Ama-fractures we-calcaneus ajwayelekile. Bavuka, njengomthetho, ngenxa yokuwa kusuka ekuphakameni noma ukucindezela ngengozi. Imiphumela yokuphulwa kwe-calcaneus ayinakulungile, izinyawo ezinyaweni, ukuguqulwa kwe-arthrosis, ukuguqulwa kwezinyawo ze-valgus futhi, ezimweni ezingavamile kakhulu, i-osteoporosis ingase ikhule. Ukuvimbela lokhu ukuthi kungenzeki, udinga ukuthatha ukwelashwa okulungile ukuphulwa kwe-calcaneus, okudinga ukuhlolwa okuningiliziwe kokuqala kokulimala.
Ukuphuka kwe-calcaneus - izimpawu
Okokuqala, ngemuva kokuhlukumezeka, uma kuvuleka ukuvala, umuntu uzizwa engakwazi ukuthembela ezinyaweni ngenxa yobuhlungu.
Uma i-fracture ivulekile, isilonda sisobala, futhi lokhu kuyisibonakaliso esiyinhloko lapho ukuphulwa ngaphandle kwesibhedlela kutholakala khona: kulokhu izicubu zonakalisiwe, i-bleeding, ne-bone fragments zingabonwa.
Ukungqubuzana okuvaliwe "kukhuluma" ngokwayo ngokwandiswa kwesithende, i-valgus ne-varus deformity, futhi i-edema ibonakala endaweni yokulimala kanye ne-hematoma engenzeka. Ukuhamba kunzima ngesikhathi esifanayo lapho ithenda lezithende selula.
Ngesikhathi esifanayo, ukwehluleka okuvaliwe kuyingozi ngoba ngomonakalo omncane kanye nezimpawu ezibonakalayo ezifiphele, isisulu singase singacabangi ukuthi amathambo akhe aphukile, kubhekwa ukulimala okukhulu futhi ngenxa yalokhu afune usizo. Ngakho-ke, okokuqala emva kokushaya okuqinile endaweni esithende, uma kukhona ukuvuvukala nobuhlungu lapho uhamba, kufanele uhlale wenza ama-x-ray.
Indlela yokuphatha ukuphuka kwe-calcaneus?
Uma kwakukhona ukuphuka kwe-calcaneus ne-displacement, ngakho-ke okokuqala yenza i-anesthesia yendawo (evame ukusetshenziswa i-novocaine) futhi ngosizo lokulungiswa okubhaliwe emgqeni wamapulangwe wabeka izingcezu ezipholile endaweni. Uma i-reposition engenziwanga futhi imane iphoqe, khona-ke kukhona amathuba okuthuthukiswa okuqhubekayo kwe-muscle atrophy futhi ibe nomkhawulo ekuhambeni kwe-ankle.
Ezimweni lapho ukuqhuma kwenzeka khona ngaphandle kwenhlamba, isilungu sinamathele emadolweni. Isiguli kumele sihambe ngezinsimbi, futhi umthwalo omncane esingaphambili usuvunyelwe emva kwamasonto amane kuphela.
Ukususwa kwe-gypsum ngokungabikho kwezinkinga kwenzeka cishe emva kwezinyanga eziyi-1.5, emva kwalokho isikhathi sokuvuselela siqala, lapho isiguli kufanele sisebenze ekwelapheni ngokomzimba nokuziphatha kwe-physiotherapy.
Uma ukutakula nokuhlunga kungampofu, khona-ke isiguli sinikezwa i-orthosis ye-calcaneus fractures: inguqulo elula kakhulu ye-gypsum futhi isetshenziswa esigabeni esiphakathi, phakathi kokwelashwa nokuvuselelwa. Kuyasiza ukukhulula umthwalo ositheni futhi ngesikhathi esifanayo awuvumeli i-atrophy yemisipha, kunciphisa ukuvuvukala futhi kunciphise isikhathi sokuvuselela.
Ukubuyiswa ngemuva kokuphulwa kwe-calcaneus kuthatha izinyanga ezintathu mayelana nokuphathwa nokuvuselelwa: kungukuthi isikhathi esiningi singakwazi ukubuyela endleleni endala yokuphila futhi usebenzise umthwalo ogcwele ngezinyawo ezimele uma kungekho izinkinga.
Ukuvuselelwa ngemuva kokuphulwa kwe-calcaneus
Ukulungiswa kabusha kudlala indima ebaluleke kakhulu ekuphukeni kwethambo le-calcaneus, ngoba ingozi yokuthi isitimela ngeke senze okufanayo nokuqala ngaphambili. Abantu abaningi kakhulu ngaphandle kokuthola ukwelashwa okufanele
Okokuqala, udinga ukugoba futhi ulahle umlenze emadolweni, futhi isikhathi ngasinye ukwandisa umthwalo ukuletha imisipha ibe ithoni kancane kancane. Enye indlela yokuzivocavoca yinkinga nokukhuliswa kwezinzwani, okumele kuqalwe ngezinsuku ezimbalwa ngemuva kokuqala ukwelapha umzimba.
Ukuze welule unyawo, thatha imbiza bese uyiqhubekela phambili: kuqala, ubuhlungu bungabonakala, kodwa ngokulayisha okulinganiselwe ngemva kwezinsuku ezimbalwa ubuhlungu buyodlula. Futhi ukubuyiswa kwezinyawo nezinyembezi ukusikhipha imishini kuyasebenza.