Ngaba kukho amalungu omzimba wakho aziva exinene kwaye exineneyo? Oku kusenokuba kukuqunjelwa!

Ngaba ngamanye amaxesha uziva ngathi amalungu omzimba wakho, mhlawumbi ulusu, izihlunu, okanye ilungu, aqinile kwaye aqinile? Ngaba uzifumana ungakwazi ukugoba okanye ukolula ngokulula njengoko ubusenza ngaphambili? Le meko isenokuba yimeko ebizwa ngokuba yi-'contracture' njengoko oogqirha beyibiza njalo. Ungakhathazeki, masithethe ngale nto ngokulula.

Yintoni le 'mvumelwano'?

Ngamafutshane, ukugoba lutshintsho oluvela kwizicubu ezithambileyo nakwizicubu ezidityanisiweyo zomzimba wethu. Oku kubangela ukuba ezi zicubu zibe lukhuni, ziqine, kwaye zilahlekelwe bubuthambile bazo, njengebhanti yerabha . Khawuthelekelele ulusu lwakho, izihlunu, okanye izicubu ezijikeleze amalungu akho ziqina kwaye ziqine, njengamatye. Oku kunciphisa umgama wokuhamba kwala malungu.

Oku kufana nohlobo oluthile lwesilonda emzimbeni wethu. Ngamanye amaxesha unokukubona ngokucacileyo eluswini. Umzekelo, xa umntu etsha kakhulu, emva kokuba inxeba lipholile, usenokuba ubonile ukuba ulusu olukuloo ndawo lunamanxeba kwaye luqinile. Yiyo loo nto oku. Xa olu hlobo lwesilonda luvela kwezinye izicwili, oko kukuthi, kwizihlunu, kwimisipha, sikwabiza ngokuba yi-'fibrosis'. Okwenzekayo kukuba iindawo zezicwili zithathelwa indawo kancinci kancinci luhlobo lwezicubu ezixineneyo, eziqinileyo, ezinemicu, nezingenakuguquguquka.

Ngoko ke, ukungonwabi kuvela kuba ezi zicubu ziqinileyo azikwazi ukunwebeka okanye ukuhamba kakuhle. Ngamanye amaxesha ezi zicubu zinokuncipha zibe zimfutshane. Xa oko kusenzeka, nezinye izicubu ezijikeleze 'ukugoba' nazo zinokolulwa, nto leyo ebangela ukukhubazeka emzimbeni.

Ziziphi iintlobo eziphambili ze-contractures?

Ukuqunjelwa kunokuchaphazela izicubu ezahlukeneyo kunye namalungu omzimba wethu ngeendlela ezahlukeneyo. Oogqirha basebenzisa amagama ahlukeneyo ukuchaza oku. Makhe sijonge ezinye zezona ntlobo ziphambili:

• Ukudumba kwamanxeba: Oku kubangelwa kukudumba okwenzeka emva kokuba ulusu lwakho lonzakele kwaye lupholile. Ukuba ukudumba kwamanxeba kuthintela ezinye izicubu okanye amalungu ukuba angashukumi kakuhle, kunokukhokelela kwezinye iintlobo zokudumba.
• Ukuqingqa kwemisipha: Oku kunokuchaphazela umsipha omnye okanye iqela lemisipha edibeneyo. Okuqingqa kwemisipha kunokubangela nezinye iziqingqa, njengokungakwazi ukuhambisa izinto ezifana namalungu ngokufanelekileyo.
• Ukuqunjelwa kwamalungu okanye ukuqunjelwa kwe-capsular: Oku kuchaphazela izicubu ezinxibelelanayo ezijikeleze amathambo elungu, ezibizwa ngokuba yi-joint capsule. Xa eli lungu liqina, amathambo angaphakathi kwelungu awakwazi ukushukuma.
• Ukuqunjelwa kwe-Arthrogenic:Oku kukwakho nokukhonkotha okwenzeka kwikhaphu edibeneyo. Nangona kunjalo, oku kwenzeka kwilungu ngokwalo. Njengokuba ukukhonkotha kwemisipha kuchaphazela ilungu, ukukhonkotha kwikhaphu edibeneyo kunokuchaphazela ngokulula izihlunu ezinxulumene nalo.

Ngaba kukho iintlobo ezithile 'zeekhontrakthi' esihlala siziva?

Ewe, kukho iintlobo ezithile 'zezivumelwano', zinikwe namagama ahlukeneyo. Makhe sijonge ezimbalwa zazo:

• I-Amyoplasia: Esi sisifo sokuzalwa. Kule meko, unokubona ukudumba kwamalungu omzimba omntwana wakho.
• I-Arthrogryposis: Eli ligama eliqhelekileyo. Eli gama lisetyenziswa xa umntwana ezalwa eneziqandu ezininzi. Linokubonwa xa enezigulo zemfuza ezifana neMuscular Dystrophy kunye ne-Edwards Syndrome.
• Unyawo oludibeneyo: Olu lukwalulo unyawo oluzalwa nalo. Luchaphazela imisipha yonyawo okanye iinyawo zomntwana, nto leyo ebangela ukuba unyawo lujike luye ngaphakathi, lujonge emzimbeni. Ngamanye amaxesha, lunokuchaphazela nezihlunu zethole.
• Ukugoba kukaDupuytren: Esi sisifo esibangelwa lufuzo. Sibangela ukugoba kwizicubu ezithambileyo zezandla, nto leyo ebangela ukuba umnwe omnye okanye ngaphezulu ugobe ngaphakathi uye entendeni yesandla.
• Ukuqina kwengqiniba okanye ingqiniba eqinileyo: Oku kukuqina okwenzeka kwikhaphu yejoyinti yengqiniba.
• Ukuqina kwe-Equinus: Oku kukuqina kwelungu leqakala okanye izihlunu ezilijikelezileyo, okuthintela unyawo ukuba lubekwe kwindawo eqhelekileyo, engathathi cala (kwi-engile yama-90 degrees ukuya emlenzeni).
• Ukugoba kwemisipha: Olu luhlobo lokugoba kwemisipha. Kule meko, imisipha iba lukhuni xa igoba kwaye ayinakuphinda igobe. Ichaphazela kakhulu amalungu omzimba.
• I-capsulitis yegxalaba eliqandisiweyo okanye enamathelayo: Le yi-contracture ye-capsule yegxalaba. Abantu abaninzi baye beva ngale nto.
• Ukuqiniswa kweVolkmann: Olu lolunye uhlobo lokuqiniswa okwenzeka esandleni. Kule meko, iminwe kunye nesandla zigoba ngaphakathi, zinika isandla imbonakalo efana neyeenzipho.

Zithini iimpawu zokuqunjelwa?

Ukuba une-contracture, unokufumana iimpawu ezifana nezi:

• Izicubu ezibonakala ngokucacileyo, ezijiyileyo neziqinileyo.
• Ukuqina okanye ukuqina kwezihlunu, amalungu, okanye ezinye izicwili ezithambileyo.
• Intlungu yemisipha.
• Ukuncipha komgama wokuhamba kunye nokuhambahamba ngokubanzi.
• Ukuwohloka kwemisipha (ukuncipha kobunzima bemisipha).
• Iingxaki zokuhamba.
• Ukukhubazeka kokugoba (ukugoba okungapheliyo), ingakumbi emalungwini.

Kutheni le nto 'i-contracture' isenzeka?

Ukucotha, njengoko besitshilo ngaphambili, yimeko ebizwa ngokuba kukukrweleka okanye i-fibrosis kwizicwili zakho. Oku kwenzeka rhoqo xa izicwili zizama ukuphinda zikhule emva kokwenzakala , okanye xa izicwili ziphelelwa ngamandla ngenxa yokungasetyenziswa . Ngamanye amaxesha, inokuba yinto yokuzalwa.

Nazi ezinye zezizathu eziphambili:

• Ukulimala: Ukuba ulahlekelwa sisicubu esininzi emzimbeni wakho ngenxa yezinto ezinje ngokutsha, amanxeba asulelekileyo, okanye utyando, inxeba lokufinyela linokwenzeka eluswini okanye kwizicubu ezithambileyo.
• I-Ischemia: Ukungahambi kakuhle kwegazi kwiithishu kubangela ukudumba okungapheliyo, okukhokelela ekubeni kubekho amanxeba. I-Ischemia ingenzeka ngequbuliso okanye kancinci kancinci. Ukungakwazi ukuhamba ngomnye wemiba ebangela oku.
• Ukungakwazi ukuhamba: Eyona nto ibangela ukuba izicubu ezithambileyo ziqine kukungabikho kokunyakaza. Amalungu omzimba wakho anokungakwazi ukuhamba ngenxa yokwenzakala, ukukhubazeka emzimbeni, okanye imeko yemithambo-luvo. Khawuthelekelele, xa waphuka ingalo okanye umlenze kwaye kufuneka unxibe isamente kangangeeveki, loo nxalenye ivakala iqinile, akunjalo? Kunjalo kanye.
• Iingxaki ze-neuromuscular: Iimeko ezifana ne-stroke kunye ne-cerebral palsy ziphazamisa unxibelelwano phakathi kwengqondo kunye nezihlunu, nto leyo ebangela ukuba zingashukumi okanye zifinyele kakhulu (hypertonia).
• Izifo zezicubu ezidityanisiweyo ezizuzwe njengelifa: Izifo ezichaphazela indlela ezikhula ngayo izihlunu zakho ezidityanisiweyo, ezifana ne-congenital myopathy, zinokubangela ukuba izihlunu zibe nzima kakhulu okanye zikhululeke kakhulu (hypotonia).
• Iziphene zokuzalwa: Abanye abantwana bazalwa beneziphene. Ezi zinokwenzeka ngaphandle kwesifo okanye isizathu esicacileyo. Zinokubangelwa kukuguquka kwezakhi zofuzo okanye kukuhamba okungafanelekanga esibelekweni.

Ziziphi iingxaki ezinokubakho ngenxa yale 'contracture'?

Ukuqunjelwa okusisigxina kunokuba nefuthe elikhulu kumgangatho wobomi bakho . Kunokuchaphazela ukuhambahamba kwakho kunye nokuzimela kwakho. Kunokwenza kube nzima nokwenza imisebenzi yemihla ngemihla ngaphandle koncedo.

Kwakhona, ukuqunjelwa kunokubangela iintlungu ezingapheliyo kwaye kunokuchaphazela ezinye izihlunu kunye namalungu abandakanyekayo, okwenza imeko ibe mandundu. Khawuthelekelele, xa ungenawo amandla okushukuma, izicwili zakho ziqala ukushwabana ngakumbi.

Indlela yokuqaphela 'isivumelwano'?

Ukuba sele unesilonda okanye imeko enokubangela ukudumba, ugqirha wakho uya kuyazi loo nto. Angajonga indlela ohamba ngayo aze ayixilonge ngovavanyo lomzimba .

Ngamanye amaxesha, ugqirha wakho unokufuna ukuthatha imifanekiso yezicubu zakho ezidityanisiweyo kunye nezicubu ezithambileyo ukuze ahlolisise ngakumbi unobangela wokuqunjelwa. Oku kungabandakanya ii-X-ray, i-ultrasound scan, okanye i-MRI scan.

Ziziphi iindlela zonyango ezilungileyo zokuqhomfa?

Unyango olungcono lokuqunjelwa kukuthintelwa . Kwiimeko ezininzi, kunokuthintelwa. Ukuba okwangoku awusakwazi ukuhamba okanye unesifo esinokubangela ukuqunjelwa, unyango lomzimba lunokukunceda kakhulu ekuthinteleni ukuqunjelwa.

Ukuba ufumana ukudumba, kungcono ukunyanga kwangethuba . Ukudumba okutsha kudla ngokuba kunganelanga kwaye kunokunyangeka lula ngaphandle kotyando. Nangona kunjalo, ukudumba okuphucukileyo kusenokungaphenduli kunyango olungelulo utyando.

Iindlela zonyango zokuqunjelwa ziquka unyango oluqhelekileyo, unyango lwamathambo, kunye notyando. Kubalulekile nokunyanga imeko ebangela ukuqunjelwa kwakho.

Unyango olungelulo utyando

Unyango oluwela phantsi kolu didi zezi:

• Ukolula okuzinzileyo nokuguquguqukayo: Oogqirha basebenzisa iintlobo ezahlukeneyo zeebraces, ii-cast, kunye nee-splint ukuze bolule kancinci nangokuqhubekayo izicubu ezibolileyo.
• Unyango lobushushu: Ukusebenzisa ubushushu bonyango kwizicubu zakho ezithambileyo kunokunceda ukuba ziphumle kwaye zolule. Oku kuluncedo ngakumbi ukuba une-hypertonia engapheliyo (ukusebenza kakhulu kwemisipha) okanye i-spasticity (ukuqina kakhulu). Ubushushu bukwaphucula ukujikeleza kwegazi.
• Unyango lomzimba: Ukuzilolonga okungasebenziyo nokukhuthazayo kunokuphucula ukuguquguquka kunye nobubanzi bokuhamba kwezihlunu kunye namalungu aqinileyo. Oku kunokunceda ekuthinteleni ukuwohloka kwemisipha ngenxa yokungakwazi ukuhamba.
• Unyango lokukhululwa kwe-myofascial:Le yindlela yokuphulula ngesandla egxile kwi-fascia yakho, izicubu ezinxibelelanayo ezingaphantsi kwemisipha yakho. Inokunceda ukuthintela nokunyanga ukudumba.
• Iinaliti: Kwezinye iimeko, iinaliti ze-intra-articular kunye nezicubu ezithambileyo zinokunceda ekunciphiseni ukudumba. Iinaliti zeBotox® zinokunceda ukukhulula izicubu, kwaye iinaliti ze-collagenase zinokunceda ukudiliza i-fibrosis.
• Unyango oluchasene nokudumba: Amayeza okulwa nokudumba kunye nonyango olufana nonyango lwelaser oluphantsi (ukukhanya kwe-infrared) lunokunceda ukunciphisa ukudumba kunye nokuthintela i-fibrosis emva kokungasebenzi kakuhle.

Utyando lwe-contraction

Unyango lotyando lokuqunjelwa luquka:

• I-Tenotomy (ukwandisa imisipha): Olu tyando lubandakanya ukwenza imingxunya emincinci okanye imingxunya kwimisipha yakho ukunciphisa ukuqina. Njengoko imisipha ikhula kwakhona, inokwandiswa.
• Ukudluliselwa kwemisipha: Kule nkqubo, imisipha ebotshelelweyo iyasuswa kwaye enye imisipha, nokuba ivela kumnikeli okanye kwenye inxalenye yomzimba wakho, ityalwe kwindawo yokubopha.
• I-Arthroplasty: Kwi-joint capsule contractures, kunokufuneka utyando ukuze kukhululwe iindawo ze-joint capsule yakho, kufakwe enye endaweni yayo, okanye ngamanye amaxesha kufakwe enye indawo yejoint yonke.
• I-Fasciotomy: Ii-contractures ezichaphazela i-fascia yakho, njenge-Dupuytren's contracture, zinokuncedakala yi-fasciotomy. Oogqirha basika imingxunya kwi-fascia ukuze bayikhulule, okanye basuse iziqwenga zezicubu ezibomvu.
• I-Z-plasty: Enye indlela yokwaphula ukugoba eluswini nakwi-fascia kukwenza imiqolo efana no-Z kwizicubu ukuze kuncitshiswe ukuxinana. Le pateni ye-Z ikhuthaza izicubu ukuba zikhule kwakhona endaweni yokuncipha.
• Utyando lweplastiki: Kwizivuthuvuthu zesilonda, ugqirha wotyando unokufuna ukususa izicubu zesilonda aze azifake i-skin graft okanye i-skin flap ethathwe kumnikeli okanye kwenye inxalenye yomzimba wakho.

Ithini ingqikelelo yokuba isifo siyaqala ukuqhawuka?

Ii-contractures zisabela kakuhle kunyango ngaphambi kokuba zibe nzima kwaye zibe nzima . Oogqirha banokuthatha amanyathelo okuthintela okanye ukunciphisa ii-contractures kubantu abasengozini.

Ii-contractures ezisandul’ ukwenziwa zihlala zisabela kunyango oluqhelekileyo. Ii-contractures eziphucukileyo zinokunyangwa ngotyando. Nangona kunjalo, ezinye ii-contractures zisenokungaphenduli kunyango okanye zinganyangeki ngokupheleleyo ngotyando.

Ndingakuthintela njani oku 'kuqunjelwa'?

Eyona nto ixhaphakileyo ebangela ukudumba kwesisu kukungashukumi . Ukuba ulaliswe esibhedlele ngenxa yokwenzakala okukhulu, utyando, ukugula, okanye kufuneka unxibe isamente kangangeeveki, usengozini yokuba nokudumba kwesisu.

Oogqirha baya kwenza konke okusemandleni abo ukuthintela ukudumba kwesisu ngelixa unyamekela wena. Nangona kunjalo, baya kufuna uncedo lwakho nabo . Kubaluleke kakhulu ukwenza umthambo wakho wonyango ngokuchanekileyo ngexesha lokuchacha kwakho.

Ukuzilolonga kunokuba nzima okanye kube nzima xa unesifo, ukhubazekile, okanye wenzakele. Ngamanye amaxesha unokufuna uncedo ngenkqubo yakho yokuzilolonga, okanye umntu oza kukukhumbuza aze akukhuthaze.

Ukuba wena okanye umntu omkhathalelayo unesifo esinganyangekiyo esinokubangela ukudumba, unokufuna unyango lomzimba oluqhubekayo ukuze uthintele esi sifo. Kwezi meko, kubalulekile ukufumana unyango olusemgangathweni ebomini bakho bonke .

Ukuqunjelwa kungavela lula xa uphola kwenye imeko. Kungathatha ixesha elide ukuphola. Ukuze ulungise umonakalo, kufuneka usebenze ngokuzimisela nangokuzimisela ngonyango lomzimba .

Ezinye izifo ezingapheliyo nezokuzalwa nazo zinokuthintela ukukhula kokukhula kolusu. Nangona kunjalo, ukungenelela kwangoko kunokwenza umahluko omkhulu kwindlela ezikuchaphazela ngayo kunye nokuba zibangela ukukhubazeka okungakanani.

Okokugqibela, khumbula oku (Umyalezo Wokuya Ekhaya)

Ukuqingqa yimeko apho izicubu ezithambileyo zomzimba wethu ziba nzima, ziqine, kwaye kunzima ukuzishukumisa. Kufana nesilonda esivela ngaphakathi. Le meko inokubangelwa zizinto ezifana nokutsha, ukwenzakala, utyando, ukungakwazi ukuhamba ixesha elide, ezinye izifo zemithambo-luvo, kunye neziphene zokuzalwa. Eyona nto ibalulekileyo kukuzama ukuyithintela. Ingakumbi ukuba awukwazi ukuhamba ixesha elide ngesizathu esithile, yenza umthambo wonyango lomzimba njengoko ugqirha wakho ekuyalele. Kuba, ukuba ukuqingqa kwenzeka, kunokuthatha ixesha elininzi kunye nomzamo ukuphola.

Ukuba unayo nayiphi na kwezi mpawu okanye unamathandabuzo, qiniseka ukuba ubona ugqirha ukuze akunike ingcebiso . Ukuxilongwa kwangoko kunye nonyango kunokunceda ukuthintela imeko ukuba ingabi mandundu kwaye kuphucule umgangatho wobomi bakho.

"ukuqina, ukuqina kwemisipha, ukuqina kwamalungu, izicubu ezibuhlungu, intshukumo encinci, i-fibrosis, unyango lomzimba