Ngaba ungumdlali wezemidlalo odlala ikhilikithi, i-volleyball, okanye abaphosa i-javelin? Ngoko mhlawumbi uqhelene nentlungu evela ngaphakathi kwengqiniba yakho. Oku kwenzakala kuqhelekile kwimidlalo equka ukuphosa into ngengalo yakho. Ngamanye amaxesha le ntlungu inokuba nkulu kangangokuba inokuphelisa umsebenzi wakho wezemidlalo. Namhlanje sithetha ngotyando olukhethekileyo oluza kunceda ngamaxesha anjalo kwaye lusindise ikamva labadlali abaninzi. Olu "tyando lukaTommy John".
Ngamafutshane, yintoni utyando lukaTommy John?
Kulula kakhulu. Utyando lukaTommy John lutyando olulungisa i-ligament ekhethekileyo engqinibeni yakho. Ngokwezonyango, olu tyando silubiza ngokuba lutyando lokutshintsha i-UCL (Ulnar Collateral Ligament).
Cinga nge-elbow joint yakho njenge-hinge yocango. Kukho imitya kumacala omabini ale hinge eyibamba endaweni yayo ngaphandle kokujikeleza ngokungeyomfuneko, akunjalo? Ngokufanayo, kukho i-band eqinileyo ngaphakathi kwe-elbow egcina i-elbow joint izinzile, esiyibiza ngokuba yi-`(Ulnar Collateral Ligament)` okanye `(UCL)`.
Ngokufanayo, xa uphosa into ngoxinzelelo olukhulu engalweni ngokuphindaphindiweyo (ingakumbi abadlali bebhola ekhatywayo abakhawulezayo kwi-cricket, abadlali be-baseball, abaphosa i-javelin), le ligament `(UCL)` inokolulwa kancinci kancinci, ikrazuke kwaye yonakale. Olu tyando lwenzelwe ukulungisa loo ligament yonakeleyo.
Kutheni ke oku kubizwa ngokuba 'nguTommy John'?
Kukho ibali elinomdla kakhulu emva koku. Olu tyando lwafumana igama lalo kumdlali we-baseball odumileyo waseMelika ogama linguTommy John . Wayengumdlali we-bowler. Ngo-1974, le ligament "ye-UCL" engqinibeni yakhe yayikrazukile kakhulu. Ngelo xesha, yayiyinto eyayinokuphelisa umsebenzi wakhe wokudlala. Kodwa oogqirha benza utyando olutsha baza baphilisa ingqiniba yakhe. Emva konyaka ephumle, uTommy John waqala ukudlala kwakhona ngempumelelo. Ukususela ngoko, olu tyando lwaziwa ngokuba yi-"Tommy John surgery".
Ngaba ndiyaludinga ngokwenene olu tyando?
Le yingxaki abantu abaninzi abajongene nayo. Ukuba ungumdlali wezemidlalo nje, unokukwazi ukuyinyanga le meko ngokunika ingqiniba yakho ukuphumla ngokwaneleyo kunye nolunye unyango.
Nangona kunjalo, ukuba ungumdlali okhuphisanayo okanye oqeqeshiweyo omsebenzi wakhe wonke uxhomekeke kule ndlela yokuphosa, olu tyando lunokuba lubalulekile kuwe. Izinto eziphambili ezilindelweyo kolu tyando zezi:
- Ukuzinzisa ingqiniba yakho.
- Ukunciphisa iintlungu.
- Ukubuyisela uluhlu lwentshukumo engqinibeni.
Ngexesha lotyando, ugqirha wakho usebenzisa i-tendon ephilileyo evela kwenye indawo emzimbeni wakho ukuze ithathe indawo ye-UCL eyonakeleyo. Oku kubizwa ngokuba yi-graft. Le graft inamathele kwithambo lengalo ephezulu (i-humerus) kunye nethambo lengalo (i-ulna) ukuze isebenze njenge-UCL entsha.
Uzilungiselela njani ngaphambi kotyando?
Ugqirha wakho uza kukuchazela yonke into ekufuneka uyenze ngaphambi kotyando. Ngokwesiqhelo, kuya kufuneka wenze oku kulandelayo:
- Uvavanyo olupheleleyo lomzimba ukuze kubonwe ukuba usempilweni ngokwaneleyo na ukuba ungatyandwa.
- Uvavanyo lwegazi oluninzi.
- Uvavanyo lomfanekiso, olufana ne -X-ray , i-CT scan , okanye i-MRI scan , lunokufuneka ukuze kuhlolwe ngokucacileyo imeko yengqiniba.
- Uvavanyo lwe-ECG lokujonga ukusebenza kwentliziyo.
- Ukuhlolwa kwamazinyo ukuze kuncitshiswe umngcipheko wokosuleleka emva kotyando.
Kubaluleke kakhulu: Qiniseka ukuba uxelela ugqirha wakho malunga namayeza, iivithamini , okanye amayeza esintu owasebenzisayo. Amanye amayeza anokufuneka amiswe kwiintsuku ezimbalwa ngaphambi kotyando.
Ugqirha wakho uza kukuxelela ukuba kufuneka uyeke ukutya nokusela ixesha elingakanani ngosuku olungaphambi kotyando lwakho. Ngokwesiqhelo, kuya kufuneka uyeke ukutya nokusela malunga neeyure ezili-12 ngaphambi kotyando lwakho.
Kwenzeka ntoni ngexesha lotyando?
Ngaphambi kokuba utyando luqale, ingcali yokubulala iintlungu iza kukufaka phantsi kwe -anesthesia eqhelekileyo ukuze ungabi nantlungu ngexesha lotyando.
Utyando ludla ngokwenzeka ngala manyathelo alandelayo:
1. Ukujonga ngaphakathi kwengqiniba: Okokuqala, ugqirha wotyando unokufaka ikhamera encinci (i-arthroscopy) ukujonga omnye umonakalo ngaphakathi kwengqiniba.
2. Ukufumana i-Graft: Ukuze kwenziwe i-ligament entsha, isiqwenga se-tendon esisempilweni esiyi-intshi ezi-6-7 sithathwa kwenye indawo emzimbeni wakho. Esi siqhelo sithathwa kwingalo yakho. Ngamanye amaxesha, i-hamstring ingathathwa nangasemva kwedolo lakho .
3.Ukucoca: Zonke izicwili ezonakeleyo ngaphakathi kwengqiniba ziyasuswa.
4. Ukulungiswa kwamathambo: Okulandelayo, kugqojozwa imingxunya emibini kwithambo lengalo (ulna) kwaye kugqojozwa imingxunya emithathu kwinxalenye emile njengo-Y yethambo lengalo ephezulu (ihumerus).
5. Ukufaka i-ligament entsha: I-"graft" ye-tendon esusiweyo ngaphambili idlula kule mingxunya ize iqiniswe njenge-ligament entsha. Izikrufu ezincinci zingasetyenziselwa ukuyibophelela ethanjeni.
6. Ezinye izinto ezilungiswayo: Ukuba umthambo we-ulnar okanye ezinye iindawo zengqiniba zonakele ngeli xesha, nazo ziya kulungiswa.
7. Ukuphela kotyando: Ekugqibeleni, inxeba lesikhumba liyagqunywa livalwe lize ligqunywe ngebhandishi ecocekileyo. Emva kotyando, kubekwa i -splint ukuthintela ukushukuma kwengqiniba.
Olu tyando ludla ngokuthatha imizuzu engama-60 ukuya kwengama-90 .
Ziziphi iingenelo kunye neengozi zotyando?
Njengalo naluphi na utyando, utyando lukaTommy John luneengenelo zalo kunye neengozi ezithile.
| Iinzuzo | Iingozi |
|---|---|
| Amandla abadlali abaninzi (80%-95%) okubuyela ngempumelelo ekudlaleni. | Usulelo kwindawo yotyando. |
| Ukunyamezela kunokuphuculwa xa uphosa into. | Ukungabi namandla ngenxa yomonakalo kwimithambo-luvo engqinibeni (umthambo we-ulnar). |
| Amathuba okuba kwenziwe utyando kwi-ligament efanayo kwakhona aphantsi kakhulu. | Ukonakala kwemithambo yegazi. |
| Ukuyekelela okanye ukuguguleka komsipha osandul’ ukufakwa (i-graft). |
Injani imeko yokuchacha emva kotyando?
Khumbula, kungathatha ixesha elingaphezu konyaka ukuchacha ngokupheleleyo emva kotyando lukaTommy John. Olu luhambo olude olufuna umonde.
Ugqirha wakho kunye nengcali ye-physiotherapist baza kukunika isicwangciso sokuchacha esifanelekileyo kuwe. Ingabonakala ngolu hlobo:
| Umda wexesha | Kwenzekani? |
|---|---|
| Iiveki ezimbalwa zokuqala | Kufuneka unxibe i-splint eqinileyo ukuze uthintele ingqiniba yakho. |
| Phakathi kwenyanga e-1-2 | Tshintshela kwi-hinged splint. Ziyaqala imithambo ye-physiotherapy. |
| Phakathi kweenyanga ezi-3-4 | Ukuba ufumana imvume kagqirha wakho, ungaqala ukuziqhelanisa nokuphosa kancinci kakhulu. |
| Phakathi kweenyanga ezi-6-9 | Uza kukwazi ukuthatha inxaxheba kuqeqesho olunemiqathango. Kubaluleke kakhulu ukulandela imiyalelo ngokuchanekileyo. |
| Phakathi kweenyanga ezili-12-18 | Ukuba akukho ngxaki, uya kufumana imvume yezonyango ukuze uthabathe inxaxheba ngokupheleleyo kukhuphiswano. |
Ufika nini kugqirha
Ukuba ufumana naziphi na ezi mpawu emva kotyando, kufuneka ufowunele ugqirha wakho ngoko nangoko .
- Iintlungu zesifuba
- Ubunzima bokuphefumla
- Umkhuhlane ongaphezulu kwama-39 Celsius (102 Fahrenheit)
- Iimpawu zosulelo ezifana nokopha okanye ulwelo olufana nobovu oluvela kwinxeba lotyando, ukudumba, ivumba elibi, kunye nokufudumala okungaqhelekanga.
- Intlungu entsha okanye eyandayo kwingqiniba, ingalo, okanye esandleni.
- Intlungu inzima kangangokuba ayinakulawulwa nokuba kusetyenziswe amayeza okudambisa iintlungu.
Khumbula, ukuba ufumana iintlungu esifubeni okanye ubunzima bokuphefumla, yiya ngqo kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngaphandle kokulibazisa. Ezi zinokuba ziimpawu zemeko embi kakhulu.
Utyando lukaTommy John sesona sisombululo siphumeleleyo kwingozi ephelileyo kwimidlalo eyadlulayo. Nangona ixesha lokuchacha lide, ngomonde nangokulandela imiyalelo kagqirha wakho ngqo, ungabuyela ngempumelelo ebaleni lokudlala. Ukuba ukhawuleza kwaye uqale uqeqesho ngaphambi kokuba ugqirha wakho akunike imvume, kusenokufuneka wenze utyando oluninzi kwaye ungabikho kwimidlalo ixesha elide nangakumbi. Ngoko ke umonde ngundoqo apha.
Umyalezo Wokuya Ekhaya
- Utyando lukaTommy John lutyando oluphumelele kakhulu olulungisa umonakalo kwi-collateral ligament (UCL) ngaphakathi kwengqiniba.
- Oku kubaluleke kakhulu kubadlali abangochwephesha abadlala imidlalo yokuphosa efana nekhilikithi kunye nebaseball.
- Kungathatha ixesha elingaphezu konyaka ukuze umntu aphile ngokupheleleyo emva kotyando, kwaye umonde nokuzinikela kubalulekile.
- Ukulandela imiyalelo kagqirha wakho kunye nengcali ye-physiotherapist ngokuchanekileyo yeyona ndlela ilungileyo yokubuyela ngempumelelo kwimidlalo.
- Musa ukungazinaki iimpawu ezilumkisayo ezifana neentlungu zesifuba, ubunzima bokuphefumla, kunye nomkhuhlane ophezulu emva kotyando. Funa ingcebiso kagqirha ngoko nangoko.
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