Kodi chala chanu chapindika pakati ndipo n'chovuta kuchiwongola? Izi zitha kukhala Boutonniere Deformity!

Kodi mudawonapo, kapena mudawonapo, chala chomwe chapindika mwanjira yachilendo ndipo chimakhala chovuta kwambiri kuchiwongola? Mwina chalacho chimawoneka ngati chapindika pakati ndipo chamamatira, ndi nsonga yake ikuloza mmwamba. Izi zitha kukhala zosokoneza kwambiri kwa ena. Lero tikambirana za vuto lomwe limapezeka m'zala, lomwe limadziwika kuti `Boutonnière Deformity`.

Kodi 'Boutonnière Deformity' iyi ndi chiyani?

Mwachidule, Boutonniere Deformity ndi vuto lomwe cholumikizira chapakati cha chala (kapena nthawi zina, kawirikawiri, chala chaching'ono) sichingathe kuwongoka ndipo chimakakamira pamalo opindika. Izi zikutanthauza kuti cholumikizira chapakati cha chala chimapindika pansi ndipo sichingathe kuwongoka . Nthawi yomweyo, cholumikizira chakumapeto kwa chala, cholumikizira chomwe chili ndi msomali, chimapindika mmwamba ndipo chimawoneka ngati mfundo.

Tili ndi cholumikizira m'chala chathu. Cholumikizira chapakati chimenecho, ndiko kuti, cholumikizira chachiwiri kuchokera pachikhatho - mu mankhwala timachitcha `Proximal Interphalangeal joint` (proximal interphalangeal joint) kapena `PIP joint` (PIP joint) mwachidule - ndicho chomwe sichingapindike, ndipo chimamatira chikapindika. Nthawi yomweyo, cholumikizira chakumapeto kwa chala - timachitcha `Distal Interphalangeal joint` (distal interphalangeal joint) kapena `DIP joint` (DIP joint) - chimapindika chammbuyo ndikulunjika mmwamba.

Izi zimatchedwa `boutonniere`, zomwe zikutanthauza `bowo la mabatani` mu Chifalansa. Chifukwa cha vutoli ndichakuti pamene `tendon`, minofu yolimba yomwe imalumikiza minofu ndi fupa, pamwamba pa chala, yawonongeka, dzenje laling'ono limapangika pakati pa ulusi, ngati bowo la mabatani. Apa ndi pomwe dzinalo limachokera. Ngati `tendon` iyi sigwira ntchito bwino, simungathe kuwongola cholumikizira chala chanu.

N’chifukwa chiyani izi zikuchitika? Kodi zifukwa zake ndi ziti?

Chifukwa chachikulu cha `Boutonnière Deformity` iyi ndi kuwonongeka kwa minofu ya chala yotchedwa `central slip tendon`. `Tendon` iyi ndi yomwe imatithandiza kuwongola cholumikizira chapakati cha chala. Chimayenda pamwamba pa chala. Mutha kuchiwona pamwamba pa cholumikizira.

Kuwonongeka kwa tendon yapakati pa ngozi

Nthawi zambiri, vutoli limachitika chifukwa cha ngozi. Taganizirani zinthu monga izi:

• Chala chimamatira kapena kumenyedwa mwamphamvu: Mwachitsanzo, mukamasewera masewera monga volleyball kapena netball, mpira umagunda chala chanu mwamphamvu kwambiri. Kapena chala chanu chimamatira pakhomo. Pazochitika zotere, mtsempha ukhoza kukokedwa kapena kung'ambika.
• Kusweka kwa chala: Ngati fupa la chala chasweka, chidutswa cha fupa loswekacho chingawononge mtsempha.
• Kusoka kwa cholumikizira chala: Cholumikizira chikasoka, mtsempha ukhozanso kutambasulidwa ndikung'ambika.
• Kudula kapena kumenyedwa mwamphamvu ndi chinthu chakuthwa: Ngati chala chadulidwa ndi chinthu chonga mpeni, kapena ngati chinthu cholemera chagwera pa chala, mtsempha uwu ukhoza kuwonongeka.

Ngakhale kuti kuvulala kwamtundu uwu wa 'central slip tendon' kungachitikire aliyense, kumakhala kofala kwambiri pakati pa othamanga, chifukwa nthawi zambiri amakhala ndi vuto la masewera.

Matenda a nyamakazi ndi matenda ena

Kuwonjezera pa ngozi, Boutonniere Deformity ikhoza kuchitika pazifukwa zina zingapo:

• Matenda a nyamakazi: Ichi ndi chifukwa chachikulu. Chifukwa cha kutupa ndi kupweteka kwa nthawi yayitali m'malo olumikizirana manja, tendon imatha kufooka, kutambasuka, komanso kung'ambika.
• Kuvulala ndi kupsa: Nthawi zina mtsempha ukhoza kufooka komanso kusweka chifukwa cha kupsa.
• Kulephera kwa manja kobadwa nako: Kawirikawiri, izi zingakhale matenda obadwa nawo.
• Matenda a minofu yolumikizana: Matenda ena a majini amatha kufooketsa minofu yolumikizana ya thupi. Ichinso chingakhale chifukwa cha izi.

Mwachidule, ngati 'central slip tendon' ikhala yofooka kapena yosweka, singathe kukoka cholumikizira chapakati (`PIP joint`). Komanso, imakhudza `extensor tendons` zina zomwe zimakoka cholumikizira cha nsonga (`DIP joint`), ndipo zimayamba kukoka kwambiri. Ndicho chifukwa chake kupindika kwachilendo kumeneku kumachitika.

Kodi zizindikiro za izi ndi ziti?

Chizindikiro chachikulu cha vutoli ndi malo osayenera a malo olumikizirana zala . Izi zikutanthauza:

• Simungathe kuwongola cholumikizira cha PIP .
• Nthawi yomweyo, cholumikizira cha DIP chimapindika mmwamba ndipo chimatambasulidwa kwambiri .

Kuwonjezera pa izi, mungamvenso zinthu monga:

• Kupweteka kwa mafupa ndi kutupa.
• Kuuma kwa mafupa kumatha kuwonjezeka, makamaka pakapita nthawi.

Nthawi zina, zizindikirozi zimatha kuwoneka nthawi yomweyo chala chanu chitavulala. Kapena zimatha kuwoneka milungu ingapo pambuyo pake. Komabe, ngati muli ndi vuto monga nyamakazi, 'Boutonnière Deformity' iyi ndi yofala kwambiri. Choyamba mungazindikire kuti n'kovuta kupinda ndi kuwongola chala chanu bwino.

Kodi dokotala amazindikira bwanji izi?

Mukapita kukaonana ndi dokotala, adzayang'ana chala chanu mosamala. Adzakufunsani za zizindikiro zanu komanso mbiri yanu yachipatala. Kufooka kwa Boutonnière n'kosavuta kuzindikira mukakuona. Komabe, sikungadziwike bwino pamene kukuyamba.

Kenako dokotala angachite mayeso ang'onoang'ono otchedwa `Elson's test`.

Umu ndi momwe zimachitikira: Mukupemphedwa kuti mupinde zala zanu pamalo enaake, motere: pakona. Kenako dokotalayo amakanikiza pansi phalanx yapakati pa chala chanu cholozera (kapena chala chomwe chakhudzidwa) ndikukupemphani kuti muwongole chala chanu. Ngati simungathe kuwongola chala chanu kuti chisagwere, angadziwe kuti pali vuto ndi tendon yapakati yotsetsereka.

Kuphatikiza apo, dokotala angafune kuti ayesedwe X-ray . Izi zingathandize kudziwa kukula kwa kuvulala ndi kuwonongeka kulikonse kwa fupa. Zingathandizenso kukonzekera chithandizo.

Chabwino, tsopano chithandizo cha izi ndi chiyani?

Nthawi zambiri, madokotala amayamba kuchiza Boutonniere Deformity popanda opaleshoni. Izi zikutanthauza kuti, ndi mankhwala osasintha. Koma chofunika kwambiri ndikupeza chithandizo mwamsanga . Mukadikira nthawi yayitali kuti mupeze chithandizo, zimakhala zovuta kukonza vutoli, ngakhale mutachita opaleshoni.

Chithandizo chachisamaliro

Ngati vuto lanu langoyamba kumene, chinthu choyamba chomwe dokotala wanu angachite ndikuyika chogwirira chala chanu . Chogwirira ichi chidzasunga cholumikizira chanu cha PIP chili cholunjika kwa miyezi ingapo. Izi zipatsa nthawi yoti tendon yowonongekayo ichire. Pambuyo pa nthawiyi, muyenera kuchita physiotherapy kwa miyezi ingapo. Izi zikutanthauza kuchita masewera olimbitsa thupi apadera.

Chithandizo cha opaleshoni

Komabe, ngati kuvulalako kuli kwakukulu, kapena ngati ndi vuto lalikulu lomwe silinachiritsidwe popanda chithandizo cha opaleshoni, mungafunike opaleshoni . Zilonda zingapangidwe pa chala chanu, zomwe zingachititse kuti chikhale pamalo olakwika. Kapena dokotala angafunike kulumikizanso ziwalo zina.

Dokotala wa opaleshoni angachite zinthu monga:

• Konzani kapena konzanso tendon yapakati yosweka.
• Kuchepetsa kupsinjika kwa minofu ina ya extensor kapena kuibweretsa pamalo oyenera.
• Ngati pali nyamakazi, `PIP joint` ikhoza kukonzedwa kapena `kusakanikirana` pamodzi .

Mukatha opaleshoni, muyenera kuvala chogwirira chala chanu kwa milungu ingapo. Pambuyo pa sabata yoyamba, mudzapatsidwa masewera olimbitsa thupi a manja kuti muchite. Dokotala wanu wa physiotherapy adzatsogolera pulogalamu yanu yokonzanso thupi kwa miyezi ingapo ikubwerayi.

Kodi ndi chiyembekezo chotani chomwe munthu angakhale nacho atalandira chithandizo?

Kufooka kwa Boutonnière ndi vuto lochiritsika , koma nthawi ndi yofunika kwambiri .Ngati mukufuna chithandizo nthawi yomweyo mutachita ngozi, kaya ndi opaleshoni kapena ayi, mutha kuchira mokwanira. Komabe, ngati mudikira pang'ono kuti muzindikire ndikupempha chithandizo cha vutoli, zingakhale zovuta pang'ono kuchira.

Komanso, chifukwa cha vutoli n'chofunika . Ngati muli ndi matenda a nthawi yayitali monga nyamakazi, njira yochiritsira ikhoza kulepheretsedwa. Kuvulala kwakukulu ndi matenda obadwa nawo zimakhala zovuta kwambiri kukonza ndi opaleshoni. Nthawi zina, madokotala opaleshoni amatha kubwezeretsa kusinthasintha kwa chala, koma osati zonse.

Vutoli lingatenge miyezi ingapo kuti lichiritsidwe. Limafunanso kudzipereka kwambiri kwa inu - makamaka mukayamba kuchita masewera olimbitsa thupi. Komabe, anthu ambiri omwe amatsatira malangizo omwe aperekedwa ndi gulu lawo lachipatala amapeza zotsatira zabwino.

Kumbukirani, ngati chala chanu chachita ngozi ndipo simungathe kuchisuntha bwino, muyenera kuonana ndi dokotala. Chifukwa chakuti zala zanu ndi zazing'ono, musaganize kuti ngoziyo ndi yaying'ono. Zala zanu ndi ziwalo zovuta komanso zofewa. Ngakhale ngozi yaying'ono ingawononge kwambiri kuposa momwe mukuganizira.

Kuwonongeka kwa mtsempha umodzi pa chala chanu kungakhudzenso mtsempha wina womwe walumikizidwa nacho. Musanadziwe, njira yomwe imakuthandizani kusuntha chala chanu ingasokonezeke. Kuti muchiritse, muyenera kukonzanso ziwalo zazing'onozi.

Chinthu chofunika kwambiri chomwe tiyenera kukumbukira kuchokera mu nkhaniyi! (Uthenga Wopita Nawo Kunyumba)

Chabwino, takambirana zambiri za Boutonniere Deformity. Pomaliza, nazi zinthu zofunika kwambiri zomwe muyenera kukumbukira:

• Ngati cholumikizira chapakati cha chala chapindika ndipo cholumikizira chakumapeto chalunjika mmwamba, chikhoza kukhala `Boutonnière Deformity`.
• Izi nthawi zambiri zimachitika chifukwa cha kuvulala kwa chala (makamaka tendon yapakati) kapena nyamakazi .
• Zizindikiro zazikulu ndi ululu, kutupa, komanso kulephera kuwongola chala .
• Ndikofunikira kwambiri kupeza upangiri wa dokotala mwachangu momwe mungathere. Kuchedwa kwambiri, kumakhala kovuta kwambiri kuchiza.
• Chithandizo chimaphatikizapo kudula nthambi, physiotherapy, ndipo nthawi zina opaleshoni .
• Kusunga nthawi ndi kudzipereka kwanu n'kofunika kwambiri kuti munthu achire. Tsatirani malangizo a dokotala wanu molondola.
• Musamaganizire mopepuka ngakhale kuvulala pang'ono kwa zala zanu. Pitani kwa dokotala nthawi yomweyo.

Kotero, ndikukhulupirira kuti izi zikuthandizani. Ngati muli ndi zizindikiro izi, musachite mantha ndipo pitani kwa dokotala kuti akupatseni upangiri. Mukalandira chithandizo mwachangu, mutha kuchira bwino!

Kupindika kwa chala , kupindika kwa chala, kuvulala kwa chala, tendon yotsetsereka pakati, nyamakazi, opaleshoni ya chala, physiotherapy