Ingaba ubhontsi wakho ukrunekile? (Ubhontsi ukrunekile) Musa ukoyika, makhe sifumanise ngale nto!

Xa sisenza imisebenzi yethu yemihla ngemihla, kuyinto eqhelekileyo ukuba ngamanye amaxesha ube neengozi ezincinci. Mhlawumbi nawe ukhe wakrwitshwa lilungu. Ingakumbi xa kufikwa kubhontsi okrwitshiweyo, intlungu kunye nokudumba kunokuba yinto ecaphukisayo, akunjalo? Ngoko ke, namhlanje siza kuthetha ngale meko ebizwa ngokuba yiThumb Sprain ngokweenkcukacha.

Yintoni ukukruneka kwesithupha?

Ngamafutshane, ukukrwitshwa kwesithupha kukukrazula okanye ukukrazula i-ligament kubhontsi wakho, izicubu ezidibanisa amathambo amabini kwilungu. Ngokuqhelekileyo, le meko yenzeka xa i-Ulnar Collateral Ligament (UCL) yonakele , ekwicala elingaphakathi kubhontsi wakho, kufutshane nelungu le-metacarpophalangeal (MCP). Khawuthelekelele, umzekelo, ukuba ubhontsi wakho ugoba ngequbuliso, kude nesandla sakho, okanye ujijeke ngenye indlela engaqhelekanga, unokuba nokukrwitshwa.

Ezi ntlungu, njengezinye izihlunu, zinokuqala ekutsaleni okuncinci ukuya ekukrazukeni ngokupheleleyo kwe-ligament, mhlawumbi ide iwuhlukanise nethambo. Le meko ngamanye amaxesha ibizwa ngokuba yi- "Skier's Thumb" okanye "Gamekeeper's Thumb."

Ziziphi iintlobo zokukrazula ubhontsi?

Oogqirha bahlula ezi ntlobo zokukrwempa ngokwendlela ezibukhali ngayo. Kukho iintlobo ezintathu eziphambili:

• Ibanga loku-1: Le yeyona nto incinci ikrunekileyo . I-ligament yoluliwe kakhulu, kodwa ayikrazukanga.
• Ibanga lesi-2: Oku kukruneka okuphakathi . Apha, inxalenye ye-ligament ikrazukile.
• Ibanga lesi-3: Eli lelona nxeba linzima kakhulu . I-ligament isenokukrazuka ngokupheleleyo okanye isenokususwa kwi-link yayo ethanjeni. I-sprains enzima efana nale ingafuna unyango olukhawulezileyo, mhlawumbi notyando.

Ingaba ubhontsi wam waphukile? Ingaba utyumkile? Ndingaqiniseka njani?

Ubhontsi ophukileyo nobhontsi otyumkileyo zinokubangela iintlungu, ukudumba, kunye nokukrweleka. Nangona kunjalo, kukho umahluko othile. Ubhontsi ophukileyo uhlala ubuhlungu ngakumbi , kwaye ubhontsi unokuba nokukhubazeka okanye ubonakale ukhubazekile. Usenokuziva ngathi kukungaziva.

Ukuba unentlungu, ukudumba, okanye ukukrweleka kubhontsi wakho emva kwengozi efana nokuwa, ngokuqinisekileyo kuya kufuneka ubone ugqirha . Kunzima ukubona ngaphandle ukuba kukwaphuka okanye kukrweleka. Kungoko ke, kungcono ukuba ugqirha onamava akuhlole, kwaye ukuba kuyimfuneko, athathe i-X-ray ukuze afumanise ukuba yintoni kanye kanye ingxaki.

Yintoni umahluko phakathi kokukruneka nokukruneka?

Nangona zombini zibuhlungu, kukho umahluko omncinci.

• Ukukruneka , njengoko besitshilo ngaphambili, kukwenzakala kwemisipha edibanisa amathambo esilungu.
• Uxinzelelo kukwenzakala kwemisipha okanye kwi-tendon edibanisa imisipha nethambo.

Ukuba unesihlunu esibuhlungu kubhontsi wakho, bona ugqirha. Uza kukuhlola aze, ukuba kuyimfuneko, acele iimvavanyo ezifana ne-X-ray , i-musculoskeletal ultrasound , okanye i-MRI (Magnetic Resonance Imaging) ukuze kubonwe ukuba kukho ukwaphuka, ukukruneka, okanye ukuxinana kwemisipha.

Ngubani osengozini enkulu yokukruneka ubhontsi wakhe?

Nabani na, nokuba uneminyaka emingaphi, unokukruquka ubhontsi wakhe. Nangona kunjalo, abanye abantu basengozini enkulu.

• Abadlali: Lo mngcipheko uphezulu kakhulu kwabo batyibiliza eqhweni , kunye nabo badlala imidlalo ebandakanya ukubamba nokuphosa ibhola (umz. ibaseball, ibasketball, ivolibholi, ibhola ekhatywayo).
• Abantu abasengozini enkulu yokuwa: Abantu abadala abaqhele ukuwa rhoqo, okanye abo baneengxaki zokulinganisela, nabo basengozini enkulu.

Enyanisweni, ubhontsi otyumkileyo sisenzo esiqhelekileyo sokwenzakala .

Zithini iimpawu zobhontsi otyumkileyo?

Iimpawu zixhomekeke kubukhali bokukruneka. Iimpawu ziyahluka ngokwemigangatho emithathu esixoxe ngayo ngaphambili.

Ibanga loku-1 (ukukruneka okuncinci)

• Intlungu ezantsi kobhontsi okanye intlungu xa ucinezelwe .
• Ukudumba ebhontsini okanye ezantsi kwalo.
• Ukubona inxeba (ubuluhlaza okwesibhakabhaka) ezantsi kobhontsi.

Ngamanye amaxesha, abantu abaneziphene ezincinci basenokungaziva iintlungu ezininzi emva kokwenzakala.

Ibanga lesi-2 (Uxinzelelo oluPhakathi)

• Umsebenzi omncinci kunye nomgama wokunyakaza kobhontsi.
• Intlungu ebuhlungu ezantsi kobhontsi kunye nentlungu xa ucinezelwe .
• Ukudumba ebhontsini okanye ezantsi kwalo.
• Ukubona inxeba elisezantsi kobhontsi.

Ibanga lesi-3 (ukukruquka okukhulu)

• Intlungu ebuhlungu ezantsi kobhontsi kunye nentlungu xa ucinezelwe .
• Ukuziva ukhululekile okanye ukungazinzi kwilungu lesithupha.
• Ubunzima bokubamba into phakathi kobhontsi nomnwe wokukhomba.
• Imvakalelo efana neqhuma kubhontsi. Oku kunokwenzeka xa i-ulnar collateral ligament (UCL) ikrazukile ngokupheleleyo. Isiphelo seqhuma elikrazukileyo sinokuvakala ngathi liqhuma elingaphantsi kolusu.
• Ukudumba ebhontsini okanye ezantsi kwalo.
• Ukubona inxeba elisezantsi kobhontsi.

Zithini izizathu zokuqhekeka kweminwe?

Eyona nto ibangela ukukruneka kwesithupha kukusebenza ngamandla ngequbuliso okubangela ukuba ubhontsi ugobe usuke esandleni, emqolo, okanye ujike uye kwelinye icala elingaqhelekanga . Oku kwenzeka rhoqo xa isandla esoluliweyo sibetha emhlabeni.

Kuqhelekile ukuba umntu okhwela iski awe ephethe ipali yokukhenketha . Yiyo loo nto ikwabizwa ngokuba yi "Skier's Thumb".

Ngamanye amaxesha, abantu abenza imisebenzi ephindaphindayo nephindaphindayo (umz., imidlalo ethile, imisebenzi ethile) ebandakanya ukubamba okanye ukujija izinto ixesha elide banokufumana umonakalo wemisipha kunye nokukruquka. Esi sifo sexesha elide saziwa ngokuba yi-"Gamekeeper's Thumb."

Oogqirha bafumanisa njani ukuba kukho ukukruneka kwesithupha?

Xa ubona ugqirha, baza kuqala bakubuze malunga nokuba kwenzeke njani ukwenzakala, ukuba kwenzeke nini, kunye neempawu zakho . Emva koko, baza kwenza uvavanyo lomzimba ukuze babone ukuba ilungu lakho lesithupha lizinzile kangakanani kwaye intlungu ivela phi. Oku kuya kunceda ekuqinisekiseni ukuba kukukruneka na kwaye kunzulu kangakanani. Banokuyalela novavanyo lwemifanekiso, njengoko bekutshiwo ngaphambili.

Uvavanyo lokuxilonga

Emva kovavanyo lomzimba, ugqirha angayalela uvavanyo olufana nolu ukuze kuhlolwe ezinye izinto ezenzekileyo okanye kuchongwe ubukhali bokukruneka:

• Ii-X-reyi:
• Oku kungathatha imifanekiso eneenkcukacha zamathambo. Oku kunokunceda ekuqinisekiseni ukuba intlungu kunye nokudumba kwakho kubangelwa kukwaphuka.
• Kwakhona, ungajonga ukuba i-ligament iyatsala na kwaye ibangela ukwaphuka kwe-avulsion , imeko apho i-ligament iphuma ethanjeni ineqhekeza elincinci lethambo.
• I-X-reyi yoxinzelelo: Oku kubandakanya ugqirha ukufaka uxinzelelo oluncinci kubhontsi wakho olimeleyo ngelixa ethatha i-X-reyi. Oku kunokubonelela ngolwazi oluthe kratya malunga nokuzinza kwelungu le-MCP . Ukuba uxinzelelo lubangela iintlungu, ugqirha unokufaka iyeza elibangela ukuba buhlungu (i-anesthetic) kwindawo ekufutshane nobhontsi.

• I-MRI (Umfanekiso weMagnetic Resonance):
• I-MRI ingathatha imifanekiso eneenkcukacha zangaphakathi lomzimba ngaphandle kokusebenzisa imitha. Ingabona iinkcukacha zamathambo ezingabonakaliyo kwi-X-rays eqhelekileyo, kunye neenkcukacha zezicubu ezithambileyo (ezifana nobukhulu bokukruneka okanye ukuxinana kwemisipha). Olu lwazi lunceda ugqirha ukuba acwangcise unyango aze agqibe ukuba ngaba utyando luyimfuneko na.

• I-Ultrasound yeMisculoskeletal:
• Oku kusebenzisa amaza esandi ukuthatha imifanekiso yomzimba. Ugqirha wakho unokuyalela i-ultrasound ukuba ijonge izicubu ezithambileyo ezijikeleze ilungu. Oku kunokunceda ekufumaniseni ukuba ii-ligaments zikrazukile kancinci, zikrazukile ngokupheleleyo, okanye ukuba ulwelo luyaqokelelana na. Oku kunokunceda ekufumaniseni ubukhali bokwenzakala kunye nonyango olungcono.

Unyanga njani ubhontsi otyumkileyo?

Indlela yokunyanga ixhomekeke kubukhali bokukruneka.

Unyango lokukrwempa okungephi (iBanga loku-1)

Ezi zihlala zinokunyangeka ekhaya ngokulandela indlela ye-PRICE (Ukhuseleko, Ukuphumla, Umkhenkce, Uxinzelelo, Ukuphakama).

• Ukuzikhusela: Nxiba i- thumb spica splint kangangeentsuku ezimbalwa ukuze uthintele indawo eyonzakeleyo. Ezi zingathengwa kwiikhemesti okanye kwi-intanethi.
• Ukuphumza isandla sakho: Kuphephe ukusebenzisa isandla sakho esonzakeleyo ubuncinane iiyure ezingama-48 emva kokwenzakala. Oku kulula ukukwenza ukuba une-splint. Ukuba awunayo i-splint, kuphephe ukusebenzisa isandla/ubhontsi wakho nangayiphi na indlela ebangela intlungu.
• Ukuqhotsa ubhontsi wakho: Faka umkhenkce kubhontsi wakho nasesandleni sakho ngokukhawuleza emva kokwenzakala. Oku kunokunceda ukunciphisa ukudumba. Ukuqhotsa umkhenkce kunokunceda ekujoliseni intlungu. Songa iqhekeza lomkhenkce ngelaphu uze ulihlikihle ngendlela ejikelezayo kwindawo ebuhlungu imizuzu emithathu ukuya kwemihlanu amaxesha amaninzi ngemini. Ngamanye amaxesha ukuhlamba umkhenkce kunokunceda - faka ubhontsi wakho nesandla sakho emanzini omkhenkce imizuzu emithathu ukuya kwemihlanu. Nangona kunjalo, lumka ungagqithisi kwaye unokufumana iqabaka.
• Ukusebenzisa ibhandeji lokucinezela: Songa ilungu lesithupha elonzakeleyo ngebhandeji lokucinezela elinobukhazikhazi. Ezinye ii-thumb spica splints nazo zinobu buchule bokunamathela. Oku kunokunciphisa ukudumba.
• Ukuphakamisa isandla sakho: Xa uphumle, gcina isandla sakho ngaphezu kwentliziyo yakho kangangoko unako.
• Ukusela amayeza okunciphisa iintlungu: Amayeza okunciphisa iintlungu afumaneka ngaphandle kwemvume kagqirha, anjenge-aspirin kunye ne-ibuprofen, anokunceda kwiintlungu nokudumba.

Ukuba intlungu kunye nokudumba azipheli emva kweentsuku ezimbini zokuphumla kunye nonyango lwasekhaya, qiniseka ukuba ubona ugqirha .

Unyango lwe-sprains ephakathi (iBanga lesi-2)

• Ukunxiba ubhontsi we-Spica Splint okanye i-Cast: Ugqirha wakho usenokucebisa ukuba unxibe i-splint okanye i-cast ukuze uthintele ubhontsi wakho ude uphole. Ngokuxhomekeke kubukhulu bokukruneka, unokufuna ukuyigcina endaweni yayo de ugqirha wakho akuxelele ukuba uyisuse.
• Faka umkhenkce kubhontsi wakho nakwisandla sakho: Faka umkhenkce ngokukhawuleza emva kokwenzakala. Oku kunokunceda ekunciphiseni ukudumba.
• Ukusela iintlungu: Sebenzisa iintlungu onokuzithenga kwikhemesti.
• Ukuzilolonga:Ubhontsi unokuba lukhuni kuba awushukumi. Ngenxa yoko, ugqirha wakho unokucebisa ukuba wenze umthambo wokuzolula ukuze ubuyisele intshukumo kubhontsi wakho. Landela imiyalelo kagqirha wakho malunga nokuba ungaqala nini le mthambo.

Unyango lokukrweleka okukhulu (iBanga lesi-3)

• Utyando: Xa i-ligament ikrazukile ngokupheleleyo, utyando ludla ngokuba yimfuneko. Kukho iinkqubo ezahlukeneyo zotyando, ezinje ngokuyibophelela kwakhona i-ligament ethanjeni, ukulungisa ukwaphuka kwe-avulsion nge-bone anchor, i-pin, okanye i-screw.
• Ukunxiba i-cast okanye i-splint: Emva kotyando, kuya kufuneka unxibe i-cast okanye i-splint kangangeeveki ezi-6 ukuya kwezi-12 ukuze uncede ubhontsi wakho uphilise.
• Unyango Lomsebenzi/Lomzimba: Nje ukuba ubhontsi wakho uphole emva kotyando, iqela lakho lezonyango liza kukuxelela ukuba wenze umthambo okhethekileyo ukukunceda ufumane amandla kunye nomgama wokunyakaza kubhontsi wakho nakwisandla sakho.

Ngaba kufuneka uye esibhedlele ukuba utyumkile ubhontsi wakho?

Sonke sifumana iintlungu ngamanye amaxesha, kodwa iintlungu ezingapheliyo aziqhelekanga. Ukuba wonzakele ubhontsi wakho, kwaye usaziva iintlungu emva kokuphumla iintsuku ezimbalwa kwaye ufaka umkhenkce, ngokuqinisekileyo kuya kufuneka ubone ugqirha . Kusenokwenzeka ukuba uza kwenza uvavanyo ukuze abone ukuba kukho ukwenzakala okubi ngakumbi, okanye angakunika i-splint ukuze uzinzise ubhontsi wakho.

Kuthatha ixesha elingakanani ukuba ubhontsi otyumkileyo uphole?

Ixesha elithathayo ukuze oku kwenzeke lixhomekeke kubukhulu bokukruneka. Ukukruneka okuncinci (iBanga loku-1) kudla ngokuphola kwiiveki ezine ukuya kwezintandathu, kodwa kuphela ukuba uvala ubhontsi nge-splint okanye i-cast kwaye uphephe imisebenzi enokuwucaphukisa.

Kungathatha iinyanga ezininzi ukuba ukukruneka okukhulu (iBanga lesi-3) kuphole ngokupheleleyo kwaye ukwazi ukusebenzisa ubhontsi wakho ngendlela eqhelekileyo. Oku kungenxa yokuba ukukruneka okukhulu kudla ngokufuna utyando, kulandele ukukruneka/ukugawulwa, kunye nonyango lomzimba.

Ndingamnyamekela njani ubhontsi otyumkileyo?

Landela imiyalelo kagqirha wakho ngokuchanekileyo. Ekubeni i-ligament ithatha ixesha ukuphola, zama ukuphepha imisebenzi kunye nemidlalo esebenzisa izandla zakho ubuncinane inyanga.

Ungayithintela njani imivumbo yeminwe?

Kukho izinto ezininzi onokuzenza ukuze uthintele ukukruneka kwesithupha:

• Ngaphambi kokuba wenze naluphi na umthambo okanye umdlalo osebenzisa izandla zakho , yolula izihlunu ezandleni zakho nakwiminwe yakho kakuhle .
• Nxiba izixhobo zokuzikhusela xa udlala imidlalo.
• Zilolonge kwiindawo ezithe tyaba ukuze ungawi.
• Nxiba izihlangu ezikulingana kakuhle kwaye uqinisekise ukuba imitya yezihlangu zakho ibotshelelwe kakuhle. Oku kuya kunciphisa amathuba okuba zibhideke.
• Xa utyibiliza eqhweni, ukuba uza kuwa, yeka iipali zakho zokutyibiliza , ungabambeleli kakhulu.
• Ukuba usemngciphekweni omkhulu wokuwa, sebenzisa isixhobo sokuncedisa ukuhamba esifana nomsimelelo okanye isixhobo sokuhamba.

Ithini intelekelelo yokugula ngobhontsi otyumkileyo?

Ukukruquka kwesithupha (iBanga loku-1) kunye nokuphakathi (iBanga lesi-2), ukuba kunyangwa ngokuphumla ngokufanelekileyo kunye nokuthintela ubhontsi, kudla ngokuphiliswa kakuhle ngaphandle kweengxaki zexesha elide.

Izifundo ezininzi zibonisa ukuba utyando lwe-ulnar collateral ligament (UCL) sprains ezinzima (zeBanga lesi-3) ludla ngokuba yimpumelelo. Ii-UCL sprains zeBanga lesi-3 ezinganyangwa ngotyando zihlala zibangela ukungazinzi okungapheliyo .

Ngaba ubhontsi otyumkileyo ungabangela iingxaki?

Amathuba okuba neengxaki axhomekeke kubukhulu bokukruneka kunye nemisipha eyonakeleyo. Ezinye zeengxaki ezinokubakho ngenxa yokukruneka kwesithupha ziquka:

• Intlungu engapheliyo kubhontsi.
• I-arthritis yelungu lesithupha.
• Ukungazinzi kwelungu lesithupha.
• Ukuncipha kwamandla okuncina .
• Ukonakala kwemithambo-luvo ngenxa yotyando.
• Ukuncipha komgama wokuhamba kwilungu lesithupha.

Ndifanele ndimbone nini ugqirha?

Ukuba uneempawu zokukruneka kwesithupha, ezinje ngentlungu yesithupha kunye nokungazinzi kwamalungu, bona ugqirha .

Ukuba sele unesithupha esikrunekileyo, xelela ugqirha wakho ukuba kukho naziphi na iimpawu ezintsha nezikhathazayo.

Masikhumbule (Umyalezo Wokuya Ekhaya)

Njengoko sonke siqhubeka nobomi bethu bemihla ngemihla, sonke sinokufumana iingozi ezincinci kunye nokuwa. Ubhontsi otyumkileyo yenye yezingozi eziqhelekileyo. Ukuba utyumkile ubhontsi wakho, ungoyiki ukubona ugqirha. Kubalulekile ukufumanisa ukuba kukutyumzeka nje, yinto embi kakhulu, okanye enye ingozi. Kuya kukunceda ufumane isicwangciso sonyango ukuze ubhontsi wakho ubuyele esiqhelweni. Ngoko ke, lumka!

Ukutyhafa kweThupha, Ukutyhafa kweThupha, Ukutyhafa, I-Ligament, Intlungu yeThupha, Unyango, Uthintelo, Ukulimala kweMidlalo