Qonda Ukwenzakala kweTurf Toe: Iimpawu, Unyango, kunye noBuyiselo

Kubantu abajongene nokulimala kweenzwane ze-turf, ngaba ukwazi iimpawu kunokunceda iimbaleki kunye nabangengabo abadlali ngonyango, ixesha lokubuyisela, kunye nokubuyela kwimisebenzi?

Ukwenzakala kweTurf Toe

Ukulimala kwenzwane ye-turf kuchaphazela i-ligaments ye-tissue ethambileyo kunye ne-tendon kwisiseko senzwane enkulu phantsi unyawo. Le meko ngokuqhelekileyo iyenzeka xa inzwane i-hyperextended / inyanzeliswa phezulu, njengokuba ibhola yeenyawo iphantsi kwaye isithende siphakanyiswa. (I-American Academy ye-Orthopedic Surgeons. 2021) Ukulimala kuqhelekileyo phakathi kwabadlali abadlala imidlalo kwi-turf yokwenziwa, yindlela yokulimala ebizwa ngayo. Nangona kunjalo, inokuchaphazela nabangengabo iimbaleki, njengabantu abasebenza ngeenyawo imini yonke.

• Ixesha lokubuyisela emva kokulimala kwe-turf toe kuxhomekeke kubunzima kunye nohlobo lwemisebenzi umntu aceba ukubuyela kuyo.
• Ukubuyela kwimisebenzi yezemidlalo ephezulu emva kokulimala kakhulu kunokuthatha iinyanga ezintandathu.
• Ezi nzakala ziyahluka ngobunzima kodwa ngokuqhelekileyo ziphucula ngonyango olulondolozayo. Kwiimeko ezimandundu, kunokufuneka utyando.
• Ubuhlungu ngumcimbi oyintloko oyeka imisebenzi yomzimba emva kokulimala kwebanga le-1, ngelixa amabakala 2 kunye ne-3 angathatha iiveki ukuya kwiinyanga ukuphilisa ngokupheleleyo.

meaning

Ukwenzakala kwinzwane yonyawo kubhekisa ku-a metatarsophalangeal yoxinzelelo ngokudibeneyo. Olu luhlu lubandakanya iigaments ezidibanisa ithambo kwinyawo lonyawo, ngaphantsi kwenzwane enkulu / i-phalanx esondeleyo, kumathambo adibanisa iinzwane kumathambo amakhulu ezinyaweni / i-metatarsals. Ukwenzakala ngokuqhelekileyo kubangelwa yi-hyperextension edla ngokuphuma kwintshukumo yokutyhala, njengokubaleka okanye ukutsiba.

UkuGcina

Ukulimala kweenzwane ze-turf kunokuqala ukusuka kumbi ukuya kobunzima kwaye kuhlelwe ngolu hlobo lulandelayo: (I-American Academy ye-Orthopedic Surgeons. 2021)

• Bakala 1 – Izicubu ezithambileyo zoluliwe, zibangela intlungu kunye nokudumba.
• Bakala 2 – Ithishu ethambileyo ikrazuke kancinane. Ubuhlungu bubonakala ngakumbi, kunye nokudumba okubonakalayo kunye nokubetha, kwaye kunzima ukuhambisa inzwane.
• Bakala 3 – Izicubu ezithambileyo zikrazukile ngokupheleleyo, kwaye iimpawu zibukhali.

Ngaba Le nto Ibangela Iintlungu Zonyawo Lwam?

Inzwane yeTurf ingaba yi:

• Ukulimala ngokugqithisileyo - okubangelwa ukuphindaphinda ukunyakaza okufanayo ngokuphindaphindiweyo ixesha elide, elibangela ukuba iimpawu zibe nzima.
• Ukulimala okukrakra - okwenzeka ngokukhawuleza, kubangela intlungu ngokukhawuleza.

Iimpawu zingabandakanya oku kulandelayo: (IMisa Jikelele uBrigham. 2023)

• Uluhlu olulinganiselweyo lwentshukumo.
• Ubunono kuzwane omkhulu kunye nendawo ejikelezileyo.
• Ukudumba.
• Intlungu kwinzwane enkulu kunye nendawo ejikelezileyo.
• Ukuthuthuzela.
• Amalungu adibeneyo angabonisa ukuba kukho ukuchithwa.

Ukuqondwa

Ukuba ufumana iimpawu ze-turf toe, bona umboneleli wezempilo ukuze ufumane ukuxilongwa ngokufanelekileyo ukuze baphuhlise isicwangciso sonyango lomntu. Baza kwenza uvavanyo lomzimba ukuvavanya intlungu, ukudumba, kunye noluhlu lwentshukumo. (I-American Academy ye-Orthopedic Surgeons. 2021) Ukuba umboneleli wezempilo ukrokrela umonakalo wezicubu, unokuncoma umfanekiso kunye ne-X-rays kunye (i-MRI) ukulinganisa ukulimala kunye nokumisela indlela efanelekileyo yokwenza.

impatho

Umboneleli wezempilo uya kugqiba unyango olungcono olusekelwe kubunzima bokulimala. Konke ukulimala kweenzwane ze-turf kunokuzuza kwiprotocol ye-RICE: (IKholeji yaseMelika yeeNyawo kunye ne-Ankle Surgeons. Iinyaniso zempilo yonyawo. 2023)

1. Ukuphumla - Yiphephe imisebenzi eyenza iimpawu zibe mandundu. Oku kunokubandakanya ukusebenzisa isixhobo sokuncedisa njengebhutsi yokuhamba okanye iintonga zokunciphisa uxinzelelo.
2. Umkhenkce – Faka umkhenkce kangangemizuzu engama-20, emva koko ulinde imizuzu engama-40 ngaphambi kokuba uphinde ufake isicelo.
3. Uxinzelelo - Gquba inzwane kunye nonyawo nge-bandage e-elastic ukuxhasa kunye nokunciphisa ukudumba.
4. Ukuphakama -Faka unyawo ngaphezu kwinqanaba lentliziyo ukunceda ukunciphisa ukudumba.

Bakala 1

I-Toe ye-turf yeBanga loku-1 ihlelwa ngezicubu ezithambileyo ezoluliweyo, iintlungu, kunye nokudumba. Unyango lungabandakanya: (U-Ali-Asgar Najefi et al., 2018)

• Ukucofa ukuxhasa uzwane.
• Ukunxiba izihlangu ezine soli eqinileyo.
• Inkxaso ye-Orthotic, njenge-a ipleyiti ye-turf toe.

Amabanga 2 kunye 3

IBanga lesi-2 kunye nelesi-3 liza nokukrazula inxalenye okanye epheleleyo, iintlungu ezibuhlungu, kunye nokudumba. Unyango lwezinzwane ze-turf ezinzima zinokubandakanya: (U-Ali-Asgar Najefi et al., 2018)

• Ukuthwala ubunzima obulinganiselweyo
• Ukusebenzisa izixhobo zokuncedisa ezifana neentonga, ibhutsi yokuhamba, okanye isamente.

Olunye Unyango

• Ngaphantsi kwe-2% yokulimala kufuna utyando. Ngokuqhelekileyo kunconywa ukuba kukho ukungazinzi kwilungu okanye xa unyango olulondolozayo lungaphumeleli. (U-Ali-Asgar Najefi et al., 2018) (UZachariah W. Pinter et al., 2020)
• Unyango lomzimba lunenzuzo ekunciphiseni intlungu kunye nokuphucula uluhlu lwentshukumo kunye namandla emva kokulimala. (I-American Academy ye-Orthopedic Surgeons. 2021)
• Unyango lomzimba lukwabandakanya ukuziqhelanisa nokufaneleka kunye noqeqesho lobuchule, i-orthotics, kunye nokunxiba izihlangu ezicetyiswayo kwimisebenzi ethile yomzimba. (ULisa Chinn, uJay Hertel. 2010)
• Umgulana womzimba unokunceda ekuqinisekiseni ukuba umntu akabuyeli kwimisebenzi yenyama ngaphambi kokuba ukulimala kuphiliswe ngokupheleleyo kwaye kuthintele umngcipheko wokulimala kwakhona.

Ixesha lokubuyisela

Ukuchacha kuxhomekeke kubunzima bokwenzakala. (U-Ali-Asgar Najefi et al., 2018)

• IBanga loku-1 - Isifundo njengoko sihluka ngokuxhomekeke kukunyamezela iintlungu zomntu.
• IBanga lesi-2 – iiveki ezine ukuya kwezintandathu zokungashukumi.
• IBanga lesi-3 ukuya kwiiveki ezisibhozo ubuncinane bokungashukumi.
• Kungathatha ukuya kwiinyanga ezintandathu ukubuyela ekusebenzeni kwesiqhelo.

Ukubuyela kwiMisebenzi eqhelekileyo

Emva kokulimala kweenzwane zebanga loku-1, abantu banokubuyela kwimisebenzi eqhelekileyo xa iintlungu ziphantsi kolawulo. IBanga lesi-2 nelesi-3 lithatha ixesha elide ukuchacha. Ukubuyela kwimisebenzi yezemidlalo emva kokulimala kwebanga lesi-2 kunokuthatha malunga neenyanga ezimbini okanye ezintathu, ngelixa ukulimala kwebanga lesi-3 kunye namatyala afuna ukuhlinzwa angathatha ukuya kwiinyanga ezintandathu. (U-Ali-Asgar Najefi et al., 2018)

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Ezemidlalo Unyango lweChiropractic

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Ucaphulo

I-American Academy ye-Orthopedic Surgeons. (2021). Inyosi yeTurf.

IMisa Jikelele uBrigham. (2023). Inyosi yeTurf.

IKholeji yaseMelika yeeNyawo kunye ne-Ankle Surgeons. Iinyaniso zempilo yonyawo. (2023). Iprothokholi yeRICE.

Najefi, AA, Jeyaseelan, L., & Welck, M. (2018). Inzwane yeTurf: Uhlaziyo lweklinikhi. EFORT vula uphononongo, 3(9), 501–506. doi.org/10.1302/2058-5241.3.180012

Pinter, ZW, Farnell, CG, Huntley, S., Patel, HA, Peng, J., McMurtrie, J., Ray, JL, Naranje, S., & Shah, AB (2020). Iziphumo zokulungiswa kweenzwane ezingapheliyo kwi-Turf Toe kwi-Non-athlete Population: i-Retrospective Study. Ijenali yaseIndiya yonyango lwamathambo, 54 (1), 43–48. doi.org/10.1007/s43465-019-00010-8

Chinn, L., & Hertel, J. (2010). Ukuvuselelwa kwe-ankle kunye nokulimala kweenyawo kubadlali. Iiklinikhi kumayeza ezemidlalo, i-29 (1), i-157-167. doi.org/10.1016/j.csm.2009.09.006