Ubuhlungu Besandla
Uma kubhekwa inkimbinkimbi yesakhiwo sesandla, kunezizathu eziningi ezingenzeka ukungaphatheki kahle kwesandla. Ubuhlungu bungavela emithonjeni ehlukahlukene, kuhlanganise namathambo, ligaments, imisipha, imizwa, isikhumba, nezinye izicubu ezisekelayo ezenza izandla zenze imisebenzi ehlukahlukene.
Ngakho-ke, uma othile ekhathazekile ngezimbangela zobuhlungu besandla sokunene noma kwesokunxele, lesi sihloko sinikeza ulwazi olubanzi mayelana nezizathu zobuhlungu obungakwesokunxele, izizathu ezibuhlungu kwesokudla, izimpawu, ukuxilongwa, kanye nezinketho zokwelapha ubuhlungu besandla.
Izinhlobo Zobuhlungu Besandla
Ubuhlungu bezandla bungenzeka ngenxa yezizathu ezihlukahlukene, futhi izinhlobo zobuhlungu bezandla zingahlukaniswa ngokusekelwe ezimbangela nezimo eziyisisekelo. Ezinye izinhlobo ezivamile zobuhlungu bezandla zihlanganisa:
- Ubuhlungu Besandla Esihlobene Nesifo Samathambo:
- I-osteoarthritis: Ukuphuka kwe-cartilage emalungeni esandla, ngokuvamile ngenxa yokuguga nokudabuka.
- I-Rheumatoid Arthritis: An isimo sokuzimela okubangela ukuvuvukala emalungeni, kuhlanganise nalawo asezandleni.
- I-Carpal Tunnel Syndrome: Ubuhlungu, ukugubha, nokuba ndikindiki okubangelwa ukucindezelwa kwenzwa ephakathi njengoba idlula emhubheni we-carpal esihlakaleni.
- I-tendonitis: Ukuvuvukala noma ukucasuka kwemisipha yezandla, okungaba umphumela wokusebenzisa ngokweqile noma ukulimala.
- I-De Quervain's Tenosynovitis: Ubuhlungu nokuvuvukala phansi kwesithupha ngenxa yokuvuvukala kwemisipha.
- Ama-Ganglion Cysts: Izigaxa ezingenawo umdlavuza noma ama-cyst avame ukuvela ezihlakaleni noma ngemuva kwesandla, abangele ukungakhululeki nobuhlungu.
- Ukuphuka: Amathambo aphukile esandleni, kuhlanganise neminwe noma amathambo e-metacarpal.
- Qalisa Umunwe: Isimo lapho umunwe ukhiyeleka endaweni egobile, okubangela ubuhlungu lapho uqondiswa.
- Impendulo ivela ku- Dupuytren: Ukuqina kwezicubu ezingaphansi kwesikhumba sentende, okuholela ekudonseleni iminwe endaweni egobile.
- I-nerve Entrapment: Ukucindezelwa noma ukuvaleka kwezinzwa esandleni, okungabangela ubuhlungu bokudubula noma ukuba ndikindiki.
- Amagciwane: Ukutheleleka esandleni, njenge-cellulitis noma amathumba, kungaholela ebuhlungu bendawo, ububomvu, nokuvuvukala.
- Ukulimala Okuphindaphindiwe: Ukusetshenziswa ngokweqile kwesandla noma ukunyakaza okuphindaphindiwe kungaholela ezinhlotsheni ezihlukahlukene zobuhlungu bezandla, njenge-tendinosis noma i-stress fractures.
- Ukulimala Kwezandla: Izingozi noma ukuhlukumezeka okuholela ekulimaleni okufana nama-sprains, ama-strains, ukugudluka, noma imihuzuko kungabangela ubuhlungu obukhulu besandla.
- Isifo sikaRaynaud: Isimo esibangela ukunciphisa ukugeleza kwegazi eminweni, okuholela ebuhlungu noshintsho lombala ekuphenduleni kubanda noma ukucindezeleka.
- I-Reflex Sympathetic Dystrophy (I-Complex Regional Pain Syndrome): Isimo sobuhlungu obungapheli esibonakala ubuhlungu obunzima futhi obude esandleni noma eminye imikhawulo.
Izimpawu Zobuhlungu Besandla
Okulandelayo izimpawu zobuhlungu besandla (ubuhlungu besandla sobunxele nakwesokudla)
- Ukuqina Kwamalunga: Ubunzima bokuhambisa iminwe noma isandla ngenxa yokuncipha kokuguquguquka kwamalunga.
- Ubuhlungu kanye nokuba ndikindiki Ezandleni: Ubuhlungu noma ukungakhululeki, okuvame ukuhambisana nomuzwa wokuba ndikindiki ezandleni.
- Ukuvuvukala nobuhlungu obuhlangene: Ukuvuvukala nokungaphatheki kahle emalungeni, okungase kubangelwe izimo ezifana nesifo samathambo noma ukulimala.
- Ukuqhekeka noma Imisindo Ephumayo Emajoyini: Imisindo ezwakalayo, njengokuqhekeka noma ukuphuma, lapho uhambisa amalunga esandla, okungase kube inkomba yezinkinga ezihlangene.
- Iminwe Evuvukele noma Ephuphile: Ukwandiswa kweminwe ngenxa yokugcinwa koketshezi, ukuvuvukala, noma ezinye izimo ezingaphansi.
- Ukuba ndikindiki noma Ukukitaza Ezandleni: Ukuzwa okungavamile, okufana nezikhonkwane nezinaliti, ukuluma, noma ukuba ndikindiki, ngokuvamile okuhlotshaniswa nokucindezelwa kwezinzwa noma izinkinga zokujikeleza kwegazi.
- Ubuhlungu Entendeni Yesandla: Ukungakhululeki okwenziwe endaweni yesundu, okungase kuxhunyaniswe nezimo ezifana ne-carpal tunnel syndrome noma isivumelwano sika-Dupuytren.
Izimbangela Zobuhlungu Bezandla
Kunezimo eziningana ezivame ukubikwa njengezimbangela zobuhlungu besandla, nakuba ubuhlungu besandla bungabangelwa ezinye izici ezihlukahlukene. Nakuba izifo ezithile zidinga ukwelashwa, ezinye zingelashwa ekhaya.
Ubuhlungu besandla obuvela ku-Arthritis
Isandla siyisifunda somzimba esithandwa kakhulu yi-arthritis, ikakhulukazi i-osteoarthritis, okuyisici esivamile sokuguga. I-osteoarthritis kwenzeka lapho uqwanga emalungeni luguga. Izimpawu ze-osteoarthritis yezandla zivame phakathi kweningi labantu abadala abangaphezu kweminyaka engama-60. Kodwa-ke, abanye abantu bangase babe nezimpawu ze-arthritis yesandla ekuqaleni kwempilo, okuholela ebuhlungwini ezandleni zombili.
I-Tendonitis
Ukuvuvukala okuzungezile noma ngaphakathi kwe-tendon kwaziwa ngokuthi i-tendonitis. Kubangela ubuhlungu, nokuvuvukala, futhi kuthinta ukunyakaza kwezandla neminwe. I-Tendonitis ingaba umphumela wokulimala, okuvame ukubangelwa ukunyakaza okungazelelwe, okubukhali, noma ukunyakaza okuphindaphindiwe. Imisipha ngezinye izikhathi ingase ibe namaqhuqhuva aqinile angazwakala ngaphansi kwesikhumba.
Lawa maqhuqhuva angakwazi "ukunamathela" kwezinye izakhiwo zezandla futhi avimbe ukunyakaza kweminwe lapho isiguli sizama ukugoba noma ukwelula iminwe yaso. Lesi simo sibizwa ngokuthi i-trigger finger, ebangela ukuzwa okuhlabayo lapho kukhululwa i-tendon ethintekile.
Ukulimala Kwe-Ligament
I-Ligaments iyinethiwekhi yezicubu ezixhumeneyo ezijoyina amathambo e-27 esandleni, okwenza ukunyakaza ngenkathi kugcinwa ukuzinza okuhlangene. Noma yiluphi uhlobo lokuhlukumezeka kwesandla lungabangela ukulimala komunye noma imigqa eminingi. Ukulimala okunjalo kungakwenza kube inselele noma kungenzeki ukwenza imisebenzi efana nokugoba iminwe, ukubamba, noma ukuncinza.
Ukululama ekulimaleni komsipha kungathatha izinyanga ezimbalwa. Kuvamile ukuthi abantu bathole ukuvuvukala nokuqina ezandleni isikhathi eside ngemva kokulimala komsipha.
I-Carpal Tunnel Syndrome
I-Carpal tunnel syndrome, isimo esivame kakhulu esihilela ukucindezelwa kwezinzwa esandleni, kwenzeka lapho inzwa ephakathi esihlakaleni icasuka noma ilimale. Kungaholela ekubeni ndikindiki noma ukuzwa ukushoshozela eminweni nasezithupheni, kanye nobuhlungu besandla obunomunyu noma "ezingy".
Ukuhlikihla isihlakala ndawonye kungabangela ukuluma noma ukuzwa kwemizwa kagesi. Ukwengeza, ubuhlungu bungase bukhanye engalweni, futhi isiguli singase sizizwe ubuthakathaka noma ukuganga. Isizathu esiyinhloko se-carpal tunnel syndrome ukucindezeleka okuphindaphindiwe, njengokuthayipha isikhathi eside kukhompyutha, ukuskena izimpahla, noma ukusebenzisa isando.
Ama-Ganglion Cysts
Ama-ganglion cyst awanayo imbangela eqondile eyaziwayo kodwa avame ukubonwa emantombazaneni nakubantu abadala abaneminyaka engaphansi kuka-40. Ngokwesibonelo, abavocavoci bathambekele kakhulu ekubeni nama-ganglion cysts ezihlakaleni zabo. Lawa maqhubu akheka lapho uketshezi lunqwabelana phakathi kwesaka, okuholela ekubeni kube nesigaxa esibonakalayo esikhumbeni.
Ama-Ganglion cysts avame ukutholakala esihlakaleni futhi angabangela ukungakhululeki ngokuvimba ukunyakaza okujwayelekile kwamalunga kanye ne-tendon.
Ezinye izimbangela
Ezinye izimbangela ezingase zibe nobuhlungu besandla zihlanganisa:
- I-Carpal Tunnel Syndrome: Lesi simo senzeka lapho inzwa esihlakaleni icindezela, okuholela ebuhlungwini nokuba ndikindiki entendeni yesandla.
- Ukulimala Kwezinzwa: Izinhlobo ezihlukahlukene zokulimala kwezinzwa zingabangela ubuhlungu entendeni yesandla.
- Ukutheleleka: Ukutheleleka esandleni noma esihlakaleni kungabangela ubuhlungu bendawo.
- Ukuvuvukala: Izimo ezivuthayo ezithinta isandla zingabangela ukungakhululeki nobuhlungu entendeni yesandla.
Yiziphi izimpawu ezisho ukuthi kubangelwa yini?
Ubuhlungu obungemuva kwesandla sakho ngokuvamile bubangelwa imihuzuko noma ukulimala. Izimpawu ezithile ozizwayo zingasiza ekuboneni imbangela yobuhlungu.
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Izimpawu
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Okungaba imbangela
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Ubuhlungu obungapheli, ukuvuvukala, nokuqina, ubunzima bokunyakazisa iminwe, noma isigaxa
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I-arthritis noma i-tendonitis
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Ubuhlungu obubukhali obungazelelwe, ukuvuvukala, nomsindo ophumayo noma ohlabayo ngesikhathi sokulimala
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Ithambo Eliphukile Esandleni
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Iqhubu elibushelelezi, elibuhlungu eduze kwelunga noma i-tendon
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I-Ganglion Cyst
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Ubuhlungu obubuhlungu ebusuku, ukuba ndikindiki noma ukuluma, isithupha esibuthakathaka, noma ukubamba inkinga
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I-Carpal Tunnel Syndrome
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Isikhumba esilumayo, esibuhlungu esinomqubuko
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Izibazi
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Butholakala Kanjani Ubuhlungu Besandla?
Ochwepheshe bezempilo bangasebenzisa amathuluzi ahlukahlukene ukuhlonza imbangela yobuhlungu besandla. Ezimweni eziningi, bazohlola izandla futhi babuze ngezimpawu ngaphambi kokunquma ukuthi yiziphi izivivinyo ezidingekayo ukuze kutholakale ukuxilongwa. Ukuhlola nokuhlola ukwakheka kwesandla, bangadinga okulandelayo:
- X-ray
- ultrasound
- Iskena se-CT (i-computed tomography).
- Ukuskena kwe-MRI (imaging resonance magnetic).
Udokotela angase futhi enze ukuhlolwa kwegazi ukuze abone izimpawu zokutheleleka noma ukuvuvukala, njenge:
- I-CBC (isibalo segazi esiphelele)
- Isilinganiso se-erythrocyte sedimentation (ESR), esivame ukubizwa ngokuthi isilinganiso se-sed
- I-C-reactive protein (CRP), okuyiprotheni evuthayo
Belashwa Kanjani Ubuhlungu Besandla?
Uma ukungaphatheki kahle esandleni kungabangelwa inkinga engathi sína edinga ukunakekelwa ngokushesha kwezokwelapha, cishe kungelashwa ekhaya. Ezinye iziphakamiso zokuzinakekela zobuhlungu besandla zihlanganisa:
- Ukusebenzisa amaphakethe eqhwa ukusiza ukukhulula ukuvuvukala nobuhlungu besandla.
- Ukusebenzisa ukwelashwa kokushisa, okuvame ukusetshenziselwa ukunciphisa ukuqina kwamalunga kanye nobuhlungu bemisipha.
- Ukuphumula kuhle ngokulimala okuncane, ukusebenzisa ngokweqile, noma ukucindezeleka okuphindaphindiwe, njengoba kuvumela ukuvuvukala kuphole. Kunconywa ukuthatha ikhefu emisebenzini futhi uphumule kancane.
Ukwengeza, isiguli singase sicabange ukuphuza imithi ye-over-the-counter (OTC), njengoba ingasiza ekudambiseni ubuhlungu. Nokho, kubalulekile bonana nodokotela, njengoba imithi ye-OTC ingase ingakunciphisi ngokuphelele ukuvuvukala. Ezinye izimbangela zokungaphatheki kahle kwezandla azikwazi ukulashwa ngokuphumelelayo ngokuzinakekela kanye nemithi etholakala ngaphandle kwe-counter. Ngakho-ke, ngokulimala noma izimo ezimbi kakhulu, isiguli singadinga lokhu okulandelayo:
- I-Splint: I-splint noma i-brace ingasiza ekudambiseni ubuhlungu besandla futhi ivimbele ukuvuvukala kungabi kubi.
- Ukwelashwa kwezandla: Abelaphi bezandla baqeqeshelwe amasu ahlukahlukene okwelapha izinkinga zezandla ezibuhlungu nokuvimbela ukuphindeka kwazo.
- Imithi kadokotela: Ezinye izimbangela zokungaphatheki kahle kwesandla zingelashwa ngemithi kadokotela, njengemijovo ye-corticosteroid, i-oral steroids, ama-NSAID kadokotela, noma imithi yobuhlungu enamandla njengama-opioid.
- Ukubhekana nezinkinga zempilo eziyisisekelo: Uma ubuhlungu besandla bubangelwa ukugula kwesistimu njenge rheumatoid arthritis (RA) noma i-scleroderma, ukwelapha isimo esingaphansi ngokuvamile kuzodambisa izimpawu zobuhlungu besandla.
- Ama-NSAID: Izidakamizwa ezingezona ukuvuvukala (ama-NSAID) zingadambisa ubuhlungu besandla ngokuvimbela ama-enzyme abangela ubuhlungu nokuvuvukala. Kodwa-ke, aziphumelelanga kakhulu ekwelapheni i-carpal tunnel syndrome. Ukusetshenziswa isikhathi eside kwama-NSAID omlomo, njenge-ibuprofen (Advil, Motrin), kungaholela ezilonda, ukopha kwesisu, ukulimala kwesibindi, kanye nengozi eyengeziwe yokuhlaselwa yinhliziyo. Ama-NSAID ama-Topical, njenge-diclofenac (i-Voltaren), anengozi ephansi yale miphumela emibi.
- Ukwelapha Ukushisa Nokubandayo: Ukufaka ukushisa kungasiza ekudambiseni ukuqina kwesandla, ngokuthile okulula njengokugeza okushisayo kusebenza kahle. Ukwelapha okubandayo kungaba usizo ezinhlungwini ezibangelwa imisebenzi, njengokudlala igalofu. Ukuze wenze lokhu, sebenzisa amaphedi ejeli aguquguqukayo asuka efrijini noma izikhwama zikaphizi oqandisiwe noma ummbila, ezibumba kahle ngendlela yesandla sakho.
- Ukuzivocavoca Nokwelula: Ukuzivocavoca nokwelula imisipha nemisipha esandleni sakho kungasiza. Umelaphi womzimba noma uchwepheshe wezomsebenzi angakubonisa izivivinyo ezithile zokuqinisa nokwelula imisipha yesandla sakho, okunganciphisa ukucindezeleka emalungeni futhi kudambise ubuhlungu.
Kwezinye izimo, ubuhlungu besandla bungase budinge ukuhlinzwa. Okulandelayo ezinye izimbangela zobuhlungu bezandla ezingase zidinge ukungenelela kokuhlinzwa:
- Amathambo aphukile kakhulu
- Imisipha noma izicubu ezixhumene izinyembezi
- I-Carpal tunnel syndrome
- Ukungena esikhundleni ngenxa ye-arthritis enzima
Uyombona nini uDokotela?
Umuntu kufanele abonane nodokotela uma enokuphatheka kabi okukhulu, okuqhubekayo, noma okuphindelelayo ezandleni noma ezihlakaleni noma uma ezwa ubuhlungu obuthi:
- Ayithuthuki ngokwelashwa kwasekhaya.
- Idala ubuhlungu obukhulu besandla ebusuku.
- Ayiphenduli ekwelashweni kwezandla okunconywe udokotela.
- Ingase ibangelwe ukuwa noma enye ingozi eyenzeka ihambisana nezinye izimpawu ezinjengobuhlungu bengalo, imfiva, noma ukukhathala.
Ubuhlungu besandla obunzima, kungazelelwe, futhi obungemnandi bungabonisa okungenzeka ukuthi isihlakala noma ingalo ephukile, noma ukulimala okubonakalayo esandleni okubangela ukungakhululeki okukhulu. Ngakho-ke, kuhle ukubona udokotela ngisho noma kunokungaphatheki kahle okuncane.
Okwenziwa Nokungamelwe Ukwenze
Okwesibili:
- Phumula Isandla Sakho: Nikeza isandla sakho ikhefu ukuze uvimbele ukungezwani okwengeziwe futhi ukhuthaze ukuphulukiswa.
- Sebenzisa I-Ice: Faka iqhwa ukuze unciphise ukuvuvukala futhi uqede izinhlungu. Sebenzisa iphakethe leqhwa eligoqwe ngendwangu imizuzu engu-15-20 ngesikhathi.
- Faka Ukushisa: Sebenzisa ukushisa ukuze ukhulule ukuqina futhi ukhulule imisipha yakho. Ithawula elifudumele noma iphedi yokushisisa ingasiza.
- Yenza Ukwelula Okumnene: Zijwayeze ukwelula nokuvocavoca umzimba ukuze ugcine isandla sakho sivumelana nezimo futhi uqinise imisipha.
- Sebenzisa Amathuluzi E-ergonomic: Sebenzisa amathuluzi nemishini enciphisa ubunzima ezandleni zakho, ikakhulukazi uma wenza imisebenzi ephindaphindayo.
- Bonana Nochwepheshe: Xhumana nomhlinzeki wezempilo ukuze uthole ukuxilongwa okufanele kanye nohlelo lokwelapha uma ubuhlungu buqhubeka.
Ungakwenzi:
- Ungasisebenzisi Ngokweqile Isandla Sakho: Gwema imisebenzi ekhulisa ubuhlungu noma ebangela ubunzima obungeziwe.
- Ungabuzibi Ubuhlungu Obungapheli: Uma ubuhlungu buqhubeka noma buba bubi nakakhulu, funa iseluleko sezokwelapha esikhundleni sokuzelapha wena.
- Ungasebenzisi Ukushisa nokubanda Kanye Kanye: Faka ukwelashwa okushisayo nokubanda ngokuhlukana ukuze ugweme ukwenza izimpawu zakho zibe nzima.
- Ungabandakanyi Ukuzivocavoca Okubuhlungu: Gwema ukuvivinya umzimba okwandisa ubuhlungu bakho. Gxila kulezo ezithuthukisa ukuguquguquka namandla ngaphandle kokubangela ukungakhululeki.
- Ungeqi Ukuhlola Okuphrofeshinali: Uma ubuhlungu besandla sakho bukhulu kakhulu, ungasebenzisi nje amakhambi asekhaya. Kubalulekile ukuthola ukuhlolwa kochwepheshe ukuze uthole ukwelashwa okufanele.
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Amakhambi asekhaya
Okulandelayo yizinqubo zokwelapha ekhaya isiguli esiphethwe ubuhlungu besandla esingasisebenzisa. Basiza ukukhulula ubuhlungu nokuvuvukala isikhathi esifushane:
- Ukwelashwa okushisayo
- Ukuzivocavoca kwezandla
- Ukusebenzisa amaphakethe ashisayo nabandayo
- Ukuyeka ukubhema ugwayi
- Ukugcina ukudla okunempilo
Lawa makhambi asekhaya angase angelapheki lesi simo, kodwa angasiza ekutholeni ukukhululeka kobuhlungu besandla kuze kube yilapho isiguli sibona udokotela.
Isiphetho
Kunezizathu eziningi ezingabangela ubuhlungu besandla, okuhlanganisa ukulimala, ukusebenzisa ngokweqile, kanye nezifo eziwohlokayo ezifana sokuqaqamba kwamalunga. Ukwelula kalula, ukwelapha nge-RICE, kanye nokuthatha izidakamizwa ezithengwayo konke kungamakhambi asekhaya ezinhlungu zezandla. Nokho, ukungakhululeki okukhulu, okuphikelelayo, noma okuphindelelayo ezandleni noma ezihlakaleni kufanele kwelashwe udokotela.
Imibuzo Evame Ukubuzwa
1. Yibuphi ubuhlungu besandla obubonisa inkinga yenhliziyo?
Ubuhlungu besandla esingakwesokunxele ezingalweni yinkomba evamile kakhulu izinkinga zenhliziyo. Ngakho-ke, kubalulekile ukufuna ukwelashwa kwezinhlungu kwesokunxele ngaphambi kokuba zibe zimbi kakhulu.
2. Kunini lapho ubuhlungu besandla bubhekwa njengento embi kakhulu?
Ubuhlungu bemisipha yesandla bubhekwa njengento embi kakhulu uma buphindelela futhi buqhubeka isikhathi esingaphezu kosuku noma ezimbili. Ezimweni ezinjalo, kutuswa ukuthi uthintane nodokotela.
3. Kufanele ngikhathazeke nini ngobuhlungu besandla?
Kufanele ukhathazeke uma ubuhlungu besandla bukhulu, buphikelela, noma bulandelwa ukuvuvukala, ukuba ndikindiki, noma ubunzima bokuhambisa isandla sakho. Uma kuhlotshaniswa nobuhlungu besifuba noma ukuphelelwa umoya, funa usizo lwezokwelapha ngokushesha.
4. Yiziphi izifo eziqala ngobuhlungu bezandla?
Izifo ezinjenge-arthritis, i-carpal tunnel syndrome, i-tendinitis, nezinkinga zemizwa ngokuvamile ziqala ngobuhlungu besandla. Kwezinye izimo, izimo ezifana nesifo sikashukela noma izinkinga zenhliziyo nazo zingabangela ubuhlungu besandla.
5. Ubususa kanjani ubuhlungu besandla?
Ukuze udambise ubuhlungu besandla, ungaphumuza isandla sakho, ufake iqhwa, uthathe izidambisi zinhlungu ezitholakala ngaphandle kwe-counter, noma usebenzise i-splint. Ukwelula umzimba okumnene nokuzivocavoca nakho kungasiza. Uma ubuhlungu buqhubeka, bonana nodokotela.
6. Iyiphi ivithamini engcono kakhulu yobuhlungu besandla?
I-Vitamin B6 yaziwa ngokusiza ngobuhlungu besandla, ikakhulukazi uma ihlobene nezindaba zemizwa njenge-carpal tunnel syndrome. I-Vitamin D ne-calcium nayo ibalulekile empilweni yamathambo namalunga.
7. Ingabe ubuhlungu besandla bungaba uphawu lokuhlaselwa yinhliziyo?
Yebo, ubuhlungu besandla, ikakhulukazi esandleni sobunxele, ngezinye izikhathi bungaba uphawu lokuhlaselwa yinhliziyo, ikakhulukazi uma kuhambisana nobuhlungu besifuba, ukuphelelwa umoya, noma isicanucanu. Funa usizo oluphuthumayo uma usola isifo senhliziyo.
8. Kungani isandla sami sibuhlungu ngaphandle kokulimala?
Ubuhlungu besandla ngaphandle kokulimala bungaba ngenxa yezimo ezifana nesifo samathambo, ukucindezelwa kwezinzwa, noma ukucindezeleka okuphindaphindayo okuvela emisebenzini efana nokuthayipha. Kungase futhi kuhlobane nezindaba ezifana nokungahambi kahle kwegazi noma ukuvuvukala.
CARE Medical Team
HyderabadIzibhedlela ze-CARE, eBanjara Hills I-CARE Outpatient Centre, e-Banjara Hills CARE Izibhedlela, HITEC City CARE Hospitals, Nampally Izibhedlela zaseGurunanak CARE, Musheerabad I-CARE Hospitals Outpatient Centre, i-HITEC City CARE Hospitals, Malakpet
Raipur
Bhubaneshwar
Visakhapatnam
Nagpur
esilengayo
Chh. Sambhajinagar
Imitholampilo Nezikhungo Zezokwelapha
