Ukulimala kwama-ankle kubhekwa njengenye yezinto ezivame kakhulu. Abamele ubulili obuhle bavame ukuthola umonakalo onjalo ngenxa yezintandokazi zabo, ezinhle ezithakazelisayo, kodwa izithende ezinjalo ezingakhululekile. Ngezinye izikhathi izicathulo ezinhle zenza ngisho nokuphulwa kwengalo kabili nge-subluxation nokuhamba. Lokhu kulimala kakhulu futhi kuyingozi kakhulu, okuyinto, ngenhlanhla, kwenzeka ngokungajwayelekile.
Ukwelashwa kwe-double-knee ukuhlukana nokufuduka nokuxhaswa kwezinyawo
Njengemifantu evamile, ukulimala kwe-ankle kungavuleka futhi kuvaliwe. Ngalesi sigameko, isikhumba esakhiweni somonakalo sisalokhu siphelile. Uma ukubonakala kokulimala kuvulwa, amathambo aphukile adiliza izicubu bese ephuma.
Ukuphulwa kwengalo kabili kuvaliwe kulula ukuphatha. Ukwelapha kuqala ngokungafihli. Umshini we-gypsum wamamitha ayisentimitha ububanzi ububanzi usetshenziswa ku-shin. Umsuka wayo uthatha umngcele obhekene nengxenye yesithathu engaphezulu kwe-shin, ufike ekhanda nasesithende, bese uhamba eceleni kwe-ankal lateral uphakamise ukuya engxenyeni ye-ankal lateral.
Ukuze wenze i-gypsum ibe namandla, ezimweni eziningi, isondo lengezwe endaweni yokulimala. Lesi siphetho sitholakala ngemuva kwesigxobo sezinyolo futhi sivela phezulu kuze kube semlenzeni ophansi, wehla endaweni yezitshalo ezinyaweni.
Ukusebenzisa i-gypsum namathayi ekuphukeni kwengalo ephindwe kabili nge-subluxation nokuhamba, udokotela kufanele ahlale ekhumbula umbala weminwe yomuntu olimele nokuthi isilwane sakhe esingaphansi sesithukuthele kangakanani. Emva kwalokhu, kufanele kwenziwe i-X ephindwe kaningi - ukuqinisekisa ukuthi amathambo axhunyiwe ngendlela efanele.
Ngaphambi kokusebenzisa i-gypsum, umjovo we-novocaine uvame ukwenziwa njalo. Kuyasiza ekunciphiseni ubuhlungu. Lokhu kubalulekile - ukuguqulwa kwamanye amazwe ngama-nyxes kudingekile ukuhlinzekela izinhlungu zombili izifo.
Ngokwephulwa kwesibhakabhaka esivamile, kubalulekile ukuhamba nge-plaster izinyanga ezimbili. Ukuhlukumezeka okungaphezu kakhudlwana nokuhamba nokuxhaswa kwezinyawo kuphelela isikhathi eside - amasonto angu-12.
Ukusebenza nge-bi-articular fracture ene-displacement
Ukwelapha ukwelashwa kusebenza kaningi kangako. Ukusebenza kwenziwa kuphela ezimweni ezimbi kakhulu. Khona-ke, isibonelo, uma udokotela engakwazi ukuqhathanisa zonke izingcezu zamathambo. Izinkomba zokungenelela okuhlinzekwayo nazo zibhekwa njengesibili ukufuduka nokuvuleka okuvulekile, kuhambisane nesilonda esikhulu.
Ngezinye izikhathi ukuhlinzwa kwenziwa uma izicubu ezithambile zicindezelwa uma kwenzeka ukwelashwa okunamandla kungenamandla. Iqhutshwa ngaphansi kwe-anesthesia jikelele . Odokotela badonsa izicubu zethambo, baxhuma zonke izingcezu bese bezitshengisa nge-bolts akhethekile noma i-vitnickami. Ngemuva kwe-osteosynthesis, isiguli siboniswa ukwelashwa kwesiguli.
Ukuvuselelwa ngemuva kokuphuka kokuhlukana okuphindwe kabili ne-subluxation yonyawo nokuhamba
Ukuze ubuyisele imoto yomsebenzi womlenze, kubalulekile ukuqhuba izinyathelo ezigcwele zokulungisa kabusha, kufaka phakathi i-physiotherapy, ukuvocavoca, nokusikhipha.
Ukuzivocavoca umzimba nokuzivocavoca umzimba kungenziwa ngosuku lwesibili ngemuva kokulimala. Kuyasiza kakhulu ukuthuthukisa imisipha ye-quadriceps ye-femoris, ukwenza i-flexion nokwandisa ukunyakaza kwamadolo. Esigabeni sesibili - ngemuva kokukhipha i- gypsum - ungaqala ukwenza ukunyakaza kokujikeleza. I-joint ivunyelwe ukunikeza imithwalo. Kodwa udinga ukuhamba, kancane kancane. Futhi kuphela esigabeni sesithathu ungaya ukuhamba ngamasokisi, ama-squats.
Ku-physiotherapy okuwusizo kakhulu:
- okugeza okufudumele;
- i-ultrasound;
- iontophoresis;
- izicelo zodaka.
Uma ungakwazi ukugqoka izithende ngemva kokuphuka kwengalo kabili, awukwazi ukusho ngokuqinisekile. Kule ndaba udinga ukubonisana nomchwepheshe ngamunye.