Isakhiwo se-fibrocartilage esinexantathu, okanye i-TFCC, i-cartilage kunye ne-ligaments ephakathi kwesikhonkwane somnxeba, kwicala le-ulnar yesandla (kwicala lomnwe omncinci). Ukulimala kwi-TFCC kunokubangela intlungu yesandla kunye nokuchofoza ukuva.
TFCC
I-TFCC isakhiwo esiyinkimbinkimbi, njengoko igama layo lithetha. Nangona kunjalo, akumangalisi ukunyuka okuhambelanayo okwenzeka kwi-joint joint.
Ngokungafani namanye amalunga anesisombululo esilula kwinqwelo elilodwa, isalathisi sihamba kwiiplanethi ezintathu ezihlukeneyo, zonke ngexesha elinye. Isiko sinokugoba ngaphaya nangaphandle, ecaleni kwicala, kwaye ujikeleze. Le ntshukumo ivumela ukuba sisebenzise isandla sethu kwiindawo ezahlukeneyo. Kanye ngokubalulekayo, isalathisi kufuneka ibe namandla kwaye izinzile, ukuze kuthi xa siqonda into, umdibaniselwano awunqamuki okanye ujikeleze. I-TFCC inomsebenzi onzima!
I-TFCC ibunjwa njengengqayi ye-cartilage, enjenge- meniscus yamadolo . Ukujikeleza le ngxowanqa yimizila enokumanyanisa amajoyini. Xa umntu echaza ukulimala kwi-TFCC, bachaza ukulimala kwezi zakhiwo. Iinyembezi ze-TFCC zivela kwiimo ezininzi kunye nobukhulu. Kubalulekile ukuqonda ukuba iinyembezi zeTFCC ziqhelekile, ngokukodwa xa sifumana kwi-40s yethu. Ukufundwa kwesinye seengxaki zokuhlawula i-cadaver akufumananga neze-TFCC eziqhelekileyo kwiimviwo ezidlulileyo kwi-4 yeshumi.
Iinyembezi zeTFCC zincinci, zizinzile, kwaye ziyakwazi ukuphilisa ngononophelo oluncinane. Ezinye iinyembezi ze-TFCC zikhulu, zizinzile kwaye zingadinga ukungenelela. Ukuba ukuxilongwa kweendlebe ze-TFCC akukuxeleli phantse ukuba ukwazi ukuba yintoni unyango olungcono.
Izizathu zeTFCC Ukulimala
I-anatomy joint anatomy iyahluka phakathi koluntu lwethu, ngokukodwa ukuba yeyiphi na amathambo angaphezulu.
Kubantu abane-ulna ende (i-ulnar i-crystal positive), amandla amaninzi asetyenziswa kwi-TFCC. Laba bantu banomdla ophezulu wokulimala kwi-TFCC kwaye banokuthi babe neempawu eziqhubekayo emva kokulimala.
Isizathu esona siqhelo sokulimala kwi-TFCC siwa phezu kwesandla esisikiweyo; maxa wambi kukho ukungqubuzana okuhambisanayo kwerhasi yomzila . Ezinye izizathu zokulimala kwe-TFCC zingaquka ukujikeleza okunamandla okanye ukuphazamiseka (ukudonsa) kwi-joint joint. Iimpawu eziqhelekileyo zezinyembezi zeTFCC ziquka:
- Ubuhlungu kunye nokuvuvukala kwicala lomlenze wesandla
- Ukuqakraza imizwa ngokunyakaza kwesandla
- Ukukhubazeka kwamathambo angaphambili (i-joint radialulnar joint)
Ukuba kukho ukukrokra kokulimala kwi-TFCC, ngokuqhelekileyo i-ray-ray iya kwenziwa ukwenzela ukuvavanya ukuphulwa, ukungazinzi kunye kunye nokungafani kwelanga (ubude bamathambo angaphambili). I-MRI ingaba luncedo ukubona i-cartilage kunye nemigqa eyenza i-TFCC. Oogqirha abaninzi baya kujoba loo ndawo ngezizathu ezibini. Okokuqala, ukuchonga umthombo wentlungu (qiniseka ukuba iintazi ze-TFCC zibangela iimpawu); kwaye okwesibini, ukuhambisa amayeza ( steroids ) kwindawo ekunyango.
I-Treatment Recommended for TFCC
Njengoko kushiwo ngaphambili, zonke iintyatyambo ze-TFCC ziyingqayizivele, kwaye ukufumana amava kunye neentlobo ezahlukeneyo zendlela yokulimala kubalulekile ukuba ugqirha wakho uncede ukukhokela isicwangciso sakho soonyango.
Izinyembezi ezininzi ze-TFCC ziya kuphulukisa ngokungafihli kunye nexesha.
Kukho iziganeko apho utyando lunokuqwalaselwa ngonyango. Ngokukodwa, iinyembezi ezingaphumeleli ukuphucula unyango olungapheliyo, ukulimala kwe-TFCC engazinziyo, kunye nokulimala okunxulumene nesimo esihle se-ulnas (i-ulna bone eside), ingaba ngabaviwa bangenelelo lotyando. Uninzi lwabagqirha basebenzisa i- arthroscopy yesandla ukuvavanya i-TFCC eqotywekileyo, kunye nokucoca okanye ukulungisa izakhiwo eziwonakalisiweyo.
> Imithombo:
> Verheyden JR. Ukulimala kwee-Triangular Fibrocartilage Complex Ukwelashwa noLawulo "iMedscape. NgoNovemba 17, 2014.