Kuvulaza Ligamenti Pamwamba pa Pakati la Ankle
Mphuno yapamwamba imagwiritsidwa ntchito pofotokoza mtundu wina wa kuvulala kwa mitsempha. Kawirikawiri, munthu wina akamagwiritsira ntchito mitsempha yothyoka , mitsempha yomwe imayang'anizana ndi khungu la mitsempha imang'ambika. Kuvulala kumeneku kumabweretsa ululu komanso kutupa pamimba.
Mphuno yapamwamba imapezeka pamene pali kuvulala kwa mitsempha yaikulu pamwamba pa mimba yomwe imasonkhanitsa mafupa awiri a mwendo wakutsogolo .
Mafupa awiriwa, tibia (fupa la fupa) ndi fibula, amathamanga kuchoka pa bondo mpaka kumakolo. Amagwirizanitsidwa pamodzi ndi ligament yotchedwa syndesmosis kapena syndesmotic ligament.
Odwala omwe amachiza chikopa chapamwamba amavulaza liwu la syndesmotic . Zochita za kupotoza kapena kusinthasintha mu masewera, makamaka pamene phazi likutembenuzidwira kunja lingayambitse. Mitsemphayi imatha kuvulazidwa ndi mavupa omwe amapezeka pamtumbo komanso ngakhale fractures . Mitsempha imatha kugwedezeka pamene mafupa a bongo amathyoledwa, ndipo fracture imayikidwa.
Zizindikiro za Mtundu Wambiri wa Ankle
Mphuno yapamwamba imayambitsa zizindikiro zofanana ndi zina zotupa , koma odwala amayamba kudandaula za ululu pamene bondo limasinthidwa kunja (kapena kutembenuzidwa kunja) kapena pamene mwana wang'ombe amafufuzidwa. Kupeza kumeneku, chomwe chimatchedwa "kuyesa kupimitsa," ndiko kuyesa koyambirira kwa kuvulala kwa syndesmotic, koma sizodalirika kwambiri kuti apangidwe.
Mukhoza kuyenda, koma muli ndi ululu pamwamba pa msinkhu wa bondo, wapamwamba kusiyana ndi opopera ambiri.
Ngati mukuganiza kuti chovulala cha syndesmotic chimawoneka, dokotala wanu akhoza kupeza maphunziro apadera a X-ray a bulu omwe amachititsa kuti azivutika maganizo. Ng'ombeyo imawoneka ngati yachizoloŵezi pazomwe zimakhala ndi vuto la syndesmotic, koma pamene ligament ikugwedezeka, pangakhale kulumikizana kosalimba kwa mgwirizano wamagulu malingana ndi kuopsa kwa chovulalacho.
Mayesero monga CT scan kapena MRI angagwiritsidwe ntchito poyesa malo apamwamba, ngakhale kuti sakufunikira nthawi zonse.
Kuchiza kwa Mtundu Wapamwamba wa Ankle
Kuvulala kwa syndesmotic sikutha kuchiza komanso kupweteka kwambiri kwa mitsempha, chifukwa chake ophunzitsa ndi othamanga amakonda kuthamangitsidwa kwambiri. Dokotala wanu ayamba kudziwa ngati chovulalacho chiri cholimba kapena chosakhazikika. Ngati chovulalacho chiri chosasunthika (kutanthauza kuti mgwirizano wamagumbo ukugwira ntchito mwachizolowezi), ndiye kuti mpweya wapamwamba wamatumbo ukhoza kuchitidwa kuponyedwa, kawirikawiri kwa nthawi ya masabata asanu ndi limodzi.
Ngati chovulalacho sichizikhazikika, ndiye kuti opaleshoni angafunikire kuti azikhazikika pamodzi. Dokotala wanu adzaika malo amodzi kapena awiri pakati pa tibia ndi fibula kuti agwiritse mafupa pamalo abwino pamene syndesmotic ligament imachiza. Izi ndi njira zingapo zowonongeka kwa kuvulala kwa syndesmotic, zonse zomwe zingakhale zoopsa ndi zopindulitsa.
Chifukwa syndesmosis ndi ligament, iyenera kusuntha pang'ono. Pambuyo pochiritsidwa ndi ligament, madokotala ena opaleshoni amachotsa zikopa kuti mafupa athe kusuntha mwachizolowezi. Madokotala ena opanga opaleshoni amalimbikitsa kuti achoke pamakona. Komabe, nthawi zambiri amathyola chifukwa cha kubwezeretsa nkhawa.
Mungathe kukambirana ndi dokotala wanu opaleshoni ya kuchotsa zitsulo.
Zotsatira:
American Orthopedic Foot & Ankle Society. Ankle Wapamwamba.
Zalavras C ndi Thordarson D. "Ankle Syndesmotic Kuvulala" J Am Acad Orthop Surgery June 2007; 15: 330-339.