I-fibula kunye ne-tibia ngamathambo amabini amade omlenze ongezantsi.I-fibula, okanye ithambo lethole, lithambo elincinci elingaphandle komlenze.I-tibia, okanye i-shinbone, ithambo elithwala ubunzima kwaye lingaphakathi komlenze ongezantsi.
I-fibula kunye ne-tibia zidibanisa ndawonye emadolweni kunye namalungu e-ankle.Amathambo amabini anceda ukuzinzisa kunye nokuxhasa i-ankle kunye nemisipha yomlenze ophantsi.
I-fibula fracture isetyenziselwa ukuchaza ikhefu kwithambo le-fibula.Impembelelo enamandla, njengokufika emva kokutsiba okuphezulu okanye nayiphi na impembelelo kwinkalo yangaphandle yomlenze, inokubangela ukuphuka.Nokuba ukuqengqeleka okanye ukutshiza i-ankle kubeka uxinzelelo kwithambo le-fibula, elinokukhokelela ekuqhekekeni.
Imixholo yeli nqaku:
Iintlobo ze-fibula fracture
Unyango
Rehab kunye nonyango lomzimba
Iintlobo ze-fibula fracture
I-Fibula fractures ingenzeka nakweyiphi na indawo kwithambo kwaye inokuhluka ngobunzima kunye nohlobo.Iintlobo ze-fibula fracture ziquka ezi zilandelayo:
Lumz. amathambo
Ithambo le-fibula lincinci kumathambo amabini emilenze kwaye ngamanye amaxesha kuthiwa lithambo lethole.
I-Lateral malleolus fractures iyenzeka xa i-fibula iphukile kwi-ankle
Ukuqhekeka kwentloko ye-Fibular kwenzeka kwisiphelo esiphezulu se-fibula emadolweni
Ukuqhekeka kwe-avulsion kwenzeka xa iqhekeza elincinci lethambo elincanyathiselwe kwi-tendon okanye i-ligament litsalwa lisuka kwindawo ephambili yethambo.
Iifractures zoxinzelelo zichaza imeko apho i-fibula yenzakala ngenxa yoxinzelelo oluphindaphindiweyo, njengokubaleka okanye ukuhamba.
I-Fibular shaft fractures yenzeke kwi-middle-part of the fibula emva kokulimala okufana nokubetha ngokuthe ngqo kwindawo.
Ukuqhekeka kwe-fibula kunokubangelwa kukwenzakala okuninzi okwahlukeneyo.Ngokuqhelekileyo idibene ne-ankle eqengqelekayo kodwa inokuthi ibe ngenxa yokufika okungahambi kakuhle, ukuwa, okanye ukubethelwa ngokuthe ngqo kumlenze wangaphandle okanye i-ankle.
I-Fibula fractures ixhaphake kwimidlalo, ngakumbi ezo zibandakanya ukubaleka, ukutsiba, okanye utshintsho olukhawulezayo lwesalathiso njengebhola, ibhola yomnyazi kunye nebhola ekhatywayo.
Iimpawu
Ubuhlungu, ukudumba, kunye nokuthantamisa zezinye zeempawu eziqhelekileyo kunye neempawu ze-fibula eqhekekileyo.Ezinye iimpawu kunye neempawu ziquka:
Ukungakwazi ukuthwala ubunzima kumlenze owenzakeleyo
Ukopha kunye nokugruzuka emlenzeni
Ukukhubazeka okubonakalayo
Ubundisholo nokubanda elunyaweni
Ithenda ekubambeni
Uxilongo
Abantu abaye balimala umlenze wabo kwaye bafumana nayiphi na impawu kufuneka badibane nodokotela ukuze bafumane ukuxilongwa.La manyathelo alandelayo ayenzeka ngexesha lokuxilongwa:
Uvavanyo lomzimba: Uvavanyo olucokisekileyo luya kwenziwa kwaye ugqirha uya kukhangela nakuphi na ukukhubazeka okubonakalayo
IX-reyi: Ezi zisetyenziselwa ukubona ukwaphuka nokujonga ukuba ithambo liye lafuduswa na
I-Magnetic resonance imaging (MRI): Olu hlobo lovavanyo lubonelela ngeskena esineenkcukacha ngakumbi kwaye lunokuvelisa imifanekiso eneenkcukacha zamathambo angaphakathi kunye nezicubu ezithambileyo.
I-Bone scans, i-computerized tomography (CT), kunye nezinye iimvavanyo zingayalelwa ukuba zenze ukuxilongwa ngokuchanekileyo kunye nokugweba ubunzima be-fibula fracture.
Unyango
i-fibula eyaphukileyo
Iifractures ze-fibula ezilula kunye nezidibeneyo zihlelwa ngokuxhomekeke ekubeni ulusu luphukile okanye ithambo libonakaliswe.
Unyango lwe-fibula fracture lunokwahluka kwaye luxhomekeke kakhulu ekubeni ikhefu linzima kangakanani.Ukwaphuka kuchazwa njengento evulekileyo okanye evaliweyo.
Ukwaphuka okuvulekileyo
Kwi-fracture evulekileyo, mhlawumbi ithambo likhupha esikhumbeni kwaye lingabonwa okanye inxeba elinzulu libonisa ithambo ngesikhumba.
Ukuqhekeka okuvulekileyo kudla ngokuba ngumphumo wokwenzakala kwamandla aphezulu okanye ukubetha ngokuthe ngqo, njengokuwa okanye ukungqubana kwemoto.Olu hlobo lokwaphuka lunokuthi lwenzeke ngokungangqalanga njengoluhlobo olujijekileyo lwamandla aphezulu.
Amandla afunekayo ukuze kubangele ezi ntlobo zokuqhekeka kuthetha ukuba izigulane ziza kufumana ukulimala okongezelelweyo.Olunye ukonzakala lunokubeka ubomi esichengeni.
Ngokutsho kwe-American Academy of Orthopedic Surgeons, kukho i-40 kwi-70 yepesenti yezinga le-trauma ehambelanayo kwenye indawo ngaphakathi komzimba.
Oogqirha baya kunyanga i-fibula fractures ngokukhawuleza kwaye bajonge nayiphi na enye inzakalo.Amayeza okubulala iintsholongwane aya kusetyenziswa ukuthintela usulelo.Ukudubula kwe-tetanus nako kuya kunikwa ukuba kuyimfuneko.
Inxeba liya kucocwa ngokucokisekileyo, lihlolwe, lizinziswe, lize ligqunywe ukuze liphole.Ukunciphisa okuvulekileyo kunye nokulungiswa kwangaphakathi kunye neplate kunye nezikrufu kunokufuneka ukuzinzisa ukuphuka.Ukuba amathambo awadibanisi, ukufakwa kwamathambo kunokufuneka ukukhuthaza ukuphilisa.
Ukuqhekeka okuvaliweyo (ukwaphuka okulula)
Kwi-fracture evaliweyo, ithambo liphukile, kodwa ulusu luhlala luqinile
Injongo yokunyanga iifractures ezivaliweyo kukubuyisela ithambo endaweni, ukulawula intlungu, ukunika ixesha lokuphuka ukuphulukisa, ukukhusela iingxaki, nokubuyisela umsebenzi oqhelekileyo.Unyango luqala ngokunyuka komlenze.Umkhenkce usetyenziselwa ukukhulula intlungu kunye nokunciphisa ukudumba.
Ukuba akukho tyando lufunekayo, iintonga zisetyenziselwa ukuhamba kwaye i-brace, i-cast, okanye i-boot ehambayo iyacetyiswa ngelixa ukuphiliswa kwenzeka.Nje ukuba indawo iphile, abantu banokuzolula kwaye bomeleze amalungu abuthathaka ngoncedo lonyango lomzimba.
Zimbini iindidi eziphambili zotyando ukuba isigulana sizifuna:
Ukunciphisa okuvaliweyo kubandakanya ukulungelelanisa ithambo libuyele kwindawo yalo yokuqala ngaphandle kwesidingo sokwenza indawo kwindawo yokuphuka.
Ukunciphisa okuvulekileyo kunye nokulungiswa kwangaphakathi kulungelelanisa ithambo eliqhekekileyo kwindawo yalo yokuqala usebenzisa i-hardware efana neepleyiti, izikrufu, kunye neentonga.
I-ankle iya kufakwa kwi-cast cast okanye i-fracture boot de inkqubo yokuphilisa iphelile.
Rehab kunye nonyango lomzimba
Emva kokuba befakwe kwisamente okanye i-splint kwiiveki ezininzi, abaninzi abantu bafumanisa ukuba umlenze wabo ubuthathaka kwaye amalungu abo aqinile.Uninzi lwezigulana ziya kufuna ukuvuselelwa ngokomzimba ukuze kuqinisekiswe ukuba umlenze wabo uphinde ube namandla apheleleyo kunye nokuguquguquka.
ulungiso lwenyama
Olunye unyango lomzimba lunokufuneka ukuba uphinde ufumane amandla apheleleyo emlenzeni womntu.
Ugqirha womzimba uya kuvavanya umntu ngamnye ukuba anqume isicwangciso sonyango esilungileyo.Umgqirha unokuthatha imilinganiselo emininzi ukugweba imeko yomntu.Imilinganiselo ibandakanya:
Uluhlu lwentshukumo
Amandla
Uvavanyo lotyando lweethishu
Indlela isigulane esihamba ngayo kwaye sithwala ubunzima
Iintlungu
Unyango lomzimba ngokuqhelekileyo luqala ngokuqiniswa kwe-ankle kunye nokuzivocavoca ukuhamba.Emva kokuba isigulane sinamandla ngokwaneleyo ukubeka ubunzima kwindawo yokulimala, ukuhamba kunye nokunyathela ukuzivocavoca kuqhelekileyo.Ukulungelelana yinxalenye ebalulekileyo yokubuyisela amandla okuhamba ungancediswa.Ukuzivocavoca kwebhodi ye-Wobble yindlela efanelekileyo yokusebenza ngokulingana.
Abantu abaninzi banikwa imithambo abanokuthi bayenze ekhaya ukuncedisa ngakumbi kwinkqubo yokuphilisa.
Ukubuyiselwa kwexesha elide
Unyango olululo kunye nokubuyiselwa kwimeko yesiqhelo elawulwa ngugqirha kwandisa ithuba lokuba umntu aphinde afumane amandla apheleleyo kunye nokunyakaza.Ukuthintela i-fibula fractures kwixesha elizayo, abantu abathatha inxaxheba kwimidlalo enobungozi kufuneka banxibe izixhobo ezifanelekileyo zokhuseleko.
Abantu banokuwunciphisa umngcipheko wokuqhekeka ngoku:
Ukunxiba izihlangu ezifanelekileyo
Ukulandela ukutya okugcwele i-calcium-ecebileyo yokutya okufana nobisi, iyogathi, kunye netshizi ukunceda ukwakha amandla ethambo
Ukwenza umthambo wokuthwala ubunzima ukunceda ukuqinisa amathambo
Iingxaki ezinokwenzeka
Iifibula ezaphukileyo zihlala ziphilisa ngaphandle kweengxaki ezingaphezulu, kodwa ezi ngxaki zilandelayo zinokwenzeka:
I-arthritis ephazamisayo okanye ebuhlungu
Ukukhubazeka okungaqhelekanga okanye ukukhubazeka okusisigxina kwe-ankle
Ubuhlungu bexesha elide
Umonakalo osisigxina kwi-nerve kunye nemithambo yegazi ejikeleze i-ankle joint
Ukwakhiwa koxinzelelo olungaqhelekanga ngaphakathi kwezihlunu ezijikeleze iqakala
Ukudumba okungapheliyo komda
Uninzi lweefractures ze-fibula azinazo naziphi na iingxaki ezinzulu.Kwiiveki ezimbalwa ukuya kwiinyanga ezininzi, izigulane ezininzi zenza ukuchacha ngokupheleleyo kwaye zikwazi ukuqhubeka nemisebenzi yazo eqhelekileyo.
Ixesha lokuposa: Aug-31-2017