Ese imbere mu nkokora yawe harababara? Ese ni imvune ya (UCL)? Reka tubiganireho!

Ese wigeze wumva ububabare imbere mu nkokora yawe mugihe ukina bowling, ukina volleyball, cyangwa uterura ibintu biremereye? Hari igihe ushobora kugira ubu bubabare bukabije iyo uguye ugakubita ikiganza cyawe cyangwa iyo ukubita inkokora yawe ahantu runaka. Akenshi, ibi biterwa no kwangirika kwa Ulnar Collateral Ligament (UCL) mu nkokora yawe. Uyu mu by'ukuri ni umugozi ukomeye w'inyama ufasha ingingo yawe kuguma ihamye kandi igororotse. Ni nk'umugozi wa rubber, ariko uraramba, ariko urakomeye.

Iyi `(UCL)` ni iki mu by'ukuri? Ikora ite mu nkokora?

Mu magambo make, UCL ni umugozi ukomeye w'ingingo imbere mu nkokora yawe, ku ruhande rw'umubiri wawe. Mu by'ukuri, ni umugozi. Umugozi ni umugozi ukomeye uhuza amagufwa. Inshingano yawo nyamukuru ni ugutuma ingingo y'inkokora yawe iguma ihamye iyo uteye ikintu hejuru, urugero, iyo utera umupira wa cricket cyangwa ukina volleyball. Nanone ibuza inkokora yawe kuzunguruka inyuma no inyuma bitari ngombwa.

Noneho reba, ingingo yacu y'inkokora igizwe n'amagufwa atatu. Igufwa rinini riri mu kuboko kwawe ko hejuru, turyita `(Humerus)`, n'amagufwa abiri ari mu kuboko kwawe ko hepfo, ni ukuvuga igice kiri munsi y'inkokora - `(Ulna)` na `(Radius)`. Iyi `(UCL)` iri imbere mu nkokora, ni ukuvuga ku ruhande aho urutoki rwawe ruto ruri. Ifite kandi ibice bitatu - `(umukandara w'imbere)`, `(umukandara w'inyuma)` na `(umukandara w'inyuma)`. Icy'ingenzi muri ibi bitatu ni umukandara w'imbere . Bifasha cyane mu kugumana inkokora ihamye.

Imvune za `(UCL)` zishyirwa mu byiciro bite?

Ibikomere kuri iyi "ligament" ya "UCL", cyangwa "sprains" nkuko tuyita, ahanini bishyirwa mu byiciro bitatu. Iri shyirahamwe rikorwa hakurikijwe ingano y'ibyangiritse.

• Icyiciro cya 1: Iyi ni imitsi ibabara ariko ntabwo ari ugucika. Hashobora kubaho ububabare no kubyimba.
• Icyiciro cya 2: Imitsi irarambuye, kandi ishobora no gucikamo igice . Ububabare burakomeye gato, kandi inkokora ishobora kumva idakomeye.
• Icyiciro cya 3: Iki ni cyo kibazo gikomeye cyane. Aha ngaha umutsi uba wacitse burundu . Hari igihe ushobora no kuva ku igufwa.

Ni ibihe bimenyetso by'imvune ya UCL?

Ibimenyetso biratandukanye bitewe n'uburemere bw'indwara.

Ibimenyetso by'indwara ntoya cyangwa iri hagati:

• Kubabara imbere mu nkokora no kumva ububabare iyo ukoze ku kuboko. Cyane cyane nyuma yo gukora ikintu kijyanye no kuzamura ukuboko, nko nyuma y'umukino wa cricket.
• Kubabara iyo uzamuye ukuboko imbere vuba (urugero, gutera umupira).
• Inkokora iba idafite imbaraga, irekuye, kandi idakomeye bihagije.
• Kumva ufite intege nke iyo ufashe ikintu mu ntoki, nk'aho udashobora kugifata, cyangwa nk'aho urimo kugiterera hasi.
• Kudashobora gutera ikintu cyose vuba cyangwa cyane nk'uko byari bimeze mbere.

Ibimenyetso iyo umutsi w'amaraso wacitse burundu:

• Ububabare butunguranye imbere mu nkokora hamwe n'ijwi rya "pop" , nk'aho hari ikintu cyaturitse.
• Ububabare bukabije cyane.
• Kuba nta kintu na kimwe udashobora kujugunya.
• Hari igihe ushobora kugira ibinya cyangwa kubura icyo wumva mu rutoki rwawe ruto cyangwa urutoki rw'impeta. Ibi bivuze ko imitsi yo mu rukenyerero yawe yangiritse cyangwa yacitse.

Ni izihe mpamvu zitera imvune za UCL?

Hari impamvu ebyiri z'ingenzi zituma habaho izi mvune za `(UCL)`. Imwe ni ugukomeza guhangayika ku nkokora (tubyita `(Gukoresha cyane)`), indi ikaba impanuka itunguranye `(Ihungabana)`.

Gukoresha imvune nyinshi

Iyi ni yo mpamvu ikunze gutuma habaho imvune za UCL. Gukomeza kugenda hejuru, nko gukubita umupira w’umukino wa cricket cyangwa gukubita umukinnyi wa volleyball, bitera igitutu kuri uyu mutsi. Mu mezi menshi, cyangwa imyaka, UCL irakura buhoro buhoro, igakomereka, kandi amarira mato (microtears) arakura. Amaherezo, ingingo y’inkokora irarekura kandi ntigire aho ihagarara. Umutsi ushobora kubyimba, gucika igice cyangwa burundu, cyangwa impera imwe y’umutsi ishobora kuva ku igufwa.

Ibikomere by'ihungabana

Ibi ntibiterwa no gukoreshwa igihe kirekire. Bishobora guterwa no gukubitwa mu buryo butunguranye ku nkokora, nko kugwa. Urugero, ugwa ukanarambura ukuboko ugafata hasi, utekereza "guhagarika kugwa." Hanyuma inkokora ishobora "gucika", bivuze ko ingingo yavunitse, cyangwa igufwa rishobora "kuvunika". Mu bihe nk'ibi, hari amahirwe menshi ko "UCL" nayo yangirika.

Ese imvune ya UCL izatuma udashobora gukoresha ukuboko kwawe?

Ubusanzwe, imvune ya UCL ntabwo igira ingaruka zikomeye ku bikorwa byawe bya buri munsi, nko guterura isakoshi cyangwa guterura ibintu bidasaba kujugunya. Ariko, ushobora kudashobora kwitabira siporo yo gutera cyangwa indi mirimo iremereye yo guterura isaba kuzamura ukuboko.

Ni gute wasuzuma neza imvune ya UCL?

Iyo ugiye kwa muganga, ubusanzwe inzobere mu by'amagufwa cyangwa inzobere mu buvuzi bwa siporo, azakubaza amateka y'ubuzima bwawe n'imikino yose ukina. Hanyuma bazakora isuzuma ry'umubiri.

Muri iki kizamini,

• Intera ushobora kunama no kurambura inkokora yawe yitwa "intera y'uburyo bwo kugenda".
• Imbaraga z'inkokora zirageragezwa.
• Igenzura ko inkokora ihagaze neza.
• Imiterere y'imitsi y'ukuboko irasuzumwa.
• Wenda bazareba n'urutugu.
• Banabaza aho ububabare buri.

Byongeye kandi, muganga ashobora gutegeka ibizamini nka:

• Ikizamini cy'umuvuduko wa Valgus:Iki ni ikizamini cy’umubiri. Muganga azamura ukuboko kwawe kuri dogere zigera kuri 30, ashyire intoki ze aho UCL yawe iri, hanyuma akandagire imbere mu nkokora yawe no hanze yayo. Niba wumva ububabare hamwe n’aho inkokora irekuye, ibi bitera gukeka ko hari imvune ya UCL.
• Gupima CT (Computed Tomography - CT) na X-rays: Ibi bizamini byo gusuzuma bishobora kureba imiterere y'amagufwa, nko kuvunika kw'imitsi. Ariko, ntibishobora kubona neza ingingo zoroshye nka UCL.
• Isuzuma rya MRI (Magnetic Resonance Imaging - MRI): Ibi bishobora kubona neza ibyangiritse ku ngingo zoroshye nka tendons na ligaments. Bishobora kandi kubona imvune nto z'amagufwa zitagaragara kuri X-rays.
• Arthrogram: Ibi bisa na MRI scan, ariko irangi ryihariye rishyirwa mu ngingo y'inkokora mbere yo gupimwa. Ibi bituma haboneka amashusho asobanutse neza y'ibibazo bigoye kubibona.

Imvune ya `(UCL)` ivurwa ite?

Uburyo bwo kuvura buterwa n'uburemere bw'imvune yawe ya UCL n'ingano y'akazi cyangwa intera witeze gukora. Niba ufite agace gato ka UCL gacitse, gashobora gukira ubwako. Ubuvuzi butari ubwo kubaga bushobora kugabanya ububabare.

Uburyo bwo kuvura butari ubwo kubaga:

• Kuruhuka: Iki ni cyo kintu cy'ingenzi cyane. Ugomba kuruhuka ibikorwa bigutera umunaniro mu nkokora igihe gito.
• Imiti igabanya ububyimbirwe itari iya steroide (NSAIDs): Urugero, harimo ibuprofen (Advil®, Motrin®) na naproxen (Aleve®). Iyi miti igabanya kubyimba no kubabara. Iyo bibaye ngombwa, ushobora kubona NSAID ikomeye muganga wawe agusaba.
• Urubura: Shyira urubura ku nkokora yawe mu gihe cy'iminota 15-20 inshuro nyinshi ku munsi. Ibi bizagabanya ububabare no kubyimba.
• Ubuvuzi bw'umubiri: Hakenewe imyitozo yihariye kugira ngo imitsi ikikije inkokora ikomeze. Ibi bizongera inkunga itangwa ku nkokora.
• Urushinge rwa Plasma (PRP) rufite platelet-rich plasma: Ibi bikubiyemo gufata amaraso yawe make no gutandukanya ubwoko bw'uturemangingo twitwa platelets. Hanyuma utu dushinge dushyirwa mu gace ka UCL kangiritse. Utu dushinge dufite ubushobozi bwo gukiza, bityo dushobora gufasha abantu bafite UCL yacitse.

Uburyo bwo kuvura indwara zo kubaga:

• Gusana UCL mu buryo butaziguye: Niba umugozi wawe wa UCL wacitse ku igufwa mu mpanuka itunguranye, birashoboka ko wongera kuwufata ku igufwa.
• Kubaka UCL (kubaga Tommy John): Niba UCL yawe idakora neza cyangwa yacitse burundu, kandi ubuvuzi butarimo kubagwa ntibugabanya ububabare, cyangwa niba uri umukinnyi kandi ugakomeza gukina siporo yo gutera, gukina siporo yo hejuru, cyangwa guterura ibintu biremereye, muganga wawe akunze kukugira inama yo kubaga UCL.

Muri ubu buryo, umuganga ubaga akura umutsi mu kindi gice cy'umubiri wawe (urugero, ukuguru kwawe, ukuboko kwawe) cyangwa umutsi w'umuterankunga akawushyira ku magufwa y'inkokora yawe yo mu gituza no mu nkokora kugira ngo hakorwe UCL nshya. Hari igihe igice gisigaye cya UCL ishaje gishyirwa mu ngingo nshya kugira ngo gikomere.

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Intego nyamukuru zo kubaga ni ukugarura ituze n'uburyo bwo kugenda ku nkokora, kongera imbaraga mu nkokora, no kugabanya ububabare.

Kuki ubu buryo bwo kubaga `(UCL)` bwitwa `(Tommy John Surgery)`?

Iyi ni inkuru ishimishije cyane. Uku kubagwa kwitiriwe umuntu wa mbere wabikoze. Tommy John ni umukinnyi uzwi cyane wa Baseball muri Major League wavunitse imitsi ye (UCL) mu 1974. Yamaze umwaka umwe adakina, ariko ni we mukinnyi wa mbere wabaye uyu mukinnyi kandi agaruka neza muri baseball. Bityo kubagwa kwitiriwe izina rye mu rwego rwo kumuhesha icyubahiro.

Ni iyihe mitsi ikunze gukoreshwa cyane mu gusana UCL?

Imwe muri izi mitsi ikunze gukoreshwa kuri graft:

• Umutsi uri inyuma y'ikibero (tendon ya Hamstring)
• Umutsi wo mu kiganza cyawe cyo hasi witwa "umutsi wo mu kiganza cya Palmaris longus" (ibi ntibibaho kuri buri wese)
• Umutsi ufasha kuzamura ikirenge kinini hejuru (Umutsi w'ikirenge kinini)

Ni izihe ngorane ziterwa no kubaga UCL?

Nkuko bigenda mu kubagwa kose, hari ibyago byo kwandura indwara n'ibibazo bijyanye no gusinziriza.

Byongeye kandi, hari ingorane zihariye ku isanamitima rya UCL:

• Ishitingi rishya rishobora kongera gukurura cyangwa gucika. Ibi nibibaho, hazakenerwa ubundi bubagwa kugira ngo hongerwemo ishitingi rishya.
• Kwangirika kw'imitsi yo mu gituza. Kubera ko uyu mutsi unyura mu gice cy'inkokora, umuganga ubaga ashobora gukenera kwimura umutsi imbere y'igice cy'inkokora kugira ngo hirindwe ko wangirika kurushaho.

Nigute wagabanya ibyago byo gukomereka muri UCL?

Kwitegura neza, kwiga uburyo bukwiye bwo gusinzira inkokora, no kuruhuka igihe wumva ububabare cyangwa kutamererwa neza mu nkokora yawe bishobora gufasha kwirinda imvune za UCL.

Cyane cyane abakinnyi:

• Shaka imyitozo ikwiye: Menya uburyo bwo gutera neza n'uburyo bwo gukoresha ukuboko kwawe.
• Umubare ntarengwa w'amajwi: Irinde gutera amajwi menshi icyarimwe.
• Humura neza: Ha imitsi n'imitsi yawe umwanya wo gukira.
• Kora imyitozo yo kunanura no kongera imbaraga: Ibi bikomeza imitsi ikikije inkokora.
• Irinde gutera ukuboko ku ruhande: Ibi birushaho gushyira igitutu ku nkokora.

Bifata igihe kingana iki kugira ngo umuntu akire imvune ya UCL?

Ibi kandi biratandukanye bitewe n'uburemere bw'indwara ndetse n'uburyo bwo kuyivura.

Hatabayeho kubagwa:

Iyo ufite UCL rise, bishobora gufata ibyumweru bike kugeza ku mezi make kugira ngo ukire. Iki gihe biterwa n'uburyo ushaka kongera kugarura imbaraga mu nkokora yawe.

Nyuma yo kubagwa `(UCL)`:

Bishobora gufata amezi 9 kugeza ku mwaka, cyangwa se birengaho, kugira ngo ukire. Ushobora gukenera kwambara agakoresho kabigenewe kugira ngo wongere urwego rw'imikorere y'inkokora yawe. Niba uteganya gusubira mu mikino ikomeye, uzakenera kujya muri gahunda yo kuvura no kuvura ububabare ijyanye nawe. Ibi bizagufasha gukomeza inkokora yawe no kunoza imikorere n'imikorere y'inkokora yawe.

Ni gute twafasha mu kurinda abakinnyi bo mu mashuri imvune ziterwa no gukoreshwa igihe kirekire nk'iki?

Dore bimwe mu bintu ushobora gukora kugira ngo urinde abakinnyi bakiri bato imvune zikabije:

• Jya kwisuzumisha kwa muganga mbere y'igihembwe cya siporo: Ibi bishobora gufasha kumenya ibibazo by'ubuzima hakiri kare bishobora gutera imvune z'igihe kirekire.
• Menya uburyo bwiza bwo gutera: Ni ngombwa kubyiga neza ku mutoza.
• Komeza ushyireho umupaka ku mubare w'imipira iterwa mu mukino umwe.
• Jya muri gahunda yo gukora siporo umwaka wose: Ibi bigomba kuba birimo imyitozo ngororamubiri no kongera imbaraga.
• Menya neza ko ukora imyitozo yo kwishyushya no gukonjesha mbere na nyuma y'imikino ngororamubiri.
• Ntukigere ukina cyangwa ngo ugire imyitozo niba wakomeretse cyangwa uri kubabara.
• Irinde gukina siporo imwe umwaka wose: Shishikariza abakinnyi bakiri bato kuruhuka rimwe na rimwe. Ibi bizatuma imitsi, imitsi n'imitsi bikoreshwa kimwe biruhuka.

`(Inkokora y'Inkoko y'Ingore nto)` ni iki?

Iyi ni indwara igira ingaruka ku nkokora z'abana bato, cyane cyane abana bari mu kigero cy'amashuri. Mu by'ukuri ni indwara y'inkokora. Inkokora ni ibice by'amagufwa bigize ingingo y'inkokora. Kubera ko amagufwa y'abana bato akomeje gukura, izi nkokora ziba zifite intege nke kurusha ibindi bice by'amagufwa, imitsi, n'imitsi. Umuhangayiko mwinshi mu gihe cyo gutera ugera kuri iyi ngingo ikomeye cyane, ni ukuvuga inkokora. Iyi stress ishobora kwangiza ingingo n'amagufwa by'abakinnyi bakiri bato iyo bateranywe buri gihe. Niba umukinnyi wawe ukiri muto yinubira ububabare bw'inkokora, menya neza ko umuganga, umuganga w'amagufwa, cyangwa inzobere mu buvuzi bwa siporo abimusuzuma.

Amaherezo, ibintu byo kwibuka

Imvune ya Ulnar Collateral Ligament (UCL) ni imvune igaragara imbere mu nkokora. Iterwa ahanini no kuyikoresha igihe kirekire. Nubwo ikunze kugaragara ku bakinnyi ba baseball, ishobora kugaragara ku muntu wese uterura amaboko ye hejuru. Ibimenyetso by'ingenzi ni ububabare mu nkokora no kubabara iyo ukuboko gukosowe. Hari abantu bashobora kugira ububabare butunguranye, "bukonje" imbere mu nkokora.

Niba utari umukinnyi cyangwa udaterura ibintu biremereye, inkokora yawe ishobora gukira hakoreshejwe uburyo bworoshye bwo kuvura nko kuruhuka, ku rubura, imiti, no kuvura umubiri. Ariko, imvune zikomeye cyane n'abakinnyi bashobora gukenera kubagwa, nka Tommy John Surgery. Bitewe n'uburemere bw'imvune yawe n'ingano y'akazi wifuza gukora, wowe na muganga wawe mushobora guhitamo uburyo bwiza bwo kuvura. Kubwibyo, niba ufite ububabare mu nkokora, ni ngombwa gushaka inama kwa muganga utirengagije.

Ububabare mu gikonjo , imvune ya UCL, kubagwa kwa Tommy John, imvune za siporo, gucika kw'imitsi, kubagwa inkokora, ubuvuzi bw'umubiri