Iqakala eliphukile

I-ankle ephukile ingaba nomthelela omkhulu empilweni yansuku zonke, ikhawulela ukuhamba nokuzimela. Imisebenzi efana nokuhamba, ukushayela, nokuma iba inselele. Iqakala eliphukile linamandla okuba nomthelela empilweni yansuku zonke kanye nemisebenzi, lenze ulwazi lwezimpawu zalo, ukuxilongwa, kanye nezinketho zokwelapha zibalulekile kunoma ubani osengozini yokulimala okunjalo. Le bhulogi ebanzi izohlola izimpawu nezimpawu zeqakala eliphukile, ihlole izimbangela ezivamile zokulimala okunjalo, futhi ichaze izinyathelo zokuxilongwa. 

Liyini Iqakala Eliphukile? 

I-ankle ephukile, noma i-ankle bone break, ukulimala okuphawulekayo okudinga ukunakwa nokunakekelwa ngokushesha. Lolu hlobo lokulimala luhlanganisa izinhlobonhlobo zokuphuka okungase kuhlukumeze i-ankle, ngezinye izikhathi kuhlanganisa amathambo amaningi ekuhlanganyeleni kwe-ankle. Ngakho-ke, ukuqonda ukubaluleka kokwelashwa ngokushesha nangempumelelo kubaluleka, njengoba iqakala lisekela isisindo somzimba futhi lidlala indima ebalulekile ekunyakazeni. Uhambo lokutakula kanye nemiphumela ngokuphawulekayo kuncike ekuqineni kwekhefu, ukunemba kokuxilongwa, kanye nempumelelo yendlela yokwelashwa ekhethiwe. 

Izimpawu Nezibonakaliso 

• Ngokushesha, ubuhlungu obuhlabayo eqakaleni 
• Ukuvuvukala eqakaleni 
• Ukulimaza noma ukushintsha umbala njengegazi nolunye uketshezi kunqwabelana ngaphansi kwesikhumba 
• Ithambile kakhulu ekuthinteni 
• Iqakala lingase libonakale likhubazekile noma lingekho esimweni salo esivamile nokuqondanisa 
• Ubunzima noma ubuhlungu bokuzala 

Izimbangela 

Ithambo le-ankle eliphukile lingenzeka ngenxa yezenzakalo ezihlukahlukene ezihlukumezayo ezisebenzisa amandla amakhulu ekuhlanganyeleni kweqakala, njenge: 

• Ukulimala Okusontekile: Kungenzeka lapho iqakala lisonteka ngamandla ngaphezu kwemikhawulo yalo evamile yokunyakaza, njengaphakathi kwemidlalo yezemidlalo, ukuwa, noma ukungahambi kahle. 
• Ukulimala Okunomthelela: Ukulimala komthelela kwenzeka lapho amandla abalulekile esetshenziswa ngokuqondile eqakaleni, njengokuwa ukusuka phezulu noma ukushaywa into esindayo. 
• Ukulimala Kwe-Crush: Ukulimala kwe-Crush kungenzeka ezimweni ezifana nezingozi zemoto noma lapho iqakala livaleleke ngaphansi kwento esindayo. 

Sifo

Ukuxilongwa kwe-ankle ephukile kuhilela inhlanganisela yokuhlolwa ngokomzimba nokuhlolwa kwe-imaging: 

• Ukuhlolwa Komzimba: Inqubo iqala ngodokotela wakho ehlola i-ankle yakho ukuze ahlole amaphuzu wesisa futhi ahlole uhla lwakho lokunyakaza. 

Ukuze uqinisekise ukuphuka kwe-ankle, udokotela wakho cishe uzoncoma ukuhlolwa kwe-imaging okulandelayo: 

• Ama-X-ray: Ukuphuka kwamaqakala amaningi, ngaphandle kokuphuka kokucindezeleka, kubonakala kuma-X ray. 
• Ukuskena kwethambo: Ukuskena kwethambo kungaxilonga ukuphuka kweqakala okungabonakali kuma-X ray. 
• I-Computerized Tomography (CT): Izikena ze-CT zingaveza imininingwane eyengeziwe mayelana nethambo elimele kanye nezicubu ezithambile ezizungezile. 
• I-Magnetic Resonance Imaging (MRI): Le nqubo yokuthwebula ingakwazi ukubona ukuphuka okungabonwa kuma-X ray futhi inikeze imininingwane ngesimo semigqa namathambo. 

Ukwelashwa Uma Iqakala Lakho Liphukile

Ukwelashwa kwe-ankle ephukile kuncike kubukhulu kanye nohlobo lokuphuka, kufaka phakathi: 

• Ukwelashwa Okungahlinzeki: Odokotela bangase batuse indlela engahlinzeki yokuphuka kwe-ankle encane ngaphandle kokuhamba okuphawulekayo noma ukungahambi kahle. Le ndlela ngokuvamile ihlanganisa ukulandela iphrothokholi ye-RICE: 
  • Ukuphumula: Ukuphumula iqakala elimele kubalulekile ukuze kuvunyelwe ukuphola. 
  • Iqhwa: Ukusebenzisa amaphakethe eqhwa endaweni elimele imizuzu engu-20 ngesikhathi kungasiza ekunciphiseni ukuvuvukala nokuvuvukala. 
  • Ukucindezelwa: Ungase udinge ukufaka ukhonkolo noma i-brace ukuze unganyakazi iqakala futhi uvimbele ukulimala okwengeziwe. 
  • Ukuphakama: Ukugcina i-ankle elimele iphakeme ngaphezu kwezinga lenhliziyo yakho nakho kungasiza ekunciphiseni ukuvuvukala. 
• Ukwelashwa Kokuhlinzwa: Ezingxenyeni ezimbi kakhulu ze-ankle fractures, odokotela bangenza ukuhlinzwa kwe-ankle kuma-ankle aphukile ukuze bahlele kabusha izingxenye zokuphuka futhi balungise noma yimuphi umonakalo ohlobene. Ezinye izinqubo zokuhlinzwa ezivamile zihlanganisa: 
  • Ukuhlinzwa Kwe-Ankle Fracture Fixation: Uma kwenzeka kungahambi kahle noma kususwe amathambo, udokotela wakho ohlinzayo uzowabeka kabusha futhi awavikele esebenzisa i-hardware ekhethekile njengamapuleti, izikulufu, noma izikhonkwane. 
  • I-Non-Union Ankle Fracture Surgery: Ezimweni lapho ithambo eliphukile lihlulekile ukuphulukisa ngendlela efanele (eyaziwa ngokuthi i-non-union), kungase kudingeke ukuhlinzwa ukuze kususwe noma yikuphi ukutheleleka, ukuzinzisa ukuphuka, noma ukukhuthaza ukukhula kwamathambo usebenzisa i-graft yethambo. 
  • Ukuhlinzwa Kokunciphisa Iqakala: Esimeni sokuqhekeka kwezingxenye ezingaqondani kahle, udokotela wakho ohlinzayo uzowabeka kabusha endaweni yawo efanele esebenzisa izingxenyekazi zekhompyutha ezikhethekile njengamapuleti, izikulufu, noma izikhonkwane. 

Izingozi Zezingozi 

Izici eziningana zingandisa ingozi yakho yokulondoloza ukuphuka kwe-ankle ephukile. Lokhu kubandakanya: 

• Ukubamba iqhaza kwezemidlalo ezinomthelela omkhulu 
• Ukusebenzisa indlela engafanele noma imishini yezemidlalo 
• Ukungafudumali nokuzelula ngaphambi komsebenzi 
• Kwamathambo 
• Ikhuphula izinga lomsebenzi kungazelelwe 
• Ukuhamba endlini enemfuhlumfuhlu kakhulu noma ukukhanya okunganele kungaholela ekuweni noma ekulimaleni kwamaqakala. 
• Izimo ezifana sikashukelaisifo semithambo yegazi, isifo semithambo yegazi, i-peripheral neuropathy, izifo zamalunga avuvukalayo, ukukhuluphala, kanye izifo zezinso 
• Ukubhema 

Izinkinga 

Nakuba amaqakala aphukile ngokuvamile ephulukisa kahle ngokwelashwa okufanele, ezinye izinkinga ezingase ziphakame. Lokhu kubandakanya: 

• Isifo Sokuqaqamba Kwamalunga 
• Ukutheleleka kwethambo (i-Osteomyelitis) 
• Ukulimala kwezinzwa noma imithambo yegazi 
• Ukuphulukiswa okubambezelekile noma okungeyona inyunyana 

Ezimweni ezingavamile, iqakala eliphukile lingabangela i-compartment syndrome, isimo esibonakala ngobuhlungu, ukuvuvukala, nokukhubazeka okungenzeka emisipha yemilenze. 

Uzoyibona Nini Udokotela 

Ukulibazisa ukwelashwa kungaholela ezinkingeni nasekuphulukisweni okungafanele. Nayi eminye imihlahlandlela yokuthi ungalufuna nini usizo lwezempilo: 

Vakashela isibhedlela uma: 

• Ubuhlungu beqakala bukhulu noma buyanda 
• Inani elikhulu lokuvuvukala noma imihuzuko ekhulayo 
• Ubunzima bokubeka isisindo eqakaleni elimele 
• Iqakala lizizwa liqinile kakhulu noma kunzima ukunyakaza 
• High imfiva noma amakhaza 
• Uzwe umsindo wokuqhekeka noma ophumayo lapho kulimala 
• Iqakala libonakala likhubazekile noma likwi-engeli eyinqaba 
• Umuzwa wokuba ndikindiki, ukuluma, noma ukulahlekelwa umuzwa onyaweni noma eqakaleni 
• Isikhumba esizungeze ukulimala sibukeka siluhlaza okwesibhakabhaka, simpunga noma sibanda lapho usithinta 
• Vula isilonda noma ithambo elingaphandle endaweni yokulimala 

Prevention

Ukuvimbela iqakala eliphukile kuhilela ukuthatha izinyathelo zokuphepha nokuthatha imikhuba enempilo. Okulandelayo amanye amasu asebenzayo okunciphisa ingozi yokulondoloza ukuphuka kwe-ankle: 

• Gcina Impilo Yamathambo: Ukuqinisekisa ukuthi amathambo aqinile futhi anempilo kubalulekile ekuvimbeleni ukulimala. Faka ukudla okunothe nge-calcium ne-vitamin D njengemikhiqizo yobisi, imifino enamaqabunga, nezinhlanzi ezinamafutha. 
• Vivinya Ukuzivocavoca Njalo: Ukuzivocavoca okuvamile kusiza ukuqinisa imigqa nemisipha esekela i-ankle joint, ukuthuthukisa ibhalansi nokuxhumana. 
• Gqoka Izicathulo Ezifanele: Tshala imali ezicathulweni ezikulingana kahle, ezisekelayo ezidizayinelwe imisebenzi yakho ethile futhi ushintshe izicathulo zezemidlalo njalo. 
• Ukufudumala & Ukuzipholisa: Ngaphambi kokwenza imisebenzi yomzimba, zifudumeze ngokulula okulula noma ukugijima kancane ukuze ulungise imisipha namalunga. Ngemuva kokuzivocavoca, zipholisa ngokunwebeka okuthambile ukuze uvimbele ukuqina kwemisipha futhi uthuthukise ukuguquguquka. 
• Khulisa Kancane Amazinga Omsebenzi: Uma uqala uhlelo olusha lokuzivocavoca noma uthuthukisa ukushuba kokujima kwakho, kwenze kancane kancane emasontweni ambalwa. 
• I-Cross Train kanye Nemisebenzi Ehlukahlukene: Imisebenzi ehlukene ingasiza ukwakha amandla ewonke futhi ivimbele ukulimala ngokweqile. Ukuze unikeze amaqakala akho ikhefu, zungezisa imisebenzi enethonya eliphansi ngemiphumela ephansi (ukubhukuda noma ukugibela ibhayisikili). 
• Qaphela Imvelo Yakho: Gcina izindawo zakho zokuhlala nezokusebenzela zingenayo imfuhlumfuhlu futhi uqinisekise ukukhanya okwanele ukuze uvimbele uhambo nokuwa. Lapho uhlanganyela emisebenzini yangaphandle, qaphela indawo engalingani, izimbobo, noma izithiyo ezingase zidale ukulimala kwamaqakala. 
• Sebenzisa Izisetshenziswa Zokuzivikela: Uma unomlando wokulimala kweqakala noma ubamba iqhaza emisebenzini enobungozi obukhulu, cabanga ukusebenzisa izinsimbi zamaqakala noma ukuthepha ukuze unikeze ukwesekwa okwengeziwe nokuzinza. 

Isiphetho 

Ukuqonda amaqakala aphukile kusinikeza amandla okubhekana nalokhu kulimala okuyinselele ngempumelelo. Isinyathelo ngasinye sidlala indima ebalulekile ekululameni, kusukela ekuboneni izimpawu kuye ekukhetheni izindlela zokwelapha ezifanele. Khumbula, ukunakekelwa kwezokwelapha okusheshayo kungavimbela izinkinga futhi kubeke isiteji sokwelashwa okuphelele. Ngokwamukela izinyathelo zokuvimbela njengokuzivocavoca njalo nezicathulo ezifanele, sivikela amaqakala ethu ezingozini zesikhathi esizayo. Ukuphatha i-ankle ephukile kudlulela ngale kokunakekelwa ngokushesha-uhambo lokululama, ukuvimbela, nokuqina. Ngalolu lwazi, sikuhlomele kangcono ukubhekana nokulimala kweqakala, siqinisekisa ukubuya ngokushesha ekuphileni kwethu kwansuku zonke kanye nemisebenzi esiyithandayo. 

Imibuzo Evame Ukubuzwa 

1. Ingabe iqakala eliphukile liyingozi? 

Nakuba ubunzima bungase buhluke, noma yikuphi ukuphuka ekuhlanganyeleni kwe-ankle kudinga ukungenelela kwezokwelapha ngokushesha kanye nokwelashwa okufanele ukuze kuqinisekiswe ukuphulukiswa okunembile nokuvimbela izinkinga zesikhathi eside. 

2. Iqakala eliphukile lithatha isikhathi esingakanani ukuphola? 

Isikhathi sokuphulukisa i-ankle ephukile singahluka futhi sincike ohlotsheni nobukhulu bokuphuka. Ukuphuka okulula kungase kuthathe cishe amasonto angu-6 kuya kwangu-12 ukuphola, kuyilapho ukuphuka okuyinkimbinkimbi kungathatha izinyanga ezimbalwa ukululama ngokugcwele. 

3. Ngingakwazi yini ukuhamba ngeqakala eliphukile? 

Ukuhamba eqakaleni eliphukile noma eliphukile ngokuvamile akunconywa, njengoba ukwenza kanjalo kungabangela ukulimala okwengeziwe futhi kuvimbele inqubo yokuphulukisa. 

4. Iqakala eliphukile libuhlungu kangakanani? 

I-ankle ephukile ngokuvamile ihlotshaniswa nobuhlungu obuphuthumayo, obuhlabayo obungaba nzima futhi obukhulu. Ubuhlungu bungase buhlotshaniswe nokuvuvukala, imihuzuko, nokuzwela endaweni ethintekile. 

5. Ingabe iqakala eliphukile lingaphola ngokwemvelo? 

Nakuba ukuphuka kwezinwele ezincane kungase kuphuluke ngokwemvelo ngokungakwazi ukuhamba kahle nokuphumula, amaqakala amaningi aphukile adinga ukwelashwa ukuze kuqinisekiswe ukuqondana kahle nokuphulukiswa. 

CARE Medical Team

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