Ukuphuka kweqakala - ukunakekelwa ngemuva

Ukwephuka kweqakala ukuphuka kwethambo le-ankle elilodwa noma ngaphezulu. Lezi zingqimba zingase:

• Yiba nengxenye (ithambo liqhekeke kancane, hhayi yonke indlela)
• Qedela (ithambo liphukile futhi lisezingxenyeni ezi-2)
• Kuvele ohlangothini olulodwa noma zombili zeqakala
• Kwenzeka lapho i-ligament ilimele noma idabukile

Okunye ukuphuka kwamaqakala kungadinga ukuhlinzwa lapho:

• Imikhawulo yethambo ayihambelani komunye nomunye (ishiye amakhaya).
• Ukuqhekeka kudlulela ekuhlanganeni kweqakala (ukuqhekeka kwe-intra-articular).
• Ama-tendon noma i-ligaments (izicubu ezigcina imisipha namathambo zihlangene) zidabukile.
• Umhlinzeki wakho ucabanga ukuthi amathambo akho kungenzeka angapholi kahle ngaphandle kokuhlinzwa.
• Umhlinzeki wakho ucabanga ukuthi ukuhlinzeka kungavumela ukwelashwa okusheshayo nokunokwethenjelwa.
• Ezinganeni, ukuphuka kuhilela ingxenye yethambo leqakala lapho kukhula khona ithambo.

Lapho kudingeka ukuhlinzwa, kungadinga izikhonkwane zensimbi, izikulufu, noma amapuleti ukubamba amathambo endaweni lapho ukuphuka kuphuka. Izingxenyekazi zekhompuyutha zingaba zesikhashana noma ezingapheli.

Ungathunyelwa kudokotela wamathambo. Kuze kufike lokho kuhambela:

• Uzodinga ukugcina i-cast yakho noma i-splint yakho ngaso sonke isikhathi futhi ugcine unyawo lwakho luphakanyiswa ngangokunokwenzeka.
• Ungafaki isisindo eqakaleni lakho elimele noma uzame ukuhamba kuso.

Ngaphandle kokuhlinzwa, iqakala lakho lizofakwa ku-cast noma i-splint amasonto ama-4 kuye kwayi-8. Ubude besikhathi okufanele ugqoke ukhonkolo noma imbenge buya ngohlobo lokwephuka onalo.

I-cast yakho noma i-splint yakho ingashintshwa ngaphezu kwesisodwa, njengoba ukuvuvukala kwakho kwehla. Ezimweni eziningi, ngeke uvunyelwe ukuthwala isisindo eqakaleni lakho elilimele ekuqaleni.

Ngesinye isikhathi, uzosebenzisa ibhuthi ekhethekile yokuhamba njengoba ukuphulukiswa kuqhubeka.

Uzodinga ukufunda:

• Uzisebenzisa kanjani izinduku
• Ungayinakekela kanjani i-cast yakho noma i-splint

Ukunciphisa ubuhlungu nokuvuvukala:

• Hlala unyawo lwakho luphakanyiselwe phezulu kunedolo lakho okungenani ama-4 ngosuku
• Faka i-ice pack imizuzu engama-20 njalo ngehora, uvukile, ezinsukwini ezi-2 zokuqala
• Ngemuva kwezinsuku ezimbili, sebenzisa i-ice pack imizuzu eyi-10 kuye kwengama-20, kathathu ngosuku njengoba kudingeka

Ngobuhlungu, ungasebenzisa ibuprofen (Advil, Motrin, nabanye) noma naproxen (Aleve, Naprosyn, nabanye). Ungathenga le mithi ngaphandle kwemithi kadokotela.

Khumbula uku:

• Ungayisebenzisi le mithi emahoreni angama-24 okuqala ngemuva kokulimala kwakho. Bangakhuphula ingozi yokuphuma kwegazi.
• Khuluma nomhlinzeki wakho ngaphambi kokusebenzisa le mithi uma unesifo senhliziyo, umfutho wegazi ophakeme, isifo sezinso, noma uke waba nezilonda esiswini noma ukopha ngaphakathi esikhathini esedlule.
• Ungathathi ngaphezu kwenani elinconywe ebhodleleni noma ngaphezulu kwalapho umhlinzeki wakho ekululeka ukuthi uthathe.
• Ungaziniki izingane i-aspirin.
• Buza kumhlinzeki wakho mayelana nokuthatha imithi elwa nokuvuvukala efana ne-Ibuprofen noma i-Naprosyn ngemuva kokuphuka. Kwesinye isikhathi, ngeke bafune ukuthi uthathe imithi ngoba ingathinta ukwelashwa.

I-Acetaminophen (iTylenol neminye) ngumuthi wezinhlungu ophephile kubantu abaningi. Uma unesifo sesibindi, cela umhlinzeki wakho ukuthi lo muthi uphephile yini kuwe.

Ungadinga imishanguzo yezinhlungu kadokotela (ama-opioid noma ama-narcotic) ukugcina ubuhlungu bakho bulawulwa ekuqaleni.

Umhlinzeki wakho uzokutshela uma kulungile ukubeka noma yisiphi isisindo ku-ankle yakho elimele. Isikhathi esiningi, lokhu kuzoba okungenani amasonto ayisithupha kuye kwayishumi. Ukubeka isisindo eqakaleni lakho kungekudala kungasho ukuthi amathambo awapholi kahle.

Ungadinga ukuthi imisebenzi yakho ishintshwe uma umsebenzi wakho udinga ukuhamba, ukuma, noma ukukhuphuka izitebhisi.

Esikhathini esithile, uzoshintshelwa kusigaxa esithwala isisindo noma i-splint. Lokhu kuzokuvumela ukuthi uqale ukuhamba. Uma uqala ukuhamba futhi:

• Imisipha yakho ingahle ibe buthakathaka futhi ibe ncanyana, futhi unyawo lwakho luzozizwa luqinile.
• Uzoqala ukufunda izivivinyo ukukusiza wakhe kabusha amandla akho.
• Ungathunyelwa kudokotela wezempilo ukuze asize ngale nqubo.

Uzodinga ukuba namandla agcwele emsipheni wakho wethole kanye nohla oluphelele lokunyakaza emuva eqakaleni lakho ngaphambi kokubuyela kwezemidlalo noma emisebenzini yomsebenzi.

Umhlinzeki wakho angenza ama-x-ray ngezikhathi ezithile ngemuva kokulimala kwakho ukuze abone ukuthi iqakala lakho liphulukiswa kanjani.

Umhlinzeki wakho uzokwazisa ukuthi ungabuyela nini emisebenzini ejwayelekile nakwezemidlalo. Abantu abaningi badinga okungenani amaviki ayisithupha kuya kwayishumi ukuze belapheke ngokuphelele.

Shayela umhlinzeki wakho uma:

• Ukusakaza noma ucezu lwakho lonakele.
• I-cast yakho noma i-splint yakho ikhululekile kakhulu noma iqine kakhulu.
• Unobuhlungu obukhulu.
• Unyawo noma umlenze wakho uvuvukele ngenhla noma ngaphansi kwe-cast noma splint yakho.
• Uba ndikindiki, ukushosholoza, noma ukubanda ezinyaweni zakho, noma izinzwane zakho zibukeka zimnyama.
• Awukwazi ukuhambisa izinzwane zakho.
• Ukhulise ukuvuvukala kwethole lakho nasezinyaweni zakho.
• Unokuphefumula okuncane noma kunzima ukuphefumula.

Fonela nomhlinzeki wakho uma unemibuzo ngokulimala kwakho noma ngokululama kwakho.

Ukuphuka kweMaleolar; I-Tri-malleolar; Bi-malleolar; Ukuqhekeka kwe-tibia okukude; Ukuqhekeka kwe-fibula eqhelile; Ukuphuka kweMalleolus; Ukuphuka kwepilon

UMcGarvey WC, iGreaser MC. Ukuqhekeka kwamaqakala naphakathi nezinyawo kanye nokuhlukaniswa. Ku: Porter DA, Schon LC, ama-eds. IBaxter's The Foot and Ankle kwezemidlalo. 3rd ed. IPhiladelphia, PA: Elsevier; 2021: isahluko 6.

URose NGW, uGreen TJ. Iqakala nonyawo. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 51.

URudloff MI. Ukuqhekeka komkhawulo ongezansi. Ku: Azar FM, Beaty JH, Kanale ST, ama-eds. I-Operational Orthopedics yaseCampbell. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2017: isahluko 54.

• Ukulimala Kweqakala Nokukhubazeka