Yintoni kunye nendlela yokunyanga isifo se-Kienbock

Umxholo

• Ungazikhulula njani iimpawu
• 1. Ukungasebenzi kwesihlahla
• 2. Unyango oluchasayo
• 3. I-Physiotherapy kunye nokuzolula umzimba
• 4. Utyando
• Indlela yokuqinisekisa ukuxilongwa

Isifo sika-Kienbock yimeko apho elinye lamathambo amancinci abumba isihlahla, elaziwa njengethambo le-semilunar, alifumani gazi lifanelekileyo kwaye ke liqala ukonakala, kubangela iintlungu ezingapheliyo esihlahleni kunye nobunzima bokuhambisa okanye ukuvala isandla. , umzekelo.

Olu tshintsho lunokubonakala nakweyiphi na iminyaka, nangona kunjalo, ixhaphake kakhulu phakathi kweminyaka engama-20 nengama-40 ubudala kwaye kunqabile ukuba ichaphazele amanqindi omabini ngaxeshanye.

Nangona lungekho unyango oluchanekileyo lwesifo sikaKienbock, ezinye iindlela zonyango ezinje ngokuhlinzwa okanye ukusebenzisa iziyobisi zinokusetyenziselwa ukunciphisa uxinzelelo kwithambo kunye nokunciphisa iimpawu.

Ungazikhulula njani iimpawu

Unyango lwesifo sika-Kienbock senziwa kuphela ukunciphisa iintlungu kunye nobunzima ngokuhamba kwesihlahla, kuba ukwanda kokujikeleza kwethambo kunzima kakhulu ukufezekisa. Ukulungiselela le nto, kukho iindlela ezininzi zonyango ekufuneka zivavanywe ngugqirha wamazinyo ngokwenqanaba lesifo kunye nokuqina kweempawu.

Ezinye zeendlela zonyango ezisetyenzisiweyo zibandakanya:

1. Ukungasebenzi kwesihlahla

Iimeko ezininzi zesifo sika-Kienbock zinokuphucula kuphela xa kungafakwanga nto esihlahleni, njengoko le ndlela ithambo lingaphantsi kakhulu, livumela ukudumba kunye noxinzelelo kwisiza ukunciphisa.

Ukunyanzelisa isihlahla, ugqirha uhlala ethambisa udaka esandleni, ekufuneka sigcinwe ubuncinci iiveki ezi-2 okanye ezi-3.

2. Unyango oluchasayo

Ukusetyenziswa kweziyobisi ezichasayo, ezinje nge-Aspirin okanye i-Ibuprofen, yenye yeendlela zokuqala zokunyanga le ngxaki kwaye ihlala isebenza ngokuphelisa ukudumba kwezicubu ezijikeleze ithambo le-semilunar, ukunciphisa uxinzelelo kunye nokuphelisa iintlungu.

3. I-Physiotherapy kunye nokuzolula umzimba

Ukwenza umthambo wolule isihlahla kunokunceda ekunciphiseni uxinzelelo lwezihlunu emathanjeni, ukunciphisa iintlungu kunye nokuvumela inkululeko enkulu yokuhamba.

Ngokubanzi, le mithambo inokwenziwa ngexesha leeseshoni ze-physiotherapy, kodwa banokuqeqeshwa ekhaya emva kwesikhokelo esivela kugqirha womzimba. Nazi ezinye izinto ezolulwa ngesandla ezinokukunceda ukunciphisa iintlungu.

4. Utyando

Unyango lotyando luhlala lubekelwa iimeko eziphambili zesifo se-Kienbock, xa iimpawu zingaphucuki kunye neendlela zonyango ezichazwe apha ngasentla.

Uhlobo lotyando luyahluka ngokuxhomekeka kumntu kunye nengxaki ethile, kubandakanya:

• Ukubekwa ngokutsha kwamathambo edibeneyo yesihlahla: xa elinye lamathambo engalweni lifutshane kancinci, ugqirha unokufaka ithambo elincinci okanye asuse isiqwenga sethambo elide, ukuze alungelelanise ukudibana kunye nokunciphisa uxinzelelo kwithambo le semilunar, ekhulula iimpawu;
• Ukususwa kwethambo lesemilunar: xa ithambo lesemilunar lonakele kakhulu, ugqirha wamathambo unokukhetha ukulisusa ngokupheleleyo ithambo. Nangona kunjalo, kwezi meko kuyimfuneko ukuba kususwe amathambo amabini akwicala, aphelise iintlungu, kodwa anokunciphisa uluhlu lokuhamba kwesihlahla;
• Ukuhlanganiswa kwamathambo esihlahla: kwezinye iimeko, ukhetho lonyango lubandakanya ukunamathela emathanjeni esihlahla, ukuze wenze ithambo elinye elifumana ukujikeleza kwegazi kwamanye amathambo ahlukanisiweyo, ekhulula zonke iimpawu.

Ukongeza, utyando lunokusetyenziswa kwinqanaba lokuqala lesi sifo ukuzama ukuhambisa ukujikeleza kwegazi kwithambo lesemilunar. Kule ndlela, ugqirha ususa isiqwenga selinye ithambo elifumana igazi kwaye ulincamathisele kwithambo lesemilunar, alivumele ukuba linkcenkceshelwe ligazi. Nangona kunjalo, obu buchule abunakwenzeka kuzo zonke iimeko kwaye bunokungabonisi iziphumo ezonelisayo kwisithuba sasemva kokusebenza.

Indlela yokuqinisekisa ukuxilongwa

Intlungu ebangelwa sisifo sika-Kienbock ihlala ididekile kunye ne-carpal tunnel syndrome kwaye, ke, kuyacetyiswa ukuba uqhagamshelane nogqirha wamathambo ukuze uqinisekise isifo kwaye uqalise unyango olufanelekileyo.

Ukwenza uxilongo, ugqirha unokuyalela iimvavanyo ezithile zokuqonda isifo ezinje nge-X-ray yesihlahla kunye neMRI. Ezi mviwo zikwalungiselela ukuvavanywa kwenqanaba lokuvela kwengxaki:

• Isigaba 1: kwesi sigaba iX-reyi ihlala iqhelekile, kodwa iMRI ibonisa ukusilela kokujikeleza kwithambo;
• Inqanaba 2: ithambo lesemilunar liqala ukuba nzima ngenxa yokunqongophala kokujikeleza kwaye, ke, kubonakala limhlophe ngombala kunamanye amathambo esihlahla, kwiX-ray;
• Isigaba 3: kweli nqanaba, ithambo liqala ukophuka kwaye, ke ngoko, iimviwo zingabonisa iziqwenga ezahlukeneyo kwindawo yethambo kwaye zitshintshe kwindawo yamathambo angqongileyo;
• Inqanaba 4: lelona nqanaba lihambele phambili apho iziqwenga zamathambo enyanga yenyanga zibangela ukonakala kwamathambo angqonge, kubangela isifo samathambo esihlahleni.

Njengokuba isifo siqhubeka, iintlungu esihlahleni ziba qatha, kwaye intshukumo iba nzima. Ke, ukwazi ukuba leliphi inqanaba elivumela ugqirha ukuba akhethe olona nyango lufanelekileyo.