Ukuqala kwesimo sezulu esibanda kungasondeli nje kuphela ekugubheni uNyaka Omusha, kodwa futhi kwandisa ingozi yokuthola ukulimala okuhlukahlukene ngenxa yeqhwa nemidlalo ethandwa kakhulu yasebusika. Enye yezinhlobo ezivame kakhulu zokulimala kulezi zimo i-fracture ye-ankle noma ngaphandle kokungabi namathambo. Futhi uma kunjalo, ukwelashwa kulula, ngakho-ke ukhetho lokuqala lukhuni kakhulu ukwelapha.
Izinhlobo ze-ankle ukuphuka nokuhamba
Ukuhlukaniswa okuyinhloko ukuhlukanisa lokhu kukhwabanisa ezinhlobonhlobo ezijwayelekile nezama-atypical. Iqembu lokuqala lihlanganisa:
- Ukuqhekeka kwe-ankle okwehlukanisiwe (okukodwa);
- ukuphuka kwe-ankle yangaphakathi (i-Dupuytren) nge-subluxation eyengeziwe yonyawo;
- ukuphulwa kwe-ankle yangaphandle ngokufuduka kwe-tibia (i-Desto);
- ukuphuka kokubili ama-ankle nokuhamba.
Ukuhlanganiswa kwalokhu kulimala kuyi-atypical.
Ukwelashwa kwe-ankle fracture nge-displacement
Ukwelashwa kokulimala komlenze okuthintekile kuqala ngemizuzu yokuqala emva kokulimala ngokusiza ngaphambi kokuba udokotela afike:
- Khulisa ukungahambi kwesigungu ngokufaka imoto noma uhlobo oluthile lokulungiswa. Uma isikhundla se-joint emelekile sivunyelwe ukushintsha, izingcezu zamathambo zizoqhekeza isikhumba ngaphakathi, futhi ukuphuka okuvulekile kwekhanda ngokuhamba kuzokwenzeka.
- Khulisa kancane umlenze olimele, ufake izingubo zokugqoka noma eziboshwe ngaphansi kwalo ukuze unciphise ukugeleza kwegazi nokuvuvukala.
- Faka isicelo endaweni eqondile yeqhwa noma okuthile okubandayo, lokhu kuzosiza ukunciphisa imithwalo yegazi.
- Thatha imithi yobuhlungu uma ubuhlungu bukhulu. Kulesi simo, akuyona into engathandeki ukuphuza amanzi amaningi futhi udle, ngoba ngesikhathi sokungena emtholampilo, i-anesthesia ingadingeka.
Ukwelashwa okwengeziwe kuncike ekutheni izinga lokuphuka kanye nenani lamathambo aphelelwe yisikhathi, kodwa kunoma yikuphi okwenziwa ngokugcwele. Ukuze kusetshenziswe imisebenzi yokujoyina ama-ankle, kubalulekile ukubuyisela ubude bokuqala kwe-fibula, futhi ubuyekeze ngokunembile ubudlelwano obuphakathi kwalo ne-tibia. Ngemuva kokusebenzisa lezi zindlela, i-bandage ye-plaster isetshenziswa isikhathi
Ukuqhekeka kwe-ankle nge-displacement - ukuvuselelwa
Ukubuyiselwa emva kokulimala kuhamba, ngokwesilinganiso, izinyanga ezimbili kuya ku-5 futhi kanje:
- ukuphoqeleka kokuhlanganiswa;
- i-physiotherapy;
- ukucindezela okufudumele;
- massage yokwelapha kanye ne-prophylactic;
- ukuvivinya umzimba;
- sigqoke izicathulo zamathambo nama-insteps.