Ingaba umnwe wakho ugobile embindini kwaye kunzima ukuwulungisa? Oku kusenokuba yiBoutonniere Deformity!

Ngaba wakha wayibona, okanye wayibona, iminwe egobile ngendlela engaqhelekanga kwaye kunzima ukuyilungisa? Mhlawumbi iminwe ibonakala ngathi igobile embindini kwaye inamathele, incam yayo ijonge phezulu. Oku kunokuba ngamava aphazamisayo kakhulu kwabanye. Namhlanje siza kuthetha ngemeko eyenzeka kwiminwe, eyaziwa ngokwezonyango njenge-'Boutonnière Deformity'.

Yintoni le 'Boutonnière Deformity'?

Ngamafutshane, iBoutonniere Deformity yimeko apho ilungu eliphakathi lomnwe (okanye ngamanye amaxesha, ngokungaqhelekanga, uzwane) lingakwazi ukululama kwaye libambeke kwindawo egobileyo. Oku kuthetha ukuba ilungu eliphakathi lomnwe ligobile ezantsi kwaye alinakululwa . Kwangaxeshanye, ilungu lokugqibela lomnwe, ilungu apho kukho khona uzipho, ligobile phezulu kwaye libonakala njengenqaku.

Sinejoyinti emnweni wethu. Elo joyinti liphakathi, oko kukuthi, ijoyinti yesibini evela entendeni yesandla – sibiza ngokwezonyango ngokuthi `ijoyinti ye-Proximal Interphalangeal` (ijoyinti ye-proximal interphalangeal) okanye `ijoyinti ye-PIP` (ijoyinti ye-PIP) ngamafutshane – yiloo nto ingenakugotywa, kwaye iyanamathela xa igotywa. Kwangaxeshanye, ijoyinti yokugqibela yomnwe – siwubiza ngokuba yi-`Distal Interphalangeal joint` (ijoyinti ye-distal interphalangeal) okanye `DIP joint` (ijoyinti ye-DIP) – igotywa ngasemva kwaye ijonge phezulu.

Oku kubizwa ngokuba yi-`boutonniere`, okuthetha 'umngxuma weqhosha' ngesiFrentshi. Isizathu sale meko kukuba xa 'i-tendon', isicwili esomeleleyo esidibanisa umsipha nethambo, phezulu komnwe, sonakele, kwakheka umngxuma omncinci phakathi kweefayibha, njengomngxuma weqhosha. Kulapho eli gama livela khona. Ukuba le 'tendon' ayisebenzi kakuhle, awuyi kukwazi ukolula umngxuma wakho weminwe.

Kutheni oku kusenzeka? Zithini izizathu?

Eyona nto ibangela le `Boutonnière Deformity` kukonakala kwezicubu ezisemnweni ezibizwa ngokuba yi-`central slip tendon`. Le `tendon` yiyo esinceda silungise umdibaniso ophakathi womnwe. Ihamba phezulu komnwe. Usenokuyibona nangaphezu komdibaniso.

Ukonakala kwe-tendon ephakathi kwengozi

Ixesha elininzi, le meko ibangelwa yingozi. Cinga ngezinto ezinje:

• Umnwe uyanamathela okanye ubethwe kakhulu: Umzekelo, xa udlala umdlalo ofana nevolibholi okanye i-netball, ibhola ibetha umnwe wakho ngamandla amakhulu. Okanye umnwe wakho unamathela emnyango. Kwimeko enjalo, umsipha unokutsalwa okanye ukrazuke.
• Ukuqhekeka komnwe: Ukuba ithambo elisemnweni liphukile, iqhekeza lethambo eliphukileyo lingonakalisa umsipha.
• Ukukhubeka kwelungu lomnwe: Xa ilungu likhubeka, umsipha unokolulwa kwaye ukrazuke.
• Ukusikwa okanye ukubethwa nzima yinto ebukhali: Ukuba umnwe unqunyulwe yinto efana nemela, okanye ukuba into enzima iwela emnweni, le tendon ingonakala.

Nangona olu hlobo lokulimala kwe-'central slip tendon' lunokwenzeka nakubani na, luqheleke kakhulu phakathi kwabadlali, njengoko benamathuba amaninzi okufumana ukulimala kwezemidlalo.

I-Arthritis kunye nezinye iimeko

Ukongeza kwiingozi, i-Boutonniere Deformity inokwenzeka ngenxa yezizathu ezininzi:

• I-rheumatoid arthritis: Le yimbangela enkulu. Ngenxa yokudumba kunye nentlungu ehlala ixesha elide kumalungu esandla, imisipha inokuba buthathaka, yoluleke, kwaye ikrazuke.
• Ukulimala kokutsha: Ngamanye amaxesha umsipha unokuba buthathaka kwaye ude uqhekeke ngenxa yokutsha.
• Ukukhubazeka kwesandla esizalwa naso: Akuqhelekanga ukuba oku kube yingxaki yokuzalwa.
• Izifo zezicubu ezidityanisiweyo: Ezinye izifo zemfuza zinokwenza buthathaka izicwili zomzimba ezidityanisiweyo. Oko kusenokuba ngunobangela woku.

Ngamafutshane, ukuba loo `central slip tendon` iba buthathaka okanye yaphuka, ayikwazi ukutsala ijoyinti ephakathi (`PIP joint`). Kwakhona, ichaphazela nezinye `extensor tendons` ezitsala ijoyinti encam (`DIP joint`), kwaye ziqala ukutsala ngakumbi. Yiyo loo nto loo gobo lingaqhelekanga lisenzeka.

Zithini iimpawu zoku?

Uphawu oluphambili lwale meko kukuma okungaqhelekanga kwamalungu eminwe . Oku kuthetha ukuba:

• Awuyi kukwazi ukulungisa i-PIP joint .
• Kwangaxeshanye, ijoyinti ye-DIP igobile phezulu kwaye yoluliwe kakhulu .

Ukongeza koku, ungaziva izinto ezifana nezi:

• Intlungu kunye nokudumba kwamalungu.
• Ukuqina kwamalungu kunokwanda, ingakumbi ngokuhamba kwexesha.

Ngamanye amaxesha, ezi mpawu zinokuvela emva nje kokwenzakala komnwe. Okanye zinokuvela emva kweeveki. Nangona kunjalo, ukuba unesifo esifana ne-arthritis, le 'Boutonnière Deformity' ixhaphake kakhulu. Usenokubona kuqala ukuba kunzima ukugoba nokulula umnwe wakho ngokufanelekileyo.

Ugqirha uyibona njani le nto?

Xa usiya kugqirha, baza kuhlola umnwe wakho ngononophelo. Baza kukubuza ngeempawu zakho kunye nembali yakho yezonyango. Kulula ukuyiqonda iBoutonnière Deformity xa uyibona. Nangona kunjalo, isenokungabonakali kangako xa iqala.

Emva koko ugqirha angenza uvavanyo oluncinci olubizwa ngokuba yi-'Elson's test'.

Nantsi indlela ekwenziwa ngayo oku: Ucelwa ukuba ugobe iminwe yakho kwindawo ethile, ngolu hlobo: ikona. Emva koko ugqirha ucinezela i-phalanx ephakathi yomnwe wakho wokukhomba (okanye umnwe ochaphazelekayo) aze akucele ukuba ulungise umnwe wakho. Ukuba awukwazi ukulungisa umnwe wakho xa ungaxhathisi, banokubona ukuba kukho ingxaki kwi-central slip tendon.

Ukongeza, ugqirha angayalela i-X-ray . Oku kunokunceda ekuqinisekiseni ubungakanani bokwenzakala kunye nomonakalo wethambo. Kunokunceda nasekucebeni unyango.

Kulungile, ngoku yintoni unyango lwale nto?

Ixesha elininzi, oogqirha baqala ukunyanga iBoutonniere Deformity ngeendlela ezingezizo ezotyando. Oko kukuthi, ngonyango olugcina ixesha. Kodwa eyona nto ibalulekileyo kukufumana unyango ngokukhawuleza . Okukhona ulinda ixesha elide ngaphambi kokufumana unyango, kokukhona kunzima ukulungisa olu tshintsho, nokuba kungotyando.

Unyango olugcina indalo

Ukuba imeko yakho isandul’ ukwenzeka, into yokuqala ugqirha wakho aza kuyenza kukufaka i-splint emnweni wakho . Le splint iza kugcina i-PIP joint yakho ithe tye kangangeenyanga ezimbalwa. Oku kuya kunika i-tendon eyonakeleyo ixesha lokuphola. Emva kwesi sihlandlo, kuya kufuneka wenze i-physiotherapy kangangeenyanga ezimbalwa. Oku kuthetha ukwenza imithambo ekhethekileyo.

Unyango lotyando

Nangona kunjalo, ukuba ukwenzakala kukhulu, okanye ukuba yimeko engapheliyo engaphucukanga ngonyango olungelulo utyando, unokufuna utyando . Izicubu ezibuhlungu zisenokwakheka emnweni wakho, nto leyo ebangela ukuba ubambeke kwindawo engafanelekanga. Okanye ugqirha wotyando unokuphinda afake ezinye zeendawo.

Ugqirha angenza izinto ezinje:

• Lungisa okanye wakhe kwakhona i-central slip tendon eyonakeleyo.
• Ukunciphisa uxinzelelo kwezinye ii-extensor tendons okanye ukuzisa kwindawo efanelekileyo.
• Ukuba kukho isifo samathambo, `ilungu le-PIP` linokulungiswa okanye `lidityaniswe` kunye .

Emva kotyando, kuya kufuneka unxibe i-splint emnweni wakho kangangeeveki ezininzi. Emva kweveki yokuqala, uya kunikwa umthambo wezandla oza kuwenza. Ingcali yakho ye-physiotherapist iya kukhokela inkqubo yakho yokubuyisela umzimba kwiinyanga ezimbalwa ezizayo.

Luhlobo luni lwethemba olunokuba nalo emva konyango?

Ukukhubazeka kweBoutonniere yimeko enokunyangwa , kodwa ixesha libaluleke kakhulu .Ukuba ufuna unyango kwangoko emva kwengozi, nokuba utyando okanye awutyandwanga, ungaphila ngokupheleleyo. Nangona kunjalo, ukuba ulinda ixesha elithile ukuze uyiqonde kwaye ufune unyango lwale meko, kunokuba nzima ngakumbi ukunyanga.

Kwakhona, unobangela wale meko ubalulekile . Ukuba uneemeko ezihlala ixesha elide ezifana ne-arthritis, inkqubo yokuphiliswa inokuphazamiseka. Ukulimala okukhulu kunye neengxaki zokuzalwa kunzima ukuzilungisa ngotyando. Ngamanye amaxesha, oogqirha botyando banokubuyisela ukuguquguquka kwelungu lomnwe, kodwa kungekhona konke.

Le meko ingathatha iinyanga ukuba iphiliswe. Ikwafuna ukuzinikela okukhulu kuwe - ingakumbi xa uqala ukuzilolonga ngomnwe wakho. Nangona kunjalo, abantu abaninzi abalandela imiyalelo enikwe liqela labo lezonyango bafumana iziphumo ezilungileyo.

Khumbula, ukuba wenze ingozi ngomnwe wakho kwaye awukwazi ukuwushukumisa kakuhle, ngokuqinisekileyo kuya kufuneka ubone ugqirha. Ngenxa yokuba iminwe yakho incinci, musa ukucinga ukuba ingozi incinci. Iminwe yakho zizinto ezintsonkothileyo nezithambileyo. Kwanengozi encinci inokubangela umonakalo omkhulu kunokuba ucinga.

Ukonakala komsipha omnye emnweni wakho kunokuchaphazela eminye imisipha edibene nawo. Ngaphambi kokuba wazi, indlela ekuncedayo ukuhambisa umnwe wakho inokuphazamiseka. Ukuze uphile, kufuneka ulungise la malungu mancinci kakhulu.

Eyona nto ibalulekileyo ekufuneka siyikhumbule kweli bali! (Umyalezo Wokuya Ekhaya)

Kulungile, ngoko ke sithethe kakhulu ngeBoutonniere Deformity. Okokugqibela, nazi izinto ezibalulekileyo ekufuneka uzikhumbule:

• Ukuba ilungu eliphakathi lomnwe ligobile kwaye ilungu lokugqibela lijonge phezulu, lisenokuba yi-'Boutonnière Deformity'.
• Oku kudla ngokubangelwa kukwenzakala komnwe (ingakumbi i-central slip tendon) okanye i-arthritis .
• Iimpawu eziphambili ziintlungu , ukudumba, kunye nokungakwazi ukolula umnwe .
• Kubaluleke kakhulu ukufuna iingcebiso zonyango ngokukhawuleza. Okukhona kulibaziseka ixesha elide, kokukhona kunzima ukunyanga.
• Unyango lubandakanya ukuqhawula imilenze, unyango lomzimba, kwaye ngamanye amaxesha utyando .
• Ixesha kunye nokuzinikela kwakho kubalulekile ukuze uphile. Landela imiyalelo kagqirha wakho ngokuchanekileyo.
• Musa ukuyithatha lula nengozi encinci eminweni yakho. Bonana nogqirha ngokukhawuleza.

Ngoko ke, ndiyathemba ukuba olu lwazi luza kukunceda. Ukuba unayo nayiphi na kwezi mpawu, ungoyiki kwaye ubone ugqirha ukuze akunike iingcebiso. Ngonyango olukhawulezileyo, ungaphila kakuhle!

Ukukhubazeka kweBoutonniere , ukugoba iminwe, ukwenzakala kweminwe, i-central slip tendon, isifo samathambo, utyando lweminwe, i-physiotherapy