Ukwaphuka kwethambo le-metatarsal lonyawo luhlobo oluqhelekileyo lokulimala. Phantse kwi-5 yeefowuni zee-traumatologist ze-fractures zemilenze zidibaniswe nale ngxaki. Kulula ukufumana ukuphuka okufanayo nangona uhamba ngendlela engafanelekanga kwizicathulo ezingakhawulezileyo, xa ugxuma kumanzi onzima, ngenxa yokubetha unyawo kwi-curb okanye udonga.
Ukuqhekeka kwethambo le-metatarsal leenyawo - iimpawu
Unyawo lusetyenziswa ngeso sixhobo esinamathambo amaninzi, kwaye ezintlanu zazo ziyi-bonesatta e-metatarsal i-tubular ephakathi kwe-phalanges kunye ne-tarsal. La mathambo asebenza njengenqindi ehambayo inyawo xa ihamba, ixuma, inceda ukugcina umlinganiselo kunye nokuzinza. Nokuba ukuphuka okuncinci okanye ukuphazamiseka kwelinye lamathambo kuthintela kakhulu ukuhamba.
Ukuqhekeka kwethambo le-metatarsal leenyawo kubonakaliswe ziimpawu ezilandelayo:
- ukutyhafaza kwangoko kwenzakaliswa;
- ukuvakalelwa okubuhlungu, okokuqala ekungenwa yizicathulo, ngokukhawuleza ukuvimbela umlenze, kodwa ke uhlale ubizwa ngakumbi;
- Intlungu iyancipha xa ihamba kwaye ishukumisa unyawo;
- ubunzima bokuhamba, ukunyonga;
- ukuqhubela phambili kweenyawo;
- ukuluhlaza okwesibhakabhaka kwezicubu endaweni yomonakalo.
Izibonakaliso zethambo le-metatarsal ukuphuka kweenyawo akuzona zonke iziganeko ezibonakalayo kwizigulane, kwaye loo mphuko ihlala iphosakele ngenxa yokuqhwala okanye ukuphazamiseka. Oku kubandakanyeka kwiimeko apho i-fracture ayinakuchukumisa, ihambelana nomphumo okhalilileyo, kunye noxinzelelo. Ukuphazamiseka kwengcinezelo kuqala ngokusekwa kwincinci encinci kwithambo ngenxa yokunyathela rhoqo kwiinyawo, ngokuqhelekileyo kubadlali. Kulo mzobo lwekliniki yolu qhekeko, iintlungu ezibuhlungu ziphawulwa emva komthwalo, ziyancipha ngokuphumla, ngokunyuka kwexesha kwaye zihamba ne-edema.
Ukuphuka kwesithambo semetatarsal enyawo ngaphandle kokuhlaselwa
Kuloo matyala xa izifucu zethambo zingabonakali kwi-fracture, ithambo elonakalisiweyo lihlala lichanekile. Umonakalo onjalo awunobungozi, kulula ukuyiphatha kunye nefusi. Ngokwahlukileyo kuyimfuneko yokwahlula isithuba sesithandathu semetatarsal yonyawo ngaphandle kokufuduka, esibizwa ngokuba nguJones. Ngenxa yokuba kule nxalenye yonyawo i-microcirculation isinganiselwe, yimbi kakhulu enikezwa izondlo, ngale ndlela inomonakalo inobungozi be-necrosis yamathambo esithambo. Ngoko ke, ukulibaziseka ekubhekiseni ugqirha unokuba nemiphumo emibi kakhulu.
Ukuqhekeka kwethambo le-metatarsal leenyawo ngokufuduka
Ukuqaphela ukuphulwa kwethambo le-metatarsal, ehamba kunye nenkunkuma kunye nokufuduka kweengcewa zethambo, kunokwenzeka ngokutshintshwa kweso sakhiwo kwinqanaba, kodwa oku akusoloko kubonakala. Umfanekiso ochanekileyo wenzakalo ungatholakala kuphela kwi-X-ray. Ukuqhekeka kwethambo le-metatarsal ngokufudukayo kuyingozi ngokuphuhliswa kwegazi kunye nokwanda komngcipheko wokuxhaswa kwezicubu. Ukuba ugqirha akakwazanga ukudibana nogqirha ngexesha, ukuxuba kungenzeki ngokuchanekileyo, kwaye kufuneka kusebenze umsebenzi otyanekileyo.
Ukwaphuka kwemetatarsus yonyawo - unyango
Kuze kube nini ukuphulwa kwethambo le-metatarsal lonyawo lunyawo, kungakhathaliseki ukuba kuvela iingxaki zengxakeko, ngokukodwa kunqunywe ngokukhawuleza nokuchaneka kokubonelelwa ngononophelo. Ngokukhawuleza emva kokufumana ukulimala, kuyimfuneko ukuqhuba imisebenzi enjalo:
- ukulungiswa kweenyawo kwisithuba esinye ngokugqithisa ivili;
- kunye nentlungu evulekileyo-ukufakwa kwebhanki engumzimba;
- ukusebenzisa i-compress ebandayo (malunga nemizuzu engama-15);
- Ukuqinisekisa ukuphumla kwesigxina esingaphantsi kwindawo ephakanyisiweyo.
Amaqhinga okonyango axhomekeke kwisibandezelo sokuqhaqha kunye nendawo yesikhumba. Ukusebenzisa i-X-ray ebonakalayo, kubonakala ukuba kukho ukuphuka - isiseko seetatarsal ithambo lonyawo, i-diaphysis, intamo okanye intloko, yintoni na umgca wephulo, nokuba ingaba ukufuduka kweziqhekeza. Iinketho eziphambili zonyango zi:
- ukuphoqeleka kweenyawo ngokugqoka i-plaster - kwiimeko zokuphuka ngaphandle kokuhamba;
- ukutshintshwa kweentlobo zeethambo kunye nokufuduka kwazo ngaphandle kokusika isikhumba;
- i-osteosynthesis - ukubuyiswa kokusebenza kweendawo zesimo se-anatomical yeengcezu zethambo kunye nokulungiswa kwazo ngeenkcukacha ezikhethekileyo (amacwecwe, ukudibanisa inaliti, ukukhangela) kunye nokutshitshiswa okulandelelweyo, kwenziwa ngokufuduka komelele kunye nemonakalo emininzi.
Ukuze ukhulule unyawo lomthwalo, ukunyakaza kudinga ukusetyenziswa kweenkonkxa kude kube yinto eqhelekileyo yokujoyina. Kwi-supine kunye neendawo zokuhlala, umlenze kufuneka uphakanyiswe. Isigulane kufuneka sigqirwe ngugqirha ngexesha lokugqoka i-bandage ye-plaster, ukwenzela ukufumanisa ngokukhawuleza kweengxaki ezinokwenzeka. Ukuphucula ithambo lokupaka, i-calcium kunye ne-vitamin D ziyacetyiswa.
Ukuphuka kwesithambo semetatarsal inyawo - iplasta sapozhok
Ukuba i-break of metatarsal bone of foot is diagnostic, i- plaster isetyenziswa kwiimeko ezininzi. Ngokuqhelekileyo, i-gypsum yenziwe ngohlobo lwebhodi ukusuka kwisithathu esiphezulu se-shin ukuya kwimiphetho yeminwe. Ukulungiswa okunjalo kuyimfuneko ukuqinisekisa ukungahambi kwamathambo kunye neendawo ezichanekileyo, ukukhusela kwimimandla eyahlukeneyo yangaphandle. Ixesha lokugqoka i-gypsum kwimeko yokuphulwa kwethambo le-metatarsal lonyawo liinyanga ezili-1-1.5.
I-Orthodosi enyaweni kunye nokuphuka kwamathambo e-metatarsal
Kwiimeko ezinzima ngaphandle kokufuduka, uvumelekile ukuba usebenzise unyawo lweenyawo xa kwenzeka i-metatarsal bone break-orthosis. Esi sixhobo, esenziwe ngezinto eziphathekayo, zenzelwe ukuzinza, ukulungiswa kunye nokulayishwa kweenyawo. Ukusuka kwinqanaba lokujonga, i-orthosis iyamkeleka, kodwa inokuthenjwa ngakumbi yi-gypsum. Ukuba kukho ukuphulwa kwethambo elingaphaya kwesinye, kukho ukufuduka, ngoko ke ukuhluka kwe-immobilization akuvumelekanga.
Unyango lweemetatarsal zonyango zokuphulwa kwamathambo abantu
Ukuba kukho ukuphulwa kweenyawo, unyango oluchazwe ngugqirha lunokuxhaswa kunye neendlela zokupheka. Iinkqubo zengingqi ngelixesha lokugqoka amabhanti e-plaster azenziwanga, kodwa kuyacetyiswa ukuba kusetyenziswe amayeza ngaphakathi ukukhawuleza i-coalescence yamathambo esithambo, ukunciphisa ubuhlungu kunye nokunciphisa ukuvutha. Nantsi enye yeendlela zokupheka.
I-Tincture ye-bone fast
Izithako:
- ingcambu ye-comfrey yemithi (umhlaba) - itafile e-1. isipuni;
- amanzi - 1 iglasi.
Ukulungiselela nokusetyenziswa:
- Amanzi amaninzi athululela amanzi abilayo.
- Makhele ukupholisa, ukucima.
- Thatha i-1-2 teaspoonfuls kathathu ngosuku ngenyanga.
Bangaphi na abaphilisa ukuphulwa kweemetatras ezinyaweni?
Ngokomyinge, ukuphuka okuvulekileyo nokuvaliweyo kwethambo le-metatarsal lonyawo ludlulileyo kwiiveki ezi-6-8. Indlela yokuphulukisa amathambo e-metatarsal, kuxhomekeke kwizinto eziliqela ezinokumisela amandla okuvuselelwa komzimba:
- kwinqanaba le- calcium emzimbeni;
- ubukho bentsholongwane engapheliyo ekuthintela izicubu ukuba zifake;
- ubudala somguli;
- ukugcinwa kwemimiselo yonyango.
Ukuvuselelwa emva kokuphuka kwamathambo e-metatarsal enyawo
Emva kokususa ibhenji, i-X-ray iyakuqinisekiswa ngexesha lokuvuselela. Ukubuyiselwa emva kokuphulwa kwethambo le-metatarsal lonyawo luhlala malunga neethathu ukuya kwiiveki ezintlanu okanye ngaphezulu. Ngeli xesha, kuyadingeka ukuba uhlakulele imisipha kunye neetoni zeenyawo, ukulungelelanisa ukuhamba kwamalungu, uzilungiselele umthwalo. Ekuqaleni, xa uhamba, kubalulekile ukuphumla kuphela kwisithende, ngokukhawuleza ubeke unyawo lonke phantsi. Kunokucetyiswa ukubopha unyawo nge-bandage elastic, ukugqoka izicathulo zomzimba ngamathambo anzima okanye i-insoles insole.
Iinkqubo ezinzima zokulungisa izinto ziquka:
- phucula i gymnastics;
- ukusilisa;
- physiotherapy;
- ukutya okuphezulu.
Indlela yokuphuhlisa unyawo emva kokuphuka kwamathambo e-metatarsal?
Ukukhawulezisa ixesha lokubuyisela, ukuqeqeshwa okukhethekileyo kunconywa emva kokuphulwa kwethambo leetatarsal inyawo. Masinike isiseko sesenzo esisiseko, ngasinye esifanele senziwe maxesha ama-10-15:
- Ukongezwa nokugoba kwezwane.
- Jikela ngakwesobunxele nakwesokudla.
- Ukukhupha iinyawo kude nawe kunye nawe.
- Ukutshintshwa kwesisindo somzimba kwiinzwane nangemuva (ezinsukwini zokuqala, lo msebenzi kufuneka wenziwe uhleli, ngoko-kunye nenkxaso emva kwesihlalo, kwaye-ke kwindawo yokuma).
- Ukujikeleza kweSetyhula kunye nokuyeka kwamehlo kunye nokuhamba ngeeyure.
- Ukuqhaqha kwe-roller eninzi kunye neenyawo.
- Imilenze yomnqamlezo nemilenze kwisimo esifanelekileyo.
Ukusikwa kweenyawo emva kweethambo le-metatarsal
Ukuphuhliswa kweenyawo emva kokuphulwa kwethambo le-metatarsal ngokusebenzisa i-massage ijoliswe ekusebenziseni ukujikeleza kwegazi kunye ne-lymph drainage, ukuphucula isondlo samathambo awonakele. Ukuba akukho nto inokwenzeka yokuya kwiinkqubo zonyango, ukuxiliswa komnxeba kunokuba kwenziwe ngokuzimela, kusetyenziswe iisetyhula, i-longitudinal and transverse strokes ngeengcebiso kunye neminwe yeminwe. Kufuneka uguqe ngaphakathi nangaphandle kweenyawo, iminwe.
Iziphumo zeetatarsal bone break
Xa kunokwenzeka ukuba unyango olungonelanelekanga okanye ukungahoywa kwinkqubo yokuvuselela, imiphumo yokuphuka kweenyawo ingaba ngale ndlela:
- ubuhlungu obungapheliyo enyawo;
- arthrosis ;
- ezinyaweni ;
- ulungiso lwenyawo;
- ukubunjwa kweebony;
- umda wokuhamba kweenyawo.