Bayani game da hanyoyin da za a daidaita daidaitattun takalma
Kullun idon kafa na wasa ne na yau da kullum wanda zai iya haifar da ciwo da kumburi na haɗin gwiwa. A mafi yawan marasa lafiya, marasa lafiya ba zai iya rage ciwo ba kuma mayar da aikin zuwa haɗin gwiwa. Duk da haka, akwai wasu lokuta inda tilasta wajibi ne don tabbatar da haɗin gwiwa don kafa takalmin gyaran takalmin don ba da damar dawowa cikakkun ayyuka ga masu haƙuri.
Nunawa don Tiyata Bayan Ankle Sprain
Gaba ɗaya, akwai yanayi biyu inda za'a iya ɗaukar tiyata.
- Babban raunin da ya faru
Matsayi na farko shine mummunar rauni, wanda wanda ya faru kwanan nan. A cikin waɗannan yanayi, tiyata ba shi da yalwaci magani. Sai dai a cikin raunuka mai tsanani, a cikin 'yan wasa masu tsada, an yi aikin tiyata. Wadannan marasa lafiya suna ci gaba da ci gaba da ƙwaƙwalwar takalma na sashin ƙwarare na uku kuma suna da binciken binciken asibiti da x-ray daga ƙwanƙolin ƙyama. Canji na farko a cikin waɗannan lokuta na iya taimakawa wajen sake dawo da ayyukan wasan. - Na'urar Aiki
Bugu da ƙari, ana yin tiyata a lokacin da mai wasan yana ci gaba da bayyanar cututtuka na rashin kwanciyar kafa - idon yakan ba da labari kuma yana jin rauni. Wadannan marasa lafiya suna ƙoƙarin kokarin maganin sauƙaƙe da suka haɗa da farfadowa, ƙarfafawa, gyaran kafa, kuma har yanzu suna da gunaguni na ƙwanƙwasa idon kafa.
Hanyar Mista - Sauya Brostrom da Ƙari
Akwai hanyoyi daban-daban daban daban waɗanda aka bayyana don tabbatar da idon a cikin saɓin idon kafafun idon.
Yawancin hanyoyin da ake amfani da ita a yau an kira "Hanyar hanyar Brostrom." Dokta Brostrom ya fara bayani game da wata hanya mai mahimmanci, wanda aka sake canzawa, tun da farko ya zama hanyar da aka fi amfani da ita don ƙwaƙwalwar waƙa.
Hanyar hanyar Brostrom mai gyaggyarawa da gaske tana ƙarfafa haɗin haɗin gwiwa da takalma.
Yawancin lokaci likitan likitanka zai cire abin da aka haɗu na kashi daga waɗannan halayen a kan fibula, sa'annan ya sake ɗaukar ligament a matsayi mai matukar damuwa.
Hanyar da ake kira Brostrom an kira shi da sake gina magungunan anatomic domin yana ƙoƙarin mayar da magungunan gyaran gyaran kafa ta al'ada ta hanyar sake dawo da al'ada. Sauran ƙwayoyin aiki ana dauke su da sake gina jiki, kamar yadda suke amfani da sake gyaran kafa na gyaran kafa don rage iyakokin idon, don haka ya hana rashin kwanciyar hankali. Wadannan magungunan wadanda basu da mahimmanci ba su da yawa. Sunan wadanda ba su da magunguna ba sun haɗa da hanyoyin Chrisman-Snook, Watson-Jones, da kuma Evans; Har ila yau, duk wanda ake kira bayan likitocin da suka bayyana ma'anar.
A wasu lokuta, an shimfida haɗin haɗari sosai, kuma gyara gyaran haɗin zai iya haifar da rashin zaman lafiya idan ba'a ji nama ba don ya isa. A cikin wa] annan marasa lafiya, wasu likitoci sun fi son yin gyaran magunguna. Wani zaɓi shine don ƙara sutura ga nama zuwa haɗin haɗi don ƙara ƙarfin. A cikin wadannan yanayi, wasu likitoci suna bayar da shawarar yin amfani da wani sashi daga wani ɓangare na jikinka, ko kuma mai bada kyauta .
Ankle arthroscopy ya zama mafi yawan amfani dashi a matsayin ɓangare na tiyata takalmin gyaran kafa.
Sau da yawa ana amfani da arthroscope don tabbatar da ganewar asali kuma tabbatar da cewa guringuntsi da haɗin gwiwa suna cikin yanayin kirki. Yayin da ba a yi amfani da arthroscopy ankle yanzu a matsayin hanya don gyaran lalacewar lalacewa ba, wannan ya zama mafi yawan amfani da shi tare da aikin tiyata da gyaran kafa.
Saukewa na Motion
Komawa bayan gyaran gyaran takalma ya dogara da aikin da aka yi. Sakamakon aikin tiyata yana da kyau, tare da nazarin hanyar gyaran hanyoyin Brostrom wanda ya nuna fiye da kashi 90 cikin dari na marasa lafiya da suka fara aiki na al'ada bayan aikin tiyata.
Rarraba daga tiyata ne mafi yawancin ci karo yayin lokacin gyarawa.
Sugar takalmin gyaran takalmin ko kuma nakasawa nakasa yana yiwuwar matsaloli daga aikin tiyata. Sauran haɗari sun hada da kamuwa da cuta, matsalolin warkaswa, da ciwo na nasu.
> Sources:
> Maffulli N da Ferran NA. "Gudanar da Ƙarƙashin Ƙarƙashin Ƙararraki da Tarihi" J Am Acad Orthop Surg Oktoba 2008; 16: 608-615.