Njani ukubuyiswa kwesithende sokuqhekeka

Umxholo

• Ungazi njani ukuba kukho ukwaphuka kwecalcaneus
• Lunjani unyango lokophuka kwecalcaneus
• Xa kufuneka utyando
• Ubunzima obunokwenzeka kunye nokulandelelana
• Uliqala nini i-physiotherapy
• Xa ubuyela emsebenzini

Ukuqhekeka kwesithende kunzima, kuhlala kushiya i-sequelae kwaye kunokubuyiselwa ixesha elide kwaye umntu kufuneka ahlale iiveki ezi-8 ukuya kwezi-12 engakwazi ukuxhasa unyawo phantsi. Ngeli xesha, ugqirha usenokubonisa ukusetyenziswa kweplasta ekuqaleni, kwaye emva kweentsuku ezili-15 okanye ezingama-20 ukuyitshintsha ngentambo enokususwa kunyango lomzimba.

Kwiintsuku ezi-5 zokuqala, umntu kufuneka ahlale ixesha elide kangangoko xa elele phantsi iinyawo ziphakamile ukuze zingadumbisi, nto leyo edla ngokuqaqambisa iintlungu. Akufuneki usebenzise iintonga ukuthintela ukubeka unyawo lwakho phantsi, ke ngoko, ukugoba umlenze wakho nokuhamba ngokuxhuma okanye ngoncedo lomnye umntu okufutshane nawe kunokuba luncedo ukuya kwigumbi lokuhlambela, umzekelo.

Ungazi njani ukuba kukho ukwaphuka kwecalcaneus

Iimpawu ezinokuthi zibonise ukwaphuka kwesithende kubandakanya iintlungu, ukudumba elunyaweni emva kokuwa kwenyawo. Ukuxilongwa kwenziwa kwisiseko se-X-ray kwii-angles ezimbini ezahlukeneyo kunye nekhompyuter ye-tomography yokuvavanya i-angle yokwahlukana, nokuba ngaba amalungu amancinci onyawo ayachaphazeleka nokuba ezinye izinto zonyawo ezinje ngemigudu kunye neetoni zazikho ichaphazelekayo.

Lunjani unyango lokophuka kwecalcaneus

Unyango lwenziwa ngokubeka i-plaster boot ukukhupha unyawo iiveki ezimbalwa, kodwa kunokuba yimfuneko ukuba kwenziwe utyando ukuze kuqiniswe ukophuka, kuvunyelwe ukuhamba konyawo.

Ukuququzelela ukuhamba komntu ngaphaya kwebhutsi yokutyabeka, ugqirha unokucebisa ukuba usebenzise iintonga, kodwa ungazange ubeke unyawo lwakho phantsi, kwaye ngenxa yoko eyona nto ifanelekileyo kukuhamba kancinci kangangoko kunokwenzeka, ukuhlala phantsi ngakumbi okanye ukulala phantsi, enokudinwa.

Sebenzisa imiqamelo yeendawo eziphakamileyo ezahlukeneyo kunokuba luncedo ukugcina unyawo luphakamile, ukukhupha, ukuxhasa umlenze kunye nokuphepha iintlungu ezinqeni okanye ngasemva.

Xa kufuneka utyando

Utyando emva kokuqhekeka kwe-calcaneus kufuneka lwenziwe ngugqirha wamathambo kwaye luhlala lubonakalisiwe xa ukongeza ukwaphuka kwecalcaneus, kukho:

• Ukuphambuka kwethambo lesithende okungaphezulu kwe-2 mm;
• Iziqwengana zamathambo ezininzi ezithi zenzeke xa ithambo lesithende lahlukana kububanzi obuninzi;
• Ukunyanzeliswa kwemisipha esecaleni ngenxa yokwanda kwethambo, okubangela ukuqaqamba kwethambo;
• Kufuneka ubeke ufakelo lwamathambo okanye iingcingo zentsimbi, ipleyiti yotyando okanye izikrufu ukuze iglu libuye linamathele;
• Kufuneka wenze i-arthrodesis, eyindibaniselwano phakathi kwe-calcaneus kunye ne-talus, enciphisa umngcipheko we-osteoarthritis kwixa elizayo.

Olu tyando aludingi ukwenziwa kwakamsinya nje xa kuchongwa ukwaphuka, kodwa kukhuselekile ukukhetha ukuba lwenziwe phakathi kweentsuku ezisi-7 ukuya kwezili-14 emva komsitho ukuze lo mmandla ungadumbisi kakhulu. Nangona kunjalo, kunokuba luncedo ukufuna uluvo lwengcali yamathambo engaphezulu kwesinye ukuvavanya umngcipheko kunye nesidingo sotyando.

Olu tyando luthatha ixesha kwaye nangexesha lenkqubo, iX-reyi inokwenziwa kwinqanaba eliphezulu nelisecaleni ukujonga ukubekwa kwethambo kunye neepleyiti. Emva kotyando ugqirha usenokucebisa ngokuthatha amachiza okuthomalalisa ukudambisa iintlungu nokudumba nokunceda ukubuyela kwimeko yesiqhelo.

Ukuba iingcingo, iipleyiti okanye ezinye izixhobo zokulungisa zangaphandle zibekwe, zinokususwa emva kweentsuku ezili-15, kwigazi elibandayo, ngaphandle kweanesthesia. Ukususwa kwayo kubuhlungu kwaye kunokubangela ukopha, kodwa ngokubanzi kwanele ukuba indawo icocwe ngotywala ngama-70º degrees yonke imihla kwaye ukunxitywa kungatshintshwa nanini na xa kumdaka okanye kumanzi. Kwiintsuku ezisi-8 imingxunya emincinci kufuneka iphiliswe ngokupheleleyo.

Ubunzima obunokwenzeka kunye nokulandelelana

Emva kokuqhekeka kwesithende, iingxaki ezinje nge-osteomyelitis zinokwenzeka, kulapho ithambo losuleleka ngenxa yokungena kweentsholongwane, ukungunda okanye ibhaktheriya ebangela iintlungu zalapha ekhaya. Fumana okunye apha. Olona luhlu luqhelekileyo lubandakanya:

• IArthrosis ngenxa yokuxabana rhoqo phakathi kwamalungu amancinci phakathi kwamathambo onyawo;
• Iintlungu esithendeni kunye neqatha elidibeneyo;
• Ukuqina kunye nobunzima bokuhambisa iqatha kumacala onke;
• Ukwandiswa kwesithende, esinokwenza kube nzima ukunxiba izihlangu ezivaliweyo;
• Intlungu yonyawo, kunye okanye ngaphandle kokutsha okanye ukurhawuzelela imvakalelo.

Akusoloko kunokwenzeka ukuba uchonge ukuba ezi ngxaki zinokwenzeka nini kodwa kuyenzeka ukuziphepha ngokulandela yonke imigaqo kagqirha kunye neyomzimba.

Uliqala nini i-physiotherapy

I-Physiotherapy kufuneka ibe yeyomntu ngamnye kwaye i-physiotherapist kufuneka ivavanye imeko nganye kuba unyango alunakufana kumntu wonke. Iiseshoni zingaqalwa ngokukhawuleza, nangaphambi kokuba uqhekeko lomelele kwaye lunokuba ziinjongo ezininzi. Kwiintsuku zokuqala emva kokuqhekeka, kunokuba luncedo ekwenzeni unyango lomzimba nge:

• IMagnetron ebalasele ekuphiliseni ngokwaphuka kunye
• I-Cryotherapy kunye neNitrogen efana neCrioflow yokuphelisa i-hematoma kunye nokuhambisa unyawo.

Ukongeza, ubuchule bunokusetyenziselwa ukolula imisipha yomlenze, ukuhambisa iminwe kunye neqatha, uhlala uhlonipha umda weentlungu kunye noluhlu lokuhamba. Zininzi iindlela zokuzilolonga ezinokucetyiswa ngokuxhomekeke kunyango lokwaphuka. Iibhanti ze-elastic ezinamandla ahlukeneyo zinokusetyenziselwa ukubeka incam yonyawo phezulu, ezantsi kwaye ushukumise unyawo ecaleni.

Xa ubuyela emsebenzini

Ngokwesiqhelo, umntu angabuyela emsebenzini emva kweenyanga ezi-6 zokuqhekeka kwesithende kwaye ngeli xesha unokuba usekhefini emsebenzini ukuze akwazi ukwenza unyango oluyimfuneko. Ngamanye amaxesha kunokwenzeka ukuba wenze isivumelwano nomphathi ukuze umsebenzi wenziwe ekhaya ixesha elithile, de ube ubuyela kwinkampani, ngaphandle kwezithintelo.