Ukophuka kweScaphoid: Into ekufuneka uyazi ngeSandla esaphukileyo

Umxholo

• Yintoni i-scaphoid?
• Kwenzeka ntoni kuphuka kwescaphoid?
• Yintoni ebangela ukuqhekeka kwescaphoid?
• Kufunyaniswa njani ukuba uqhekeko lwespaphoid?
• Luyintoni unyango lokophuka kwescaphoid?
• Ukuphosa
• Ugqirha
• Ukukhuthaza ukukhula kwamathambo
• Yintoni umbono wabantu abanokophuka kwescaphoid?

Yintoni i-scaphoid?

Ithambo le-scaphoid lelinye lamathambo asibhozo e-carpal esihlahleni sakho. Ilele kwicala lesithupha lesandla sakho kanye ngezantsi kwerediyasi, elinye lala mathambo makhulu kwingalo yakho. Iyabandakanyeka ekushukumiseni nasekuzinziseni isihlahla sakho. Igama elidala lalo lithambo le-navicular.

Ungalifumana ithambo lakho le-scaphoid ngokubamba isithupha sakho phezulu njengoko ujonge ngasemva kwesandla sakho. Ubume obunxantathu obenziwe ziitoni zesithupha sakho kuthiwa yi "anatomic snuffbox." I-scaphoid yakho ifumaneka emazantsi alo nxantathu.

Kwenzeka ntoni kuphuka kwescaphoid?

Isikhundla se-scaphoid kwicala lesandla sakho kunye nobukhulu obukhulu senza ukuba sesichengeni sokwenzakala nokwaphuka. Ngapha koko, lelona thambo le-carpal liqhekezayo, libala malunga nokuqhekeka kwe-carpal.

I-scaphoid inamalungu amathathu:

• proximal pole: isiphelo sikufutshane nobhontsi wakho
• isinqe: indawo egobileyo yethambo elele phantsi kwebhokisi ye-anatomic snuffbox
• ipali yedali: isiphelo esikufutshane nengalo yakho

Phantse iipesenti ezingama-80 zokuqhekeka kwe-scaphoid zenzeka esinqeni, iipesenti ezingama-20 kwipali ehamba phambili, kunye neepesenti ezili-10 kwi-pole distal.

Indawo yokuqhekeka ichaphazela indlela eza kuphilisa ngayo. Ukuqhekeka kwipali kunye nasinqeni kudla ngokunyanga ngokukhawuleza kuba banegazi elifanelekileyo.

Uninzi lwesibonda esihamba phambili sinegazi elonakeleyo elinqanyulwa ngokulula kukophuka. Ngaphandle kwegazi, ithambo liyafa, elibizwa ngokuba yi-avascular necrosis. Ukuqhekeka kwipali esondeleyo akuphilisi kwangoko okanye ngokukhawuleza.

Yintoni ebangela ukuqhekeka kwescaphoid?

I-FOOSH imele “iwe kwisandla esoluliweyo.” Yindlela esebenza emva kokuqhekeka kwamalungu amaninzi aphezulu.

Xa uziva ukuba sele uza kuwa, uphendula ngokwemvelo ngokufaka isihlahla sakho kwaye wolule ingalo yakho ukuzama ukwaphula ukuwa ngesandla sakho.

Oku kukhusela ubuso bakho, intloko, kunye nomva ekonzakaleni, kodwa oko kuthetha ukuba isihlahla sakho nengalo yakho zithatha amandla apheleleyo. Xa ibangela ukuba isihlakala sakho sibuyele umva kude kunokuba bekufanele ukuba sihambile, kungenzeka ukwaphuka.

I-engile yesandla sakho xa ibetha emhlabeni ichaphazela apho kwenzeka khona ukwaphuka. Ukuya kude isihlakala sakho sigobile, kusenokwenzeka ukuba ithambo lakho le-scaphoid liza kwaphuka. Xa isihlakala sakho singekho ngaphantsi, ithambo le-radius lithatha amandla efuthe elikhokelela ekuqhekekeni kwe-radius distal (Colles ’okanye Smith fracture).

Ukulimala kwe-FOOSH kuchaphazela i-scaphoid kuba lolona nxibelelwano luphambili phakathi kwesandla sakho nengalo yakho. Xa uwa esandleni sakho, onke amandla aveliswayo xa isandla sakho sibetha umhlaba sihamba siye kwingalo yakho ngokusebenzisa i-scaphoid. Umkhosi ubeka uxinzelelo olukhulu kweli thambo lincinci, elinokubangela ukwaphuka.

Ukulimala kwe-FOOSH kwenzeka kwimidlalo emininzi, ngakumbi izinto ezinjenge-skiing, skating, kunye ne-snowboarding. Ukunxiba unogada esihlahleni yindlela elula yokuthintela ukwenzakala.

Ukuthatha inxaxheba kwimidlalo egxininisa ngokuphindaphindiweyo ithambo lakho le-scaphoid, njenge-put put put or gymnastics, kunokubangela ukuphuka kwe-scaphoid. Ezinye izizathu zibandakanya ukubetha okunzima ngokuthe ngqo kwisandla sakho kunye neengozi zemoto.

Kufunyaniswa njani ukuba uqhekeko lwespaphoid?

Ukuqhekeka kweScaphoid kaninzi akusoloko kubonakala kwaye kunokuba nzima ukufumanisa.

Olona phawu luxhaphakileyo yintlungu kunye nokuthantamisa ngaphezulu kwe-anatomic snuffbox. Intlungu ihlala ithambile. Inokuba mbi ngakumbi ngokucofa kunye nokubamba.

Akusoloko kukho ukukhubazeka okubonakalayo okanye ukudumba, ngenxa yoko ayikhangeleki ngathi iyaqhekeka. Intlungu inokude iphuculwe kwiintsuku nakwiiveki emva kokuphuka. Ngenxa yezi zizathu, abantu abaninzi bacinga ukuba sisandla esijijekileyo kwaye bayalibazisa ukufumana unyango olufanelekileyo.

Xa ungaphathwa ngokunganyanzeliswa kwangoko, ukwaphuka kunokungapholi. Oku kubizwa ngokuba yimanyano, kwaye kunokubangela iingxaki ezinkulu zexesha elide. Malunga nokuqhekeka kwescaphoid akukho manyano. I-Avascular necrosis inokubangela ukungabikho komanyano.

IX-ray sesona sixhobo siphambili sokuqonda isifo. Nangona kunjalo, ukuya kuthi ga kuqhekeko lwe-scaphoid alubonakali kwi-X-ray kanye emva kokulimala.

Ukuba ukwaphuka akubonwanga, kodwa ugqirha wakho usarhanela ukuba unayo, isihlahla sakho asizukubambeka ngophawu lobhontsi kude kube kuphinda kuthathwe ii-X-ray kuthathwa iintsuku ezili-10 ukuya kwezi-14 kamva. Ngelo xesha, ukwaphuka sele kuqalile ukuphilisa kwaye kuyabonakala.

Ukuba ugqirha wakho ubona ukuphuka kodwa akakwazi ukuxelela ukuba amathambo ahambelana ngokuchanekileyo okanye ufuna ulwazi oluthe vetshe, i-CT scan okanye i-MRI inokunceda ugqirha wakho ukuba afumane unyango olufanelekileyo. Ukuskena kwethambo nako kunokusetyenziswa kodwa akufumaneki ngokubanzi njengezinye iimvavanyo.

Luyintoni unyango lokophuka kwescaphoid?

Unyango olufumanayo luxhomekeke:

• ukulungelelaniswa kwamathambo aqhekekileyo: ingaba amathambo aphelile aphume endaweni (ukwaphuka kwamakhaya) okanye alungelelanisiwe (ukwaphuka okungafakwanga ndawo)
• ixesha phakathi kokonzakala kunye nonyango: Okukhona ixesha lixesha, kokukhona kunokwenzeka ukuba manyano
• Indawo yophuka: umanyano lwenzeka rhoqo ngokuqhekeka kwepali

Ukuphosa

Ukuqhekeka okungafakwanga ndawo esinqeni okanye kwipali yedisco yakho ephathwa kwangoko emva kokonzakala kunokunyangwa ngokunganyibiliki isihlahla sakho ngesamente iiveki ezintandathu ukuya kwezili-12. Nje ukuba i-X-ray ibonakalise ukuba ukwaphuka kuya kuphola, isamente ingasuswa.

Ugqirha

Ukuqhekeka okusesibondeni se-scaphoid, ukufuduswa, okanye ukunganyangwa kwakamsinya emva kokulimala kufuna ukulungiswa kotyando. Injongo kukubeka amathambo emva kokulungelelaniswa kunye nokuzinzisa ukuze baphilise ngokufanelekileyo.

Emva kotyando, uhlala uhlala kwisamente iiveki ezisibhozo ukuya kwezili-12. Isamente iyasuswa nje ukuba iX-reyi ibonakalise ukwaphuka.

Ukuqhekeka okungadibaniyo, utyando lokudityaniswa kwamathambo luyafuneka apho kukho ixesha elide phakathi kokuqhekeka nokungabikho komanyano, ukuphela kwethambo eliqhekekileyo alisondelelananga, okanye ukunikezelwa kwegazi akulunganga.

Xa ixesha phakathi kokuqhekeka kunye nokungabikho komtshato lifutshane, amathambo aqhekekileyo asondelene kunye, kunye nokunikezelwa kwegazi kulungile, inkuthazo yethambo inokusetyenziswa.

Ukukhuthaza ukukhula kwamathambo

Ukukhuthaza ukukhula kwamathambo kunokubandakanya inaliti yamayeza. Izixhobo ezinokunxitywa nazo zinokukhuthaza ukukhula kunye nokuphilisa ngokusebenzisa i-ultrasound okanye inqanaba eliphantsi lombane kwithambo elonzakeleyo. Kwiimeko ezifanelekileyo, ezi ndlela zinokuba luncedo.

Nokuba ufuna utyando okanye akunjalo, uyakufuna unyango lwasemzimbeni kunye nolwasemsebenzini iinyanga ezimbini okanye ezintathu emva kokuba isamente isusiwe ukuze uphinde ufumane amandla kunye nokuhamba esihlahleni sakho nakwizihlunu ezingqongileyo.

Yintoni umbono wabantu abanokophuka kwescaphoid?

Xa ukwaphuka kwescaphoid kunganyangwa ngoko nangoko, kusenokungaphilisi ngokufanelekileyo. Iingxaki ezinokubakho zibandakanya:

• ulibaziseko lomanyano: ukwaphuka akuphelanga kwaphela emva kweenyanga ezine
• umanyano: ukwaphuka akukapholi kwaphela

Oku kunokukhokelela kukungazinzi kwendibaniso yesihlahla. Kwiminyaka kamva, ukudibana kuya kuhlala kuphuhlisa i-osteoarthritis.

Ezinye iingxaki ezinokubakho zibandakanya:

• ukulahleka kokuhamba kwesihlahla
• ukuphulukana nomsebenzi, njengokuncipha kwamandla okubambelela
• i-avascular necrosis, eyenzeka ukuya kuthi ga kwiipesenti ezingama-50 zokuqhekeka kwipali eseleyo
• i-osteoarthritis, ngakumbi ukuba ukungabikho komanyano okanye i-avascular necrosis yenzekile

Isiphumo sihlala sihle kakhulu ukuba ubona ugqirha wakho emva nje kokuqhekeka, ke isihlakala sakho asinamandla kwangoko. Phantse wonke umntu uya kuqaphela ukuqina kwesandla emva kokuqhekeka kwe-scaphoid, kodwa uninzi lwabantu luya kuphinda lubuyele ukuhamba kunye namandla ababenawo esihlahleni sabo ngaphambi kokuqhekeka.