Ingabe ingaphakathi lendololwane yakho liyabuhlungu? Ingabe ukulimala kwe-(UCL)? Ake sixoxe ngalokhu!

Wake wazizwa ubuhlungu ngaphakathi kwendololwane yakho ngenkathi ubhowula, udlala i-volleyball, noma uphakamisa izinto ezisindayo? Ngezinye izikhathi, ungathola lobu buhlungu obukhulu uma uwa bese ushaya isandla sakho noma uma ushaya indololwane yakho ndawana thize. Isikhathi esiningi, lokhu kubangelwa ukulimala kwe-Ulnar Collateral Ligament (UCL) endololwaneni yakho. Empeleni lokhu kuyibhande eliqinile lezicubu elisiza ukugcina ilunga lakho lendololwane lizinzile futhi liqondile. Kufana nebhande lerabha, kodwa liyanwebeka, kodwa liqinile.

Kuyini ngempela lokhu `(UCL)`? Kusebenza kanjani endololwaneni?

Kalula nje, i-UCL iyibhande eliqinile lezicubu ngaphakathi kwendololwane yakho, ohlangothini lomzimba wakho. Ukuze kube sobala, iyibhande. Ibhande libhande eliqinile elixhumanisa amathambo ndawonye. Umsebenzi walo oyinhloko ukugcina ilunga lakho lendololwane lizinzile lapho uphonsa okuthile phezulu, isibonelo, lapho uphonsa ibhola lekhilikithi noma udlala i-volleyball. Iphinde ivimbele ibhande lakho ekujikeni liye emuva naphambili ngokungadingekile.

Manje bheka, ilunga lethu lendololwane lakhiwe ngamathambo amathathu. Ithambo elikhulu engalweni yakho engenhla, silibiza ngokuthi `(Humerus)`, kanye namathambo amabili engalweni yakho engezansi, okungukuthi, ingxenye engezansi kwendololwane – `(Ulna)` kanye `(Radius)`. Le `(UCL)` ingaphakathi kwendololwane, okungukuthi, ohlangothini lapho kukhona khona umunwe wakho omncane. Iphinde ibe nezingxenye ezintathu – `(ibhande langaphambili)`, `(ibhande langemuva)` kanye `(ibhande elihambayo)`. Okubaluleke kakhulu kulezi ezintathu yibhande langaphambili . Kusiza ukugcina ibhande lizinzile kakhulu.

Ukulimala kwe-`(UCL)` kuhlukaniswa kanjani?

Ukulimala kwaleli thambo elithi "UCL", noma "ama-sprains" njengoba siwabiza kanjalo, kuhlukaniswa kakhulu ngamadigri amathathu. Lokhu kuhlukaniswa kwenziwa ngokwezinga lomonakalo.

• Ibanga 1: Lokhu kuwukucindezeleka kwemisipha, kodwa akudabuki. Kungase kube nobuhlungu nokuvuvukala.
• Ibanga lesi-2: I-ligament yeluliwe, futhi mhlawumbe idabukile kancane . Ubuhlungu buqine kakhulu, futhi indololwane ingase izwakale ingazinzile.
• Ibanga lesi-3: Lesi yisimo esibi kakhulu. Lapha i-ligament idabukile ngokuphelele . Ngezinye izikhathi ingasuka ngisho nasethanjeni.

Ziyini izimpawu zokulimala kwe-UCL?

Izimpawu ziyahlukahluka kuye ngokuthi lesi sifo sibucayi kangakanani.

Izimpawu zesifo esincane noma esimaphakathi:

• Ubuhlungu ngaphakathi kwendololwane kanye nomuzwa wobuhlungu lapho uhlikihla ingalo yakho. Ikakhulukazi ngemva kokwenza okuthile okuhilela ukuphakamisa ingalo yakho, njengangemuva komdlalo wekhilikithi.
• Ubuhlungu lapho uhambisa ingalo phambili ngokushesha (isib., ukuphonsa ibhola).
• Ingqiniba izwakala ibuthakathaka, ikhululekile, futhi ingaqinile ngokwanele.
• Umuzwa wobuthakathaka lapho ubambe into ethile esandleni sakho, sengathi awukwazi ukuyibamba, noma sengathi uwisa into.
• Ukungakwazi ukuphonsa noma yini ngokushesha noma kanzima njengakuqala.

Izimpawu lapho i-ligament idabuke ngokuphelele:

• Ubuhlungu obungazelelwe ngaphakathi kwendololwane nomsindo othi "pop" , njengokungathi kukhona okuqhumile.
• Ubuhlungu obukhulu kakhulu.
• Ukungakwazi ukulahla noma yini.
• Ngezinye izikhathi ungase uzwe ukungabi namizwa noma ukulahlekelwa umuzwa emunweni wakho omncane noma emnweni wendandatho. Lokhu kusho ukuthi i-ulnar nerve yakho yonakele noma icindezelwe.

Yiziphi izimbangela zokulimala kwe-UCL?

Kunezizathu ezimbili eziyinhloko zokuthi kungani lokhu kulimala `(UCL)` kwenzeka. Esinye ukucindezeleka okuqhubekayo endololwaneni (sikubiza ngokuthi `(Ukusebenzisa Kakhulu)`), kanti esinye ingozi engazelelwe `(Ukuhlukumezeka)`.

Ukulimala ngokweqile

Lokhu kuvame ukuba yisizathu sokulimala kwe-UCL. Ukunyakaza okuphindaphindiwe ngaphezulu, njengokubhowula kwekhilikithi noma ukujikijela komdlali wevolibholi, kubeka ingcindezi kule ligament. Ngemva kwezinyanga, noma ngisho neminyaka, i-UCL iyanwebeka kancane kancane, ilimale, futhi kuvela ukudabuka okuncane (ama-microtears). Ekugcineni, ijoyinti lendololwane liyakhululeka futhi lingazinzile. I-ligament ingavuvukala, idabuke kancane noma ngokuphelele, noma ingxenye eyodwa ye-ligament ingasuka ethanjeni.

Ukulimala okubuhlungu

Lokhu akubangelwa ukusetshenziswa kwesikhathi eside. Kungabangelwa ukushaywa okungazelelwe endololwaneni, njengokuwa. Isibonelo, uyawa bese welula isandla ubambe phansi, ucabanga "ukuvimba ukuwa." Khona-ke indololwane "ingahlukana", okusho ukuthi ilunga liphukile, noma ithambo "lingaphuka". Ngezikhathi ezinjengalezi, kunethuba elikhulu lokuthi "i-UCL" nayo izolimala.

Ingabe ukulimala kwe-UCL kuzokwenza ungakwazi ukusebenzisa ingalo yakho?

Ngokuvamile, ukulimala kwe-UCL ngeke kube nomthelela omkhulu emisebenzini yakho yansuku zonke, njengokuphakamisa isikhwama noma ukuphakamisa izinto ezingabandakanyi ukuphonsa. Kodwa-ke, ungase ungakwazi ukuhlanganyela ekuphonseni imidlalo noma eminye imisebenzi yokuphakamisa okunzima edinga ukuthi uphakamise ingalo yakho.

Ukuthola kanjani ngokunembile ukulimala kwe-UCL?

Uma ubona udokotela, ngokuvamile uchwepheshe wamathambo noma uchwepheshe wezokwelapha ezemidlalo, uzokubuza ngomlando wakho wezokwelapha kanye nanoma yimiphi imidlalo oyidlalayo. Ngemuva kwalokho bazokwenza ukuhlolwa komzimba.

Kulolu vivinyo,

• Ukuthi ungagoba futhi welule ingqiniba yakho kangakanani kubizwa ngokuthi "ububanzi bokunyakaza".
• Amandla endololwane ayavivinywa.
• Ihlola ukuqina kwendololwane.
• Isimo semisipha yesandla siyahlolwa.
• Mhlawumbe bazohlola nehlombe.
• Babuza nokuthi ubuhlungu bukuphi ngempela.

Ngaphezu kwalokho, udokotela angayala ukuhlolwa okufana nalokhu:

• Ukuhlolwa kokucindezeleka kwe-Valgus:Lokhu ukuhlolwa ngokomzimba. Udokotela uzophakamisa ingalo yakho cishe ngama-degree angu-30, abeke iminwe yakhe lapho i-UCL yakho ikhona, bese ecindezela ngaphakathi kwendololwane yakho nangaphandle kwengalo yakho. Uma uzwa ubuhlungu kanye nokuxega kwelunga lendololwane, lokhu kuphakamisa izinsolo zokulimala kwe-UCL.
• Ama-CT Scan (i-Computed Tomography - i-CT) kanye nama-X-ray: Lokhu kuhlolwa kwezithombe kungabheka isimo samathambo, njengokuqhekeka kokucindezeleka. Kodwa-ke, abakwazi ukubona ngqo izicubu ezithambile njenge-UCL.
• I-MRI scan (Magnetic Resonance Imaging - MRI): Lokhu kungabona ngokucacile umonakalo ezicutshini ezithambile njengemisipha kanye nemisipha. Kungabona futhi ukuphuka kwamathambo amancane okungabonakali kuma-X-ray.
• I-Arthrography: Lokhu kufana ne-MRI scan, kodwa idayi ekhethekile ifakwa esibayeni sendololwane ngaphambi kokuskena. Lokhu kuvumela izithombe ezicacile zezinkinga okunzima ukuzithola.

Kulashwa kanjani ukulimala `(UCL)`?

Ukwelashwa kuncike ebunzimeni bokulimala kwakho kwe-UCL kanye nokuthi ulindele ukusebenza noma ukuphonsa okungakanani ngaphezulu. Uma une-UCL encane edabukile, cishe izophola yodwa. Ukwelashwa ngaphandle kokuhlinzwa kungasiza ekunciphiseni ubuhlungu.

Ukwelashwa okungeyona eyokuhlinzwa:

• Ukuphumula: Lena yinto ebaluleke kakhulu. Udinga ukuthatha ikhefu emisebenzini ebeka ingcindezi ezindololwaneni zakho isikhashana.
• Imithi elwa nokuvuvukala engeyona eye-steroidal (ama-NSAID): Izibonelo zifaka phakathi i-ibuprofen (Advil®, Motrin®) kanye ne-naproxen (Aleve®). Lokhu kunciphisa ukuvuvukala nobuhlungu. Uma kudingeka, ungathola i-NSAID enamandla kakhulu enconywa udokotela wakho.
• Iqhwa: Faka iqhwa endololwaneni yakho imizuzu eyi-15-20 izikhathi eziningana ngosuku. Lokhu kuzonciphisa ubuhlungu nokuvuvukala.
• Ukwelashwa ngokomzimba: Kudingeka izivivinyo ezikhethekile ukuze kuqiniswe imisipha ezungeze indololwane. Lokhu kuzokwandisa ukwesekwa okunikezwayo endololwaneni.
• Umjovo wePlasma Ecebile NgePlasma (PRP): Lokhu kuhilela ukuthatha inani elincane legazi lakho bese uhlukanisa uhlobo lweseli olubizwa ngokuthi ama-platelet. Lawa ma-platelet abe esefakwa endaweni ye-UCL eyonakele. Lawa ma-platelet anezakhiwo zokwelapha, ngakho-ke angaba usizo kubantu abane-UCL edabukile.

Ukwelashwa ngokuhlinzwa:

• Ukulungiswa okuqondile kwe-UCL: Uma i-ligament yakho ye-UCL iklebhukile ethanjeni ngengozi engazelelwe, kungenzeka ukuthi uyinamathisele kabusha ethanjeni.
• Ukwakhiwa kabusha kwe-UCL (ukuhlinzwa kukaTommy John)Uma i-UCL yakho ingazinzile noma idabuke ngokuphelele, futhi ukwelashwa okungewona ukuhlinzwa kungabuqedi ubuhlungu, noma uma ungumsubathi futhi uqhubeka nokudlala imidlalo yokuphonsa noma ukuphakamisa izinto ezisindayo, udokotela wakho uvame ukuncoma ukuhlinzwa kokwakhiwa kabusha kwe-UCL.

Kule nqubo, udokotela ohlinzayo uthatha umsipha kwenye ingxenye yomzimba wakho (isib., umlenze wakho, ingalo) noma umsipha ovela kumnikeli bese ewunamathisela emathanjeni e-ulna kanye ne-humerus endololwaneni yakho ukuze adale i-UCL entsha. Ngezinye izikhathi, ingxenye esele ye-UCL endala ixhunyelelwa esilungwini esisha ukuze iqiniswe.

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Imigomo eyinhloko yokuhlinzwa ukubuyisela ukuzinza kanye nobubanzi bokunyakaza endololwaneni, ukwandisa amandla endololwaneni, kanye nokunciphisa ubuhlungu.

Kungani lokhu kuhlinzwa kokuvuselela `(UCL)` kubizwa ngokuthi `(Tommy John Surgery)`?

Lena indaba ethokozisayo kakhulu. Lokhu kuhlinzwa kuqanjwe ngomuntu wokuqala okwenziwe. UTommy John ungumdlali weMajor League Baseball odumile owadabula i-ligament yakhe (ye-UCL) ngo-1974. Wayengadlali cishe unyaka, kodwa wayengumdlali wokuqala ukwenza lokhu kuhlinzwa futhi wabuyela ngempumelelo kwi-baseball. Ngakho-ke ukuhlinzwa kuqanjwe ngaye ukuze kuhlonishwe yena.

Yimaphi ama-tendon avame ukusetshenziswa ekwakheni kabusha i-UCL?

Elinye lala ma-tendon livame ukusetshenziselwa ukufakelwa:

• I-tendon ngemuva kwethanga (i-Hamstring tendon)
• I-tendon esesandleni sakho esingezansi ibizwa ngokuthi "i-Palmaris longus tendon" (lokhu akwenzeki kuwo wonke umuntu)
• I-tendon esiza ukuphakamisa uzwane olukhulu phezulu (i-Big toe extensor tendon)

Yiziphi izinkinga zokuhlinzwa kokuvuselelwa kwe-UCL?

Njenganoma yikuphi ukuhlinzwa, kunezingozi zokutheleleka nezinkinga ezihlobene nokubulala izinzwa.

Ngaphezu kwalokho, kunezinkinga ezithile mayelana nokwakhiwa kabusha kwe-UCL:

• I-graft esanda kufakwa ingadonsa noma idabuke futhi. Uma lokhu kwenzeka, kuzodingeka ukuhlinzwa kwesibili ukuze kufakwe i-graft entsha.
• Ukulimala kwemizwa ye-Ulnar. Ngenxa yokuthi le mizwa idlula engonweni yendololwane, udokotela ohlinzayo kungase kudingeke ukuthi ahambise imizwa ngaphambili kwengono yendololwane ukuze avimbele umonakalo owengeziwe.

Unganciphisa kanjani ingozi yokulimala kwe-UCL?

Ukulungiselela kahle, ukufunda indlela efanele yokuzivocavoca ngendololwane, nokuphumula lapho uzwa ubuhlungu noma ukungakhululeki endololwaneni yakho kungasiza ekuvimbeleni ukulimala kwe-UCL.

Ikakhulukazi abadlali aba:

• Thola ukuqeqeshwa okufanele: Funda indlela yokuphonsa kahle kanye nendlela yokusebenzisa isandla sakho.
• Umkhawulo wokubala iphimbo: Gwema ukuphonsa amaphimbo amaningi kakhulu ngesikhathi esisodwa.
• Phumula ngokwanele: Nikeza imisipha yakho kanye nemisipha isikhathi sokululama.
• Yenza ukwelula nokuqeqesha amandla: Lokhu kuqinisa imisipha ezungeze indololwane.
• Gwema ukuphonsa ingalo eceleni: Lokhu kucindezela kakhulu indololwane.

Kuthatha isikhathi esingakanani ukululama ekulimaleni kwe-UCL?

Lokhu kuyahlukahluka kuye ngokuthi lesi sifo sibucayi kangakanani kanye nendlela yokwelapha.

Ngaphandle kokuhlinzwa:

Uma une-UCL crisp, kungathatha noma yikuphi kusukela emavikini ambalwa kuya ezinyangeni ezimbalwa ukuphola. Lesi sikhathi sincike ekutheni ufuna ukuphinda ushukumise kangakanani endololwaneni yakho.

Ngemva kokuhlinzwa kokwakhiwa kabusha kwe-`(UCL)`:

Kungathatha izinyanga ezingu-9 kuya onyakeni, noma ngisho nangaphezulu, ukuphulukiswa. Kungase kudingeke ugqoke i-brace ekhethekile ukusiza ukwandisa ukunyakaza kwendololwane yakho. Uma uhlela ukubuyela emidlalweni enomthelela omkhulu, kuzodingeka wenze uhlelo lokwelashwa ngokomzimba kanye nokuphathwa kobuhlungu olulungiselelwe wena. Lokhu kuzosiza ukuqinisa indololwane yakho futhi kuthuthukise ukunyakaza nokusebenza kwayo.

Singasiza kanjani ekuvikeleni abadlali besikole ekulimaleni okubangelwa ukusetshenziswa isikhathi eside kanje?

Nazi ezinye izinto ongazenza ukuze uvikele abasubathi abasebasha ekulimaleni kokusetshenziswa ngokweqile:

• Thola ukuhlolwa kwezokwelapha ngaphambi kwesizini yezemidlalo: Lokhu kungasiza ekutholeni izinkinga zempilo kusenesikhathi ezingaholela ekulimaleni kwesikhathi eside.
• Funda indlela efanele yokuphonsa: Kubalulekile ukuyifunda kahle kumqeqeshi.
• Gcina umkhawulo wenani lamabhola aphonswa emdlalweni owodwa.
• Bamba iqhaza ohlelweni lokuzivocavoca unyaka wonke: Lokhu kufanele kufake phakathi ukujima okwelula nokuqinisa umzimba.
• Qiniseka ukuthi wenza izivivinyo zokufudumeza nokupholisa umzimba ngaphambi nangemva kwemidlalo.
• Ungalokothi udlale noma uqeqeshe uma ulimele noma usezinhlungwini.
• Gwema ukudlala umdlalo ofanayo unyaka wonke: Khuthaza abasubathi abasebasha ukuthi bathathe ikhefu ngezikhathi ezithile. Lokhu kuzonika amaqembu emisipha, imisipha, kanye nemisipha esetshenziswa ngendlela efanayo ikhefu.

Kuyini `(Indololwane yeLittle Leaguer)`?

Lesi yisimo esithinta izindololwane zezingane ezincane, ikakhulukazi izingane zesikole. Empeleni kuyisifo sama-growth plate. Ama-growth plate ayizingxenye zamathambo ezakha i-elbow joint. Ngenxa yokuthi amathambo ezingane ezincane asakhula, la ma-growth plate abuthakathaka kunezinye izingxenye zamathambo, imisipha, kanye nemisipha. Ukucindezeleka okukhulu ngesikhathi sokuphonsa kufika kuleli qophelo elibuthakathaka kakhulu, i-growth plate. Lokhu kucindezeleka kungalimaza izicubu namathambo abasubathi abasebasha uma bephonswa njalo. Uma umdlali wakho osemusha ekhala ngobuhlungu be-elbow, qiniseka ukuthi ubahlola udokotela, udokotela ohlinzayo wamathambo, noma uchwepheshe wezokwelapha kwezemidlalo.

Okokugcina, izinto okufanele uzikhumbule

Ukulimala kwe-Ulnar Collateral Ligament (UCL) ukulimala ngaphakathi kwendololwane. Kubangelwa kakhulu ukusetshenziswa ngokweqile isikhathi eside. Nakuba kuvame ukubonakala kubadlali bebhola, kungenzeka kunoma ubani ophakamisa izinto ezisindayo izingalo zakhe ziphakanyisiwe. Izimpawu eziyinhloko ubuhlungu endololwaneni kanye nokuthamba lapho ingalo ithintwa. Abanye abantu bangase babe nobuhlungu obungazelelwe, "obuchofozayo" ngaphakathi kwendololwane.

Uma ungeyena umdlali noma ungenzi ukuphakamisa okunzima, indololwane yakho ingase iphole ngokwelashwa okulula njengokuphumula, iqhwa, imithi, kanye nokwelashwa ngokomzimba. Kodwa-ke, ukulimala okukhulu kakhulu kanye nabasubathi kungadinga ukuhlinzwa, njenge-Tommy John Surgery. Kuye ngobukhulu bokulimala kwakho nokuthi ufuna ukwenza umsebenzi ongakanani ngaphezulu, wena nodokotela wakho ninganquma inkambo engcono kakhulu yokwelashwa. Ngakho-ke, uma unesifo sendololwane, kubalulekile ukufuna iseluleko sezokwelapha ngaphandle kokusishaya indiva.

Ubuhlungu bendololwane , ukulimala kwe-UCL, ukuhlinzwa kukaTommy John, ukulimala kwezemidlalo, ukudabuka kwemisipha, ukuhlinzwa kwendololwane, ukwelashwa ngokomzimba