I-hamate bone ingenye yamathambo amancane ayisishiyagalombili wesandla. Lawa mathambo ayisishiyagalombili ahlanganiswe kahle emigqeni emibili esezansi kwesandla (ngokuqondile ngaphansi kwezingxenye ezithe xaxa zesundu). Ngokubambisana, amathambo abizwa ngokuthi amathambo e-carpal-leli gama livela egameni lesiLatini elisho "isibindi." Iningi labantu lizwile nge- carpal tunnel syndrome , isimo lapho i-nerve ikhonjiwe njengoba idlula emgodini oqinile owakhiwa ngamathambo e-carpal.
Njenganoma iyiphi enye ithambo emzimbeni, amathambo e-carpal angaphazamiseka lapho ezwa ukucindezeleka okungavamile noma ukuhlukunyezwa . I-hamate bone ithambo elingafanelwe ngendlela engavamile. Iningi lamathambo liyizicabha, kodwa kukhona ukubonakala kwecala lesundu lesithambo elibizwa ngokuthi "i-hook ye-hamate." I-hook yinkomba encane, encane yethambo, kanye nokunamathiswa kwemigudu namathenda esikristini.
Ama-Fractures eHhook of the Hamate
Ukuhlukana kwe-hook ye-hamate akuvamile. Ngaphansi kwezingu-2% zazo zonke iziphahla zenyama ye-carpal zihilela i-hook ye-hamate. Kodwa-ke, lezi zintambo zisadingeka zixoxisane, njengoba kungase kube nzima ukuzihlola, futhi kuyinselele ukuphatha.
Ama-fractures of the hook of the hamate ngokuvamile kwenzeka kubadlali abadlala umdlalo okuhilela ukufaka into. Abadlali be-Baseball, abagibeli begalofu kanye nabadlali be-hockey basekela iningi lezinsalela ze-hook ye-hamate.
Ngokuvamile, lo mdlali uyakhumbula ukulimala lapho bebenokuhlola okungahambi kahle noma bahlaba igalofu ibe yimpande noma emhlabathini.
Izimpawu
Isibonakaliso esivame kakhulu sokuqhekeka kwe-hook ye-hamate ubuhlungu. Ukuvuvukala, ukulimaza, nokubuthakathaka nakho kuyabonakala, kodwa isibonakaliso esivame kakhulu ukubuhlungu.
Ubuhlungu bungase bube nzima futhi bukhuni ukukhiqiza kepha kufanele kutholakale lapho umhloli ecindezela ngokuqondile kwi-hook ye-bone hamate. Ngokuvamile ezinye izimbangela zobuhlungu bomunwe obungasese zingacatshangwa, kufaka phakathi izinyembezi ze-TFCC , ukulimala kwe-tendon noma i-ligament, noma ezinye izinsalela.
Ezimweni ezinde kakhulu, izimpawu zingase zibandakanye umsebenzi ongavamile wezinzwa ze-ulnar . I-ulnar nererve ingenye yezinzwa ezinkulu ezinikezwa izinzwa ezandleni naseminwe. I-nerve iyadlula eduze kwe-hook ye-hamate, futhi ngokuvamile iziguli zizobhekana nokuphazamiseka nokugubha eminwebeni encane neminwe lapho izinzwa ze-ulnar zingasebenzi ngendlela evamile.
I- x-rays yesihenqo esivamile ngokuvamile ibonakala ijwayelekile ezigulini ezine-hook ye-hamate. Kunombono okhethekile, obizwa ngokuthi umhubhe we-carpal view, ukuthi okungcono ubonisa i-hook ye-hamate, okwenza ezinye iziphuphu zibonakala. I-MRI ne-CT izikrini zibucayi kakhulu ekuboniseni ukuhlukana kwe-hook ye-hamate. Ukuhlola kwe-CT kubonisa imininingwane engcono kakhulu yethambo, kuyilapho ama-MRIs angasiza kakhulu uma ukuxilongwa kungacacile, futhi umhloli ufuna ukuhlola futhi isifo sofuba, izigulane kanye namathenda.
Izinketho zokwelapha
Kunezinketho ezimbalwa zokwelashwa kwezinhlanzi ze-hook ye-hamate.
Ukusetshenziswa kwesiphithiphithi ukusikhumbuza ithambo eliphukile ngezinye izikhathi lingasebenza, kodwa imiphumela ayithembekile. Ukuphulukiswa kokuphuka kungase kwenzeke, futhi iziguli cishe zidinga ukwelashwa okuqhubekayo.
Ukulungiswa kwe-fracture ngokuvamile kuvimbela. Ukuphulukiswa kwethambo kungase kube nzima ukufeza, futhi iziguli zivame ukukhathazeka yi-hardware esetshenziselwa ukulungisa ithambo eliphukile.
Ukwelashwa okuvame kakhulu, ikakhulukazi kumgijimi, ukuhlinzekela ngekhanda i-hook ephukile ye-hamate. Ukuthembeka kokutakula kulokhu kuhlinzeka kuhle kakhulu. Abadlali abavame ukuthatha amasonto angu-6-8 ukuze babuyiselwe kulokhu kuhlinzeka futhi babuyele ezemidlalo.
Kukhona izinkinga zokuhlinzwa, kuhlanganise nokulimala, ukutheleleka, nobuhlungu, kodwa uma kwenziwa udokotela ohlinzayo osebenzayo kuyinkqubo ephephile kakhulu.
Imithombo:
Slowman LS, no-Morgan WJ. Ukulimala Okunamandla Nokuzivikela Kwama-Athletes: Ukuhlolwa Nokuphathwa "J Am Acad Orthop Surg November / December 2001 vol. 9 cha. 6 389-400