Ingabe umunwe wakho weluliwe njengentamo ye-swan? Ake sifunde nge-Swan Neck Deformity.

Ngezinye izikhathi kungenzeka ukuthi uke wabona, noma wabhekana nomunwe noma iminwe eminingana egobile ngendlela exakile. Njengentamo yenja. Lokhu yilokho esikubiza ngokuthi kwezokwelapha (Swan Neck Deformity) . Namuhla sizoxoxa ngokuthi lokhu kuyini ngempela, kungani kwenzeka, nokuthi yini engenziwa ngakho.

Kalula nje, i-Swan Neck Deformity yisimo esithinta imisipha namalunga omunwe wakho. Okwenzekayo ukuthi ilunga elisesicongweni somunwe wakho liyagoba phambili , okusho ukuthi ngaphakathi. Ilunga eliphakathi liyanwebeka . Licabange njengohlamvu 'S'. Lithola igama lalo ngoba libukeka njengentamo yenja.

Okuphambene nalokhu (i-Swan Neck Deformity) yisimo esibizwa ngokuthi (i-Boutonniere Deformity) . Kulokhu, ilunga eliphakathi liyagoba phambili kanti ilunga elisesicongweni somunwe ligoba emuva. Lapho imisipha ehlukahlukene emunweni wakho yonakele, ibhalansi ethambile yamandla adonsa amalunga ingashintsha. Yilapho iminwe iqala ukugoba ngezindlela ezahlukene kanje. Iningi labantu liba nalokhu (i-Swan Neck Deformity) ngenxa yesimo sokuvuvukala njenge-(Rheumatoid Arthritis). Kodwa kwabanye, kungabangelwa nokulimala. Abantu abanezinkinga ezithile zezinzwa nabo bangathuthuka (i-Swan Neck Deformity).

Ziyini izimpawu ze-Swan Neck Deformity?

Uphawu oluyinhloko lwalesi simo ukuthi amalunga eminwe yakho agobile ngendlela engajwayelekile. Uma unalesi simo, umunwe noma iminwe yakho isuke ikuleyo simo ngisho noma isamile. Lesi simo singaba sibi kakhulu ngokuhamba kwesikhathi. Ungase ube nobunzima bokwelula noma ukugoba umunwe othintekile, futhi ungase ube nobunzima bokusebenzisa isandla sakho.

Ungabona ukukhubazeka kwentamo ye-Swan ngokubheka ukuma okuhlukile kwe-'S' emunweni:

• Ilungu elikude eduze kwesipikili ligobile phambili futhi likhuphuke njengesiqongo sentaba.
• Ijoyinti eliphakathi ligobile futhi lehliswe njengesigodi.

Ezinye izimpawu ezingaba khona yilezi:

• Ukuqina kwamalunga eminwe okwanda ngokuhamba kwesikhathi.
• Umuzwa wokucasuka uma uzama ukusebenzisa umunwe wakho.
• Ukuzwa ubuhlungu lapho uzama ukugoba noma ukusebenzisa umunwe.
• Ubunzima bokusebenzisa isandla .

Kungani lokhu kwenzeka? Yiziphi izimbangela ze-Swan Neck Deformity?

Kungase kube nezizathu eziningana zalokhu.

• Izimo ze-arthritis : ikakhulukazi lezo ezithinta amalunga ezandlaLokhu kuvame ukubangelwa yizimo zokuvuvukala ezifana ne -rheumatoid arthritis . I-Psoriatic arthritis nayo ingaba yimbangela. Lezi zimo zonakalisa izicubu ezithambile zomunwe futhi zenze buthaka imisipha.
• Izifo Zezicubu Ezixhumeneyo : Ezinye izifo ezithinta izandla zakho, njenge- scleroderma ne -lupus, zingalimaza nezicubu ezithambile futhi zenze buthaka imisipha.
• Ukuqaqamba Kwemisipha: Ezinye izifo zezinzwa, njengokulimala kobuchopho okubuhlungu noma i-cerebral palsy, zingabangela ukuqaqamba kwemisipha okungahleliwe. Lokhu kungabangela ukuthi eminye yemisipha emunweni iqine kakhulu, okubangela ukungalingani.
• Ukulimala Okubuhlungu: Ukulimala komunwe, njengokuqhekeka, ukuphuka, noma ukulimala kwemisipha (njenge- Mallet Finger) , kungabangela lesi simo. Kungabangelwa futhi ukudabuka noma ukukhumula imisipha ethile emunweni (i-Swan Neck Deformity).

Amalunga eminwe ayawohloka ngale ndlela lapho okuthile kulimele endleleni ethambile esiza amalunga eminwe ukuthi agobe futhi aqonde – sikubiza ngokuthi ‘indlela yokwandisa’ . Lolu uhlelo oluyinkimbinkimbi kakhulu. Ama-tendon nemisipha kusebenza ndawonye, ​​njengezibambo nama-pulley, emalungeni eminwe. Ngenxa yokuthi zonke lezi zingxenye zisebenza ndawonye futhi zilinganiselana, umonakalo engxenyeni eyodwa uthinta amanye amalunga ngezindlela ezahlukene. Uma amandla okudonsa ohlangothini olulodwa kwelinye ilunga encipha, amandla okudonsa ohlangothini olulodwa kwelinye ilunga anganda. (Swan Neck Deformity) Ngokuvamile kuqala kwelinye ilunga, bese amanye amalunga eshintsha ngendlela efanayo.

Kunezindlela ezintathu eziyinhloko lokhu okungenzeka ngazo:

• Uma i-extensor tendon engenhla komunwe wakho yonakele noma ibuthakathaka.
• Uma i-ligament engaphansi komunwe (i-Volar Plate Ligament) yonakele noma ibuthakathaka.
• Ukufinyela kwenzeka lapho imisipha yomunwe iba lukhuni kakhulu futhi ifinyela.

Udokotela ukubona kanjani lokhu?

Udokotela uzohlola umunwe wakho noma iminwe ukuze anqume ukuthi unesifo sokukhubazeka kwentamo ye-swan. Bazobheka ukuthi ungagoba futhi welule kangakanani ilunga, nokuthi liqine kangakanani. Bazobuza nangomlando wempilo yakho, noma yiziphi izimo ezingamahlalakhona onazo, noma yikuphi ukulimala okungenzeka kube nomthelela kulesi simo.

Mhlawumbe ungenza nezivivinyo ezinjengalezi:

• (i-X-ray) noma i-MRI scan – ukuhlola noma yikuphi ukulimala noma isifo samathambo.
• Ukuhlolwa Kwegazi - Ukusiza ekuxilongeni izifo zokuvuvukala.

Yini engenziwa ukwelapha lokhu?

Odokotela bavame ukuzama ukulungisa lokhu (i-Swan Neck Deformity) ngokwelapha ngezandla kanye ne-splinting (okungukuthi, ukufaka isisekelo emunweni). Uchwepheshe wezandla angakunikeza izinhlobo ezahlukene ze-finger splints futhi alungise kancane kancane amalunga ahlukene. Bangakufundisa nokuzivocavoca okulula kweminwe ongakwenza ekhaya.

Kodwa-ke, uma amalunga akho eqine kakhulu noma uma ulimele okudinga ukulungiswa, ungadinga ukuhlinzwa . Ngesikhathi sokuhlinzwa, udokotela wakho kungadingeka akhulule izicubu ezithile futhi alungise ezinye. Noma, imisipha yakho kungadingeka ishukunyiswe ukuze kulungiswe amandla amalunga akho eminwe. Ngemva kokuhlinzwa, kungadingeka ugqoke i-splint bese uqhubeka nokwelashwa ngezandla.

Yini engingayilindela ngalesi simo?

Ukwelashwa kungathuthukisa isimo futhi kubuyisele ukunyakaza okuthile emunweni. Imiphumela mihle kakhulu uma isimo sitholakala kusenesikhathi futhi selashwa kusenesikhathi. Kodwa-ke, ngisho nokuhlinzwa kungase kungakwazi ukulungisa ngokuphelele isimo. Uma unesifo esingamahlalakhona esibangela lesi sifo, kungenzeka ukuthi sizophinde sibuye.

Yini engingayenza mina?

Kungakhathaliseki ukuthi welashwa ngokujwayelekile noma ngokuhlinzwa, ukwelashwa ngezandla kubaluleke kakhulu ekululameni kwakho kwesikhathi eside. Lokhu kuyiqiniso ikakhulukazi uma unesifo esiyisisekelo esibangela ukukhubazeka kwentamo ye-swan. Ukuqhubeka nokusebenzisa ukwelashwa ngezandla ngemva kokwelashwa kuyindlela engcono kakhulu yokuthola imiphumela emihle kakhulu.

Ukwelashwa kokukhubazeka kwentamo ye-swan kuvame ukuxhomeke ekwelapheni isimo esiyisisekelo. Ngezinye izikhathi kungaba nzima, kuye ngesimo esiyisisekelo. Isibonelo, ukulimala okukodwa kungalungiswa ngokuhlinzwa, kodwa izimo ezingamahlalakhona njenge-rheumatoid arthritis zidinga ukwelashwa impilo yonke.

Udokotela wakho uzokwenza konke okusemandleni akhe ukuphatha izici ezahlukahlukene ezibangela ukukhubazeka kwentamo ye-Swan. Bazokunikeza neseluleko sokuthi ungakuvimbela kanjani ukuthi lesi simo singabi sibi futhi singaphinde sivele. Bazokutshela nezinto ongazenza ekhaya ukuze ugcine ukusebenza nokunyakaza okuningi ngangokunokwenzeka, noma ngabe iminwe yakho ibukeka ihlukile kancane.

Ngakho-ke, yiziphi izinto okudingeka sizikhumbule kukho konke lokhu?

• Ukukhubazeka kwentamo ye-Swan kuwukukhubazeka lapho umunwe ugoba ube yisimo 'S', njengentamo ye-swan. Lokhu kwenzeka lapho isihloko somunwe sigoba phambili kanti ilunga eliphakathi ligoba emuva.
• Lokhu kuvame ukubangelwa yizimo ze-arthritis ezifana ne -rheumatoid arthritis , kodwa kungabangelwa nokulimala, ezinye izifo zezicubu ezixhumeneyo, kanye nezinkinga zemizwa.
• Izimpawu eziyinhloko ukuqina komunwe, umsindo 'wokuchofoza' lapho uwugoba, ubuhlungu, kanye nobunzima bokusebenzisa isandla.
• Lokhu kungatholakala ngokuhlolwa kwezokwelapha, mhlawumbe i-X-ray noma i-MRI .
• Ukwelashwa ngezandla , ukuhlinza , futhi ngezinye izikhathi ukuhlinzwa yizona zindlela zokwelapha eziyinhloko.
• Kubaluleke kakhulu ukuqala ukwelashwa kusenesikhathi. Futhi, ukwelashwa okufanele kwesimo esiyisisekelo kanye nokwelashwa okuqhubekayo ngesandla kubalulekile ukuze ululame.

Uma unalezi zimpawu, kungcono ukufuna iseluleko sezokwelapha ngaphandle kokwethuka. Ukwelashwa okusheshayo kungaletha imiphumela emihle kakhulu.

Ukukhubazeka Kwentamo Ye- Swan, Ukwandiswa Kweminwe, I-Arthritis, Izifo Zamalunga, Ukwelashwa Kwezandla, Ubuhlungu Beminwe