Ingabe isithupha sakho siklwebhekile? (Ukuqina kwesithupha) Ungesabi, ake sithole ngalokhu!

Ngesikhathi senza imisebenzi yethu yansuku zonke, kuvamile ukuthi ngezinye izikhathi ube nezingozi ezincane. Mhlawumbe nawe uke waklwebheka umlenze wakho. Ikakhulukazi uma kukhulunywa ngomunwe oklwebheke, ubuhlungu nokuvuvukala kungaba yinto ecasulayo kakhulu, akunjalo? Ngakho-ke, namuhla sizoxoxa ngalesi simo esibizwa ngokuthi i-Thumb Sprain ngokuningiliziwe.

Kuyini ukuklwebheka kwesithupha?

Kalula nje, ukuklwebheka kwesithupha kuwukwelula noma ukudabuka komsipha esithupheni sakho, izicubu ezixhumanisa amathambo amabili esithonjeni. Ngokuvamile, lesi simo senzeka lapho i-Ulnar Collateral Ligament (UCL) yonakele , etholakala ngaphakathi kwesithupha sakho, eduze kwejoyinti le-metacarpophalangeal (MCP). Cabanga, isibonelo, uma isithupha sakho sigoba ngokuzumayo emuva, sisuka esandleni sakho, noma sisonta ngenye indlela engavamile, ungase uklwebheke.

Lokhu kuklwebheka, njengokunye ukuklwebheka, kungasukela ekudonsweni okuncane kuya ekudabukeni okuphelele kwe-ligament, mhlawumbe kuze kuyihlukanise nethambo. Lesi simo ngezinye izikhathi sibizwa ngokuthi "i-Skier's Thumb" noma "i-Gamekeeper's Thumb."

Yiziphi izinhlobo zokukhahlela izithupha?

Odokotela bahlukanisa lokhu kuklwebheka ngokobunzima bako. Kunezinhlobo ezintathu eziyinhloko:

• Ibanga 1: Lokhu ukuklwebheka okuncane kakhulu . I-ligament inwetshiwe kakhulu, kodwa ayidabukile.
• Ibanga lesi-2: Lokhu kuwukuklebhuka okuphakathi nendawo . Lapha, ingxenye yomsipha idabukile.
• Ibanga lesi-3: Lokhu ukuklwebheka okunzima kakhulu . I-ligament ingase idabuke ngokuphelele noma ingase ihlukane nokunamathela kwayo ethanjeni. Ukuklwebheka okunzima njengalokhu kungadinga ukunakekelwa kwezokwelapha okusheshayo, mhlawumbe nokuhlinzwa.

Ingabe isithupha sami siphukile? Ingabe siklwebhekile? Ngingazi kanjani ukuthi ngiqinisile?

Kokubili isithupha esiphukile nesiphukile kungabangela ubuhlungu, ukuvuvukala, kanye nokushayeka. Kodwa-ke, kunezimo ezahlukene. Isithupha esiphukile sivame ukuba buhlungu kakhulu , futhi isithupha singase siguge noma sibonakale sikhubazekile. Ungase uzizwe sengathi kukhona okufana nokungazweli.

Uma unobuhlungu, ukuvuvukala, noma ukuphuka kwesithupha sakho ngemva kwengozi efana nokuwa, kufanele nakanjani ubone udokotela . Kunzima ukubona ngaphandle ukuthi ukuphuka noma ukuklwebheka. Ngakho-ke, kungcono ukuba nodokotela onolwazi akuhlole futhi, uma kudingeka, uthathe i-X-ray ukuze athole ukuthi yini ngempela engalungile.

Uyini umehluko phakathi kokuklwebheka nokuklwebheka?

Nakuba kokubili kubuhlungu, kunomehluko omncane.

• Ukuklwebheka , njengoba sixoxile ngaphambili, kuwukulimala kwemisipha exhumanisa amathambo esihlanganisi.
• Ukucindezeleka ukulimala kwemisipha noma imisipha exhumanisa imisipha nethambo.

Uma uzwa ubuhlungu esithupheni sakho, bona udokotela. Uzokuhlola futhi, uma kudingeka, acele ukuhlolwa okufana ne-X-ray , i-musculoskeletal ultrasound , noma i-MRI (Magnetic Resonance Imaging) ukuze kutholakale ukuthi kukhona yini ukuphuka, ukuklwebheka, noma ukucindezelwa kwemisipha.

Ubani osengozini enkulu yokuklwebheka isithupha sakhe?

Noma ubani, kungakhathaliseki ubudala, angakhuhla isithupha sakhe. Kodwa-ke, abanye abantu basengozini enkulu.

• Abasubathi: Le ngozi iphezulu kakhulu kulabo abaskiyayo , kanye nalabo abadlala imidlalo ehilela ukubamba nokuphonsa ibhola (isib. i-baseball, i-basketball, i-volleyball, ibhola likanobhutshuzwayo).
• Abantu abasengozini enkulu yokuwa: Abantu asebekhulile abavame ukuwa njalo, noma labo abanezinkinga zokulinganisela, nabo basengozini enkulu.

Eqinisweni, isithupha esiklwebhekile siwukulimala okuvamile .

Ziyini izimpawu zomuntu ohlukunyezwe yisithupha?

Izimpawu zincike ebunzimeni bokuklwebheka. Izimpawu ziyahlukahluka ngokuya ngamazinga amathathu esixoxe ngawo ngaphambili.

Ibanga 1 (ukuklwebheka okuncane)

• Ubuhlungu phansi kwesithupha noma ubuhlungu uma ucindezelwa .
• Ukuvuvukala esithupheni noma esisekelweni saso.
• Ukubona inxeba (ubuluhlaza okwesibhakabhaka) phansi kwesithupha.

Ngezinye izikhathi, abantu abanezinhlungu ezincane bangase bangazizwa ubuhlungu obukhulu ngokushesha ngemva kokulimala.

Ibanga lesi-2 (Ukuqina Okumaphakathi)

• Umsebenzi olinganiselwe kanye nobubanzi bokunyakaza kwesithupha.
• Ubuhlungu obukhulu phansi kwesithupha kanye nobuhlungu uma ucindezelwa .
• Ukuvuvukala esithupheni noma esisekelweni saso.
• Ukubona inxeba phansi kwesithupha.

Ibanga lesi-3 (ukulimala okukhulu)

• Ubuhlungu obukhulu phansi kwesithupha kanye nobuhlungu uma ucindezelwa .
• Umuzwa wokungakhululeki noma ukungazinzile esixukwini sesithupha.
• Ubunzima bokubamba into ethile phakathi kwesithupha nomunwe wokukhomba.
• Umuzwa ofana neqhubu esithupheni. Lokhu kungenzeka uma i-ulnar collateral ligament (UCL) idabuke ngokuphelele. Isiphelo seqhubu elidabukile singase sizwakale njengeqhubu ngaphansi kwesikhumba.
• Ukuvuvukala esithupheni noma esisekelweni saso.
• Ukubona inxeba phansi kwesithupha.

Yiziphi izimbangela zokuqhekeka kwesithupha?

Imbangela eyinhloko yokukhubeka kwesithupha ngamandla asheshayo, anamandla abangela ukuba isithupha sigobe sisuke esandleni, emhlane, noma siphendukele kwenye indlela engavamile . Lokhu kuvame ukwenzeka lapho isandla eseluliwe sishaya phansi.

Kuvamile futhi lapho umuntu oskiya ewa ebambe isigxobo sokuskiya . Yingakho kubizwa nangokuthi "uThumb's Skier".

Ngezinye izikhathi, abantu abenza imisebenzi ephindaphindayo nephindaphindayo (isib., imidlalo ethile, imisebenzi ethile) ehilela ukubamba noma ukusonta izinto isikhathi eside bangaba nomonakalo wemisipha kanye nokuqhekeka. Lesi simo sesikhathi eside saziwa nangokuthi "i-Gamekeeper's Thumb."

Odokotela bakuthola kanjani ukuklwebheka kwesithupha?

Uma ubona udokotela, bazoqala bakubuze ukuthi ukulimala kwenzeke kanjani, kwenzeke nini, nokuthi yiziphi izimpawu zakho . Ngemuva kwalokho, bazokwenza ukuhlolwa ngokomzimba ukuze babone ukuthi i-thumb joint yakho izinzile kangakanani nokuthi ubuhlungu buvela kuphi. Lokhu kuzosiza ekunqumeni ukuthi ngabe ukuklwebheka kubuhlungu kangakanani nokuthi kukhulu kangakanani. Bangase futhi ba-ode ukuhlolwa kwezithombe, njengoba kushiwo ngaphambili.

Ukuhlolwa kokuxilonga

Ngemva kokuhlolwa ngokomzimba, udokotela angase acele ukuhlolwa okufana nalokhu ukuze ahlole okunye ukulimala noma ukuthola ukuthi ukuklwebheka kubucayi kangakanani:

• Ama-X-ray:
• Lokhu kungathatha izithombe ezinemininingwane zamathambo. Lokhu kungasiza ekunqumeni ukuthi ubuhlungu nokuvuvukala kwakho kubangelwa yini ukuphuka.
• Futhi, ungahlola ukuthi i-ligament iyadonsa yini futhi ibangela ukuphuka kwe-avulsion , okuyisimo lapho i-ligament iphuma ethanjeni ngengcezu encane yethambo.
• I-X-ray Yokucindezeleka: Lokhu kuhilela udokotela ukufaka ingcindezi encane kusithupha sakho esilimele ngenkathi ethatha i-X-ray. Lokhu kungakunikeza ulwazi olwengeziwe mayelana nokuqina kwejoyinti le-MCP . Uma ingcindezi ibangela ubuhlungu, udokotela angase futhi afake umuthi oqeda izinhlungu (i-anesthetic) endaweni eseduze nesithupha.

• I-MRI (Umfanekiso Wokuzwakala Kwamagnetic):
• I-MRI ingathatha izithombe ezinemininingwane yengaphakathi lomzimba ngaphandle kokusebenzisa imisebe. Ingabona imininingwane yamathambo angabonakali kuma-X-ray avamile, kanye nemininingwane yezicubu ezithambile (njengobukhulu bokuklwebheka noma ukucindezeleka kwemisipha). Lolu lwazi lusiza udokotela ukuhlela ukwelashwa nokunquma ukuthi ukuhlinzwa kuyadingeka yini.

• I-Ultrasound yemisipha:
• Lokhu kusebenzisa amaza omsindo ukuthatha izithombe zomzimba. Udokotela wakho angase akucele ukuthi kwenziwe i-ultrasound ukuze kubhekwe izicubu ezithambile ezizungeze ilunga. Lokhu kungasiza ekunqumeni ukuthi imisipha idabuke kancane, idabuke ngokuphelele, noma ukuthi uketshezi luyaqoqana yini. Lokhu kungasiza ekunqumeni ubukhulu bokulimala kanye nokwelashwa okungcono kakhulu.

Uphatha kanjani isithupha esiphukile?

Indlela yokwelapha incike ebunzimeni bokuklwebheka.

Ukwelashwa kokuklwebheka okuncane (Ibanga 1)

Lokhu ngokuvamile kungelashwa ekhaya ngokulandela indlela ye-PRICE (Ukuvikelwa, Ukuphumula, Iqhwa, Ukucindezela, Ukuphakama).

• Isivikelo: Gqoka i- thumb spica splint izinsuku ezimbalwa ukuze uvimbele indawo elimele. Lokhu kungathengwa emakhemisi noma ku-inthanethi.
• Ukuphumula isandla sakho: Gwema ukusebenzisa isandla sakho esilimele okungenani amahora angu-48 ngemva kokulimala. Lokhu kulula ukukwenza uma une-splint. Uma ungenayo i-splint, gwema ukusebenzisa isandla/usithupha sakho nganoma iyiphi indlela ebangela ubuhlungu.
• Ukuqhafaza isithupha sakho: Faka iqhwa esithupheni sakho nasesandleni ngokushesha okukhulu ngemva kokulimala. Lokhu kungasiza ekunciphiseni ukuvuvukala. Ukuqhafaza iqhwa kungasiza ekubhekaneni nobuhlungu. Songa i-ice cube ngendwangu bese uyihlikihla ngendlela ejikelezayo endaweni ebuhlungu imizuzu emithathu kuya kwemihlanu izikhathi eziningana ngosuku. Ngezinye izikhathi ukugeza ngeqhwa kungasiza futhi - faka isithupha sakho nesandla emanzini eqhwa imizuzu emithathu kuya kwemihlanu. Kodwa-ke, qaphela ukuthi ungayeqisi futhi ungase uthole i-frostbite.
• Ukusebenzisa ibhandeji lokucindezela: Songa ilunga lesithupha elilimele ngebhandeji lokucindezela elinwebekayo. Amanye ama-thumb spica splints nawo analesi sici sokuqina. Lokhu kunganciphisa nokuvuvukala.
• Ukuphakamisa isandla sakho: Uma uphumule, gcina isandla sakho ngaphezu kwenhliziyo yakho ngangokunokwenzeka.
• Ukuthatha imithi yokunciphisa izinhlungu: Imithi yokunciphisa izinhlungu etholakala ngaphandle kwemithi kadokotela, njenge-aspirin ne-ibuprofen, ingasiza ngobuhlungu nokuvuvukala.

Uma ubuhlungu nokuvuvukala kunganciphi ngemva kwezinsuku ezimbili zokuphumula kanye nalezi zindlela zokwelapha ekhaya, qiniseka ukuthi ubona udokotela .

Ukwelashwa kokuklwebheka okusesilinganisweni (Ibanga lesi-2)

• Ukugqoka isithupha i-Spica Splint noma i-Cast: Udokotela wakho cishe uzoncoma ukuthi ugqoke i-splint noma i-cast ukuze uvimbele isithupha sakho ukuba singanyakazi kuze kube yilapho siphola. Kuye ngokuthi ukuklwebheka kungakanani, kungase kudingeke ukuthi ukugcine endaweni yakho kuze kube yilapho udokotela wakho ekutshele ukuthi ukukhiphe.
• Faka iqhwa isithupha sakho nesandla sakho: Faka iqhwa ngokushesha okukhulu ngemva kokulimala. Lokhu kungasiza ekunciphiseni ukuvuvukala.
• Ukuthatha imithi yobuhlungu: Sebenzisa imithi yobuhlungu ongayithenga ekhemisi.
• Ukuzivocavoca kokwelula:Isithupha singase siqine ngoba asisakwazi ukunyakaza. Ngakho-ke, udokotela wakho angase ancome ezinye izivivinyo zokuzelula ukuze akusize ubuyisele ukunyakaza kwesithupha sakho. Landela imiyalelo kadokotela wakho mayelana nokuthi uzoqala nini lezi zivivinyo.

Ukwelashwa kokuklwebheka okukhulu (Ibanga lesi-3)

• Ukuhlinzwa: Uma i-ligament idabuke ngokuphelele, ukuhlinzwa kuvame ukudingeka. Kunezinqubo ezahlukene zokuhlinzwa, njengokunamathisela i-ligament ethanjeni, ukulungisa ukuphuka kwe-avulsion nge-bone anchor, iphini, noma isikulufu.
• Ukugqoka i-cast noma i-splint: Ngemva kokuhlinzwa, kuzodingeka ugqoke i-cast noma i-splint cishe amasonto ayi-6 kuya kwangu-12 ukuze usize isithupha sakho siphole.
• Ukwelashwa Komsebenzi/Komzimba: Uma isithupha sakho sesipholile ngemva kokuhlinzwa, ithimba lakho lezokwelapha lizokutshela ukuthi wenze izivivinyo ezikhethekile ukuze kukusize uthole amandla nobubanzi bokunyakaza esithupha sakho nasesandleni.

Ingabe udinga ukuya esibhedlela uma ukhubeka isithupha sakho?

Sonke sizwa izinhlungu ngezikhathi ezithile, kodwa ubuhlungu obungapheli abuvamile. Uma ulimele isithupha sakho, futhi usazizwa ubuhlungu ngemva kokuphumula izinsuku ezimbalwa nokufaka iqhwa, kufanele nakanjani ubone udokotela . Cishe uzokwenza izivivinyo ukuze abone ukuthi kukhona yini ukulimala okukhulu, noma angase akunikeze i-splint ukuze uzinzise isithupha sakho.

Kuthatha isikhathi esingakanani ukuthi isithupha esiphukile siphole?

Isikhathi esithathayo ukuze lokhu kwenzeke sincike ebunzimeni bokuklwebheka. Ukuklwebheka okuncane (iBanga 1) kuvame ukuphola emavikini amane kuya kwayisithupha, kodwa kuphela uma uvimba isithupha nge-splint noma i-cast futhi ugweme imisebenzi engayicasula.

Kungathatha izinyanga eziningana ukuthi ukuklwebheka okunzima (iBanga lesi-3) kuphole ngokuphelele nokuthi ukwazi ukusebenzisa isithupha sakho ngendlela evamile. Lokhu kungenxa yokuthi ukuklwebheka okunzima kuvame ukudinga ukuhlinzwa, kulandelwe ukuklwebheka/ukuphonswa, kanye nokwelashwa ngokomzimba.

Nginganakekela kanjani isithupha esiklinyiwe?

Landela imiyalelo kadokotela wakho ngqo. Njengoba i-ligament ithatha isikhathi ukuphola, zama ukugwema imisebenzi nemidlalo esebenzisa izandla zakho okungenani inyanga.

Ungakuvimbela kanjani ukuklwebheka kwesithupha?

Kunezinto eziningana ongazenza ukuze uvimbele ukuklwebheka kwesithupha:

• Ngaphambi kokwenza noma yimuphi ukuzivocavoca noma umdlalo osebenzisa izandla zakho , welula imisipha ezandleni zakho kanye neminwe yakho kahle .
• Gqoka izinto zokuzivikela uma udlala imidlalo.
• Zivocavoce ezindaweni eziyisicaba ukuze ugweme ukuwa.
• Gqoka izicathulo ezikulingana kahle futhi uqinisekise ukuthi izintambo zakho zezicathulo ziboshwe kahle. Lokhu kuzonciphisa amathuba okuba ziphambane.
• Uma uskiya eqhweni, uma usuzowa, khipha izinsika zakho zokuskiya , ungabambeleli kakhulu.
• Uma usengozini enkulu yokuwa, sebenzisa into yokusiza ukuhamba njengodondolo noma i-walker.

Iyini iphrojekthi yokuhlubuka kwesithupha?

Ukuklwebheka kwesithupha okuthambile (kweBanga 1) kanye nokuphakathi (kweBanga 2), uma kwelashwa ngokuphumula okufanele kanye nokuvimbela ukunyakaza kwesithupha, kuvame ukuphola kahle ngaphandle kwezinkinga zesikhathi eside.

Izifundo eziningi zibonisa ukuthi ukuhlinzwa kokulimala okukhulu kwe-ulnar collateral ligament (UCL) (Grade 3) kuvame ukuphumelela. Ukulimala kwe-UCL yebanga lesi-3 okungalashwa ngokuhlinzwa kuvame ukuholela ekungazinzini okungapheli .

Ingabe ukukhubeka kwesithupha kungabanga izinkinga?

Amathuba okuba nezinkinga ancike ebunzimeni bokuklwebheka kanye nemisipha eyonakele. Ezinye zezinkinga ezingase zivele ngenxa yokuklwebheka kwesithupha zifaka:

• Ubuhlungu obungapheli esithupheni.
• I-arthritis yejoyinti lesithupha.
• Ukungazinzi kwejoyinti lesithupha.
• Amandla okuncinza anciphile .
• Ukulimala kwemizwa ngenxa yokuhlinzwa.
• Ukwehla kwebanga lokunyakaza esihlanganisini sesithupha.

Kufanele ngimbone nini udokotela?

Uma unezimpawu zokukhubeka kwesithupha, njengobuhlungu besithupha kanye nokungazinzi kwamalunga, bona udokotela .

Uma usuvele unesithupha esiklwebhekile, tshela udokotela wakho uma uthola izimpawu ezintsha nezikhathazayo.

Masikhumbule (Umyalezo Wokuya Ekhaya)

Njengoba sonke siqhubeka nokuphila kwethu kwansuku zonke, sonke singabhekana nezingozi ezincane kanye nokuwa. Ukuqina kwesithupha kungenye yezingozi ezivamile. Uma uqina isithupha sakho, ungesabi ukubona udokotela. Kubalulekile ukunquma ukuthi ukuqina okulula, into engathi sína kakhulu, noma okunye ukulimala. Kuzokusiza futhi ukuthi uthole uhlelo lokwelashwa ukuze ubuyisele isithupha sakho esimweni esijwayelekile. Ngakho-ke, qaphela!

Ukuqhekeka kwesithupha , Ukuqhekeka kwesithupha, Ukuqhekeka, I-Ligament, Ubuhlungu besithupha, Ukwelashwa, Ukuvimbela, Ukulimala Kwezemidlalo