Ukuphuka kwethambo le-metatarsal yonyawo luhlobo oluvamile lokulimala. Cishe ingxenye yesihlanu yamakholi ku-traumatologists ngenxa yokwahlukana kwemilenze kuhlotshaniswa nalesi sifo. Kulula ukuthola ukuphumula okunjalo ngisho nalapho uhamba emgwaqweni ongalingani ezicathulweni ezingenakuzwakala, lapho uqaqa endaweni eqinile, ngenxa yokushaya unyawo ngokumelene nekhalo noma udonga.
Ukuphuka kwethambo le-metatarsal lezinyawo - izimpawu
Unyawo luyimishini enesisindo esiyinkimbinkimbi esakhiwa ngamathambo amaningi, kanti amahlanu awo amathambo e-metatarsal tubular aphakathi kwe-phalanges ne-tarsal. Lawa mathambo asebenza njengenhlanzi ehamba ngezinyawo lapho ehamba, eqa, esiza ukugcina ibhalansi nokuzinza. Ngisho nokuphuka kancane noma ukuphahla komunye walawa mathambo kuthinta kakhulu ikhono lokuhambisa.
Ukuphulwa kwethambo le-metatarsal lonyawo kubonakala yizimpawu ezilandelayo:
- ukuqubuka ngesikhathi sokulimala;
- ukuzwa okubuhlungu okubuhlungu, okuqala ukuthi kungabanjwa izicathulo, ngokuqinile ukuvimbela umlenze, kodwa njalo njalo kukhulunywa kakhulu;
- ubuhlungu buyakhuphuka lapho kuhamba futhi kuthinta unyawo;
- kunzima ukuhamba, ukuzonda;
- ukuqhuma okuqhubekayo kwezinyawo;
- ukuluhlaza okwesibhakabhakeni kwezicubu endaweni yokulimala.
Izimpawu ze-metatarsal ukuphulwa kwezinyawo zonyawo akuzona zonke izimo ezisobala ezigulini, futhi ukuhlukunyezwa okunjalo ngokuvamile kuphutha ngenxa yokulimala noma ukulimala okukhulu. Lokhu kusebenza ngokukhethekile ezimweni lapho ukuphuka kungaphazamisi khona, kuhlanganise nomphumela okhaliphile, nokucindezeleka. Ukucindezeleka ukuqubuzana kuqala ngokubunjwa kwe-crack encane ethambo ngenxa yemithwalo evamile ezinyaweni, ngokuvamile kubadlali. Emfanekisweni womtholampilo wale mphuzu, izinhlungu ezibuhlungu ziphawulwa ngemuva komthwalo, zihlisa ukuphumula, zikhuphuka isikhathi futhi zihambisana ne-edema.
Ukuphuka kwethambo le-metatarsal lonyawo ngaphandle kokuhlambalaza
Kulezo zimo lapho amathambo ephukile angabonwa ngesikhathi sokuphuka, ithambo elonakalisiwe lihlala lilungiswa ngendlela efanele. Ukulimala okunjalo akuyingozi kakhulu, kulula ukwelapha nokufiphaza. Ngokuhlukile kuyadingeka ukwabela ukwephulwa kwethambo lesithupha le-foot metatarsal ngaphandle kokuhamba, okuthiwa u-Jones uqhekeke. Ngoba kulesi sigaba sezinyawo ezincane zilinganiselwe, kubi kakhulu kunikezwa izakhi, ngale ndlela yokulimala kukhona ingozi ye-necrosis yamathambo esithambo. Ngakho-ke, ukubambezeleka ekubhekiseni udokotela kungaba nemiphumela emibi kunazo zonke.
Ukuphuka kwethambo le-metatarsal lonyawo ngokuhamba
Ukuze uqaphele ukwehlukana kwethambo le-metatarsal, elihambisane nenqola kanye nokuthuthwa kwamathambo, kungenzeka ngokushintshwa okubonakalayo kwisakhiwo sonyawo, kodwa lokhu akubonakali njalo. Isithombe esinembile sokulimala singatholakala kuphela nge-X-ray ukuxilongwa. Ukuphulwa kwethambo le-metatarsal ngokuhamba ngezinyawo kuyingozi ngokuthuthukiswa kokuphuma kwegazi futhi kwanda ingozi yokuxoshwa kwezicubu. Uma udokotela ehluleka ukuxhumana nodokotela ngokuhamba kwesikhathi, i-fusion kungenzeka ingenzeki kahle, futhi kuyodingeka ukusebenza okuyinkimbinkimbi.
Ukwephuka kwemetatrasi yonyawo - ukwelashwa
Kuyoze kube nini ukwephulwa kwethambo le-metatarsal lezinyawo ezihamba ngezinyawo, kungakhathaliseki ukuthi kuvela izinkinga zokuhlukunyezwa, ikakhulukazi kunqunywe ukufaneleka nokulungiswa kokuhlinzekwa kokwelashwa. Ngokushesha ngemuva kokulimala kutholakala, kubalulekile ukuqhuba imisebenzi enjalo:
- ukulungiswa kwezinyawo endaweni eyodwa ngokuhlanganisa idoti;
- nge-traumatic evulekile - ukufakwa kwebhande elibolile;
- ukusebenzisa i-compress ebandayo (cishe imizuzu engu-15);
- ukuqinisekisa ukuphumula kwesigungu esingaphansi endaweni ephakanyisiwe.
Amaqhinga okwelashwa axhomeke ekuqinikeni kwe-fracture nasezindaweni zesilonda. Ukusebenzisa i-X-ray ebonakalayo emibili, kungenzeka ukuthi unqume ukuthi kukhona ukuphuka - isisekelo se-metatarsal ithambo lonyawo, i-diaphysis, intamo noma ikhanda, yiliphi umugqa wephutha, nokuthi ngabe kukhona yini ukuhamba kwezingcezu. Izinketho zokwelashwa eziyinhloko yizi:
- ukuphoqeleka kwezinyawo ngezinyawo zokugqoka - uma kwenzeka ukuphuka ngaphandle kokuhamba;
- ukuphindaphinda - ukuqhathaniswa kwezingcezu zethambo ngokuhamba kancane kwazo ngaphandle kokusika isikhumba;
- i-osteosynthesis - ukubuyiselwa kokusebenza kwezinto ezifakwe emathambo ngeziqephu zamasheya ngokulungiswa kwazo ngemininingwane ekhethekile (amapuleti, ukubopha izinaliti, izikulufa) nokufakwa okulandelwayo, kwenziwa ngokufuduka okuqinile nemonakalo eminingi.
Ukuze unciphise unyawo lomthwalo, ukunyakaza kudinga ukusetshenziswa kwamaconsi kuze kuvele ukuhlukana. Esikhundleni se-supine nokuhlala phansi, isilungu kufanele siphakanyiswe. Isiguli kumele sibonwe udokotela ngesikhathi sokugqoka i-bandage ye-plaster, ukuthola ukutholakala kwezimo ezinokwenzeka ngesikhathi esifanele. Kunconywa ukuthi kuthuthukiswe ama-bone splicing, i-calcium ne-vitamin D.
Ukuphuka kwethambo le-metatarsal lonyawo - i-plaster sapozhok
Uma ukwephulwa kwethambo lomthamo we-metatarsal kutholakala, i- plaster isetshenziswa ezimweni eziningi. Ngokuvamile, i-gypsum yenziwe uhlobo lwebhokisi kusukela engxenyeni engenhla yesithathu kuze kube semikhawulweni yeminwe. Ukulungiswa okunjalo kuyadingeka ukuqinisekisa ukungahambi kahle kwezingcezu zethambo kanye nendawo yabo efanelekile, ukuvikela ngokumelene nemithonya ehlukahlukene yangaphandle yokusebenza. Isikhathi sokugqoka i-gypsum uma kwenzeka ukwephulwa kwethambo le-metatarsal lonyawo izinyanga ezingu-1-1.5.
I-Orthosis enyaweni ngokuphuka kwamathambo e-metatarsal
Ezimweni ezinzima ngaphandle kokuthutha, kuvunyelwe ukusebenzisa isiteji sokuhamba ngezinyawo uma kwenzeka isifo se-metatarsal siphulwa - i-orthosis. Le divayisi, eyenziwe ngezixhobo ze-polymer, eyenzelwe ukuqiniswa, ukulungiswa nokulayishwa kwezinyawo. Kusuka endaweni yokubuka yobuhle, i-orthosis iyamukeleka kakhulu, kodwa inokwethenjelwa kakhulu yi-gypsum. Uma kukhona ukuphuka kwamathambo angaphezu kweyodwa, kukhona ukufuduka, khona-ke lokhu okuhlukile kokungasebenzi kungamukeleki.
Ukwelashwa kwamathambo omuntu we-metatarsal ephukile
Uma ukwephulwa kwezinyawo kutholakala, ukwelashwa okushiwo udokotela kungenziwa ukuxhaswa nabantu bokupheka. Izinqubo zendawo zesikhathi sokugqoka ama-bandage we-plaster azikwenziwa, kodwa kunconywa ukuthi usebenzise imithi yangaphakathi ukusheshisa i-coalescence yamathambo esithambo, ukunciphisa ukucindezeleka nokukhulula ukuvuvukala. Nansi enye yezindlela zokupheka.
Tincture for spicing fast fast
Izithako:
- impande ye-comfrey yokwelapha (umhlabathi) - itafula eli-1. isipuni;
- amanzi - ingilazi eyodwa.
Ukulungiselela nokusebenzisa:
- Amanzi abilayo abilayo.
- Vumela ukuphuza ukupholisa, ukhiphe.
- Thatha i-1-2 teaspoonfuls kathathu ngosuku ngenyanga.
Bangaki abaphulukisa ukuhlukana kwemetatrasi yonyawo?
Ngokwesilinganiso, ukuvuvukala okuvulekile nokuvaliwe kwethambo le-metatarsal lonyawo ludlule ngaphakathi kwamasonto ayisithupha kuya kwangu-8. Indlela yokuphulukisa amathambo e-metatarsal, kuncike ezintweni eziningana ezikhomba amandla amakhono okuvuselela komzimba:
- izinga le- calcium emzimbeni;
- ukutholakala kwezifo ezingapheli ezivimbela izicubu ukuba zifake;
- iminyaka yesiguli;
- ukugcinwa kwemigomo yezokwelapha.
Ukuvuselelwa ngemva kokuphuka kwamathambo we-metatarsal ezinyaweni
Ngemuva kokukhipha ibhande le-plaster, lapho ukuchithwa kwamathambo kuqinisekiswa yi-X-ray, kulandela isikhathi sokuvuselela. Ukubuyiselwa emva kokuphuka kwethambo le-metatarsal lonyawo kuthatha amasonto amathathu kuya kwamhlanu noma ngaphezulu. Phakathi nalesi sikhathi, kuyadingeka ukuba uthuthukise imisipha kanye nezintambo zonyawo, ulungiselele ukuhamba kwamalungu, uzilungiselele umthwalo. Ekuqaleni, lapho uhamba, kubalulekile ukuphumula isithende, kancane kancane ubeke yonke inyawo phansi. Kungase kunconywe ukubopha unyawo nge-bandage ehlanganisiwe, ukugqoka izicathulo zomzimba wama-orthopedic nge-hard drive noma i-insoles insole.
Izinyathelo ezinzima zokuvuselela zihlanganisa:
- ngcono ukuvocavoca;
- ukusikhipha;
- i-physiotherapy;
- ukudla okuphezulu.
Indlela yokuthuthukisa unyawo ngemva kokuphuka kwamathambo e-metatarsal?
Ukusheshisa isikhathi sokuphumula, ukuqeqeshwa okukhethekile kunconywa emva kokuphulwa kwethambo le-metatarsal lonyawo. Ake sinikeze isethi yokuzivocavoca okuyisisekelo, okunye okufanele kwenziwe izikhathi ezingu-10-15:
- Ukwandiswa nokuguqa kwezinzwane.
- Jikela ngakwesokunxele futhi ngakwesokudla.
- Ukuxosha izinyawo kuwe futhi uzifake ngokwakho.
- Ukudlulisela isisindo somzimba kuzinzwane nangemuva (ezinsukwini zokuqala, lo msebenzi kufanele wenziwe uhlezi, ke - ngokusekela ngemuva kwesihlalo, bese-esimeni sokuma).
- Ukuzungeza okuyisindilinga ngokuma kwe-clockwise futhi ngokumelene ne-counterclockwise.
- Ukuqhafaza kwe-roller enamandla nezinyawo emuva nangaphezulu.
- Imilenze yezinyawo nemilenze ngesimo esivamile.
Ukuphuza ngamanzi ngemva kokuphuka kwamathambo e-metatarsal
Ukuthuthukiswa kwezinyawo ngemva kokuphuka kwethambo le-metatarsal ngokusebenzisa ukusikhipha umzimba kuhloswe ekusebenziseni ukujikeleza kwegazi kanye ne-lymph drainage, ukuthuthukisa umsoco wezicubu ezinobungozi. Uma kungenakwenzeka ukuya enkampanini yezokwelapha, ukusikhipha kahle komzimba kungenziwa ngokuzimela, besebenzisa iziyingi eziyindilinga, izingqamuzana zesikhathi eside nezinhlangothi ezihamba phambili nezeluleko kanye neminwe yeminwe. Udinga ukugoqa izingxenye zangaphakathi nezingaphandle zonyawo, iminwe.
Imiphumela ye-metatarsal bone break
Uma kwenzeka ukwelashwa okungenele noma ukunganaki inqubo yokuvuselela, imiphumela yokwephuka kwezinyawo kungaba kanje:
- ubuhlungu obungapheliyo enyaweni;
- i-arthrosis ;
- izinyawo eziphansi ;
- ukuguqulwa kwezinyawo;
- ukwakheka kwemibono yebony;
- umkhawulo wokuhamba kwezinyawo.