Isisihla sprain -ukhathalelo

Ukuqunjelwa kukonzakala kwimigudu ejikeleze ukudibana. Imigca yomelele, yimicu eguquguqukayo ebamba amathambo ngokudibeneyo.

Xa uthambisa isihlahla sakho, uye watsala okanye wakrazula omnye okanye nangaphezulu kwemisipha kwilungu lesihlanganisi sakho. Oku kunokwenzeka ukusuka kokufika kwisandla sakho esingalunganga xa usiwa.

Jonga umboneleli wezempilo ngokukhawuleza emva kokulimala kwakho.

Ukuhlanjwa kwesandla kunokuba mnene ukuya kubukhali. Ziye zabekwa kwinqanaba lokutsalwa ngamandla kwe-ligament okanye ukukhutshwa kwithambo.

• IBakala 1-Imigca yolule kakhulu, kodwa ayikrazulwanga. Oku kukwenzakala okuphakathi.
• IBanga lesi-2-Imigangatho ikrazukile ngokuyinxenye. Oku kukwenzakala okuphakathi kwaye kunokufuna ukugoba okanye ukuphosa ukuzinzisa ukudibana.
• IBanga lesi-3 - Imigca ikrazulwe ngokupheleleyo. Oku kukulimala kakhulu kwaye kuhlala kufuna ukhathalelo lonyango okanye lotyando.

Ukurhola izihlunu ezingalunganga kwizigulo ezenzakaliswe kakubi ngaphambili kunokukhokelela ekunciphiseni amathambo kunye nemisipha esesandleni. Ukuba ayinyangwa, oku kungakhokelela kwisifo samathambo.

Iimpawu ezinjengentlungu, ukudumba, ukugruzuka kunye nokuphulukana namandla okanye uzinzo ziqhelekile ngobumnene (ibanga loku-1) ukuya kumodareyitha (ibanga lesi-2) ukubetheka kwesandla.

Ngokulimala kancinci, ukuqina kuyinto eqhelekileyo nje ukuba i-ligament iqale ukuphola. Oku kunokuphucula ngokwelula ukukhanya.

Ubunzima (ibanga lesi-3) ukubetheka kwesandla kunokufuna ukujongwa ngugqirha wezandla. IX-reyi okanye iMRI yesihlahla ingafuna ukwenziwa. Ukulimala okungakumbi kunokufuna ukuhlinzwa.

Ukunyanga okungapheliyo kufuneka kunyangwe ngokutshiza, iyeza lentlungu, kunye neyeza lokuthintela ukudumba. Ukunyanga okungapheliyo kunokufuna inaliti ye-steroid kwaye kunokwenzeka utyando.

Landela nayiphi na imiyalelo ethile yokuphucula iimpawu. Unokucetyiswa ukuba kwiintsuku zokuqala okanye iiveki zokuqala emva kokonzakala:

• Phumla. Yeka nawuphi na umsebenzi obangela iintlungu. Unokufuna i-splint. Unokufumana iziqwenga zesandla kwindawo ekuthengiswa kuyo amayeza.
• Umkhenkce isihlahla sakho malunga nemizuzu engama-20, amaxesha ama-2 ukuya kwayi-3 ngosuku. Ukuthintela ukwenzakala kolusu, songela ipakethe yomkhenkce kwilaphu elicocekileyo ngaphambi kokufaka isicelo.

Qiniseka ukuba uphumle isihlahla sakho kangangoko unako. Sebenzisa isongelo sokucinezelwa okanye ukusasazeka ukugcina isihlahla singashukumi kwaye kugcine ukudumba.

Ngentlungu ungasebenzisa ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), okanye i-acetaminophen (iTylenol). Ungawathenga la mayeza eentlungu kwivenkile.

• Thetha nomboneleli wakho ngaphambi kokusebenzisa la mayeza ukuba unesifo sentliziyo, uxinzelelo lwegazi oluphezulu, isifo sezintso, okanye unesilonda esiswini okanye ukopha ngaphakathi ngaphambili.
• Sukuthatha ngaphezulu kwesixa esinconyelwe kwibhotile okanye ngumboneleli wakho.
• Musa ukunika iasprini ebantwaneni.

Ukwakha amandla xa isihlakala sakho siqala ukuziva ngcono, zama ukubhola ibhola.

• Ngentende yesandla sakho, beka ibhola yerabha esandleni sakho kwaye uyibambe ngeminwe yakho.
• Gcina isandla sakho kunye nesihlahla ngelixesha uyicofayo ibhola.
• Cinezela malunga nemizuzwana engama-30, emva koko ukhulule.
• Phinda oku amaxesha angama-20, kabini ngemini.

Ukonyusa ubhetyebhetye kunye nokuhamba:

• Fudumeza isihlahla sakho ngokusebenzisa iphedi yokufudumeza okanye indwangu yokuhlamba eshushu malunga nemizuzu eli-10.
• Nje ukuba isihlahla sakho sifudumale, bamba isandla sakho size sibambe iminwe ngesandla esingakhuselekanga. Ngenisa ngobunono iminwe yakho ukugoba isihlahla. Yima nje ngaphambi kokuba iqale ingaziva mnandi. Bamba ukolula imizuzwana engama-30.
• Thatha umzuzu ukuvumela isihlahla sakho siphumle. Phinda ukolula amaxesha ama-5.
• Bendisa isihlahla sakho kwicala elichaseneyo, wolule ezantsi kwaye ubambe imizuzwana engama-30. Hlaziya isihlahla sakho ngomzuzu, kwaye uphinde uphinde wolule amaxesha ama-5, ngokunjalo.

Ukuba uziva ungonwabanga esihlahleni emva kolu vavanyo, qhwaleka isiqwenga semizuzu engama-20.

Yenza umthambo kabini ngemini.

Landela umboneleli wakho 1 ukuya kwiiveki ezi-2 emva kokulimala kwakho.Ngokusekwe kubukrakra bokwenzakala kwakho, umboneleli wakho unokufuna ukukubona ngaphezulu kwesinye.

Xa ujikeleza izihlakala zesandla, thetha nomboneleli wakho malunga nokuba yeyiphi na into enokubangela ukuba wenzakalise isihlahla sakho kwaye unokwenza ntoni ukuthintela ukonzakala okungaphezulu.

Fowunela umnikezeli ukuba unayo:

• Ukuba ndindisholo ngequbuliso okanye ukurhawuzelela
• Ukwanda ngokukhawuleza kweentlungu okanye ukudumba
• Ukutyumka ngesiquphe okanye ukutshixa esihlahleni
• Ukwenzakala okubonakala kungaphilisi njengoko bekulindelwe

I-Scapholunate ligament sprain-ukhathalelo lwamva

UMarinello PG, uGaston RG, uRobinson EP, uLourie GM. Ukuchongwa kwesandla kunye nesihlahla kunye nokwenza izigqibo. Ku: UMiller MD, uThompson SR. ii-eds. UDeLee, uDrez, kunye neMiller's Orthopedic Sports Medicine. Umhla we-5. IPhiladelphia, PA: Elsevier; 2020: isahluko 67.

UWilliam DT, uKim HT. Isihlahla nengalo. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2018: isahluko 44.

• Ukuhlanjwa kunye neengxaki
• Ukulimala esihlahleni kunye nokuphazamiseka