Wake wazizwa sengathi isihlakala sakho sinamathele lapho usiphendula, noma sengathi senza umsindo wokuchofoza? Noma ubuhlungu obungazelelwe ohlangothini lwesandla sakho lapho kukhona khona umunwe wakho omncane? Mhlawumbe yilapho uphakamisa okuthile, uvula umnyango, noma umane uphendule isandla sakho. Ungamane nje ulahle lezi zinto njengezivamile. Lokhu kungaba inkinga ngengxenye ebaluleke kakhulu yesihlakala sakho. Yilokho esikhuluma ngakho namuhla.
Kalula nje, iyini i-TFCC?
Igama elithi TFCC lingase lizwakale liyinkimbinkimbi kancane, kodwa empeleni umsebenzi walo ulula kakhulu. I-TFCC isifinyezo se- Triangular Fibrocartilage Complex . Kalula nje, iyiqoqo elincane kodwa elibaluleke kakhulu le-cartilage kanye ne-ligaments ezisiza ukugcina isihlakala sethu sizinzile futhi siqinile.
Cabanga nje, sinamathambo amabili engxenyeni engenhla yengalo yethu. Siwabiza ngokuthi i-radius kanye ne-ulna. La mathambo amabili axhumeka emathanjeni amancane esihlakaleni, futhi lonke ilunga lesihlakala libanjwa ndawonye futhi liqiniswe yi-TFCC.
Njenge-shock absorber emotweni, umsebenzi wayo oyinhloko ukumunca ingcindezi esihlakaleni nokuvikela ilunga lapho siphakamisa umthwalo, siwa, noma sivuka simile. Ungasiphendula isihlakala sakho, uvule isivalo sebhodlela, bese ubamba okuthile ngokuqinile ngoba le TFCC iphilile.
Ngakho-ke uma le ngxenye ebalulekile iklebhuka noma yonakele, siyibiza ngokuthi ukudabuka kwe-TFCC. Ngemuva kwalokho isihlakala siqala ukuba buthaka futhi singazinzile.
Yiziphi izimbangela eziyinhloko zokudabuka kwe-TFCC?
Kunezindlela ezimbili eziyinhloko zokudabuka kwe-TFCC. Ake sibheke lokhu ngokuningiliziwe ukuze sikuqonde kahle.
| Uhlobo lwesizathu | Kwenzeka kanjani lokho? |
|---|---|
| 1. Ngenxa yengozi noma ukulimala (Ukulimala) | Lena yimbangela evame kakhulu. Cabanga uma ungashelela ngokuzumayo uwe esandleni sakho, i-TFCC ingadabuka ngenxa yamandla amakhulu asetshenziswa esihlakaleni ngaleso sikhathi. Futhi, uma isihlakala sigobile noma sisonteke ngokuzumayo ngenkathi sidlala imidlalo efana nekhilikithi noma i-volleyball, lokhu kulimala kungenzeka. Ngezinye izikhathi, ngisho nasengozini enkulu ephula ithambo esandleni (ukuphuka), i-TFCC inamathuba amaningi okulimala. |
| 2. Ngenxa yokuguga (Ukonakala) | Njengamanye amalunga emzimbeni wethu, i-cartilage kanye ne-ligaments esihlakaleni kuyawohloka kancane kancane futhi kube mncane njengoba siguga. Izicubu ezincane ezinjalo zonakaliswa kalula ngisho nangomshanelo omncane. Futhi, lesi simo singavela kubantu abenza njalo uhlobo olufanayo lokunyakaza. Isibonelo, umdlali we-badminton noma we-tennis, umbazi, noma umuntu osebenzisa igundane lekhompyutha ngendlela efanayo isikhathi eside angawohloka lezi zingxenye ngokuhamba kwesikhathi futhi adabuke. |
Ziyini izimpawu zalokhu?
Izinyembezi ze-TFCC ezikhula ngokuhamba kwesikhathi azibangeli ubuhlungu noma izimpawu ezinkulu. Kodwa-ke, uma ukhala ngokuzumayo, ungase ube nesinye noma ngaphezulu kwalezi zimpawu ezilandelayo:
- Umsindo 'wokuchofoza' noma 'wokuchofoza' uzwakala lapho isihlakala sijikeleziswa noma siphendulwa.
- Ubunzima bokujika noma ukuzungezisa isihlakala (isibonelo, ubunzima bokuvula ingidi yomnyango).
- Ubuhlungu esihlakaleni, ikakhulukazi ohlangothini lapho kukhona khona umunwe omncane .
- Ukulahlekelwa ikhono lokubamba into ngokuqinile . Ngisho nendebe izwakala sengathi iyashelela esandleni sakho.
- Isihlakala sizizwa sibuthakathaka futhi singenawo amandla .
Udokotela ukuthola kanjani lokhu?
Uma uya kudokotela onalezi zimpawu, uzoqala ngokukubuza ukuthi ubuhlungu buqale kanjani nokuthi ubuhlungu bukhula nini.
Okulandelayo, isihlakala sakho sizohlolwa (ukuhlolwa ngokomzimba) . Lapha, udokotela uzocindezela izingxenye ezahlukene zesihlakala sakho, ajikelezise futhi agobe isandla sakho, bese ehlola ubuhlungu, ububanzi bokunyakaza, kanye namandla.
Esikhathini esiningi, lokhu kuhlolwa kungabonisa ukuthi kudabukile yini i-TFCC. Kodwa-ke, ukuze uqinisekise lokhu futhi ubone ukuthi kukhona yini enye inkinga, njengokuphuka, ungadinga ukuhlolwa kwezithombe njenge-X-ray noma i-MRI scan.Ungase ucelwe ukuba wenze okukodwa. I-MRI scan ingabonisa umonakalo ezicutshini ezithambile njenge-cartilage kanye ne-ligaments ngokucacile.
Yiziphi izindlela zokwelapha lokhu?
Ingxenye engcono kakhulu ukuthi, akuzona zonke izinyembezi ze-TFCC ezidinga ukuhlinzwa. Ezimweni eziningi, zingelashwa ngokwelashwa okulula. Ukwelashwa kuncike ebunzimeni bokulimala kwakho kanye nezimpawu zakho.
| Indlela yokwelapha | Incazelo emfushane |
|---|---|
| Imithi | Ama-painkiller, ikakhulukazi ama-NSAID, anikezwe udokotela wakho angasiza ekunciphiseni ubuhlungu nokuvuvukala. |
| Ukuqinisa ingalo | Ungase ucelwe ukuthi ugqoke i-brace ekhethekile noma i-splint ukuze uvimbele isihlakala ukuthi singanyakazi futhi unike i-TFCC eyonakele konke okudingayo ukuze iphole. |
| Imijovo | Uma ukuvuvukala nobuhlungu kukhulu kakhulu, indawo ethintekile inganikezwa umjovo onjenge-cortisone ukuze uyilawule. |
| Ukwelashwa Komzimba Noma Komsebenzi | Lokhu kubaluleke kakhulu. Ukuzivocavoca okuqinisa imisipha ezungeze isihlakala kunikeza ukwesekwa okuhle kwejoyinti. Lokhu kunciphisa nengozi yokulimala kabusha. |
| Ukuhlinzwa | Uma ezinye izindlela zokwelapha zingasebenzi noma uma umonakalo umkhulu, udokotela wakho angase akuncome ukuhlinzwa. Lokhu kuvame ukwenziwa nge-arthroscopically.Ngendlela engangenisi kakhulu. Okusho ukuthi, ukuhlinzwa okuhilela ukwenza i-incision encane nokufaka ikhamera. Lokhu kunciphisa isikhathi sokululama. |
Ingabe lolu hlobo lokulimala lungavinjelwa?
Nakuba izingozi zingenakuvinjelwa njalo, kunezinto eziningana esingazenza ukuze sinciphise ingozi:
- Zifudumeze kahle ngaphambi kokudlala imidlalo: Yenza izivivinyo zesihlakala nezesandla, ikakhulukazi ngaphambi kokudlala imidlalo esebenzisa isihlakala, njenge-tennis, i-badminton, noma ikhilikithi.
- Qinisa imisipha yesihlakala nesandla: Cela uchwepheshe wezokwelapha noma udokotela ukuthi akunike izivivinyo ezifanele.
- Zivikele ekuweni: Izinto ezilula njengokubheka phansi nokuhamba ngokucophelela lapho uhamba emgwaqweni, ukhuphuka izitebhisi, kanye nokuqaphela ezindaweni ezishelelayo kungavimbela izingozi ezinkulu.
Kufanele ubonane nini nodokotela?
Uma unezinye zezimpawu ezingezansi, kungcono ukubona udokotela ngokushesha bese uthola iseluleko, kunokumane ungasinaki bese ucabanga ukuthi, "Kuzolunga ezinsukwini ezimbalwa." Uma uqala ukwelashwa ngokushesha, uzolulama ngokushesha.
- Uma kunzima ukujika noma ukuzungezisa isihlakala.
- Uma kukhona ubuhlungu obuvela ohlangothini lomunwe omncane esihlakaleni.
- Uma uzwa umsindo othi 'chofoza' uma uphendula isihlakala sakho.
- Uma isihlakala sivuvukele.
Khuluma nodokotela wakho ngokukhululekile ngalokhu. Ungesabi ukubuza imibuzo efana nokuthi, "Ingabe ngidinga ukuhlinzwa kulokhu?", "Kuzothatha isikhathi esingakanani ukuthi leli nxeba liphole?", "Yini engingayenza futhi engingenakuyenza ngize ngiphole?"
Umlayezo Wokuya Nawe Ekhaya
- I-TFCC iyisethi ebaluleke kakhulu ye-cartilage kanye ne-ligaments ezisiza ukugcina isihlakala sakho sizinzile.
- Lokhu kungonakalisa ngenxa yengozi noma ngokuhamba kwesikhathi.
- Izimpawu eziyinhloko ubuhlungu ohlangothini olupinki lwesandla, umsindo 'wokuchofoza', kanye nokubamba okubuthakathaka.
- Uma unezimpawu ezinjengalezi, ungazinaki futhi nakanjani ubone udokotela.
- Abantu abaningi bayalulama ngokwelashwa okulula njengokuphumula kanye nokwelashwa ngokomzimba, kanti ukuhlinzwa kwenziwa kuphela uma kudingeka.
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