Ingaba isihlakala sakho sikrunekile? (Isandla Esikrunekile) Masiqaphele oku!

Ngaba wakha wawa waza wabetha esihlahleni sakho ngamandla? Okanye mhlawumbi ubudlala okanye wenza enye into waza ngequbuliso waziva ngathi esihlahleni sakho sikrunekile? Mhlawumbi bekukho ukudumba kunye nentlungu. Abantu abaninzi baye bahlangabezana noku. Ngoko ke namhlanje siza kuthetha ngezihlahleni ezikrunekile, okanye njengoko oogqirha bezibiza , izihlahleni ezikrunekile . Ungakhathazeki, oku kudla ngokuba yinto enokunyangeka ngonyango olulula.

Kuthetha ukuthini ukukruquka kwesandla sakho?

Ngamafutshane, ukukruneka kukwenzakala kwemisipha emzimbeni wethu. Ngoku usenokuba uzibuza ukuba zeziphi ezi misipha. Imisipha ifana neentambo eziqinileyo nezilula ezibamba amathambo ethu kunye nezinceda ukugcina amalungu ethu ekwindawo yawo. Ziguquguquka kakhulu kwaye zinamandla.

Ubusazi na ukuba kukho amathambo amancinci asi-8 esihlahleni sethu sodwa, kwaye kukho malunga ne-20 ligaments ezibambisayo! Ngoko ke, ukukruneka kwesandla kuxa, ngesizathu esithile, enye okanye ezingaphezulu kwezi ligaments esihlahleni sakho zoluliwe ngaphaya kwemida yazo kwaye zonakele? Eyona ligament ixhaphakileyo enokukruneka yi -scapholunate ligament , edibanisa amathambo e-scaphoid kunye ne-lunate esihlahleni sethu.

Uninzi lwezihlunu zesandla zizinto ezingephi. Zibangela nje ukukrazuka okuncinci kwimisipha. Kodwa ngamanye amaxesha, ezi misipha zinokukrazuka. Emva koko kuba nzima ngakumbi.

Ukukruneka kudla ngokuba buhlungu. Usenokukufumanisa kunzima ukushukumisa okanye ukusebenzisa isihlunu sakho esonzakeleyo. Nangona kunjalo, uninzi lokukruneka kwesihlunu lunokunyangeka ekhaya ngokuphumla, umkhenkce, kunye neziyobisi zokunciphisa iintlungu ezithengiswa ngaphandle kwemvume kagqirha.

Nangona kunjalo, ukuba iintlungu zesandla kunye nezinye iimpawu azipheli emva kweentsuku ezimbalwa zonyango lwasekhaya, ngokuqinisekileyo kuya kufuneka ubone ugqirha, akunjalo?

Zithini iimpawu zesihlunu esityumkileyo?

Ukuba unesandla esikrunekileyo, usenokuba nenye okanye ngaphezulu kwezi mpawu:

• Intlungu yesandla: Le yeyona iphambili. Intlungu inokwanda xa ushukumisa isandla sakho okanye uphakamisa into ethile.
• Ukudumba: Ungabona ukudumba kwindawo yokwenzakala.
• Ukugruzuka okanye ukutshintsha kombala: Ngamanye amaxesha kunokubonakala ngathi kukugruzuka, kutshintshe kube luhlaza okwesibhakabhaka okanye kube mfusa.
• Ubunzima bokushukumisa isihlakala: Kuvakala kunzima ukushukumisa, ukugoba, okanye ukolula ingalo.

Zithini izizathu zokutyumka kwesandla?

Ukukruneka kunokwenzeka ukuba imisipha esihlahleni itsaliwe okanye ijijeke ngaphaya kwemida yayo. Ezona zizathu zixhaphakileyo zezi:

• Izinto ezingalunganga:Ingakumbi xa sizama ukuzisindisa ngokubeka izandla zethu zolulwe size sizibeke phantsi xa siza kuwa. Khawuthelekelele, utyibilika endleleni uze ngequbuliso isandla sakho sibethe emhlabeni, kwaye bonke ubunzima buza esihlahleni sakho, akunjalo? Ngexesha elinjalo, ungasityhala lula.
• Iingozi zemidlalo: Zinokwenzeka xa ubamba ibhola ngelixa udlala ikhilikithi, udlala i-volleyball, udlala i-netball, okanye xa uzilolonga ejimini.
• Iingozi: Ukulimala esinqeni kunokwenzeka nakwizinto ezifana neengozi zeemoto.

Ezi zezona zinto zixhaphakileyo. Nangona kunjalo, kunqabile kakhulu ukuba ezinye iimeko zonyango zinokubangela uxinzelelo kwimisipha esihlahleni, nto leyo ebangela ukukruneka. Umzekelo:

• Ezinye izifo .
• Iimeko zokudumba kwamalungu ezifana ne-rheumatoid arthritis .
• Isifo samathambo esibizwa ngokuba yi-Psoriatic arthritis .

Ngaba ukutyumka kwesandla kunokubangela iingxaki?

Amaxesha amaninzi, ukukruneka nje akubangeli iingxaki ezinkulu. Nangona kunjalo, xa isihlathi sikrunekile, ezinye iingozi zinokwenzeka ngaxeshanye. Ezi zithathwa njengezona ngxaki ziphambili.

• Ukuqhekeka kwamathambo: Ngamanye amaxesha ithambo esihlahleni linokwaphuka okanye liqhekeke kunye nokukruneka. Oku kuyinyani ngakumbi kwiikruneko zesandla ezibizwa ngokuba yi-'Colles fractures' kunye ne-'Smith fractures'.
• Ukutyumzeka kwemisipha okanye ukukruneka.
• Ukulimala kwemisipha.
• Umonakalo wemithambo-luvo.

Yiyo loo nto kucetyiswa ukuba ubonane nogqirha ukuba intlungu ayipheli kwiintsuku ezimbalwa. Emva koko banokujonga omnye umonakalo onje.

Ugqirha wazi njani ngokuqinisekileyo ukuba oku kukruneka?

Xa usiya kugqirha, uza kuqala ahlole isihlathi sakho (uvavanyo lomzimba) . Baza kukubuza ngeempawu zakho. Kuya kufuneka uxelele ugqirha ukuba ubusenza ntoni ngaphambi kokuba isihlathi sakho siqale ukuba buhlungu, ukuba siqale njani ukuba buhlungu, njl.

Ugqirha uza kukucela ukuba uhambise isandla sakho ngasemva nangaphambili, usigobe, uze usolule. Oku kubizwa ngokuba kukujonga umgama ohamba ngawo . Xelela ugqirha ukuba kubuhlungu na kwaye kubuhlungu phi kakhulu.

Luhlobo luni lovavanyo oluqhutywayo?

Rhoqo, ugqirha wakho uya kuyalela i-X-ray yesandla sakho esonakeleyo. Oku kunokunceda ekufumaneni ubungakanani bomonakalo kwimisipha esihlahleni sakho, kunye nawo nawuphi na umonakalo, ukwaphuka, okanye ukuphuka kwamathambo.

Ngamanye amaxesha, ingakumbi ukuba ukwenzakala kucingelwa ukuba kukhulu, ugqirha wakho unokuyalela i-MRI (Magnetic Resonance Imaging) okanye i-CT scan (Computed Tomography scan) . Ezi zinokubonisa ngokucacileyo umonakalo kwizicubu ezithambileyo ezifana ne-ligaments kunye ne-tendon.

Yintoni uphawu "lukaTerry Thomas"?

Eli ligama elingaqhelekanga, akunjalo? Kwezinye iintlobo zokukruneka kwesandla, kukho umsantsa omncinci phakathi kwamathambo amabini esihlahleni. Yiyo loo nto ibizwa ngokuba yi "Terry Thomas sign." Kwakukho umntu ohlekisayo waseBritane ogama linguTerry Thomas. Wayenomsantsa omncinci phakathi kwamazinyo akhe amabini angaphezulu. Yiyo loo nto lo msantsa esihlahleni ubizwa ngegama lakhe. Ekubeni uninzi lwabantu lungamazi uTerry Thomas kule mihla, oogqirha ngamanye amaxesha babiza ngokuba yi "David Letterman sign" okanye "Madonna sign." Le yinto esetyenziswa ngoogqirha ukuxilonga izifo.

Yintoni enokwenziwa ukunyanga isihlathi esikrunekileyo?

Kwiimeko ezininzi, unganyanga isihlunu esikrunekileyo ekhaya. Eyona nto ibalulekileyo kukuyeka ukwenza imisebenzi ebeka uxinzelelo olongezelelekileyo esihlahleni, njengemidlalo okanye imisebenzi ebandakanya umthambo omninzi. Izithomalalisi zentlungu ezithengiswa ngaphandle kwemvume kagqirha ezifana ne-NSAIDs (ezifana ne-ibuprofen okanye i-diclofenac) okanye i-acetaminophen (paracetamol) zinokunceda ukunciphisa iintlungu nokudumba. Kodwa khumbula, kungcono ukujonga ugqirha wakho ngaphambi kokuba uthathe izithomalalisi zentlungu kangangeentsuku ezingaphezu kwe-10.

Kubaluleke kakhulu ukulandela indlela ye-RICE kwangoko nje ukuba uqalise ukuva iintlungu okanye ezinye iimpawu. Makhe sibone ukuba yintoni i-RICE?

• R (Phumla): Yeka ukwenza nantoni na obuyenza eyakwenzakalisa. Musa ukubeka ubunzima obukhulu esihlahleni sakho de siphole.
• I (Ice) - Faka umkhenkce: Songa iityhubhu zomkhenkce, iphakheji yomkhenkce efrijini, okanye iphakheji yomkhenkce ngetawuli ebhityileyo uze uyifake esihlahleni esonzakeleyo malunga nemizuzu eli-15. Yenza oku izihlandlo ezininzi ngemini. Musa ukufaka umkhenkce ngqo eluswini, kuba unokutshisa ulusu.
• C (Uxinzelelo): Ungasisonga isihlalo sakho ngebhandishi elastiki ukunceda ekunciphiseni ukudumba. Kodwa khumbula, ungasisongi kakhulu kangangokuba sibe lukhuni, sibe buhlungu, okanye sinciphise ukuhamba kwegazi esandleni sakho nakwiminwe.
• E (Ukuphakama) - Ukuphakama: Zama ukugcina isandla sakho nesandla sakho zingaphezulu kwenqanaba lentliziyo yakho nanini na xa kunokwenzeka. Ungagcina umqamelo phezulu.

Kubalulekile: Ukuba iimpawu zakho aziphucuki emva kweentsuku ezimbalwa zokuqala olu nyango lwasekhaya, qiniseka ukuba ubona ugqirha.

Ugqirha wakho angakuxelela ukuba unxibe i-brace okanye i-splint esihlahleni sakho esonakeleyo. Oku kubizwa ngokuba yi -immobilization . Inceda ukugcina isihla sakho sikwindawo engathathi cala de siphole. Ugqirha wakho uza kukuxelela ukuba ufanele usinxibe ixesha elingakanani.

Ngaba ukutyumka kwesandla kufuna utyando?

Kunqabile kakhulu ukuba ukukruneka kwesandla kufune utyando. Nangona kunjalo, ukuba ukruneka isandla sakho xa uwe okanye usenzakele kwaye wenzakele nezinye izinto ezinzulu (umz., ithambo elaphukileyo, imisipha ekrazukileyo), utyando lunokufuneka ukuze kulungiswe umonakalo.

Ukuba kufuneka utyando, lunokwenziwa kusetyenziswa indlela encinci kakhulu ebizwa ngokuba yi -arthroscopy . Oku kuthetha ukuba ugqirha wenza umngxuma omncinci kakhulu esihlahleni sakho aze afake ikhamera encinci (i-arthroscope) kuyo ukuze ajonge amathambo kunye nemisipha. Emva koko, esebenzisa izixhobo ezintle kakhulu, ugqirha ulungisa ilungu lesandla kunye nemisipha eyonakeleyo.

Nangona kunjalo, ukuba umonakalo unzima kakhulu, utyando oluvulekileyo lunokufuneka. Kwimeko enjalo, ugqirha wenza i-incision ngasemva kwesandla, amise amathambo, aze alungise i-ligaments eyonakeleyo.

Kuthatha ixesha elingakanani ukuba isihlunu esityumkileyo siphole?

Kudla ngokuthatha iiveki ezimbalwa ukuba isihlathi esikrunekileyo siphole ngokupheleleyo. Nangona kunjalo, wakuba uqalile unyango, iimpawu ezifana nentlungu nokudumba kufuneka ziqale ukuncipha kancinci kancinci. Ukuze uphole ngokukhawuleza, kubalulekile ukuphumla kwaye uthathe unyango kanye njengoko ugqirha wakho ecebisa.

Ngaba ukukruquka kwesandla kungathintelwa?

Ukuba unyamekela izinto ezithile, unokuthintela ukukruneka kwesandla.

Nokuba udlala imidlalo okanye eminye imisebenzi yomzimba:

• Zifudumeze kakuhle ngaphambi kokuba uqale ukudlala okanye ukuzilolonga.
• Nxiba izixhobo zokuzikhusela ezifanelekileyo kulo mdlalo. Umzekelo, eminye imidlalo isebenzisa izikhuseli zesandla.
• Xa isihlathi sakho sibuhlungu, musa " ukudlala ngentlungu ." Ukuba ibuhlungu, yima uphumle.
• Nika umzimba wakho ixesha lokuphumla nokuchacha emva komsebenzi onzima.
• Zipholise uze uzolule emva kwemisebenzi.

Ukuze ukhuseleke ngokubanzi, khumbula ezi zinto:

• Gcina ikhaya lakho nendawo osebenzela kuyo icocekile kwaye ingenazo izinto ezinokutyibilika nokuwa.
• Soloko usebenzisa izixhobo okanye izixhobo ezifanelekileyo ukufikelela kwizinto eziphakamileyo. Ungaze ukhwele ezitulweni, etafileni, okanye kwiikhawuntara. Sebenzisa into efana neleli encinci.
• Ukuba unengxaki yokuhamba okanye usemngciphekweni omkhulu wokuwa, sebenzisa induku okanye i-walker .

Yintoni onokuyilindela ukuba unesandla esikrunekileyo?

Ukuchacha ngokupheleleyo emva kokuba utyumkile esihlahleni sakhoKulindelekile. Uninzi lweziphene zenzakele okwethutyana. Nje ukuba imisipha iphole, kufuneka ukwazi ukubuyela kuyo yonke imisebenzi yakho yesiqhelo.

Nangona kunjalo, qiniseka ukuba uthetha nogqirha wakho ngaphambi kokuba uqalise imisebenzi yomzimba efana nemidlalo. Ukuba ubeka ubunzima esihlahleni sakho kwakhona ngaphambi kokuba siphole ngokupheleleyo, unokunyusa umngcipheko wokwenzakala kwakhona kunye neengxaki kunye nezinye iingozi.

Ndifanele ndimbone nini ugqirha?

Ukuba uyawa okanye wenzakele ngenye indlela kwaye isihlathi sakho sibuhlungu, bona ugqirha, ingakumbi ukuba iimpawu aziphucuki emva kweentsuku ezimbalwa.

Ukuba wenze ingozi enkulu okanye ucinga ukuba ithambo lakho laphukile, yiya kwigumbi longxamiseko ngokukhawuleza.

Yeyiphi imibuzo omele uyibuze ugqirha?

Xa usiya kugqirha, kungcono ukubuza imibuzo efana nale:

• Ingaba ndinomkrwelo okanye ndingenzakele?
• Luhlobo luni lonyango endiludingayo?
• Ngaba kuya kufuneka ndigcine ingalo yam ingasebenzi? Ixesha elingakanani?
• Ngaba ndiza kufuna utyando?
• Ndingaqala nini kwakhona imisebenzi yomzimba efana nemidlalo?

Umyalezo Wokuya Ekhaya

Ukukruneka kwesandla yinto eqhelekileyo phakathi kwethu. Kodwa ukukruneka sisenzo esibuhlungu nesibuhlungu. Ukuba wonzakele esihlahleni sakho, nokuba uwile okanye udlala, kwaye uziva iintlungu nokudumba, bona ugqirha ngokukhawuleza. Ugqirha angakuxilonga ukwenzakala kwakho aze akunike unyango ukuze ukwazi ukubuyela kwimisebenzi yakho yesiqhelo ngokukhawuleza.

Khumbula, musa ukukhawulezisa ukuchacha kwakho. Umzimba wakho udinga ixesha lokuphiliswa.

Musa ukuqala ukudlala imidlalo ude ugqirha wakho akuxelele ukuba wenze njalo. Kusenokuba yinto engathandekiyo ukuba ungadlali kangangeeveki ezimbalwa. Nangona kunjalo, ukuba nomonde ude uphile ngokupheleleyo kuya kunceda ukuthintela ezinye iingxaki kwixesha elizayo. Ndikunqwenelela ukuba uphile ngokukhawuleza!

Isandla , Ukuqina, Intlungu Yesandla, Imisipha, Unyango Lwelayisi, Intlungu Yesandla, Ukulimala Kwezemidlalo