ari ankle sprains Masprains anowanikwa mune zvese zvemitambo uye hupenyu hwezuva nezuva, asi kwete ese sprains akafanana. Mukati mekukuvara kwerudzi urwu, pane inonzi sprain. high sprainmamiriro mashoma anozivikanwa anogona kuenda asina kucherechedzwa uye anotungamira kusagadzikana kusingaperikurwadziwa kunoramba kuripo uye kunyange kupindira kwekuvhiya kana kusina kunyatsoongororwa uye kurapwa.
Kufarira nyaya iyi kwakamutsiridzwa mushure mezvizhinji Kukuvara kwazvino munhabvu yeEuropePSG yakashuma ankle sprain yakakomba Achraf Hakimi uye RC Celta akasimbisa deltoid sprain ye Hugo ÁlvarezMhosva idzi, dzakatarisa kuFrance neSpain, dzinoratidza kuti nei zvakakosha kusiyanisa pakati pezvakafanana sprain uye izvo zvinokanganisa syndesmosis.
Chii chinonzi high sprain uye nei zvichikosha?
Mune yakakwirira sprain, kukuvara kunobata iyo ligaments ye tibiofibular syndesmosisIyo "anchor" inobatanidza tibia uye fibula pamusoro pechitsiko. Kana iyi yekubatanidza ichipa nzira nekuda kwekumwe kumonyoroka, iyo joint inogona kuve zvinorwadza uye zvinononoka kupora zvichienzaniswa neyekare lateral sprain.
Iyo yakajairwa michina inoonekwa mu a kutenderera kwekunze netsoka yakatsigirwaTsoka inoramba yakagadzikana pasi uye gumbo rinotenderera kunze. Kufamba uku kunoburitsa kusawirirana kusingaite pa syndesmosis uye kunogona kuburitsa marwadzo akadzika munzvimbo yeanterolateral yegumbo, kazhinji akasiyana nekurwadziwa kwe "common" sprain.
Syndesmosis inosanganisira akati wandei zvimiro: iyo anteroinferior tibiofibular ligamentIyo interosseous ligament uye interosseous membrane; kumashure, iyo posterior tibiofibular ligament. Mukuwedzera, the deltoid ligament (pamusoro pemukati) haisi ye syndesmosis, asi mamiriro ayo anogona kukanganisa kugadzikana kwechidzitiro chose.
Nei izvi zvichigadza mwero? Nekuti kukuvara kwe syndesmosis pasina deltoid kubatanidzwa kunowanzo yakadzikama, nepo kukuvara kwakasanganiswa kunogona kududzira mukati zvakawanda zvehasha zvokurapa zvinodaMukubvunzana, nyanzvi dzinoratidza kuti chikamu chakakosha chezvinoonekwa se "sprain" inogona kunyatsoenderana high sprain.
Inoratidzwa sei uye tinofanira kunetseka rini?
La kuongororwa kwekliniki Chirongwa ndechekuona nzvimbo yekurwadziwa, kugadzirisa zvakare nzira ye sprain, uye kuita maitiro chaiwo. kusvina bvunzo (kudzvinyirirwa kwegumbo kukonzeresa marwadzo anotaurwa pachiziso) uye bvunzo yekutenderera kwekunze Vanobatsira kutungamira kuongororwa kune syndesmosis.
Imaging bvunzo (X-rays, ultrasound, kana MRI) inogona kutsigira kuongororwa, asi kiyi inoramba iri mamiriro ekukuvara uye kugadzikana. Kana pane marwadzo pasina zviratidzo zvekusagadzikana, nzira yakasiyana inowanzosarudzwa. Conservative kurapwaKana kusagadzikana kuchionekwa, boka rekurapa rinogona kuongorora kuvhiya.
Muzviitiko zvinyoro, manejimendi anosanganisira kuzorora kwehamakurwadziwa uye kudzora kuzvimba, uye physiotherapy nekufambira mberi kwekufamba, simba uye proprioceptionKudzokera kumabasa kunofanira kuderedzwa, nemaitiro akajeka ekushanda kuti adzivise anodzokera shure.
Kukuvara kwazvino muEurope: Hakimi naHugo Álvarez
El PSG akasimbisa izvozvo Achraf Hakimi akatambura a kuputika kwakanyanya kwechidzitiro chekuruboshwe Panguva yemutambo weChampions League, zvichitevera kurwiswa naLuis Díaz, chiito chakakonzera kadhi dzvuku rakatwasuka mushure mekuongororwa kweVAR. Sekutaura kwechikwata ichi, achange asipo pakusarudzwa. mavhiki akati wandeiMishumo inoratidza kukanganisa syndesmosis nekuzvipira kwemukati, pasina chikonzero chekuvhiya, izvo zvinogona kukanganisa kuvapo kwake pazviitiko zvepasi rose zviri kuuya.
Munguva pfupi, iyo Moroccan yakazara-kumashure yaizotevera chirongwa ne kutanga immobilization Uye gare gare kugadzirisaNguva yekudzorera yezvipembenene izvi inosiyana zvichienderana nekurwadziwa, kugadzikana, uye kupindura kurapwa; saka, kudzokera kumutambo wemakwikwi kunotsanangurwa nekutarisa nguva dzose kuderedza dambudziko re pashure.
MuSpain, RC Celta akataura izvozvo Hugo Álvarez anotambura kubva deltoid sprain pachiziso chekurudyi uye asara kunze kwechikwata chemutambo neBarcelona. Academy mutambi anotanga physiotherapy uye basa remunhu mumwe nemumwe, nekufambira mberi kwakamirira kutonga kwekurapa.
Zvakare muchikwata cheVigo, Williot Sweden anoenderera mberi nebasa renguva pfupi mushure me a kudzungunuka pachidya chekuruboshwe Akatambura nechikwata cheSweden cheUnder-21. Kudzoka kwake kumakwikwi kunotarisirwa mushure mezororo repasi rose rinotevera, kunze kwekunge kupora kwake kuchienderera mberi zvakanaka.
Basic care uye kudzoka kwakachengeteka kubasa
Munyaya yeankle sprain, zvinokurudzirwa kutanga matanho ekutanga dzora kukanganisa y batsira kuporaMumatanho ekutanga, iyo REST-ICE-COMPRESSION-ELEVATION protocol inoramba ichibatsira, ichigadzirisa kumarwadzo uye kuongororwa kwenyanzvi.
- Kudzivirirwa yekubatana uye kufambira mberi kutsigirwa maererano nekushivirira.
- Intermittent cryotherapy kwemaawa 48-72 ekutanga modulate kuzvimba.
- Bandage inoshanda kana kupfupika immobilization kana yaratidzwa.
- Physiotherapy nekufamba, kusimbisa uye proprioception vasati vadzoka.
Kuti udzokere kukudzidziswa kana kukwikwidza, maitiro ekushanda anokurudzirwa: kusavapo kwemarwadzo mukufamba kwakananga, kuzara kwakazara kwekufamba, symmetrical simba, uye miyedzo ine simba (kusvetuka, shanduko yenzira) pasina kusagadzikana. Kumhanyisa maitiro pasina kusangana nezvinokosha izvi kunowedzera njodzi ye kuwedzera.
Kukuvara kwazvino mukati PSG y Celta Vakadzosa ankle sprains kumashure, uye kunyanya, iyo high sprainKusiyanisa maitiro, kutsvaga marwadzo, uye kuongorora kugadzikana kunobvumira kusarudza kurapa kwakakodzera uye kuderedza matambudziko, nzira iyo inokosha kune vose vatambi vezvemitambo uye avo vanokuvadzwa muupenyu hwavo hwezuva nezuva.
