Isakhiwo se-fibrocartilage esine-triangular, noma i-TFCC, i-cartilage kanye nemigudu engaphakathi kwehlangothini lwesandla, esihlangothini sesigqoko sesandla (ohlangothini lomunwe omncane). Ukulimala ku-TFCC kungabangela ubuhlungu besisindo nokuchofoza izinzwa.
I-TFCC
I-TFCC isakhiwo esiyinkimbinkimbi, njengoba igama layo lisho. Kodwa-ke, akumangalisi ukuthi kunikezwe izinyathelo eziyinkimbinkimbi ezenzeka ehlangothini lwekhanda.
Ngokungafani namajoyina athile ahamba phambili ezindiza esisodwa nje, isibindi sisuka ezindizeni ezintathu ezihlukene, konke ngesikhathi esifanayo. Isibindi singakwazi ukugoba emuva nangaphandle, eceleni kwehlangothini, futhi sijikeleze. Lokhu kuhamba kusivumela ukuba sisebenzise isandla sethu ezikhundleni ezihlukahlukene. Ngokubaluleke kakhulu, isikhonkwane kumele sibe namandla futhi sizinzile, ukuze kuthi uma siqonda into, ukujoyina akuwa phansi noma kuqhubezela nxazonke. I-TFCC inomsebenzi onzima!
I-TFCC yakhiwa njengendandatho ye-cartilage, kufana ne- meniscus yamadolo . Okuzungezile le ring kungumgogodla ozinzisa amalunga esibuko. Uma othile echaza ukulimala ku-TFCC, bachaza ukulimala kulezi zakhiwo. Izinyembezi ze-TFCC zivela ngezindlela eziningi nobukhulu. Kubalulekile ukuqonda ukuthi izinyembezi ze-TFCC zivamile, ikakhulukazi uma singena kuma-40s ethu. Ucwaningo olulodwa lwezingxabano ze-cadaver alutholanga ama-TFCC ajwayelekile ngokuphelele kuma-specimens adlule eminyakeni eyishumi leminyaka.
Ezinye izinyembezi ze-TFCC zincane, zizinzile, futhi zingaphulukisa ngemithi encane. Ezinye izinyembezi ze-TFCC zikhulu kakhulu, zizinzile, futhi zingadinga ukungenelela. Ukuthola ukuhlonza i-TFCC izinyembezi akukutsheli cishe ukuthi ukwazi ukuthi ukwelashwa okuhle kungaba yini.
Izimbangela ze-TFCC Ukulimala
I-anatomy joint joint ihluka phakathi kwabantu bethu, ikakhulukazi emathanjeni angaphambili.
Kubantu abane-ulna ende (isibindi esilungile), amandla amakhulu asetshenziswa ku-TFCC. Laba bantu banamathuba aphezulu okulimala ku-TFCC futhi banamathuba amaningi okuba nezimpawu eziqhubekayo ngemva kokulimala.
Isizathu esivame kakhulu sokulimala ku-TFCC ukuwa phezu kwesandla esiluliwe; ngezinye izikhathi kukhona ukuhlukana okuhlobene kwethanga lesigesi . Ezinye izimbangela zokulimala kwe-TFCC zingafaka ukujikeleza okunamandla noma ukuphazamisa (ukudonsa) esihlangene esihlangwini. Izinyembezi ezivame kakhulu zezinyembezi ze-TFCC zifaka:
- Ubuhlungu nokuvuvukala ohlangothini lwe-ulnar lwesandla
- Ukuchofoza izinzwa ngokunyakaza kwesandla
- Ukukhubazeka kwamathambo angaphambili (ukuhlanganiswa kwe-radialulnar distal)
Uma kukhona ukusola kokulimala ku-TFCC, ngokuvamile ama-x-rays azokwenziwa ukuze ahlolwe ukuhlukana, ukungazinzi okuhlangene kanye nokuhluka okungafani (ubude bamathambo angaphambili). I-MRI ingaba usizo ukubona i-cartilage nemigqa eyenza i-TFCC. Odokotela abaningi bazofaka injini endaweni ngenxa yezizathu ezimbili. Okokuqala, ukukhomba umthombo wobuhlungu (qiniseka ukuthi izinyembezi ze-TFCC zibangela izimpawu); futhi okwesibili, ukuletha imithi ( steroids ) endaweni yokwelashwa.
Kunconywe Ukwelashwa kwe-TFCC
Njengoba kushiwo ngaphambili, zonke izinyembezi ze-TFCC zihlukile, futhi ukwazi ukuthola izinhlobo ezihlukahlukene zokuphazamisa amaphethini kubalulekile ukuba udokotela wakho ohlinzayo asize ukuqondisa uhlelo lwakho lwezokwelapha.
Izinyembezi eziningi ze-TFCC zizophulukisa ngokungahambi kahle kanye nesikhathi.
Kunezimo ezithile lapho ukuhlinzwa kungase kubhekwe njengokwelashwa. Ngokuqondile, izinyembezi ezingaphumeleli ngezokwelapha ngaphandle kokulimala, ukulimala okungaqiniseki kwe-TFCC, nokulimala okuhlotshaniswa nesimo esihle se-ulnar (i-ulna bone eside), kungase kube ukhetho lokungenelela kokuhlinzwa. Odokotela abaningi abahlinzayo basebenzisa i- arthroscopy yesandla ukuze bahlole i-TFCC ephukile, futhi noma bahlanze noma bavuselele izakhiwo ezimele.
> Imithombo:
> Verheyden JR. Ukulimala Kwama-Triangular Fibrocartilage Complex Ukwelashwa Nokuphatha "I-Medscape. Novemba 17, 2014.