Ingabe isihlakala sakho siklwebhekile? (Isihlakala Esiklwebhekile) Masiqaphele lokhu!

Wake wawa washaya isihlakala sakho kanzima? Noma mhlawumbe ubudlala noma wenza okunye futhi ngokuzumayo wazizwa sengathi isihlakala sakho sivuvukile? Mhlawumbe kwaba nokuvuvukala nobuhlungu. Abantu abaningi babhekane nalokhu. Ngakho-ke namuhla sizokhuluma ngezihlakala ezivuvukile, noma njengoba odokotela bezibiza kanjalo , izihlakala ezivuvukile . Ungakhathazeki, lokhu ngokuvamile kuyinto engelashwa ngokwelashwa okulula.

Kusho ukuthini ukukhuhla isihlakala sakho?

Kalula nje, ukuklwebheka kuwukulimala kwemisipha emzimbeni wethu. Manje ungase uzibuze ukuthi iyini le misipha. Imisipha ifana nezibopho eziqinile, ezinwebekayo ezibamba amathambo ethu ndawonye futhi zisize ekugcineni amalunga ethu esendaweni yawo. Ziguquguquka kakhulu futhi ziqinile.

Ubuwazi ukuthi kunamathambo amancane ayisishiyagalombili esihlakaleni sethu sodwa, futhi kunezinhlayiya ezingaba ngu-20 eziwabamba ndawonye! Ngakho-ke, ukuklwebheka kwesandla kwenzeka lapho, ngesizathu esithile, eyodwa noma ngaphezulu yalezi zinhlayiya esihlakaleni sakho yelulwa ngaphezu kwemingcele yayo futhi yonakele? Inhlayiya evame kakhulu engaklwebheka yinhlayiya ye-scapholunate , exhumanisa amathambo e-scaphoid kanye ne-lunate esihlakaleni sethu.

Ukuphuka kwengalo okuningi kuyimihuzuko emincane. Kumane kuwukucindezeleka okuncane emithanjeni. Kodwa ngezinye izikhathi, le mithanjeni ingadabuka. Bese kuba nzima kakhulu.

Ukuklwebheka kuvame ukuba buhlungu. Ungase ukuthole kunzima ukunyakaza noma ukusebenzisa isihlakala sakho esilimele. Kodwa-ke, ukuklwebheka okuningi kwesihlakala kungelashwa ekhaya ngokuphumula, iqhwa, kanye nemithi yokunciphisa izinhlungu etholakala ngaphandle kwemithi kadokotela.

Kodwa-ke, uma ubuhlungu esihlakaleni nezinye izimpawu zingapheli ngemva kwezinsuku ezimbalwa zokwelashwa ekhaya, kufanele nakanjani ubone udokotela, akunjalo?

Ziyini izimpawu zesihlakala esiphukile?

Uma unesandla esiphukile, ungase ube nesinye noma ngaphezulu kwalezi zimpawu:

• Ubuhlungu besihlakala: Lona yilona oluyinhloko. Ubuhlungu bungakhula uma ushukumisa isandla sakho noma uphakamisa okuthile.
• Ukuvuvukala: Ungase uqaphele ukuvuvukala endaweni yokulimala.
• Ukuphuka noma ukushintsha kombala: Ngezinye izikhathi kungabukeka njengokulimala, kube luhlaza okwesibhakabhaka noma kube nsomi.
• Ubunzima bokuhambisa isihlakala: Kuzwakala kunzima ukuhambisa, ukugoba, noma ukuqondisa ingalo.

Ziyini izimbangela zokuqhekeka kwengalo?

Ukuklwebheka kungenzeka uma imisipha esihlakaleni idonswa noma ijijeke ngaphezu kwemingcele yayo. Izimbangela ezivame kakhulu yilezi:

• Okubi:Ikakhulukazi uma sizama ukuzisindisa ngokubeka izandla zethu zeluliwe bese sizibeka phansi lapho sesizokuwa. Cabanga nje, ushelela emgwaqweni bese kungazelelwe isandla sakho sishaye phansi, bese wonke umthwalo ufika esihlakaleni sakho, akunjalo? Ngesikhathi esinjalo, ungasiklwebha kalula.
• Izingozi zemidlalo: Kungenzeka ngenkathi ubamba ibhola ngenkathi udlala ikhilikithi, udlala i-volleyball, udlala i-netball, noma ngisho nalapho uzivocavoca ejimini.
• Izingozi: Ukulimala esihlakaleni nakho kungenzeka ezintweni ezifana nezingozi zezimoto.

Lezi yizimbangela ezivame kakhulu. Kodwa-ke, akuvamile kakhulu, izimo ezithile zezokwelapha zingabangela ukucindezeleka emithanjeni esihlakaleni, okubangela ukuklwebheka. Isibonelo:

• Ezinye izifo .
• Izimo zokuvuvukala kwamalunga njenge-rheumatoid arthritis .
• I-Psoriatic arthritis .

Ingabe ukuklwebheka kwesandla kungabangela izinkinga?

Esikhathini esiningi, ukuklwebheka okulula akubangeli izinkinga ezinkulu. Kodwa-ke, lapho isihlakala siklwebheka, ezinye izinkinga zingavela ngesikhathi esisodwa. Lezi zibhekwa njengezinkinga eziyinhloko.

• Ukuphuka kwamathambo: Ngezinye izikhathi ithambo esihlakaleni lingaphuka noma liqhekeke kanye nokuqhekeka. Lokhu kuyiqiniso ikakhulukazi ekuqhekekeni kwamathambo esihlakaleni okubizwa ngokuthi 'ama-Colles fractures' kanye 'nama-Smith fractures'.
• Ukuhlushwa kwemisipha noma ukuklwebheka.
• Ukulimala kwemisipha.
• Ukulimala kwemizwa.

Yingakho kunconywa ukubona udokotela uma ubuhlungu bungapheli ezinsukwini ezimbalwa. Ngemuva kwalokho bangahlola omunye umonakalo onjengalona.

Udokotela wazi kanjani ukuthi lokhu kuyisilonda?

Uma uya kudokotela, uzoqala ahlole isihlakala sakho (ukuhlolwa ngokomzimba) . Bazokubuza ngezimpawu zakho. Kuzodingeka utshele udokotela ukuthi wenzani ngaphambi kokuba isihlakala sakho siqale ukubuhlungu, ukuthi siqale kanjani ukubuhlungu, njll.

Udokotela uzobe esekucela ukuthi uhambise isihlakala sakho emuva naphambili, usigobe, bese usilula. Lokhu kubizwa ngokuthi ukuhlola ububanzi bokunyakaza kwakho . Tshela udokotela ukuthi kubuhlungu yini nokuthi kubuhlungu kuphi kakhulu.

Hlobo luni lokuhlolwa okwenziwayo?

Ngokuvamile, udokotela wakho uzoyala i-X-ray yesihlakala sakho esilimele. Lokhu kungasiza ekunqumeni izinga lomonakalo emithanjeni esihlakaleni sakho, kanye nanoma yimuphi umonakalo, ukuphuka, noma ukuphuka kwamathambo.

Ngezinye izikhathi, ikakhulukazi uma ukulimala kucatshangwa ukuthi kukhulu, udokotela wakho angase akucele i-MRI (Magnetic Resonance Imaging) noma i-CT scan (Computed Tomography scan) . Lokhu kungabonisa ngokusobala umonakalo ezicutshini ezithambile njengemisipha kanye nemisipha.

Iyini isibonakaliso esithi "Terry Thomas"?

Leli igama elingajwayelekile, akunjalo? Kwezinye izinhlobo zokuqhekeka kwesandla, kwakheka isikhala esincane phakathi kwamathambo amabili esihlakaleni. Yingakho sibizwa ngokuthi "uphawu lukaTerry Thomas." Kwakukhona umhlekisi waseBrithani ogama lakhe linguTerry Thomas. Wayenesikhala esincane phakathi kwamazinyo akhe amabili angaphezulu. Yingakho lesi sikhala esihlakaleni siqanjwe ngaye. Njengoba abantu abaningi bengamazi uTerry Thomas kulezi zinsuku, odokotela ngezinye izikhathi basibiza ngokuthi "uphawu lukaDavid Letterman" noma "uphawu lukaMadonna." Lokhu kuyinto odokotela abayisebenzisayo ukuxilonga izifo.

Yini engenziwa ukwelapha isihlakala esiphukile?

Ezimweni eziningi, ungelapha isihlakala esiphukile ekhaya. Into ebaluleke kakhulu ukuyeka ukwenza imisebenzi ebeka ingcindezi eyengeziwe esihlakaleni, njengezemidlalo noma imisebenzi ehilela umsebenzi omningi womzimba. Imithi yokunciphisa ubuhlungu etholakala ngaphandle kwemithi kadokotela efana ne-NSAID (njenge-ibuprofen noma i-diclofenac) noma i-acetaminophen (i-paracetamol) ingasiza ekunciphiseni ubuhlungu nokuvuvukala. Kodwa khumbula, kungcono ukubuza udokotela wakho ngaphambi kokuthatha imithi yokunciphisa ubuhlungu izinsuku ezingaphezu kwe-10.

Kubaluleke kakhulu ukulandela indlela ye-RICE ngokushesha nje lapho uqala ukuzwa ubuhlungu noma ezinye izimpawu. Ake sibone ukuthi iyini i-RICE?

• R (Ukuphumula): Yeka ukwenza noma yimuphi umsebenzi obuwenza okukulimazile. Ungabeki umthwalo omkhulu esihlakaleni sakho kuze kube yilapho siphola.
• I (Iqhwa) - Faka iqhwa: Songa ama-ice cubes, iphakethe leqhwa elivela efrijini, noma iphakethe leqhwa ngethawula elincane bese ulifaka esihlakaleni esilimele cishe imizuzu eyi-15. Yenza lokhu izikhathi eziningana ngosuku. Ungalifaki iqhwa ngqo esikhumbeni, ngoba lingashisa isikhumba.
• C (Ukucindezela): Ungasonga isihlakala sakho ngebhandeji elinwebekayo ukusiza ekunciphiseni ukuvuvukala. Kodwa khumbula, ungasisongi siqine kakhulu size siqine, sibe buhlungu, noma sinciphise ukugeleza kwegazi esandleni sakho naseminweni.
• E (Ukuphakama) - Ukuphakama: Zama ukugcina isihlakala sakho nesandla sakho kungaphezu kwezinga lenhliziyo yakho noma nini lapho kungenzeka. Ungabeka umcamelo phezulu.

Okubalulekile: Uma izimpawu zakho zingathuthuki ngemva kwezinsuku ezimbalwa zokuqala lokhu kwelashwa ekhaya, qiniseka ukuthi ubona udokotela.

Udokotela wakho angakutshela ukuthi ugqoke i-brace noma i-splint esihlakaleni sakho esilimele. Lokhu kubizwa ngokuthi i-immobilization . Kusiza ukugcina isihlakala sakho sisesimweni esingathathi hlangothi kuze kube yilapho siphola. Udokotela wakho uzokutshela ukuthi kufanele usigqoke isikhathi esingakanani.

Ingabe ukuklwebheka kwesandla kudinga ukuhlinzwa?

Akuvamile kakhulu ukuthi ukuklwebheka kwesandla kudinge ukuhlinzwa. Kodwa-ke, uma uklwebheka kwesandla sakho lapho uwe noma usengozini futhi ube nokulimala okubi kakhulu (isib. ithambo eliphukile, umsipha odabukile), kungase kudingeke ukuhlinzwa ukuze kulungiswe umonakalo.

Uma kudingeka ukuhlinzwa, kungenziwa kusetshenziswa indlela encane kakhulu ebizwa ngokuthi i-arthroscopy . Lokhu kusho ukuthi udokotela ohlinzayo wenza ukusika okuncane kakhulu esihlakaleni sakho bese efaka ikhamera encane (i-arthroscope) ngayo ukuze abheke amathambo nemisipha. Ngemuva kwalokho, esebenzisa amathuluzi amahle kakhulu, udokotela ohlinzayo ulungisa ilunga lesihlakala kanye nemisipha eyonakele.

Kodwa-ke, uma umonakalo unzima kakhulu, kungase kudingeke ukuhlinzwa okuvulekile . Kulesi simo, udokotela ohlinzayo wenza i-incision ngemuva kwesihlakala, amise amathambo, futhi alungise imisipha eyonakele.

Kuthatha isikhathi esingakanani ukuthi isihlakala esiphukile siphole?

Ngokuvamile kuthatha amasonto ambalwa ukuthi isihlakala esiphukile siphole ngokuphelele. Kodwa-ke, uma usuqalile ukwelashwa, izimpawu ezifana nobuhlungu nokuvuvukala kufanele ziqale ukwehla kancane kancane. Ukuze uphole ngokushesha, kubalulekile ukuphumula futhi uthathe ukwelashwa njengoba nje udokotela wakho ekuncoma.

Ingabe ukuklwebheka kwengalo kungavinjelwa?

Uma unakekela izinto ezithile, ungavimbela kakhulu ukuklwebheka kwengalo.

Kungakhathaliseki ukuthi udlala imidlalo noma eminye imisebenzi yomzimba:

• Fudumeza kahle ngaphambi kokuqala ukudlala noma ukuzivocavoca.
• Gqoka imishini yokuzivikela efanele kulo mdlalo. Isibonelo, eminye imidlalo isebenzisa izivikelo zesandla.
• Uma isihlakala sakho sibuhlungu, ungadlali ngobuhlungu . Uma kubuhlungu, yima bese uphumula.
• Nika umzimba wakho isikhathi sokuphumula nokululama ngemva kokusebenza kanzima.
• Phola bese welula imisipha ngemva kwemisebenzi.

Ukuze uphephe ngokujwayelekile, khumbula lezi zinto:

• Gcina ikhaya lakho nendawo yakho yokusebenza ihlanzekile futhi ingenazo izinto ezingashelela futhi ziwe.
• Sebenzisa amathuluzi noma imishini efanele njalo ukuze ufinyelele izinto eziphakeme. Ungalokothi ukhwele ezihlalweni, ematafuleni, noma emakhawunteni. Sebenzisa into efana neladi elincane.
• Uma unenkinga yokuhamba noma usengozini enkulu yokuwa, sebenzisa induku noma i-walker .

Yini ongayilindela uma unesihlakala esiphukile?

Ukululama okuphelele ngemva kokukhubeka kwengalo yakhoKulindelekile. Ukushayeka okuningi kuyizingozi zesikhashana. Uma imisipha isipholile, kufanele ukwazi ukubuyela kuyo yonke imisebenzi yakho evamile.

Kodwa-ke, qiniseka ukuthi ukhuluma nodokotela wakho ngaphambi kokuqala imisebenzi yomzimba efana nezemidlalo. Uma ubeka isisindo esihlakaleni sakho futhi ngaphambi kokuba siphole ngokuphelele, ungase wandise ingozi yokulimala kabusha kanye nezinkinga kanye nokunye ukulimala.

Kufanele ngimbone nini udokotela?

Uma uwa noma ulimala nganoma iyiphi indlela futhi isihlakala sakho sibuhlungu, bona udokotela, ikakhulukazi uma izimpawu zingathuthuki ngemva kwezinsuku ezimbalwa.

Uma usengozini enkulu noma ucabanga ukuthi uphuke ithambo, hamba uye ekamelweni lezimo eziphuthumayo ngokushesha.

Yimiphi imibuzo okufanele uyibuze udokotela?

Uma uya kudokotela, kuwumqondo omuhle ukubuza imibuzo efana nale:

• Ingabe nginokulimala noma okunye ukulimala?
• Hlobo luni lokwelashwa engiludingayo?
• Ingabe kuzomele ngigcine ingalo yami ingasebenzi? Isikhathi esingakanani?
• Ingabe ngizodinga ukuhlinzwa?
• Ngingaqala nini imisebenzi yomzimba efana nezemidlalo futhi?

Umlayezo Wokuya Nawe Ekhaya

Ukuphuka kwengalo kuyinto evamile kakhulu phakathi kwethu. Kodwa ukuphuka kwengalo kuyinto edabukisayo nebuhlungu. Uma ulimele ingalo yakho, kungaba ngenxa yokuwa noma ngenkathi udlala, futhi uzwa ubuhlungu nokuvuvukala, bona udokotela ngokushesha okukhulu. Udokotela angakwazi ukuxilonga ukulimala kwakho futhi akunikeze ukwelashwa ukuze ukwazi ukubuyela emisebenzini yakho evamile ngokushesha okukhulu.

Khumbula, ungasheshi ukululama kwakho. Umzimba wakho udinga isikhathi sokululama.

Ungaqali ukudlala imidlalo kuze kube yilapho udokotela wakho ekuyala. Kungase kube yinto ephazamisayo ukungakwazi ukudlala noma ukuzijwayeza amasonto ambalwa. Kodwa-ke, ukubekezela kuze kube yilapho usululame ngokuphelele kuzosiza ekuvimbeleni ezinye izinkinga esikhathini esizayo. Ngikufisela ukululama okusheshayo!

Isandla , Ukuqina, Ubuhlungu Besandla, Imisipha, Ukwelashwa Kwelayisi, Ubuhlungu Besandla, Ukulimala Kwezemidlalo