UNyango loMzimba emva koTyando lulonke lwe-Ankle

Inkqubela phambili inokuba ngumceli mngeni kumntu ngamnye kuqhaqho lwe-ankle. Unyango lomzimba lunokunceda njani ekubuyiseleni nasekubuyiseleni umsebenzi womlenze?

Iyonke iAnkle yoTshintsho emva koTyando lwePhysical Therapy

Utyando lulonke lokutshintshwa kweqatha yinkqubo enkulu ethatha ixesha ukuchacha. Utyando olulonke lwe-ankle okanye i-arthroplasty lunokunceda abantu abane intlungu engapheliyo ye-ankle okanye ukukhubazeka. Le nkqubo inokuphucula kakhulu intlungu yomntu wonke kunye nokusebenza ngexesha. Unyango lomzimba luyimfuneko ekubuyiseleni ukunyakaza kwi-ankle kunye nokubuyisela ukuhamba ngokupheleleyo. Umgulana womzimba uya kusebenza nomntu ukulawula intlungu kunye nokuvuvukala, ukubuyisela ukuhamba kwe-ankle, ukuqeqesha ukuhamba kunye nokulinganisela, nokuvuselela amandla emlenzeni. Oku kuya kunceda ukwandisa amathuba okuba nesiphumo esiyimpumelelo emva kokuhlinzwa.

I-Ankle iyonke yoTshintsho

I-ankle joint licandelo lomlenze ongezantsi apho i-shinbone/tibia idibana nethambo le-talus phezu konyawo. Into enokwenzeka ngumgangatho omtyibilizi / intlala ethe yatyabeka eziphelweni zala mathambo iqala ukubhitya okanye ukuwohloka. Njengoko ukuwohloka kuqhubeka, kunokukhokelela kwiintlungu ezinkulu, ukukhubazeka, kunye nobunzima bokuhamba. (Iklinikhi yaseCleveland. 2021) Kulapho ingcali inokucebisa ukutshintshwa kwe-ankle ngokupheleleyo ngeziphumo ezilungileyo. Iimeko ezahlukeneyo zinokuncedwa yile nkqubo, kuquka:

• Umonakalo odibeneyo owenziwe yigawuthi
• I-post-traumatic arthritis
• Irheumatoid arthritis
• I-osteoarthritis ephezulu
• Osteonecrosis
• isifo samathambo (Cort D. Lawton et al., 2017)

Ngethuba lenkqubo yokutshintshwa kwe-ankle, ugqirha wamathambo ususa iziphelo ezonakalisiweyo ze-tibia kunye ne-talus amathambo kwaye uwafake endaweni yokugubungela. Icandelo le-polyethylene likhuselekile phakathi kwezakhiwo ezibini ukuxhasa ukuhamba kakuhle kweziphelo ezidibeneyo. (Massachusetts General Hospital. ND) Ukulandela inkqubo, abantu bahlala bebekwe kwi-boot yokukhusela okanye i-splint. Umboneleli wezempilo uya kuncoma ukuba ahlale emlenzeni we-4 kwiiveki ze-8 ukuvumela ukuphilisa.

Ulungiso lwenyama

Unyango lwangaphandle lwezigulana ludla ngokuqaliswa kwiiveki ezimbalwa emva kotyando lweqakala. (UW Health Orthopedics kunye noBuyiselo. 2018) Unyango lomzimba lunokuhlala iinyanga ezintlanu okanye ngaphezulu, kuxhomekeke kubunzima bemeko kunye nokulimala. Ugqirha womzimba uya kugxininisa kwiindawo ezahlukeneyo ukuze ufumane iziphumo ezilungileyo. (Cort D. Lawton et al., 2017)

UkuLawula iintlungu kunye nokuDumba

Iintlungu ze-post-operative kunye nokuvuvukala ziqhelekileyo emva kokutshintshwa kwe-ankle ngokupheleleyo. Asinto ingaqhelekanga ukuba iqatha lidumbe kangangeenyanga ezintandathu ukuya kwezili-12 emva kotyando. (UW Health Orthopedics kunye noBuyiselo. 2018) Ugqirha wotyando ngokuqhelekileyo uya kumisela iyeza ukunceda ukulawula ukungonwabi kwangoko, kwaye unyango lomzimba ludlala indima ebalulekileyo ekujonganeni neempawu. Unyango olusetyenziswayo lungabandakanya:

• Ukuvuselela kombane - ii-pulses zombane ezincinci ezifakwe kwiimisipha.
• umkhenkce
• Ukunyanzeliswa kweVasopneumatic, apho i-sleeve ye-inflatable isetyenziselwa ukudala uxinzelelo olujikeleze ummandla, isetyenziswa ngokuqhelekileyo ekuqaleni kwonyango lomzimba ukunciphisa intlungu okanye ukuvuvukala.
• Ezinye iindlela, ezifana nokwelula kunye nokuzivocavoca okujoliswe kuyo, kudibaniswa nolunye unyango.

Uhlobo lokuhamba

• Kwangoko emva kwenkqubo, i-ankle iya kuba nzima kakhulu kwaye iqinile. Oku kungenxa yezinto ezininzi, kubandakanywa ukudumba kunye nokudumba emva kotyando kunye nexesha elichithwe lingenakunyakaziswa ebhuthini.
• Ugqirha womzimba uya kusebenzisa iindlela ezahlukeneyo zokuphucula uluhlu lwe-ankle yokunyakaza ukujikeleza kunye nokuguquguquka.
• Umgulana womzimba unokusebenzisa ukolula okunyanzeliswayo okubangelwa ngamandla angaphandle njengonyango okanye ibhendi yokumelana) ukunceda ukuphucula ukuhamba.
• Ubuchule bezandla obufana nokuthanjiswa kwezicubu ezithambileyo kunye nokuhlanganisana ngokudibeneyo kuyasetyenziswa. (Massachusetts General Hospital. ND)
• Ugqirha uya kuphuhlisa inkqubo yokuvuselela ikhaya equka ubuchule bokuzolula kunye nokunyakaza okuthambileyo.

UQeqesho lokuHamba nokuLingana

• Emva kweeveki zokuhlala kwi-ankle echaphazelekayo, ugqirha uya kucima isigulane ukuba siqale ukuqeqeshwa kokuhamba.
• Ugqirha womzimba uya kusebenza ekuphuculeni ipateni ye-gait jikelele kunye nokunciphisa ukuqhwala.
• Baya kunceda kwakhona utshintsho ekusebenziseni iintonga okanye umntu ohambahambayo ukuhamba ngokuzimeleyo. (UW Health Orthopedics kunye noBuyiselo. 2018)
• Emva kweeveki ezininzi zokunciphisa ukunyakaza kunye nokungabikho kokuthwala naluphi na ubunzima kwi-ankle, izihlunu ezijikeleze i-ankle zihlala zi-atrophied / buthathaka, ezinokuchaphazela ibhalansi.
• Xa umntu engaqala ukubeka ubunzima emlenzeni, umgqirha uya kusebenzisa i-proprioceptive / ingqiqo yokuqeqeshwa kwesikhundla somzimba ukuphucula ukuzinza ngokubanzi. (UW Health Orthopedics kunye noBuyiselo. 2018)
• Imithambo yokulinganisa iya kongezwa kwiprogram yasekhaya kwaye iya kuqhubeka iveki neveki.

amandla

Izihlunu emlenzeni, i-ankle, kunye nonyawo ziba buthathaka kuqhaqho kunye nexesha elichithwe kwi-splint okanye i-boot. Ezi zakhiwo zinendima ebalulekileyo ekulinganiseni, ukukwazi ukuma, ukuhamba, kunye nokunyuka okanye ukuhla kwezitebhisi.

• Ukubuyisela amandla kunye namandla ezi zihlunu kuyinjongo ebalulekileyo yokubuyisela.
• Kwiiveki zokuqala, umgulana womzimba uya kugxininisa ekusebenziseni ukuqinisa ngokuthambileyo.
• I-Isometrics isebenze kancinci izihlunu kodwa ugweme ukucaphukisa indawo yotyando.
• Njengoko ixesha lihamba kwaye ukuthwala ubunzima kuvunyelwe, ezi ntshukumo zithambileyo zitshintshwa zibe ngumngeni ngakumbi, njengamabhendi okuxhathisa kunye nemithambo yokuma, ukukhawulezisa ukuzuza amandla.

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Ukunyanga i-Ankle Sprains nge-Chiropractic Care

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Ucaphulo

Iklinikhi yaseCleveland. (2021). Ukutshintshwa kweqatha ngokupheleleyo.

Lawton, C. D., Butler, B. A., Dekker, R. G., 2nd, Prescott, A., & Kadakia, A. R. (2017). Iyonke i-ankle arthroplasty ngokuchasene ne-ankle arthrodesis-uthelekiso lweziphumo kule minyaka ilishumi idlulileyo. Ijenali yotyando lwamathambo kunye nophando, i-12 (1), i-76. doi.org/10.1186/s13018-017-0576-1

Massachusetts General Hospital. (ND). Izikhokelo zonyango lwe-Physical arthroplasty epheleleyo ye-ankle.

UW Health Orthopedics kunye noBuyiselo. (2018). Izikhokelo zokubuyisela kwisimo sangaphambili ezilandela i-ankle arthroplasty epheleleyo.