Kukhona indawo lapho umemeza khona uthi 'Hawu' uma ushaya unyawo lwakho etafuleni lekhofi noma esihlalweni, akunjalo? Lelo thambo eliqinile esilibiza ngokuthi 'umlenze' libizwa ngokuthi i-tibia kwezesayensi yezokwelapha. Leli thambo libaluleke kakhulu, linamandla kakhulu emzimbeni wethu. Leli thambo linegalelo elikhulu kukho konke esikwenzayo, kungakhathaliseki ukuthi siyama, siyahamba, siyagijima, noma siyagxuma. Ngakho-ke namuhla, ake sixoxe ngethambo lethu lomlenze ngokuningiliziwe.
Kalula nje, iyini i-Tibia?
I-tibia yithambo elisesinqeni sakho. Yithambo lesibili elide kakhulu emzimbeni wethu. (Ithambo elide kakhulu yithambo lethanga, noma i-'Femur'). I-tibia ibaluleke kakhulu ekusekeleni isisindo somzimba wethu lapho sima futhi sihamba. Futhi yithambo elisekela imisipha eminingi ebalulekile, imisipha, imizwa, kanye nemisipha emilenzeni yethu.
Inamandla kangangokuthi ngokuvamile idinga ukushaya okukhulu, njengengozi enkulu, ukuwa endaweni ephakeme, noma ingozi yemoto, ukuze iphuke. Uma ithambo liphukile (liphukile), kuvame ukuhlinzwa ukuze lilungiswe kanye nokwelashwa ngokomzimba ukuze kubuyiselwe amandla.
Yiziphi izinsizakalo eziyinhloko ezinikezwa yithambo le-tibia emizimbeni yethu?
Ithambo le-tibia lenza imisebenzi eminingana ebaluleke kakhulu emzimbeni wethu.
- Ukusekela isisindo somzimba: Leli thambo lisiza ekusekeleni isisindo somzimba wethu wonke lapho sima futhi sihamba.
- Ukugcina umzimba uzinzile: Lokhu kusiza ukugcina imizimba yethu ilinganisela futhi izinzile njengoba sinyakaza, sihamba, futhi sigijima.
- Ukuxhumanisa: Imisipha, imisipha, kanye nemisipha emadolweni nasemaqakaleni ethu isebenza njengebhuloho eliwaxhumanisa nawo wonke umzimba.
I-Tibia vs. I-Fibula - Uyini umehluko phakathi kwalezi ezimbili?
Kunamathambo amabili amakhulu emlenzeni wethu ongezansi, ngaphansi kwedolo. Lawa yi-tibia kanye ne-fibula. Abantu abaningi bayawadida lawa mathambo amabili.
I-tibia yilona thambo elikhulu nelinamandla kunalawa amabili. Itholakala ngaphakathi komlenze. I-fibula iyithambo elincane nelincane kune-tibia. Itholakala ngaphandle komlenze. Umehluko omkhulu ukuthi i-tibia yilona elithwala isisindo somzimba wethu. I-fibula ngokuyinhloko inikeza ukwesekwa kwesakhiwo somlenze.
| Isici | I-Tibia | I-Fibula |
|---|---|---|
| Indawo | Ithambo elikhulu ohlangothini oluphakathi lomlenze ongezansi. | Ithambo elincane ohlangothini lwangaphandle (oluseceleni) lomlenze ongezansi. |
| Usayizi | Inde futhi ijiyile kunethambo le-fibula. | Mncane futhi mfishane kunethambo le-tibia. |
| Umsebenzi oyinhloko | Ukuthwala isisindo ngumsebenzi oyinhloko womzimba. | Ngokuyinhloko ukunikeza ukwesekwa kwesakhiwo nokuqinisa iqakala. |
Ukubonakala kwethambo le-tibia nezingxenye zalo
Nakuba i-tibia iyithambo eliqhubekayo, inezingxenye ezintathu eziyinhloko. Nakuba la magama engabalulekile empilweni yansuku zonke, angakusiza uqonde ukuthi odokotela bakhuluma ngani uma kwenzeka uphula ithambo.
1. Isici esiseduze: Lena yingxenye eyakha idolo. Liyisicaba kancane, njengeshelufu.
2. Umgodi: Lena yingxenye ende kakhulu yethambo. Yile ngxenye enikeza ugebhezi lwethu isimo salo.
3. Isici esikude: Lena yingxenye eyakha iqakala.
Kunezinye amagama odokotela abazisebenzisayo kulezi zingxenye. Isibonelo, uma uphula ithambo lakho, udokotela wakho angasebenzisa amagama anjenge-'Medial malleolus', 'Anterior border' ukuze akutshele ukuthi liphuke kuphi.
Izifo nezimo ezivamile ezithinta ithambo le-tibia
Kunezimo eziningana ezinkulu zezokwelapha ezingathinta amathambo ethu, futhi kubalulekile ukuzazi.
| Isimo sezokwelapha | Incazelo kanye nezimpawu |
|---|---|
| Ukuphuka Kwe-Tibia | Lokhu kwenzeka engozini enkulu. Izimpawu yilezi:
|
| I-Osteoporosis | Lokhu kubangela ukuthi amathambo abe buthakathaka futhi aphuke kalula ngisho noma kungathintwa kancane. Abantu abaningi bathola ukuthi banesifo ngemva kokuphuka ithambo. Azikho izimpawu ezicacile ekuqaleni. Le ngozi iphezulu kakhulu kwabesifazane nakubantu abaneminyaka engaphezu kwengu-50. Ungakhuluma nodokotela wakho mayelana nokuhlolwa kokuqina kwamathambo. |
| Isifo se-Osgood-Schlatter | Lokhu kuvame ukubonakala ezinganeni ezisakhula kanye nabantu abadala abasebasha. Uphawu oluyinhloko ubuhlungu engxenyeni engenhla ye-kneecap, ngaphansi nje kwedolo. Ngezinye izikhathi bubizwa ngokuthi "idolo lika-jumper." Izici:
|
| Isifo SikaPaget Sethambo | Lesi yisifo samathambo esingamahlalakhona. Okwenzekayo ukuthi amathambo aphuka futhi akhule kabusha ngendlela engavamile. Lokhu kungabangela ukuba amathambo abe buthakathaka futhi akhubazeke. Lokhu kuvame ukuthinta abantu abangaphezu kweminyaka engu-50. Izici:
|
Ungayihlola kanjani impilo yethambo le-tibia?
Odokotela basebenzisa izivivinyo ezahlukene ukuhlola impilo ye-tibia yakho noma amanye amathambo.
Ukuhlolwa okuyinhloko okusetshenziselwa ukuxilonga izimo ezifana ne-osteoporosis ukuhlolwa kokuqina kwamathambo. Okubizwa nangokuthi i-'DEXA` noma i-'DXA scan`, lokhu kusebenzisa ama-X-ray asezingeni eliphansi ukukala ukuthi amathambo akho aqine kangakanani.
Uma uke waba sengozini futhi usola ukuthi uphukile, udokotela wakho angase akuncome okukodwa noma ngaphezulu kwalokhu kuhlolwa okulandelayo:
- Ama-X-ray: Ukuhlolwa okuyisisekelo kakhulu kokubona ukuthi kukhona yini ukwaphuka, uma kunjalo, ukuthi kukuphi, nokuthi hlobo luni lokuphuka.
- Ukuskena kwe-MRI (I-Magnetic Resonance Imaging): Lokhu kusiza ukubona ukuthi kukhona yini umonakalo ezicutshini ezithambile ezizungeze ithambo, njengemisipha, imisipha, kanye nemisipha.
- I-CT scan: Lokhu kuhlolwa kusetshenziselwa ukuthola umbono ocacile, onezinhlangothi ezintathu (3D) wokuphuka kwethambo.
Uligcina kanjani ithambo lakho le-tibia liphilile?
Ukudla okuhle, ukuzivocavoca umzimba, kanye nokunakekelwa kwezokwelapha njalo kungasiza ekugcineni amathambo akho kanye nomzimba wakho wonke uphilile. Qaphela kakhulu lezi zinto ukuze uzivikele ezingozini.
- Gqoka amabhande esihlalo: Gqoka njalo ibhande lesihlalo uma uhamba ngemoto.
- Sebenzisa imishini yokuphepha: Gqoka imishini yokuphepha efanele (isib. isigqoko sokuzivikela, ama-knee pad) uma udlala imidlalo noma wenza noma yimuphi umsebenzi oyingozi.
- Vikela imvelo: Susa futhi ulungise noma yiziphi izinto ezingabangela ukuthi ushelele futhi uwe, kanye nezimpahla ezingadingekile, ekhaya nasemsebenzini.
- Sebenzisa imishini efanele: Ungakhweli ezihlalweni noma ematafuleni ukuze ufinyelele okuthile okungaphezulu. Sebenzisa ileli noma eminye imishini efanelekile yalokho.
- Indlela yokuphila eqinisa amathambo: Yidla ukudla okucebile nge-calcium ne-vitamin D. Zibandakanye ekuzilolongeni okuqinisa amathambo, njengokuzivocavoca okuthwala isisindo. Buza udokotela wakho ngolwazi olwengeziwe ngalokhu.
- Sebenzisa usizo uma kudingeka: Uma unenkinga yokuhamba noma usengozini yokuwa njalo, ungabi namahloni ngokusebenzisa usizo olufana nodondolo/i-walker.
Ngokuvamile sicabanga ngethambo lethu lesifuba kuphela uma silimala, kodwa ithambo le-tibia lenza umsebenzi omuhle njalo uma sima noma sihamba. Khuluma nodokotela wakho ngengozi yakho ye-osteoporosis. Khumbula, konke okwenzayo ukuze ulondoloze impilo yakho iyonke kuyasiza nasekuqiniseni amathambo akho.
Umlayezo Wokuya Nawe Ekhaya
- I-tibia iyithambo eliyinhloko, eliqinile emathangeni akho elithwala isisindo somzimba wakho.
- Leli ithambo eliqinile kakhulu, ngakho-ke livame ukuphuka kuphela uma kushayisana okukhulu, njengengozi yemoto.
- Uma uzwa ubuhlungu obukhulu emilenzeni, ukuvuvukala, ukukhubazeka, noma ukungakwazi ukuhamba ngemva kwengozi, hamba uye e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha.
- Abesifazane abaneminyaka engaphezu kwengu-50 kanye nalabo abanomlando womndeni we-osteoporosis kufanele bakhathazeke kakhulu. Khuluma nodokotela wakho ngalokhu.
- Ukudla okunempilo, ukuvivinya umzimba njalo, kanye nendlela yokuphila ephephile kungagcina wonke amathambo akho, okuhlanganisa ne-tibia yakho, eqinile futhi enempilo.
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