Ukuphuka Kwezandla

Ukuphuka kwesandla kubhekisela ekuqhekekeni kwethambo elilodwa noma amaningi esandleni. Kungabangela ukuqhekeka okukodwa noma ukuphuka kube yizicucu eziningi zamathambo esandla. Amandla angazelelwe noma ukuhlukumezeka kungabangela ukuphuka kwesandla, ukulimala okubuhlungu futhi okungase kukhubaze. Ukuphuka kwezandla kuvamile futhi kungenzeka kunoma ubani, kusukela kubasubathi kuya kubasebenzi basehhovisi kuya ezinganeni. 

Ukuqonda ukuphuka kwezandla kubalulekile ukuze uthole ukwelashwa okufanele nokululama. Lesi sihloko sihlola izimpawu zesandla esiphukile, izimbangela nezici eziyingozi, izinkinga ezingase zibe khona, nokuthi odokotela baxilonga futhi baphathe kanjani ukuphuka kwezandla. 

Izimpawu Zokuphuka Kwesandla 

Ukuphuka kwesandla kungabangela ububanzi bezimpawu ezihluka ngobunzima kuye ngendawo nezinga lokulimala. Okulandelayo ezinye izimpawu zesandla esiphukile: 

• Ubuhlungu obukhulu, obuvame ukuqina lapho ubamba, ucindezela, noma uhambisa indawo ethintekile 
• Lobu buhlungu bungahambisana nokuqina, okwenza kube nzima ukuhambisa isandla, isihlakala, noma iminwe
• Ukuvuvukala ngokushesha ngemva kokulimala 
• Indawo ephukile ingase ibe ithenda uma ithintwa futhi ibonise imihuzuko ebonakalayo
• Ithambo eliphukile esandleni lingabangela ukukhubazeka kwesandla, njengomunwe ogobile, umunwe omfushane, noma iqupha elishone (ikakhulukazi esimweni sokuphuka komshayisibhakela) 
• Abanye abantu bangase babone umunwe wabo olimele uwela umakhelwane wabo lapho beshaya isibhakela, isimo esaziwa ngokuthi 'ukusika'.

Ezinye izimpawu zingafaka: 

• Ukuba ndikindiki esandleni esithintekile noma iminwe esandleni esithintekile 
• Ukungakwazi ukuhambisa iminwe noma isithupha 
• Isigaxa esingamathambo endaweni yokuphuka 
• Ukulimaza okusabalele, okungase kubonakale kude nendawo yokuphuka 
• Ukungakhululeki okuqhubekayo ngisho nangemva kokuba ukuphuka sekupholile 
• Kubalulekile ukuqaphela ukuthi ukuba khona kanye nokuqina kwalezi zimpawu kungahluka

Izimbangela Nezingozi Zesandla Esiphukile 

Ukuphuka kwesandla kungase kwenzeke ngenxa yezizathu ezihlukahlukene futhi kuthonywa izici eziningana zobungozi. Okulandelayo ezinye zezimbangela ezivamile zokuphuka kwezandla: 

• Ukuhlukumezeka ngokomzimba 
• Ukuwa kuyimbangela ehamba phambili, ikakhulukazi lapho abantu bezama ukuzibamba belule izandla. 
• Ukushaywa okuqondile noma ukulimala okuchotshozwayo nakho kuyimbangela evamile yokuphuka kwezandla. Lokhu kungenzeka ngesikhathi sezingozi, njengokushayisana kwezimoto, noma emidlalweni yokuxhumana efana nebhola lezinyawo, ibhola lombhoxo, noma ihokhi. 
• Olunye uhlobo oluthile lokuphuka kwesandla "ukuphuka kwebhokisi," okuthinta ithambo lesihlanu le-metacarpal elisekela umunwe omncane. Lokhu kulimala kuvame ukubangelwa ukushaya noma ukushaya into eqinile ngesibhakela esivaliwe. 
• Ezinye izimbangela zihlanganisa izingozi ezindaweni zokusebenza, ikakhulukazi uma usebenza ngamathuluzi, nokuchotshozwa kwesandla. 
• Ukulimala kokusonta kungaholela nasekuqhekekeni kwezandla kwezinye izimo. 

Ezinye izici eziyingozi zingenza abantu bathambekele ekuqhekekeni kwezandla, njenge: 

• Abantu abangaphansi kweminyaka engama-40 basengozini enkulu 
• Abasubathi nabadlali bezemidlalo ababambe iqhaza kwezemidlalo noma ubuciko bokulwa 
• Izimo zezempilo ezithinta amandla amathambo, njenge kwamathambo noma i-osteopenia 
• I-Enchondromas, izimila ezinobungozi ezikhula ngaphakathi kwamathambo, nazo zingenza ukuphuka kube lula. 

Izinkinga Zesandla Esiphukile 

Ukuphuka kwezandla kungaholela ezinkingeni ezihlukahlukene, ngisho nokwelashwa okufanele. Lokhu kungase kuhlanganise: 

• Ukuqina kwesandla 
• Umsebenzi owehlisiwe 
• Ubunzima bemisebenzi yansuku zonke ngisho nangemva kwezinyanga ezintathu 
• Ubuhlungu obungapheli ngesikhathi semisebenzi ethile, ikakhulukazi phakathi nemisebenzi esindayo noma kubanda. 
• Shintsha emandleni okubamba. 
• Ukungalungi kwamathambo aphukile, okuholela ekushintsheni kwesimo kanye nosayizi womunwe Ukungenzi lutho kungenzeka futhi lapho amathambo ehluleka ukuphinde ahlangane ngokuphelele noma nhlobo.

Akuvamile ukuba kwenzeke izinkinga ezinzima. Lokhu kubandakanya: 

• Izifo zamathambo (i-osteomyelitis) 
• I-Acute compartment syndrome, lapho ukunqwabelana kwengcindezi emisipha kungabangela ukulimala okungapheli kwemisipha nezinzwa 
• I-osteoarthritis 
• Ukulimala kwezinzwa noma imithambo yegazi 

Ukuze uvimbele izinkinga, ukuxilongwa kusenesikhathi nokwelashwa kokuphuka kwezandla kubalulekile. 

Sifo 

Uma kusolwa ukuphuka kwesandla, odokotela basebenzisa inhlanganisela yokuhlola umzimba nezindlela zokuthwebula izithombe ukuze bathole ukuxilongwa okunembile. 

• Ukuhlola Umzimba: Odokotela bahlola kahle ukulimala, okuhlanganisa nomlando onemininingwane wokuthi ukulimala kwenzeke kanjani. Udokotela ubheka izimpawu zokuphuka kwezandla njengokuvuvukala, imihuzuko, ukukhubazeka, nobubanzi obulinganiselwe bokunyakaza. Bangase bahlole iminwe eyeqayo, ukusikeka endaweni yokulimala, nokuzinza kwamalunga. 
• I-X-ray: I-X-ray inikeza izithombe ezicacile zamathambo, isiza ukukhomba indawo kanye nezinga lokuphuka. Okungenani ukubuka okubili okuhlukene, okuvamise ukuba nama-engeli angu-90 degree komunye nomunye, kuyadingeka ukuze kuhlolwe okunembile. I-X-ray isiza futhi ukuthola izinto zangaphandle ezicutshini ezithambile, iveze izimpawu zezinye izimo ezifana nesifo samathambo noma izimila. 
• I-CT Scan noma i-MRI: Uma ukuphuka kuyinkimbinkimbi noma kuhilela amathambo amancane noma amalunga, odokotela baqhuba i-CT noma i-MRI scan ukuze bathole umbono oningiliziwe wezicubu ezithambile, imigqa, nezingcezu zamathambo. 

Ukwelashwa Kwesandla Esiphukile 

Ukwelashwa kokuphuka kwesandla kuncike esimweni sokuphuka, okuhlanganisa ukuthi yiliphi ithambo elihilelekile, indawo yokuphuka, kanye nezinga lokukhubazeka. Lokhu kungase kuhlanganise: 

• Ukwelashwa Okungahlinzeki: Ukwelashwa okungahlinzeki kuvame ukuhilela ukuncishiswa okuvaliwe, lapho udokotela ehlela kabusha izingcezu zamathambo ngaphandle kokusika. I-cast, i-splint, noma i-brace bese isetshenziswa ukuze kugcinwe amathambo eqondaniswe ngenkathi ephola. 
• Imithi: Odokotela banikeza izidambisi zinhlungu ukuze kuncishiswe ubuhlungu. Ochwepheshe bezandla eziphukile batusa inkambo yemithi elwa namagciwane uma kwenzeka ukuphuka okuvulekile ukuze kuncishiswe ingozi yokutheleleka okungase kufike ethanjeni. 
• Ukuhlinzwa: Ukuze uthole ukwephuka kwezandla eziyinkimbinkimbi, kungase kudingeke ukuhlinzwa. Ukwelashwa ngokuhlinzwa kungase kuhlanganise ukusetshenziswa kwamaphini, izintambo, izikulufu, noma amapuleti ukuze kugcinwe izingcezu zamathambo ziqinile. 
• Ukuvuselela: Ngemva kokwelashwa, izivivinyo zokuvuselela kubalulekile ukunciphisa ukuqina nokubuyisela ukunyakaza. 

Uzoyibona Nini Udokotela 

Uma usola ukuphuka kwesandla, kubalulekile ukufuna usizo lwezokwelapha ngokushesha. Bonana nodokotela: 

• Uma ubuhlungu esandleni sakho buphazamisa imisebenzi yansuku zonke 
• Uma ubuhlungu buqhubeka isikhathi esingaphezu kwamasonto amabili naphezu kokwelashwa ekhaya 
• Uma uzwa ukuntweza noma ukulahlekelwa umuzwa esandleni sakho 
• Uma ubhekene nobunzima bokuhambisa isandla sakho noma ukubamba izinto 

Ungalibali ukufuna iseluleko sezokwelapha uma ungaqiniseki ngobucayi bokulimala kwakho. Ukwelashwa ngokushesha kokuphuka kwezandla kungasiza ukuqinisekisa umphumela ongcono kakhulu futhi kuvimbele izinkinga ezingaba khona. 

Prevention 

Nakuba kungenakwenzeka ukubona kusengaphambili zonke izehlakalo ezingase ziholele ekuqhekekeni kwezandla, kunezinyathelo ongazithatha ukuze unciphise ubungozi bakho. 

• Ukwakha amathambo aqinile kubalulekile ekuvimbeleni amathambo aphukile esandleni. Ukuze wenze lokhu, yidla ukudla okunomsoco okucebile calcium & i-vitamin D. Zibandakanye ekuzilolongeni okuthwala isisindo noma ukuhamba ngamandla njalo. 
• Uma ungumuntu obhemayo, ukuyeka kungathuthukisa kakhulu impilo yakho yamathambo. 
• Ukuwa kuyimbangela evamile yokuphuka kwezandla, ngokuvamile okwenzeka lapho abantu bewela esandleni eseluliwe. Ukuze uvimbele ukulimala okunjalo, gqoka izicathulo ezinengqondo futhi ususe izingozi ezikhubekayo ekhaya lakho, njengokujikijela ocansini. 
• Ukufaka ama-grab bars endlini yakho yokugezela nezinsimbi ezitebhisini kungakunikeza ukwesekwa okwengeziwe. 
• Emsebenzini, ukukhomba izingozi ezingase zibe khona kuyisinyathelo sokuqala sokuvimbela ukulimala kwezandla. Izingozi zemishini, zikagesi, namakhemikhali zivamile kuzo zonke izimboni ezihlukahlukene. Abaqashi kufanele balawule lezi zingozi ngokuzibophezela, banikeze amagilavu ​​okuvikela afanelekile njengendlela yokugcina yokuzivikela. 

Isiphetho 

Ukuphuka kwezandla ukulimala okubi okungaba nomthelela omkhulu empilweni yansuku zonke. Ukuxilongwa nokwelashwa okufanele kuqinisekisa ukululama okuphelele futhi kuvimbele izinkinga zesikhathi eside. Nakuba ukuphuka kwesandla okunye kungase kuphole ngezinyathelo zokulondoloza, ezinye zingadinga ukungenelela kokuhlinzwa. Indlela eya ekululameni iyinhlanganisela yokwelashwa nokuzivocavoca umzimba. 

Ukuvimbela kubalulekile ekwehliseni izigameko zokuphuka kwezandla. Ukwakha amathambo aqinile ngokudla okunempilo, ukuvivinya umzimba njalo, nokuthatha izinyathelo zokuphepha ukuze ugweme ukuwa kanye nezingozi zasemsebenzini kungasiza ukuvikela izandla zakho ekulimaleni. Khumbula, uma usola ukuphuka kwesandla, kubalulekile ukubonana nodokotela wamathambo ngokushesha ukuze uqinisekise umphumela ongcono kakhulu futhi ubuyele ekusebenzeni kwesandla okuvamile. 

Imibuzo Evame Ukubuzwa 

1. Ingabe isandla esiphukile sihlala sibuhlungu? 

Isandla esiphukile ngokuvamile sibuhlungu, kodwa izinga lobuhlungu lingahluka. Iziguli eziningi ziba nobuhlungu obunzima, obuvame ukuqina lapho ubamba, ucindezela, noma uhambisa isandla. Kodwa-ke, kungenzeka ukuphuka ngaphandle kobuhlungu obukhulu. Abanye abantu basengakwazi ukuhambisa izandla zabo noma benze isibhakela ngokungaphatheki kahle, ngisho nokuphuka. 

2. Zivame kangakanani izandla eziphukile? 

Ukuphuka kwezandla kuvame kakhulu. Ithambo elilodwa kwayi-10 kuwo wonke amathambo aphukile ukuphuka kwe-metacarpal. Zivame kakhulu kubantu abaneminyaka engu-18 kuya kwengama-34 futhi zivame ukubonakala kubasubathi, ikakhulukazi labo ababambe iqhaza kwezemidlalo ezithintana nabo noma ubuciko bokulwa. 

3. Ungakwazi yini ukususa isandla sakho uma siphukile? 

Ungase ukwazi ukunyakaza futhi usebenzise isandla sakho kuye ngokuthi iliphi ithambo eliphukile kanye nobukhulu bokuphuka. Kodwa-ke, noma ngabe ukunyakaza kungenzeka, akufanelekile ukukuphoqa, ikakhulukazi uma kubangela ubuhlungu obukhulu. 

4. Zingaki izinsuku engizidingayo ukuze ngilulame ngemva kokuphuka kwesandla? 

Isikhathi sokululama sokuphuka kwesandla siyahlukahluka futhi kuya ngobunzima nendawo yekhefu. Ngokuvamile, ukuphuka kwesandla kuthatha cishe amasonto angu-6-8 ukuze kuphole. Nokho, ukululama okuphelele nokubuyela emisebenzini evamile kungase kuthathe amaviki angu-8-12. Ezinye iziguli zingase ziqhubeke nokuba nokuqina noma ukungakhululeki izinyanga ezimbalwa ngemva kwesikhathi sokuqala sokuphulukiswa. 

5. Ungasilungisa kanjani isandla esiphukile ekhaya? 

Nakuba kubalulekile ukufuna usizo lwezokwelapha oluchwepheshile lwesandla esiphukile, kunezinyathelo ongazithatha ngokushesha ekhaya: 

• Susa noma yiziphi izindandatho noma ubucwebe 
• Phakamisa isandla ukuze unciphise ukuvuvukala 
• Iqhwa (eligoqwe ngendwangu) lafakwa endaweni ethintekile 
• Vala noma yimaphi amanxeba avulekile 
• Gwema ukuhambisa isandla futhi ufune usizo lwezokwelapha ngokushesha ngangokunokwenzeka. 

UDkt. Sohael Mohammed Khan

I-MBBS, i-MS (i-Orthopaedics), iDiploma (Ukuvuselelwa komgogodla)
I-Ganga CARE Hospital Limited, eNagpur

Ukuze Ubhukhe Isikhathi, shayela:

+ 91 40-68106529