I-hamate bone ithoba enye yamathambo amancinci. Amathambo ayisibhozo athatywe ngokufanelekileyo emigqeni emibini kwisiseko sesandla (ngokuthe ngqo phantsi kweengcambu zesundu). Ngokuqokelela, amathambo abizwa ngamathambo e-carpal-eli lizwi livela kwisiLatini igama elithetha "isandla." Uninzi lwabantu luvile nge- carpal tunnel syndrome , imeko apho i-nerve ikhonkxiwe njengoko idlula kwinqanawa elomeleleyo eyenziwa ngamathambo e-carpal.
Njengawo nawuphi na elinye ithambo emzimbeni, amathambo e-carpal angatyhalwa xa efumana uxinzelelo olungavamile okanye utyhafile . I-hamate bone ithambo elingaqhelekanga. Uninzi lwesithambo luyikwele, kodwa kukho ukubonakala kwecala lesundu lesithambo elibizwa ngokuthi "isikhonkwane se hamate." Ingqungquthela yinto encinci, esincinci yeethambo, kunye nokuxhamla kwegigaments kunye neetononi kwisandla.
Iziqhekeza kwiHook yeHamate
Iziqhekeza zentambo ye-hamate aziqhelekanga. Ngaphantsi kwama-2% kuwo onke amathambo e-carpal fractures afaka i-hook ye hamate. Nangona kunjalo, ezi fracture ziyakufanelekile ukuxoxa, njengoko kunokuba kunzima ukuluxilonga, kwaye kunzima ukunyanga.
Iziqhekeza zentambo ye-hamate zivela kubadlali abadlala imidlalo ebandakanya ukufaka into. Abadlali bebhola, abadlali begalufa kunye nabadlali be-hockey baxhasa ubuninzi beemfucu ze-hook.
Ngokuqhelekileyo, umgijimi uyakhumbula ukulimala apho bebenokungabonakali ukujonga ukutshiza okanye ukubetha iglafu yegalufu ibe yingcambu okanye umhlaba.
Iimpawu
Uphawu oluqhelekileyo lwe-fracture ye-hook ye hamate intlungu. Ukuvuvukala, ukunyunyuzwa, kunye nobuthathaka obuthathakayo kuyafana, kodwa impawu eziqhelekileyo zibuhlungu.
Intlungu ingaba yinto engacacanga kwaye kunzima ukuvelisa kodwa kufuneka ifumaneke xa umhloli ecinezela ngqo kwi-hook ye-hamate bone. Ngokuqhelekileyo ezinye izimbangela zeentlungu zesilonda zentsimbi zingabonwa , kubandakanywa iindlebe zeTFCC , i-tendon okanye i-ligament injured, okanye ezinye iindawo ezahlukileyo.
Kwiimeko ezininzi ezide, iimpawu zingaphinde zibandakanye umsebenzi ongaqhelekanga weentsimbi zesibindi . I-nerve ye-ulnar yenye yeentlanzi ezinkulu ezinikela ukuvakalelwa kwisandla kunye neminwe. Iigulane zidlula ngaphaya kwendawo yokuloba, kwaye rhoqo izigulane ziza kuba namaxhala kunye nokubetha eminwe encinci nangeminwe xa isilonda se-ulnar singasebenzi ngokuqhelekileyo.
Isikristsi esiyingqayizivele x-ray ziqhelekile zikhangeleke eziqhelekileyo kwizigulane ezineqhekeza le-hook. Kukho imbono ekhethekileyo, ebizwa ngokuba yombono we-carpal tunnel, ukuba bhetele ibonakalise i-hook ye-hamate, eyenza ezinye iziqhekeko zibonakala. I-MRI kunye ne-CT i-scans iyakhathazeka kakhulu ekuboniseni i-hook ye-hamate. Iimvavanyo ze-CT zibonisa iinkcukacha ezingcono zethambo, kanti i-MRIs ingaba luncedo ngakumbi xa ukuxilongwa kungabonakali, kwaye umhloli ufuna ukuvavanya i-cartilage, ligaments, kunye neeton.
Izinyango Zonyango
Kukho iinketho ezimbalwa zokonyango kweentambo ze-hook ye hamate.
Ukusetyenziswa kwephosa ukukhupha isifuba esiphukileyo ngamanye amaxesha kunokusebenza kakuhle, kodwa iziphumo azithembeki. Ukuphulukiswa kwephuka kungenzeki, kwaye izigulane ziyakudinga unyango olungaphezulu.
Ukulungiswa kweqhekeza ngokuqhelekileyo kukuphepha. Ukuphulukiswa kwethambo kunokuba kunzima ukufeza, kwaye izigulane zihlala zixhatshazwa yi-hardware esetyenziselwa ukulungisa ithambo ephukile.
Olona unyango oluqhelekileyo, ngokukodwa kumqhubi, kukugqithisa ngokugqithisileyo i-hook ye-hamate. Ukunyaniseka kokubuyiselwa kulo msebenzi kulunge kakhulu. Abadlali baqala ukuthatha iiveki ezi-6 ukuya ku-8 ukuya ku-ophando ukuze babuyiselwe kulo msebenzi kwaye baphindele kwimidlalo.
Kukho iingxaki zokuhlinzwa, kuquka ukulimala kwentsholongwane, ukusuleleka, kunye nentlungu, kodwa xa kwenziwa ngugqirha onogqirha kuyinkqubo ekhuselekileyo.
Imithombo:
Slowman LS, kunye noMorgan WJ. Ukunqongophala kwesandla kunye neKristal Injury ku-Athletes: UkuVavanya noLawulo "J Am Acad Orthop Surg November / Disemba 2001 vol. 9 akukho. 6 389-400