Uphuke ithambo elingaphezu kwesithende sakho? Ake sixoxe ngale Talus Fracture!

Wake wasonta umlenze wakho ngokuzumayo, iqakala lakho livuvukele futhi libuhlungu, futhi awukwazi ngisho nokuhamba? Uma kunjalo, kungenzeka ukuthi uphuke i-talus, ithambo elibalulekile eqakaleni lakho. Namuhla, sizoxoxa ngokuthi kuyini ukuphuka kwe-talus, ukuthi kwenzeka kanjani, nokuthi yini engenziwa ngakho.

Iyini iTalus Bone? Ibaluleke kangakanani?

Kalula nje, i-talus yakho iyithambo elincane kodwa elibaluleke kakhulu onyaweni lwakho elixhumanisa iqakala lakho nomlenze wakho. Cabanga ngakho, amathambo amabili amade emlenzeni wakho ongezansi (i-tibia kanye ne-fibula) ayahlangana ukuze akhe i-ankle joint yakho. Leli lunga yilona elikuvumela ukuthi uhambise unyawo lwakho phezulu naphansi.

Futhi, ithambo le-talus lihlala ngaphezu kwethambo lesithende sakho (i-calcaneus). Lawa mathambo amabili ayahlangana ukuze akhe ijoyinti elibizwa ngokuthi ijoyinti elingaphansi. Leli joyinti yilokho okukuvumela ukuthi uhambise unyawo lwakho kusukela kolunye uhlangothi kuya kolunye, ngaphakathi nangaphandle.

Ithambo le-talus lenza enye into ebalulekile. Okusho ukuthi, lisiza ekudluliseleni isisindo somzimba wakho onyaweni ngokusebenzisa iqakala. Leli thambo limbozwe kakhulu yizicubu ezibushelelezi nezishelelayo ezibizwa ngokuthi i-cartilage . Leli thambo yilona elivumela amathambo ukuthi ahambe kahle ngaphandle kokugudlana. Ngakho-ke, cishe ungabona ukuthi ithambo le-talus libaluleke kangakanani ekunyakazeni nasekuzinzeni kweqakala. Yingakho uma ithambo le-talus liphuka, linganciphisa kakhulu ukunyakaza kwakho futhi lenze kube nzima ukwenza imisebenzi yansuku zonke.

Yiziphi izinhlobo ze-Talus Fractures?

Ithambo le-talus lingaphuka ezindaweni ezahlukene nangezindlela ezahlukene. Ake sibheke ezinye zezinhlobo eziyinhloko:

• Intamo Yokuphuka Kwe-Talus: Lolu uhlobo oluvame kakhulu lokuphuka kwe-talus. "Intamo" ye-talus iphakathi nethambo. Ngokukhethekile, intamo yindawo encane phakathi "komzimba" we-talus - ingxenye eseduze kweqakala, ngaphansi kwe-tibia - kanye "nekhanda" - ingxenye ephansi komlenze.
• Ukuphuka kwenqubo eseceleni: Inqubo eseceleni yingxenye ephumayo yethambo le-talus. Lokhu kuphuka kuvame ukwenzeka lapho iqakala liphenduka ngokuzumayo futhi ngokushesha ngaphandle. Ngezinye izikhathi kubizwa ngokuthi "ukuphuka kwebhodi leqhwa" ngoba kuvamile phakathi kwabagibela ibhodi leqhwa.
• Ukuphuka kwe-Avulsion: Lokhu kwenzeka lapho i-ligament (njengebhande elixhumanisa amathambo ndawonye) noma i-tendon (njengebhande elixhumanisa umsipha nethambo) enamathele ethanjeni le-talus idonswa ngokuzumayo, okubangela ukuba ingxenye encane yethambo le-talus isuke endaweni yokunamathela.
• Ukuqhekeka kokucindezeleka: Lokhu kuyizimfa ezincane kakhulu ethanjeni le-talus. Ngokuvamile kwenzeka ngenxa yokusetshenziswa ngokweqile kwethanjeni le-talus noma ukucindezeleka okuphindaphindiwe ethanjeni. Isibonelo, lokhu kungenzeka kubagijimi bamabanga amade.

Ukuqhekeka kwe-talus kuhlukaniswa kanjani?

Odokotela bahlukanisa lokhu kuphuka kwamathambo ngokusekelwe ekutheni izingcezu zamathambo eziphukile zisuswa kude kangakanani endaweni yazo evamile.

• Ukuphuka okuncane noma okuzinzile: Lapha, yize ithambo le-talus liphukile, izingcezu zamathambo azikasuki kakhulu endaweni yazo yokuqala. Zisemgqeni cishe ngokuphelele.
• Ukuphuka okulahlekile: Kulokhu, ithambo liphukile futhi izingcezu zisukile endaweni yazo evamile .
• Ukuphuka okuvulekile noma okuhlanganisiwe: Lesi yisimo esibi kakhulu. Lapha, ithambo eliphukile liphuka esikhumbeni bese liphuma. Kulesi simo, kunethuba elikhulu lokulimala emisipheni ezungezile, imisipha, kanye nemisipha. Futhi, amagciwane angangena futhi abangele izifo.

Ziyini izimpawu zethambo le-talus eliphukile?

Manje, yiziphi izimpawu uma uphuke i-talus kanje? Into eyinhloko ubuhlungu obukhulu beqakala nokuvuvukala. Ake sithi, ake sithi uwela ngokuzumayo usuka endaweni ephakeme, noma ube nengozi yebhayisikili. Bese uba nobuhlungu obungabekezeleleki endaweni yeqakala, futhi umlenze wakho uyavuvukala.

Yini enye engenzeka?

• Kuba nzima ukuhamba. Ungase ungakwazi ngisho nokubeka unyawo lwakho phansi.
• Angikwazi ukukala umlenze wami.
• Kungase kube nokulunywa.
• Uma uyithinta ngesandla sakho , uzizwa uthambile.
• Abanye abantu bangase babe nezinto ezifana nama-blister aqhekekile . Uma ubona lokhu, ungakhathazeki, kodwa kungcono ukubona udokotela ngokushesha.

Into ebaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha uma uhlangabezana nalezi zimpawu.

Kwenzeka kanjani lokhu kuphuka kwe-talus?

Lokhu kuphuka kwe-talus kuvame ukwenzeka ngenxa yokulimala okunamandla amakhulu .

• Izingozi zezimoto, izingozi zesithuthuthu.
• Ukuwa kusuka phezulu kakhulu. Cabanga ngakho njengomuntu owela esihlahleni, noma esakhiweni eside.
• Lokhu kungenzeka futhi ngesikhathi semidlalo (ukulimala kwezemidlalo) . Njengoba kushiwo ngaphambili, lokhu kuvame kakhulu phakathi kwabagibela ibhodi leqhwa.
• Ngezinye izikhathi, ukusonta iqakala lakho njeKodwa-ke, izingcezu ezincane zingaphuka emaphethelweni e-talus. Kodwa-ke, lezi ngokuvamile azibi kakhulu njengokuqhekeka okwenzeka ezingozini ezinkulu.

Odokotela bakuthola kanjani ukuphuka kwe-talus?

Uma ubona udokotela onokulimala okunje, bazoqala bahlole iqakala lakho nonyawo ngokucophelela. Bazobheka ukuvuvukala, ukuklwebheka, nanoma yikuphi ukusikeka noma amanxeba esikhumbeni. Ngaphezu kwalokho:

• Bazokucela ukuthi ushukumise iminwe yakho ukuze babone ukuthi kukhona yini ukulimala kwemizwa .
• Bazohlola ukushaya kwenhliziyo yakho futhi baqinisekise ukuthi igazi lakho lilungile .
• Bazohlola uketshezi olunqwabelene ngaphakathi kwemisipha yemilenze yakho. Lokhu kubizwa ngokuthi i-compartment syndrome . Lesi yisimo esiyingozi ngoba singabangela ukulahlekelwa umuzwa kanye nokusebenza emlenzeni wakho.
• Kuye ngohlobo lwengozi, kuzohlolwa nezinye izingozi.

Ngemuva kwalokho, udokotela cishe uzoyala ukuhlolwa kwezithombe okufana nalokhu:

• I-X-ray: Lokhu kungabonisa izinto eziningi, njengokuthi i-talus yakho iphukile yini, ukuthi izingcezu zamathambo zisezindaweni ezifanele yini, ukuthi zingaki izingcezu ezikhona, nokuthi ukuphuka kukuphi.
• I-CT Scan (I-Computed Tomography - I-CT scan): Ngezinye izikhathi i-X-ray iyodwa ingase ingakhombisi ububanzi bokuphuka. I-CT scan ingathatha izithombe ezinemininingwane zomlenze wakho. Lokhu kungaba usizo kakhulu ekuhloleni ngokunembile ubukhali bokulimala kanye nobunzima bokuphuka.

Iphathwa kanjani i-talus fracture?

Ukwelashwa kokuphuka kwe-talus kuyahlukahluka kuye ngohlobo lokuphuka kanye nobunzima bokulimala.

Okokuqala, kuzobekwa i-balt (isisekelo sesikhashana) emlenzeni wakho nasemaqakaleni ukuze ikuvimbele ukuthi ungayinyakazisi.

Uma-ke, uma ukwaphuka kuzinzile futhi izingcezu zamathambo ziqondene kahle, ukuhlinzwa kungase kungadingeki. Ezimweni ezinjalo, udokotela angase atuse okulandelayo:

• Ukuphotha: Kufakwa i-cast emlenzeni wakho nasemaqakaleni ukuze ibambe ndawonye kuze kube yilapho amathambo ephola. Le cast ivame ukugqokwa cishe amasonto ayi-6-8 . Phakathi nalesi sikhathi, kufanele uqaphele kakhulu ukuthi ungabeki umthwalo omkhulu emlenzeni wakho.
• Ukuvuselelwa: Ngemva kokususwa kwe-cast, uzonikezwa izivivinyo ezikhethekile zokukusiza ukuthi uthole amandla nokusebenza kahle emlenzeni naseqakaleni lakho. Lokhu kuzokwenziwa ngaphansi kokuqondisa kukadokotela we-physiotherapist.

Kodwa-ke, kunconywa ukuhlinzwa kweningi lama-fracture e-talus.Ngenxa yokuthi lokhu kulimala kuvame ukubangelwa ukulimala okukhulu, kunethuba elikhulu lokuthi izingcezu zamathambo zizosuswa. Uma izingcezu zamathambo zingasendaweni yazo, udokotela ohlinzayo wezinyawo neqakala uzokwenza ukuhlinzwa ukuze azibuyisele endaweni yazo.

• Ukunciphisa Okuvulekile Nokuqiniswa Kwangaphakathi (i-ORIF): Uma ithambo liphukile libe yizicucu eziningi, udokotela angenza inqubo ebizwa ngokuthi i-ORIF. Kule nqubo, udokotela ohlinzayo usika isikhumba, ahambise izingcezu zamathambo emuva ezindaweni zazo ezifanele, futhi asebenzise amapuleti ensimbi kanye/noma izikulufo ukuze abambe ithambo ndawonye kuze kube yilapho liphola.
• I-External fixator: Ngezinye izikhathi, ukuhlinzwa kwe-ORIF kungase kungenzeki ngokushesha ngenxa yokuvuvukala ngokweqile ngemva kokulimala. Ezimweni ezinjalo, udokotela angasebenzisa i-external fixator. Kulesi simo, udokotela ufaka amaphini amakhulu emathanjeni akho ngesikhumba bese ewaxhuma ngemigoqo ekhethekile ngaphandle ukuze abambe okwesikhashana izingcezu zamathambo endaweni yazo. Ngemva kokwehla kokuvuvukala, udokotela angazama futhi ukuhlinzwa kwe-ORIF.

Yiziphi izinkinga ezingaba khona uma zingelashwa noma zingelashwanga kahle?

Uma ukuphuka kwe-talus kungelashwa kahle, noma uma kungelapheki kahle, kungavela izinkinga . Lezi ngezinye izikhathi zingaba yizinkinga zesikhathi eside.

• I-arthritis yangemva kwenhlekelele: Njengoba sixoxile ngaphambili, ithambo le-talus limbozwe kakhulu yi-cartilage. Uma i-talus ilimele, i-cartilage elizungezile nalo liyalimala. Lapho ubuso balo cartilage bungalingani futhi buqinile, ukuguguleka kuqala ukwenzeka emalungeni. Ngokuhamba kwesikhathi, lokhu kungaholela ku-arthritis, okungabangela ubuhlungu obuqhubekayo nokuqina.
• I-Malunion: Lokhu kusho ukuthi ithambo eliphukile liphole ngendlela engafanele, endaweni engavamile . Uma lokhu kwenzeka, kungabangela izinkinga zesikhathi eside njengokushintsha kwesimo sonyawo, ubunzima bokuhamba, kanye nobuhlungu.
• Ukungahlanganisi: Lokhu kusho ukuthi ithambo eliphukile alipholanga kahle ngemva kwesikhathi eside, naphezu kokwelashwa . Uma lokhu kwenzeka, kungase kudingeke ukuhlinzwa okwengeziwe.
• I-Avascular necrosis noma i-osteonecrosis: Ukunikezwa kwegazi ku-talus kuyinkimbinkimbi kancane. Uma kwenzeka ukuphuka, ikakhulukazi endaweni yentamo, le mithambo yegazi ingonakala futhi ukunikezwa kwegazi emathanjeni kungancishiswa noma kuqedwe ngokuphelele.Uma lokhu kwenzeka, amangqamuzana amathambo ngeke athole umoya-mpilo nezakhamzimba futhi azoqala ukufa. Lokhu kubizwa ngokuthi i-avascular necrosis. Lokhu kwenza ithambo libe buthaka futhi ekugcineni lingawa. Lokhu futhi kuyinkinga enkulu kakhulu.

Injani inqubo yokuphulukiswa? Yini okufanele ngiyilindele?

Ngemva kokuhlinzwa, uzozwa ubuhlungu obuthile. Udokotela wakho uzokunikeza imithi yobuhlungu . Lokhu kungaba ama-opioid, izidakamizwa ezingezona eze-steroidal ezilwa nokuvuvukala (ama-NSAID), noma izibulala-zinhlungu zasendaweni.

Uma ithambo lakho le-talus selipholile, udokotela wakho uzokudlulisela ekwelashweni noma ekwelashweni ngokomzimba. Lokhu kubaluleke kakhulu. Lokhu kuzivocavoca kuzokusiza ukuthi uthole amandla okunyakaza, ukuzinza, kanye namandla eqakaleni lakho.

Uma uqala ukuhamba futhi, kungadingeka ugqoke ibhuzu elikhethekile noma usebenzise induku ekuqaleni. Ngeke ukwazi ukufaka isisindo esiphelele emlenzeni wakho ngokushesha. Kungathatha izinyanga eziningana.

Udokotela uzothatha ama-X-ray ngezikhathi ezithile ukuze ahlole ukuthi ithambo lipholile kahle yini nokuthi amapuleti anamathele akhona yini.

Iyini isibikezelo sesikhathi eside sokuphuka kwe-talus?

Kungakhathaliseki ukuthi uhlinzwa noma cha, umlenze wakho uzoba ne-cast noma i-splint. Phakathi naleso sikhathi, ngeke ukwazi ukuyifaka isisindo noma ukuhamba ngayo. Kuye ngobukhulu bokulimala kwakho, kungase kudingeke ukuthi ugqoke i-cast amasonto angu-8 kuya kwangu-12, noma ngaphezulu .

Uma ukulimala kukubi kakhulu, ukhonkolo uzoba mude kakhulu. Ngisho nangemva kokuba ithambo selipholile, abanye abantu bangase baqhubeke nobuhlungu, ukuqina, nokuvuvukala eqakaleni . Kodwa-ke, ngokwelashwa okufanele kanye nokuzivocavoca kokuvuselelwa, abantu abaningi bangabuyela emisebenzini yabo evamile uma udokotela wabo ebavumela.

Ngizokwazi nini ukubuyela emsebenzini?

Lokhu kuzohluka kuye ngokuthi ukulimala kwakho kungakanani kanye nohlobo lomsebenzi wakho. Ngokuvamile, ngeke ukwazi ukubuyela emsebenzini okungenani amasonto amabili . Uma usebenza ngezinyawo usuku lonke (isib., umsizi wasesitolo, uthisha), ungase ungakwazi ukubuyela emsebenzini ngokugcwele kuze kube unyaka .

Ungakwazi yini ukuhamba phezu kwethambo le-talus eliphukile?

Lokhu kuncike ohlotsheni lokuphuka kwe-talus onakho. Ukuphuka kwe-talus kuvame ukuba ukulimala okukhulu. Kungabangela ukulahlekelwa okukhulu kokunyakaza nokusebenza emalungeni eqakala nezinyawo. Lokhu kungathinta ikhono lakho lokuhamba kanye nekhono lakho lokuthwala isisindo onyaweni lwakho. Ngakho-ke, ungalokothi uzame ukuhamba ngomlenze ophukile ngaphandle kweseluleko sikadokotela.

Kuthatha isikhathi esingakanani ukuthi ukuphuka kwe-talus kuphole?

Kuye ngokuthi ingozi iyinkimbinkimbi kangakanani, ungase ube nezinyanga ezintathu noma ngaphezulu.Kungase kudingeke ukuthi ufake i-cast. Ubuhlungu, ukuvuvukala, nokuqina kungase kuqhubeke ngisho nangemva kokuba i-cast isisusiwe. Kungathatha isikhathi eside ukuphola ngokugcwele nokubuyela esimweni esijwayelekile.

Ubuhlungu bokuphuka kwe-talus buzwakala kanjani?

Ukuphuka kwe-talus kuwukulimala okubangela umonakalo omkhulu. Labo abake babhekana nakho bathi kubuhlungu kakhulu .

Ulilungisa kanjani ithambo le-talus eliphukile?

Amanye ama-fracture amancane e-talus angelashwa nge-cast bese kuba yizivivinyo zokuvuselela. Kodwa-ke, ama-fracture amaningi e-talus adinga ukuhlinzwa ukuze kulungiswe izingcezu zamathambo.

Ukuphuka kwe-talus ukulimala okubuhlungu okuvame ukwenzeka ngenxa yesigameko esithinta kakhulu, njengengozi yemoto noma ukuwa kusuka ekuphakameni. Uma uphukile i-talus, kufanele ubone udokotela ngokushesha. Lokhu kuvame ukudinga ukuhlinzwa. Kuye ngobukhulu bokulimala, kungadingeka ukuthi ufake i-cast kusukela emavikini amabili (uma uphukile kancane) kuya emavikini ayi-12 noma ngaphezulu. Nakuba ukuphuka kwe-talus kungaba buhlungu, ukwelashwa okufanele kungasiza inqubo yokuphulukiswa futhi kukubuyisele empilweni yakho evamile ngokushesha okukhulu.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke, kusukela kulokho esikhulume ngakho, lezi yizinto eziyinhloko okudingeka uzikhumbule:

• Ukuphuka kwe-talus kungaba ukulimala okukhulu , ngakho-ke uma unezimpawu , funa iseluleko sezokwelapha ngokushesha.
• Lokhu kuvame ukudinga ukuhlinzwa.
• Isikhathi sokuphulukiswa singathatha izinyanga eziningana , futhi kufanele uqaphele ukuthi ungabeki isisindo emlenzeni phakathi naleso sikhathi.
• Ukuzivocavoca kokuvuselelwa kuyingxenye ebalulekile yenqubo yokuphulukiswa. Kuphela uma kwenziwa kahle lapho ungaphinde usebenze ngokugcwele emlenzeni wakho.
• Uma ingelashwa, izinkinga ezinkulu ezifana ne -arthritis, i-malonion, noma i-avascular necrosis zingavela.
• Nakuba lokhu kungaba yinto enzima nebuhlungu, ngokwelashwa okufanele kanye nokuvuselelwa, abantu abaningi bangalulama kahle. Ngakho-ke, kubalulekile ukuhlala uqinile.

Uma uneminye imibuzo mayelana nalokhu, ungangabazi ukubuza udokotela wakho. Hlala uphilile!

I- Talus, ukwaphuka, iqakala, unyawo, ubuhlungu, ukuvuvukala, ukuhlinzwa, i-plaster, ukuvuselelwa