I-ankle evuvukele ingaba umphumela wokulimala okuhlangene, kodwa ingase ihlotshaniswe nenkinga yokujikeleza kwegazi.

Ukuvuvukala kweqakala, noma i-ankle edema, kubangela ukuvuvukala kwelunga, okungase kuhambisane nobuhlungu, umuzwa wokufudumala, nokuba bomvu.

Singakwazi ukuhlukanisa izimo ezimbili eziyinhloko, ngisho noma kukhona okunye ukuxilonga okungenzeka:

• i-edema ehlotshaniswa nokulimala ekuhlanganyeleni (i-trauma, i-sprain noma i-strain, i-tendonitis, njll.);
• noma i-edema ehlobene nenkinga yokujikeleza kwegazi.

Esimweni sokuqala, ukuvuvukala (ukuvuvukala) kuvame ukulandela ukushaqeka, ukuwa, ukunyakaza okungalungile ... Iqakala livuvukele futhi libuhlungu, lingaba luhlaza okwesibhakabhaka (noma libebomvu), lishise, futhi ubuhlungu bungaqala. Noma qhubeka.

Esimweni sesibili, i-ankle ivuvukala ngenxa yokungahambi kahle kwegazi ezinyaweni nasemilenzeni. Lokhu kubizwa ngokuthi ukuntuleka kwe-venous. Ukuvuvukala ngokuvamile akubuhlungu, nakuba kungase kuhluphe. Kuhambisana nomuzwa "wobunzima" emilenzeni futhi ngezinye izikhathi amajaqamba.

Ungalibali ukubona udokotela uma kwenzeka iqakala livuvukala, ngoba akulona uphawu oluncane.

Iqakala elivuvukele kufanele liholele ekubonisaneni. Qiniseka ngemuva kokushaqeka noma ukuhlukumezeka ukuthi akukho okuphukile, noma, uma kukhona ukuvuvukala okungaqondakali, ukuthi akusona isifo sokujikeleza kwegazi esibi, senhliziyo noma sezinso.

Njengoba sesibonile, ukuvuvukala kwe-ankle kungalandela ukuhlukumezeka: ukucindezeleka, ukugoqa, ukuphuka, njll. Kulezi zimo, i-ankle evuvukele ibuhlungu futhi umsuka wobuhlungu ungase ube:

• i-articular;
• ithambo;
• noma okuhlobene nama-tendon (ukuphuka kwe-Achilles tendon isibonelo).

Udokotela angase ahlele i-x-ray futhi ahlole ukuhamba kwe-ankle, ikakhulukazi:

• okuhlangene okubizwa nge- "tibio-tarsal", okuvumela ukuguquguquka nokunyakaza konyawo;
• ilunga elingaphansi (ukunyakaza kwesokunxele kuya kwesokudla).

Icala lesibili ukuvuvukala kwamaqakala, noma i-edema, ngenxa yesifo sokujikeleza kwegazi. Igazi ligeleza ngokujwayelekile lisuka ezinyaweni liye enhliziyweni ngenxa yesimiso se-venous valves elivimbela ukuba libuyele emuva, futhi ngenxa yokucindezela kwemisipha yethole phakathi kokunye. Izimo eziningi zingaholela ekushoneni kwe-venous, okuphazamisa ukugeleza kwegazi futhi kuholele ekumeni koketshezi emilenzeni. Ezinye zalezi zinto zifaka:

• ubudala;
• ukukhulelwa (ukugcinwa kwamanzi);
• ukuhlala isikhathi eside noma ukuma (ukuhamba, ihhovisi, njll.).

Ukuba khona kokuvuvukala emaqakaleni noma emilenzeni nakho kungabonisa ukwehluleka kwenhliziyo noma izinso, okungukuthi, ukungasebenzi kahle kwenhliziyo noma izinso.

Ekugcineni, eqakaleni, ubuhlungu (ngokuvamile ngaphandle kokuvuvukala, noma kunjalo) bungabuye buxhunywe ne-osteoarthritis, evame ukuvela ngemva kokulimala okuphindaphindiwe (isibonelo kwabasubathi bangaphambili abaye baphihliza amaqakala izikhathi eziningi. ). I-ankle ingaba yindawo yokuvuvukala, ezimeni ze-rheumatoid arthritis noma enye i-rheumatism yokuvuvukala. Okokugcina, i-gout noma i-spondyloarthropathies nayo ingathinta iqakala futhi ibangele ubuhlungu obuvuthayo.

Iqakala elivuvukile kufanele liholele ekubonisaneni, ukuze kukhishwe ukutholakala kokuhluleka kwenhliziyo noma izinso. Uma kwenzeka ukulimala, ukuphathwa okwanele kuyadingeka. Iqakala liyilunga elibuthakathaka, elingalimala kalula. Ngakho-ke kubalulekile ukuthi ukulimala kuphole ngendlela efanele ukuvimbela ukuphindeka.

Ukwelashwa ngokusobala kuncike kumbangela.

Uma kwenzeka kuba nohlobo oluthile noma lokunyakaza, ukusetshenziswa kweqhwa, ukuphakama konyawo nokuthathwa kwemithi elwa nokuvuvukala kuyanconywa ngokuvamile. I-sprain eyingozi kakhulu noma ukuphuka kudinga ukufakwa kwe-cast noma i-orthosis.

Ngokushesha nje lapho ubuhlungu buyaphela, kuhle ukuba uqale kabusha ukuhamba ngokushesha ngokuvikela umsipha othintekile (i-bandage noma i-semi-rigid orthosis ngokwesibonelo) nokugwema ubuhlungu.

Ukusetshenziswa kodondolo noma izinduku kungase kudingeke ukuze ukwazi ukuhamba.

I-Physiotherapy, i-rehabilitation noma i-physiotherapy sessions ingaba usizo ukuze ilunga liphinde likwazi ukuhamba futhi liqinise imisipha ebuthaka ngenxa yokunganyakazi isikhathi eside.

Endabeni yokuntuleka kwe-venous, kungase kube kuhle ukugqoka amasokisi okucindezela noma amasokisi ukuze unciphise i-edema. Eminye imithi ingabuye ithengwe emakhemisi, kodwa ukusebenza kwayo akuzange kuboniswe ngokusemthethweni.

Uma kwenzeka ukwehluleka kwenhliziyo noma kwezinso, ukuqapha kwezokwelapha kuzoqaliswa. Kukhona izindlela zokwelapha eziningana ukuze kuncishiswe izimpawu futhi kugcinwe ukusebenza kwezitho zomzimba ngangokunokwenzeka.