Ðe wò abɔta ƒe eme le veve sema? Ðe wònye (UCL) ƒe abixɔxɔa? Mina míaƒo nu tso esia ŋu!

Ðe nèse veve le wò abɔta ƒe akpa si le eme esime nèle bɔl ƒom, nèle volleyball ƒom, alo nèle nu kpekpe aɖe kɔm kpɔa? Ɣeaɖewoɣi la, àte ŋu ase veve sesẽ sia ne èdze anyi heƒo wò asi alo ne èƒo wò abɔta le afi aɖe. Zi geɖe la, esia tsoa Ulnar Collateral Ligament (UCL) si le wò abɔta ƒe gbegblẽ gbɔ. Le nyateƒe me la, esia nye lãkusi sesẽ aɖe si kpena ɖe ŋuwò be wò abɔta ƒe ƒunukpeƒea nɔa te eye wònɔa dzɔdzɔe. Ele abe rababa ene, gake ekekena, gake esẽna.

Nuka tututue nye `(UCL)` sia? Aleke wòwɔa dɔ le abɔta?

Kpuie ko la, UCL nye lãkusi sesẽ aɖe si le wò abɔta ƒe akpa si le eme, le wò ŋutilã ƒe akpa dzi. Ne míagblɔe tututu la, enye lãkusi. Lãmetsi nye ka sesẽ aɖe si ƒoa ƒuwo nu ƒu ɖekae. Eƒe dɔ vevitɔe nye be wòana wò abɔta ƒe ƒunukpeƒe nali ke ne ètsɔ nane ƒu gbe ɖe dzi, le kpɔɖeŋu me, ne èle kriket bɔl ƒom alo le volleyball ƒom. Enaa wò abɔta hã megaʋuʋuna yia ŋgɔ kple megbe madzemadzee o.

Azɔ kpɔ ɖa, ƒu etɔ̃e le míaƒe abɔta ƒe ƒunukpeƒea. Ƒu gã si le wò abɔta, míeyɔnae be `(Humerus)`, kple ƒu eve siwo le wò abɔta, si nye akpa si le abɔta te – `(Ulna)` kple `(Radius)`. `(UCL)` sia le abɔta ƒe eme, si fia be le axa si dzi wò asibidɛ suea le. Akpa etɔ̃ hã le esi – `(ŋgɔgbe ƒe ƒuƒoƒo)`, `(megbe ƒe ƒuƒoƒo)` kple `(ŋgɔgbe ƒe ƒuƒoƒo)`. Etɔ̃ siawo dometɔ vevitɔe nye ŋgɔgbe ƒe ƒuƒoƒo . Ekpena ɖe ame ŋu be abɔta nali ke wu.

Aleke woda `(UCL)` ƒe abixɔxɔwo ɖe hatsotsowo me?

Woma abi siwo woxɔna le ``UCL'' lãkusi sia ŋu, alo ``sprains'' abe alesi míeyɔnae ene, ɖe hatsotso etɔ̃ me koŋ. Wowɔa hatsotso sia le alesi gbegbe nu gblẽ le eŋu nu.

• Dzeside 1: Esia nye teteɖeanyi le lãkusia ŋu, gake menye aɖatsi o. Ate ŋu anɔ veve sem vie eye wòavuvu.
• Dzeside 2: Lãmetsiŋusẽa keke, eye ɖewohĩ eƒe akpa aɖe vuvu . Vevesesea nu sẽna vie wu, eye abɔta ate ŋu ase le eɖokui me be yemeli ke vie o.
• Klass 3: Esiae nye dɔléle si nu sẽ wu. Le afisia la, lãkusia vuvu keŋkeŋ . Ɣeaɖewoɣi la, ate ŋu aɖe ɖa le ƒua ŋu gɔ̃ hã.

Nukae nye UCL ƒe abixɔxɔ ƒe dzesiwo?

Dzesiawo hã toa vovo le alesi dɔlélea nu sẽe nu.

Dɔléle sue aɖe alo esi nu mesẽ o ƒe dzesiwo:

• Vevesese le abɔta ƒe akpa si le eme kple vevesese ƒe seselelãme ne ètutu wò abɔ. Vevietɔ ne èwɔ nane si bia be nàkɔ wò abɔ ɖe dzi, abe le kriket-ƒoƒo vɔ megbe ene.
• Vevesese ne èle alɔa ʋuʋum yi ŋgɔ kabakaba (e.g., bɔl dada).
• Abɔta senɛ le eɖokui me be yegbɔdzɔ, yeɖe asi le eŋu, eye mesẽ o.
• Gbɔdzɔgbɔdzɔ ƒe seselelãme ne èlé nane ɖe asi, abe ɖe màte ŋu alée o ene, alo abe ɖe nèle nu la dam ene.
• Naneke mate ŋu aƒu gbe kabakaba alo sesĩe abe tsã ene o.

Dzesi siwo dzena ne lãkusia vuvu keŋkeŋ:

• Vevesese kpata le abɔta ƒe eme kple "pop" gbeɖiɖi , abe ɖe nane wó ene.
• Vevesese sesẽ ŋutɔ.
• Be womate ŋu atsɔ naneke aƒu gbe o.
• Ɣeaɖewoɣi la, àte ŋu akpɔe be yeƒe asibidɛ sue alo asibidɛ si le asigɛ ŋu natsi alo ase le ye ɖokui me. Esia fia be wò ulnar nerve gblẽ alo ƒoe.

Nukae gbɔ UCL ƒe abixɔxɔ tsona?

Susu vevi eve li siwo tae `(UCL)` ƒe abi siawo dzɔna ɖo. Ðeka nye nuteɖeamedzi si yia edzi le abɔta (míeyɔnae be `(Overuse)`), eye evelia nye afɔku kpata `(Trauma)`.

Nuveviwɔamewo zazã fũu akpa

Zi geɖe la, esia tae UCL ƒe abixɔxɔwo dzɔna ɖo. Tameʋuʋu enuenu, abe kriket-ƒola ƒe bɔlƒoƒo alo volleyball-ƒola ƒe ʋuʋu ene, nana lãmeka sia tea ʋuka sia. Le ɣleti geɖe, alo ƒe geɖe gɔ̃ hã megbe la, UCL la kekena vivivi, exɔa abi, eye aɖatsi suesuesuewo (microtears) dona. Mlɔeba la, abɔta ƒe ƒunukpeƒea va nɔa ʋuʋum eye mete ŋu nɔa te o. Lãmetsia ate ŋu avuvu, eƒe akpa aɖe alo keŋkeŋ avuvu, alo lãkusia ƒe nugbɔ ɖeka ate ŋu aɖe ɖa le ƒua ŋu.

Nuveviwɔame siwo gblẽa nu le ame ŋu

Menye ɣeyiɣi didi ƒe zazã gbɔe nusiawo tsona o. Woate ŋu atso ƒoƒo kpata ɖe abɔta, abe anyidzedze ene gbɔ. Le kpɔɖeŋu me, èdze anyi eye nèdo asi ɖa lé anyigba, henɔ susum be "yeatɔ te anyidzedzea." Emegbe abɔta ateŋu ``ʋuʋu'', si fia be ƒunukpeƒea gbã, alo ƒu ateŋu ``gbã''. Le ɣeyiɣi siawo tɔgbe me la, mɔnukpɔkpɔ gã aɖe li be ``UCL'' hã agblẽ.

Ðe abi si nèxɔ le UCL me ana màte ŋu azã wò abɔ oa?

Zi geɖe la, UCL ƒe abi makpɔ ŋusẽ gã aɖeke ɖe wò gbesiagbedɔwo dzi o, abe akplo kɔkɔ alo nusiwo metsɔ ƒu gbe o kɔklɔ ene. Gake ɖewohĩ màte ŋu akpɔ gome le kamedefefe siwo wotsɔ ƒua gbe alo nu kpekpe bubu siwo abia be nàkɔ wò alɔnu ɖe ​​dzi la me o.

Aleke nàwɔ anya UCL ƒe abixɔxɔ nyuie?

Ne èyi ɖɔkta gbɔ, zi geɖe la, ƒumeŋutinunyala alo kamedefefeŋutinunyala bibi aɖe la, abia nya wò tso wò atikewɔwɔ ŋutinya kple kamedefefe ɖesiaɖe si nèwɔna ŋu. Emegbe woawɔ ŋutilãmedɔdada.

Le dodokpɔ sia me la, .

• Woyɔa afisi nàte ŋu abɔbɔ wò abɔta ahakekee ɖe enu be ``range of motion''.
• Wodoa abɔta ƒe ŋusẽ kpɔna.
• Eléa ŋku ɖe abɔta ƒe liƒo ŋu.
• Woléa ŋku ɖe asi ƒe lãmekawo ƒe nɔnɔme ŋu.
• Ðewohĩ woalé ŋku ɖe abɔta hã ŋu.
• Wobiaa afi si tututu vevesesea le hã.

Tsɔ kpe ɖe eŋu la, ɖɔkta ate ŋu aɖe gbe be woawɔ dodokpɔwo abe:

• Valgu ƒe nuteɖeamedzi dodokpɔ:Esia nye ŋutilãmedodokpɔ. Ðɔktaa akɔ wò abɔta ɖe dzi abe dzidzenu 30 ene, atsɔ eƒe asibidɛwo aɖo afisi wò UCL le, eye wòazi wò abɔta ƒe eme kple wò abɔta ƒe gota. Ne èse veve tsɔ kpe ɖe abɔta ƒe ƒunukpeƒe ƒe ʋuʋu ŋu la, esia nana nèkea ɖi be UCL xɔ abi.
• CT Scans (Computed Tomography - CT) kple X-rays: Nɔnɔmetatawo dodokpɔ siawo ate ŋu alé ŋku ɖe ƒuwo ƒe nɔnɔme ŋu, abe nuteɖeamedzi ƒe gbagbã ene. Gake womate ŋu akpɔ lãkusi falɛfalɛwo abe UCL ene tẽ o.
• MRI scan (Magnetic Resonance Imaging - MRI): Esia ate ŋu akpɔ nusiwo gblẽ le lãmeka falɛfalɛwo abe lãkusiwo kple lãkusiwo ene ŋu kɔte. Ate ŋu ade dzesi ƒu ƒe gbagbã suesuesue siwo womate ŋu akpɔ le X-ray me o hã.
• Arthrogram: Esia sɔ kple MRI scan, gake wodoa amadede tɔxɛ aɖe ɖe abɔta ƒe ƒunukpeƒe hafi wowɔa scan. Esia wɔnɛ be woate ŋu akpɔ kuxi siwo didi sesẽ gɔ̃ hã ƒe nɔnɔmetata siwo me kɔ wu.

Aleke wowɔa atike na `(UCL)` ƒe abi?

Atikewɔwɔ nɔ te ɖe alesi wò UCL ƒe abi la nu sẽe kple alesi gbegbe nèkpɔ mɔ be yeawɔ dɔ alo aƒu gbe ɖe ta dzi. Ne UCL ƒe aɖatsi sue aɖe le ŋuwò la, anɔ eme be ahaya le eɖokui si. Dɔdamɔnu siwo menye amekoko o ate ŋu akpe ɖe ame ŋu wòaɖe vevesese dzi akpɔtɔ.

Atikewɔwɔ siwo menye amekoko o:

• Gbɔɖeme: Esiae nye nu vevitɔ kekeake. Ele be nàgbɔ ɖe eme tso dɔwɔna siwo naa nuteɖeamedzi nɔa wò abɔta ŋu hena ɣeyiɣi aɖe.
• Atike siwo me steroid mele o siwo tsia dzodzodzoetsitsi nu (NSAID): Kpɔɖeŋu aɖewoe nye ibuprofen (Advil®, Motrin®) kple naproxen (Aleve®). Esiawo ɖea abi kple vevesese dzi kpɔtɔna. Ne ehiã la, àte ŋu axɔ NSAID si nu sẽ wu si wò ɖɔkta kafu.
• Tsikpe: Tsɔ tsikpe de wò abɔta aɖabaƒoƒo 15-20 zi geɖe gbesiagbe. Esia aɖe vevesese kple vuvu dzi akpɔtɔ.
• Lãmesẽfefewɔwɔ: Kamedede tɔxɛwo hiã be woado ŋusẽ lãmeka siwo ƒo xlã abɔta. Esia ana kpekpeɖeŋu si wonana abɔta nadzi ɖe edzi.
• Ʋumenugbagbeviɣidɔ (PRP) Dodo: Esia bia be nàxɔ wò ŋutɔ wò ʋu sue aɖe eye nàma lãmenugbagbevi ƒomevi aɖe si woyɔna be ʋumenugbagbevi dzĩwo me. Emegbe wodoa ʋumenugbagbevi dzĩ siawo ɖe teƒe si UCL si gblẽ la le. Dɔyɔŋusẽ le ʋumenugbagbevi dzĩ siawo ŋu, eyata woate ŋu akpe ɖe amesiwo ƒe UCL vuvu ŋu.

Amekoko ƒe atikewɔwɔwo:

• UCL dzadzraɖo tẽ: Ne wò UCL ƒe lãkusi vuvu le ƒua ŋu le afɔku kpata aɖe me la, ate ŋu adzɔ be nàgatsɔe abla ɖe ƒua ŋu ake.
• UCL gbugbɔgatu (Tommy John ƒe amekoko) .: Ne wò UCL meli ke o alo wòvuvu keŋkeŋ, eye atikewɔwɔ siwo menye amekoko o meɖea vevesese dzi kpɔtɔna o, alo ne kamedefefewɔlae nènye eye nèyi edzi le kamedefefe siwo wotsɔ ƒua gbe, kamedefefe siwo wowɔna le ta dzi, alo nusiwo kɔa nu kpekpewo wɔm la, zi geɖe la, wò ɖɔkta aɖo aɖaŋu na wò be woawɔ dɔ na wò be nàgbugbɔ UCL atu.

Le dɔ sia wɔwɔ me la, amekolaa xɔa lãkusi aɖe tso wò ŋutilã ƒe akpa bubu (e.g., wò afɔ, alɔnu) alo lãkusi aɖe tso amesi na wò gbɔ eye wòtsɔnɛ blaa wò abɔta ƒe ulna kple humerus ƒuwo ŋu be wòawɔ UCL yeye. Ɣeaɖewoɣi la, wotsɔa UCL xoxoa ƒe akpa susɔea dea ƒunukpeƒe yeyea me be wòado ŋusẽe.

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Amekoko ƒe taɖodzinu vevitɔwoe nye be wòana abɔta nali ke eye wòate ŋu aʋã, ana ŋusẽ nanɔ abɔta ŋu, eye wòaɖe vevesesea dzi akpɔtɔ.

Nukatae woyɔa `(UCL)` gbugbɔgatudɔ sia be `(Tommy John Amekoko)`?

Esia nye ŋutinya dodzidzɔname aɖe ŋutɔ. Ame gbãtɔ si na wowɔ dɔ sia la ƒe ŋkɔe wotsɔ na amekoko sia. Tommy John nye Major League Baseball ƒola xɔŋkɔ aɖe si vuvu eƒe (UCL) lãkusi le ƒe 1974. Enɔ fefea me abe ƒe ɖeka ene, gake eyae nye fefewɔla gbãtɔ si wowɔ dɔ sia na eye wòtrɔ yi baseball dzidzedzetɔe. Eyata wotsɔ ŋkɔ nɛ tsɔ na amekokoa tsɔ de bubu eŋu.

Lãmetsi kawoe wozãna wu hena UCL gbugbɔgatu?

Zi geɖe la, wozãa lãkusi siawo dometɔ ɖeka tsɔ doa lãkusia:

• Lãmetsi aɖe si le akɔta ƒe megbe (Hamstring tendon) .
• Lãmetsi si le wò asi te si woyɔna be ``Palmaris longus lãkusi'' (esia medzɔna ɖe amesiame dzi o)
• Lãmetsi si kpena ɖe ame ŋu wòkɔa afɔbidɛ gã la ɖe dzi (Big toe extensor tendon) .

Nukawoe nye kuxi siwo dona tso UCL gbugbɔgatu ƒe amekoko me?

Abe alesi wòle le amekoko ɖesiaɖe gome ene la, afɔkuwo li be woaxɔ dɔlékuiwo eye kuxiwo le atike si naa alɔ̃dɔdɔ ame ŋu.

Tsɔ kpe ɖe eŋu la, kuxi aɖewo li siwo ku ɖe UCL gbugbɔgatu ŋu koŋ:

• Atike si wotsɔ de eme yeyee ate ŋu ahe alo avuvu ake. Ne edzɔ alea la, ahiã be woawɔ dɔ na ame zi evelia be woatsɔ ade yeye si wodo ɖe lãme na ame la eme.
• Ulnar lãmekawo ƒe gbegblẽ. Esi lãmeka sia toa abɔta ƒe ƒunukpeƒea ta la, ate ŋu ahiã be amekolaa natsɔ lãmekaa ayi abɔta ƒe ŋgɔgbe be wòagagblẽ nu le eŋu o.

Aleke woawɔ aɖe afɔku si le UCL ƒe abixɔxɔ me dzi akpɔtɔ?

Dzadzraɖo nyuie, abɔta ƒe aɖaŋu nyuitɔ sɔsrɔ̃, kple ɖiɖiɖeme ne èse veve alo vevesese le wò abɔta ate ŋu akpe ɖe ŋuwò nàxe mɔ ɖe UCL ƒe abixɔxɔ nu.

Vevietɔ kamedefefewɔla siwo:

• Na hehe nyui nasu asiwò: Srɔ̃ alesi nàda nu nyuie kple alesi nàzã wò asie.
• Seɖoƒe na gbeɖiɖi ƒe xexlẽme: Ƒo asa na gbeɖiɖi geɖe tsɔtsɔ ƒu gbe zi ɖeka.
• Gbɔ ɖe eme nyuie: Na ɣeyiɣi wò lãmekawo kple lãkusiwo be woahaya.
• Wɔ kamedede kple ŋusẽdodo ƒe hehexɔxɔ: Esiawo doa ŋusẽ lãmeka siwo ƒo xlã abɔta.
• Ƒo asa na tudada le axadzi: Esia nana abɔta tea ɖe edzi wu.

Ɣeyiɣi didi kae wòxɔna hafi wòhaya tso abi si woxɔ le UCL me?

Esia hã toa vovo le alesi dɔlélea nu sẽe kple atikewɔwɔmɔnu si wozãna nu.

Amekoko manɔmee la:

Ne UCL vuvu le ŋuwò la, ate ŋu axɔ tso kwasiɖa ʋɛ aɖewo va ɖo ɣleti ʋɛ aɖewo hafi wòahaya. Ɣeyiɣi sia nɔ te ɖe alesi gbegbe nèdi be yeagaʋuʋu yeƒe abɔta dzi.

Le `(UCL)` gbugbɔgatu ƒe amekoko megbe:

Ate ŋu axɔ ɣleti 9 va ɖo ƒe ɖeka, alo esi wu nenema gɔ̃ hã hafi wòahaya. Ðewohĩ ahiã be nàdo akɔtaɖonu tɔxɛ aɖe be wòakpe ɖe ŋuwò nàdzi wò abɔta ƒe ʋuʋu ɖe edzi. Ne èɖoe be yeatrɔ ayi kamedefefe siwo gblẽa nu le ame ŋu vevie me la, ahiã be nàwɔ kamedede kple vevesesenutsitike ƒe ɖoɖo si sɔ na wò. Esia akpe ɖe ŋuwò nàdo ŋusẽ wò abɔta eye wòana wò ʋuʋu kple dɔwɔwɔ nanyo ɖe edzi.

Aleke míate ŋu akpe asi ɖe suku kamedefefewɔlawo takpɔkpɔ ŋu tso abi siwo wo zazã ɣeyiɣi didi abe esia ene hena vɛ me?

Nu aɖewo siwo nàte ŋu awɔ atsɔ akpɔ sɔhɛ kamedefefewɔlawo ta tso abi siwo woxɔna le wo zazã fũu akpa me lae nye esi:

• Na woado wò kpɔ hafi kamedefefewɔɣia nadze egɔme: Esia ate ŋu akpe ɖe ŋuwò nàde dzesi lãmesẽkuxi siwo ate ŋu ana nàxɔ abi ɣeyiɣi didi la kaba.
• Srɔ̃ alesi woaƒu gbe nyuie: Ele vevie be nàsrɔ̃e nyuie tso hehenala gbɔ.
• Na seɖoƒe nanɔ bɔl agbɔsɔsɔme si woada le bɔlƒoƒo ɖeka me ŋu.
• Ƒo ɖokuiwò ɖe kamedede ƒe ɖoɖo si wowɔna ƒe bliboa me: Ele be esia nalɔ kamedede siwo nàkeke ɖe enu kple ŋusẽdodo ame ɖe eme.
• Kpɔ egbɔ be yewɔ dzoxɔxɔ kple fafa ƒe kamededewo do ŋgɔ na kamedefefewo kple emegbe.
• Mègafe alo ana hehee gbeɖe ne èxɔ abi alo nèle veve sem o.
• Ƒo asa na kamedefefe ɖeka ma ke wɔwɔ le ƒe bliboa me: De dzi ƒo na sɔhɛ kamedefefewɔlawo be woaɖi ɖe eme zi ɖeka le ɣeyiɣi aɖewo me. Esia ana lãmekawo, lãkusiwo, kple lãkusi siwo wozãna le mɔ ma ke nu la nagbɔ ɖe eme.

Nukae nye `(Little Leaguer ƒe Abɔta)`?

Esia nye nɔnɔme si gblẽa nu le ɖevi suewo ƒe abɔta ŋu, vevietɔ ɖevi siwo le suku dem. Le nyateƒe me la, enye tsitsi ƒe agbawo ƒe dɔléle. Tsitsi ƒe agbalẽviawo nye ƒuwo ƒe akpa siwo wɔ abɔta ƒe ƒunukpeƒea. Esi ɖevi suewo ƒe ƒuwo gakpɔtɔ le tsitsim ta la, tsitsi ƒe agbalẽvi siawo gbɔdzɔ wu ƒu, lãkusi, kple lãkusi ƒe akpa bubuwo. Nuteɖeamedzi gãtɔ kekeake le tsɔtsɔ ƒu gbe me va ɖoa gbɔdzɔgbɔdzɔƒe sia, si nye tsitsi ƒe agbaa. Nuteɖeamedzi sia ate ŋu agblẽ nu le sɔhɛ kamedefefewɔlawo ƒe lãkusiwo kple ƒuwo ŋu ne wotsɔ wo ƒu gbe atraɖii. Ne wò sɔhɛ kamedefefewɔla to nyatoƒoe le abɔta ƒe vevesese ŋu la, kpɔ egbɔ be ɖɔkta, ƒumeŋutinunyala, alo kamedefefeŋutinunyala bibi aɖe do wo kpɔ.

Mlɔeba la, nu siwo dzi wòle be woaɖo ŋkui

Ulnar Collateral Ligament (UCL) ƒe abi nye abi si woxɔna le abɔta ƒe akpa si le eme. Eƒe zazã fũ akpa ɣeyiɣi didi gbɔe wòtso koŋ. Togbɔ be wokpɔnɛ zi geɖe le baseball ƒolawo gome hã la, ate ŋu adzɔ le amesiame si kɔa nu kpekpewo eye wòdoa eƒe abɔwo ɖe dzi. Dzesi vevitɔwoe nye vevesese le abɔta kple vevesese ne woka asi alɔnu ŋu. Ame aɖewo ate ŋu ase vevesese kpata, si nye "clicking" le abɔta ƒe akpa si le eme.

Ne menye kamedefefewɔlae nènye o alo mèwɔa nu kpekpewo kɔklɔ o la, wò abɔta ate ŋu ada gbe le atikewɔwɔ bɔbɔewo abe ɖiɖiɖeme, tsikpe, atike, kple kamedede ene me. Gake abi siwo nu sẽ wu kple kamedefefewɔlawo ate ŋu ahiã be woawɔ dɔ na wo, abe Tommy John Amekoko ene. Le alesi gbegbe wò abi la nu sẽe kple dɔ agbɔsɔsɔme si nèdi be yeawɔ ta la, wò kple wò ɖɔkta miate ŋu atso nya me le atikewɔwɔ nyuitɔ kekeake si woawɔ ŋu. Eyata ne abɔta le veve sem na wò la, ele vevie be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo evɔ màŋe aɖaba aƒu edzi o.

` Abɔta ƒe vevesese, UCL ƒe abi, Tommy John ƒe amekoko, kamedefefe ƒe abi, lãkusi ƒe aɖatsi, abɔta ƒe dɔwɔwɔ, kamedede