Ukususwa okungavamile kwamaBontshi amancinci eHlangano lweSiko
Ukutshatyalaliswa kwe-Perilunate kunye nokuqhekeka-ukuchithwa kwamathambo kunobungozi obunzima kumathambo amancinci. Lawa mathambo amancinci, abizwa ngamathambo e-carpal, aquka amathambo ahlukeneyo asibhozo, ngalinye likhulu ngobukhulu be-cube yetshukela, adibene phakathi kokuphela kwe-forearm kunye namathambo amathambo esandla. Amathambo e-carpal acacile ukuba avumele ukugoba okukrakra kunye nokujikeleza kwintsimbi ehlangeneyo.
Elinye lamathambo libizwa ngokuba yinyanga.
Ukutshatyalaliswa kwamanye amazwe (okubizwa ngokuthethiwa ngokuthi "i-perilunate") ngokuqhelekileyo kwenzeka njengenxalenye yengozi enkulu njengokuwa kwephakamileyo okanye ukudibana kwezimoto. Xa kuqhutyelwa i-perilunate i-perilunate, enye okanye ngaphezulu kwala mathambo amancinci amancinci iphuma ngokuhambelana ngokuqhelekileyo kwisilathisi sesandla. Ngamanye amaxesha, ukulimala kwenzeka ngokuhambelana nokuphuka kwelinye lamathambo e-carpal - oku kuthiwa yi-parilunate break-dislocation.
Izibonakaliso zokuLawulwa kwePerilunate
Iimpawu eziqhelekileyo zokutshatyalaliswa kwe-parilunate okanye i-fracture-dislocation ziquka:
- Intlungu ebalulekileyo kwisandla nesandla sandla
- Ukuvuvuka kwesandla
- Ukunyuswa okukodwa kwesandla kunye nesandla
- Ukulinganisa nokunyaniseka kweminwe
Isizathu sokubetha nokugqithisa ziqhelekileyo kwizigulane ezinobungozi obunobunzima obukufutshane nomtya we-carpal kwisikristsi. I-carpal tunnel yindawo equlethe i-nerve medie, enye yeentsholongwane ezinkulu ezinika ukuqonda kwisandla kunye neminwe.
Le yimbindi ephoswe kwi- carpal tunnel syndrome . Ukuthuthwa kwe-parilunate ye-parilunate kungabangela iimpawu zeempawu ze - carpal.
Ukuchonga i-Perilunate Injury
Inzakalo yesohlwayo ingabonwa kwi-x-ray rhoqo. Nangona kunjalo, ukubonakala kwe-parilunate dislocation kungabonakali, ingakumbi ukuba i-ray-ray iyenziwa ngesandla sitshintshile.
Xa abantu benobungozi obunzima, ukufumana i-x-ray emihle ingaba nzima kwaye inzima. Nangona kunjalo, kubalulekile ukuba ne- x-ray efanelekileyo ukuvavanya ukulimala okunjenge-parilunate dislocation.
I-CT scan okanye i-MRI inokukunceda ukuba kukho umbuzo wokuxilongwa. Ukongezelela, ukuthungulwa kwezinto ezihamba phambili kungenziwa njengenxalenye yeqela lokulimala kubandakanywa amaqhekeza kunye neenyembezi zeligament. Izifundo ezongezelelweyo zingenziwa ukuze kuhlolwe ezinye izinto ezilimazayo kwisikristsi.
I bone ithambo ifakwe njengenyanga yenyanga kwaye ifumaneka apho amathambo engalo, i-ulna ne-radius, adibana namanye amathambo e-carpal yesandla. Ukutya kwenyanga kunokunomlinganiselo obonakalayo, ngoko-ke inyanga yakho ingabonakali njengowesiqhelo nangona ingakonakaliswa. Ekugqibeleni, ukulimala kweengxowankulu kudla ngokuxhatshazwa kalisa ukulimala, kwaye ezinye izinto ezinokubangela ukulimala kwingozi zingabangela ingqalelo kwingozi yesikhumba. Ngenxa yezi zizathu, ukulimala okubi kungabikho kovavanyo lokuqala, kwaye abantu abaneempawu zengxaki kufuneka bahlolwe.
Ziyintoni unyango lokuxhatshaliswa kwenyanga?
Kubalulekile ukubeka i-bone bone ukuze iqhube kakuhle ngokukhawuleza. Ngamanye amaxesha oku kunokwenziwa kwigumbi elingxamisekileyo , kodwa ngoku kudla oku kufuna ukunyangwa ngegazi.
Nangona ukuxhatshazwa kwenyanga kungasetyenziselwa ukutyunjwa, inkqubo yokuhlinzwa ivame ukufuneka ukuzinzisa amathambo ukuvumela ukuphilisa okufanelekileyo.
Iiperilunate ezifudulayo zihlala ziqhutywe endaweni esebenzisa izikhonkwane ezivela esikhumbeni ukuze zisuswe kamva kwiofisi. Ukukhululwa kombhobho we-carpal kungenziwa ngexesha lotyando ukuba kukho iimpawu ze-carpal tunnel syndrome. Ukongezelela, utyando lungaqwalasela ezinye iintsimbi kunye neenyembezi zegilament ezenzeka ngexesha lokulimala.
Iingxaki zixhaphakile emva kokugcina ukutshatyalaliswa kwe-parilunate, kwaye ukuxela kwangaphambili ixesha elide kubantu abagcina le nzakala balindile.
Ezi ngxaki zingabandakanya i- arthritis yesibindi , intlungu eqhubekayo, ukuqina kobambiswano kunye nokungazinzi kwamathambo e-carpal. Ukunyango okukhawulezileyo kunceda ukunciphisa ithuba leengxaki, kodwa zisasaqhelekanga. Ukubuyiselwa kwi-disilination disilination kuza kuthatha ubuncinane beenyanga ezintandathu, ukuba kungengakanani, kwaye ukuhamba kunye namandla ngokuqhelekileyo akayi kubuyela kwisiqhelo.
Imithombo:
> UStanbury SJ, uElfar JC "Ukutshatyalaliswa kwamatyala kunye nokuphazamiseka kwendawo yokuphulukana" J Am Acad Orthop Surg. 2011 Sep; 19 (9): 554-62.