Ukuhlonza nokuphatha ama-spinins kanye nokuhlukaniswa kweminwe
Ukulimaza kwamazinyo nokuxoshwa kwinto evamile ukulimala esandleni . Uma kuqhuma umgogodla, i-ligament esekela ukujoyina iselulele kakhulu futhi izintambo ezinzima zezicubu ze-ligament ziba yingxenye noma ziqhekeke ngokuphelele. Kwezinye izimo, umonakalo kumigogodla eyisekelayo ibalulekile ngokwanele ukuthi ihlangene iza eceleni, okwenza ukulimala okuthiwa ukuhlukaniswa.
Izimbangela ezivamile zomunwe wezinhlamvu nokuhlukaniswa kwempahla zihlanganisa ukulimala kwezemidlalo, ukulimala okuhlobene nomsebenzi, kanye nezingozi zezimoto. Kukhona ububanzi obunzima bokulimala kwamagundane, ngakho-ke uma lezi zihlolwe udokotela wakho zingasiza ukuqinisekisa ukuthi awugwemi ukwelashwa okudingekayo.
Izinhlamvu Zeminwe
Izilonda zamanwe zivamile, ikakhulukazi ngenxa yokulimala kwezemidlalo futhi ziwela esandleni sakho. Ngokuvamile, lokhu kubangela ukuthi umunwe ukugoba ngokungavamile, okwenza ukuba ukulimala kwegamentali nobuhlungu obulandelayo.
Ama-sprains anezinsikazi angenziwa kunoma yiziphi izinhlanganisela ze-'knuckle' zedijithali, kodwa zivame kakhulu ehlangene nePIP (interxlangeal proximal interphalangeal) phakathi komunwe.
Izimpawu ongalindela ukuzizwa zifaka:
- Ubuhlungu ngomunwe wokunyakaza
- Ukuvuvukala nxazonke
- Ukuthambekela komunwe
Uma udokotela wakho uncoma i-x-ray, qiniseka ukuthi kuyinkambiso evamile ukuqinisekisa ukuthi akukho ukuphulwa kwethambo, njengoba ukuqhuma okuzungezile ukujoyina kungadinga ukwelashwa okungenayo okungeyona eminye.
Okunye ukuhlolwa, okufana ne-MRIs noma i-CT scans, akuvamile ukuthi kudingeke ukuba kutholakale lolu hlobo lwenkinga.
Ukuphatha ama-Spinger Sprains
Amapulisi amanwe avame ukugoqa noma ama- buddy-taped (adluliselwe kumunwe oseduze) isikhathi esifushane. Uma nje kungekho ukuphulwa noma ukuhlukaniswa, ama-finger sprains amaningi kufanele avunyelwe ukuthutha phakathi nesonto.
Ukuphalaza umunwe okwenziwe ngesikhathi semidlalo kungasiza ukuvikela ukulimala, kodwa ukugoqa ngokungenasidingo komunwe kuzokwenza ukuthi idijithi ibe nzima. Kufanele uxoxe nodokotela wakho lapho uqala ukuhamba komunwe.
Ezinye zokwelapha ngomunwe okhishwe zihlanganisa:
- Shayela umunwe olimele
- Ukuphakamisa uma kukhona ukuvuvukala
- Thatha imithi elwa nokuvuvukala
- Musa kancane ngomunwe ukuvimbela ukuqina
Izindwangu zesikhumba kanye nezinye izilonda zeminwe ezinganeni zingadinga isikhathi eside sokukhubazeka noma ukuhlolwa ngumchwepheshe, ikakhulukazi uma kunokukhathazeka ukuthi i-ligament yaqothuka. Ukulimala okukodwa, okuthiwa " isithupha segeyimu ," kudinga ukukhubazeka kanye nokuhlinzwa ngezikhathi ezithile. Lokhu kulimala okubalulekile kubalulekile ngoba ukulimala okungavamile okwenziwe kulokhu kuhlangene kuthinta ikhono lethu lokunyathela.
Akuyona into engavamile okwenziwe ngomunwe ukudala ukuvuvukala nokuqina okungapheli izinyanga ezilandela ukulimala. Kubalulekile uma unayo izimpawu eziqhubekayo ovumela udokotela wakho ukuba azi ukuthi angazi ukuthi ukulimala kakhudlwana (njengokuphulwa komunwe ).
Ukuhlukaniswa kweminwe
Ukususwa komunwe ukulimala kakhudlwana kudijithali, ngoba akubandakanyi nje i-ligament, kodwa futhi i-joint capsule, i-cartilage nezinye izicubu.
Uma ukuhlanganiswa kuhlukaniswa, ukulungiswa okujwayelekile komunwe kuguqulwa, futhi ukujoyina kufanele kubuyele endaweni.
Ngezinye izikhathi, ukuthutha ukuhlukaniswa komunwe kungaba lula futhi ngezinye izikhathi kungaba nzima kakhulu. Ngokuvamile, umuntu ophathwayo angakwazi ukuhambisa umunwe wakhe ngokumane abuyele esikhundleni sakhe. Ngezinye izikhathi, ukuhlukaniswa kungahle kudinge i-anesthesia noma ngisho nenqubo yokuhlinzekela ukulungisa idijithi. Kulezi zimo eziyinselele, kungase kube namathenda noma ezinye izicubu ezivimbela ukujoyina ukubuyela emuva esikhundleni.
Lapho ukuhlanganiswa kuhlukaniswa, i-ligaments kanye ne-capsule ehlangene ezizungezile ukujoyina okulimalayo ziqhekekile.
Ngesinye isikhathi, lezi zintambo aziphilisi ngokwanele futhi zihlinzeka ngezikhathi ezithile ezidingekayo ukulungisa izakhiwo ezimele. Lokho kusho ukuthi iningi lokuxoshwa komunwe lingalashwa ngendlela elula. Uma ukuhlanganiswa sekubuyiselwe esimweni, umunwe uqhekekile ukuze uvumele imigudu kanye ne-capsule ehlanganyelwe ukuphulukisa.
Ukwelashwa komunwe ohlukanisiwe kufana nalokhu komunwe oqhutshiwe. Kufanele ushise futhi uphakamise umunwe olimele ngemuva kokulimala. Ngemuva kokuthi ukuhlukaniswa kwehlisiwe kuncishisiwe (ukubuyisela esimweni), ukuhlanganiswa kumele kuhlanganiswe futhi kutholakale i-x ray. I-x-ray yenziwa ukuze kuqinisekiswe ukuthi ukujoyina kuhambisana ngokuqondile, nokuthi akukho ukuphuka okwenzeka ngesikhathi sokulimala. Bese ulandela izincomo zodokotela wakho ukuthi uzoqala nini ukunyakaza komunwe.
Izwi elivela
Ezimweni eziningi, kokubili ukungena komunwe nokuxoshwa komzimba kuyaphathwa kalula. Ngokuvamile, uzokwazi ukusebenzisa isandla sakho njengesijwayelekile ngaphakathi kweviki, kodwa ungakhathazeki uma ukulimala kubangela ubuhlungu nokungahambi kahle isikhathi eside-lokho kuvamile. Uma kukukhathaza ngempela, khuluma nodokotela wakho ukubona ukuthi kukhona yini ongakhethayo yokunciphisa ukungazinaki.
Nakuba ukuxoshwa kuyingozi kakhulu, lindela ukwelashwa okufana nalokho okwenziwe khona. Kuzo zombili izimo, ungethuki uma udokotela ephakamisa i-x-ray-leyo yindlela evamile yokuqinisekisa ukuthi idijithali yakho iyaphulukisa kahle futhi ibuyele ejwayelekile.
> Umthombo:
> Elfar J, Mann T. Ukuhlukana-ukuchithwa kwe-joint interphalangeal joint. J Am Acad Orthop Surg. 2013 Feb; 21 (2): 88-98.