Mafupa othamangitsidwa m'maganizo ndi omwe amavutitsa miyendo kwa othamanga. Mavuto oterewa amatha kukhala othamanga omwe maseŵera awo amafuna kuthamanga komanso kusinthika mwadzidzidzi - othamanga ambiri omwe amavulazidwa ndi othamanga, jumpers, sprinters, basketball, ndi osewera mpira.
Chifukwa Chimene Amachitira
Manicular bone amapangidwa ndi mavuto angapo omwe amachititsa makamaka kuvulazidwa.
Imodzi mwa mavutowa ndi malo a fupa. Ali pakati pa phazi, mphamvu zamakono zowonongeka zimayang'ana pfupa ili, makamaka pamene phazi limagwera pansi. Nkhani yachiwiri ndi magazi omwe amaperekedwa ku fupa, makamaka pakati pa mafupa omwe amayamba kupweteka. Dera ili liri kumalo otchedwa madzi a m'mphepete mwa nyanja kumene magazi akuchepa kwambiri, kupangitsa kuchiritsidwa kwa kuvulala kwazing'ono kumakhala kovuta kwambiri ndipo motero mwayi wambiri wopita patsogolo kufooka kwapanikizika.
Zizindikiro za Kuvulala
Achinyamata amatha kudandaula za ululu wosadziwika bwino womwe umadutsa pamphindi. Kupweteka kumakhala kovuta kwambiri panthawi yomwe amatha kuchita masewera olimbitsa thupi ndipo amatsimikiza pambuyo pa nthawi yopumula. Pa milandu yovuta kwambiri, odwala angakhale ndi ululu ndi zinthu zambiri zowononga monga kuyenda. Kaŵirikaŵiri palibe mbiri ya kuvulala koopsa, makamaka othamanga ambiri amasonyeza ululu wowonongeka, wogwidwa.
Mwamwayi, izi nthawi zambiri zimawathandiza kuchedwa, ndipo nthawi zambiri sizimayambitsa mavuto a nthawi yayitali, imachedwa kuchepetsa mankhwala.
Kuzindikira kuti munthu amatha kupwetekedwa ndi vuto lapamadzi, amakayikira pamene othamanga amamva kupweteka kwambiri pamthambo wambiri. Pangakhale phokoso laling'ono m'derali.
Nthawi zina kusokonezeka maganizo kwa mthupi kumawoneka pa x-ray koma nthawi zambiri kumafuna mayesero ena kuti azindikire. Mayesero kuphatikizapo MRIs, CT scans, ndi bone scans angagwiritsidwe ntchito kuti azindikire kuvulala kumeneku.
Njira Zothandizira
Chizoloŵezi chochiritsidwa cha kusokonezeka maganizo kwapamadzi ndikumangidwe kosasamala. Komabe, ndikofunikira kuti chithandizo chikhale choyenera chifukwa izi sizikhoza kuchiza ngati sizikuyendetsedwa bwino. Chithandizo chachikulu chimaphatikizapo kupumula kuntchito, kuchepetsa zolemetsa (zokopa) komanso kuchepa. Nthawi ya chithandizo imadalira zifukwa zingapo, koma nthawi zambiri zimagwiritsidwa ntchito kwa milungu isanu ndi umodzi, kenako zimayambanso kuchitapo kanthu. Nthawi yeniyeni yobwereranso ku maseŵera, pogwiritsa ntchito kafukufuku wowerengeka, pafupifupi miyezi 6.
Ngati othamanga amayesera kuchita zochuluka kwambiri, posachedwa, kuvulala kumeneku kungatenge nthawi yayitali kuchiritsa ndipo sangathe kuchiza. Mapuloteni omwe samachiritsa ( nonunions ) angafunike kuchipatala kuti zikhale bwino kufooketsa fupa lovulala ndikulimbikitsanso machiritso. Nthaŵi zina, othamanga angasankhe kuyamba ndi chithandizo cha opaleshoni, kuti atsimikizire kuti chithandizo chikupita mwamsanga, ndipo osatenga chithandizo cha mankhwala osagwira ntchito.
Zotsatira:
Kusintha MK, et al. "Kupanikizika Kwambiri Kukhudza Tibia, Foot, ndi Ankle" J Am Acad Orthop Surg. 2012 Mar; 20 (3): 167-76.