Kwelashwa kanjani ukuphuka kwe-calcaneal?

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Kwelashwa Kanjani Ukuphuka KweCalcaneal?

I-calcaneal fracture ukulimala okuyinkimbinkimbi okubandakanya ithambo lesithende, ngokuvamile elibangelwa ukuhlukumezeka kwamandla aphezulu njengokuwa ukusuka ekuphakameni noma izingozi zemoto. Ngenxa yokuthi i-calcaneus idlala indima ebalulekile ekuthwaleni isisindo, ekumunceni ukushaqeka, nasekuhambeni kahle kwemishini, amasu okwelapha kufanele abhekane nakho kokubili ukubuyiselwa kwe-anatomical kanye nokululama kokusebenza kwesikhathi eside.

Ukuphatha ngempumelelo ukuphuka kwe-calcaneal kudinga ukuqonda okuphelele kwamaphethini okuphuka, izimo zezicubu ezithambile, kanye nezidingo zokusebenza eziqondene nesiguli.

Ukuqonda I-Calcaneal Fractures kanye Nezimiso Zokwelashwa Eziyinhloko

I-calcaneus iyithambo le-tarsal elikhulu kunawo wonke futhi yakha isisekelo se-hindfoot. Ukuphuka kwaleli thambo kuvame ukuphazamisa i-biomechanics yonyawo oluvamile, okuholela ebuhlungu, ukukhubazeka, nokukhubazeka kokuhamba uma kungelashwa ngendlela efanele.

Imigomo eyinhloko yokwelashwa ihlanganisa ukubuyisela ubude be-calcaneal, ububanzi, nokuqondanisa, ukugcina ukuhlangana kwamalunga, nokunciphisa izinkinga zesikhathi eside ezifana nokuqina noma isifo samathambo sangemva kokuhlukumezeka. Izinqumo zokwelashwa aziqondiswa kuphela okutholwe yi-radiographic kodwa futhi nesimo sezicubu ezithambile kanye nokulindelwe yisiguli.

I-Calcaneal Fracture Classification kanye Nethonya Lalo Kusu Lokwelapha

Ukuphuka kwe-calcaneal kuvame ukuhlukaniswa ngezinhlobo ze-intra-articular kanye ne-extra-articular. Lo mehluko ubalulekile, njengoba uthinta ngokuqondile ukuhlelwa kokwelashwa kanye ne-prognosis.

Ukuphuka kwe-intra-articular kuhilela ukuhlangana kwe-subtalar futhi kubonisa izimo eziningi. Lokhu kulimala cishe kubangele ukungahambisani kwamalungu kanye nemikhawulo yokusebenza yesikhathi eside uma ukuncishiswa kwe-anatomical kungafinyelelwa. Ukuphuka kwe-articular extra-articular, ngokuphambene, kusindisa indawo ehlangene futhi kuvame ukuba nesibikezelo esivumayo.

I-Intra-Articular Fractures kanye Nokwenza Izinqumo Zomtholampilo

Ukuphathwa kwe-intra-articular calcaneal fractures kuncike ezintweni ezifana nokususwa kwe-fracture, ukuwa kwe-articular surface, ukuqondanisa okuphelele, kanye nezinga lomsebenzi wesiguli. Ukuthwebula izithombe okuthuthukile kuvame ukusetshenziselwa ukuhlola ukubandakanyeka okuhlanganyelwe kanye nomhlahlandlela wokukhethwa kokwelashwa.

Ukuphathwa Okungahlinzeki Kweziqhekeko Ze-Calcaneal

Ukwelashwa okungahlinzeki ngokuvamile kugcinelwe ukuphuka ngaphandle kokususwa okuphawulekayo, amaphethini okulimala okungaphezulu kwe-articular, noma iziguli ukuhlinzwa okubeka kuzo ingozi engamukeleki.

Ukuphathwa kwe-Conservative kugxile ekuvikeleni ukuphuka ngenkathi kugcinwa ukunyakaza okuhlangene nokuvimbela izinkinga zesibili.

Immobilization and Functional Rehabilitation in Conservative Care

Ukwelashwa kwasekuqaleni ngokuvamile kuhlanganisa ukuvinjelwa kusetshenziswa ukhonkolo noma ibhuthi ehambayo, izimiso eziqinile ezingathwali isisindo, kanye nokuphakama ukuze kulawuleke ukuvuvukala. Uma izimo zezicubu ezithambile zithuthuka, ukuzivocavoca kwebanga lokuqala lokuhamba kuyakhuthazwa ukunciphisa ukuqina futhi kukhuthaze ukululama kokusebenza.

Izinketho Zokwelashwa Zokuhlinza Zokuqhekeka Kwe-Calcaneal Displaced

Ukungenelela kokuhlinzwa kucatshangelwa lapho ukuphuka kukhombisa ukugudluka okuphawulekayo, ukungahambisani kwamalunga, noma ukukhubazeka okuphazamisa ukusebenza kwezinyawo. Isikhathi sokuhlinzwa sihlelwa ngokucophelela ukuze kunciphe ukuvuvukala kwezicubu ezithambile, kunciphise ingozi yezinkinga zenxeba.

Inhloso eyinhloko yokuhlinzwa ukubuyisela ukuqondanisa kwe-anatomical kanye nokuhlangana kwendawo ehlangene kuyilapho kugcinwa izicubu ezithambile ezizungezile.

Ukuncishiswa Okuvuliwe Nokulungiswa Kwangaphakathi Kweziqhekeko Ze-Calcaneal

Ukwehliswa okuvulekile kanye nokulungiswa kwangaphakathi kuhlala kuyindlela esetshenziswa kakhulu yokuqhekeka kwe-intra-articular. Le nqubo ivumela ukuboniswa okuqondile kokuphuka kanye nokubuyiselwa okunembile kwendawo ehlangene ye-subtalar, okufaka isandla emiphumeleni ethuthukisiwe yokusebenza uma kwenziwa ngaphansi kwezimo ezifanele.

Izindlela Zokulungisa Ezingenasici Kancane Nezinkomba Zazo

Izindlela zokulungisa ezihlasela kancane zithole ukuduma ezimweni ezikhethiwe. Lezi zindlela zihlose ukunciphisa ukuhlukumezeka kwezicubu ezithambile ngenkathi kufinyelelwa ukuncishiswa kokuphuka okwamukelekayo, ikakhulukazi ekuqhekekeni okune-comminution encane noma i-morphology evumayo.

Ukuphathwa Kwangemva Kokuhlinzwa Nokuvuselelwa Ngemva Kokuhlinzwa Kwe-Calcaneal Fracture

Ukunakekelwa kwangemva kokuhlinzwa kudlala indima ebalulekile ekunqumeni imiphumela yesikhathi eside. Amaphrothokholi ahlelekile okubuyisela abalulekile ukubuyisela amandla, ukuhamba, kanye nokuhambahamba.

Ukunyakaza okulawulwayo kusenesikhathi kusiza ukuvimbela ukuqina kwamalunga, kuyilapho ukuthwala isisindo okufakwe esigabeni ngokucophelela kusekela ukuphulukiswa kokuphuka kanye nokululama kokusebenza.

Ukuqhubeka Kokuthwala Isisindo Nomugqa Wesikhathi Wokubuyisela Wokusebenza

Ukuthwala isisindo ngokwengxenye ngokuvamile kwethulwa phakathi kwamasonto ayisishiyagalombili nayishumi ngemva kokuhlinzwa, kuye ngobufakazi be-radiographic bokuphulukisa. Ukuthwala isisindo esigcwele kuvuselelwa kancane kancane uma ukuhlanganiswa okwanele kokuphuka sekuqinisekisiwe, ngokuvamile okudinga izinyanga ezimbalwa zokuvuselela.

Imiphumela Yesikhathi Eside Nezinkinga Ezingaba Khona Zokuhlukana KweCalcaneal

Naphezu kokwelashwa okufanele, ukuphuka kwe-calcaneal kungase kuholele ezinkingeni zesikhathi eside ezifana nokuqina kwe-subtalar, ubuhlungu obungapheli bezithende, noma i-arthritis yangemuva. Lezi zingozi ziphezulu ekuqhekekeni okunzima kwe-intra-articular kanye nezimo ezinokushiyeka kokungahambisani kwamalunga.

Imiphumela yesikhathi eside incike ekuqineni kokuphuka, ikhwalithi yokwelashwa, kanye nokubambelela ezimisweni zokuvuselela.

Ukukhetha Indlela Yokwelapha Efanele Kakhulu

Akukho ukwelashwa okuphelele emhlabeni wonke kwakho konke ukuphuka kwe-calcaneal. Imiphumela ephumelelayo incike ekuhleleni ukwelashwa komuntu ngamunye okulinganisa izici zokuphuka, izidingo zokusebenza kwesiguli, kanye nolwazi olutholakalayo lokuhlinza.

Ukwabelana ngezinqumo phakathi kukadokotela ohlinzayo owelaphayo nesiguli kubalulekile ukuze kuqondiswe imigomo yomtholampilo nokulindelwe okungokoqobo.

Imibuzo Evame Ukubuzwa Mayelana Nokwelashwa Kwe-Calcaneal Fracture

Ingabe wonke ama-calcaneal fracture angelashwa ngaphandle kokuhlinzwa?

Akuwona wonke ama-calcaneal fractures alungele ukwelashwa okuvamile. Ukuphuka okususiwe okubandakanya i-subtalar joint ngokuvamile kudinga ukungenelela kokuhlinzwa ukuze kubuyiselwe i-anatomy nokusebenza.

Kuthatha isikhathi esingakanani ukululama ngemva kokuphuka kwe-calcaneal?

Ukubuyisela ngokuvamile kusuka ezinyangeni eziyisithupha kuya kweziyishumi nambili, kuye ngohlobo lokuphuka, indlela yokwelapha, nenqubekelaphambili yokubuyisela esimweni.

Ingabe i-calcaneal fracture izoba nemikhawulo yokusebenza unomphela?

Iziguli eziningi ziphinde zikwazi ukuhamba futhi zenze imisebenzi yansuku zonke, nakuba ukuphuka okukhulu kwe-intra-articular kungase kubangele ukuqina okusele noma ubuhlungu.

Kunini lapho ukuhlinza kunconywa kakhulu ngokuphuka kwe-calcaneal?

Ukuhlinzwa kuvame ukutuswa lapho ukuphuka kubangela ukuphazamiseka okuphawulekayo kwendawo ehlangene, ukulahlekelwa ukuqondanisa, noma ukuntengantenga kokusebenza.

Ingabe i-post-traumatic arthritis ivamile ngemva kokuphuka kwe-calcaneal?

I-post-traumatic arthritis ivame kakhulu kulandela ukuphuka kwe-calcaneal ye-intra-articular, ikakhulukazi uma ukuncishiswa kwe-anatomical kungaphelele.