Kodi kuchira kwa chidendene ndikuphwanyidwa

Zamkati

• Momwe mungadziwire ngati panali calcaneus yophulika
• Kodi chithandizo cha fracture ya calcaneus chimakhala bwanji?
• Pamene opaleshoni ikufunika
• Zovuta zotheka ndi sequelae
• Nthawi yoyambira physiotherapy
• Mukabwerera kuntchito

Kuphulika kwa chidendene kumakhala kovuta, nthawi zambiri kumasiya sequelae ndipo amachira kwakanthawi ndipo munthuyo amatha kukhala masabata 8 mpaka 12 osatha kuthandizira phazi pansi. Munthawi imeneyi, adotolo amatha kuwonetsa kugwiritsa ntchito pulasitala poyamba, ndipo pakatha masiku 15 kapena 20 m'malo mwake amalowetsa ndi chingwe chomwe chingachotsedwe ngati physiotherapy.

M'masiku asanu oyambilira, munthuyo azikhala momwe angathere pogona pansi ndi mapazi ake atakwezedwa kuti asatupe, zomwe zimapangitsa kukulitsa ululu. Musagwiritsenso ntchito ndodo kuti mupewe kuyika phazi lanu pansi, chifukwa chake, kupindika mwendo wanu ndikusuntha modumpha kapena mothandizidwa ndi munthu wina pafupi nanu kungakhale kothandiza kupita kuchimbudzi, mwachitsanzo.

Momwe mungadziwire ngati panali calcaneus yophulika

Zizindikiro zomwe zitha kuwonetsa kuphulika kwa chidendene zimaphatikizapo kupweteka, kutupa phazi pambuyo phazi. Matendawa amapangidwa pamaziko a X-ray pamakona awiri osiyana ndipo adawerengera tomography kuti awone momwe phangalo lakhalira, kaya mapazi ang'onoang'ono adakhudzidwa komanso ngati ziwalo zina za phazi monga ligaments ndi tendon zidalinso zakhudzidwa.

Kodi chithandizo cha fracture ya calcaneus chimakhala bwanji?

Mankhwalawa amachitika poyika nsapato zadothi kuti zilepheretse phazi kwa milungu ingapo, koma kungafunikirenso kuchitidwa opareshoni yolimbitsa kuphwanya, kulola kuyenda kwa phazi.

Kuwongolera kuyenda kwa munthu kupitirira nsapato zapulasitala, adokotala angakulimbikitseni kuti mugwiritse ndodo, koma osayika phazi lanu pansi, chifukwa chake choyenera ndikusuntha pang'ono momwe mungathere, kukhala pansi kapena kugona pansi, zomwe zingakhale zotopetsa.

Kugwiritsa ntchito mapilo amitundumitundu kungakhale kothandiza kuti phazi likweze, kutsekeka, kuthandizira mwendo ndikupewa kupweteka m'matako kapena kumbuyo.

Pamene opaleshoni ikufunika

Opaleshoni pambuyo pa kuphulika kwa calcaneus iyenera kuchitidwa ndi orthopedist ndipo imawonetsedwa nthawi zambiri kuwonjezera pa kuphwanya kwa calcaneus, pali:

• Kutembenuka kwa mafupa chidendene kuposa 2 mm;
• Zidutswa zambiri za mafupa zomwe zimachitika chidendene fupa likugawana pakati;
• Kupanikizika kwa tendon ofananira nawo chifukwa cha kukulitsa kwa fupa, kuchititsa tendonitis;
• Muyenera kuyika mafupa olumikizidwa ndi mafupa kapena zingwe zachitsulo, mbale yopangira opaleshoni kapena zomangira kuti fupa la gululi ligwiritsenso ntchito;
• Muyenera kuchita arthrodesis, komwe ndiko kusakanikirana pakati pa calcaneus ndi talus, komwe kumachepetsa chiopsezo cha matenda a mafupa mtsogolo.

Kuchita opaleshoniyi sikuyenera kuchitidwa akangovulala, koma ndibwino kusankha kuti ichitike pakati pa masiku 7 ndi 14 zitachitika mwambowu kuti dera lisatupeze. Komabe, zitha kukhala zothandiza kufunsa malingaliro aopitilira orthopedist kuti awone kuwopsa kwake ndi kufunika kochitidwa opaleshoni.

Kuchita opareshoni kumatenga nthawi ndipo ngakhale panthawiyi, ma X-ray amatha kuchitidwa kumtunda ndi kumtunda kuti awone momwe fupa ndi mbale zimakhalira. Pambuyo pa opareshoni adotolo amalimbikitsa kuti mutenge ma anti-inflammatories kuti muchepetse ululu ndi kutupa ndikuthandizira kuchira.

Ngati mawaya, mbale kapena zida zina zakunja zimayikidwa, zimatha kuchotsedwa patatha masiku 15, m'magazi ozizira, osachita dzanzi. Kuchotsa kwake kumakhala kowawa ndipo kumatha kuyambitsa magazi, koma nthawi zambiri ndikokwanira kuti malowo amatsukidwa ndi mowa mpaka madigiri 70º tsiku lililonse ndipo mavalidwe amatha kusinthidwa nthawi iliyonse ikakhala yakuda kapena yonyowa. M'masiku 8 mabowo ang'onoang'ono ayenera kuchiritsidwa kwathunthu.

Zovuta zotheka ndi sequelae

Pambuyo pa chidendene chovulala, zovuta monga osteomyelitis zimatha kuchitika, ndipamene fupa limakhala ndi kachilombo chifukwa cholowa ma virus, bowa kapena bakiteriya omwe amayambitsa kupweteka kwakanthawi. Dziwani zambiri apa. Ma sequelae omwe amapezeka kwambiri ndi awa:

• Arthrosis chifukwa cha kukangana kosalekeza pakati pamagulu ang'onoang'ono pakati pa mafupa a phazi;
• Ululu chidendene ndi bondo olowa;
• Kuuma ndi kuvuta kusuntha bondo mbali zonse;
• Kukulitsa chidendene, komwe kumatha kukhala kovuta kuvala nsapato zotsekedwa;
• Kupweteka pamapazi, kapena popanda kutentha kapena kumenyera.

Sikuti nthawi zonse zimakhala zotheka kuzindikira kuti zovuta izi zitha kuchitika koma ndizotheka kuzipewa potsatira malangizo onse a dokotala ndi physiotherapist.

Nthawi yoyambira physiotherapy

Physiotherapy iyenera kukhala payekhapayekha ndipo physiotherapist iyenera kuwunika mulingo uliwonse chifukwa mankhwalawa sangakhale ofanana kwa aliyense. Magawo atha kuyambitsidwa mwachangu, ngakhale kusweka kusanakhazikike ndipo kumatha kukhala ndi zolinga zingapo. M'masiku oyamba ataphulika, zitha kukhala zofunikira kuthandizira ndi:

• Magnetron yomwe ndiyabwino kwambiri pakachiritso kwa mafupa ndi
• Cryotherapy ndi Nitrogen monga Crioflow kuti athetse hematoma ndikuchepetsa phazi.

Kuphatikiza apo, maluso amatha kugwiritsidwa ntchito kutambasula minofu ya mwendo, kusuntha zala ndi akakolo, nthawi zonse kulemekeza malire azowawa komanso mayendedwe osiyanasiyana. Pali zolimbitsa thupi zingapo zomwe zingalimbikitsidwe kutengera kuchiritsa kwa mphambano. Magulu otanuka okhala ndi mphamvu zosiyanasiyana amatha kugwiritsidwa ntchito kuyika nsonga ya phazi mmwamba, pansi ndikusunthira phazi chammbali.

Mukabwerera kuntchito

Nthawi zambiri, munthuyo amatha kubwerera kuntchito pakatha miyezi isanu ndi umodzi ataduka chidendene ndipo munthawi imeneyi amakhala atakhala atchuthi kuntchito kuti athe kuchita chithandizo chofunikira. Nthawi zina zimakhala zotheka kupanga mgwirizano ndi abwana kuti ntchitoyo ichitike kuchokera kunyumba kwakanthawi, mpaka mutha kubwerera ku kampaniyo, popanda zoletsa.