Ungumdlali wekhilikithi, umjikijeli wejavelin, noma umdlali wethenisi? Ngakho-ke cishe akudingeki ukhathazeke ngobuhlungu bendololwane, akunjalo? Ngezinye izikhathi imbangela eyinhloko yalobu buhlungu ukudabuka komsipha oqinile ngaphakathi kwendololwane. Yilapho-ke 'ukuhlinzwa kukaTommy John' okushintsha ikusasa labasubathi abaningi kuvela khona. Ake sixoxe ngalokhu ngamagama alula, kusukela ku-A kuya ku-Z.
Kalula nje, kuyini ukuhlinzwa kukaTommy John?
Ukuhlinzwa kukaTommy John kuyindlela yokuhlinzwa elungisa umsipha ongaphakathi kwendololwane yakho ebizwa ngokuthi i-Ulnar Collateral Ligament (UCL) . Ibizwa nangokuthi ukuhlinzwa kwe-'UCL'.
Cabanga nge-UCL njengebhande lerabha eliqinile elibamba i-elbow joint ndawonye. Uma sisebenzisa i-elbow yethu ngendlela efanayo ngokuphindaphindiwe, ikakhulukazi lapho sibhowula ngokushesha noma siphonsa i-javelin, leli thambo lingalimaza. Lesi simo sivame ukubonakala ku:
- I-baseball
- Ibhola elithambile
- Umkhonto
- Ibhola (ikakhulukazi abadlali abaphonsa ibhola)
- Kulabo abadlala ithenisi kanye nemidlalo yerakhethi efanayo.
Uma ungumdlali wezemidlalo yokuzijabulisa, isikhathi esiningi, lokhu kulimala kungalapheka ngokuphumula nokwelashwa okulula. Kodwa-ke, uma ungumdlali wezemidlalo ochwepheshe, okusho ukuthi umsebenzi wakho wonke ukulo mdlalo, lokhu kulimala kungaba ukuphela komsebenzi wakho wokudlala. Yilapho-ke kufanele uhlinzwe khona 'i-UCL' ukuze usindise umsebenzi wakho wokudlala.
Kulokhu kuhlinzwa, udokotela wakho uthatha umsipha ophilile kwenye ingxenye yomzimba wakho (ngokuvamile engalweni yakho noma ngemuva kwedolo lakho) bese ewusebenzisa ukwakha kabusha umsipha owonakele endololwaneni yakho. Umsipha othathwa ngale ndlela ubizwa ngokuthi 'i-graft' . Ngezinye izikhathi, uma kungenzeki ukuwuthola emzimbeni wakho, umsipha ovela kumuntu onikelayo ungasetshenziswa. Lo msipha omusha unamathele ethanjeni lengalo eliphezulu (i-humerus) kanye nethambo lengalo elingezansi (i-ulna) lendololwane yakho, okwenza usebenze njenge-'UCL' ligament entsha.
Ngemva kwalokhu kuhlinzwa:
- Ingqiniba yakho iyaqina.
- Ubuhlungu buyancipha.
- Ububanzi bokunyakaza esandleni buyabuyiselwa.
Kwezinye izimo, esikhundleni sokwenza i-full cast, idivayisi ekhethekile ebizwa ngokuthi 'i-internal brace' ifakwa endololwaneni ukuze kuqiniswe i-cast.
Kungani ibizwa ngokuthi 'uTommy John'? Iyini indaba yayo?
Lena indaba ethakazelisayo kakhulu. Lokhu kuhlinzwa kuqanjwe ngoTommy John, umdlali we-baseball odumile waseMelika. Wayengumdlali we-bowler onekhono. Ngo-1974, i-ligament yakhe ye-UCL endololwaneni yakhe yadabuka ngokuphelele. Ngaleso sikhathi, ukulimala okunjalo kwakusho ukuphela komsebenzi wakhe kwezemidlalo.
Kodwa-ke, odokotela bazama ukuhlinzwa okusha ukuze balungise indololwane yakhe. Ngemva kokuhlinzwa, waphuthelwa yisizini yonke ka-1975. Kodwa okwamangaza wonke umuntu, wabuyela enkundleni ngo-1976 futhi wadlala kangcono kunanini ngaphambili. Ngenxa yokubuya kwakhe ngempumelelo, ukuhlinzwa kwe-'UCL' selokhu kwabizwa ngokuthi 'ukuhlinzwa kukaTommy John.'
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Udokotela wakho wamathambo uzochaza kahle ukuthi ungalungiselela kanjani ukuhlinzwa. Ngokuvamile, kuzodingeka wenze okulandelayo:
- Ukuhlolwa okuphelele komzimba: Qiniseka ukuthi uphilile ngokwanele ukuthi ungahlinzwa.
- Ukuhlolwa kwegazi: Funda ngemisebenzi eyisisekelo yomzimba kanye nesimo sokutheleleka.
- Ukuhlolwa kwezithombe: Kungase ku-odwe i-X-ray , i-CT scan , noma i-MRI scan ukuze kubonwe kahle ukuthi umonakalo ongakanani endololwaneni yakho.
- I-E.C.G. (I-Electrocardiogram): Hlola ukuthi inhliziyo yakho isebenza kahle yini.
- Ukuhlolwa kwamazinyo: Kuvimbela izifo zomlomo ukuthi zingasabalali egazini futhi zithinte indawo yokuhlinzwa ngemva kokuhlinzwa.
Kubaluleke kakhulu ukutshela udokotela wakho nganoma yimiphi imithi, amavithamini, noma imithi yamakhambi oyithathayo. Eminye imithi (ikakhulukazi leyo enciphisa ukujiya kwegazi) kungadingeka iyekwe ezinsukwini ezimbalwa ngaphambi kokuhlinzwa.
Udokotela wakho uzokweluleka ngokuthi kufanele uyeke ukudla nokuphuza isikhathi esingakanani ngosuku olwandulela ukuhlinzwa. Ngokuvamile, kufanele uyeke ukudla nokuphuza amahora ayi-12 ngaphambi kokuhlinzwa.
Kwenzekani ngempela ngesikhathi sokuhlinzwa?
Ngaphambi kokuba kuqale ukuhlinzwa, udokotela wezinzwa uzokunikeza i-anesthesia ejwayelekile . Lokhu kusho ukuthi uzobe ulele ngokuphelele. Ngakho ngeke uzwe ubuhlungu ngesikhathi sokuhlinzwa.
Ukuhlinzwa kuvame ukulandela lezi zinyathelo:
1. I-Arthroscopy: Ngezinye izikhathi udokotela uzosebenzisa ikhamera encane ukubheka ngaphakathi kwejoyinti lendololwane. Lokhu kubizwa ngokuthi i-arthroscopy . Lokhu kungasiza ekuxilongeni nasekuphatheni ezinye ukulimala kwangaphakathi ngenkathi kulungiswa i-ligament.
2. Ukuvunwa Kwezitho Zomzimba: Uma kudingeka ithombo lomzimba, udokotela uzothatha ingxenye yethambo enobude obuyi-intshi eziyi-1.2-1.2 ukusuka kwenye ingxenye yomzimba wakho (ngokuvamile kusukela engalweni noma ngemuva kwedolo).
3. Ukususwa kwezicubu ezonakele: Imisipha eyonakele, edabukile kanye nezinye izicubu ezingadingekile ngaphakathi kwendololwane ziyahlanzwa futhi zisuswe.
4.Ukubhoboza Amathambo: Okulandelayo, kubhobozwa imigodi emibili ethanjeni le-ulna kanye nemigodi emithathu ethanjeni le-humerus ngesimo sika-"Y".
5. Ukufaka i-ligament entsha: I-tendon ekhishwe ngaphambilini (i-graft) idlula kulezi zimbobo bese iqiniswa njenge-ligament entsha. Ngezinye izikhathi inamathela emathanjeni ngezikulufo ezincane ukuze iqine.
6. Ukulungisa omunye umonakalo: Uma imizwa esendololwaneni (umthambo we-ulnar) yonakele noma kunezinye izinkinga, nayo iyalungiswa phakathi nalokhu kuhlinzwa.
7. Ukuthunga izimbobo: Ekugcineni, izimbobo ezenziwe esikhumbeni zivalwa ngezimbobo. Bese zimbozwa ngebhandeshi elihlanzekile bese kubekwa i-bant eqinile ukuze ingalo inganyakazi.
Lokhu kuhlinzwa kuvame ukuthatha cishe ihora nesigamu, kodwa lesi sikhathi singahluka kuye ngokuthi imisipha iwonakele kangakanani nokuthi ngabe kukhona ezinye izinkinga.
Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, ukuhlinzwa kukaTommy John kunezinzuzo nezingozi.
| Izinzuzo | Izingozi |
|---|---|
| Abadlali abaningi bayakwazi ukubuyela emdlalweni ngempumelelo. | Ukutheleleka endaweni yokuhlinzwa. |
| Ubuhlungu ngesikhathi ubhowula noma uphonsa bungase buphele futhi ukukhuthazela kunganda. | Ukulimala kwemizwa esandleni noma endololwaneni, okubangela ukungakhululeki. |
| Ngemva kokuhlinzwa okuphumelelayo, amathuba okuthi kudingeke ukuthi kuhlinzwe i-ligament efanayo futhi aphansi kakhulu. | Ukulimala kwemithambo yegazi. |
| Izinga lempumelelo liphezulu kakhulu (phakathi kuka-80% - 95%). | I-tendon esanda kufakelwa (i-graft) iyakhululeka noma iguge ngokuhamba kwesikhathi. |
Sinjani isikhathi sokululama ngemva kokuhlinzwa?
Lena yingxenye enzima kakhulu nebaluleke kakhulu yohambo. Kungathatha isikhathi esingaphezu konyaka ukululama ngokuphelele ekuhlinzweni kukaTommy John nokubuyela emidlalweni yokuncintisana. Lolu uhambo oludinga isineke. Udinga ukulandela imiyalelo enikezwe udokotela wakho kanye nodokotela we-physiotherapist ngqo.
Uhlelo lwakho lokululama lungase lubukeke kanje:
| Isikhathi | Kwenzekani nokuthi yini okudingeka yenziwe |
|---|---|
| Amaviki ambalwa okuqala | Kufanele ugqoke i-banding eqinile ukuze ingalo yakho inganyakazi. Awukwazi nhlobo ukushukumisa indololwane yakho. |
| Phakathi kwenyanga eyodwa kuya kwezimbili | Ukusekelwa okuqinile kuyasuswa bese kubekwa i-bant enezihibe ukuze kuvunyelwe ukugoba okulinganiselwe kwendololwane. Ukwelashwa ngokuzivocavoca umzimba kuqala ngalesi sikhathi. |
| Phakathi kwezinyanga ezi-3-4 | Udokotela uzoqapha ukululama kwakho futhi uma konke kuhamba kahle, ungase uvunyelwe ukuqala ukwenza imisebenzi elula kakhulu, njengokuphonsa ibhola. Kodwa kuphela ngokweseluleko sikadokotela. |
| Phakathi kwezinyanga ezingu-6-9 | Uzokwazi ukuhlanganyela ekuqeqeshweni okulinganiselwe, kodwa kuzodingeka ugweme izivivinyo ezithile nezindlela zokuqeqesha. |
| Phakathi kwezinyanga ezingu-12-18 | Uma inqubo yokululama isiphelile ngaphandle kwezinkinga, udokotela wakho uzokuvumela ukuthi ubuyele emncintiswaneni wesikhathi esigcwele. Lesi sikhathi singahluka kuye ngesilinganiso sokululama komzimba wakho kanye nomdlalo. |
Khumbula, ukubekezela kubalulekile kulolu hambo. Ukushesha, ukungalandeli imiyalelo kahle, kanye nokungalandeli imiyalelo kahle kungaholela ekulimaleni okwengeziwe, ukuhlinzwa okwengeziwe, kanye nesikhathi eside kude nemidlalo.
Kufanele ubonane nodokotela ngokushesha nini?
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemuva kokubuyela ekhaya uvela ekuhlinzweni, shayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Ubuhlungu besifuba
- Ubunzima bokuphefumula
- Umkhuhlane (ongaphezu kuka-102 Fahrenheit/39 Celsius)
- Ukopha ngokweqile endaweni yokuhlinzwa
- Izimpawu zokutheleleka endaweni yokuhlinzwa (isib., ubomvu, ukuvuvukala okukhulu, iphunga, ukubomvu, noma umuzwa wokufudumala)
- Ubuhlungu obusha noma obuya buba bubi endololwaneni, esandleni, noma eminweni
- Unezinhlungu ezinzima ongeke ukwazi ukuzilawula ngisho nangemithi yobuhlungu oyinikiwe.
Ukuhlinzwa kukaTommy John kuyindlela yokuhlinzwa emangalisayo enikeza abadlali abangochwepheshe ithuba lesibili. Kodwa impumelelo yayo incike ku-90% ekutheni unesineke futhi uzinikele kangakanani enqubweni yokuvuselelwa ngemva kokuhlinzwa.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kukaTommy John kuyindlela yokuhlinzwa ephumelele kakhulu, ikakhulukazi kubadlali, abaye balimala i-UCL ligament ngaphakathi kwendololwane.
- Kuthatha isikhathi esingaphezu konyaka ukululama kulokhu kuhlinzwa, futhi ukwelashwa ngokomzimba kwesiguli kubalulekile phakathi naleso sikhathi.
- Yazisa udokotela wakho ngokushesha nganoma yiziphi izimpawu ezingavamile (ubuhlungu obukhulu, umkhuhlane, ukuvuvukala) ezenzeka ngemva kokuhlinzwa.
- Ngokulandela imiyalelo kadokotela kanye nodokotela wezifo zomzimba ngqo, abantu abaningi bangabuyela ngempumelelo enkundleni yokudlala.
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