I-fibula ne-tibia angamathambo amabili amade omlenze ongezansi.I-fibula, noma ithambo lethole, ithambo elincane elingaphandle komlenze.I-tibia, noma i-shinbone, ithambo elithwala isisindo futhi lingaphakathi komlenze ongezansi.
I-fibula ne-tibia zihlangana ndawonye emadolweni nasemaqakaleni.Amathambo amabili asiza ukuzinza futhi asekele imisipha yeqakala neyomlenze ongezansi.
I-fibula fracture isetshenziselwa ukuchaza ukuphuka kwethambo le-fibula.Umthelela onamandla, njengokuhlala ngemva kokugxuma okukhulu noma yimuphi umthelela esicini sangaphandle somlenze, kungabangela ukuphuka.Ngisho nokugingqa noma ukugoqa iqakala kubeka ingcindezi ethanjeni le-fibula, okungaholela ekuphukeni.
Okuqukethwe kwalesi sihloko:
Izinhlobo ze-fibula fracture
Ukwelashwa
Rehab kanye nokwelashwa ngokomzimba
Izinhlobo ze-fibula fracture
Ukuphuka kwe-fibula kungenzeka nganoma yisiphi isikhathi ethanjeni futhi kungahluka ngobukhulu nohlobo.Izinhlobo ze-fibula fracture zihlanganisa okulandelayo:
Lisib amathambo
Ithambo le-fibula lincane emathanjeni emilenze emibili futhi ngezinye izikhathi libizwa ngokuthi ithambo lethole.
I-lateral malleolus fractures iyenzeka lapho i-fibula iphuka eqakaleni
Ukuphuka kwekhanda le-fibula kwenzeka ekugcineni kwe-fibula emadolweni
Ukuphuka kwe-avulsion kwenzeka lapho ingxenye encane yethambo exhunywe ku-tendon noma i-ligament ikhishwa engxenyeni eyinhloko yethambo.
Ukuphuka kwengcindezi kuchaza isimo lapho i-fibula ilimala khona ngenxa yokucindezeleka okuphindaphindiwe, njengokugijima noma ukuhamba ngezinyawo.
I-fibular shaft fractures iyenzeka phakathi nendawo ye-fibula ngemva kokulimala okufana nokushaya okuqondile endaweni.
Ukuphuka kwe-fibula kungaba ngenxa yokulimala okuningi okuhlukahlukene.Kuvame ukuhlotshaniswa ne-ankle egoqiwe kodwa futhi kungase kube ngenxa yokufika okungahambi kahle, ukuwa, noma ukushaywa okuqondile emlenzeni ongaphandle ongaphansi noma iqakala.
Ukuphuka kwe-fibula kuvamile kwezemidlalo, ikakhulukazi lezo ezibandakanya ukugijima, ukugxuma, noma izinguquko ezisheshayo zendlela efana nebhola lezinyawo, i-basketball, nebhola likanobhutshuzwayo.
Izimpawu
Ubuhlungu, ukuvuvukala, nokuzwela ngezinye zezimpawu ezivame kakhulu ze-fibula ephukile.Ezinye izimpawu nezimpawu zihlanganisa:
Ukungakwazi ukuthwala isisindo emlenzeni olimele
Ukopha kanye nemihuzuko emlenzeni
Ukukhubazeka okubonakalayo
Ukuba ndikindiki nokubanda onyaweni
Ithenda ekuthinteni
Ukuxilongwa
Abantu abalimele emlenzeni futhi abahlangabezana nanoma yiziphi izimpawu kufanele babonane nodokotela ukuze bathole ukuxilongwa.Izinyathelo ezilandelayo zenzeka phakathi nenqubo yokuxilongwa:
Ukuhlolwa komzimba: Kuzokwenziwa ukuhlolwa okuphelele futhi udokotela uzobheka noma yikuphi ukukhubazeka okubonakalayo
I-X-ray: Lezi zisetshenziselwa ukubona ukuphuka nokubheka ukuthi ithambo lisusiwe yini
I-Magnetic resonance imaging (MRI): Lolu hlobo lokuhlola lunikeza ukuskena okuningiliziwe futhi lungakhiqiza izithombe ezinemininingwane yamathambo angaphakathi nezicubu ezithambile.
Izikena zethambo, i-computerized tomography (CT), nezinye izivivinyo zingase ziyalwe ukuze kwenziwe ukuxilongwa okunembe kakhudlwana futhi kwahlulele ubukhali bokuphuka kwe-fibula.
Ukwelashwa
i-fibula ephukile
Ama-fibula fractures alula futhi ahlanganisiwe ahlukaniswa kuye ngokuthi isikhumba siphukile noma ithambo livezwa.
Ukwelashwa kwe-fibula fracture kungahluka futhi kuncike kakhulu ekutheni ikhefu linzima kangakanani.Ukuphuka kubhekwa njengokuvuliwe noma okuvaliwe.
Ukuphuka okuvulekile (ukuphuka okuyinhlanganisela)
Ekuqhekezeni okuvulekile, ithambo libhoboza esikhumbeni futhi lingabonakala noma isilonda esijulile sidalula ithambo esikhumbeni.
Ukuphuka okuvulekile ngokuvamile kuwumphumela wokuhlukumezeka okunamandla amakhulu noma ukushaywa okuqondile, njengokuwa noma ukushayisana kwemoto.Lolu hlobo lokuphuka lungaphinda lwenzeke ngokungaqondile njengokungathi uhlobo lokulimala olusonta ngamandla.
Amandla adingekayo ukuze kubangele lezi zinhlobo zokuphuka kusho ukuthi iziguli zizothola ukulimala okwengeziwe.Okunye ukulimala kungase kufake ukuphila engozini.
Ngokusho kwe-American Academy of Orthopedic Surgeons, kunamaphesenti angu-40 kuya kwangu-70 wokuhlukumezeka okuhlobene kwenye indawo ngaphakathi komzimba.
Odokotela bazophatha ama-fibula fractures ngokushesha futhi babheke noma yikuphi okunye ukulimala.Ama-antibiotics azosetshenziswa ukuvimbela ukutheleleka.I-tetanus shot nayo izonikezwa uma kunesidingo.
Isilonda sizohlanzwa kahle, sihlolwe, sizinze, bese simbozwa ukuze siphole.Ukuncishiswa okuvulekile nokulungiswa kwangaphakathi ngepuleti nezikulufu kungase kudingeke ukuze kuzinzise ukuphuka.Uma amathambo engahlangani, kungase kudingeke ukuxhunyelelwa kwethambo ukuze kuthuthukiswe ukuphulukiswa.
Ukuphuka okuvaliwe (ukuphuka okulula)
Ekuqhekekeni okuvaliwe, ithambo liphukile, kodwa isikhumba sihlala sinjalo
Umgomo wokwelapha ukuphuka okuvaliwe ukubuyisela ithambo endaweni, ukulawula ubuhlungu, ukunikeza isikhathi sokuphuka ukuphulukisa, ukuvimbela izinkinga, nokubuyisela umsebenzi ojwayelekile.Ukwelashwa kuqala ngokuphakama komlenze.Iqhwa lisetshenziselwa ukukhulula ubuhlungu nokunciphisa ukuvuvukala.
Uma kungekho ukuhlinzwa okudingekayo, izinduku zisetshenziselwa ukuhamba futhi i-brace, cast, noma ibhuthi yokuhamba iyanconywa ngenkathi ukuphulukiswa kwenzeka.Uma indawo isipholile, abantu ngabanye bangakwazi ukwelula futhi baqinise amalunga abuthakathaka ngosizo lomelaphi womzimba.
Kunezinhlobo ezimbili eziyinhloko zokuhlinzwa uma isiguli sizidinga:
Ukuncishiswa okuvaliwe kuhilela ukubuyisela ithambo endaweni yalo yasekuqaleni ngaphandle kwesidingo sokusika indawo yokuphuka.
Ukwehliswa okuvulekile nokulungiswa kwangaphakathi kuqondisa kabusha ithambo eliphukile endaweni yalo yangempela kusetshenziswa izingxenyekazi zekhompyutha ezifana namapuleti, izikulufu, nezinduku.
I-ankle izofakwa ku-cast noma ebhuthini ephukile kuze kube yilapho inqubo yokuphulukisa isiphelile.
Rehab kanye nokwelashwa ngokomzimba
Ngemva kokuphonswa ukhonkolo noma i-splint amasonto ambalwa, abantu abaningi bathola ukuthi umlenze wabo ubuthakathaka futhi amalunga abo aqinile.Iziguli eziningi zizodinga ukuvuselelwa ngokomzimba ukuze uqiniseke ukuthi umlenze wabo uthola amandla aphelele nokuguquguquka.
ukwelashwa ngokomzimba
Okunye ukwelapha ngokomzimba kungase kudingeke ukuze kubuyelwe amandla aphelele emlenzeni womuntu.
Umelaphi womzimba uzohlola umuntu ngamunye ukuze anqume uhlelo lokwelapha olungcono kakhulu.Umelaphi angase athathe izilinganiso eziningana ukuze ahlulele isimo somuntu.Izilinganiso zihlanganisa:
Ibanga lokunyakaza
Amandla
Ukuhlolwa kwezicubu zezibazi zokuhlinzwa
Ukuthi isiguli sihamba kanjani futhi sinesisindo
Ubuhlungu
Ukwelashwa ngokomzimba ngokuvamile kuqala ngokuqinisa iqakala nokuhamba.Uma isiguli sesinamandla ngokwanele ukufaka isisindo endaweni elimele, ukuzivocavoca ukuhamba nokunyathela kuvamile.Ukulinganisela kuyingxenye ebalulekile yokubuyisela ikhono lokuhamba ngaphandle kokusizwa.Ukuzivocavoca kwebhodi le-Wobble kuyindlela enhle yokusebenza ngokulinganisela.
Abantu abaningi banikezwa izivivinyo abangazenza ekhaya ukuze baqhubeke nokusiza ngenqubo yokwelapha.
Ukululama isikhathi eside
Ukwelashwa okufanele nokuvuselelwa okuqondiswa udokotela kwandisa ithuba lokuthi umuntu aphinde athole amandla aphelele nokunyakaza.Ukuze uvimbele ukuphuka kwe-fibula esikhathini esizayo, abantu ababamba iqhaza kwezemidlalo engcuphe kakhulu kufanele bagqoke izinto zokuphepha ezifanele.
Abantu banganciphisa ingozi yokuphuka kwabo ngokuthi:
Ukugqoka izicathulo ezifanele
Ukulandela ukudla okugcwele ukudla okunothe nge-calcium njengobisi, iyogathi, noshizi ukusiza ukwakha amandla amathambo
Ukwenza izivivinyo zokuthwala isisindo ukusiza ukuqinisa amathambo
Izinkinga ezingenzeka
Ama-fibula aphukile ngokuvamile ayaphola ngaphandle kwezinkinga, kodwa izinkinga ezilandelayo zingenzeka:
Isifo samathambo esiwohlozayo noma esibuhlungu
Ukukhubazeka okungavamile noma ukukhubazeka unomphela kweqakala
Ubuhlungu besikhathi eside
Ukulimala okuhlala njalo ku-nerve nemithambo yegazi ezungeze i-ankle joint
Ukunqwabelana kwengcindezi engavamile ngaphakathi kwemisipha ezungeze iqakala
Ukuvuvukala okungapheli komkhawulo
Ukuphuka okuningi kwe-fibula akunazo izinkinga ezinkulu.Phakathi namasonto ambalwa kuya ezinyangeni ezimbalwa, iziguli eziningi zithola ukululama ngokuphelele futhi zingaqhubeka nemisebenzi yazo evamile.
Isikhathi sokuthumela: Aug-31-2017