Ingaba umnwe wakho woluliwe njengentamo yedada? Masifunde ngeSwan Neck Deformity.

Ngamanye amaxesha usenokuba ukhe wabona, okanye wabona, umnwe okanye iminwe eliqela igobile ngendlela engaqhelekanga. Njengentamo yedada. Oku sikubiza ngokuba yi-Swan Neck Deformity kwezonyango. Namhlanje siza kuthetha ngokuba yintoni kanye kanye le nto, kutheni isenzeka, kunye nento enokwenziwa ngayo.

Ngamafutshane, iSwan Neck Deformity yimeko echaphazela imisipha kunye namalungu omnwe wakho. Okwenzekayo kukuba ilungu elisencamini yomnwe wakho liyagoba phambili , oko kuthetha ukuba lingaphakathi. Ilungu eliphakathi liyanwebeka . Licinge njengonobumba u-'S'. Lifumana igama lalo kuba lifana nentamo yedada.

Okuchasene noku (Swan Neck Deformity) yimeko ebizwa ngokuba yi (Boutonniere Deformity) . Kule meko, ilungu eliphakathi ligoba phambili kwaye ilungu elikwincam yomnwe ligoba ngasemva. Xa imisipha eyahlukeneyo emnweni wakho yonakele, ulungelelwaniso oluthambileyo lwamandla atsala amalungu lunokutshintsha. Kulapho iminwe iqala ukugoba ngeendlela ezahlukeneyo ngolu hlobo. Uninzi lwabantu lukhula olu hlobo (Swan Neck Deformity) ngenxa yemeko yokudumba efana ne (Rheumatoid Arthritis). Kodwa kwabanye, lunokubangelwa kukwenzakala. Abantu abaneengxaki ezithile zemithambo-luvo nabo banokukhula (Swan Neck Deformity).

Zithini iimpawu zeSwan Neck Deformity?

Uphawu oluphambili lwale meko kukuba amalungu eminwe yakho agobile ngendlela engaqhelekanga. Xa unolu hlobo lokukhubazeka, umnwe okanye iminwe yakho ikwimeko enjalo nokuba imile. Le meko inokuba mandundu ngokuhamba kwexesha. Usenokuba nobunzima bokuwolula okanye ukugoba umnwe ochaphazelekayo, kwaye unokuba nobunzima bokusebenzisa isandla sakho.

Ungayibona iSwan Neck Deformity ngokujonga imo eyahlukileyo ka-'S' emnweni:

• Indawo ekude ekufutshane nesikhonkwane igobile phambili kwaye inyuke njengencochoyi yentaba.
• Ilungu eliphakathi ligobile kwaye lehlisiwe njengentlambo.

Ezinye iimpawu ezinokubakho zezi:

• Ukuqina kwamalungu eminwe okwanda ngokuhamba kwexesha.
• Ukuziva uqhaqhazela xa uzama ukusebenzisa umnwe wakho.
• Ukuziva intlungu xa uzama ukugoba okanye ukusebenzisa umnwe.
• Ubunzima bokusebenzisa isandla .

Kutheni oku kusenzeka? Zithini izizathu zeSwan Neck Deformity?

Kusenokuba kukho izizathu ezininzi zoku.

• Iimeko ze-arthritis : ingakumbi ezo zichaphazela amalungu ezandlaOku kudla ngokubangelwa ziimeko zokudumba ezifana ne -rheumatoid arthritis . I-Psoriatic arthritis nayo inokuba yimbangela. Ezi meko zonakalisa izicubu ezithambileyo emnweni kwaye zenze buthathaka imisipha.
• Izifo zeZicwili eziQhagamshelweyo : Ezinye izifo ezichaphazela izandla zakho, ezifana ne -scleroderma kunye ne-lupus, zingonakalisa nezicubu ezithambileyo kwaye zenze buthathaka imisipha.
• Ukuqaqamba kwemisipha: Ezinye izifo zemithambo-luvo, ezifana nokwenzakala kwengqondo okanye i-cerebral palsy, zinokubangela ukuqaqamba kwemisipha ngokungazi. Oku kunokubangela ukuba ezinye izihlunu zomnwe ziqine kakhulu, nto leyo ebangela ukungalingani.
• Ukulimala Okubuhlungu: Ukulimala komnwe, okufana nokukruneka, ukwaphuka, okanye ukwenzakala komnwe (okufana neMallet Finger) , kunokubangela le meko. Kungabangelwa kukukrazula okanye ukukrazula imisipha ethile emnweni (Swan Neck Deformity).

Amalungu eminwe ayaphazamiseka ngale ndlela xa kukho into eyonakeleyo kwindlela ethambileyo enceda amalungu eminwe agobe kwaye aqonde – siyibiza ngokuba yi -'extensor mechanism' . Le yinkqubo entsonkothileyo kakhulu. Imisipha kunye nemisipha zisebenza kunye, njengezikhonkwane kunye neepulleys, kumalungu eminwe. Ngenxa yokuba zonke ezi ndawo zisebenza kunye kwaye zilungelelana, umonakalo kwenye indawo uchaphazela amanye amalungu ngeendlela ezahlukeneyo. Ukuba amandla atsala kwelinye icala kwelinye ilungu ayancipha, amandla atsala kwelinye icala kwelinye ilungu anokwanda. (Swan Neck Deformity) Idla ngokuqala kwelinye ilungu, kwaye amanye amalungu atshintsha ngendlela efanayo.

Kukho iindlela ezintathu eziphambili ezinokwenzeka ngayo oku:

• Ukuba i-extensor tendon ephezu komnwe wakho yonakele okanye ibuthathaka.
• Ukuba i-ligament engaphantsi komnwe (i-Volar Plate Ligament) yonakele okanye ibuthathaka.
• Ukuqina kwenzeka xa izihlunu zomnwe ziqina kakhulu kwaye ziqina.

Ugqirha uyibona njani le nto?

Ugqirha uza kuhlola umnwe okanye iminwe yakho ukuze abone ukuba une-swan neck deformity. Baza kujonga ukuba ungagoba uze wolule kangakanani ijoyinti, kunye nokuba iqine kangakanani. Baza kubuza nangembali yakho yempilo, naziphi na izifo ezingapheliyo onazo, okanye naziphi na iingozi ezinokuba negalelo kule meko.

Mhlawumbi ungenza novavanyo olunje:

• (ii-X-reyi) okanye (i-MRI) scan – ukujonga ukuba akukho monakalo okanye isifo samathambo.
• Uvavanyo lwegazi – Ukunceda ekufumaneni izifo ezibangelwa kukudumba.

Yintoni enokwenziwa ukunyanga oku?

Oogqirha badla ngokuzama ukulungisa oku (Swan Neck Deformity) ngokusebenzisa unyango lwezandla kunye ne -splinting (oko kukuthi, ukufaka inkxaso emnweni). Ingcali yezandla ingakunika iintlobo ezahlukeneyo ze-finger splints kwaye ilungise amalungu ahlukeneyo kancinci kancinci. Banokukufundisa nokuzilolonga okulula kweminwe onokukwenza ekhaya.

Nangona kunjalo, ukuba amalungu akho aqinile kakhulu okanye ukuba wenzakele ekufuneka ilungiswe, unokufuna utyando . Ngexesha lotyando, ugqirha wakho unokufuna ukukhulula ezinye izicwili aze alungise ezinye. Okanye, imisipha yakho inokufuna ukushukunyiswa ukuze kulungiswe amandla amalunga akho eminwe. Emva kotyando, unokufuna ukunxiba i-splint kwaye uqhubeke nonyango lwezandla.

Ndingalindela ntoni kule meko?

Unyango lunokuyiphucula imeko kwaye lubuyisele umgama othile wokunyakaza emnweni. Iziphumo zilungile ngakumbi ukuba imeko ifunyanwe kwangethuba kwaye inyangwa kwangethuba. Nangona kunjalo, notyando lusenokungakwazi ukuyilungisa ngokupheleleyo imeko. Ukuba unesifo esingapheliyo esibangela loo nto, kusenokwenzeka ukuba siya kuphinda sibuye.

Ndingenza ntoni mna?

Nokuba unyangwa okanye utyando, unyango lwezandla lubaluleke kakhulu ekuchacheni kwakho ixesha elide. Oku kuyinyani ngakumbi ukuba unesifo esithile esibangela ukukhubazeka kwentamo yeswan. Ukuqhubeka usebenzisa unyango lwezandla emva konyango yeyona ndlela ilungileyo yokufumana iziphumo ezilungileyo.

Unyango lokukhubazeka kwentamo yeswan ludla ngokuxhomekeka ekunyangeni imeko engaphantsi. Ngamanye amaxesha kunokuba nzima, kuxhomekeke kwimeko engaphantsi. Umzekelo, ukwenzakala kube kanye kunokulungiswa ngotyando, kodwa iimeko ezingapheliyo ezifana ne-rheumatoid arthritis zifuna unyango lobomi bonke.

Ugqirha wakho uza kwenza konke okusemandleni akhe ukulawula izinto ezahlukeneyo ezibangela ukuba i-Swan Neck Deformity ibe nzima. Baza kukunika neengcebiso malunga nendlela yokuthintela ukuba imeko ingabi mandundu kwaye ingaphindi ivele. Baza kukuxelela nezinto onokuzenza ekhaya ukuze ugcine ukusebenza kunye nokunyakaza kangangoko kunokwenzeka, nokuba iminwe yakho ijongeka yahlukile kancinci.

Ngoko ke, zeziphi izinto ekufuneka sizikhumbule kuzo zonke ezi zinto?

• Ukukhubazeka kweNtlako yeSwan kukukhubazeka apho umnwe ugotywa ube yimo 'S', njengentamo yeswan. Oku kwenzeka xa incam yomnwe igobile phambili kwaye ilungu eliphakathi ligobile ngasemva.
• Oku kudla ngokubangelwa zizifo ze-arthritis ezifana ne -rheumatoid arthritis , kodwa kunokubangelwa naziingozi, ezinye izifo zezicubu ezidityanisiweyo, kunye neengxaki zemithambo-luvo.
• Iimpawu eziphambili kukuqina komnwe, isandi 'sokunqakraza' xa uwugoba, iintlungu, kunye nobunzima bokusebenzisa isandla.
• Oku kungafunyaniswa ngovavanyo lwezonyango, mhlawumbi i-X-ray okanye i-MRI .
• Unyango lwezandla , ukuqhawula imilenze , kwaye ngamanye amaxesha utyando zezona ndlela ziphambili zonyango.
• Kubaluleke kakhulu ukuqala unyango kwangethuba. Kwakhona, unyango olufanelekileyo lwemeko esisiseko kunye nonyango oluqhubekayo ngesandla kubalulekile ukuze uphile.

Ukuba unale mpawu, kungcono ukufuna ingcebiso kagqirha ngaphandle kokukhathazeka. Unyango olukhawulezileyo lunokuvelisa iziphumo ezilungileyo kakhulu.

Ukukhubazeka kweNtlambo yeSwan , Ukwandiswa kweMinwe, Isifo samathambo, Izifo zamalungu, Unyango lwezandla, Intlungu yeMinwe