Ingabe umunwe wakho ugobile phakathi futhi kunzima ukuwuqondisa? Lokhu kungaba yi-Boutonniere Deformity!

Wake wabona, noma wabhekana nomunwe ogobile ngendlela engavamile futhi okunzima kakhulu ukuwuqondisa? Mhlawumbe umunwe ubukeka sengathi ugobile phakathi futhi unamathele, kanti isihloko sibheke phezulu. Lokhu kungaba yinto ephazamisayo kakhulu kwabanye. Namuhla sizokhuluma ngesimo esenzeka eminweni, esaziwa ngokwezokwelapha ngokuthi 'i-Boutonnière Deformity'.

Kuyini lokhu 'ukukhubazeka kwe-Boutonnière'?

Kalula nje, i-Boutonniere Deformity yisimo lapho ilunga eliphakathi lomunwe (noma ngezinye izikhathi, okungajwayelekile, uzwane) lingakwazi ukuqondiswa futhi libambeke endaweni egobile. Lokhu kusho ukuthi ilunga eliphakathi lomunwe ligobile phansi futhi alikwazi ukuqondiswa . Ngesikhathi esifanayo, ilunga lokugcina lomunwe, ilunga lapho kukhona khona uzipho, ligobile phezulu futhi libukeka njengephuzu.

Sinejoyinti emunweni wethu. Lelo joyinti eliphakathi, okungukuthi, ijoyinti lesibili elivela entendeni yesandla – ngokwezokwelapha silibiza ngokuthi ‘ijoyinti le-Proximal Interphalangeal’ (ijoyinti le-proximal interphalangeal) noma ‘ijoyinti le-PIP’ (ijoyinti le-PIP) ngamafuphi – yilokho okungenakugobeka, futhi kuyabhajwa uma kugobeka. Ngesikhathi esifanayo, ijoyinti lokugcina lomunwe – silibiza ngokuthi ‘ijoyinti le-Distal Interphalangeal’ (ijoyinti le-distal interphalangeal) noma ‘ijoyinti le-DIP’ (ijoyinti le-DIP) – ligobeka emuva futhi libheke phezulu.

Lokhu kubizwa ngokuthi `boutonniere`, okusho `imbobo yenkinobho` ngesiFulentshi. Isizathu salesi simo ukuthi lapho `i-tendon`, izicubu eziqinile ezixhumanisa umsipha nethambo, phezulu komunwe, yonakele, kwakheka imbobo encane phakathi kwemicu, njengembobo yenkinobho. Yilapho igama livela khona. Uma le `tendon` ingasebenzi kahle, ngeke ukwazi ukuqondisa ijoyinti lakho lomunwe.

Kungani lokhu kwenzeka? Yiziphi izizathu?

Imbangela eyinhloko yalokhu 'Ukukhubazeka kwe-Boutonnière' ukulimala kwezicubu ezisemunweni okubizwa ngokuthi 'i-central slip tendon'. Le 'tendon' yiyo esisiza ukuthi siqondise ijoyinti eliphakathi lomunwe. Igijima phezulu komunwe. Ungase uyibone ngisho nangaphezu kwejoyinti.

Ukulimala kwe-tendon ephakathi kokushelela engozini

Esikhathini esiningi, lesi simo sibangelwa ingozi. Cabanga ngezinto ezinjengalezi:

• Umunwe uyabhajwa noma ushayeke kakhulu: Isibonelo, uma udlala umdlalo ofana ne-volleyball noma i-netball, ibhola lishaya umunwe wakho ngamandla amakhulu. Noma umunwe wakho ubhajwa emnyango. Esimweni esinjalo, umsipha ungadonswa noma udabuke.
• Ukuphuka komunwe: Uma ithambo lomunwe liphuka, ingxenye yethambo eliphukile ingalimaza umsipha.
• Ukuhlukana kwelunga lomunwe: Uma ilunga lihlukana, imisipha nayo inganwetshwa futhi idabuke.
• Ukusikwa noma ukushaywa kanzima yinto ebukhali: Uma umunwe unqunywa yinto efana nommese, noma uma into esindayo iwela emunweni, lo msipha ungalimala.

Nakuba lolu hlobo lokulimala kwe-'central slip tendon' lungenzeka kunoma ubani, luvame kakhulu phakathi kwabadlali, njengoba kungenzeka kakhulu ukuthi bahlushwe ukulimala kwezemidlalo.

I-Arthritis nezinye izimo

Ngaphezu kwezingozi, i-Boutonniere Deformity ingenzeka ngezinye izizathu eziningana:

• I-rheumatoid arthritis: Lokhu nakho kuyimbangela enkulu. Ngenxa yokuvuvukala nobuhlungu obuhlala isikhathi eside emalungeni esandla, imisipha ingaba buthakathaka, inwebeke, futhi idabuke.
• Ukulimala kokusha: Ngezinye izikhathi umsipha ungaba buthakathaka futhi uqhume ngisho nokusha ngenxa yokusha.
• Ukukhubazeka kwesandla okubangelwa ukuzalwa: Akuvamile ukuthi lokhu kube yisifo sokuzalwa.
• Izifo zezicubu ezixhumene: Ezinye izifo zezakhi zofuzo zingawenza buthaka izicubu ezixhumene zomzimba. Lokho kungaba yimbangela yalokhu.

Kalula nje, uma 'i-central slip tendon' iba buthakathaka noma iphuka, ayikwazi ukudonsa ijoyinti eliphakathi (`i-PIP joint`). Futhi, ithinta amanye 'ama-extensor tendons' adonsa ijoyinti elingenhla (`i-DIP joint`), bese eqala ukudonsa kakhulu. Yingakho kwenzeka lokho kugoba okungajwayelekile.

Ziyini izimpawu zalokhu?

Uphawu oluyinhloko lwalesi simo ukuma okungajwayelekile kwamalunga eminwe . Lokhu kusho ukuthi:

• Ngeke ukwazi ukuqondisa i-PIP joint .
• Ngesikhathi esifanayo, ijoyinti le-DIP ligobile phezulu futhi linwetshiwe kakhulu .

Ngaphezu kwalokhu, ungase uzizwe izinto ezifana nalezi:

• Ubuhlungu nokuvuvukala kwamalunga.
• Ukuqina kwamalunga kunganda, ikakhulukazi ngokuhamba kwesikhathi.

Ngezinye izikhathi, lezi zimpawu zingavela ngokushesha ngemva kokulimala komunwe. Noma zingavela ngemva kwamasonto. Kodwa-ke, uma unesifo esifana nesifo samathambo, le 'Boutonnière Deformity' ivame kakhulu. Ungase uqaphele kuqala ukuthi kunzima ukugoba nokuqondisa umunwe wakho kahle.

Udokotela ukubona kanjani lokhu?

Uma uya kudokotela, bazohlola umunwe wakho ngokucophelela. Bazokubuza ngezimpawu zakho kanye nomlando wakho wezokwelapha. Kulula ukukubona ukukhubazeka kwe-Boutonnière uma ukubona. Kodwa-ke, kungase kungabi sobala kangako lapho kuqala.

Ngemuva kwalokho udokotela angenza ukuhlolwa okuncane okubizwa ngokuthi `ukuhlolwa kuka-Elson'.

Nansi indlela okwenziwa ngayo: Ucelwa ukuthi ugobe iminwe yakho endaweni ethile, kanje: ekhoneni. Udokotela ucindezela phansi i-phalanx ephakathi yomunwe wakho wokukhomba (noma umunwe othintekile) bese ekucela ukuthi uqondise umunwe wakho. Uma ungakwazi ukuqondisa umunwe wakho ngokumelene nokumelana, bangabona ukuthi kunenkinga nge-tendon ephakathi nendawo.

Ngaphezu kwalokho, udokotela angase acele i-X-ray . Lokhu kungasiza ekunqumeni ubukhulu bokulimala kanye nanoma yimuphi umonakalo wethambo. Kungasiza futhi ekuhleleni ukwelashwa.

Kulungile, manje ikuphi ukwelashwa kwalokhu?

Esikhathini esiningi, odokotela baqala ukwelapha i-Boutonniere Deformity ngezindlela ezingezona ezokuhlinzwa. Okusho ukuthi, ngokwelashwa okulondolozayo. Kodwa into ebaluleke kakhulu ukuthola ukwelashwa ngokushesha okukhulu . Uma ulinda isikhathi eside ukuthola ukwelashwa, kuba nzima kakhulu ukulungisa lokhu kukhubazeka, ngisho nangokuhlinzwa.

Ukwelashwa okulondolozayo

Uma isimo sakho sisanda kwenzeka, into yokuqala udokotela wakho angayenza ukufaka i-banding emunweni wakho . Le-banding izogcina i-PIP joint yakho iqonde izinyanga ezimbalwa. Lokhu kuzonikeza i-tendon eyonakele isikhathi sokuphulukiswa. Ngemva kwalesi sikhathi, kuzodingeka wenze i-physiotherapy izinyanga ezimbalwa. Lokhu kusho ukwenza izivivinyo ezikhethekile.

Ukwelashwa ngokuhlinzwa

Kodwa-ke, uma ukulimala kukubi kakhulu, noma uma kuyisimo esingamahlalakhona esingakathuthuki ngokwelashwa okungekhona ukuhlinzwa, ungadinga ukuhlinzwa . Izicubu zesibazi zingase zakheke emunweni wakho, okubangela ukuba ubhajwe endaweni engafanele. Noma udokotela ohlinzayo kungadingeka aphinde anamathisele ezinye zezingxenye.

Udokotela ohlinzayo angenza izinto ezifana nalezi:

• Lungisa noma wakhe kabusha i-central slip tendon eyonakele.
• Ukunciphisa ukucindezeleka kwamanye ama-extensor tendons noma ukuwaletha endaweni efanele.
• Uma kukhona isifo samathambo, `i-PIP joint` ingalungiswa noma `ihlanganiswe` ndawonye .

Ngemva kokuhlinzwa, kuzodingeka ugqoke i-bant emunweni wakho amasonto amaningana. Ngemva kwesonto lokuqala, uzonikezwa ezinye izivivinyo zezandla okufanele uzenze. Udokotela wakho we-physiotherapist uzohola uhlelo lwakho lokuvuselela umzimba ezinyangeni ezimbalwa ezizayo.

Luhlobo luni lwethemba olungaba nalo ngemva kokwelashwa?

Ukukhubazeka kwe-Boutonniere kuyisimo esingelapheka , kodwa isikhathi sibaluleke kakhulu .Uma ufuna ukwelashwa ngokushesha ngemva kwengozi, noma ngabe uhlinzwe noma cha, ungalulama ngokuphelele. Kodwa-ke, uma ulinda isikhashana ukuze uqaphele futhi ufune ukwelashwa kwalesi simo, kungaba nzima kakhulu ukuselapha.

Futhi, imbangela yalesi simo ibalulekile . Uma unezimo zesikhathi eside njenge-arthritis, inqubo yokuphulukiswa ingavinjelwa. Ukulimala okukhulu kanye nezinkinga zokuzalwa kunzima kakhulu ukuzilungisa ngokuhlinzwa. Ngezinye izikhathi, odokotela abahlinzayo bangabuyisela ukuguquguquka kwejoyinti lomunwe, kodwa hhayi konke.

Lesi simo singathatha izinyanga ukuze siphole. Sidinga nokuzibophezela okukhulu kuwe - ikakhulukazi uma uqala ukuzivocavoca umunwe wakho. Kodwa-ke, abantu abaningi abalandela imiyalelo enikezwe yithimba labo lezokwelapha bathola imiphumela emihle.

Khumbula, uma umunwe wakho usengozini futhi ungakwazi ukuwushukumisa kahle, kufanele nakanjani ubone udokotela. Ngenxa yokuthi iminwe yakho mincane, ungacabangi ukuthi ingozi incane. Iminwe yakho iyizitho eziyinkimbinkimbi kakhulu futhi ezibucayi. Ngisho nengozi encane ingadala umonakalo omkhulu kunalokho ocabanga.

Ukulimala komsipha owodwa emunweni wakho kungathinta eminye imisipha exhunywe kuwo. Ngaphambi kokuthi uqaphele, yona kanye indlela ekusiza ukuthi uhambise umunwe wakho ingaphazamiseka. Ukuze ululame, kufanele ulungise lezi zingxenye ezincane kakhulu.

Into ebaluleke kakhulu okudingeka siyikhumbule kule ndaba! (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke sesikhulume kakhulu nge-Boutonniere Deformity. Okokugcina, nazi izinto ezibaluleke kakhulu okudingeka uzikhumbule:

• Uma ilunga eliphakathi lomunwe ligobile futhi ilunga lokugcina libheke phezulu, kungaba yi-'Boutonnière Deformity'.
• Lokhu kuvame ukubangelwa ukulimala komunwe (ikakhulukazi i-central slip tendon) noma i-arthritis .
• Izimpawu eziyinhloko ubuhlungu, ukuvuvukala, kanye nokungakwazi ukuqondisa umunwe .
• Kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha okukhulu. Uma kuqhubeka isikhathi eside, kuba nzima ukwelapha.
• Ukwelashwa kuhlanganisa ukuhlikihla i-splint, ukwelashwa ngokomzimba, futhi ngezinye izikhathi nokuhlinzwa .
• Isikhathi kanye nokuzibophezela kwakho kubalulekile ukuze ululame. Landela imiyalelo kadokotela wakho ngqo.
• Ungakuthathi kalula ngisho nokulimala okuncane eminweni yakho. Bonana nodokotela ngokushesha.

Ngakho-ke, ngithemba ukuthi lolu lwazi luzokusiza. Uma unezinye zalezi zimpawu, ungesabi futhi ubone udokotela ukuze akunike iseluleko. Ngokwelashwa okusheshayo, ungathola ukululama okuhle!

Ukukhubazeka kwe - Boutonniere, ukugoba iminwe, ukulimala kweminwe, i-central slip tendon, i-arthritis, ukuhlinzwa kweminwe, i-physiotherapy