I-Carpal bossing yigama elinikezwe isimo esibangela ukuqhuma kwesibhamu ngemuva kwesandla. Umphathi we-carpal yi-bump eyakhiwe indawo encane ye-osteoarthritis eyenzeka ekuhlanganiseni kwamathambo amakhulu namathambo amancane .
Umphathi we-carpal uvame ukubonwa njenge-bump ngemuva kwesandla phakathi kwe-joint or index carpometacarpal joint-lapho amathambo esandla ahlangana khona namathambo esiko.
Igama lomphathi livela ngegama lesiFulentshi elithi bosse, okusho ukuthi i-bump noma ukuvuvukala.
I-Carpal bossing ingenxa yokukhula kwethambo engxenyeni yethambo le- metacarpal lesandla. Kumele kuhlukaniswe kwezinye izimo zesibindi ezijwayelekile ezifana nalokhu:
Umphathi we-carpal akuyona umdlavuza noma isisu. Ngenkathi zikhona izicubu zethambo ezingavamile ezingase zenzeke, udokotela wakho kufanele akwazi ukuhlukanisa umphathi we-carpal kokunye okuphathelene nalokhu.
Izimpawu Nezibonakaliso
Iningi leziguli zikhononda ngomqashi we-carpal ngemuva kokuthi ziqhume noma zishaye ngemuva kwesandla. Lolu hlobo lwe-traumatic lungabangela ukucasuka kumbusi we-carpal. I-tendon ngemuva kwesandla ingabuye icasule ngenxa ye-bospal bossing. Ngezinye izikhathi ungase ubhekwe nesinamathoni lapho uhamba phezu kwe-bump. Okokugcina, ezinye iziguli azithandi nje ukubonakala kwezimonyo ze-bump esandleni sabo.
Udokotela wakho wokunakekelwa oyinhloko angase abuke phambili ku-bump noma ungathunyelwa kumchwepheshe wesandla. Uma unesihlungu nokuvuvukala, udokotela wakho uzofuna ukulawula ezinye izimbangela ezifana ne-ganglion cyst, i-tendonitis, i-fracture, kanye nezimbangela ezingavamile zokubamba esikhwameni.
Ukuhlolwa ngokomzimba nokulalela umlando wakho lapho i-bump ibonakala khona futhi izimpawu zakho zisetshenziselwa ukuxilongwa.
Izivivinyo ezingase zenziwe zibandakanya i-X ray kanye nama-EMG, okuyizivivinyo zogesi ze-neurophysiology.
Ukwelapha
Ngokuvamile, ukuxoshwa kwe-carpal kuyinkinga engabhekwa kuphela-ngaphandle kokwelashwa okuqondile. Ama-analgesics anqanda ukuvuvukala afana ne-ibuprofen angase aphakanyiswe uma kubuhlungu noma kubuhlungu. Uma kubuhlungu, udokotela angase ancoma ukugqamuka kwesandla ukuze apheme ukunyakaza noma umjovo we-steroid uma lokho kunganikeli ukuphumula.
Ezimweni lapho isimo sibangela izimpawu eziphawulekayo, inqubo yokuhlinzwa yokususa ithambo elingeziwe lingenziwa. Ngokuvamile kwenziwa ngaphansi kokuhlinzekwa kwezinzwa zasendaweni noma zesifunda. Kuyinto esheshayo eyenziwa njengokuhlinzwa kwansuku zonke. I-incision yenziwe ngemuva kwesandla futhi i-bump nanoma yiziphi izicubu ezivuvuzayo ezizungezile zisusiwe. Ungasebenzisa isandla sakho emisebenzini evamile emva kwezinsuku ezimbalwa bese ubuyela emsebenzini emasontweni amabili noma amabili.
Abanye odokotela abahlinzayo bazophinda bafake amathambo lapho kuhlangene khona isikhala esitholakalayo ukuvimbela ukuphindaphinda kwesimo. Kukhona izincwadi eziphikisanayo ngokuthi kungenzeka kangakanani ukuthi i-bump ibuyisela ngemuva kokuzizwa, kodwa kungenzeka. Kodwa-ke, ukuziqhenya kunezingozi zokungazinzi okuhlanganyelwe kanye nenengozi evamile yokutheleleka nokuqedwa.
Imithombo:
"Umphathi we-carpal ophawulekayo. J Hand Surg, Br; 24 (5): 591-5.
I-Porrino J, uMaloney E, i-Chew FS "Imiqondo Yamanje Ye-Carpal Boss: I-Pathophysiology, Izimpawu, Ukuxilongwa Kwemitholampilo, Ukuphathwa Kwegazi noma Ukuphathwa." I-Curr Probl Diagn Radiol. 2015 Sep-Oct; 44 (5): 462-8. doi: 10.1067 / j.cpradiol.2015.02.008. Epub 2015 Mar 7.
I-Park MJ, uNamdari S, Weiss AP. "Umphathi we-carpal: ukubuyekezwa kokuxilongwa nokuphathwa." J Hand Surg Am. 2008 Mar; 33 (3): 446-9. i-doi: 10.1016 / j.jhsa.2007.11.029.