Ingabe zikhona izingxenye zomzimba wakho ezizizwa ziqinile futhi zinciphile? Lokhu kungaba ukugoba!

Ingabe ngezinye izikhathi uzizwa sengathi izingxenye zomzimba wakho, mhlawumbe isikhumba, imisipha, noma ngisho nelunga, ziqinile futhi ziqinile? Ingabe uzithola ungakwazi ukugoba noma ukwelula kalula njengoba wawunjalo ngaphambili? Lesi simo singase sibe yisimo esibizwa ngokuthi 'i-contracture' njengoba odokotela besibiza kanjalo. Ungakhathazeki, ake sixoxe ngalokhu kalula.

Kuyini lokhu 'ukwenqatshwa'?

Kalula nje, ukugoba kuyinguquko yesakhiwo eyenzeka ezicutshini ezithambile nasezicutshini ezixhumeneyo zomzimba wethu. Lokhu kubangela ukuthi lezi zicubu ziqine, ziqine, futhi zilahlekelwe ukunwebeka kwazo, njengebhande lerabha . Cabanga ngesikhumba sakho, imisipha, noma izicubu ezizungeze amalunga akho ziba ziqinile futhi ziqine, njengamatshe. Lokhu kunciphisa ukunyakaza kwalezo zingxenye.

Lokhu kufana nohlobo lwesilonda ngaphakathi emzimbeni wethu. Ngezinye izikhathi ungakubona ngokucacile esikhumbeni. Isibonelo, uma umuntu enokusha okukhulu, ngemva kokuba inxeba selipholile, kungenzeka ukuthi ubonile ukuthi isikhumba kuleyo ndawo sinamanxeba futhi siqinile. Yilokho lokhu. Uma lolu hlobo lwesilonda luvela kwezinye izicubu, okungukuthi, emisipheni, emithanjeni, siphinde sikubize ngokuthi 'i-fibrosis'. Okwenzekayo ukuthi izingxenye zalezi zicubu zithathelwa indawo kancane kancane uhlobo lwezicubu eziqinile, eziqinile, ezine-fibrous, nezingenakuguquguquka.

Ngakho-ke, ukungakhululeki kuvela ngoba lezi zicubu eziqinile azikwazi ukwelula noma ukunyakaza kahle. Ngezinye izikhathi lezi zicubu zingancipha futhi zibe zimfushane. Uma lokho kwenzeka, ezinye izicubu ezizungeze 'ukugoba' nazo zinganwetshwa, okubangela ukukhubazeka emzimbeni.

Yiziphi izinhlobo eziyinhloko zokuzibamba?

Ukugoba kungathinta izicubu ezahlukene kanye nezingxenye zomzimba wethu ngezindlela ezahlukene. Odokotela basebenzisa amagama ahlukene ukuze bawachaze. Ake sibheke ezinye zezinhlobo eziyinhloko:

• Ukugoqeka kwezibazi: Lokhu kubangelwa ukugoqeka kwezibazi okwenzeka ngemva kokuba isikhumba sakho silimele futhi sipholile. Uma ukugoqeka kwezibazi kuvimbela ezinye izicubu noma amalunga ukuthi anganyakazi kahle, kungaholela kwezinye izinhlobo zokugoqeka.
• Ukugoba kwemisipha: Lokhu kungathinta umsipha owodwa noma iqembu lemisipha exhumene. Lokhugoba kwemisipha kungabangela nezinye ukugoba, njengokungakwazi ukuhambisa izinto ezifana namalunga kahle.
• Ukugoba kwamalunga noma ukugoba kwe-capsular: Lokhu kuthinta izicubu ezixhumeneyo ezizungeze amathambo elunga, elibizwa ngokuthi i-joint capsule. Uma leli lunga liqina, amathambo angaphakathi kwelunga awakwazi ukunyakaza.
• Ukuqunjelwa kwe-Arthrogenic:Lokhu futhi kuyi-contracture eyenzeka ku-capsule yamalunga. Kodwa-ke, lokhu kwenzeka ku-joint uqobo. Njengoba nje uku-contracture kwemisipha kuthinta i-joint, uku-contracture ku-capsule yamalunga kungathinta kalula imisipha ehambisana nayo.

Ingabe zikhona izinhlobo ezithile 'zezinkontileka' esivame ukuzwa ngazo?

Yebo, kunezinhlobo ezithile 'zezivumelwano', ezinikezwe ngisho namagama ahlukene. Ake sibheke ezimbalwa zazo:

• I-Amyoplasia: Lesi yisifo sokuzalwa. Kulesi simo, ungase ubone ukugoba okuningi ezithweni zengane yakho.
• I-Arthrogryposis: Leli yigama elivamile. Leli gama lisetshenziswa lapho umntwana ezalwa enezinhlungu eziningi. Lingabonakala ngezimo zofuzo ezifana ne-Muscular Dystrophy kanye ne-Edwards Syndrome.
• I-Clubfoot: Lokhu futhi kuyi-contracture yokuzalwa. Kuthinta imisipha yonyawo noma izinyawo zengane, okubangela ukuthi unyawo luphendukele ngaphakathi, lubheke emzimbeni. Ngezinye izikhathi, kungathinta nemisipha yethole.
• Ukugoba kukaDupuytren: Lesi yisimo sofuzo. Sibangela ukugoba ezicutshini ezithambile zezandla, okubangela ukuthi umunwe owodwa noma eminingi igobe ngaphakathi ibheke entendeni yesandla.
• Ukugoba kwendololwane noma indololwane eqinile: Lokhu ukugoba okwenzeka ku-capsule yejoyinti lendololwane.
• Ukugoba kwe-Equinus: Lokhu ukugoba kwelunga leqakala noma imisipha elizungezile, okuvimbela unyawo ukuthi lufakwe endaweni evamile, engathathi hlangothi (nge-engeli engama-90 degrees ukuya emlenzeni).
• Ukugoba kwemisipha: Lolu uhlobo lokugoba kwemisipha. Kulokhu, ilunga liyaqina esimweni sokugoba futhi alikwazi ukuqondiswa futhi. Kuthinta kakhulu izitho zomzimba.
• I-capsulitis yehlombe eliqandisiwe noma elinamathelayo: Lokhu kuwukufinyela kwe-capsule yejoyinti lehlombe. Abantu abaningi bake bezwa ngalokhu.
• Ukugoba kweVolkmann: Lolu olunye uhlobo lokugoba okwenzeka esandleni. Kulokhu, iminwe kanye nesandla kugoba ngaphakathi, okwenza isandla sibukeke njengesipikili.

Ziyini izimpawu zokuquleka?

Uma une-contracture, ungase ube nezimpawu ezifana nalezi:

• Izicubu zesilonda eziqinile, eziqinile nezibonakala kahle.
• Ukuqina noma ukuqina kwemisipha, amalunga, noma ezinye izicubu ezithambile.
• Ubuhlungu bemisipha.
• Ukwehla kwezinga lokunyakaza kanye nokuhambahamba okuphelele.
• Ukuwohloka kwemisipha (ukwehla kwesisindo semisipha).
• Ukuphazamiseka kokuhamba.
• Ukukhubazeka kokugoba (ukugoba okuhlala njalo), ikakhulukazi ezithweni zomzimba.

Kungani lokhu 'kugoba' kwenzeka?

Ukugoba, njengoba sesixoxile ngaphambili, kuyisimo esibizwa ngokuthi amanxeba noma i-fibrosis ezicutshini zakho. Lokhu kuvame ukwenzeka lapho izicubu zizama ukuvuselela ngemva kokulimala , noma lapho izicubu ziwohloka ngenxa yokungasetshenziswa . Ngezinye izikhathi, kungaba yinto yokuzalwa.

Nazi ezinye zezizathu eziyinhloko:

• Ukulimala: Uma ulahlekelwa inani elikhulu lezicubu emzimbeni wakho ngenxa yezinto ezifana nokusha, amanxeba athelelekile, noma ukuhlinzwa, isibazi sokufinyela singakheka esikhumbeni noma ezicutshini ezithambile.
• I-Ischemia: Ukungagelezi kwegazi okwanele ezicutshini kubangela ukuvuvukala okungapheli, okube sekuholela ekuqhekekeni. I-Ischemia ingavela ngokuzumayo noma kancane kancane. Ukuntuleka kokunyakaza kungenye yezimbangela zalokhu.
• Ukungakwazi ukunyakaza: Imbangela eyinhloko yokugoba kwezicubu ezithambile ukuntuleka kokunyakaza. Izingxenye zomzimba wakho zingase zingakwazi ukunyakaza ngenxa yokulimala, ukukhubazeka ngokomzimba, noma isimo sezinzwa. Cabanga nje, uma uphuka ingalo noma umlenze futhi kufanele ufake i-cast amasonto amaningi, leyo ngxenye izwakala iqinile, akunjalo? Kunjalo.
• Izinkinga zemisipha: Izimo ezifana nesifo sohlangothi kanye ne-cerebral palsy ziphazamisa ukuxhumana phakathi kobuchopho nemisipha, okubangela ukuba ingakwazi ukunyakaza noma ifinyele ngokweqile (hypertonia).
• Izifo zezicubu ezixhumeneyo ezizuzwe njengefa: Izifo ezithinta indlela izicubu zakho ezixhumeneyo ezikhula ngayo, njenge-congenital myopathy, zingabangela imisipha ukuba iqine kakhulu noma ikhululeke kakhulu (hypotonia).
• Ukukhubazeka kokuzalwa: Ezinye izingane zizalwa zinezinsila. Lokhu kungenzeka ngaphandle kwesifo noma imbangela esobala. Kungabangelwa ukuguquka kwezakhi zofuzo noma ukunyakaza okungafanele esibelethweni.

Yiziphi izinkinga ezingaba khona ngenxa yalokhu 'kugoba'?

Ukuqina kwemisipha okuhlala njalo kungaba nomthelela omkhulu ezingeni lempilo yakho . Kungathinta ukuhamba kwakho kanye nokuzimela kwakho. Kungenza kube nzima nokwenza imisebenzi yansuku zonke ngaphandle kosizo.

Futhi, ukugoba kungadala ubuhlungu obungapheli futhi kungathinta eminye imisipha namalunga ahilelekile, okwenza isimo sibe sibi kakhulu. Cabanga nje, uma ungenakukwazi ukuhamba kahle, izicubu zakho ziqala ukugoba nakakhulu.

Ungayibona kanjani 'inkontileka'?

Uma usuvele unokulimala noma isimo esingabangela ukugoba, udokotela wakho uzokwazi ngakho. Angahlola ububanzi bokunyakaza kwakho bese ekuxilonga ngokuhlolwa ngokomzimba .

Ngezinye izikhathi, udokotela wakho angase afune ukuthatha izithombe zezicubu zakho ezixhumeneyo kanye nezicubu ezithambile ukuze aphenye kabanzi imbangela yokuqunjelwa. Lokhu kungafaka phakathi ama-X-ray, i-ultrasound scan, noma i-MRI scan.

Yiziphi izindlela zokwelapha ezingcono kakhulu zokuquleka?

Ukwelashwa okungcono kakhulu kokuqunjelwa yikuvimbela . Ezimweni eziningi, kungavinjelwa. Uma okwamanje ungasakwazi ukuhamba noma unesifo esingabangela ukuqunjelwa, ukwelashwa ngokomzimba kungasiza ekuvimbeleni lokhu ngezinga elikhulu.

Uma uthola ukugoqana, kungcono ukukwelapha kusenesikhathi . Ukugoqana okusha ngokuvamile akukubi kangako futhi kungelashwa kalula ngaphandle kokuhlinzwa. Kodwa-ke, ukugoqana okuthuthukile kungase kungasabeli ekwelashweni okungekona ukuhlinzwa.

Izindlela zokwelapha ukugoqana zihlanganisa ukwelashwa okuvamile, ukwelashwa kwamathambo, kanye nokuhlinzwa. Kubalulekile futhi ukwelapha isimo esiyisisekelo esibangela ukugoqana kwakho.

Ukwelashwa ngaphandle kokuhlinzwa

Izindlela zokwelapha eziwela ngaphansi kwalesi sigaba yilezi:

• Ukunwebeka okuqinile nokuguquguqukayo: Odokotela basebenzisa izinhlobo ezahlukene zezinsimbi zokubopha, izikhonkwane, kanye nezinsika ukuze banwebe kancane kancane nangokuqhubekayo izicubu ezigobekile.
• Ukwelashwa ngokushisa: Ukusebenzisa ukushisa okwelaphekayo ezicutshini zakho ezithambile kungazisiza ukuthi ziphumule futhi zelule. Lokhu kuyasiza kakhulu uma une-hypertonia engapheli (ukusebenza ngokweqile kwemisipha) noma i-spasticity (ukuqina ngokweqile). Ukushisa kuthuthukisa nokujikeleza kwegazi.
• Ukwelashwa ngokomzimba: Ukuzivocavoca okungenamsebenzi nokusebenzayo kungathuthukisa ukuguquguquka kanye nobubanzi bokunyakaza emisipheni nasemalungeni aqinile. Lokhu kungasiza futhi ekuvimbeleni ukuwohloka kwemisipha ngenxa yokungashukumi.
• Ukwelashwa kokukhululwa kwe-myofascial:Lena indlela yokuhlikihla ngesandla egxile ku-fascia yakho, izicubu ezixhumene ngaphansi kwemisipha yakho. Ingasiza ekuvimbeleni nasekwelapheni ukuqunjelwa.
• Imijovo: Kwezinye izimo, imijovo yezicubu ezithambile nezicubu ezithambile ingasiza ekunciphiseni ukuqunjelwa. Imijovo yeBotox® ingasiza ekuphumzeni izicubu, kanti imijovo ye-collagenase ingasiza ekuqedeni i-fibrosis.
• Ukwelashwa okulwa nokuvuvukala: Imithi yokulwa nokuvuvukala kanye nokwelashwa okufana nokwelashwa nge-laser okuphansi (ukukhanya kwe-infrared) kungasiza ekunciphiseni ukuvuvukala nokuvimbela i-fibrosis ngemva kokungasebenzi kahle.

Ukuhlinzwa kwe-contraction

Izindlela zokwelapha zokuhlinzwa zokunciphisa ukuvuvukala zihlanganisa:

• I-Tenotomy (ukwelulwa kwemisipha): Lokhu kuhlinzwa kuhilela ukwenza imivimbo emincane noma izimbobo kumisipha yakho ukuze kuncishiswe ukuqina. Njengoba imisipha ikhula kabusha, ingandiswa.
• Ukudluliselwa kwemisipha: Kule nqubo, imisipha eboshiwe iyasuswa bese kuthi enye imisipha, kungaba evela kumnikeli noma kwenye ingxenye yomzimba wakho, itshalwe endaweni lapho iboshiwe khona.
• I-Arthroplasty: Ukuze kube nokuhlanganiswa kwe-capsule yamalunga, kungase kudingeke ukuhlinzwa ukuze kukhishwe izingxenye ze-capsule yakho yamalunga, kufakwe esikhundleni sayo, noma ngezinye izikhathi kufakwe esikhundleni sayo yonke i-joint.
• I-Fasciotomy: Ukuhlinzwa kwemisipha okuthinta i-fascia yakho, njenge-Dupuytren's contracture, kungase kuzuze nge-fasciotomy. Odokotela abahlinzayo basika izimbobo ku-fascia ukuze bayikhulule, noma basuse izingcezu zezicubu zesibazi.
• I-Z-plasty: Enye indlela yokwephula ukugoba esikhumbeni kanye ne-fascia ukwenza imivimbo efana no-Z ezicutshini ukuze kuncishiswe ukuqina. Le patheni ka-Z ikhuthaza izicubu ukuthi zikhule kabusha kunokuba zinciphe.
• Ukuhlinzwa Kwepulasitiki: Uma kwenzeka izibazi zisiphuka, udokotela ohlinzayo angadinga ukususa izicubu zesibazi bese ezifaka i-graft yesikhumba noma i-skin flap ethathwe kumnikeli noma kwenye ingxenye yomzimba wakho.

Iyini iphrojekthi yokuqunjelwa?

Ukuqunjelwa kusabela kangcono ekwelashweni ngaphambi kokuba kube kubi kakhulu . Odokotela bangathatha izinyathelo zokuvimbela noma zokunciphisa ukuqunjelwa kubantu abasengozini.

Ukugoqa okusanda kwakheka kuvame ukusabela ekwelashweni okulondolozayo. Ukugoqa okuthuthukile kakhulu kungelashwa ngokuhlinzwa. Kodwa-ke, okunye ukugoqa kungase kungaphenduli ekwelashweni noma kungase kungelapheki ngokuphelele ngokuhlinzwa.

Ngingakuvimbela kanjani lokhu 'kufinyela'?

Imbangela evame kakhulu yokugoqeka kwesisu ukungasebenzi kahle . Uma ulaliswe esibhedlela ngenxa yokulimala okukhulu, ukuhlinzwa, ukugula, noma kufanele ufake i-cast amasonto amaningi, usengozini yokuthola ukugoqeka kwesisu.

Odokotela bazokwenza konke okusemandleni abo ukuvimbela ukuquleka kwemisipha ngesikhathi ukunakekela. Kodwa-ke, bazodinga usizo lwakho futhi . Kubaluleke kakhulu ukwenza izivivinyo zakho zokwelapha ngokomzimba ngendlela efanele ngesikhathi sokululama kwakho.

Ukuzivocavoca kungaba nzima noma kube yinselele uma unesifo, ukhubazekile, noma ulimele. Ngezinye izikhathi ungadinga usizo ngesimiso sakho sokuzivocavoca, noma othile ozokhumbuza futhi akukhuthaze.

Uma wena noma umuntu omnakekelayo enesifo esingamahlalakhona esingabangela ukuquleka, ungadinga ukwelashwa ngokomzimba okuqhubekayo ukuze kuvinjelwe. Kulezi zimo, kubalulekile ukuthola ukunakekelwa kwekhwalithi yempilo yonke .

Ukugoba kungavela kalula uma ululama kwesinye isimo. Kungathatha isikhathi eside futhi ukuphola. Ukuze ulungise umonakalo, udinga ukusebenza ngokuzimisela nangokuzikhandla ngokwelashwa ngokomzimba .

Ezinye izimo ezingamahlalakhona kanye nezizalwa nazo zingavimbela ukukhula kwezinga elithile lokuquleka. Kodwa-ke, ukungenelela kwasekuqaleni kungenza umehluko omkhulu ekutheni kukuthinta kangakanani nokuthi kubangelwa ukukhubazeka okungakanani.

Okokugcina, khumbula lokhu (Umyalezo Wokuya Ekhaya)

Ukugoba yisimo lapho izicubu ezithambile zomzimba wethu ziba nzima, ziqine, futhi kube nzima ukuzinyakazisa. Kufana nesilonda esivela ngaphakathi. Lesi simo singabangelwa izinto ezifana nokusha, ukulimala, ukuhlinzwa, ukungasebenzi kahle isikhathi eside, ezinye izifo zezinzwa, kanye nokukhubazeka kokuzalwa. Into ebaluleke kakhulu ukuzama ukukuvimbela. Ikakhulukazi uma ungasakwazi ukuhamba isikhathi eside ngesizathu esithile, yenza izivivinyo zokwelapha ngokomzimba njengoba nje udokotela wakho ekuyalele. Ngoba, uma ukugoba kuvela, kungathatha isikhathi esiningi nomzamo ukuphulukiswa.

Uma unezinye zalezi zimpawu noma ungabaza, qiniseka ukuthi ubona udokotela ukuze akunike iseluleko . Ukuxilongwa kusenesikhathi kanye nokwelashwa kungasiza ekuvimbeleni isimo ukuba singabi sibi kakhulu futhi kuthuthukise ikhwalithi yempilo yakho.

'ukufinyela, ukuqina kwemisipha, ukuqina kwamalunga, izicubu zesilonda, ukunyakaza okulinganiselwe, i-fibrosis, ukwelashwa ngokomzimba