Ukwaphuka we unyawo: ukwelashwa, ukucinga indikimba yendaba, izimpawu kanye nezimpawu. Izimpawu unyawo ukwa

Ukwa senyawo - kokulimala ajwayelekile kakhulu yakha 20% azo zonke waphuka. Akufanele aphathe it kancane, imiphumela ingaba mibi kakhulu, kuze kube ukungakwazi ukuhamba ngaphandle kosizo.

izizathu

Ngo unyawo abukhali eneka iyiphi ingxenye, ukuphakama pole, ngokugcizelela imilenze noma athelele into esindayo, lokhu ukulimala singenzeka.

Ngokuvamile abantu baphuka izinqulu we metatarsals zibangelwa i negalelo elinamandla ezingalindelekile onyaweni, ukucindezeleka ngokweqile kanye uhlobo.

Izimpawu ukwa senyawo

Ukuvuvukala endaweni elimele, nobuhlungu - izimpawu zokuqala kakhulu elikhombisa ukuthi ungase ube ukwaphuka we unyawo. Photo elingezansi libonisa ukuthi kubukeka kanjani umlenze ezimbi.

Ubuhlungu kungaba nzima kakhulu kangangokuba kwakungasekho umuntu Awukwazi ukuhambisa. Futhi ukulimaza kungenzeka endaweni yokulimala. ukwa Zixoshwe libhekene ushintsho ukuma ngezinyawo.

Ngezinye izikhathi umuntu akazi ukuthi wayenobuhlobo unyawo eziphukile. Izimpawu lingase liphinyiselwe cha, ubuhlungu kwenzeka kuphela uma umthwalo umlenze ethintekile. Ngakho-ke, kufanele ucele traumatologist ukucacisa uphethwe.

usizo lokuqala

Uma usola ophukayo amathambo unyawo esitho abalimala kuyinto njengoba yayinjalo. Ungasebenzisa ibhasi esikhashana, eyenziwe amabhodi, zokushushuluza izingongolo noma izinduku ukuthi aqinisekise ngebhandeshi umlenze. Uma lutho esandleni wayengekho, ungakwazi ukubopha esitho abalimele endaweni enempilo, usebenzisa isikhafu, ihembe noma ithawula.

Uma waphuka evulekile Akubalulekile ngokuzimela zama qondanisa ithambo, kuba okokuqala kudingekile ukuba ukopha. Ukuze wenze lokhu, kudingeka aphathe esikhumbeni azungeze isilonda iodine noma i-hydrogen peroxide. Khona-ke udinga ngobumnene isicelo ngebhandeshi oyinyumba. Ngemuva usizo lokuqala enikeziwe, isisulu kumele labo bantu bathathelwe a isikhungo sokwelapha.

ukuhlola

Okokuqala ukuhlukumezeka kufanele bahlolisise umlenze wakhe elimele. Ukuthola isisulu izimpawu unyawo ukwa imilenze, udokotela kwenza ze-X ray ukucacisa uhlobo nendawo umonakalo. Kakhulu akuvamile isidingo computer noma-magnetic resonance imaging.

Uma ukwa uye kwatholakala, impatho ezinqunyiwe, okuyinto kuncike hlobo yayo futhi kungaba lapho eqondisa ithambo eliphukile.

Ukwaphuka we talus

Lokhu ithambo has ezinye izici. By talus is alinamathiselwe kungekho kwemisipha. Ngaphezu kwalokho, okuhambisa esisindo kokuphelele ngezinyawo.

Ukwaphuka we talus kungenzeka ngenxa ukuhlukumezeka engaqondile kuyinto engajwayelekile futhi kubhekwa kokulimala kabi amathambo unyawo. Ephelezelwa ezinye ukulimala ezifana ukwa, isenyelo i iqakala noma ezinye amathambo unyawo.

symptomatology

Phezu kokuthola ukulimala esezwa ukuhlaba okubuhlungu, kukhona ezinyaweni nasemaqakaleni edema, nokopha esikhumbeni ebonakalayo. Uma izingcezwana nazo ezilahlekelwe, uzophawula ukuthi unyawo zikhubazekile.

Ukuze uqinisekise ukwa, ukucacisa indawo yayo, uhlobo nezinga lokuziphatha ithambo ukufuduka, enze cwaningo-X-ray ezenziwa ezimbili.

Indlela esiphatha ngayo

Uma unesifo ukwaphuka we unyawo nge-offset, ngokushesha wenza Ukuqhathanisa izingcezwana ithambo. Iqiniso ukuthi kamuva uya kudokotela, lo nzima kuzoba ukubuyisela izikhundla zabo lesifanele, futhi ngezinye izikhathi ngisho engenakwenzeka.

Gypsum is esikhulu ngenyanga nesigamu. Kusukela ngesonto lesithathu, udinga ukukhulula esitho abalimala isondo futhi wenze asebenzayo iqakala ezinyakazayo.

Ngandlela-thile kamuva ebekiwe umsebenzi yokwelapha futhi massage, Physiotherapy. On nokuvuselelwa sokufundela kuthatha kusuka izinyanga ezimbili kuya kwezintathu.

Ukwa wethambo navicular

It kuvela ngenxa umthelela oqondile. Ngokuvamile ophukayo amathambo unyawo kuhambisana ukulimala nezinye amathambo.

izimpawu

Umuntu angeke alithole ancike isitho somzimba ngenxa ubuhlungu obunzima. Kukhona ukuvuvukala kanye ukopha. On palpation, ezama ukuvula unyawo wangaphakathi umuntu kwangaphandle ezwe ubuhlungu obuhlabayo. Ukuze uqinisekise ukwa ka ithambo navicular senyawo, kuyancomeka ukuba afeze cwaningo-X-ray.

ukwelashwa

Uma kungekho-offset, udokotela ibeka isiyingi usimende nokubopha ngebhandishi endaweni ezilimele. Ukuze waphuka we scaphoid offset ekuqhathaniseni izinsalela, kwezinye izimo kungase kudingeke i kwamathambo. Unyawo kuyinto usimende esinqunyiwe ku isikhathi esingamasonto amane kuya kwamahlanu.

Kunzima ngempela yini ukuthi selaphe ukwa ezinjalo unyawo ngokuhlanganiswa dislocation. Uma isinqamu dislocated akanalo ilungelo endaweni angagcina flat esibuhlungu. LukaMuratori Offset ukunciphisa usebenzisa idivayisi ekhethekile edonsa. Ngezinye izikhathi kufanele iphendukele ivule ukunciphisa kanye nenkanuko edlulele ukunciphisa izingcezwana suture kasilika. Ngemva le nqubo, i-ezilimele esitho immobilization kufanele kuqhutshwe amasonto 10-12. Ngokuzayo isidingo sokugqoka izicathulo wamathambo.

Ngokuvamile abantu baphuka izinqulu we cuboid futhi umbhalo we-cuneiform amathambo

Ezimweni eziningi, ukulimala kwenzeka ekwindla gravity on the dorsum futhi ephelezelwa edema e elithambile umonakalo izicubu zone, nesisa ukuba palpation we egoba unyawo ukuphendukela kunoma iluphi uhlangothi. Qiniseka ukuthi ukuqhuba-X-ray izifundo ukuqinisekisa ukwa. Ngemva kwalokho, unyawo kuyinto usimende esinqunyiwe inkatho ngenyanga nesigamu. Kuwo wonke unyaka, ngemva kwalokhu senguquko kunconywa ukuba agqoke instep.

ukwa Jones unyawo

Lokhu kokulimala ezivamile phakathi kwazo zonke waphuka unyawo. Zimbili izinhlobo waphuka amathambo metatarsal: kuhlasimulise esicindezelayo.

ukwa Kwenhlekelele

Kuyinto umphumela okunomthelela zangaphandle lokukhanda. Lokhu kungaba ephonsa kobukhulu umlenze abanjwe slog unyawo.

ubufakazi

ukwa Obungapheli ububonisa unyawo isici ziwe nobuhlungu ngesikhathi yokulimala, kungenzeka ukuba agcine umunwe noma kunciphisa ukuphambuka nganxanye. Ubuhlungu buba bukhulu enamandla kakhulu ekuqaleni, kodwa ekugcineni buthaka, nakuba ngeke kuselule ngokuphelele. At the site yokulimala kwenzeka ukuvuvukala noma ukulinyazwa.

Ukwa ukucindezeleka (ukukhathala)

ukulimala ezinjalo, ezihlanganisa ukwa wethambo metatarsal senyawo 5, is ngokuvamile atholakala umsubathi labo phila ngakhethi yokuphila asebenzayo. Babonakala ngenxa ukucindezeleka ngokweqile futhi isikhathi eside phezu ngezinyawo. Eqinisweni, ophukayo ezinjalo - ufa in the bone, futhi kunzima kakhulu ukuqaphela.

Uma umuntu ehlupheka izifo ezihlukahlukene concomitant, ezifana kwamathambo noma deformity stop isimo kungase kakhulu ukuwohloka. Ukucindezeleka ukwa amathambo metatarsal kwenzeka labo njalo kuya izicathulo ungakhululekile futhi Friend.

izimpawu

Uphawu lokuqala ukuthi kufanele wazise - ubuhlungu ezenzeka unyawo emva umthwalo eside futhi okukhulu ubalekela at ukuphumula. Ngokuhamba kwesikhathi, it is eseshukumisa kangangokuthi noma isiphi isenzo, kusuka kube nzima. Soreness iqhubeka uphumule. At the site wokulinyazwa livela edema.

Ingozi iba ukuthi abantu abaningi bathola ukulimala abanjalo bangabaphostoli ekujaheni ukubona udokotela, kaningi umuntu ngisho nokuwabona zingangabazi ukuthi wayenobuhlobo unyawo eziphukile. Izimpawu kuleli cala hhayi njengoba liphinyiselwe njengoba kwezinye waphuka, isiguli uya futhi iza ngezinyawo. Ngakho-ke, ukuze ugweme izinkinga ngemva kokuhlinzwa, kubalulekile ukuba uxhumane nodokotela ngokushesha.

Ukwa lesihlanu metatarsal thambo unyawo - yokulimala okwenzeka kaningi kunabanye.

Lapho eneka ingaphakathi unyawo kungabangela ukwa izinyembezi. Ngakho kukhona igebe kanye displacement we amathambo metatarsal. Splicing lide kakhulu, ngakho xhumana traumatologist kudingeka ngokushesha ngangokunokwenzeka. Ngezinye ukwelashwa kwesikhathi wethambo kungenzeka kukhule ndawonye, kuleso simo uzodinga ukuhlinzwa.

5 metatarsal isizinda - indawo ompofu liningi igazi. Kule ndawo kukhona Jones ukwa. Yena livela zangokwasemuva zezinhlelo ukucindezeleka futhi uphulukisa kancane kakhulu.

Sifo metatarsal ukwa

Isisulu is kahle ukuhlolwa udokotela, ukutadisha hhayi kuphela ngezinyawo, kodwa iqakala, kuthola khona edema, ukopha, futhi ukusonteka isici. Khona-ke, yenza-X ray ngendlela eqondile, hlangothi nakuloluya polubokovoy projection. Ngemva ekutholeni uhlobo ukwa futhi kunikezelwe ukuphathwa kunesidingo.

ukwelashwa

Uma bekubona ukwa kancane unyawo, uphathwa splinting elula. Kulokhu, esitho olimele emasontweni ambalwa kumele kube umile ukuze bone ezilimele angenza noma yini.

Lapho amathambo is kulimala, kubalulekile ukuba afeze nenkanuko edlulele yangaphakathi. Lokhu kwenziwa kusetshenziswa nezikulufi ekhethekile.

Umonakalo obangelwa kanye nohlobo umonakalo ukunquma okunye ukwelashwa. Noma Jones ukwa ngaphandle ukufuduka edinga immobilization. Cash Gypsum thembeke ukuvikela ithambo kusukela kungenzeka noma ukuchema kuzo. Ngenxa yokuthi unyawo kuyinto ongasanyakazi ngokuphelele, i-fusion of amathambo izicubu kuyoba ngokushesha.

Uma, ngesikhathi ukulimala iphutha izingcezwana ukufuduka, ngaphandle kokungenela kuhlinzwa lubaluleke. Phakathi ukusebenza, udokotela kuvula ukwa, bese ucatsanisa tintfo izingcezwana okuholela, bese elungisa nabo izinaliti ekhethekile noma ngezikulufo. Khona-ke isicelo usimende amasonto ayisithupha. Isiguli akuvunyelwe uzoshiya emlenzeni elimele. Ngemva kwamasonto ayisithupha ungakwazi siqale sihambe. Ukwaluka izinaliti ziyasuswa ngemuva kwezinyanga ezintathu, ngezikulufo - ezine. Isiguli Kunconywa ukugqoka izicathulo wamathambo kanye insoles.

Ekuqaleni kwawo-Jones isicelo a usimende usakaze nezinzwane wesithathu maphakathi umlenze izinyanga ezimbili. Awukwazi ukushiya emlenzeni elimele.

Ukuze kuncishiswe umthwalo esitho olimele ngesikhathi ehamba, udinga ukusebenzisa ngezinduku. Isiguli kumele obonwa udokotela, ngubani kahle sithathe inkambo zokulungisa ukubuyiselwa ukusebenza kahle onyaweni olimele.

Isikhathi yokutakula nge ephukile metatarsal ithambo kunalokho eside futhi kuhlanganisa umzimba, massage, ukusetshenziswa lwaleli izisekelo, Physiotherapy.

Uma lokho kulimala ilashwe ingelashwa kahle, kungase kubangele yezinkinga ezifana samathambo, deformity futhi ngisezinhlungwini ukwa nonunion.

Ngokuvamile abantu baphuka izinqulu we phalanges we izinzwane

Lolu hlobo kwamathambo unyawo kungenzeka ngenxa yalokho ngqo kwi iminwe (isib lapho negalelo elinamandla noma amandla adonsela phansi iconsi). Uma ndlela yokuhlasela yokuhlanganisa izihlangu main kukhule ndawonye kahle uma ungalawulwa, uphazamise umsebenzi unyawo. Ngaphezu kwalokho, ungase ube buhlungu uma uhamba, futhi ukuhamba elilinganiselwe emkhawulweni abalimala. Ngenxa yalokho, isilinganiso ukwa nail phalanges imiphumela enjalo azisenzeki.

izimpawu

cyanosis Make umunwe eziphukile, ukuvuvukala, wamemezela ubuhlungu ngesikhathi ukunyakaza. Lapho ukulimala ezinjalo ngezinye izikhathi kwakheka hematoma subungual. Ukuze uqinisekise uphethwe, Kunconywa ukuthi isifundo radiographic ezenziwa ezimbili.

ukwelashwa

Lapho waphuka ngaphandle ukufuduka ozofakwa obukhulu isithupha Gypsum isondo elingemuva. Phambi sokuchema has isidingo ukunciphisa avaliwe. Izinsalela awashintsheki spokes.

Ngokuvamile abantu baphuka izinqulu nail phalanges akudingeki ukwelashwa okukhethekile, ngokuvamile okwanele nenkanuko edlulele Yesigcilikisha amabhandeshi. immobilization isikhathi phakathi kuka-4 kuya ku-6 amasonto.

Uma iphathwa kahle ukwaphuka we unyawo futhi ukulandela ngokucophelela yonke izincomo udokotela angeke kuphela ukwehlisa isikhathi yokutakula, kodwa futhi ukuvimbela yezinkinga kungenzeka.