Umgqulu Wokunyathelwa: Izimpawu, Izimbangela, Nokwelapha

Umgqulu wokunyathelwa usho ukuthi olunye noma ngaphezulu kwamathanga angu-26 ezinyathelweni zakho luqhekekile noma luphukile. Lolu tshona lungahle lube kubani kuphi, futhi luhluka kusuka ekuqhekekeni okuncane okungabuthi kakhulu kuya ekuphukeni okuphelele okudinga ukunakekelwa okusheshayo kwezokwelapha.

Izinyawo zakho zinezitho eziningi kunanoma yisiphi esinye isigaba somzimba wakho. Uma lezi zitho ziphuka, kuya kuchaphazela indlela ohamba ngayo, ume ngayo, nokuthi uhamba kanjani ekuphileni kwakho kwansuku zonke. Izindaba ezinhle ukuthi iningi lezingqulu zezinyawo liyaphilisa kahle ngokwelashwa okufanele nokunakekelwa.

Ziyini izimpawu zomqulu wokunyathelwa?

Cishe uzokwazi ukuthi kukhona okungalungile ngokushesha uma uphuka unyawo. Ubuhlungu buqala ngokushesha futhi bube bubi uma uzama ukufaka isisindo kukho.

Nazi izimpawu ezivamile ezibonisa ukuthi ungase ube nomqulu wokunyathelwa:

• Ubuhlungu obukhulu, obukhulu obube bubi uma ukuma noma uhamba
• Ukukhula okukhula ngokushesha ngemva kokulimaza
• Ukuqhuma noma ukuguquka kombala endaweni elimele
• Ukukhuluphala ukuphatha isisindo enyameni ethintekayo
• Ubuhlungu uma uthinta indawo elimele
• Unyawo lwakho lubukeka luqhekekile noma luhleli ngezinga elingalungile
• Isandi sokuqhekeka noma sokuqhekeka uma uhambisa unyawo lwakho

Ezinye izingqulu zibangela izimpawu ezicacile kunezinye. Ukuqhekeka okukhulu kungase kukushiye ungakwazi ukuhamba nhlobo, kuyilapho ukuqhekeka kokucindezela kungase kuzwakale njengobunxilisiso obuthambile obukhula kancane kancane ngokuhamba kwesikhathi.

Kwezinye izikhathi, ungase ube nokuqina noma ukungathuthumeli ezithweni zakho. Lokhu kungase kubonise ukulimala kwama-nerve noma ukungabi khona kwegazi, okudinga ukunakekelwa okusheshayo kwezokwelapha.

Ziyini izinhlobo zomqulu wokunyathelwa?

Akuzona zonke izingqulu zezinyawo ezifanayo. Uhlobo lokuqhekeka onalo kuncike ekubeni yiliphi ithambo elithintekile nokuthi ukulimala kwenzeke kanjani.

Izinhlobo ezivamile kakhulu zihlanganisa:

• Izingqulu zezinzwane: Zibangelwa ngokuvamile ukugqolozela unzwane wakho noma ukuwisa into enzima kukho
• Izingqulu zama-metatarsal: Ukuqhekeka kwamathanga amade ahlanganisa izinzwane zakho ne-midfoot yakho
• Izingqulu zokucindezela: Iziqhekeke ezincane ezikhula ngenxa yokucindezela okuphindaphindayo noma ukusetshenziswa kakhulu
• Izingqulu zethambo le-heel: Zivame ukubangelwa ukuwela noma ukuqhuma phezulu
• Izingqulu ze-midfoot: Zithinta indawo yeqhwa futhi zingaphazamisa ubukhulu benyawo

Izingqulu zokucindezela zifanele zikhunjulwe ngoba zikhula kancane kancane. Abagijimi nabantu abaqala ngokuzumayo ukwanda kwemisebenzi yabo bavame ukubhekana nalokhu. Ubuhlungu buqala buthambile futhi bukhula emavikini noma ezinyangeni.

Ezinye izinhlobo ezingavamile kodwa ezingathi sína zihlanganisa izingqulu ezilimazayo amathambo amaningi ngesikhathi esisodwa noma lezo ezithinta izintambo lapho amathambo ahlangana khona. Lezi zilima ezinkulu ngokuvamile zidinga ukwelashwa okukhethekile nezikhathi zokubuyela emuva eziyide.

Yini ebangela umqulu wokunyathelwa?

Izingqulu zezinyawo zenzeka lapho amandla amaningi ebetha unyawo lwakho kunalokho ithambo elingakwazi ukulibekezelela. Lamandla angase avela esenzweni esisodwa esibuhlungu noma akhe ngokuhamba kwesikhathi.

Izimbangela ezivamile kakhulu zihlanganisa:

• Ukuwa izinto ezinkulu enyameni yakho
• Ukuphendula unyawo lwakho ngesikhathi semidlalo noma ukuzivocavoca
• Ukuwa phezulu nokwehla ezinyaweni zakho
• Izingozi zezimoto noma ezinye izingozi eziqine kakhulu
• Ukugqolozela unzwane wakho eziphethweni noma odongeni
• Ukusetshenziswa kakhulu kwemisebenzi ephindaphindayo njengokuqhuba

Ngezinye izikhathi amathambo akho aba buthakathaka ngenxa yezimo ezinjengoku-osteoporosis. Uma lokhu kwenzeka, ngisho nokugqolozela okuncane noma ukuhamba okuvamile kungabangela izingqulu. Lokhu kuvame kakhulu kubantu abadala, ikakhulukazi abesifazane ngemva kwe-menopause.

Ezinye izimo ezingavamile zingenza amathambo akho abe buthakathaka. Lokhu kuhlanganisa ukutheleleka kwamathanga, iziphumu, noma izifo ezihambisana nezinto ezihambisana namandla amathambo. Uma uphula amathambo kalula noma kaningi, udokotela wakho uzofuna ukuhlola lezi zinto.

Nini kufanele ubheke udokotela ngenxa yomqulu wokunyathelwa?

Kufanele ubheke udokotela ngokushesha uma ucabanga ukuthi unyawo lwakho luphukile. Ukwelashwa okusheshayo kuvimbela ukuphazamiseka futhi kusiza ukuqinisekisa ukuphulukisa okuhle.

Funani ukunakekelwa okusheshayo uma uhlangabezana nalokhu:

• Ubuhlungu obukhulu obungaphuli ngokuphumula neminye imithi yokwelapha ubuhlungu
• Unyawo lwakho lubukeka luqhekekile noma lugobile ngezinga elingalungile
• Ithambo libonakala ngokusebenzisa isikhumba (ukuqhekeka okuvulekile)
• Awukwazi ukufaka isisindo enyameni yakho
• Izitho zakho zizwa zithambile, zithuthumela, noma zibonakala zibomvu noma zimhlophe
• Une-diabetes futhi uqaphela noma yiliphi ukulimala kwenyawo

Ngisho nokulimala okuncane kwenyawo kufanele kunakekelwe ngokwelapha. Lokho okuzwakala njengokugqolozela okubi empeleni kungase kube yingqulu edinga ukwelashwa. Ukulibazisa ukunakekelwa kungase kube nezinkinga zokwelapha noma ukuphazamiseka kwesikhathi eside.

Uma ungaqiniseki ukuthi ukulimala kwakho kukhulu, kuhlale kungcono ukwenza okuningi. Udokotela wakho angakwazi ukunquma ngokushesha uma une-fracture futhi aqale ukwelashwa okufanele.

Ziyini izinto ezingase zikwenze ube sengozini yomqulu wokunyathelwa?

Ezinye izinto zikwenza ube nethuba elikhulu lokuhlangabezana nokuqhekeka kwenyawo. Ukuqonda lokhu kungakusiza uthathe izinyathelo zokuzivimbela.

Izinto ezingase zikwenze ube sengozini zihlanganisa:

• Ukudlala imidlalo ebuhlungu njengobhasikithi, ibhola, noma ijiminasi
• Ukuba no-osteoporosis noma ezinye izimo ezibuthakathaka amathambo
• Ukuba mdala, ikakhulukazi ngaphezulu kweminyaka engama-65
• Ukuqala ngokuzumayo ukwanda komsebenzi wakho noma isikhathi
• Ukuba nokungalingani noma ukungabi namandla
• Ukugqoka izicathulo ezingafanele kwemisebenzi yakho
• Ukusebenza emisebenzini edinga ukuphakamisa izinto ezinkulu noma ukukhuphuka

Abesifazane babhekene nezingozi eziphezulu ngemva kwe-menopause lapho ukuguquka kwe-hormonal kungase buthakathaka amathambo. Abantu abane-diabetes nabo banezingozi ezikhulayo zokuqhekeka ngenxa yokulimala okungenzeka kwama-nerve okuchaphazela ukulingana nokubona.

Ezinye izimo ezingavamile zikhuphula kakhulu ingozi yokuqhekeka. Lokhu kuhlanganisa ezinye izifo zekhanda ezisakazekela emathanjeni, izifo ezihambisana nezinto ezihambisana nokuthuthukiswa kwamathanga, noma ukusetshenziswa kwesikhathi eside kwemithi njenge-steroids engase ibuthakathaka amathambo ngokuhamba kwesikhathi.

Ziyini izingozi ezingase zenzeke ngenxa yomqulu wokunyathelwa?

Iningi lezingqulu zezinyawo liyaphilisa ngaphandle kwezinkinga uma liwelashwe kahle. Noma kunjalo, ukuphazamiseka kungase kwenzeke, ikakhulukazi uma ukulimala kukhulu noma ukwelashwa kulibazisekile.

Izingozi ezingase zenzeke zihlanganisa:

• Ukuqala kwe-arthritis ezintabeni ezithintekile eminyakeni eminingi kamuva
• Ubuhlungu obuhlala njalo obuhlala khona ngisho nasemuva kokwelapha
• Ukutheleleka, ikakhulukazi ngokuqhekeka okuvulekile
• Ukuphila okubi okudingayo ukwelashwa okwengeziwe
• Ukulimala kwama-nerve okubangela ukuqina noma ubuthakathaka
• Ukulimala kwezitho zegazi okuchaphazela ukuhamba kwegazi

Ingozi yokuphazamiseka ikhuphuka ngezinto ezithile. Lokhu kuhlanganisa ukubhema, i-diabetes, ukondleka okubi, noma ukungalandi izikhuthazo zokwelapha zikadokotela wakho. Iminyaka nayo idlala indima, njengoba abantu abadala ngokuvamile baphilisa kancane.

Ezinye izingozi ezingavamile kodwa ezingathi sína zidinga ukunakekelwa okusheshayo. Lokhu kuhlanganisa i-compartment syndrome, lapho ukukhula kuqeda ukuhamba kwegazi, noma i-osteomyelitis, ukutheleleka kwamathanga okungaba yingozi uma kungelashwa ngokushesha.

Ungavimbela kanjani umqulu wokunyathelwa?

Nakuba ungakwazi ukuvimbela zonke izingqulu zezinyawo, unganciphisa kakhulu ingozi yakho ngezinye izinyathelo ezilula. Iningi lamaqhinga okuvimbela ligxile ekuvikeleni izinyawo zakho nokugcina amathambo aqine.

Amanyathelo abalulekile okuvimbela ahlanganisa:

• Ukugqoka izicathulo ezifanele, ezifanele kwemisebenzi yakho
• Ukusebenzisa izinto zokuphepha njengezicathulo ze-steel-toed uma kudingeka
• Ukugcina izindawo zokuhamba zicocekile futhi zingabi nazinto eziwela
• Ukufaka ukukhanya okwanele ezitebhini nasezindaweni zokuhamba
• Ukuqala kancane ukwanda komsebenzi kunokugxuma emisebenzini eqine kakhulu
• Ukugcina amathambo aqine ngokondleka okufanele nokuzivocavoca okuphakamisa isisindo
• Ukuthola ukuhlolwa kwamehlo nokukuzwa njalo ukuze ugcine ukulingana okuhle

I-calcium ne-vitamin D zidlalela indima ebalulekile empilweni yamathanga. Abantu abadala abaningi badinga cishe i-1,000 kuya ku-1,200 mg ye-calcium nsuku zonke, kanye ne-600 kuya ku-800 IU ye-vitamin D. Udokotela wakho angakusiza unqume uma uthola okwanele ngokudla noma uma udinga izithasiselo.

Uma unezimo ezikhuphula ingozi yokuqhekeka, sebenzisana eduze neqembu lakho lokwelapha. Bangase bakhuthaze ukuhlolwa kwamathambo, ukuqeqeshwa kokulingana, noma imithi ukuze uqinise amathambo akho futhi unciphise ingozi yokuqhekeka kwesikhathi esizayo.

Umgqulu wokunyathelwa utholakala kanjani?

Udokotela wakho uzoqala ngokubuza ngokulimala kwakho nokuhlola unyawo lwakho. Lolu hlolo lomzimba lumsiza ukuqonda ukuthi kwenzekeni futhi athole izindawo zobuhlungu noma ukukhula.

Inkqubo yokuxilonga ngokuvamile ihlanganisa:

• Izithombe ze-X-ray ukubona amathambo nokubona izingqulu
• Ukuhlolwa komzimba ukuhlola ukukhula, ukuqhuma, nokuqhekeka
• Ukuhlola ikhono lakho lokuhambisa unyawo lwakho nezitho zakho
• Ukuhlola ukuhamba kwegazi nokubona enyameni yakho

Izithombe ze-X-ray yivivinyo elivamile kakhulu lokufanisa izingqulu. Zibonisa iningi lezingqulu ngokucacile futhi zisize udokotela wakho ahlele ukwelashwa. Noma kunjalo, ezinye izingqulu, ikakhulukazi izingqulu zokucindezela, zingase zingabonakali ezithombeni ze-X-ray zokuqala.

Uma izithombe ze-X-ray zingabonisi ingqulu kodwa udokotela wakho usalindele, bangase bayalele ukuhlolwa okwengeziwe. Lokhu kungase kuhlanganise izithombe ze-CT zokubona amathambo ngokuningiliziwe noma izithombe ze-MRI ukubona izicubu ezithambile nokubona izingqulu zokucindezela ezithombeni ze-X-ray ezilahlekile.

Kwezinye izikhathi, udokotela wakho angase asebenzise izivivinyo ezikhethekile njengezivivinyo zamathanga. Lokhu kuwusizo kakhulu ekubeni uthole izingqulu zokucindezela noma ukuqinisekisa ukuthi ukulimala kuchaphazele ukunikezwa kwegazi emathanjeni.

Ukwelashwa komqulu wokunyathelwa kuyini?

Ukuphathwa komqulu wokunyathelwa kuncike ekubeni yiliphi ithambo eliqhekekile nokuthi ukuqhekeka kukhulu kangakanani. Isihloko sihlale siwukusiza ithambo liphulukise endaweni efanele ngenkathi ulawula ubuhlungu bakho.

Izindlela zokwelapha ezivamile zihlanganisa:

• Ukuvimbela nge-cast, i-boot, noma i-splint
• Ukuphumula nokugwema imisebenzi yokuphatha isisindo
• Ukuthola imithi yokwelapha ubuhlungu ukuze uhlale ukhululekile
• Ukwelapha nge-ice ukuze unciphise ukukhula
• Ukuphakamisa ukuze unciphise ukukhula
• Ukwelashwa komzimba uma ukuphulukisa kuqala

Izingqulu zezinyawo eziningi ziyaphilisa kahle ngaphandle kokuhlinzwa. Udokotela wakho uzovimbela unyawo ukuze agcine izingcezu zethambo eliqhekekile zise endaweni efanele ngenkathi ziyaphilisa. Lokhu kungase kusho ukugqoka i-cast amasonto amaningana noma ukusebenzisa i-boot ekhethekile yokuhamba.

Ukuhlinzwa kuba yadingeka ngokuqhekeka okukhulu lapho amathambo ehambisana khona noma amathambo amaningi ephukile. Udokotela angase asebenzise izikrufu, iziphethu, noma amapayipi ukuze abambe izingcezu zamathanga ndawonye. Ukubuyela emuva kokuhlinzwa ngokuvamile kuthatha isikhathi eside kunokwelashwa okungekho ukuhlinzwa.

Ezinye izingqulu ezingavamile zidinga izindlela zokwelapha ezikhethekile. Lokhu kungase kuhlanganise ukufakwa kwamathanga ngenxa yokuqhekeka okungaphuli ngokujwayelekile, noma ukuhlinzwa okukhulu kokwakha kabusha ngenxa yokulimala okulimaza amathambo amaningi nezintambo ngesikhathi esisodwa.

Indlela yokuphatha ukwelashwa ekhaya ngesikhathi somqulu wokunyathelwa

Ukukhathalela ekhaya okuhle kudlala indima ebalulekile ekuphulukiseni kwakho. Ukulandela imiyalo yodokotela wakho ngokucophelela kusiza ukuqinisekisa ukuthi unyawo lwakho luphilisa kahle futhi kunciphisa ingozi yokuphazamiseka.

Amanyathelo abalulekile okunakekelwa ekhaya ahlanganisa:

• Gcina unyawo lwakho luphakanyisiwe ngaphezu kwezinga lenhliziyo yakho uma uhleli noma ulele
• Faka i-ice imizuzu engama-15-20 izikhathi eziningi ngosuku ezinsukwini ezimbalwa zokuqala
• Thatha imithi yokwelapha ubuhlungu eyalwe njengoba kuqondiswe
• Gcina i-cast noma i-boot yakho yomile futhi icocekile
• Ungafaki isisindo enyameni yakho ngaphandle kokuthi udokotela wakho avume
• Qaphela izimpawu zokuphazamiseka njengobunxilisiso obukhulu noma ukukhula

Ukusebenzisa izintambo noma i-walker kungase kuzwakale kuyinto engavamile ekuqaleni, kodwa lezi zinto zibalulekile ekuphulukiseni okuhle. Iqembu lakho lokwelapha lingakufundisa amasu aphephile okuhamba ngaphandle kokufaka isisindo enyameni yakho elimele.

Qaphela izimpawu zezixwayiso ezingase zibonise ukuphazamiseka. Xhumana nodokotela wakho ngokushesha uma uqaphela ubuhlungu obukhulu, ukukhula, ukuqina, noma noma yikuphi ukuguquka kombala wesikhumba eduze nokulimala kwakho.

Kufanele uzilungiselele kanjani i-aphoyintimenti yakho yodokotela?

Ukuba ulungile nge-aphoyintimenti yakho kusiza udokotela wakho ukunikeze ukunakekelwa okuhle kakhulu. Butha ulwazi olubalulekile ngokulimala kwakho ngaphambi kokuba uhambe.

Ngaphambi kwe-aphoyintimenti yakho:

• Bhala phansi ukuthi ukulimala kwenzeke kanjani
• Bala yonke imithi nezithasiselo ozithathayo
• Qaphela noma yikuphi ukungezwani, ikakhulukazi kwimithi
• Letha uhlu lwemibuzo ofuna ukuyibuza
• Yenza umuntu akuqhubele e-aphoyintimenti
• Gqoka izicathulo ezithambile noma izokisi ezilula ukuzisusa

Cabanga ngezimpawu zakho nokuthi zaqala nini. Udokotela wakho uzofuna ukwazi ngezilinganiso zobuhlungu, ukukhula, nanoma yikuphi ukuguquka oqaphele kusukela ekuqaleni kokulimaza.

Ungangabazi ukubuza imibuzo ngesikhathi sokuvakasha kwakho. Ukuqonda uhlelo lwakho lokwelashwa kukusiza ukulandela kahle futhi uqaphele noma yiziphi izinkinga ezingase zivele ngesikhathi sokubuyela emuva.

Yini okufanele uyikhumbule ngomqulu wokunyathelwa?

Umgqulu wokunyathelwa uyilwimi elivamile elingaphilisa kahle ngokwelashwa okufanele nokunakekelwa. Into ebaluleke kakhulu ukufuna ukunakekelwa okusheshayo kwezokwelapha ukuze kuqinisekiswe ukuxilongwa okuhle nokuphathwa.

Khumbula ukuthi ukubuyela emuva kuthatha isikhathi, futhi ukulandela uhlelo lwakho lokwelashwa kubalulekile ngenxa yemiphumela emihle kakhulu. Abantu abaningi babuyela emisebenzini yabo evamile ngaphakathi kwezinyanga ezimbalwa, nakuba izingqulu ezinkulu zingase zithathe isikhathi eside ukuze ziphulukise ngokuphelele.

Ungawunaki ubuhlungu benyawo noma ucabange ukuthi ukulimala kuzophulile ngokwalo. Ukwelashwa okusheshayo kuvimbela ukuphazamiseka futhi kusiza ukuqinisekisa ukuthi ubuyisa umsebenzi ophelele wenyawo lwakho. Ngokunakekelwa okuhle nokubekezela, ungalindela ukubuyela ngokuphelele ekuphulukiseni okuningi kwezingqulu zezinyawo.

Imibuzo evame ukubuzwa ngomqulu wokunyathelwa

Kuthatha isikhathi esingakanani ukwelapha umqulu wokunyathelwa?

Iningi lezingqulu zezinyawo lithatha amasonto angu-6 kuya kwangu-8 ukuze liphulukise, nakuba lokhu kuyahluka kuye ngohlobo nobunzima bokuqhekeka. Izingqulu ezilula zezinzwane zingase ziphulukise emavikini angu-4 kuya kwangu-6, kuyilapho izingqulu ezinkulu ezihlanganisa amathambo amaningi zingase zithathe izinyanga ezingu-3 kuya kwengu-4 noma isikhathi eside. Iminyaka yakho, impilo yakho yonke, nokuthi ulandela kangcono kangakanani imiyalo yokwelashwa konke kuchaphazela isikhathi sokuphila.

Ungahamba kanjani ngomqulu wokunyathelwa?

Ukuhamba ngomqulu wokunyathelwa kuncike kuhlobo nendawo yokuqhekeka. Ezinye izingqulu ezincane zezinzwane zivumela ukuhamba okulinganiselwe ngezicathulo ezifanele, kuyilapho ezinye izingqulu zidinga ukuphumula okuphelele emisebenzini yokuphatha isisindo. Ungalokothi ucabange ukuthi ungahamba ngokuqhekeka okungathandeki ngaphandle kokuvuma kwedokotela wakho, njengoba lokhu kungase kube bubi ukulimala noma kulibazise ukuphulukisa.

Uyini umehluko phakathi komqulu wokunyathelwa nokugqolozela unyawo?

Umgqulu wokunyathelwa uhlanganisa ukulimala emathanjeni ngokwalo, kuyilapho ukugqolozela unyawo kuchaphazela ama-ligaments ahlanganisa amathambo ndawonye. Kokubili kungabangela ubuhlungu nokukhula, kodwa izingqulu ngokuvamile zibangela ubuhlungu obukhulu, obuhlala njalo futhi zingase zibonise ukuqhekeka okubonakalayo. Izithombe ze-X-ray kuphela ezingakwazi ukwahlukanisa phakathi kwalezi zilima, kungakho ukwelashwa kwezokwelapha kubalulekile.

Zonke izingqulu zezinyawo zidinga ukuhlinzwa?

Cha, iningi lezingqulu zezinyawo liyaphilisa kahle ngaphandle kokuhlinzwa. Izingqulu ezilula, ezingahambi kahle ngokuvamile zidinga kuphela ukuvimbela nge-cast noma i-boot. Ukuhlinzwa kuba yadingeka lapho amathambo ehambisana khona kakhulu, amathambo amaningi ephukile, noma ukuqhekeka kuchaphazela izindawo ezihlangana khona. Udokotela wakho uzonquma indlela engcono kakhulu yokwelapha kuye ngokulimala kwakho okuthile.

Ngingabuya nini emidlalweni ngemva komqulu wokunyathelwa?

Ukubuyela emidlalweni kuncike ekuphulukiseni okuphelele nasemvume yedokotela wakho. Lokhu ngokuvamile kuthatha amasonto angu-8 kuya kwangu-12 ngenxa yokuqhekeka okulula, kodwa ukulimala okukhulu kungase kudinge izinyanga ezingu-4 kuya kwengu-6 noma isikhathi eside. Udokotela wakho uzokhuthaza ukubuyela kancane emisebenzini, uqale ngokuvocavoca okungathandeki kakhulu ngaphambi kokuthuthuka ekuhlanganyeleni okugcwele kwemidlalo.