Cabanga ukuthi uvele wagingqa iqakala lakho ngesikhathi wehla ezitebhisini, udlala ezemidlalo, noma uhamba emgwaqweni. Ngaleso sikhathi, uzizwe ubuhlungu obungabekezeleleki futhi awukwazi ngisho nokubeka unyawo lwakho phansi. Into engathi sína kakhulu engenzeka ngesikhathi esinjengalesi ukuphuka kweqakala. Kodwa-ke, i-'Trimalleolar Fracture' iyinkimbinkimbi kakhulu futhi idinga ukunakwa okwengeziwe. Ngakho-ke namuhla, ake sixoxe ngalokhu kalula, ngendlela ongayiqonda.
Kalula nje, kuyini lokhu kuqhekeka kwe-Trimalleolar?
Leli gama lingase lizwakale liyinkimbinkimbi kancane, kodwa incazelo ilula impela. I-Trimalleolar isho ukuthi 'ezintathu'. Lokhu kusho ukuthi wonke amathambo amathathu ayinhloko akha iqakala lakho ayaphuka ngesikhathi esisodwa.
Amaqakala ethu akhiwa ukuhlangana kwemikhawulo yamathambo amabili emlenzeni ongezansi. Ake sibheke ukuthi ayini.
- I-Tibia: Leli yithambo elikhulu neliqinile emlenzeni wakho ongezansi. Esinqeni salo esingezansi, linezingxenye ezimbili ezakha iqakala.
- I-Medial Malleolus: Lesi yiqhubu elinobuthi ongalizwa ngaphakathi kweqakala lakho.
- I-Posterior Malleolus: Lena yingxenye etholakala ngemuva kwethambo leqakala.
- I-Fibula: Leli yithambo elincane elihamba ngokulingana ne-fibula, ohlangothini oluseceleni.
- I-Lateral Malleolus: Lesi yiqhubu elingaphandle kweqakala lakho ongalibamba ngesandla sakho.
Ngakho-ke, ku-'Trimalleolar Fracture', zonke lezi zingxenye ezintathu - i-medial malleolus, i-lateral malleolus, kanye ne-posterior malleolus - ziphukile. Kufana nohlaka olusekela ukuphuka komlenze kuzo zonke izinhlangothi ezintathu ngesikhathi esisodwa.
Ingabe lokhu ukulimala okukhulu?
Yebo, empeleni lokhu ukulimala okubi kakhulu nokuyinkimbinkimbi kunokukhubeka kweqakala nje. Kodwa ungakhathazeki, uma kwelashwa kahle, kungalapheka ngokuphelele. Kunezizathu eziningana zokuthi kungani lokhu kungaba kubi kakhulu:
- Kungadingeka ukuhlinzwa: Ngokuvamile, ukuhlinzwa kuyadingeka ukulungisa lolu hlobo lokuphuka.
- Isikhathi sokuphulukiswa: Ngenxa yokuthi wonke amathambo amathathu adinga ukuphola, ungase ungakwazi ukubeka unyawo lwakho phansi izinyanga eziningana. Lokhu kusho ukuthi kuzoba nzima ukwenza imisebenzi yansuku zonke, ukuya emsebenzini, nokushayela.
- Ukulimala kwezicubu ezizungezile: Uma ithambo liphuka, imisipha ezungezile kanye nemisipha nakho kungalimaza, okungandisa isikhathi sokuphulukiswa.
- Ingozi yokuba nesifo samathambo: Kunethuba elikhulu lokuba nesifo samathambo kulelo lunga leqakala esikhathini esizayo.
- Ukuxhuga: Ngisho nangemva kokululama ngokuphelele, abanye abantu bangase babe nokuxhuga okuncane lapho behamba isikhashana.
Yini ebangela lolu hlobo lokuhlukana?
Kunezizathu eziningana eziyinhloko zalesi simo. Ake sibheke ukuthi ziyini.
| Isizathu | Incazelo |
|---|---|
| Ukuwa | Kungaba ngenxa yokukhubeka, ukushelela, noma ukuwa usuka endaweni ephakeme. |
| Izingozi zezimoto | Ukulimala okukhulu eqakaleni ngesikhathi sezingozi zemoto noma zesithuthuthu. |
| Izingozi zezemidlalo | Ngesikhathi sokushintsha okungazelelwe kwendlela noma ukuwa kwezemidlalo ezifana nebhola, i-rugby, kanye ne-basketball. |
| Ukugingqika kweqakala | Ngokungazelelwe ukugoba noma ukusonta iqakala ngaphakathi noma ngaphandle. |
Uyini umehluko phakathi kokuqhekeka kwe-Trimalleolar kanye ne-Bimalleolar?
Kungenzeka ukuthi uke wezwa nangokuthi 'i-Bimalleolar Fracture'. Umehluko phakathi kwalokhu okubili ulula.
- Ukuphuka kwe-Bimalleolar: Kulokhu, amathambo amabili kuphela ohlangothini ngalunye lweqakala (i-'medial' kanye ne-'lateral malleolus') aphukile.
- Ukuphuka kwe-Trimalleolar: Kulesi simo, ngaphezu kwamathambo amabili, ingxenye engemuva yethambo leqakala (i-'posterior malleolus') nayo iphukile. Lokhu kusho ukuthi kunezimpaphe ezintathu.
Ziyini izimpawu?
Uma kwenzeka ukuhlukana okunje, uqala ukuzwa lezi zimpawu ngokushesha.
- Ubuhlungu obungazelelwe obungabekezeleleki.
- Ukungakwazi ukubeka unyawo phansi noma ukuhamba ngalowo mlenze.
- Ukuvuvukala endaweni yeqakala (mhlawumbe ukuvuvukala okukhulu).
- Ukubukeka okuluhlaza okwesibhakabhaka okunamabala azungeze iqakala.
- Ngezinye izikhathi ungabona ukuguquka kuze kube yilapho izingcezu zamathambo zibonakala khona.
Uma unalezi zimpawu, into engcono kakhulu ongayenza ukufuna iseluleko sezokwelapha ngokushesha, ngaphandle kokunyakaza umlenze wakho. Uma kungenzeka, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Udokotela ukwelapha kanjani lokhu?
Uma uya esibhedlela, udokotela uzoqala ngokukunikeza imithi yobuhlungu. Ngemuva kwalokho, uzothatha i-X-ray ukuqinisekisa ukuphuka kwenxeba nokubona ukuthi kuyingozi kangakanani. Ungase udinge ne-CT scan noma i-MRI scan ukuze uthole isithombe esicacile.
Ukwelashwa kwalolu hlobo lokuphuka kuvame ukudinga ukuhlinzwa. Le nqubo ibizwa ngokuthi i-Open Reduction Internal Fixation (ORIF).
Kuyini ukuhlinzwa kwe-ORIF?
Lokhu kusho:
1. Ukunciphisa Okuvulekile: Udokotela ohlinzayo usika isikhumba, aveze izingcezu zamathambo eziphukile, bese ezihlela kabusha ezindaweni zazo ezifanele.
2. Ukuqina Kwangaphakathi: Izingcezu zamathambo zibe seziqiniswa ngaphakathi kusetshenziswa amapuleti ensimbi, izikulufo, noma izintambo ukuze zivimbele ukuthi zingaphinde zinyakaze.
Ngemva kwalokhu kuhlinzwa, kuzodingeka ufake i-cast noma i-brace ekhethekile emlenzeni wakho kuze kube yilapho ithambo liphola.
Isikhathi sokululama nezinto okufanele uziqaphele
Lesi yisikhathi esinzima kakhulu kubantu abaningi, ngoba sidinga kokubili isineke nesikhathi.
Ngizokwazi nini ukuhamba ngemva kokuhlinzwa?
Ngokuvamile, udokotela wakho ngeke akuvumele ukuthi ubeke isisindo emlenzeni wakho olimele noma uwubeke phansi okungenani amasonto ayisithupha ngemva kokuhlinzwa. Lokhu kuyadingeka ukuze amathambo alulame. Ngemva kwalokho, ungaqala kancane kancane ukuhamba ngesisindo emlenzeni wakho ngosizo lodokotela wezokwelapha umzimba.
Ngizokwazi yini ukubuyela emsebenzini?
Lokhu kuyahlukahluka kuye ngomsebenzi owenzayo.
- Kufanele uhlale uphakamise umlenze wakho, okungenani amasonto amabili okuqala ngemva kokuhlinzwa.
- Kungaba nzima ukuhamba cishe amasonto ayisithupha, ngakho ukuya nokubuya ehhovisi kungaba yinkinga.
- Ngenxa yokuthi uphuza imithi yokubulala izinhlungu, ngezinye izikhathi kungaba nzima ukugxila emsebenzini.
Ngakho-ke, kungcono ukukhuluma nodokotela wakho bese uqala ukuzivocavoca ngesikhathi esikufanele.
Uzokwazi nini ukushayela?
Lokhu kungathatha izinyanga eziningana . Awukwazi ukushayela ngenkathi i-cast isekhona. Ngisho nangemva kokuba isusiwe, kuzodingeka ulinde uze uthole amandla nokulawula iqakala lakho. Uma ushayela ngokushesha kakhulu, kungenzeka ukuthi ube nenye ingozi.
Uma udinga ukubona udokotela ngokushesha
Ngesikhathi sokululama kwakho, uma uba nanoma yiziphi izimpawu ezilandelayo, yazisa udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Uma uzizwa ushisa noma unesifo somkhuhlane.
- Uma uketshezi olufana nobovu luphuma enxebeni lokuhlinzwa.
- Uma indawo ezungeze inxeba ibomvu, ivuvukele, futhi ibuhlungu kakhulu ukuthi ungayithinta.
- Uma ucabanga ukuthi uwile futhi futhi ulimele umlenze wakho.
Lokhu kungaba izimpawu zokutheleleka, ngakho-ke kubaluleke kakhulu ukufuna ukwelashwa ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- Ukuphuka kwe-Trimalleolar yisimo esibi lapho amathambo amathathu eqakaleni ephuka khona.
- Lokhu kuvame ukudinga ukuhlinzwa kwe-ORIF njengokwelashwa.
- Kuthatha izinyanga eziningana ukuphulukiswa, futhi phakathi naleso sikhathi kubaluleke kakhulu ukubekezela nokulandela imiyalelo kadokotela.
- Ukwelashwa nge-physiotherapy kuyingxenye ebalulekile yenqubo yokuphulukiswa. Ungakweqi.
- Uma uzizwa ucindezelekile noma ukhathazekile ngesikhathi ululama, khuluma nodokotela wakho ngalokho futhi. Kujwayelekile, futhi ungathola usizo ngakho.
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