Ingabe uzwa ubuhlungu endaweni lapho uzwane lwakho olukhulu luqala khona uma uhamba, ugijima, noma udansa? Ngokuqondile, indawo ezungeze ibhola lonyawo lwakho? Kungenzeka ukuthi uke wazibuza ukuthi yini ebangela lobu buhlungu. "Kungani kubuhlungu kangaka uma ngihamba?" ungase uzibuze. Ezimweni eziningi, imbangela yalobu buhlungu yisimo esingakhulumi kakhulu ngaso, kodwa abantu abaningi bayasithola, esibizwa ngokuthi 'sesamoiditis.' Ungakhathazeki, yize igama lingase lizwakale lingavamile, ake sixoxe ngakho kalula.
Kuyini i-Sesamoiditis?
Kalula nje, yisimo esibuhlungu esenzeka ezinyaweni zethu. Manje ake sibone ukuthi siyini ngempela.
Cabanga nje ukuthi ematheni onyawo lwethu, ngaphansi nje kwejoyinti elikhulu lozwane, kunamathambo amabili amancane. Lawa mancane kakhulu, njengembewu ezimbili zesesame. Lawa mathambo awaxhumene ngqo nanoma yimaphi amanye amathambo emzimbeni wethu. Afakwe emithanjeni. Sibiza la mathambo amabili amancane ngokuthi 'amathambo esesamoid' .
Ngakho-ke umsebenzi oyinhloko wala mathambo amabili amancane ukumunca ingcindezi (njenge-shock absorber) nokuvikela imisipha lapho isisindo somzimba wethu sifika ematheni ezinyawo zethu lapho sihamba, sigijima, noma sigxuma.
I-Sesamoiditis yilapho lawo mathambo amabili amancane kanye nemisipha ewazungezile itheleleka futhi ivuvukala ngenxa yokucindezela okukhulu. Lesi yisimo esifana ne-tendonitis, lapho i-tendon kanye nethambo elingaphakathi kwe-tendon kuvuvukala khona.
Ingabe nginesifo se-sesamoiditis? Ziyini izimpawu?
Lesi simo ngokuvamile asiveli ngokuzumayo. Ubuhlungu buyanda kancane kancane. Ungase uzwe ubuhlungu obungacacile ngaphansi kozwane lwakho olukhulu, kodwa ngokuhamba kwesikhathi bungaba ubuhlungu obukhulu. Ubuhlungu buya bukhula uma usebenzisa umlenze wakho, njengalapho uhamba noma ugijima, futhi buba ngcono uma uphumula.
Ake sibheke izimpawu eziyinhloko ezinjengalezi.
| Isibonakaliso | Incazelo |
|---|---|
| Ubuhlungu ezinyaweni | Ubuhlungu obuvela ngaphansi kozwane olukhulu, endaweni yephansi lonyawo, njengebhola lonyawo. Lokhu kungase kuqale njengobuhlungu obuhamba kancane kancane, obungacacile bese kuba bukhali. |
| Ubunzima bokugoba uzwane olukhulu | Kubuhlungu uma ugoba uzwane lwakho olukhulu phezulu naphansi. Abanye abantu bazizwa sengathi abakwazi ukugoba uzwane lwabo kahle. |
| Ubunzima bokuthola isisindo | Ubuhlungu buzwakala ngaphambili konyawo uma ulubeka isisindo, uhamba, noma ugijima. |
| Ukuvuvukala nobuhlungu uma ucindezelwa | Uma ucindezela indawo ebuhlungu ngesandla sakho, izoba buhlungu. Ngezinye izikhathi kungase kube nokuvuvukala okuncane. |
Kungani kwenzeka into efana nale? Yiziphi izizathu?
Isizathu esiyinhloko salokhu ukuthi kukhona ukucindezeleka okuqhubekayo ngaphambili kwephansi lonyawo. Njengoba nje umsipha esandleni ubuhlungu uma wenza into efanayo ngokuphindaphindiwe, la mathambo amabili amancane angangenwa yigciwane uma kukhona ukucindezeleka okuqhubekayo.
Kunezizathu eziningana eziyinhloko ezenza lesi simo senzeke:
- Abasubathi: Uma ugijima amabanga amade, udansa (ikakhulukazi i-ballet), noma udlala imidlalo efana nekhilikithi, ibhola likanobhutshuzwayo, noma i-netball, ubeka ingcindezi enkulu ezithendeni zakho. Lesi simo singavela nasezinganeni ezizilolongela imidlalo yesikole.
- Izithende eziphakeme: Abesifazane abagqoka izithende eziphakeme isikhathi eside banamathuba amaningi okuthola lesi simo. Lokhu kungenxa yokuthi isisindo somzimba wonke sidluliselwa phambili konyawo. Ungase ujwayelene nobuhlungu obuvela ngemva kokugqoka izithende eziphakeme usuku lonke, njengasemshadweni noma ephathini.
- Ukuma kwezinyawo: Abanye abantu banezinyawo eziphakeme ezigobile. Abanye abantu bangase babe nama-bunion. Lezi zinhlobo zezinyawo zibeka ingcindezi eyengeziwe emathanjeni e-sesamoid lapho behamba.
- Ezinye izimo zezokwelapha: Ngezinye izikhathi lokhu kungabangelwa ezinye izimo zezokwelapha. Isibonelo:
- I-Gout
- I-Osteoarthritis
- I-Osteoporosis
- Enye ingozi eyenzeka kuzwane olukhulu
Ukuthola kanjani lokhu, Dokotela?
Uma unalolu hlobo lobuhlungu, into engcono kakhulu ongayenza ukubona udokotela. Uzoqala ngokukubuza ngezimpawu zakho. Uzokubuza ukuthi ubuhlungu sebunesikhathi esingakanani, ukuthi bube bubi kangakanani ngosuku, nokuthi yimiphi imisebenzi oyenzayo.
Ngemuva kwalokho bazohlola umlenze wakho ngokucophelela.
- Bacindezela izandla zabo endaweni ebuhlungu.
- Uzoshukumisa kancane uzwane lwakho olukhulu phezulu naphansi ukuze abone ukuthi kukhona yini ubuhlungu.
- Ngezinye izikhathi ukuhlolwa okukhethekile (ukuhlolwa kokucindezela kwe-axial okungashukumi) kungenziwa, okuhilela ukufaka ingcindezi esilungwini, njengalapho uhamba.
Uma usola ukuthi unesifo sokucindezeleka, udokotela wakho angase acele ukuhlolwa kwezithombe, okuhlanganisa:
- Ukuhlolwa kwe-X-ray komlenze
- Ukuskena kwamathambo
- I-CT scan noma i-MRI scan
Kunganconywa ukwenza izivivinyo ezifana nalezi.
Kulungile, manje yini engenziwa ukwelapha lokhu?
Ukwelashwa kwalesi simo kuvame ukuqala ngezinto ezilula esingazenza ekhaya, kodwa ezimweni ezimbi kakhulu, kudingeka ukwelashwa kwezokwelapha.
| Indlela yokwelapha | Wenzani? |
|---|---|
| Ukuphumula | Ukwelapha okungcono kakhulu nokuyinhloko kwalokhu ukuphumula. Udinga ukuyeka ukukala umlenze wakho, ukugijima, nokugxuma. Udokotela angase futhi akutshele ukuthi usebenzise izinduku zokusibekela isikhashana. |
| Umkhawulo | Ukuze umise uzwane olukhulu ukuthi lunganyakazi, ilunga lingavinjelwa ngokufaka i-tape noma i-brace ekhethekile. |
| Iqhwa kanye nokuphakama | Faka iqhwa imizuzu eyi-15-20 izikhathi eziningana ngosuku ukuze unciphise ukuvuvukala nobuhlungu. Gcina imilenze yakho iphakanyisiwe phezu komcamelo uma ulele noma uhleli. |
| Imithi yokunciphisa ubuhlungu | Ngokweseluleko sikadokotela wakho, ungathatha imithi efana nemithi elwa nokuvuvukala engeyona eye-steroidal (ama-NSAID) ukuze unciphise ukuvuvukala. |
| Umjovo we-steroid | Uma ubuhlungu nokuvuvukala kukhulu kakhulu, udokotela angase anqume ukunikeza umjovo we-steroid endaweni ebuhlungu. |
| Izicathulo ezikhethekile (ama-Orthotics) | Uma usupholile, uzokwelulekwa ukuthi usebenzise ama-pad akhethekile noma izicathulo ze-orthotic ezinciphisa ingcindezi emathanjeni e-sesamoid ukuvimbela lesi simo ukuthi singaphinde sivele. |
| Ukwelashwa ngokomzimba | Ngemva kwesikhathi sokuphumula, kunganconywa ukuvivinya umzimba ukuze kubuyiselwe ukuguquguquka namandla emalungeni emilenze. |
| Ukuhlinzwa | Lokhu akuvamile kakhulu. Kuphela uma kungekho okunye ukwelashwa okusebenzayo, lapho ukuhlinzwa kungenziwa khona ukuze kususwe ithambo le-sesamoid elinegciwane. |
Kwenzekani ngemva kokwelashwa? Ngingakuvimbela kanjani ukuphinda kwenzeke?
Esikhathini esiningi, ubuhlungu buzoqala ukuncipha ngokushesha nje lapho uqala ukuphumula umlenze wakho. Ukuphumula kuyindlela yomzimba wethu yokulungisa izicubu ezonakele. Isimo esincane ngokuvamile sizoba ngcono ezinsukwini ezimbalwa. Isimo esibi kakhulu singathatha izinyanga ukuphulukiswa ngokuphelele.
Into ebaluleke kakhulu ukuqaphela kakhulu lapho uqala kabusha imisebenzi ebangele ubuhlungu. Kubalulekile ukulandela imiyalelo kadokotela wakho nokulalela izimpawu umzimba wakho okunikeza zona.
Lesi simo singaphinde sibuye. Ngakho-ke, sidinga ukwenza okulandelayo ukuze sivimbele ukuthi singaphinde senzeke:
- Gqoka izicathulo ezikhululekile: Ikakhulukazi uma uhamba kakhulu, gqoka izicathulo ezisekela izinyawo zakho, ezingakucindezeli izinzwane zakho, futhi ezinezinyawo ezithambile. Gwema ukugqoka izithende eziphakeme. Lahla izicathulo ezindala, ezigugile bese uthenga ezintsha.
- Cabanga ngama-orthotics angokwezifiso: Uma unesifo esingavamile onyaweni lwakho, ukusebenzisa ama-orthotics angokwezifiso kungasiza ekunciphiseni ingcindezi emathanjeni akho e-sesamoid.
- Naka ubuhlungu: Uma ungumdlali wezemidlalo, cishe usujwayele ukunganaki izinhlungu ezincane ngesikhathi sokuqeqeshwa. Kodwa kufanele nakanjani unake noma yibuphi ubuhlungu obuqhubekayo obungapheli.
- Vimbela ubuhlungu ngaphambi kokuba kwenzeke:Ngosuku lapho imilenze yakho ikhathele, buya ekhaya uphumule isikhashana, ufake iqhwa, bese ugcina imilenze yakho iphakeme. Lezi zinto zingasiza ekuvimbeleni umonakalo ngaphambi kokuba kwenzeke.
Umzimba wethu usinika izimpawu ezincane, kodwa uma sizishaya indiva, zikhuluma nathi kakhulu. Khona-ke kungaba sekwephuzile kakhulu. Ngakho-ke uma uzwa ubuhlungu emilenzeni, ungabushayi indiva, cela ukuhlolwa ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- I-Sesamoiditis ukutheleleka kwamathambo amabili amancane kanye nemisipha ezungezile etholakala ngaphansi kozwane olukhulu ematheni onyawo.
- Isizathu esiyinhloko salokhu ukucindezeleka okuqhubekayo ezinyaweni. Abantu abagijima, abadansa, nabagqoka izicathulo eziphakeme basengozini enkulu.
- Izimpawu eziyinhloko ubuhlungu ematheni onyawo, ukuvuvukala, kanye nobunzima bokugoba uzwane olukhulu.
- Ukuphumula kuyindlela engcono kakhulu yokwelapha. Iqhwa, imithi yokubulala izinhlungu, kanye nezicathulo ezikhululekile nakho kubaluleke kakhulu.
- Uma ubuhlungu buqhubeka noma bukhulu, qiniseka ukuthi ubona udokotela wakho ukuze akunike iseluleko.
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