Umlindi womdlalo we-Gamekeeper noma i-Skier's Thumb
Isigqoko somgcini wezemidlalo, esibizwa nangokuthi isithupha se-skier, ukulimala komunye wemigqa ebalulekile phansi kwesigxobo sesithupha. Ukulimala kuhilela i-ulnar collateral ligament (u-UCL), i-band of tishu ezinzima, ezinamafutha ezihlanganisa amathambo engaphansi kwesithupha. Leligamente ivimbela isithupha ukuba singasondeli kude nasesandleni.
Ukulimala kwi-lignar collateral ligament kwenzeka lapho lesi sakhiwo sithunyelwe kakhulu.
Amagama amabili ajwayelekile echazayo ngokulimala kwi-lignal collateral ligament yilezi:
- Isithupha se-Skier kanye
- Isigxobo somgcini wegeyimu
Lawa magama avame ukusetshenziswa ngendlela engafaneleki, nakuba echaza amaphethini okulimala ahlukene.
Isithuthuthu se-Skier: Ukulimala Okumangalisayo ku-UCL
Ukulimala kwesibhakabhaka se-skier kuchazwe njengengozi ephawulekayo kumgogodal we-ulnar. Uma i-skier iwa ngesandla sayo ibanjwe esiteji sezulu, isithupha singasuswa ngakwesokunene. Ngenxa yokwakheka kwe-ski pole, lesi sithupha sivame ukubanjwa futhi ukucindezeleka okubalulekile kufakwe kwi-lign collateral ligament. Uma isibambiso se-ulnar ligament sidonsa ngokwanele, sizoqeda. Ngenkathi kunezindlela eziningi zokulimaza umgogodla we-ulnar, isithupha se-skier igama elifanele lokulimala kanzima ku-ligament.
Isigqoko seMidlalo: Ukulimala Okuqhubekayo ku-UCL
Okunye ukulimala kubizwa ngesithupha somdlali; lokhu kubhekisela emaphethini amaningi okulimala okuholela ekusenikeni komgudu we-ulnar ngokuhamba kwesikhathi.
Igama livela kubadlali bezemidlalo baseYurophu abazobulala umdlalo wabo ngokubamba ikhanda lesilwane phakathi kwesithupha nesiginci somunwe ukuze baphule intamo. Ngokuhamba kwesikhathi, i-ulnar ibamba ligament ithulwe futhi ekugcineni ibangele izinkinga. Kanti futhi, isithupha somlondolozi wendlela yokudlala umdlalo uyindlela efanele yokuchaza ukulimala okungapheli kwi-lignar collateral ligament.
Izimpawu
Ukulimala kwe-lignar ligament ngokuvamile kuvame ngenxa yokulimala kwezemidlalo. Abadlali abadlali be-skiers nabadlali bebhola bavame ukusekela lokhu kulimala. Ukulimala kwe-lignar i-lignân ingase ibe khona njengomphumela wokuwa noma ezinye izinhlekelele.
Iziguli ezisekela izinyembezi ezinzima ze-ulnar izibilini zomgogodla zivame ukukhononda ubuhlungu nokuvuvukala ngqo phezu komgogodla oqhekekile phansi kwesithupha. Iziguli zivame ukuba nesikhathi esinzima sokubamba izinto noma ukubamba izinto ngokuqinile. Ngenxa yokuthi lokhu kulimala kubonakala kubadlali, ngokuvamile bayakhononda ngobunzima bokubamba i-tenketi noma ukuphonsa ibhola. Iziguli zingase zikhononde nokungazinzi noma zibambe izithupha zabo emaphaketheni amabhulukwe abo.
Izivivinyo ezisetshenziselwa ukuqinisekisa ukuxilongwa zingabandakanya i-x-ray noma i-MRIs. I-X-ray ingaba usizo njengoba ivumela udokotela wakho ukuba agcizelele ukujoyina futhi abone ukuthi i-ligament yenza umsebenzi wayo noma uma yonakalise kakhulu ukuzinzisa ukujoyina. Ngaphezu kwalokho, ngezinye izikhathi i-x-ray ibonisa ucezu oluthile lwesithambo oludonswe yi-metacarpal yesithupha ngomlenze we-UCL. Leli thambo, elibizwa ngokuthi i-Stener lesion, liwuphawu lokuthi ukuhlinzwa kuvame ukudingwa njengoba ithambo lizovimbela i-UCL ekuphulukiseni endaweni yayo efanele ngaphandle kokulungisa ukuhlinzwa.
Ukwelapha
Ukwelashwa kuxhomeke ezintweni eziningana, kuhlanganise nobukhulu bokulimala, ukuthi kudala kanjani ukulimala, iminyaka yesiguli, kanye nezidingo zomzimba zesiguli. Uma izinyembezi ziyingxenye, kanti isithupha asikona kakhulu, isiguli ngokuvamile sifakwa endaweni yokukhishwa noma ukuhlukaniswa kwesandla samandla (okubizwa nge-thumb spica) amaviki angu-4 kuya ku-6.
Uma izinyembezi seziphelile noma uma isiguli sinokungazinzeki okukhulu ngenxa yezinyembezi ze- ulnar isigxili somgudu , khona-ke ukuhlinzwa kungacatshangwa. Ukuhlinzwa kuvame ukuphumelela kakhulu uma kwenziwa emasontweni ambalwa okuqala ngemuva kokulimala. Uma kunokwenzeka, udokotela ohlinzayo uzolungisa iziphetho eziqhekekile ze-ligament emuva ndawonye.
Uma i-ligament idwenguliwe emthanjeni, ukuphela okuqothuliwe kuzokwenziwa sutered kuze kube ithambo ngokwalo.
Uma ukulimala kwi-ulnar ibamba ligament kudala, khona-ke kungenzeka ukuthi ukulungiswa okuqondile ngeke kwenzeke. Kulesi simo, noma esinye isakhiwo sizoshintshwa ukuze kuvuselelwe i-lignar collateral ligament noma enye yemisipha engaphansi kwesithupha izothuthukiswa ukukhokhela i-ligament ephukile.
Ukuhlinzwa okulandelayo, iziguli zizofakwa endaweni yokukhishwa amaviki amane kuya kweziyisithupha ukuvikela ligament elilungisiwe. Ngaleso sikhathi, ukunyakaza okuncane komunwe kuzoqala. Iningi leziguli liyakwazi ukudlala imidlalo 3 kuya kwezinyanga ezine emva kokuhlinzwa.
Imithombo:
I-Tang P. "Ukulimala komgogodla we-ligam metacarpophalangeal I-J Am Acad Orthop Surg. May 2011; 19 (5): 287-96.
UMorgan WJ, uSlowman LS. "Isandla esinamandla nokulimala kwamakhanda kubadlali: ukuhlolwa nokuphathwa." J Am Acad Orthop Surg. 2001 Nov-Dec; 9 (6): 389-400.