Ingaba ingaphakathi lengqiniba yakho libuhlungu? Ngaba kukwenzakala kwe-(UCL)? Makhe sithethe ngale nto!

Ngaba wakha waziva iintlungu ngaphakathi kwengqiniba yakho ngelixa udlala ibhowla, udlala i-volleyball, okanye uphakamisa izinto ezinzima? Ngamanye amaxesha, unokufumana ezi ntlungu zibukhali xa uwa uze ubethe isandla sakho okanye xa ubethe ingqiniba yakho ndaweni ithile. Ixesha elininzi, oku kubangelwa kukonakala kwe-Ulnar Collateral Ligament (UCL) kwingqiniba yakho. Le yibhanti eqinileyo yezicubu enceda ukugcina ilungu lakho lengqiniba lizinzile kwaye lithe tye. Ifana nebhanti yerabha, kodwa iyolula, kodwa inamandla.

Yintoni kanye kanye le `(UCL)`? Isebenza njani engqinibeni?

Ngamafutshane, i-UCL yibhanti eqinileyo yezicubu ngaphakathi kwengqiniba yakho, kwicala lomzimba wakho. Ukuchaneka, yi-ligament. I-ligament yibhanti eqinileyo edibanisa amathambo kunye. Umsebenzi wayo ophambili kukugcina i-elbow yakho izinzile xa uphosa into phezulu, umzekelo, xa uphosa ibhola yekriketi okanye udlala i-volleyball. Ikwathintela i-elbow yakho ekujikeni ukuya phambili ngokungeyomfuneko.

Ngoku khangela, ilungu lethu lengqiniba lenziwe ngamathambo amathathu. Ithambo elikhulu elingalweni yakho engasentla, silibiza ngokuba yi-`(Humerus)`, kunye namathambo amabini angalweni yakho esezantsi, oko kukuthi, inxalenye engaphantsi kwengqiniba - i-`(Ulna)` kunye ne-`(Radius)`. Le `(UCL)` ingaphakathi kwengqiniba, oko kukuthi, kwicala apho umnwe wakho omncinci ukhona. Ikwanazo neenxalenye ezintathu - i-`(anterior band)`, i-`(posterior band)` kunye ne-`(transverse band)`. Eyona ibalulekileyo kwezi zintathu yi-anterior band . Inceda ukugcina ingqiniba izinzile kakhulu.

Ukulimala kwe-`(UCL)` kuhlulwa njani?

Ukulimala kule ligament "ye-UCL", okanye "ukuqhekeka" njengoko sikubiza njalo, kwahlulwe ngokwamanqanaba amathathu. Olu hlu lwenziwa ngokwezinga lomonakalo.

• Ibanga loku-1: Oku kuxinzelelo kwi-ligament, kodwa akukrazuki. Kusenokubakho iintlungu nokudumba.
• Ibanga lesi-2: I-ligament yoluliwe, kwaye mhlawumbi ikrazukile kancinci . Intlungu inamandla ngakumbi, kwaye ingqiniba isenokuvakala ngathi ayizinzanga.
• Ibanga lesi-3: Eli lelona tyala linzima kakhulu. Apha i-ligament ikrazukile ngokupheleleyo . Ngamanye amaxesha inokusuka kwithambo.

Zithini iimpawu zokwenzakala kwi-UCL?

Iimpawu ziyahluka ngokuxhomekeke kubukhulu besifo.

Iimpawu zesifo esincinci okanye esiphakathi:

• Intlungu ngaphakathi kwengqiniba kunye nokuziva ubuhlungu xa uhlikihla ingalo yakho. Ingakumbi emva kokwenza into ebandakanya ukuphakamisa ingalo yakho, njengasemva komdlalo wekhilikithi.
• Intlungu xa ushukumisa ingalo phambili ngokukhawuleza (umz., ukuphosa ibhola).
• Ingqiniba ivakala ibuthathaka, ikhululekile, kwaye ayinamandla ngokwaneleyo.
• Ukuziva ubuthathaka xa ubambe into esandleni sakho, ngokungathi awukwazi ukuyibamba, okanye ngathi uyayilahla loo nto.
• Ukungakwazi ukuphosa nantoni na ngokukhawuleza okanye ngamandla njengangaphambili.

Iimpawu xa i-ligament ikrazukile ngokupheleleyo:

• Intlungu ekhawulezileyo ngaphakathi kwengqiniba kunye nesandi esithi "pop" , ngokungathi kukho into eqhumileyo.
• Intlungu enzima kakhulu.
• Ukungakwazi ukulahla nantoni na.
• Ngamanye amaxesha usenokuba ne-hayidream okanye ukuphelelwa yimvakalelo kumnwe wakho omncinci okanye kumnwe weringi. Oku kuthetha ukuba umthambo wakho we-ulnar wonakele okanye ucinezelwe.

Zithini izizathu zokwenzakala kwi-UCL?

Kukho izizathu ezibini eziphambili zokuba kwenzeke ezi `(UCL)` zenzakale. Esinye kuxinzelelo oluqhubekayo engqinibeni (silubiza ngokuba yi`(Ukusebenzisa ngokugqithisileyo)`), kwaye esinye yingozi engalindelekanga `(Ukwenzakala)`.

Ukulimala ngokugqithisileyo

Esi sisizathu esidla ngokuba sisizathu sokuba kwenzeke ukwenzakala kwi-UCL. Iintshukumo eziphindaphindwayo eziphezu kwentloko, ezifana nokubhowula kwekhilikithi okanye ukujijeka komdlali wevolibholi, kubeka uxinzelelo kule ligament. Emva kweenyanga, okanye iminyaka, i-UCL iyanda kancinci kancinci, yenzakale, kwaye kuvela ukukrazuka okuncinci (ii-microtears). Ekugqibeleni, ilungu lengqiniba liyakhululeka kwaye lingagungqi. I-ligament inokudumba, ikrazuke kancinci okanye ngokupheleleyo, okanye elinye icala le-ligament linokuphuma ethanjeni.

Ukulimala okubuhlungu

Ezi azibangelwa kukusetyenziswa ixesha elide. Zinokubangelwa kukubetheka ngequbuliso engqinibeni, njengokuwa. Umzekelo, uyawa uze wolule isandla ubambe umhlaba, ucinga "ukuyeka ukuwa." Emva koko ingqiniba "inokukhubeka", oko kuthetha ukuba ilungu liphukile, okanye ithambo "linokuqhekeka". Ngamaxesha anje, kukho ithuba elikhulu lokuba "i-UCL" nayo yonakale.

Ngaba ukwenzakala kwe-UCL kungakwenza ungakwazi ukusebenzisa ingalo yakho?

Ngokwesiqhelo, ukwenzakala kwe-UCL akuyi kuba nefuthe elikhulu kwimisebenzi yakho yemihla ngemihla, njengokuphakamisa ibhegi okanye ukuphakamisa izinto ezingabandakanyi ukuphosa. Nangona kunjalo, usenokungakwazi ukuthatha inxaxheba kwimidlalo yokuphosa okanye eminye imisebenzi yokuphakamisa okunzima efuna ukuba uphakamise ingalo yakho.

Uyifumanisa njani ngokuchanekileyo ingozi ye-UCL?

Xa ubona ugqirha, odla ngokuba yingcali yamathambo okanye ingcali yezonyango zemidlalo, uza kukubuza ngembali yakho yezonyango kunye nayo nayiphi na imidlalo oyidlalayo. Emva koko baza kwenza uvavanyo lomzimba.

Kolu vavanyo,

• Umgama onokugoba nokwandisa ingqiniba yakho ubizwa ngokuba yi-"range of motion".
• Amandla engqiniba ayavavanywa.
• Ijonga uzinzo lwengqiniba.
• Imeko yezihlunu zesandla iyajongwa.
• Mhlawumbi baza kujonga negxalaba.
• Babuza nokuba iphi kanye kanye intlungu.

Ukongeza, ugqirha angayalela iimvavanyo ezifana nezi:

• Uvavanyo loxinzelelo lweValgus:Olu luvavanyo lomzimba. Ugqirha uza kuphakamisa ingalo yakho malunga nama-30 degrees, abeke iminwe yakhe apho i-UCL yakho ikhona, aze acinezele ngaphakathi kwengqiniba yakho nangaphandle kwengalo yakho. Ukuba uziva iintlungu kunye nokungakhululeki kwijoyinti yengqiniba, oku kuphakamisa ukurhanelwa kokwenzakala kwe-UCL.
• Ii-CT Scans (i-Computed Tomography - i-CT) kunye nee-X-ray: Olu vavanyo lokujonga imifanekiso lunokujonga imeko yamathambo, njengokuqhekeka koxinzelelo. Nangona kunjalo, abanakuzibona ngokuthe ngqo izicubu ezithambileyo ezifana ne-UCL.
• I-MRI scan (Magnetic Resonance Imaging - MRI): Oku kunokubona ngokucacileyo umonakalo kwizicubu ezithambileyo ezifana nemisipha kunye nemisipha. Kunokubona ukwaphuka kwamathambo amancinci angenakubonwa kwi-X-ray.
• I-Arthrography: Oku kufana ne-MRI scan, kodwa idayi ekhethekileyo ifakwa kwi-elbow joint ngaphambi kokuba i-scan iqale. Oku kuvumela imifanekiso ecacileyo yeengxaki ezinzima ukuzifumana.

Inyangwa njani inxeba `(UCL)`?

Unyango luxhomekeke kubukhulu bokwenzakala kwakho kwi-UCL kunye nokuba ulindele ukwenza umsebenzi ongakanani okanye ukuphosa ngaphezulu kwentloko yakho. Ukuba une-UCL krazukile kancinci, isenokuphola ngokwayo. Unyango olungelulo utyando lunokunceda ukunciphisa iintlungu.

Unyango olungelulo utyando:

• Ukuphumla: Le yeyona nto ibalulekileyo. Kufuneka uthathe ikhefu kwimisebenzi ebeka uxinzelelo kwiingqiniba zakho okwethutyana.
• Amayeza angengowe-steroidal alwa nokuvuvukala (NSAIDs): Imizekelo ibandakanya i-ibuprofen (Advil®, Motrin®) kunye ne-naproxen (Aleve®). La mayeza anciphisa ukudumba kunye nentlungu. Ukuba kuyimfuneko, ungafumana i-NSAID enamandla acetyiswa ngugqirha wakho.
• Umkhenkce: Faka umkhenkce engqinibeni yakho imizuzu eli-15-20 izihlandlo ezininzi ngemini. Oku kuya kunciphisa iintlungu nokudumba.
• Unyango lomzimba: Kufuneka umthambo okhethekileyo ukuze kuqiniswe izihlunu ezijikeleze ingqiniba. Oku kuya kwandisa inkxaso enikwa ingqiniba.
• Inaliti yePlasma etyebileyo kwiPlasma (PRP): Oku kuquka ukuthatha inani elincinci legazi lakho uze wahlukanise uhlobo lweseli olubizwa ngokuba ziiplatelets. Ezi platelets emva koko zifakwa kwindawo ye-UCL eyonakeleyo. Ezi platelets zineempawu zokuphilisa, ngoko ke zinokuba luncedo kubantu abane-UCL ekrazukileyo.

Unyango lotyando:

• Ukulungiswa ngqo kwe-UCL: Ukuba i-ligament yakho ye-UCL ikrazukile kwithambo ngengozi yequbuliso, kusenokwenzeka ukuba uyidibanise kwakhona nethambo.
• Ukwakhiwa kwakhona kwe-UCL (utyando lukaTommy John): Ukuba i-UCL yakho ayizinzanga okanye ikrazukile ngokupheleleyo, kwaye unyango olungelulo utyando aluyithomalalisi intlungu, okanye ukuba ungumdlali wezemidlalo kwaye uqhubeka nokudlala imidlalo yokuphosa, imidlalo ephezu kwentloko, okanye ukuphakamisa izinto ezinzima, ugqirha wakho uya kucebisa utyando lokwakha i-UCL.

Kule nkqubo, ugqirha uthatha i-tendon kwenye inxalenye yomzimba wakho (umz., umlenze wakho, ingalo) okanye i-tendon evela kumntu onikelayo aze ayincamathisele emathanjeni e-ulna nase-humerus engqinibeni yakho ukuze enze i-UCL entsha. Ngamanye amaxesha, inxalenye eseleyo ye-UCL endala ifakwa kwilungu elitsha ukuze iqine.

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Iinjongo eziphambili zotyando kukubuyisela uzinzo kunye nomgama wokuhamba kwengqiniba, ukonyusa amandla engqiniba, kunye nokunciphisa iintlungu.

Kutheni le nto olu tyando lokwakha ngokutsha `(UCL)` lubizwa ngokuba `(Tommy John Surgery)`?

Eli libali elinomdla kakhulu. Olu tyando luthiywe ngegama lomntu wokuqala olwenziweyo. UTommy John ngumdlali weMajor League Baseball odumileyo owakrazula i-ligament yakhe (ye-UCL) ngo-1974. Wayengekho emdlalweni malunga nonyaka, kodwa wayengumdlali wokuqala olwenziwayo waza wabuyela ngempumelelo kwi-baseball. Ngoko ke olu tyando luthiywe ngegama lakhe ukuze ahlonitshwe.

Zeziphi ii-tendon ezisetyenziswa kakhulu ekwakheni kwakhona i-UCL?

Elinye lala ma-tendon lidla ngokusetyenziswa kwi-graft:

• I-tendon ngasemva kwethanga (i-Hamstring tendon)
• I-tendon ekwisandla sakho esisezantsi ibizwa ngokuba yi-"Palmaris longus tendon" (oku akwenzeki kuwo wonke umntu)
• I-tendon enceda ukuphakamisa uzwane olukhulu phezulu (i-Big toe extensor tendon)

Zithini iingxaki zotyando lokwakha ngokutsha i-UCL?

Njengakwezinye iintlobo zotyando, kukho iingozi zokosuleleka kunye nemiba enxulumene ne-anesthesia.

Ukongeza, kukho iingxaki ezithile malunga nokwakhiwa kwakhona kwe-UCL:

• I-graft entsha efakweyo ingatsala okanye ikrazuke kwakhona. Ukuba oku kuyenzeka, kuya kufuneka utyando lwesibini ukuze kufakwe i-graft entsha.
• Umonakalo wemithambo-luvo ye-Ulnar. Ngenxa yokuba le mithambo-luvo idlula kwi-elbow joint, ugqirha wotyando unokufuna ukuhambisa i-nerve ngaphambili kwi-elbow joint ukuthintela umonakalo ongakumbi.

Ungayinciphisa njani ingozi yokwenzakala kwi-UCL?

Ukulungiselela kakuhle, ukufunda indlela efanelekileyo yokubeka ingqiniba, kunye nokuphumla xa uziva iintlungu okanye ukungakhululeki kwingqiniba yakho kunokunceda ukuthintela ukwenzakala kwe-UCL.

Ingakumbi abadlali aba:

• Fumana uqeqesho olufanelekileyo: Funda indlela yokuphosa ngokuchanekileyo nendlela yokusebenzisa isandla sakho.
• Umda wokubala iphimbo: Kuphephe ukuphosa iiphimbo ezininzi kakhulu ngaxeshanye.
• Phumla ngokwaneleyo: Nika izihlunu zakho kunye nemisipha ixesha lokuphola.
• Yenza uqeqesho lokuzolula nokuqinisa: Oku kuqinisa izihlunu ezijikeleze ingqiniba.
• Kuphephe ukuphosa ingalo ecaleni: Oku kubeka uxinzelelo olungakumbi kwingqiniba.

Kuthatha ixesha elingakanani ukuphola emva kokwenzakala kwi-UCL?

Oku kuyahluka ngokuxhomekeke kubukhulu besifo kunye nendlela yokusinyanga.

Ngaphandle kotyando:

Ukuba une-UCL drain, kungathatha iiveki ezimbalwa ukuya kwiinyanga ezimbalwa ukuphola. Eli xesha lixhomekeke ekubeni ufuna ukubuyisela intshukumo engakanani kwingqiniba yakho.

Emva kotyando lokwakha kwakhona `(UCL)`:

Kungathatha iinyanga ezili-9 ukuya kunyaka, okanye nangaphezulu, ukuba uphile. Kusenokufuneka unxibe i-brace ekhethekileyo ukuze uncede ukwandisa umgama we-elbow yakho wokunyakaza. Ukuba uceba ukubuyela kwimidlalo echaphazela kakhulu, kuya kufuneka wenze inkqubo yonyango lomzimba kunye nolawulo lweentlungu eyenzelwe wena. Oku kuya kunceda ukuqinisa i-elbow yakho kwaye kuphucule umgama we-elbow yakho wokunyakaza kunye nokusebenza.

Singabanceda njani ekukhuseleni abadlali bezemidlalo ekulimaleni okubangelwa kukusetyenziswa ixesha elide ngolu hlobo?

Nazi ezinye izinto onokuzenza ukukhusela abadlali abaselula ekulimaleni ngokugqithisileyo:

• Fumana uhlolo lwezonyango ngaphambi kwexesha lemidlalo: Oku kunokunceda ekuchongeni iingxaki zempilo kwangethuba ezinokubangela ukwenzakala ixesha elide.
• Funda indlela echanekileyo yokuphosa: Kubalulekile ukuyifunda ngokufanelekileyo kumqeqeshi.
• Gcina umda kwinani leebhola eziphoswayo kumdlalo omnye.
• Zibandakanye kwinkqubo yokomeleza umzimba unyaka wonke: Oku kufanele kuquke umthambo wokuzolula nokuqinisa umzimba.
• Qiniseka ukuba wenza umthambo wokuzifudumeza nowokupholisa umzimba ngaphambi nasemva kwemidlalo.
• Ungaze udlale okanye uqeqeshe ukuba wenzakele okanye uneentlungu.
• Kuphephe ukudlala umdlalo ofanayo unyaka wonke: Khuthaza abadlali abaselula ukuba bathathe ikhefu ngamanye amaxesha. Oku kuya kunika amaqela emisipha, imisipha, kunye nemisipha esetyenziswa ngendlela efanayo ikhefu.

Yintoni `(Ingqiniba yeLittle Leaguer)`?

Le yimeko echaphazela iingqiniba zabantwana abancinci, ingakumbi abantwana abakwiminyaka yesikolo. Enyanisweni yingxaki yeengqiniba zokukhula. Iingqiniba zokukhula ziindawo zamathambo ezenza i-elbow joint. Ngenxa yokuba amathambo abantwana abancinci asakhula, ezi zingqiniba zokukhula zibuthathaka kunezinye iindawo zamathambo, ii-ligaments, kunye nee-tendon. Uxinzelelo olukhulu ngexesha lokuphosa lufika kweli nqanaba libuthathaka, i-growth plate. Olu xinzelelo lunokonakalisa izicubu kunye namathambo abadlali abancinci xa bephoswa rhoqo. Ukuba umdlali wakho oselula ukhalaza ngentlungu ye-elbow, qiniseka ukuba uyabaxilonga ngugqirha, ugqirha wamathambo, okanye ingcali yezonyango zemidlalo.

Okokugqibela, izinto ekufuneka uzikhumbule

Ukulimala kwe-Ulnar Collateral Ligament (UCL) kukulimala ngaphakathi kwengqiniba. Oku kubangelwa kakhulu kukusetyenziswa kakhulu ixesha elide. Nangona kubonakala kakhulu kubadlali bebhola, kunokwenzeka nakubani na ophakamisa iingalo zakhe ezisindayo. Iimpawu eziphambili ziintlungu kwingqiniba kunye nokuthamba xa ingalo ichukunyiswa. Abanye abantu banokufumana intlungu ekhawulezileyo, "ecofayo" ngaphakathi kwengqiniba.

Ukuba awungomdlali weqonga okanye awuphakamisi izinto ezisindayo, ingqiniba yakho ingaphola ngonyango olulula olufana nokuphumla, umkhenkce, amayeza, kunye nonyango lomzimba. Nangona kunjalo, ukwenzakala okukhulu ngakumbi kunye nabadlali banokufuna utyando, olufana noTommy John Surgery. Ngokuxhomekeke kubukhulu bokwenzakala kwakho kunye nokuba ungakanani umsebenzi ongaphezulu ofuna ukuwenza, wena kunye nogqirha wakho ninokugqiba eyona ndlela ilungileyo yonyango. Ke ngoko, ukuba unentlungu yengqiniba, kubalulekile ukufuna ingcebiso kagqirha ngaphandle kokuyityeshela.

Iintlungu zengqiniba , ukwenzakala kwi-UCL, utyando lukaTommy John, ukwenzakala kwezemidlalo, ukukrazula kwemisipha, utyando lwengqiniba, unyango lomzimba