Kukuvadza kuLigaments kumusoro kweAnkle Joint
Chikwata chepamusoro chechikwata chinoshandiswa kurondedzera rudzi rwupi rwemakumbo ekurwadza kwechiremera. Kazhinji, kana mumwe munhu achisimudzira bhanhire rakaputika, mitsipa inopoteredza gumbo rekondo inobvaruka. Izvi zvinokuvadza zvinowanzokonzera marwadzo uye kuzvimba pamakumbo.
Chirwere chepamusoro chepakumbo chinowanzoitika apo kune kukuvadza kune guru guru rinenge riri pamusoro pechidzitiro chinosunganidza pamwe mapfupa maviri emugumbo wakaderera .
Aya mapfupa maviri, the tibia (bhenzi bone) uye moto, runomhanya kubva pamabvi kusvika kumakumbo. Vanobatanidzwa pamwe neiyo ligament inonzi syndesmosis kana syndesmotic ligament.
Varwere vanotsigira chiremera chepamusoro chemaoko vanokuvadza iyi syndesmotic ligament . Zvisungo zvekunamatira kana kutenderera mumitambo, kunyanya kana rutsoka rwakashandurwa kune kunze kunogona kukonzera. Irojekiti inogonawo kuve yakakuvadzwa pamwe neinodiwa nechepamusoro chechidiki chepakisi uye zvinyama zvezviputi. Iro ligament inogona kubvamburwa apo mapfupa emakumbo aputsika, uye kuputsika kunogadzirirwa.
Zviratidzo zveSain Ankle Sprain
Chirwere chepamusoro chinokonzera zviratidzo zvakafanana nezvimwe zviputi , asi varwere vanowanzonyunyutira marwadzo apo bhechi iri kutenderedzwa kunze (kutendeukira kune kunze) kana kuti mhuru inomesa. Izvi zvinowanikwa gare gare, izvo zvinonzi "squeeze test," ndiyo yero yekare yekukuvara kwe syndesmotic, asi haisi kuvimbika kwazvo pakuita kuti kuongororwa.
Iwe unogona kukwanisa kufamba, asi iwe unorwadziwa pamusoro pehupamhi hwechidzitiro, hupamusoro pane huwandu hwemakumbo.
Kana chirwere che syndesmotic chikafungidzirwa, chiremba wako anokwanisa kuwana tsanangudzo dzakasarudzwa ne-ray-ray dzechidzitiro chinonzi kudzvinyirira maonero. Chikopa chinogona kutarisa chakanaka pamagariro x-rays kunyange nechirwere che syndesmotic, asi kana gorosi ichisimudzirwa, pangave nekugadzirisa kusina kusanzwisiswa kwejoko rechikwama zvichienderana nekuoma kwekukuvara.
Miedzo yakadai seC CT scan kana MRI inogonawo kushandiswa kuongorora chepamusoro chepakumbo, kunyange zvazvo isingadi nguva dzose.
Kurapa kweSain Ankle Sprain
Kukuvadzwa kweSyndesmotic kunowanzosaiti kuporesa uye zvakanyanya kufanana nemakumbo emakumbo, ndicho chikonzero vadzidzisi nevadzidzisi vemitambo vanowanzova nehanya nepamusoro pezvikwama zvepakisi. Chiremba wako anotanga kuziva kana kukuvadzwa kwacho kwakasimba kana kusingagadziki. Kana kukanganisa kuchigadzikana (kureva kuti gumbo rechidzitiro riri kushanda zvakajairika), ipapo iyo yakasimba yepakumbo inogona kurapwa muchikanda, kazhinji kwemavhiki matanhatu.
Kana kukanganisa kusina kugadzikana, ipapo chirwere chinogona kudiwa kuti chigadzikane chekubatanidza majoka. Chiremba wako anowanzoisa imwe kana maviri mikoko pakati petibia nefibula kuitira kuti mapfupa ave munzvimbo yakakodzera apo syndesmotic ligament inoporesa. Iyi ndiyo nzira dzakasiyana dzekugadzirisa zvirwere zve syndesmotic, zvose zvine ngozi uye zvingabatsire.
Nemhaka yokuti syndesmosis inongororwa, inofanira kukwanisa kutakura zvishoma. Mushure mekuporeswa kweiyo ligament yakaitika, vamwe vanachiremba vanobvisa zviso kuitira kuti mapfupa arambe achifamba zvakare zvakare. Vamwe vanachiremba vanorayira kuti varege kuvhara panzvimbo. Zvisinei, vanowanzoputsa sechikonzero chokudzokorora kudzvinyirira.
Iwe unogona kukurukura nechiremba wako chirongwa chekugadziriswa kweganda.
Sources:
American Orthopedic Foot & Ankle Society. High Ankle Sprain.
Zalavras C uye Thordarson D. "Ankle Syndesmotic Injury" J Am Acad Orthop Surg June 2007; 15: 330-339.