Ingabe isandla sakho sigobile ngaphakathi njengozipho? Ake sixoxe 'ngesandla sezipho'!

Wake waba neminwe yakho igoqeka ngaphakathi, njengozipho? Noma wake wezwa ubuhlungu noma ubunzima bokuqondisa iminwe yakho? Mhlawumbe unomqondo othile ngalesi simo esibizwa ngokuthi 'isandla sozipho' . Ungakhathazeki, sizoxoxa ngakho ngokuningiliziwe namuhla. Ngoba kwabanye abantu, lokhu kungaba yinto abazalwa nayo, kanti kwabanye, kungakhula kamuva ekuphileni ngenxa yengozi noma okunye ukugula.

Iyini le Ndlandla Yezinzipho?

Kalula nje, isandla se-claw yisimo lapho iminwe yakho, ikakhulukazi indandatho neminwe emincane, igobile ngaphakathi bese isihlakala sakho sidonselwa ngaphakathi. Sibizwa ngokuthi isandla se-claw ngoba kubonakala sengathi isandla sakho sibambeke ngesimo se-claw. Odokotela ngezinye izikhathi babiza lokhu ngokuthi i-Ulnar Nerve Palsy . Kulesi simo, ungase ukuthole kunzima, noma kungenzeki, ukuqondisa yonke iminwe yakho.

Cabanga ngakho, kunemisipha eminingi emincane ezandleni zethu esisiza sigobe futhi selule iminwe yethu. Le misipha isebenza ngezibonakaliso zikagesi, noma imiyalezo yemizwa, evela ebuchosheni bethu nasemgogodleni. I-Ulnar Nerve ingenye yemizwa eyinhloko evela ngaphakathi kwesandla sethu, ikakhulukazi imisipha ehlotshaniswa nomunwe wendandatho nomunwe omncane, futhi isisiza sigobe futhi selule iminwe yethu. Esikhathini esiningi, lesi sandla sezipho senzeka lapho kukhona okonakalayo ku-Ulnar Nerve.

Lokhu kungaba yinto ozalwa nayo (njengomehluko wesandla ozalwa nawo ), noma kungabangelwa ingozi, ukugula, noma ukulimala kwemizwa kamuva ekuphileni.

Uyini umehluko phakathi kwe-Claw Hand, i-Dupuytren's Contracture, kanye ne-Trigger Finger?

Manje ungase ucabange, "Kunezinye izimo ezibangela ukuba iminwe igobe futhi kube nzima ukuyiqondisa, ngakho-ke lokhu kuhluke kanjani?" Yebo, uqinisile. Njenge-Claw Hand, i-Dupuytren's Contracture kanye ne-Trigger Finger nazo zibangela ubunzima ekuqondiseni iminwe. Kodwa izimbangela zihlukile. Ake sibone ukuthi ziyini.

• Isandla Sozipho: Njengoba sishilo ngaphambili, lokhu kuvame ukubangelwa ukulimala kwe- ulnar nerve yakho. Le nerve ilawula imisipha esesithupheni sakho kanye nomunwe wokukhomba. Ngakho-ke lapho i-ulnar nerve yonakele, izimpawu zikagesi ezilawulayo ukuze iqondise iminwe yakho azidluli kahle. Lowo msipha ube usubuthakathaka, unqobe imisipha esebenza ngakolunye uhlangothi, okubangela ukuba iminwe yakho igobe ngaphakathi.

• Ukuqina kwesisu sikaDupuytren:Lesi yisimo esivame ukuba yizakhi zofuzo. Kwenzeka lapho izicubu ezingaphansi kwesikhumba sesandla neminwe (ikakhulukazi i-fascia , isakhiwo esifana nebhande lerabha esisekela isandla neminwe futhi sizisize zinyakaze) ziqina futhi ziqine. Amaqhubu amancane akheka ngaphansi kwesikhumba sesandla, ngezinye izikhathi akha amaqhubu afana nentambo. Ngokuhamba kwesikhathi, la maqhubu namaqhubu angabangela iminwe ukuba igobe ngaphakathi futhi igobe kakhulu ukuba iqonde. Lokhu ngokuvamile akubangeli ubuhlungu, kodwa kungenza kube nzima ukusebenzisa isandla.

• Umunwe Wokubangela Nokuqhaqhazela: Lezi zimo zibangelwa ukuvuvukala kwemisipha (izicubu eziqinile ezixhumanisa imisipha namathambo) esandleni sakho. Uma imisipha yakho icindezelekile njalo noma wenza into efanayo ngokuphindaphindiwe, ingalimala futhi ivuvuke. Lokhu kuvuvukala kubangela ukuthi imisipha ibambeke esikhaleni sayo. Lokhu kungabangela umsindo wokuqhuma noma wokuqhuma lapho uzama ukugoba noma ukuqondisa umunwe wakho. Ngezinye izikhathi, umunwe ungabhajwa endaweni egobile noma ende. Lokhu kungaba buhlungu.

Uyawuqonda umehluko? Umehluko omkhulu yisizathu.

Ubani okungenzeka kakhulu ukuthi athole i-Claw Hand?

Isandla sezipho singakhula kunoma ubani. Kodwa-ke, izifundo zikhombisile ukuthi amadoda anamathuba amancane okuba naso kunabesifazane. Ngaphandle kwalokho, akukho mehluko omkhulu weminyaka.

Isandla se-Claw sithinta kanjani umzimba wami?

Ungacabanga ukuthi kubuhlungu kangakanani ukungakwazi ukusebenzisa iminwe yakho kahle. Ikakhulukazi uma ungazalwanga unalesi simo futhi sikhula kamuva, kuzothatha isikhathi ukujwayela.

• Ubunzima bokubamba nokuthinta izinto: Lokhu kungathinta izinto ezifana nokubamba into encane, ukubhala okuthile, noma ukubamba indebe.
• Ubunzima bokwenza imisebenzi yansuku zonke: Uma umsebenzi wakho udinga ukuthi usebenzise izandla zombili, isibonelo, ukuthayipha kukhompyutha noma ukubamba okuthile, lesi simo singaphazamisa leyo misebenzi. Uma ungumntwana oya esikoleni, lokhu kungathinta nemisebenzi efana nokubhala.

Ziyini izimpawu zesandla se-claw?

Uphawu oluyinhloko nolusobala kakhulu isandla esifana nozipho , okusho ukuthi iminwe igobile ngaphakathi kanti isihlakala sidonselwa ngaphakathi.

• Ubunzima bokuqondisa iminwe: Kunzima kakhulu ukwelula iminwe isuke esihlakaleni, futhi ngezinye izikhathi ungase ungakwazi ngisho nokuhambisa iminwe yakho.
• Kunzima "ukuvula" isandla sakho: Ngokuvamile, sivula isandla sethu sisuka phakathi kwesandla sesandla iminwe yethu ivulekile, okungaba nzima ukukwenza.
• Ukuba ndikindiki noma ukuthuthumela:Uma imbangela yalesi simo sesandla se-claw kuwukulimala kwe-ulnar nerve, ungase uzwe ukungabi namizwa kanye nokuzwa ukuthuthumela kusukela engalweni yakho kuye esihlakaleni sakho, umunwe wendandatho, kanye nomunwe omncane. Ngezinye izikhathi, kungase kube nokulahlekelwa umuzwa kuleyo ndawo.

Yiziphi izimbangela zesandla se-claw?

Kunezimbangela eziningana ezingaba khona zezandla ze-claw. Ake sizibheke.

• Ukulimala kwe-Ulnar Nerve noma amagatsha ayo: Ukulimala (njengokusikwa, ukuphuka, noma ukudonswa) entanyeni yakho, esifubeni, ekhwapheni, noma kwenye indawo engalweni yakho kungalimaza i-Ulnar Nerve, eqala ezinhlangothini zentamo yakho yehle ingalo yakho iye esihlakaleni sakho.
• I-Cubital Tunnel Syndrome: Eyaziwa nangokuthi i-Ulnar Nerve Entrapment, lesi simo senzeka lapho i-ulnar nerve, edlula emhubheni ngaphakathi kwendololwane yakho, icindezelwa. Kufana nepayipi lamanzi elivinjiwe. Lokhu kucindezela kuvimbela i-ulnar nerve ukuthi isebenze kahle. Lokhu kungabangela ukuthi ukulawula imisipha esandleni sakho kuphazamiseke, futhi ungase uzwe ukungabi namandla noma ukuqaqamba engalweni yakho, esihlakaleni, emnweni wendandatho, kanye nomunwe omncane. Abantu abacindezela njalo ezindololwaneni nasezihlakaleni zabo, noma abenza imisebenzi edinga ukuba bagobe futhi belule izindololwane zabo nezihlakala (isib., abantu abasebenza kukhompyutha abanezindololwane zabo ezigobile isikhathi eside, noma labo abadlala imidlalo ethile) banamathuba amaningi okuthuthukisa lesi simo.
• Umehluko Wesandla Sokuzalwa: Igama elithi "Congenital" lisho "ukuba khona kusukela ekuzalweni." Ezinye izingane zizalwa zinomehluko wesandla. Isandla Sokuzibamba singaba yisinye sezimo ezinjalo zokuzalwa.
• I-Cervical Spondylosis: Kalula nje, lesi yisimo esenzeka ngokuguga ngenxa yokuguguleka kwamathambo omgogodla (amathambo entanyeni yomgogodla) kanye noqweqwe oluphakathi kwawo. Lokhu kungabangela izimpawu ezifana nobuhlungu bentamo nokuqina. Kwabanye abantu, lesi simo singabangela nokusebenza kwesandla okunciphile kanye nezimo ezifana nesandla se-claw. Lokhu kungenxa yokuthi imizwa eya ezandleni iqala entanyeni.
• Izicubu Zesilonda: Izicubu zezilonda ezakheka ngemva kokuba isikhumba esandleni sakho noma engalweni yakho sesipholile, njengokusha okukhulu, ngezinye izikhathi zingaba nzima kakhulu. Lezi zicubu zezilonda eziqinile zingabangela iminwe yakho ukuthi idonsele ngaphakathi, okuholela esandleni sezipho.
• Ukutheleleka: Lokhu kuyinto engavamile, kodwa ezinye izifo ezithinta isimiso sezinzwa, njengochoko , nazo zingabangela isandla sezipho.

I-Claw Hand ihlolwa kanjani?

Uma unalezi zimpawu, into yokuqala okufanele uyenze ukubona udokotela. Udokotela uzokuxilonga.

• Ukuhlolwa komzimba:Udokotela uzobheka isandla sakho bese ehlola izinto ezifana nokuthi ungakwazi yini ukugoba nokuqondisa iminwe yakho, ukuthi ungakwazi yini ukuyiqondisa ibanga elingakanani, ukuthi izwakala kahle kangakanani, nokuthi ungayisebenzisa yini isandla sakho njengoba ubuvame ukwenza.
• I-Electromyography (EMG): Uma udokotela wakho esola ukuthi unenkinga yesandla se-claw noma enye inkinga yezinzwa, angase akucele ukuhlolwa kwe-EMG (Electromyography) . Lokhu kuhilela ukufaka izinaliti ezincane kakhulu esikhumbeni sakho emisipheni yakho, nokusebenzisa ama-electrode ezinalitini ukukala umsebenzi kagesi wemisipha yakho njengoba uyihambisa. Lokhu kungasiza ekunqumeni ukuthi i-ulnar nerve yakho yonakele yini, ukuthi ikuphi, nokuthi inzima kangakanani.

Uma umntwana ezalwa enalesi simo, udokotela uzosixilonga ngokushesha nje lapho umntwana ezalwa.

Indlela yokwelapha isandla se-claw?

Izindaba ezinhle ukuthi kunezindlela eziningana zokwelapha isandla se-claw. Uhlobo lokwelashwa oludingayo luzoncika esibangweni kanye nokuthi izimpawu zakho zimbi kangakanani.

Lokhu okulandelayo kungenziwa njengokwelashwa:

• Ukuzivocavoca kokwelula: Udokotela wakho noma uchwepheshe wezokwelapha uzokufundisa ukuzivocavoca okuthile kokwelula ingalo yakho, isihlakala, kanye nesandla. Lokhu kungenziwa ekhaya.
• Ukugqoka i-splint noma i-brace: I-splint (isisekelo esenzelwe ukulingana nesimo sesandla) noma i-brace ingagqokwa ukuze isekele umunwe othintekile. Lokhu kungasiza ekuvimbeleni umunwe ukuthi ugobe futhi uqine ngendlela engavamile, futhi kungasiza ukuthi uqonde kancane kancane.
• Ukwelashwa Komzimba: Ungafuna ukwelashwa kudokotela wezokwelapha ngokomzimba ukuze uthuthukise amandla nokuguquguquka kwesandla sakho. Bazokufundisa izivivinyo ezifanele kanye nokwelashwa.
• Ukuhlinzwa: Kwezinye izimo, ikakhulukazi uma inzwa icindezelwe noma uma ezinye izindlela zokwelapha zingasizi, ukuhlinzwa kungadingeka.
• Imithi: Uma imbangela yesandla se-claw iwukutheleleka, imithi inganikezwa ukwelapha ukutheleleka.

Ukuhlinzwa Kwesandla Sezinzipho

Ngezinye izikhathi, kungadingeka ukuhlinzwa ukuze kukhululwe iminwe yakho futhi kuncishiswe izimpawu zesandla se-claw. Kunezinhlobo eziningana zokuhlinzwa:

• Ukulungiswa Kwemizwa: Ukulungisa imizwa elimele.
• Ukukhululwa Kwemisipha: Ukukhulula nokukhulula imisipha eqinile.
• Ukufakelwa Kwesikhumba: Uma izicubu zesilonda zakhekile ngenxa yokusha, isikhumba esiqinile siyasuswa bese isikhumba sixhunyelelwa kwenye indawo.
• Ukudluliselwa kwe-Tendon:I-tendon esebenzayo idluliselwa ku-tendon yomsipha ongasebenzi kahle bese inamathela kuyo. Lokhu kungabuyisela umsebenzi othile esandleni.

Udokotela wakho noma udokotela ohlinzayo uzochaza ukuthi hlobo luni lokuhlinzwa oludingayo nokuthi yini ongayilindela ngemva kwalokho.

Kuthatha isikhathi esingakanani ukululama ngemva kokwelashwa?

Lokhu kuzohluka kuye ngohlobo lokwelashwa olutholayo. Uma kufanele ugqoke i-splint, kuzodingeka uyigqoke izinyanga eziningana. Ukuzivocavoca umzimba kanye nokwelashwa ngokomzimba kuyindlela yokwelapha yesikhathi eside. Ngezinye izikhathi kungathatha unyaka noma ngaphezulu ukuze ululame ngokuphelele.

Uma uhlinzwa ukuze kulungiswe isandla sakho se-claw, udokotela wakho uzokutshela ngesikhathi sokululama. Iningi labantu lizodinga izinyanga eziningana ukuze lilulame ngemva kokuhlinzwa. Uzodinga ukwelashwa ngokomzimba ukuze uthole amandla esandleni sakho. Kodwa-ke, uma imbangela iwumonakalo omkhulu emsipheni we-ulnar, ungase ube nezimpawu zemizwa zesikhathi eside (njengokungazweli noma ukulahlekelwa umuzwa).

Ingabe lesi simo singavinjelwa?

Izimbangela eziningi zezandla ze-claw, ikakhulukazi uma uzalwa nazo, kunzima ukuzivimbela.

Kodwa-ke, ungenza lezi zinto ukuvimbela ukulimala kwe-ulnar nerve kanye nezimo ezifana ne-cubital tunnel syndrome:

• Gwema ukuncika ezindololwaneni zakho: Abantu abaningi bancika ezindololwaneni zabo lapho besebenza edeskini noma bebukele i-TV. Lokhu kungacindezela i-ulnar nerve.
• Gwema ukufaka ingcindezi ngaphakathi kwesandla sakho.
• Uma uvame ukusebenzisa isihlalo sekhompyutha, ungazibeki izindololwane zakho ezisekelweni zengalo. Gcina isihlalo siphakeme.
• Zama ukulala ugobile izindololwane. Abanye abantu balala begobile izindololwane, okuyinto engeyinhle.
• Gwema ukusebenzisa izandla zakho nezindololwane zakho ngokweqile. Thatha ikhefu elifushane uma usebenza ngendlela efanayo isikhathi eside.
• Nika umzimba wakho ikhefu ngemva kokusebenza kanzima ngokomzimba.

Yini okufanele ngiyilindele uma nginesandla esinozipho?

Isandla esinozipho yisimo esizixazulula okwesikhashana ngezinye izikhathi, kodwa futhi singaba yinkinga yesikhathi eside. Ukuthi sikuthinta isikhathi esingakanani kuncike esibangweni kanye nendlela iminwe yakho nesandla sakho esisabela ngayo ekwelashweni.

Abanye abantu balulama ngokuphelele ngokufakwa i-brace kanye nokwelashwa ngokomzimba. Abanye bangase balahlekelwe ukusebenza kahle ngemva kokuhlinzwa. Buza udokotela wakho noma udokotela ohlinzayo ukuthi ungalindela ukululama okungakanani ngokusekelwe esimweni sakho.

Ingabe ngeke ngikwazi ukuya emsebenzini noma esikoleni ngenxa yesandla esinozipho?

Uma unomsebenzi osebenzisa izandla zakho, noma uma usebenzisa yonke iminwe yakho emsebenzini wesikole, ungase ungakwazi ukuya emsebenzini noma esikoleni uze ululame. Buza udokotela wakho ukuthi yiziphi izinhlobo zemisebenzi ongazenza ngeminwe yakho ethintekile nokuthi yiziphi izindawo zokuphumula ongazithola.

Ngizinakekela kanjani?

• Uma unikezwe i-splint noma i-brace, qiniseka ukuthi uyigqoka njengoba kuqondiswe udokotela wakho futhi isikhathi eside njengoba utshelwe.
• Futhi, uma usebenza nodokotela wezokwelapha ngokomzimba, yenza izivivinyo akufundisa zona kaningi ngangokunokwenzeka, futhi uzenze ngendlela efanele.
• Uma izimpawu zakho ziba zimbi kakhulu, noma uma uzwa ubuhlungu obungabekezeleleki, tshela udokotela wakho ngokushesha.

Kufanele ngimbone nini udokotela?

Uma ubona noma yiziphi izinguquko esandleni sakho noma eminweni yakho (njengobuhlungu, ukuqina, ukungazweli) ezingathuthuki ezinsukwini ezimbalwa, bona udokotela ngokushesha okukhulu. Uma uqala ukwelashwa ngokushesha, amathuba akho okululama ayanda.

Kufanele ngiye nini eMnyangweni Wezimo Eziphuthumayo (i-ETU) ?

Uma unesigameko esibuhlungu , njengokuwa noma ingozi yemoto, noma uma unezinye zalezi zimpawu, iya ekamelweni eliphuthumayo ngokushesha:

• Uma ungakwazi ukunyakaza noma ukusebenzisa isandla sakho ngendlela evamile.
• Uma ulahlekelwa umuzwa esandleni sakho noma ebunzini.
• Ucabanga ukuthi unethambo eliphukile.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma ubona udokotela, ungakhohlwa ukubuza imibuzo efana nale:

• Ingabe nginayo i-claw hand, noma ingabe enye inkinga?
• Hlobo luni lokwelashwa engiludingayo?
• Ingabe ngizodinga ukuhlinzwa?
• Kuyoze kube nini ngidinga ukugqoka i-brace noma ukuya ekwelashweni ngokomzimba?
• Kuzothatha isikhathi esingakanani ukululama ngokuphelele?
• Ingabe lesi simo singaphinde senzeke?

Noma yini ekwenza ungakwazi ukusebenzisa isandla sakho ngendlela evamile ingaba yinto eyesabekayo nekhathazayo. Isandla se-Claw singaba nezimbangela eziningi. Ngakho-ke bonana nodokotela ngokushesha nje lapho ubona noma yiziphi izinguquko eminweni yakho, esandleni, noma engalweni.

Umyalezo Wokugcina Wokuya Nasekhaya

Isandla sikaClaw sithatha isikhathi ukuphulukiswa. Ngakho-ke yiba nesineke, ulandele ukwelashwa ngendlela efanele, futhi ujabule nganoma iyiphi intuthuko oyenzayo. Awuwedwa, futhi kunodokotela nabelaphi abangakusiza. Kubaluleke kakhulu ukulandela iseluleko sabo. Uma ubona noma yiziphi izinguquko esandleni sakho, ungasinaki. Ukufuna iseluleko sezokwelapha ngokushesha okukhulu kuzokusiza ukuthi ululame ngokushesha.

Isandla sikazipho, inzwa yesinqe, ukugoba kweminwe, ubuhlungu besandla, izinkinga zemizwa, ukungazweli kwesandla