Iintlobo ze-calcaneus azinqabile. Zivela, njengomthetho, ngenxa yokuwa kwephakamileyo okanye ukucima ngexesha lengozi. Imiphumo yokuphulwa kwe-calcaneus ayinakulungeleka, iinyawo eziphahleni, ukubola kwe-arthrosis, ukuguqulwa kweenyawo ze-valgus kwaye, kwiimeko ezininzi ezingaqhelekanga, i-osteoporosis inokuphuhliswa. Ukuthintela oku kungenzeki, kufuneka ufumane unyango olufanelekileyo lokuphulwa kwe-calcaneus, efuna uviwo oluphambili lweemvavanyo zokulimala.
Ukuphuka kwe-calcaneus - iimpawu
Okokuqala, emva koxinzelelo, ukuba lukhuni oluvaliweyo, umntu uvakalelwa kukuba akanakuthembela enyawo ngenxa yentlungu.
Xa i-fracture ivulekile, isilonda sibonakala, kwaye le yona mqondiso oyintloko apho i-fracture ngaphandle kwesibhedlele ifunyaniswa: kulo mzekelo, izicubu zonakaliswe, i-bleeds, kunye neziqhekeza zethambo ziyakubonwa.
Ukuqhekeka okuvaliweyo "kuthetha" ngokwayo ngokwandiswa kwesithende, i-valgus kunye ne-varus deformity, kwaye i-edema ibonakala kwisayithi yokulimala kunye ne-hematoma inokwenzeka. Ukuhamba kunzima ngexesha elifanayo njengoko ithenda yesithende isolula.
Ngexesha elifanayo, ukuphazamiseka okuvaliweyo kuyingozi ngenxa yokuba umonakalo omncinane kunye nempawu zeempawu eziphazamisayo, ixhoba alinakukrokreka ukuba ithambo lakhe liphukile, liqwalasela ukutyumla okukhulu kwaye ngenxa yoko akufuneki uncedo. Ngoko ke, okokuqala emva kokuqhuma ngamandla kwintendelwane, ukuba kukho ukuvuvukala nentlungu xa uhamba, kufuneka uhlale u-x-ray.
Indlela yokuphatha ukuphuka kwe-calcaneus?
Ukuba kwakukho ukuphuka kwe-calcaneus kunye nokufuduka, ngokokuqala yenze i-anesthesia yendawo (ngokuqhelekileyo isebenzise i-novocaine) kwaye ngoncedo lokulungiswa kwimiqulu kwi-wedge yokhuni ibeke iziqhekeza eziphosakeleyo kwindawo. Ukuba i-reposition ayenziwanga kwaye imane imisele ukuphosa, ngoko kukho ubukhulu obuphezulu bokuphuhliswa okuqhubekayo kwe-atrophy ye-muscle kwaye kunomda wokuthintela ukuhamba kwesikhumba.
Kwiimeko apho i-fracture yenzeka ngaphandle kwebala, isilungu sinamathele emadolweni. Isigulane sifanele sihambe ngeentonga, kwaye umthwalo omncinane kwi-forefoot ivunyelwe kuphela emva kweeveki ezi-4.
Ukususwa kwe-gypsum ngokungabikho kwezixazululo kubakho malunga neenyanga ezi-1.5, emva koko kuqaliswa ixesha lokuvuselela, apho isigulane kufuneka senze inyango yokuziphatheka kunye nokuziphatha kwe-physiotherapy.
Ukuba ukubuyisela kunye nokupakisha kuyimpofu, isigulane sinikwa i-orthosis ye-calcaneus fractures: iyinto elula kakhulu ye-gypsum kwaye isetyenziselwa kwisigaba esiphakathi, phakathi kwonyango nokuvuselelwa. Inceda ukukhupha umthwalo kwithambo kwaye ngexesha elifanayo awuvumeli i-atrophy ye-muscle, kunciphisa ukuvuvukala kwaye kuphelisa ixesha lokubuyisela.
Ukubuyiselwa emva kokuphuka kwe-calcaneus ithatha malunga neenyanga ezintathu malunga nokunyangwa nokuvuselelwa: kukungakanani ixesha elifanelekileyo ukuba libuyele kwindlela endala yobomi kwaye ibenze umthwalo ogcweleyo kwinqanaba elonakalisiweyo ukuba akukho zinkathazo.
Ukubuyiselwa emva kokuphuka kwe-calcaneus
Ukubuyiselwa kwempilo kudlala indima ebalulekileyo ekuphukeni kwethambo le-calcaneus, ngenxa yokuba umngcipheko wokuba i-stop will not work the same as before. Uninzi lwabantu ngaphandle kokufumana unyango olufanelekileyo
Okokuqala, kufuneka ugobe kwaye ungaguquli umlenze emadolweni, kwaye ixesha ngalinye ukwandisa umthwalo ukuzisa izihlunu kwiitoni ngokuthe ngcembe. Omnye umsebenzi uhamba kunye nokongezwa kwezwane, okufuneka kuqalwe iintsuku ezimbalwa emva kokuqala kokusetyenziswa kweyeza.
Ukwelula unyawo, thatha ingqayi uze uyigqabule emva nangaphambili: yokuqala, intlungu inokuvakalelwa, kodwa ngomthwalo ofanelekileyo emva kwemihla embalwa intlungu iya kudlula. Kwakhona ukubuyiselwa kweenyawo kunye nokugqithisa imibala kuyasebenza.