Okuqukethwe
Ngokuvamile, ukuchithwa konyawo ekuphileni kwansuku zonke kubizwa ngokuthi umlenze ogobile. Kodwa embikweni wezokwelapha, udokotela uzobhala amagama ayinkimbinkimbi - "ukulimala kwe-capsular-ligamentous apparatus ye-ankle joint." Kukholakala ukuthi lolu hlobo lwe-dislocation lwenzeka kubantu kaningi. Cishe njalo ukuvakasha kwesihlanu egumbini lezimo eziphuthumayo. Incazelo ilula: iqakala lithwala umthwalo wesisindo somzimba wonke.
Akubona abasubathi bodwa abahlushwa unyawo olunyakazayo. Ukukhubeka lapho ugijima noma uhamba, ukusetha unyawo olungaphumelelanga, wakhubeka futhi wawa noma wehlela ngaphandle kwempumelelo ngemva kokugxuma - wonke lo msebenzi uholela ekulimaleni. Ebusika, lapho iqhwa liqala, inani lezingcingo ezinesifo esinjalo liyakhula emakamelweni aphuthumayo. Futhi lokhu kungenye ye-dislocation evame kakhulu phakathi kwama-fashionistas - konke kuyiphutha lesithende esiphezulu noma isithende.
Izimpawu zokususwa kwezinyawo
Into yokuqala isiguli esizoyiqaphela ngokuhlakazeka ubuhlungu lapho sizama ukunyathela phansi. Uma, ngaphezu kokuhlakazeka, imigqa ye-ankle nayo iklebhukile, khona-ke ngeke akwazi ukuhamba yedwa. Ngaphezu kwalokho, unyawo luqala "ukuhamba" ngezindlela ezahlukene - lokhu, futhi, kungaholela ekulimaleni okusha.
Olunye uphawu lonyawo olugudlukile ukuvuvukala. Kuzobonakala ngokubonakalayo. Iqakala lizoqala ukuvuvukala ngenxa yezinkinga zokujikeleza kwegazi. Kungase kube nemihuzuko - imihuzuko.
Ukwelashwa kokususwa kwezinyawo
Kumele kwenziwe nguchwepheshe. Ukuzilapha ngokulimala okunjalo akwamukeleki - lokhu kungaholela ezinkingeni.
Diagnostics
Okokuqala, udokotela uhlola ukuhlolwa okubonakalayo: ngokubonakala kwesitho, ukukhishwa kungatholakala kuqala. Khona-ke i-traumatologist izama ukuthinta i-ankle: ngesandla esisodwa uthatha umlenze ophansi phezulu, kanti owesibili uzama ukushintsha isikhundla sonyawo. Wenza ukukhohlisa okufanayo ngomlenze onempilo futhi uqhathanise i-amplitude.
Ngemva kwalokho, isisulu sithunyelwa ukuze sihlolwe okwengeziwe. Lokhu kungase kube i-x-ray, i-ultrasound, i-computed tomography (CT), noma i-magnetic resonance imaging (MRI). Futhi kwenziwa i-ultrasound ukuhlola isimo semigqa. Ukuphuka akukwazi ukubonwa esikrinini, ngakho-ke i-X-ray ekulinganisweni okubili isadingeka.
Ukwelashwa kwesimanje
Odokotela baxwayisa ngokuzelapha. Asikho isidingo sokulinda futhi ucabange ukuthi umlenze uzoziphilisa ngokuhamba kwesikhathi - konke kungaphela ngokukhubazeka. Xhumana ne-traumatology. Asikho isidingo sokwesaba ukusebenza, izindlela zanamuhla zokwelapha ukuchithwa kwezinyawo zikuvumela ukuba ulungise ukukhishwa ngaphandle kokungenelela kokuhlinzwa.
Ngemva kokubeka kabusha unyawo, isiguli sifakwa ukhonkolo - kufanele sigqokwe izinsuku eziyi-14 zokuqala. Khona-ke isusiwe futhi ishintshwe ku-orthosis ekhethekile - lena ibhandishi elingasuswa ngezinqubo, bese lifakwa.
Khona-ke ama-traumatologists ngokuvamile anikeza izidakamizwa ezilwa nokuvuvukala kanye ne-physiotherapy. Kuhlanganisa ukwelapha nge-microwave (noma i-microwave) - yebo, njengesisetshenziswa sasendlini! Kukhona nokwelapha kazibuthe.
Kubalulekile ukugqoka izicathulo ezisezingeni eliphezulu izinyanga eziyisithupha kulandela ukulimala. Ibhuthi kufanele ilungise ngokucophelela ukujoyina. Ngaphakathi, kufanele u-ode insole ye-orthopedic. Iphuzu elibalulekile: izazi ze-traumatologists zeluleka ukuthi izicathulo zibe nesithende esincane esingu-1-2 cm.
Uma i-ligament ephukile yenzeka ngesikhathi sokususwa konyawo, ukuhlinzwa kwe-ankle kuyadingeka. Udokotela ohlinzayo uthunga izicubu ezilimele. Nokho, ukusika unyawo akudingekile. Ama-puncture ayenziwa futhi i-arthroscope ifakiwe. Lona ucingo oluncane, ekugcineni okuyikhamera kanye ne-flashlight - bavumela udokotela ukuba abone isithombe esivela ngaphakathi futhi enze izinqubo zokuhlinza. Ukubuyisela kuthatha amaviki angu-3. Lesi isikhathi esifushane.
Uma kungekho i-arthroscope noma udokotela ngenxa yesinye isizathu echaza ukuhlinzwa kwendabuko, ngakho-ke kwenziwa ngaphambi kwezinyanga ezingu-1,5 ngemuva kokulimala - lapho ukuvuvukala nokuvuvukala kudlula. Ngemuva kokuhlinzwa, ukululama kuthatha ezinye izinyanga eziyi-1,5 - 2.
Ukuvimbela ukususwa kwezinyawo
Abantu abadala basengozini ngenxa yokugudluka konyawo. Kungenzeka ukuthi bakhubeke noma benze ukunyakaza okunganaki. Ngaphezu kwalokho, imisipha yemisipha kule minyaka iyancipha kancane, futhi amathambo abuthakathaka kakhulu. Ngakho-ke, kufanele kuqashelwe. Ngamagama alula: bheka ngaphansi kwezinyawo zakho futhi ungenzi ukunyakaza okungazelelwe.
Kuwo wonke umuntu, udokotela uncoma ukwelapha ngokuzivocavoca, kanye nokuzivocavoca ukuqinisa imisipha nemigqa yeqakala.
Imibuzo nezimpendulo ezidumile
Amafutha okunciphisa ubuhlungu angasetshenziswa, kodwa qiniseka ukuthi awanawo umphumela wokufudumala. Uma kungenjalo, ukuvuvukala kuzokwanda kuphela.
Zama ukufaka ibhandeshi eliqinile elingalungisa unyawo endaweni elungile ukuya emlenzeni ongezansi. Uma ubona ukuthi unyawo lupholile futhi lwaqala ukumhlophe, bese uluqinisa kakhulu - ukugeleza kwegazi kwaphazamiseka. Amahora angaphezu kwama-2 ukushiya i-bandage akufanele kube. Ngokwethiyori, ngalesi sikhathi kufanele ube segunjini lezimo eziphuthumayo.
Ithambo eliphumele ngaphandle liyabonakala endaweni ehlangene yeqakala. Uma ukuphuka kunamandla, khona-ke isitho sizocishe siphume.
Izazi ze-Traumatologists zeluleka kulokhu ukwenza okugeza nge-coniferous decoction noma usawoti olwandle. Amanzi kufanele afudumele, kodwa angashisi. Kuyafaneleka futhi ukuthola inkimbinkimbi yokunyakaza kwe-massage, okwanele ukukwenza ngemuva kokuvuka nangaphambi kokulala. Uma ungaqiniseki ngawe, thintana nochwepheshe wokubuyisela esimweni.