Kodi mudamvapo kupweteka pachikhatho chanu, kutanthauza kuti, malo omwe dzanja lanu limapinda, makamaka chala chaching'ono? Mwina mumamva phokoso la kudina mukasuntha mleme, kunyamula chinthu cholemera, kapena kungotembenuza dzanja lanu. Ngakhale anthu ambiri amaganiza kuti uku ndi kuvulala chabe, kungakhale koopsa kwambiri. Lero tikulankhula za gawo laling'ono la dzanja lathu lomwe limathandiza kuti likhale lolimba, koma likhoza kuwonongeka mosavuta.
Kodi TFCC ndi chiyani?
Mwachidule, mafupa awiri akuluakulu omwe ali padzanja lathu ndi radius ndi ulna. Pakati pa mafupa awiriwa, padzanja, pali malo ang'onoang'ono koma ofunikira kwambiri opangidwa ndi cartilage, ligaments, ndi tendons otchedwa Triangular Fibrocartilage Complex , kapena TFCC mwachidule.
Taganizirani izi ngati choziziritsira mantha m'galimoto. Kachipangizo kakang'ono aka ka TFCC kamathandiza kukhazikika kwa dzanja mwa kuletsa kupanikizika komwe kumachitika tikamanyamula zolemera, kupinda, ndi kupotoza manja athu. Chifukwa cha izi timatha kupinda manja athu mbali zisanu ndi chimodzi zosiyana popanda kupweteka. Ndicho chifukwa chake gawo ili limagwiritsidwa ntchito kawirikawiri, ndipo limathanso kuwonongeka mosavuta.
Kodi TFCC imawonongeka bwanji? (Zoyambitsa)
Pali njira ziwiri zazikulu zomwe TFCC ingawonongekere kapena kung'ambika.
1. Kuvulala Kwambiri: Kuvulala mwadzidzidzi komwe kumachitika chifukwa cha chinthu china.
2. Kuvulala Kosatha/Kosatha: Chigawo ichi cha dzanja chimatha pang'onopang'ono ndikuwonongeka pakapita nthawi chifukwa cha kukakamizidwa kosalekeza.
Tangoganizirani mukusewera cricket. Ngati mwadzidzidzi mutembenuza dzanja lanu mukugwedeza mtolo mwachangu, mukusewera tenisi, kapena mukugwiritsa ntchito chinthu ngati chobowolera pamene mukugwira ntchito zapakhomo, mutha kuwononga TFCC.
| Chifukwa cha kuwonongeka | Kufotokozera kosavuta |
|---|---|
| Kugwa | Kawirikawiri zimachitika mukagwa ndi manja anu pansi. |
| Kupotokola dzanja | Ngati chinthu chonga choboolera chatsekeka ndipo dzanja likuzungulira mwadzidzidzi. |
| Kusewera masewera | Mu masewera omwe dzanja limazungulira pafupipafupi, monga tenisi, badminton, cricket (kumenya), ndi kunyamula zolemera ku malo ochitira masewera olimbitsa thupi. |
| Kukalamba | Pamene minyewa ya m'thupi ikutha ndi ukalamba, vutoli lingakhudze pafupifupi theka la anthu azaka zopitirira 70. |
| Matenda ena | Anthu omwe ali ndi matenda a mafupa monga nyamakazi kapena gout ali pachiwopsezo chachikulu. |
Chinthu chimodzi choyenera kukumbukira ndi chakuti mwa anthu ena, fupa la ulna ndi lalitali pang'ono kuposa fupa la radius. Mwa anthu otere, TFCC imakhala yopyapyala pang'ono, zomwe zimapangitsa kuti ing'ambike mosavuta.
Kodi zizindikiro za izi ndi ziti? (Zizindikiro)
Ngati muli ndi TFCC fracture, mumamva kupweteka kwambiri m'mbali mwa dzanja lanu pomwe pali chala chanu chaching'ono . Ululuwu ukhoza kuwonjezeka ndi zochita monga kutembenuza dzanja lanu, kutsegula chitseko, kapena kutsegula botolo la madzi. Komabe, zinthuzi zimatha kuchitikanso nthawi imodzi.
| Chizindikiro | Momwe mukumvera |
|---|---|
| Kufooka kwa kugwira | Ndikagwira chinthu monga kapu kapena mbale, ndimamva ngati ndilibe mphamvu monga kale. Ndimataya china chake m'dzanja langa. |
| Kusakhazikika kwa dzanja | Kumva ngati wopanda thandizo komanso wopanda mphamvu. |
| Phokoso la 'click' kapena 'pop' | Nditatembenuza dzanja langa, ndimamva mawu akuti 'click', 'click' limodzi ndi ululu. |
| Kuletsa kuyenda | Kulephera kupindika kapena kuzunguliza mkono wanu mosavuta monga kale. |
Kodi dokotala amazindikira bwanji izi? (Kuzindikira)
Ngati muli ndi zizindikiro izi, musakhale panyumba n’kumaganiza kuti, “Mwina ndi kuvulala chabe.” Pitani kwa dokotala mwamsanga. Pakhoza kukhala matenda ena omwe ali ndi zizindikiro zofanana.
Dokotala adzakufunsani kaye za momwe ululu unayambira, nthawi yomwe ukukulirakulira, komanso zomwe mumachita kuti muchepetse ululuwo. Kenako adzafufuza mkono wanu. Dokotalayo angachite izi pokufufuzani:
- Amakupemphani kuti mutenge tebulo ndikulikoka. Kenako amaona ngati likupweteka.
- Khalani pampando, gwirani zogwirira za mpando ndi manja onse awiri ndipo muwapemphe kuti akweze matupi awo. Kenako adzaona ngati ululu ukubwera.
- Adzazungulira dzanja lanu pang'onopang'ono ndikulipinda mbali zosiyanasiyana kuti ayese kupeza komwe ululu uli.
Pambuyo pa mayeso amenewa, ngati dokotala ali ndi kukayikira kulikonse, adzalamula kuti apimidwe ndi MRI scan kuti atsimikizire kuti matendawa ndi otani komanso kuti adziwe kuopsa kwa kuwonongekako. Akhozanso kulamula kuti apimidwe ndi X-ray kuti aone ngati pali kusweka kulikonse.
Kodi chithandizo ndi chiyani? (Chithandizo)
Mukapezeka kuti muli ndi TFCC fracture, chithandizo chidzadalira kuopsa kwa kuvulalako. Nthawi zambiri, opaleshoni sikofunikira.
Mankhwala osagwiritsa ntchito opaleshoni
- Kupuma: Ngati ndinu munthu wokonda masewera, mungafunike kupuma pang'ono pa masewera ndi ntchito zomwe zimakukakamizani m'manja.
- Ice: Pakani ayezi pamalo opweteka ndi kutupa kwa mphindi 15-20 kangapo patsiku.
- Kuvala splint kapena cast: Dokotala angakulangizeni kuti muvale plaster yapadera (splint) kapena plaster ya Paris (cast) kuti dzanja lisasunthe.
- Mankhwala: Gwiritsani ntchito mankhwala oletsa kutupa monga momwe dokotala wanu wanenera kuti muchepetse ululu ndi kutupa.
- Chithandizo cha Thupi:Ululu womwe uli m'dzanja lanu ukachepa, muyenera kuchita masewera olimbitsa thupi kuti mulimbikitse minofu yozungulira dzanja lanu ndikubwezeretsa kuyenda kwa dzanja lanu. Chitani masewera olimbitsa thupi awa motsogozedwa ndi dokotala wanu kapena katswiri wa masewera olimbitsa thupi.
- Jakisoni: Nthawi zina, dokotala wanu angakulimbikitseni jakisoni wa corticosteroid kuti muchepetse ululu mwachangu.
Opaleshoni
Ngati palibe chilichonse mwa izi chomwe chingathandize, kapena ngati kuwonongeka kuli kwakukulu kwambiri, opaleshoni ingafunike. Izi zikuphatikizapo kukonza TFCC yong'ambika kapena kuchotsa gawo lowonongeka. Dokotala wanu adzakufotokozerani izi mwatsatanetsatane.
Uthenga Wopita Nawo Kunyumba
- Ngati mukumva kupweteka, phokoso la 'kudina', kapena kutaya mphamvu m'dzanja lanu kumbali yofiirira ya dzanja lanu, musanyalanyaze zimenezo.
- Uku kungakhale kung'ambika kwa TFCC, komwe kumakhala koopsa kwambiri kuposa kuvulala wamba ndipo kumafuna chithandizo.
- Pitani kwa dokotala mwamsanga kuti mudziwe matenda oyenera komanso kuti mupeze chithandizo choyenera. Chithandizo chikayamba msanga, mwayi wochira umakhala wabwino.
- Tsatirani malangizo a dokotala molondola, makamaka kupuma, kuvala chibangili cha mkono kwa nthawi yomwe mwapatsidwa, ndikuchita masewera olimbitsa thupi omwe mwapatsidwa.
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