezungeze ilunga inwebeka kakhulu, noma idabuke kancane noma ngokuphelele. Kufana nebhande lerabha eliqhekeka uma ulidonsa kakhulu.

Ngezinye izikhathi olunye noma ngaphezulu lwalolu hlobo lungenzeka ndawonye. Isibonelo, ukuphuka kungase kuhambisane nokudabuka kwemisipha.

Ziyini izimpawu zalokhu? Kuzwakala kanjani uma kwenzeka?

Uma une-Lisfranc Injury, izimpawu zivame ukuvela phezulu konyawo lwakho, eduze nalapho ubopha khona izintambo zakho zezicathulo. Hlola ukuthi unazo yini lezi:

• Ukuphuka nokuguquka kombala: Ingxenye ephezulu yomlenze ingaba luhlaza okwesibhakabhaka noma onsomi. Ikakhulukazi, abanye abantu bangase babone nokuphuka ematheni onyawo . Lokhu kuyisici sokulimala kwe-Lisfranc.
• Ubuhlungu obukhulu emlenzeni: Ubuhlungu bungaba nzima ukububekezelela, ikakhulukazi uma uzama ukuma, ukuhamba, noma ukuhambisa umlenze wakho. Abanye abantu bangase bezwe umuzwa wokugwazwa noma wokushisa ngisho nalapho bemi nje.
• Ukuvuvukala: Ingxenye ephezulu yomlenze, futhi ngezinye izikhathi lonke unyawo, kungavuvukala kakhulu, njengebhaluni eliqhunyiswayo.
• Ubunzima bokubeka isisindo onyaweni: Ukuma noma ukuhamba unyawo lwakho luphansi kungaba nzima kakhulu. Abanye abantu bangase bangakwazi nhlobo ukubeka unyawo lwabo phansi.

Uma unesinye noma ngaphezulu salezi zimpawu, ungamane nje ungazinaki njengento elula, kulungile?

Kungani lokhu kwenzeka? Yiziphi izizathu zalokhu?

Ukulimala kweLisfranc kuvame ukubangelwa izingozi. Kalula nje, lapho ingxenye engaphambili yonyawo (uhlangothi lwezinzwane) icindezelwa phansi, uma uhlangothi lwesithende lujika noma luphenduka ngokuzumayo, leli lunga leLisfranc lingalimaza.

• Ukuwa Nokushelela: Lokhu kungenzeka ngezinto ezifana nokuwa phansi ezitebhisini, ukushelela kokuthile okufana namafutha, ukuwela emgodini, njll. Ngezinye izikhathi, noma ngabe ukhubeka kancane ngenkathi uphuma eceleni komgwaqo, lokhu kungenzeka.
• Ukulimala kwezemidlalo: Leli lunga lingalimala uma lishintsha indlela ngokuzumayo, ligxuma, noma lishayisana nomunye umuntu, ikakhulukazi emidlalweni efana nebhola likanobhutshuzwayo, i-rugby, kanye ne-basketball. Abanye abadlali banamathuba amaningi okuthi umzimba wabo ongaphezulu ujijeke uma ama-cleats abo ebhajwa phansi.
• Ukulimala okuqondile: Izinto ezifana nokuthi into esindayo iwele emlenzeni (isib. isitini, ibhokisi elisindayo), ukubhajwa komlenze engozini yemoto, noma ukuwa usuka endaweni ephakeme (isib., usuka esitebhisini) nakho kungabangela umonakalo omkhulu kuleli lunga.

Cabanga nje, uNilanthi Akka wayehla ezitebhisini ekhaya futhi wajika umlenze wakhe ngemuva kokuphutha isinyathelo sokugcina. Wayecabanga ukuthi kwakuwukuklwebheka nje. Kodwa ngisho nangemva kwezinsuku ezimbili noma ezintathu, ubuhlungu nokuvuvukala akuzange kuphele. Kwakungemva kokuba ekutshengise udokotela kuphela lapho athola khona ukuthi kwakuyi-Lisfranc Injury.

Ubani onamathuba amaningi okuba nalesi sifo? Yiziphi izinto ezibangela ingozi?

Noma ubani, kungakhathaliseki ubudala, angathola ukulimala kwe-Lisfranc. Kodwa-ke, abanye abantu basengozini enkulu kancane.

• Abantu abanezimo ezilimaza izinyawo noma ezinciphisa ukuzwa ezinyaweni:Le ngozi iphezulu kakhulu kubantu abanesifo sikashukela (`(Diabetes Mellitus)`). Ngoba isifo sikashukela singanciphisa imizwa ezinyaweni (`(diabetes-related neuropathy)`). Khona-ke umuzwa ezinyaweni uyancipha. Ngisho nesilonda esincane asikwazi ukuzwakala kahle, ngakho singakhula futhi sikhule sibe yisifo esinjengalesi. Futhi, isifo sikashukela singabangela ukwehla kwegazi ezinyaweni (`izimo zezinyawo ezihlobene nesifo sikashukela`).
• Abantu abenza umsebenzi onzima ngokomzimba: Abantu abasebenza embonini yokwakha, abaphakamisa izinsimbi, kanye nalabo abama usuku lonke basengozini.
• Abantu abadlala imidlalo yokuncintisana noma abaxhumana nabo: Njengoba kushiwo ngaphambili, lokhu kuvame ukubonakala kubadlali bebhola lombhoxo kanye ne-rugby.
• Abanye abantu kuthiwa basengozini enkulu kancane uma bezalwa benonyawo olugobile.

Kuzokwenzekani uma lokhu kungelashwa kahle? Ingabe izinkinga ziyingozi?

Lokhu kuyinto okudingeka siyinake kakhulu. Ukulimala kwe-Lisfranc, uma kungelashwa kahle futhi ngokushesha, kungaholela ezinkingeni ezinkulu kamuva. Ungacabangi nje ukuthi, "Kumane nje kuyisilonda, kuzophola ngokwako."

Khumbula: Ukulimala kwe-Lisfranc, ikakhulukazi okuphukile, kungabangela ubuhlungu besikhathi eside kanye nokulahlekelwa ukusebenza kahle konyawo uma kungelashwa kahle.

Izinkinga eziyinhloko ezingaba khona yilezi:

• I-Arthritis: Uma ingxenye ethambile yelunga elithintekile ebizwa ngokuthi i-cartilage yonakele, ngokuhamba kwesikhathi, i-arthritis ingakhula. Ilunga liyavuvukala, liqine, futhi libe buhlungu.
• Ubuhlungu obungapheli: Ngisho noma lesi simo kucatshangwa ukuthi "seselaphekile," abanye abantu bangase baqhubeke nobuhlungu. Lobuhlungu bungenzeka ngenkathi uhamba noma usebenza.
• Ama-arches adilikile kanye nokunye ukukhubazeka kwezinyawo: Ijoyinti leLisfranc lisiza ekugcineni i-arches yonyawo. Uma leli joyinti lonakele, ngokuhamba kwesikhathi i-arches yonyawo ingawa futhi unyawo lungaba yisicaba. Isimo sonyawo singashintsha futhi.
• I-Compartment Syndrome: Lesi yisimo esingavamile kodwa esibucayi. Ingcindezi ngaphakathi kwezicubu zomlenze inganda, inqamule ukuhlinzekwa kwegazi. Lokhu kudinga ukwelashwa okusheshayo.

Udokotela ukuxilonga kanjani lokhu? Yiziphi izivivinyo abazenzayo?

Uma uya kudokotela ozwa ubuhlungu emilenzeni, into yokuqala azoyibuza ukuthi kwenzeke kanjani, ukuthi ubuwenzani lapho kuqala ubuhlungu, nokuthi uzizwa kanjani manje. Kubaluleke kakhulu ukuthi umtshele ngqo ukuthi kwenzekeni.

Udokotela uzohlola umlenze wakho ngokucophelela.

• Hlola ukuvuvukala kanye nokuklwebheka.
• Bathinta izingxenye ezahlukene zonyawo, bezama ukuthola indawo eqondile yobuhlungu.
• Ukuqina konyawo kuyahlolwa. Ngezinye izikhathi udokotela uzokuthinta kancane unyawo lwakho ukuze abone ukuthi amathambo ayanyakaza noma kukhona yini ukunyakaza okungajwayelekile.

Ngemva kokuhlolwa ngokomzimba, ukuhlolwa okukodwa noma ngaphezulu kwezithombe, njengalokhu, kungenziwa ukuqinisekisa ukuthi yini ngempela engalungile:

• I-X-ray yonyawo: Lena yinto yokuqala okufanele uyibheke. Ingahlola amathambo aphukile, amalunga aphuke, noma izinguquko phakathi kwamathambo. Ngezinye izikhathi, udokotela wakho angase akucele ukuthi ume nesisindo onyaweni lwakho (i-X-ray ethwala isisindo). Amanye amanxeba aseLisfranc awabonakali ku-X-ray ngaphandle kwesisindo onyaweni.
• Iskena se-MRI (Magnetic Resonance Imaging): Lokhu kungabona ngokucacile umonakalo wemisipha, i-cartilage, kanye nezicubu ezithambile. Kungabona futhi ukuphuka kwamathambo amancane okungabonakali ku-X-ray.
• Iskeni se-CT (Computed Tomography): Lokhu kusiza ukubona umonakalo emathanjeni, nokuthi amathambo aphuka kanjani (ikakhulukazi uma ephukile abe yizicucu eziningi), ngendlela ecacile, enezinhlangothi ezintathu (3D). Lokhu kuvame ukwenziwa ngaphambi kokuhlinzwa.

Iphathwa kanjani? Yini engenziwa?

Kunezindlela eziningana zokwelapha ukulimala kwe-Lisfranc. Udokotela wakho uzonquma ukuthi yikuphi ukwelashwa okufanele wena ngokusekelwe ebunzimeni bokulimala, ukuthi amathambo asuswe kangakanani, kanye nomonakalo wemisipha.

• Faka iqhwa bese uphakamisa umlenze (IRAYISI - Ukuphumula, Iqhwa, Ukucindezela, Ukuphakama): Lena yinto yokuqala okufanele uyenze.
• Phumula: Phumula umlenze wakho. Nciphisa ukuhamba nokuma ngangokunokwenzeka.
• Iqhwa: Zama ukugcina umlenze wakho uphakeme ngaphezu kwenhliziyo yakho ngangokunokwenzeka. Ungawugcina uphakeme ngemicamelo. Songa iphakethe leqhwa ngendwangu encane bese ulifaka endaweni elimele cishe imizuzu eyi-15-20. Yenza lokhu izikhathi eziningana ngosuku. Ungafaki iqhwa ngqo esikhumbeni, ngoba lingashisa isikhumba.
• Ukucindezela: Udokotela angase ancome ukufaka ibhandishi elinwebekayo ukulawula ukuvuvukala.
• Ukuphakama: Gcina imilenze yakho iphakeme ngaphezu kwezinga lenhliziyo yakho ngemicamelo. Lokhu kuzonciphisa ukuvuvukala.

• Ukungasebenzi kahle komlenze:
• Uma ukulimala kungekubi kakhulu, okusho ukuthi ithambo alikude kakhulu endaweni yalo, udokotela wakho angase afake ibhuzu noma i-cast emlenzeni wakho. Lokhu kuzohlala cishe amasonto ayi-6 kuya kwayi-8. Akuyona into enhle ukufaka noma yisiphi isisindo emlenzeni wakho phakathi nalesi sikhathi. Kuzodingeka usebenzise izinduku zokuhamba ukuze uhambe. Lokhu kuzosiza ekunciphiseni isisindo emlenzeni wakho, kugcine ilunga lisendaweni yalo, futhi kukuvimbele ekubekeni isisindo esiningi emlenzeni wakho.

• Ukuhlinzwa kweLisfranc:
• Ukulimala okuningi kweLisfranc, ikakhulukazi uma amathambo esusiwe noma ilunga lingazinzile, kudinga ukuhlinzwa. Udokotela ohlinzayo uzolungisa ilunga lakho leLisfranc, abuyisele amathambo endaweni yawo, bese efaka izinto ezifana namapuleti nezikulufo onyaweni lwakho ukuze azibambe endaweni yazo.
• Ngemva kokuhlinzwa, kuzodingeka ungathwali isisindo cishe inyanga eyodwa noma ezimbili. Ngemva kwalokho, kungase kudingeke ugqoke ibhuzu noma i-cast izinyanga ezimbalwa.
• Uma ilunga selipholile kahle, ngokuvamile ngemva kwezinyanga ezingu-4-6, udokotela angase enze olunye ukuhlinzwa okuncane ukuze asuse amaphini kanye nezinsimbi ezifakiwe. Akuwona wonke umuntu osusiwe lokhu, kukuye udokotela ukuthi anqume.

• Ama-Painkillers: Udokotela wakho angase akunike ama-painkillers ukusiza ekunciphiseni ubuhlungu nokuvuvukala. Ungasebenzisa imithi engeyona i-steroidal anti-inflammatory (NSAIDs) etholakala ngaphandle kwemithi kadokotela (isb., i-ibuprofen, i-diclofenac) noma i-acetaminophen (isb., i-acetaminophen). Kodwa-ke, hlola nodokotela wakho ngaphambi kokuthatha lokhu izinsuku ezingaphezu kweziyi-10. Udokotela wakho angase akunike nama-painkillers anamandla. Udokotela wakho uzokutshela ukuthi kufanele uwathathe kangaki nokuthi kufanele uwathathe kangaki.

Kuthatha isikhathi esingakanani ukululama?

Kungathatha izinyanga eziningana, noma ngisho nonyaka, ukuthi ukulimala kwe-Lisfranc kuphole ngokuphelele nokuthi ukwazi ukubuyela emisebenzini evamile kanye nemidlalo. Lokhu kuyahlukahluka kuye ngomuntu nomuntu. Kuncike ezintweni eziningi, okuhlanganisa ukuthi hlobo luni lokulimala onalo, ukuthi lukhulu kangakanani, ukuthi uhlinzwe yini, ubudala bakho, kanye nempilo yakho iyonke.

Into ebaluleke kakhulu ukuthi umzimba womuntu wonke uphulukiswa ngesivinini esihlukile. Ngakho-ke khuluma nodokotela wakho mayelana nesimiso sakho sokwelashwa kanye nenqubo yokululama. Phumula, thatha imithi yakho, bese uvivinya umzimba njengoba udokotela wakho ekutshelile.

• Ukwelashwa Okungahlinzwa: Umlenze uvame ukungasebenzi (ufakwe ebhuthini/esitsheni) cishe amasonto ayi-6 kuya kwayi-8. Ngemva kwalokho, kuzodingeka wenze ukwelashwa ngokomzimba (PT) . Udokotela wezokwelapha ngokomzimba uzokusiza ukuthi kancane kancane uthole amandla, ukulinganisela, kanye nokunyakaza emalungeni akho emilenze.
• Ukuhlinzwa kweLisfranc: Kuzodingeka ugqoke ibhuzu noma i-cast cishe izinyanga ezi-3 kuya kwezi-4 ngemuva kokuhlinzwa. Udokotela wakho uzokutshela ukuthi ungaqala nini ukufaka isisindo emlenzeni wakho nokuthi ungaqala nini ukwelashwa ngokomzimba (PT). I-PT iyingxenye ebaluleke kakhulu yalokhu.

Ungakwazi yini ukuhamba nokulimala kweLisfranc?

Ungase ukwazi ukuhamba kancane ngenkathi ulimele eLisfranc, ikakhulukazi uma ukulimala kungekubi kakhulu. Kodwa-ke, uma unezinhlungu noma ezinye izimpawu, ungasebenzisi umlenze wakho ngenkani.Uma uqhubeka nokusebenzisa umlenze wakho kanjalo, kunethuba elikhulu lokuthi ngisho nokulimala okuncane kuzoba kubi kakhulu futhi kudingeke ukuhlinzwa. Kubalulekile ukubekezela kuze kube yilapho uphola kahle.

Ngesikhathi ugqoke ibhuzu noma i-cast, ungase ukwazi ukuhamba njengoba udokotela wakho ekutshelile (mhlawumbe ngezinduku zokusibekela). Kodwa-ke, imisebenzi enzima yomzimba njengokugijima, ukugxuma, nokuphakamisa izinsimbi kufanele igwenywe. Buza udokotela wakho noma uchwepheshe wezokwelapha ukuthi yimiphi imisebenzi okufanele uyigweme nokuthi yini ongayenza uze uphile kahle.

Kufanele ngimbone nini udokotela?

Uma unezimpawu zokulimala kwe-Lisfranc (njengobuhlungu nokuvuvukala okukhulunywe ngakho ngenhla) futhi zingathuthuki ngemva kwezinsuku ezimbalwa zokuphumula neqhwa, kufanele nakanjani ubone udokotela ngokushesha okukhulu. Ikakhulukazi uma:

• Uma ungakwazi ukuma imilenze yakho isinda.
• Uma ungakwazi ukuhamba kahle.
• Uma isimo sonyawo sibonakala sishintshile.
• Uma kukhona ukuphuka enyaweni.

Uma izimpawu zibuya noma ziba zimbi kakhulu ngemva kokungasebenzi kahle noma ukuhlinzwa, uma uba nomkhuhlane, noma uma kukhona ubomvu obuvela esilondeni, tshela udokotela wakho ngokushesha.

Umyalezo obaluleke kakhulu okufanele uwuthathe uye ekhaya!

Cabanga ngakho, mhlawumbe usanda kugoqa umlenze wakho phansi ezitebhisini, noma mhlawumbe ulimele engozini enkulu njengengozi yemoto. Kungakhathaliseki ukuthi imbangela iyini, uma unobuhlungu obungavamile, ukuvuvukala, noma ukuphuka emlenzeni wakho, kungcono ukubona udokotela ngokushesha okukhulu kunokukubheka “njengokuklwebheka nje.”

Ukulimala eLisfranc, ikakhulukazi okune-Lisfranc franc fracture, kungaholela ezinkingeni ezinkulu (njengobuhlungu obungapheli kanye nesifo samathambo) ezingathinta impilo yakho kamuva uma kungelashwa ngokushesha.

Ngakho-ke, uma unenkinga ngezinyawo zakho, yinakekele. Ukufuna iseluleko sezokwelapha ngokushesha kuzokusiza ukuthi ululame ngokushesha futhi kuvimbele izinkinga zesikhathi esizayo. Izinyawo zakho zibaluleke kakhulu kuwe, ngakho-ke zinakekele!

Ukulimala kweLisfranc , ubuhlungu bezinyawo, ukuphazamiseka kwemilenze, ukukhumuka kwamalunga, ukuphuka kwethambo, ukuvuvukala kwezinyawo