Kodi chala chanu chatambasulidwa ngati khosi la swan? Tiyeni tiphunzire za kufooka kwa khosi la swan.

Nthawi zina mwina mwawonapo, kapena mwaonapo, chala kapena zala zingapo zikupindika mwanjira yachilendo. Monga khosi la swan. Ichi ndi chomwe timachitcha mu zamankhwala (Swan Neck Deformity) . Lero tikambirana za izi kwenikweni, chifukwa chake zimachitika, ndi zomwe zingachite nazo.

Mwachidule, Swan Neck Deformity ndi vuto lomwe limakhudza minofu ndi malo olumikizirana mafupa a chala chanu. Chomwe chimachitika ndichakuti malo olumikizirana mafupa omwe ali kumapeto kwa chala chanu amapindika patsogolo , kutanthauza mkati. Malo olumikizirana mafupa apakati amatambasuka . Taganizirani ngati chilembo 'S'. Dzina lake limatchedwa chifukwa limaoneka ngati khosi la swan.

Chosiyana ndi ichi (Swan Neck Deformity) ndi vuto lotchedwa (Boutonniere Deformity) . Pachifukwa ichi, cholumikizira chapakati chimapindika patsogolo ndipo cholumikizira kumapeto kwa chala chimapindika kumbuyo. Minofu yosiyanasiyana ya chala chanu ikawonongeka, mphamvu yokoka yolumikizana imatha kusintha. Pamenepo ndi pomwe zala zimayamba kupindika m'njira zosiyanasiyana motere. Anthu ambiri amadwala izi (Swan Neck Deformity) chifukwa cha matenda otupa monga (Rheumatoid Arthritis). Koma kwa ena, zimathanso kuchitika chifukwa cha kuvulala. Anthu omwe ali ndi matenda ena amitsempha amathanso kudwala (Swan Neck Deformity).

Kodi zizindikiro za matenda a Swan Neck Deformity ndi ziti?

Chizindikiro chachikulu cha vutoli ndichakuti ziwalo za zala zanu zimapindika molakwika. Mukakhala ndi chilema ichi, chala chanu kapena zala zanu zimakhala mu mawonekedwe amenewo ngakhale zilibe. Vutoli likhoza kuipiraipira pakapita nthawi. Mungakhale ndi vuto lotambasula kapena kupinda chala chomwe chakhudzidwacho, komanso mungakhale ndi vuto logwiritsa ntchito dzanja lanu.

Mukhoza kuzindikira vuto la khosi la Swan mwa kuyang'ana mawonekedwe apadera a 'S' pa chala:

• Cholumikizira chakutali pafupi ndi msomali chapindika patsogolo ndipo chakwera ngati nsonga ya phiri.
• Cholumikizira chapakati chimapindika kumbuyo ndikutsika ngati chigwa.

Zizindikiro zina zomwe zingatheke ndi izi:

• Kuuma kwa ziwalo za chala komwe kumawonjezeka pakapita nthawi.
• Kumva kugwedezeka mukayesa kugwiritsa ntchito chala chanu.
• Kumva kupweteka mukayesa kupinda kapena kugwiritsa ntchito chala.
• Kuvuta kugwiritsa ntchito dzanja .

N’chifukwa chiyani izi zimachitika? Kodi n’chiyani chimayambitsa vuto la Swan Neck?

Pakhoza kukhala zifukwa zingapo za izi.

• Matenda a nyamakazi : makamaka omwe amakhudza mafupa a manjaIzi nthawi zambiri zimachitika chifukwa cha matenda otupa monga nyamakazi ya m'mapapo . Matenda a nyamakazi ya m'mapapo (Psoriatic arthritis) nawonso angakhale chifukwa chake. Matendawa amawononga minofu yofewa ya chala ndikufooketsa minyewa.
• Matenda a Minofu Yolumikizana : Matenda ena omwe amakhudza manja anu, monga scleroderma ndi lupus, amathanso kuwononga minofu yofewa ndikufooketsa minyewa.
• Kupindika kwa Minofu: Matenda ena amitsempha, monga kuvulala kwa ubongo kapena matenda a ubongo, angayambitse kupindika kwa minofu kosafunikira. Izi zingayambitse minofu ina ya chala kukhala yolimba kwambiri, zomwe zimapangitsa kuti pakhale kusalinganika.
• Kuvulala Koopsa: Kuvulala kwa chala, monga kuvulala kwa minofu, kusweka, kapena kuvulala kwa minofu (monga Mallet Finger) , kungayambitse vutoli. Kungayambitsidwenso ndi kung'ambika kapena kusuntha minofu ina ya chala (Swan Neck Deformity).

Malumikizidwe a zala amasokonekera motere pamene china chake chawonongeka mu njira yofewa yomwe imathandiza kuti malumikizidwe a zala apinde ndi kuwongoka - timachitcha kuti 'njira yolumikizira' . Iyi ndi njira yovuta kwambiri. Minofu ndi minofu zimagwira ntchito limodzi, monga ma levers ndi ma pulley, pa malumikizidwe a zala. Chifukwa chakuti ziwalo zonsezi zimagwira ntchito limodzi ndikulumikizana, kuwonongeka kwa gawo limodzi kumakhudza malumikizidwe ena m'njira zosiyanasiyana. Ngati mphamvu yokoka mbali imodzi pa cholumikizira chimodzi ichepa, mphamvu yokoka mbali inayo pa cholumikizira china ikhoza kuwonjezeka. (Swan Neck Deformity) Nthawi zambiri imayamba pa cholumikizira chimodzi, kenako malumikizidwe ena amasintha mofanana.

Pali njira zitatu zazikulu zomwe izi zingachitikire:

• Ngati tendon ya extensor pamwamba pa chala chanu yawonongeka kapena yafooka.
• Ngati ligament yomwe ili pansi pa chala (Volar Plate Ligament) yawonongeka kapena yafooka.
• Kupindika kumachitika pamene minofu ya chala yakhala yolimba kwambiri ndikupindika.

Kodi dokotala amazindikira bwanji izi?

Dokotala adzayang'ana chala chanu kapena zala zanu kuti adziwe ngati muli ndi vuto la khosi la swan. Adzayang'ana kutalika komwe mungathe kupindika ndi kukulitsa cholumikiziracho, komanso momwe chilili cholimba. Adzakufunsaninso za mbiri yanu yaumoyo, matenda aliwonse osatha omwe muli nawo, kapena kuvulala kulikonse komwe kungakhale koyambitsa vutoli.

Mwinanso mungathe kuchita mayeso monga awa:

• (X-ray) kapena (MRI) scan - kuti muwone ngati pali kuvulala kulikonse kapena nyamakazi.
• Kuyezetsa Magazi - Kuthandiza kuzindikira matenda otupa.

Kodi chingachitike n’chiyani kuti munthu athetse vutoli?

Madokotala nthawi zambiri amayesa kukonza izi (Swan Neck Deformity) kudzera mu chithandizo cha manja ndi splinting (kutanthauza, kuyika chothandizira pa chala). Katswiri wa zamanja akhoza kukupatsani mitundu yosiyanasiyana ya splinting zala ndikukonza pang'onopang'ono malo osiyanasiyana olumikizirana. Angakuphunzitseninso masewera olimbitsa thupi osavuta a zala omwe mungachite kunyumba.

Komabe, ngati mafupa anu ndi olimba kwambiri kapena ngati muli ndi vuto lomwe likufunika kukonzedwa, mungafunike opaleshoni . Pa opaleshoni, dokotala wanu angafunike kumasula minofu ina ndikukonza ina. Kapena, minofu yanu ingafunike kusunthidwa kuti igwirizanenso ndi mphamvu zomwe zili pa mafupa anu. Pambuyo pa opaleshoni, mungafunike kuvala splint ndikupitiriza ndi chithandizo cha manja.

Kodi ndingayembekezere chiyani ndi vutoli?

Chithandizo chingathandize kuti vutoli lipitirire ndikubwezeretsa mphamvu zina pa chala. Zotsatira zake zimakhala zabwino kwambiri ngati vutoli lapezeka msanga ndikuchiritsidwa msanga. Komabe, ngakhale opaleshoni singathe kukonza vutoli kwathunthu. Ngati muli ndi vuto losatha lomwe likuyambitsa, n'zotheka kuti lidzabwerenso.

Kodi ndingachite chiyani kumbali yanga?

Kaya mukulandira chithandizo chamankhwala wamba kapena opaleshoni, chithandizo cha manja n'chofunika kwambiri kuti muchiritse kwa nthawi yayitali. Izi ndi zoona makamaka ngati muli ndi vuto linalake lomwe limapangitsa kuti khosi la swan likhale lofooka. Kupitiriza kugwiritsa ntchito chithandizo cha manja mutalandira chithandizo ndiyo njira yabwino kwambiri yopezera zotsatira zabwino kwambiri.

Chithandizo cha chilema cha khosi la swan nthawi zambiri chimadalira kuchiza vuto lomwe lili mkati mwake. Nthawi zina zimakhala zovuta, kutengera vuto lomwe lili mkati mwake. Mwachitsanzo, kuvulala kamodzi kokha kumatha kukonzedwa ndi opaleshoni, koma matenda osatha monga nyamakazi amafunika chithandizo cha moyo wonse.

Dokotala wanu adzachita zonse zomwe angathe kuti athetse mavuto osiyanasiyana omwe amachititsa kuti Swan Neck Deformity ichitike. Adzakupatsaninso malangizo a momwe mungapewere kuti vutoli lisakule kwambiri komanso kuti lisabwererenso. Adzakuuzaninso za zinthu zomwe mungachite kunyumba kuti mupitirize kugwira ntchito komanso kuyenda momwe mungathere, ngakhale zala zanu zitakhala zosiyana pang'ono.

Ndiye, ndi zinthu ziti zomwe tiyenera kukumbukira kuchokera pa zonsezi?

• Kufooka kwa Khosi la Swan ndi kufooka komwe chala chimapindika kukhala mawonekedwe a 'S', ngati khosi la swan. Izi zimachitika pamene nsonga ya chala ipindika patsogolo ndipo cholumikizira chapakati chipindika kumbuyo.
• Izi nthawi zambiri zimachitika chifukwa cha matenda a nyamakazi monga nyamakazi , koma zimathanso kuchitika chifukwa cha kuvulala, matenda ena olumikizana ndi minofu, komanso matenda a mitsempha.
• Zizindikiro zazikulu ndi kuuma kwa chala, phokoso la 'kudina' mukamachipinda, kupweteka, komanso kuvutika kugwiritsa ntchito dzanja.
• Izi zitha kuzindikirika kudzera mu kafukufuku wa zachipatala, mwina X-ray kapena MRI .
• Chithandizo chachikulu cha manja , kudula mabala , ndipo nthawi zina opaleshoni.
• Ndikofunikira kwambiri kuyamba kulandira chithandizo msanga. Komanso, chithandizo choyenera cha vuto lomwe limayambitsa vutoli komanso chithandizo chamanja chopitilira ndizofunikira kuti munthu achire.

Ngati muli ndi zizindikiro izi, ndi bwino kufunafuna upangiri wa dokotala popanda kuchita mantha. Chithandizo chachangu chingapereke zotsatira zabwino kwambiri.

Kupunduka kwa Khosi la Swan , Kutambasula Zala, Nyamakazi, Matenda a Mafupa, Chithandizo cha Manja, Kupweteka kwa Zala