Ukuchonga nokuPhatha iMinwe yeeNkatha kunye nokuHlukana
Iintambo zentambo kunye nokutshatyalaliswa kwinto eyingozi kwinto . Xa i-sprain ivela, i-ligament exhasa idibeneyo isondele kakhulu kwaye iifayili ezinzima zeethambo zeligament ziba ziqhekeza okanye ziqhekeke ngokupheleleyo. Kwezinye iimeko, umonakalo kwimigqaliselo exhasekileyo ibalulekile ngokwaneleyo ukuba umdibaniso uza ngaphandle, obangela ukulimala okubizwa ngokuba yi-dislocation.
Izizathu eziqhelekileyo zokunyanga kweminwe kunye nokudibanisa kubandakanya ukulimala kwezemidlalo, ukulimala okuhlobene nomsebenzi kunye neengozi zemoto. Kukho ububanzi obunzima bomnxeba obunobungozi, kwaye ngenxa yoko ukuba ukuvavanywa ngugqirha wakho kunokunceda uqinisekise ukuba awuphephe unyango oluyimfuneko.
Iintlobo zeNtswana
Iintlobo zentambo ziqhelekile, ngokukodwa ngenxa yokulimala kwezemidlalo kwaye ziwela esandleni sakho. Ngokuqhelekileyo, oku kubangela ukuba umnwe ugobe ngokungavamile, obangela ukulimala kwe-ligament kunye nentlungu elandelayo.
Iintambo zentambo zingenzeka nanoma yikuphi na 'amaqhosha' amacandelo edijithi, kodwa eziqhelekileyo kwi-PIP (i-interphalangeal exximal) ephakathi komnwe.
Izibonakaliso onokuzilindela ukuba namava ziquka:
- Ubunzima obuhamba ngomunwe
- Ukukhupha ngeenxa zonke
- Ukunyameka komnwe
Ukuba ugqirha wakho uncoma i-x-ray, qi niseka ukuba yinkqubo esemgangathweni ukuqinisekisa ukuba akukho thambo elithintekayo, njengoko i-fracture ejikeleze umdibaniso ingadinga unyango olongezelelweyo.
Ezinye iimvavanyo, ezifana ne-MRIs okanye i-CT scans, ayisoloko ziyimfuneko ukuba zifumane ukuxilongwa kwale ngxaki.
Ukunyanga iMinwe yeeNgane
Iintambo zentambo zivame ukugqitywa okanye zifakwe kumgca (zithintela kumnwe osondeleyo) ixesha elifutshane. Ngokude nje kungekho kutyhulwa okanye ukuchithwa, amaninzi amanxeba kufuneka avunyelwe ukuba angene ngaphakathi malunga neveki.
Ukucoca ngomunwe otyunyiweyo ngexesha lezemidlalo kunokunceda ukukhusela ukulimala, kodwa ukugqitywa ngokungenasiphelo komnwe kuya kwenza ukuba ilidi libe nzima. Kufuneka uxoxe nodokotela wakho xa uqala ukuhamba kwamanwe.
Olunye unyango olwenziwe ngomunwe lubandakanya:
- Iqhwa lomunwe olimele
- Ukuphakamisa ukuba kukho ukuvuvukala
- Thatha imithi echasayo
- Ngomnene uhambisa umnwe ukukhusela ukuqina
Iimpawu zesikhumba kunye neminwe ethile eminwe kubantwana kunokufuna ixesha elide lokungaphumeleli okanye ukuvavanywa ngutitshala, ingakumbi ukuba kukho inkxalabo yokuba i-ligament yahlulwa. Olunye ukonakaliswa ngokukhethekileyo, oko kuthiwa " isalathiso seMgcini weMidlalo ," ludinga ukukhulelwa kunye nokuhlinzwa ngenyameko. Le nzakalo ebalulekileyo ibalulekile ngenxa yokulimala okwangoku kwintsebenziswano kule nxu lumene nefuthe lethu lokunyathela.
Akuyinto engavamile ukunyumba kweminwe ukudala ukuvuvukala nokuqina okungaqhubekayo kwiinyanga emva kokulimala. Kubalulekile ukuba unayo iimpawu eziqhubekayo ukuba uvumele ugqirha wakho azi ukuba banokuqinisekisa ukuba akukho ukulimala okungakumbi (njengokwephulwa komnwe ).
Ukunyuswa kweminwe
Ukutshatyalaliswa komunwe kukulimala kongeza kumdijithi, njengoko kungabandakanyi kuphela i-ligament, kodwa kunye ne-capsule ehlangeneyo, i-cartilage kunye nezinye izicubu.
Xa idibaniselwano idityanisiwe, ukulungelelana okuqhelekileyo komnwe kuyatshintshwa, kwaye umdibaniso kufuneka ubuyiselwe endaweni.
Ngamanye amaxesha, ukufuduswa komunwe kungasilula kwaye ngamanye amaxesha kunokuba nzima kakhulu. Ngokuqhelekileyo, umntu olawulwayo unokufudula umnqweno wakhe ngokumrhoxela kwakhona kwisithuba. Ngamanye amaxesha, ukutshintshwa kungadinga i-anesthesia okanye kwenkqubo yokucwangcisa ukulungiswa kweli nani. Kwiimeko ezicelomngeni, kunokuthi kube neetoni okanye ezinye izicubu ezithintela ukudibanisa ukubuyela kwindawo.
Xa idibeneyo ichithwa, iigaments kunye ne-capsule edibeneyo ezungeze iqela elenzakalisiweyo lichithwe.
Ngamanye amaxesha, le mijelo ayiphilisi ngokwaneleyo kwaye kutyunjwa ngamanye amaxesha kuyadingeka ukulungisa izakhiwo ezimele. Oko kwathiwa, amaninzi amaninzi angatshatyalaliswa ngoluhlu olulula. Emva kokuba idibeneyo ibuyiselwe kwisimo, umnwe ugobile ukuze uvumele iigaments kunye ne-capsule ehlanganyelweyo ukuphilisa.
Unyango lomnwe ochitshiweyo ufana neyomnwe otyotshiwe. Kufuneka uqhankceze kwaye unyuse umunwe olimele emva kokulimala. Emva kokunciphisa ukunciphisa (ukubuyisela kwisithuba), umdibaniso kufuneka udibaniswe kwaye i-x-ray ifumaneke. I-x-ray iyenziwa ukuqinisekisa ukuba idibeneyo ihambelaniswe ngokugqibeleleyo, kwaye kwakungekho nkunkuma eyenzeka ngexesha lokulimala. Emva koko landela iingcebiso zogqirha zakho xa uqala ukunyakaza kwesinyana.
ILizwi
Kwiimeko ezininzi, zombini ukunyanyiswa komunwe kunye nokuchithwa kwamanzi kuyaphathwa kalula. Ngokuqhelekileyo, uya kukwazi ukusebenzisa isandla sakho njengesiqhelo phakathi kweveki, kodwa ungakhathazeki ukuba i-sprain ibangela intlungu kwaye ingakhathazeki ixesha elide-eliqhelekileyo. Ukuba kukukhathaza ngokwenene, thetha nogqirha wakho ukuba ubone ukuba kukho ukhetho olukhoyo lokunciphisa ukuphazamiseka.
Nangona ukutshatyalaliswa kweyona nto yingozi kakhulu, lindela unyango olufana neloluhlu. Kuzo zombini iimeko, ungakhathazeki ukuba ugqirha uncoma i-x-ray-leyo yenkqubo eqhelekileyo yokuqinisekisa ukuba idijithi yakho iyaphilisa kakuhle kwaye ibuyele eqhelekileyo.
> Umthombo:
> Elfar J, Mann T. Ukuqhekeka-ukuchithwa kwe-joint interphalangeal joint. J Am Acad Orthop Surgery. 2013 Feb; 21 (2): 88-98.