Ukululama kwe-Heel Fracture kwenzeka kanjani

-Delile

• Ungazi kanjani ukuthi ngabe kukhona ukuphuka kwe-calcaneus
• Kanjani ukwelashwa kokuphuka kwe-calcaneus
• Lapho kudingeka ukuhlinzwa
• Izinkinga ezingenzeka kanye ne-sequelae
• Uzoqala nini i-physiotherapy
• Lapho ubuyela emsebenzini

Ukwephuka kwesithende kubi kakhulu, imvamisa kushiya i-sequelae futhi kuyalulama isikhathi eside futhi umuntu kungadingeka ukuthi ahlale amasonto ayi-8 kuye kwayi-12 engakwazi ukuxhasa unyawo phansi. Ngalesi sikhathi, udokotela angahle akhombise ukusetshenziswa kukakhonkolo ekuqaleni, futhi ngemuva kwezinsuku ezingaba ngu-15 noma ezingama-20 esikhundleni saso ngocezu olungasuswa ukuze kusetshenziswe i-physiotherapy.

Ezinsukwini eziyisi-5 zokuqala, umuntu kufanele ahlale isikhathi eside ngangokunokwenzeka ngenkathi elele phansi izinyawo ziphakanyisiwe ukuze zingavumi ukuvuvukala, okuvame ukwenza izinhlungu zibe zimbi kakhulu. Akufanele futhi usebenzise izinduku ukugwema ukubeka unyawo lwakho phansi, ngakho-ke, ukugoba umlenze wakho nokuhamba ngezinqe noma ngosizo lomunye umuntu oseduze kwakho kungasiza ukuya endlini yangasese, ngokwesibonelo.

Ungazi kanjani ukuthi ngabe kukhona ukuphuka kwe-calcaneus

Izimpawu ezingakhombisa ukuphuka kwesithende zifaka phakathi ubuhlungu, ukuvuvukala onyaweni ngemuva kokuwa konyawo. Ukuxilongwa kwenziwa ngesisekelo se-X-ray kuma-engeli amabili ahlukene kanye ne-computed tomography ukuhlola i-angle yokuqhekeka, ngabe amalunga amancane onyawo athintekile nokuthi ngabe ezinye izinyawo zonyawo olufana nemisipha nemisipha nazo zazikhona kuthintekile.

Kanjani ukwelashwa kokuphuka kwe-calcaneus

Ukwelashwa kwenziwa ngokubeka i-boot plaster ukukhubaza unyawo amasonto ambalwa, kepha futhi kungadingeka ukuthi kuhlinzwe ukuqinisa ukuphuka, okuvumela ukuhamba konyawo.

Ukwenza lula ukuhamba komuntu ngaphesheya kwebhuzu le-plaster, udokotela angancoma ukuthi usebenzise izinduku, kodwa ngaphandle kokubeka unyawo lwakho phansi, ngakho-ke okuhle ukuhamba kancane ngangokunokwenzeka, ukuhlala phansi noma ukulala phansi, nakho okungakhathaza.

Ukusebenzisa imicamelo yezindawo eziphakeme ezahlukahlukene kungasiza ukugcina unyawo luphakanyisiwe, ukuxegisa, ukusekela umlenze nokugwema ubuhlungu ezinqeni noma emuva.

Lapho kudingeka ukuhlinzwa

Ukuhlinzwa ngemuva kokuphuka kwe-calcaneus kufanele kwenziwe ngudokotela wamathambo futhi kuvame ukukhonjiswa lapho ngaphezu kokuphuka kwe-calcaneus, kukhona:

• Ukuphambuka kwethambo lesithende okungaphezu kuka-2 mm;
• Izingcezu eziningi zamathambo ezenzeka lapho ithambo lesithende lihlukana libe yizicucu eziningi;
• Ukuminyaniswa kwamathenda we-lateral ngenxa yokwandiswa kwethambo, okubangela i-tendonitis;
• Udinga ukubeka ukuxhumeka kwamathambo noma izintambo zensimbi, ipuleti lokuhlinzwa noma izikulufu ukuze ithambo linamathele futhi;
• Udinga ukwenza i-arthrodesis, okuyi-fusion phakathi kwe-calcaneus ne-talus, enciphisa ubungozi be-osteoarthritis ngokuzayo.

Ukuhlinzwa akudingi ukuthi kwenziwe ngokushesha lapho kutholakala ukuphuka, kodwa kuphephile ukukhetha ukuthi kwenziwe phakathi kwezinsuku ezingu-7 no-14 ngemuva komcimbi ukuze isifunda singavuvukalanga. Kodwa-ke, kungaba wusizo ukufuna umbono wongoti wamathambo ongaphezu koyedwa ukuhlola ubungozi kanye nesidingo sokuhlinzwa.

Ukuhlinzwa kuthatha isikhathi ngisho nangesikhathi senqubo, ama-X-ray angenziwa engxenyeni engenhla ne-lateral ukubheka ukuma kwethambo namapuleti. Ngemuva kokuhlinzwa udokotela angancoma ukuthatha ama-anti-inflammatories ukudambisa izinhlungu nokuvuvukala nokusiza ukululama.

Uma kufakwa izintambo, amapuleti noma amanye amadivayisi wangaphandle wokulungisa, angasuswa ngemuva kwezinsuku eziyi-15, egazini elibandayo, ngaphandle kwe-anesthesia. Ukususwa kwayo kubuhlungu futhi kungadala ukopha, kepha imvamisa kwanele ukuthi indawo ihlanzwe ngotshwala ngama-70º degrees nsuku zonke futhi ukugqoka kungashintshwa noma nini lapho kungcolile noma kumanzi. Ezinsukwini eziyi-8 izimbobo ezincane kufanele zilapheke ngokuphelele.

Izinkinga ezingenzeka kanye ne-sequelae

Ngemuva kokuphuka kwesithende, izinkinga ezinjenge-osteomyelitis zingenzeka, okuyilapho ithambo litheleleka ngenxa yokungena kwamagciwane, isikhunta noma amabhaktheriya abangela ubuhlungu obukhulu bendawo. Thola okuningi lapha. I-sequelae ejwayelekile kakhulu ifaka:

• I-arthrosis ngenxa yokuxabana okuqhubekayo phakathi kwamalunga amancane phakathi kwamathambo onyawo;
• Ubuhlungu esithendeni nasemaqakaleni;
• Ukuqina nobunzima bokuhambisa iqakala ezinhlangothini zonke;
• Ukwandiswa kwesithende, okungenza kube nzima ukugqoka izicathulo ezivaliwe;
• Ubuhlungu enyaweni yonyawo, noma ngaphandle kokushisa noma ukuzwa ukuzwa.

Akunakwenzeka ngaso sonke isikhathi ukukhomba ukuthi lezi zinkinga zingenzeka nini kepha kuyenzeka ukuzigwema ngokulandela yonke imihlahlandlela kadokotela neye-physiotherapist.

Uzoqala nini i-physiotherapy

I-Physiotherapy kufanele ihlukaniswe ngamanye futhi udokotela we-physiotherapist kumele ahlole icala ngalinye ngoba ukwelashwa kungenzeka kungafani nawo wonke umuntu. Amaseshini angaqalwa ngokushesha okukhulu, nangaphambi kokuba uqhekeko luqine futhi kungaba imigomo eminingana. Ezinsukwini zokuqala ngemuva kokuphuka, kungasiza ukwenza ukwelashwa ngokomzimba nge:

• IMagnetron enhle kakhulu ekwelapheni ukuphuka futhi
• I-Cryotherapy ene-Nitrogen efana ne-Crioflow ukuqeda i-hematoma nokuqeda unyawo.

Ngaphezu kwalokho, amasu angasetshenziswa ukwelula imisipha yomlenze, ukuhambisa iminwe neqakala, njalo ukuhlonipha umkhawulo wezinhlungu nobubanzi bokuhamba. Kunokuzivocavoca okuningana okunganconywa ngokuya ngokuphulukiswa kokuphuka. Amabhande anwebekayo anamandla ahlukahlukene angasetshenziswa ukubeka ichopho lonyawo phezulu, phansi nokuhambisa unyawo eceleni.

Lapho ubuyela emsebenzini

Imvamisa, umuntu angabuyela emsebenzini ngemuva kwezinyanga eziyisithupha kuphulwe isithende kanti ngalesi sikhathi angabe esekhefini emsebenzini ukuze akwazi ukwelashwa okudingekayo. Kwezinye izimo kungenzeka ukwenza isivumelwano nomphathi ukuze umsebenzi wenziwe ekhaya isikhathi esithile, uze ubuyele enkampanini, ngaphandle kwemingcele.