Reka tumenye neza icyo ukeneye kumenya ku ngingo yawe y'inkokora.

Twese tuzi ko inkokora ari igice cy'ukuboko kwacu kidufasha kunama ukuboko kwacu. Iki gice cy'inkokora, cyangwa `(Inkokora)`, ni igice gitangaje cyane kandi cy'ingenzi cy'umubiri wacu. Tekereza gato, kubera iki gice gito, dushobora kunama ukuboko kwacu, tukagura, tugaterura ibiro, tukandika, tukarya, kandi tugakora indi mirimo myinshi ya buri munsi. Reka tuvuge kuri iki gikoresho cy'agaciro mu buryo burambuye, mu buryo ushobora gusobanukirwa neza, si byo se?

Imirimo y'inkokora ni iyihe? Cyangwa se, twakora iki n'inkokora?

Noneho reka turebe icyo twakora kuri iyi ngingo y'inkokora. Mu magambo make, inkokora ifite ingendo enye z'ingenzi. Uzi neza ibi, uzarushaho gusobanukirwa akamaro k'inkokora.

• `Iyongerere` cyangwa ukuboko kwawe: Iki ni igihe ukuboko kwawe kwaramburiwe kure y'umubiri wawe. Tekereza ko urimo kurambura ukuboko kugira ngo ufate igitabo mu gipangu kiri hejuru yawe. Muri icyo gihe, inkokora yawe iba 'yarambuwe'.
• Gukonja: Ibi ni ibinyuranye no gukonja. Bikubiyemo kunama ukuboko kwawe ukurikije umubiri wawe, nko kuzana ikiganza cyawe mu gutwi iyo uvugana kuri terefone, cyangwa kuzana ikiganza cyawe mu kanwa iyo urya.
• 'Gusuhuza' cyangwa kuzamura ikiganza hejuru: Iki ni cyo gihe uzamura ikiganza cyawe hejuru. Tekereza uburyo uhana ikiganza iyo usabye umuntu ikintu, ni cyo 'Gusuhuza' bisobanura.
• `Pronation` cyangwa guhindukiza ikiganza imbere: Iki ni cyo gihe ikiganza gihindukiye imbere. Nk'uko ikiganza cyawe kimeze iyo wanditse ku meza, cyangwa uko ikiganza cyawe kimeze iyo wanditse kuri clavier.

Urabyumva? Izi ngendo enye nizo zituma dukora ibintu byinshi n'amaboko yacu.

Ese uzi neza aho inkokora yawe iherereye?

Ibi ni ibintu mwese muzi. Ariko mu by'ukuri, ingingo y'inkokora iherereye aho igice cyo hejuru cy'ukuboko kwawe (tubyita ukuboko ko hejuru) n'igice cyo hasi cy'ukuboko kwawe (igice gifata ikiganza mu mwanya wacyo, cyangwa ukuboko) bihurira. Iyi ngingo y'inkokora iherereye aho ushobora kunamira ukuboko kwawe hagati.

Inkokora ni ubwoko ki bw'ingingo? Reka turebe neza.

Ubusanzwe abaganga bashyira ingingo mu byiciro bakurikije ibikoresho zikozwemo n'uburyo zishobora kugenda.

Inkokora yacu ni 'urugingo rwa synovial '. Nubwo iri jambo rishobora kumvikana nk'iry'ibidasanzwe, mu magambo make, 'urugingo rwa synovial' ni ubwoko bw'ingingo mu mubiri wacu zemerera kugenda neza. Zikorwa n'igufwa rimwe ryinjiza mu rindi gupfuka mu mwobo. Impera z'aya magufwa zitwikiriwe n'agace koroshye cyane kandi gatemba kitwa 'hyaline cartilage' . Tekereza nko kunyerera ku rubura, iyi 'cartilage' ifasha amagufwa kugenda byoroshye adahuye.

Si ibyo gusa, ahubwo n'icyuho kiri hagati y'aya magufwa cyuzuyemo "urukiramende rwa synovial".Hariho kimwe. Kimeze nk'agafuka gato kuzuyemo amazi. Aha niho ingingo ikura amavuta yayo yo kwisiga (synovial fluid). Ibi birinda ingingo kandi bigatuma igenda byoroshye cyane nta gukururana guke. Ese ntibitangaje kuba dufite ibintu nk'ibi mu mibiri yacu?

Mu mikorere, inkokora si ingingo imwe, ahubwo ni uruvange rw'ibice bibiri. Ni 'ingingo y'inyuma' n ' 'ingingo y'inyuma' . (Kubera ko byombi biri kumwe, rimwe na rimwe byitwa 'ingingo ya trochoginglymus', ariko iryo zina riragoye kwibuka.)

• "Insinga" ni nk'amapata ku nzugi zo mu ngo zacu. Nk'uko agatambaro gafasha gufungura no gufunga urugi, inkokora na yo ifasha gupfuka no kwagura ukuboko.
• Ni ukubera ko ikora nk'aho ari "pivot" ituma dushobora kuzunguruka ukuboko hejuru no hasi. Ni ukuvuga ko kubera iki gikorwa cya "pivot" dushobora kuzamura ukuboko (supination) no kugabanya ukuboko (pronation).

Ni ibihe bice bigize inkokora?

Noneho reka turebe ibiri imbere muri iyi ngingo y'inkokora. Nubwo ari nto, mu by'ukuri ni imiterere igoye cyane. Ingingo y'inkokora igizwe ahanini n'ibi bice:

• Amagufwa
• Indwara y'umusonga
• Imitsi
• Imitsi
• Imitsi
• Imitsi y'amaraso

Noneho reka tuvuge kuri buri gice ukwacyo, mu buryo burambuye .

Reka dutangire n'amagufwa.

Inkokora niho amagufwa atatu ahurira. Ni nk'inshuti eshatu zifatanye amaboko. Aya magufwa atatu ni:

• Humerus: Iyi ni igufwa rirerire riri mu kuboko kwawe ko hejuru, cyangwa ukuboko ko hejuru.
• Ulna: Iyi iri mu kuboko kwawe. Mu by'ukuri, ni ndende kurusha amagufwa abiri ari imbere, ku ruhande rw'urutoki ruto.
• `Radius`: Iyi nayo iri ku kuboko. Ariko inyuma, ku ruhande rw'igikumwe. Ni ngufi kandi nini kurusha `ulna`.

Aya magufwa atatu ahurira hamwe agakora ingingo y'inkokora.

Hanyuma, reka tuvuge ku ndwara ya cartilage.

Cartilage ni urugingo rukomeye cyane, ariko rushobora koroha. Nirwo rurinda ingingo zacu. Kimwe n'icyuma gifata impanuka mu modoka, iyi cartilage ifasha mu kwakira umuvuduko n'ihungabana biza mu ngingo zacu.

Inkokora irimo ubwoko bwihariye bwa cartilage yitwa `hyaline cartilage` . Ubu ni bwo bwoko bwa cartilage bukunze kuboneka mu mubiri wacu. Abaganga bamwe bayita `articular cartilage`.Iyi 'hyaline cartilage' iraryoshye cyane kandi iranyerera. Niyo mpamvu iyo impera z'amagufwa yavuzwe haruguru, 'humerus', 'ulna', na 'radius', bikoranye, bishobora kugenda neza, nk'imashini ifite amavuta menshi, nta gukubitana.

Noneho reka turebe icyo imitsi ari cyo.

Imitsi ni nk'imitsi ikomeye kandi ikomeye y'ingingo. Ihuza amagufwa hamwe kandi igatuma ingingo ikomeza guhagarara no kutihuta. Kimwe no gukoresha imigozi mu gushinga ihema, iyi mitsi ni yo "ifata" ingingo y'inkokora hamwe. Hari ubwoko butatu bw'ingenzi bw'imitsi mu nkokora:

• `Medial collateral ligament (MCL):` Iyi iherereye imbere mu nkokora. Ihuza igufwa rya `humerus` n'igufwa rya `ulna`.
• `Lateral collateral ligament (LCL):` Iyi iherereye inyuma y'inkokora. Ihuza kandi igufwa rya `humerus` n'igufwa rya `ulna`.
• Ishishwa ry'imitsi: Iyi ni nk'impeta. Izunguruka umutwe w'umutsi ikawuhuza n'umutsima n'umugongo. Ibi nibyo bituma umutsima uzenguruka umutsima, ibyo bikaba bifasha mu mikorere yo gusinzira no guhanura twavuze.

Imitsi ifasha mu kwimura inkokora

Imitsi ni ingirabuzimafatizo zoroshye zigizwe n'imigozi ikora neza. Twese turazizi. Ni zo zituma ibice by'umubiri wacu bigenda binyuze mu kwihuta (gukonja, cyangwa kwihuta) no kurambura (kuruhuka). Imitsi ifatanye n'amagufwa yo mu kiganza nayo ifasha cyane mu kwihuta kw'inkokora.

Imitsi yo gupfuka: Iyi ni yo igufasha kunamira ukuboko kwawe imbere no ku mubiri wawe.

• Biceps (Biceps brachii): Abantu benshi barabizi, sibyo? Imitsi minini iri imbere y'ukuboko. Abantu bajya muri siporo bakora cyane kugira ngo barusheho kumererwa neza.
• Brachialis: Uyu ni umutsi uherereye munsi ya biceps, hafi y'igufwa rya humerus. Uyu ni wo mutsi mukuru ugonda ukuboko.
• Brachioradialis: Umutsi uri ku gice cyo hejuru cy'ukuboko, ku ruhande rw'igikumwe.

Imitsi yo mu gice cyo hejuru cy'umubiri: Iyi ni yo igufasha kurambura ukuboko kure y'umubiri.

• `Triceps (Triceps brachii):` Umutsi munini uri inyuma y'ukuboko ko hejuru. Uherereye ku ruhande rutandukanye rwa `biceps'.
• Anconeus: Umutsi muto, ufite impande eshatu, uherereye inyuma y'inkokora. Ufasha triceps.

Imitsi izamura ikiganza hejuru (guhagarara ku mutwe):

• Umutsi wo mu gituza: Umutsi uherereye mu kiganza.
• Biceps (Biceps brachii): Yego, biceps ntizifasha gusa kunama ukuboko, ahubwo zinafasha cyane cyane kuzamura ukuboko hejuru.

Imitsi yo kuvugira mu majwi:

• Pronator teres: Umutsi uherereye ku gice cyo hejuru cy'ukuboko, hejuru gato y'inkokora.
• Pronator quadratus: Umutsi w'impandeshatu uherereye ku gice cyo hasi cy'ukuboko, hafi y'ukuboko.
• Brachioradialis: Ibi bifasha kunama ukuboko ndetse no ku rugero runaka kuzunguruka ukuboko munsi y'ukuboko.

Tekereza gato, iyi mitsi yose ikorana, nk'ikipe, bityo dushobora gukora iyi mikorere yose dukoresheje inkokora zacu.

Imitsi itanga ibyiyumvo ku nkokora

Imitsi ni nk'uburyo bw'insinga z'amashanyarazi zinyura mu mibiri yacu. Iyi mitsi itwara imyoboro y'amashanyarazi iva mu bwonko mu mibiri yacu yose. Iyi myoboro idufasha kumva ibintu nko gukorakoraho, ububabare, n'ubushyuhe, kandi idufasha no gutegeka imitsi yacu kugenda. Imitsi myinshi ikomeye itanga kumva ku nkokora no ku kiganza, ndetse n'imitsi igenzura, inyura mu nkokora:

• 'Imitsi yo mu bwonko'
• `Umutsi wa Ulnar`: Uyu ni umutsi unyura imbere mu nkokora, aho twita "igufwa risekeje." Hari igihe, iyo rikozweho, rimera nk'iry'amashanyarazi. Ibi biterwa nuko uyu mutsi uba warakandamijwe.
• "Imitsi yo hagati"
• Imitsi y'urusobe rw'imitsi

Iyo habayeho kwangirika kuri iyo mitsi, ibibazo nko kuribwa mu nda, kubabara, cyangwa intege nke z'imitsi mu ntoki bishobora kubaho.

Imitsi y'amaraso itanga amaraso mu nkokora

Imiyoboro y'amaraso imeze nk'imiyoboro itwara amaraso, ari yo ogisijeni n'intungamubiri, mu mubiri wose. Iyi sisitemu ikora nk'uruziga rufunganye, ruhera mu mutima rugasubira mu mutima. Hariho imiyoboro myinshi y'ingenzi itanga amaraso mu nkokora no mu nkengero zayo. Iy'ingenzi ni iyi:

• 'Umutsi w'amaraso ukoresha imirasire'
• `Umutsi w'amaraso wa Ulnar`
• Umutsi wo mu gituza: Uyu ni wo mutsi mukuru uri mu kuboko ko hejuru. Ku nkokora, wigabanyamo imitsi yo mu gituza n'iyo mu kibuno.

Iyi mitsi y'amaraso ni yo iha amagufwa, imitsi n'imitsi yo mu nkokora umwuka wa ogisijeni n'intungamubiri bakeneye kugira ngo bibeho.

Ni ibihe bibazo n'indwara bikunze kugaragara mu nkokora?

Kubera ko inkokora yacu ari ingingo ikoreshwa cyane, kandi kubera ko imiterere yayo igoye gato, ikunze kugira ibibazo bitandukanye n'imvune. Ikintu cyose cyangiza amagufwa yacu, cyangwa ingingo zihuza umubiri nk'umushiha, imitsi, n'imitsi twavuze mbere bishobora gutera ibibazo by'inkokora. Dore bimwe mu bibazo bikunze kugaragara:

• `Arthritis`: Abantu benshi bumvise ibi. Muri make, ni ukubyimba ingingo. Ubwoko nka `Osteoarthritis` (indwara iterwa no kwangirika kw'ingingo uko igihe kigenda gihita) na `Rheumatoid arthritis` (indwara iterwa n'impinduka mu mikorere y'ubudahangarwa bw'umubiri) bishobora kugira ingaruka ku nkokora.
• Bursitis yo mu nkokora (Olecranon bursitis):Kubyimba agasakoshi gato kuzuye amazi kitwa bursa ku isonga ry'inkokora (olecranon). Ibi bishobora kubaho iyo inkokora ikubise cyane, cyangwa iyo inkokora ikandagiwe ku buso bukomeye igihe kirekire.
• Inkokora y'umuforomo: Ibi bikunze kugaragara cyane cyane ku bana bato (imyaka 1-4). Iyo umwana afashwe cyangwa akururwa n'ukuboko, igice cyo hejuru cy'igufwa ry'urukiramende mu nkokora gihinduka gato. Ibi birababaza cyane, ariko muganga ashobora kugisubiza mu mwanya wacyo byoroshye.
• Tendinite: Iyi ni indwara yo kubyimba imitsi (imitsi isa n'umukandara ihuza imitsi n'amagufwa). Ibi bishobora kubaho iyo inkokora ikoreshejwe mu buryo bumwe inshuro nyinshi.

Nanone, imvune zo mu nkokora zikunze kugaragara cyane mu gihe cy'imikino . Ushobora kuba warumvise ibintu nk'ibi:

• Gucika intege : Kurambura cyangwa gucika kw'imitsi.
• Indwara ya Tennis epicondylitis / lateral epicondylitis : Ibi si iby'abakinnyi ba Tennis gusa, ahubwo bishobora no ku muntu wese ukoresha cyane imitsi ihuza n'inyuma y'inkokora. Ikimenyetso nyamukuru ni ububabare inyuma y'inkokora.
• Indwara y'inkokora y'umukino wa Golf / epicondylitis yo mu nkoko : Iyi ni indwara ifata abakinnyi ba golf. Ni ikibazo cy'imitsi ihuza imbere mu nkokora. Itera ububabare imbere mu nkokora.
• Inkokora zacitse : Amagufwa y'inkokora ava aho agomba kuba ari. Ibi bishobora guterwa n'impanuka.
• Kuvunika kw'inkokora / inkokora zavunitse : Kuvunika kw'igufwa rimwe cyangwa menshi agize ingingo y'inkokora. Ibi bishobora no guterwa n'ikintu nk'iki cyo kugwa.

Ni ibihe bimenyetso bisanzwe by'imvune yo mu nkokora?

Ibimenyetso bishobora gutandukana bitewe n'ubwoko bw'ikibazo cy'inkokora ufite. Ariko, muri rusange, hari ibimenyetso bike ushobora kureba niba hari ikibazo mu nkokora yawe:

• Ububabare mu gikonjo: Ubu ni bwo bunini. Ububabare bushobora kwiyongera, cyane cyane iyo ugonze, urambuye, cyangwa uterura ikintu kiremereye.
• Kubyimba / kubyimba : Inkokora ishobora kugaragara nk'aho yabyimbye kandi yagutse.
• Gukomera : Inkokora ishobora kumva ikomeye, idashobora kunama cyangwa kugororoka byoroshye.
• Kudahinduka : Inkokora ishobora kumva nk'aho idakomeye nk'uko bisanzwe, iratigita, cyangwa idashoboye kuyigenzura.
• Guhinduka ibara, gutukura cyangwa gukomereka : Iyo habayeho igikomere, uruhu rukikije inkokora rushobora guhinduka umutuku, ubururu, cyangwa gukomereka.
• Kumva ubushyuhe cyangwa ubushyuhe : Iyo hari ubwandu cyangwa ububyimbirwe, inkokora ishobora kumva ishyushye iyo uyikozeho kurusha ahandi hantu.

Niba ufite kimwe cyangwa byinshi muri ibi bimenyetso, ni ngombwa cyane kubyitaho.

Ni ibihe bizamini bikorwa kugira ngo hamenyekane ibibazo by'inkokora?

Niba ugize ububabare cyangwa impinduka mu nkokora yawe, cyane cyane niba waragize imvune nko kugwa, gana muganga vuba bishoboka. Muganga wawe azagusuzuma kandi, nibiba ngombwa, agutegeke ibindi bipimo kugira ngo amenye impamvu nyayo y'ububabare bwawe. Dore bimwe mu bipimo bikunze kugaragara:

• Imirasire ya X-ray mu gituza: Ibi bifasha kumenya ibintu nk'amagufwa yavunitse, gucika intege, na rubagimpande.
• Ultrasound : Ibi bishobora gukoreshwa mu kureba niba ingingo zoroshye zangiritse nka tendons na ligaments, ndetse n'ibintu nka bursitis.
• `CT Scan (Isuzuma rya mudasobwa / CT scans) : Ibi bigufasha kubona imiterere y'amagufwa mu buryo burambuye kurusha `X-rays`.
• `M.R.I. (Magnetic resonance imaging / MRI)` : Ibi bigufasha kubona neza ingingo zoroshye (cartilage, ligaments, tendons, miscle). Ibi ni ingenzi cyane mu kubona imvune zikomeye.
• Gupfuka ingingo : Hari igihe amazi make ya synovial afatwa mu ngingo hakoreshejwe syringe hanyuma agapimwa. Ibi bishobora gufasha kumenya niba hari ubwandu cyangwa ubwoko bwa rubagimpande.
• Gupima amaraso : Gupima amaraso bikorwa kugira ngo hamenyekane indwara zimwe na zimwe, nka rubagimpande.

Si buri wese ugomba gukora ibi bizamini byose. Muganga wawe ni we uzaguhitiramo ibizamini akurikije ibimenyetso byawe.

Ni ubuhe buryo bwo kuvura ibibazo byo ku nkokora?

Ubwoko bw'ubuvuzi ukeneye buzaterwa n'ubwoko bw'imvune cyangwa indwara ufite. Nta buvuzi bungana bukwiriye bose.

• Kwita ku nzu: Hari imvune nto zishobora kuvurwa hakoreshejwe ikiruhuko, barafu, n'imiti igabanya ububabare.
• Kwambara umugozi, icyuma gikingira amaguru cyangwa icyuma gikingira amaguru: Ibi bikoreshwa kugira ngo inkokora igume idahindagurika kandi ikire vuba. Ibi bishobora kuba ngombwa mu gihe habaye kuvunika cyangwa gucika intege.
• Ubuvuzi bw'umubiri: Umuvuzi w'umubiri yigisha imyitozo ngororamubiri n'ubundi buryo bwo kuvura kugira ngo agarure imbaraga, imbaraga, kandi agabanye ububabare.
• Imiti: Muganga wawe ashobora kukwandikira imiti igabanya ububabare no kubyimba. Hariho imiti yihariye ivura indwara nka rubagimpande.
• Inshinge: Hari igihe imiti nka corticosteroids itangwa nk'urushinge mu ngingo. Ibi bishobora kugabanya ububabare no kubyimba vuba.
• Kubagwa: Iyo ubundi buryo bwo kuvura budakora, cyangwa niba imvune ikomeye, kubagwa bishobora kuba ngombwa. Akenshi, niba bishoboka, abaganga bakora arthroscopy yo mu nkokora.Ni ukubagwa gukorerwa hakoreshejwe uduce duto, hamwe na kamera. Ibi bisaba igihe gito cyo gukira.

Muganga wawe cyangwa umuganga wawe azagusobanurira uburyo bwo kuvura bukubereye, uburyo bukorwa, n'icyo wakwitega. Nta cyo ugomba gutinya.

Nigute wakwita ku nkokora zawe? Cyangwa, nigute wakwita ku nkokora zawe?

Niba ufite ububabare mu nkokora cyangwa ibindi bimenyetso bimara iminsi irenga mike, ugomba kujya kwa muganga. Ntukibagirwe ibyo. Ariko, hari uburyo bw'ingirakamaro cyane ushobora gukoresha mu rugo ku bubabare buto, nk'ibikomere bito. Ubwo ni bwo buryo bwa 'RICE' . Ubu buryo bworoshye cyane kwibuka. RICE.

• R - Kuruhuka: Irinde igikorwa cyateye imvune burundu. Humura inkokora yawe kugeza ikize. Irinde gukoresha cyane cyangwa guterura ibintu biremereye.
• I - Urubura: Siga igitambaro gikonje cyangwa agapaki k'urubura (ariko ntugashyire urubura ku ruhu, ahubwo uhambire mu gitambaro gito) ku gice cyakomeretse mu gihe cy'iminota 15-20 icyarimwe, inshuro nyinshi ku munsi. Ibi bizagabanya ububabare no kubyimba.
• C - Gukanda: Ushobora gupfunyika inkokora yawe n'igitambaro cya elastic kugira ngo ugabanye kubyimba no gushyigikira ingingo. Ariko, ntukipfunyike cyane kuko bizabuza amaraso gutembera neza.
• E - Kuzamura: Komeza inkokora zawe zigere hejuru y'uburebure bw'umutima wawe uko bishoboka kose. Komeza amaboko yawe ku musego igihe uri ku ntebe, kandi ushobora kubikora mu gihe usinziriye. Ibi bizanafasha kugabanya kubyimba.

Icy'ingenzi ni ukwirinda gukora siporo cyangwa gukora imyitozo ngororamubiri isaba imbaraga nyinshi ku nkokora yawe kugeza igihe muganga wawe aguhaye uburenganzira. Kubikora bishobora kongera imvune.

Ubutumwa bwa nyuma bwo kujyana mu rugo

Birashoboka ko udatekereza cyane ku nkokora yawe. Ni ukuvuga ko ushobora kuba wibuka gusa ko ufite inkokora iyo ukubita inkokora yawe ku gikoresho cyangwa iyo inshuti yawe igukubise inkokora nk'urwenya. Ariko iyi ngingo y'inkokora tuyikoresha hafi buri gihe kugira ngo twimure amaboko yacu, tuzunguruke imibiri yacu, kandi dukora imirimo ya buri munsi. Nubwo ari ingingo igoye cyane, ni imwe mu ngingo zikomeye kandi zikoreshwa cyane mu mubiri wacu.

Akenshi, imvune nto n'ububabare mu nkokora bishobora kuvurwa hakoreshejwe imiti yo mu rugo nko kuruhuka, kuruhuka, n'uburyo bwa `RICE`.

Ariko, niba ububabare bw'inkokora yawe bumaze icyumweru kirenga, burushaho kwiyongera, cyangwa bugaherekezwa n'ibindi bimenyetso nko kubyimba, gutukura, cyangwa kuribwa, ntuzigere ubyirengagiza. Niba ufite ikibazo gituma bigorana kwimuka cyangwa gukoresha inkokora yawe, menya neza ko wagiye kwa muganga.

Hanyuma bazasuzuma ikibazo cyawe kandi baguhe ubufasha n'inama ukeneye kugira ngo wongere kugira ubuzima bwiza kandi wongere gukora imirimo yawe isanzwe. Wite ku nkokora yawe, kuko ari ingirakamaro cyane kuri wowe!

Inkokora , ingingo, amagufwa, umutsi, ububabare bw'imitsi, indwara z'inkokora