Ngamanye amaxesha isihlathi sakho sibuhlungu nje, akunjalo? Kufana nokukruneka. Uninzi lwabantu lucinga ukuba kukukruneka okuncinci okuza kuphela kwiintsuku ezimbalwa. Kodwa ngamanye amaxesha kukho unobangela onzima ngakumbi emva kwale ntlungu. Isifo sikaKienböck sisifo esingaqhelekanga kodwa esibalulekileyo ekufuneka siqatshelwe. Eli gama lisenokuba litsha kuwe, kodwa kubalulekile ukuba uliqaphele.
Ngamafutshane, yintoni isifo sikaKienböck?
Kulungile, masichaze oku ngokulula. Isandla sakho senziwe ngamathambo amancinci, oko kukuthi, amathambo asi-8 adityanisiweyo. Siwabiza ngokuba yi -'(amathambo eCarpal)' . Phakathi kwala mathambo asibhozo, kukho ithambo elincinci elimile okwenyanga ecwebezelayo, embindini. Le yindlela oogqirha abayibiza ngayo ithambo le -'(Lunate)' . Eli thambo le-'(Lunate)' linceda kakhulu ekugobeni nasekujikelezeni kakuhle isandla sethu.
Isifo sikaKienböck sisifo apho ukuhanjiswa kwegazi kwithambo le-lunate kuncipha kancinci kancinci kwaye ekugqibeleni kuyeke. Njengokuba umthi ufa ngaphandle kwamanzi, eli thambo liyafa kancinci kancinci ngaphandle kwegazi. Kwizonyango, oku kubizwa ngokuba yi-osteonecrosis . Oku akwenzeki ngequbuliso, kodwa kuya kuba mandundu kancinci kancinci ngokuhamba kwexesha. Ngamanye amaxesha, oku kunokukhokelela nakwiimeko ezifana ne-arthritis esihlahleni.
Ngubani onokuba nethuba elikhulu lokufumana oku? Zithini izizathu?
Nangona esi sifo sinokuvela nakweyiphi na iminyaka, sidla ngokuba sixhaphake kakhulu kumadoda aphakathi kweminyaka engama-20 ukuya kwengama-40. Nangona kunjalo, oku akuthethi ukuba abafazi abanakukwazi ukusifumana.
Akukaqiniseki ngokupheleleyo ukuba yintoni ebangela ukuba igazi eliya kwi-lunate linciphe. Nangona kunjalo, kukho izinto ezininzi ekucingelwa ukuba zinegalelo koku:
- Iingxaki ngemithambo yegazi ehambisa igazi emathanjeni: Abanye abantu bazalwa beneengxaki kwindlela imithambo yegazi ehambisa igazi ethanjeni elithi "Lunate" ebekwe ngayo. Kwiimeko ezinjalo, kukho ithuba elikhulu lokuncipha kokunikezelwa kwegazi. Iingcali zikholelwa ukuba le yeyona nto iphambili.
- Ukulimala esihlahleni: Usenokuba uwile, ufumene ingozi yemoto, okanye wenzakele kakhulu esihlahleni sakho ngelixa udlala imidlalo. Oku kunokwenzeka xa ithambo le-lunate lonakele kwaye ukuhamba kwegazi kunqunyulwa, nto leyo ebangela le meko.
- Utshintsho kubude bamathambo esandleni: Kukho amathambo amabini aphambili kwinxalenye esezantsi yesandla sethu, i-radius kunye ne-ulna . Kwabanye abantu, la mathambo mabini awalingani ngobude. Elinye lifutshane kancinci kunelinye. Xa oku kusenzeka, uxinzelelo olungaqhelekanga lubekwa kwithambo le-lunate xa isihlakala sishukuma. Ekuhambeni kwexesha, olu xinzelelo lunokonakalisa ithambo kwaye luphazamise ukuhamba kwegazi.
- Ezinye iimeko zonyango:Abantu abanezifo ezinxulumene negazi ezifana ne-"Sickle cell anemia" kunye ne-"Lupus", kunye nabo banezifo ezithile ze-neurological ezifana ne-"Cerebral palsy" basengozini yokufumana isifo sikaKienböck.
Zithini iimpawu zesi sifo?
Ixesha elininzi, akukho zimpawu zibalulekileyo kwizigaba zokuqala zesi sifo. Abanye abantu basenokungabi nazo kwaphela iimpawu. Kodwa kukho ezinye iimpawu eziqhelekileyo ezibonwayo. Masibone ukuba ziyintoni.
| Uphawu | Ivakalelwa njani loo nto? |
|---|---|
| Intlungu yesandla | Kufana nentlungu yesandla esityumkileyo. Isenokuba yintlungu engephi efika iphele ngamanye amaxesha, okanye ingaba yintlungu engapheliyo nebukhali. |
| Ukudumba kunye nokuqina | Isandla sam sibonakala sidumbile. Xa ndivuka kusasa, sivakala siqinile kwaye kunzima ukugoba. |
| Ubunzima bokubamba (ukubamba okubuthathaka) | Izandla zam zibuthathaka xa ndenza izinto ezinje ngokuvula isiciko sebhotile yamanzi okanye ukujika isitshixo socango. Izandla zam ziyabuhlungu xa ndiphakamisa into enzima. |
| Uthintelo lokuhamba | Awunakugoba ingalo yakho phezulu nasezantsi okanye ecaleni kwelinye icala ngokulula njengoko ubusenza ngaphambili. |
| Ukwakhiwa kwezakhiwo | Xa ushukumisa isihlakala sakho, senza isandi 'sokuqhekeka', ngokungathi amathambo aguguleka ngaphakathi. |
| Intlungu kwindawo ethile | Ndiva iintlungu xa ndicinezela umnwe wam phezulu esihlahleni sam, kanye embindini (apho kukho ithambo le-lunate). |
Eyona nto ibalulekileyo kukuba, xa uva iintlungu ezinje, ungayityesheli, ucinge, "Kukukruneka nje." Ingakumbi ukuba iintlungu azipheli emva kweveki okanye ezimbini, ngokuqinisekileyo kuya kufuneka ubone ugqirha.
Ugqirha uxilonga njani esi sifo?
Xa usiya kugqirha, uza kukubuza ngentlungu, ukuba ibikho ixesha elingakanani, kwaye iba mandundu nini. Emva koko uza kuhlolisisa isihlathi sakho. Kuya kufuneka enze iimvavanyo ezininzi ukuqinisekisa ukuba uxilongiwe.
- Uvavanyo lwe-X-reyi: Into yokuqala ekufuneka yenziwe yi-X-reyi. Nangona kunjalo, kwizigaba zokuqala zesifo, i-X-reyi isenokungabonakalisi mahluko mkhulu.
- I-MRI Scan: Le yeyona ndlela ilungileyo yokuxilonga esi sifo. I-MRI scan inokufumanisa kwasekuqaleni ukuba ithambo elithi "Lunate" liyopha okanye akunjalo, kwaye nokuba ithambo liqalile ukufa.
- I-CT scan: I-CT scan inokunceda ukubona ngokucacileyo ukuba ithambo laphukile okanye laqhekekile.
- I-Bone Scan: Oku kungajonga indlela amathambo asebenza ngayo emzimbeni.
Amanqanaba amane esifo sikaKienböck
Emva kwezi mvavanyo, ugqirha uza kukuxelela ukuba isifo sakho sikuliphi inqanaba. Kukho amanqanaba amane aphambili.
| Iqonga | Kwenzeka ntoni kweli nqanaba? |
|---|---|
| Inqanaba loku-1 | Eli lixesha lokuqala. Intlungu ivakala ngathi sisandla esityumkileyo. Akukho mahluko kwi-X-ray. Kodwa ukuba uyijonga nge-MRI, ungabona ukuba ukuhanjiswa kwegazi kwithambo `(Lunate)` kunciphile. |
| Inqanaba lesi-2 | Ngenxa yokunqongophala kwegazi, ithambo liqala ukuqina njengelitye. Oku kubizwa ngokuba yi-"sclerosis" . Kwi-X-ray, ithambo libonakala limhlophe kunezinye. Intlungu iyanda kancinci. |
| Inqanaba lesi-3 | Ithambo eliqinileyo ngoku liyaphuka kwaye liqala ukuqhekeka libe ziingceba. Oku kunokubangela ukuba amanye amathambo esihlahleni asuke kancinci apho ayekhona ngaphambili. Intlungu iyanda, amandla esandleni ayancipha, kwaye kuba nzima ukugoba isihlahleni. |
| Inqanaba lesi-4 | Le yeyona meko imbi kakhulu. Ithambo le-lunate liphantse laphuka laza laphuka. Akuphelelanga apho, kodwa namanye amathambo alijikelezileyo aqala ukuguga. Ilungu lesihlakala ngokwalo lonakele, kwaye kuvela isifo samathambo . |
Kungathatha abanye abantu iinyanga ezimbalwa ukusuka kwinqanaba loku-1 ukuya kwelesi-4. Kwabanye, kungathatha iminyaka.
Zithini iindlela zonyango zoku?
Nangona kungekho ndlela inye yokunyanga esi sifo, unyango lwangoku lunokunceda ekunciphiseni iintlungu, ukuphucula ukusebenza kwesandla, kunye nokuthintela isifo ukuba singabi mandundu. Unyango luxhomekeke kwizinto ezininzi, kuquka inqanaba lesifo sakho, iminyaka yakho, kunye nomsebenzi wakho.
Unyango ngaphandle kotyando
Ezi zihlala zenziwa kwangethuba kwesi sifo.
- Ukungasebenzi kwesandla: Isandla asishukumi xa sifakwe isamente kangangeenyanga eziliqela. Oku kuphumla ngamanye amaxesha kunokunceda ithambo ukuba liphinde lifumane ukuhamba kwegazi.
- Iipilisi zokunciphisa iintlungu: Ugqirha wakho unokucebisa amayeza okulwa nokuvuvukala afana ne-ibuprofen ukunciphisa iintlungu nokudumba. Kodwa khumbula, la mayeza awafanelekanga kubantu abane-asthma, izilonda zesisu, uxinzelelo lwegazi oluphezulu, isifo sezintso okanye sentliziyo. Ngoko ke , ungaze uwathathe la mayeza ngaphandle kokubonisana nogqirha.
- Unyango lomsebenzi: Ingcali yonyango lomsebenzi iza kukufundisa indlela yokwenza imisebenzi yemihla ngemihla ngendlela yokunciphisa iintlungu zesandla.
Unyango ngotyando
Ukuba isifo sibi kakhulu, okanye ukuba ezinye iindlela zonyango azincedi, ugqirha unokucebisa utyando. Uhlobo lotyando oluza kwenziwa luya kwahluka ngokuxhomekeke kwinqanaba lesifo.
| Igama lotyando | Ngamafutshane, oku kwenzekayo... |
|---|---|
| Ukulinganisa Amalungu | Ukuba ubude bamathambo amabini akwingalo, ``Radius'' kunye ``Ulna'', bahlukile, kwenziwa utyando ukuze kulinganiswe ubude bawo. Iqhekeza elincinci lethambo lifakelwa kwithambo elifutshane ukuze lilolule, okanye iqhekeza elincinci lisikwe kwithambo elide ukuze lilolulwe. Oku kunciphisa uxinzelelo kwithambo ``Lunate''. |
| Ukuvuselelwa kwemithambo yegazi | Oku kuquka ukubuyisela ukuhanjiswa kwegazi kwithambo le-lunate. Iqhekeza elincinci lethambo elinomthambo wegazi lithathwa kwelinye icala lomzimba (umz., ithanga) lize lifakwe kwithambo le-lunate elifayo. Oku kungenziwa kuphela kwizigaba ezimbini zokuqala zesifo. |
| Ukuhlanganiswa | Xa isifo sinzima, amathambo aliqela esihlahleni abekwa kunye ukunciphisa iintlungu. Ngamanye amaxesha, ukuba amathambo esihlahleni sonke abekwe kunye, isihlahleni asinakugotywa, kodwa isandla sinokujikeleziswa. |
| Utyando lweCarpectomy oluPhambili (PRC) | Ukuba ithambo le-lunate laphukile ngokupheleleyo, ithambo kunye namathambo aliqela akufutshane ayasuswa. Oku kunciphisa iintlungu, kodwa kunciphisa ukushukuma kwesandla. |
| I-Implant Arthroplasty | Kule meko, ithambo le-``Lunate`` elonakeleyo liyasuswa lize lithatyathelwe indawo lithambo lokwenziwa (``prosthetic``). |
Ufanele uye nini ngokuqinisekileyo kugqirha?
Okukhona esi sifo sifunyanwa ngokukhawuleza, kokukhona unyango kunye neziphumo ziya kuba ngcono. Ngoko ke, musa ukulinda de ufumane ezi mpawu zingezantsi uze ubone ugqirha.
- Ukuba unengxaki yokushukumisa isihlathi sakho, isandla, okanye iminwe.
- Ukuba kukho ukubomvu okungaqhelekanga esihlahleni.
- Ukuba ukudumba kuya kusiba mandundu.
- Ukuba kukho intlungu enganyamezelekiyo .
Ugqirha wakho uza kukuthumela kwingcali kule nkalo, oko kukuthi ingcali yamathambo .
Umyalezo Wokuya Ekhaya
- Isifo sikaKienböck sisifo esingaqhelekanga apho igazi eliya kwithambo elincinci esihlahleni sakho elibizwa ngokuba yi-lunate linqanyulwa, nto leyo ebangela ukuba life kancinci kancinci.
- Uphawu lokuqala lusenokuba yintlungu efana nesandla esikrunekileyo. Ngoko ke ukuba unentlungu engapheliyo ngolu hlobo, musa ukuyityeshela.
- Esi sifo siya sibi kancinci kancinci ngokuhamba kwexesha. Ukuba asinyangwa, iintlungu zinganda kwaye isandla singashukumi ngokupheleleyo.
- Iziphumo zakho ziya kuxhomekeka kakhulu ekubeni ukhawuleza kangakanani ukubona isifo kwaye uqale unyango.
- Thetha nogqirha wakho ukuze ugqibe ukuba loluphi unyango olulungele wena.
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