Ukuhlukaniswa okungavamile kwamaBontshi amancane e-Joint Joint
Ukuphazamisa ukuhlukaniswa nokuhlukaniswa kwezinto-ukuhlukaniswa kwezinto eziyingozi kuyinkimbinkimbi yamathambo amancane esihlakaleni. Lawa mathambo amancane, abizwa ngokuthi amathambo e-carpal, ahlanganisa amathambo ayisishiyagalombili ahlukene, ngalinye lalingamakhulu ayisithupha likashukela, okwehlukaniswe phakathi kokuphela kwesibhamu kanye namathambo ende esandla. Lawa mathambo ase-carpal ahlose ukuvumela ukugoqa okuyinkimbinkimbi nokunyakaza okuhlangene kwesandla esihlangene.
Elinye lala mathambo libizwa ngokuthi inyanga.
Ukuhlukaniswa okungafani (okubizwa ngokuthi "ama-perilunate" ama-dislocation) ngokuvamile kwenzeka njengengxenye yokulimala okukhulu njengokuwa kwephakama noma ukushayisana kwezimoto. Uma ukuqhuma kwe-perilunate kwenzeka, eyodwa noma ngaphezulu yalezi zinhlanzi ezincane ze-carpal ziphuma ngokuzivumelanisa okujwayelekile esihlanganyeni sekhanda. Ngezinye izikhathi, ukulimala kwenzeka ngokuhambisana nokwephulwa kwesinye samathambo we-carpal - lokhu kubizwa ngokuthi i-perilunate fracture-dislocation.
Izimpawu zokulimala kokuPhepha
Izimpawu ezivamile zokuphazamiseka kwamaphilisi noma ukuphahlazeka kwamanye amazwe zihlanganisa:
- Ubuhlungu obunzima esibukweni nesandla sesandla
- Ukuvuvukala kwesandla
- Ukunyakaza okulinganiselwe kwesandla nesandla
- Ukulinganisa nokwehliswa kweminwe
Isizathu sokugubha nokugubha okuvamile kuvamile kwiziguli ezinobungozi obuthakathaka eduze komgwaqo we-carp in the wrist. Umhubhe we-carpal yindawo equkethe izinzwa zomzimba, enye yezinzwa ezinkulu ezihlinzeka ukuzwa esandleni naseminwe.
Lona yisisindo esithinteka emzimbeni we- carpal tunnel syndrome . Ukuhlukaniswa komzimba okubangelwa yingozi kungabangela imbangela yamaphilisi emathunjini okuqala asematheni.
Ukuhlonza ukulimala kokuPhepha
Ukulimala okunobungozi kungabonakala ku-x-ray evamile. Kodwa-ke, ukubonakala kwe-disilation ye-perilunate kungaba yinto ehlakaniphile, ikakhulukazi uma ama-x-ray eyenziwa ngesandla eshintshiwe kancane.
Lapho abantu benokulimala kanzima, ukuthola ama-x-ray amahle angakwazi ukukhululeka futhi kunzima. Kodwa-ke, kubalulekile ukuthi ube nama- x-rays afanele ukuhlola ukulimala okunjengokuhlukaniswa kwe-perilunate.
I-CT scan noma i-MRI ingaba usizo uma kukhona umbuzo wokuxilongwa. Ngaphezu kwalokho, ukuphazamiseka kwemvelo kungahle kwenzeke njengengxenye yeqembu lokulimala kufaka phakathi ama-fractures kanye ne-ligament izinyembezi. Izifundo ezingaphezulu zingenziwa ukuze zihlolwe ezinye ukulimala esihlakaleni.
I-bone bone ihlotshaniswa nenyanga yenyumba futhi itholakala lapho amathambo esandla, i-ulna ne-radius, ehlangana namanye amathambo e-carpal wesandla. Isikhathi singaba nomumo oguquguqukayo, ngakho-ke inyanga yakho ingase ingabonakali njengomuntu ojwayelekile ngisho nalapho ingalimala. Okokugcina, ukulimala okulimazayo ngokuvamile kuhlotshaniswa nokulimala okubuhlungu, kanti ezinye, ukulimala okungase kusongela impilo kungase kuqaphele ukulimala kwesibindi. Ngenxa yalezi zizathu, ukulimala okulimazayo kungaphuthelwa ekuhlolweni kokuqala, futhi abantu abanezibonakaliso zalenkinga kufanele bahlolwe.
Iyini ukwelashwa kokuhlukaniswa kwenyanga?
Kubalulekile ukubeka kabusha ithambo lenyanga ukuze liqondiswe kahle ngokushesha. Ngezinye izikhathi lokhu kungenziwa ekamelweni eliphuthumayo , kodwa ngokuvamile lokhu kudinga ukwelashwa ngokuhlinzwa.
Ngisho noma ukuphazamiseka kwenyanga kungahle kube khona ukuhlinzwa, ngokuvamile inqubo yokuhlinzeka idinga ukuzinzisa amathambo ukuvumela ukuphulukiswa okufanele.
Ukuguqulwa kwamandla okuvuthwa ngokuvamile kuqhutshwa endaweni usebenzisa izikhonkwane ezivela esikhumbeni ukuze zisuswe kamuva ehhovisi. Ukukhululwa komhubhe we-carpal kungenziwa ngesikhathi sokuhlinzwa uma kunezibonakaliso ze-carpal tunnel syndrome. Ukwengeza, ukuhlinzwa kungase kubhekane nezinye izinyembezi kanye nezimpande zeligament ezenzeka ngesikhathi sokulimala.
Izinkinga zivame ngemuva kokuphazamiseka kwe-perilunate, futhi ukubikezela isikhathi eside kubantu abenza lokhu kulimala kugcinwa.
Lezi zinkinga zingabandakanya i- arthritis yesibindi , ubuhlungu obuqhubekayo, ukuqina komzimba, nokungazinzi kwamathambo e-carpal. Ukwelashwa okusheshayo kusiza ukunciphisa amathuba alezi zinkinga, kodwa kusejwayelekile. Ukubuyiselwa okuvela ku-dislocation eyingozi kuyothatha ubuncane bezinyanga ezingu-6, uma kungenjalo, nokuhamba nokuqina ngokuvamile akubuyiselanga kujwayelekile.
Imithombo:
> I-Stanbury SJ, i-Elfar JC "Ukuhlukumezeka kwe-disilation nokulimaza-ukuhlukaniswa kwegazi" J Am Acad Orthop Surg. 2011 Sep; 19 (9): 554-62.