Ubuhlungu Besihlakala

Ubuhlungu besandla bungenye yezinkinga ezivamile ezihlangene ezithinta abantu abaningi, ngokuvamile ziphazamisa imisebenzi yansuku zonke futhi zibangele ukungakhululeki. Lobu buhlungu bungavela ngenxa yezizathu ezihlukahlukene, kusukela ekulimaleni okuphindaphindiwe kuya ezimweni zezokwelapha ezingaphansi. Ukuqonda umsuka wobuhlungu besihlakala kubalulekile ukuze uthole izindlela zokwelapha ezisebenzayo futhi uvimbele ukwenzeka esikhathini esizayo.

Lesi sihloko sihlose ukuveza ubunkimbinkimbi bobuhlungu besandla, ukumboza izimbangela zobuhlungu besandla, izimpawu, kanye nezinketho zokwelapha. Sizohlola ukuthi kungani abanye abantu bezwa ubuhlungu besandla kungazelelwe ngaphandle kokulimala futhi bahlole izindlela zokwelapha ezihlukene zobuhlungu besandla. 

Kuyini Ubuhlungu besihlakala?

Ubuhlungu besihlakala wukungakhululeki okuvamile okuthinta ilunga eliyinkimbinkimbi elixhumanisa isandla nesandla phambili. Kungasukela ekuzwaneni ubuhlungu obuncane esihlakaleni kuye ebuhlungwini obunzima, obubukhali obukwenza kube nzima ukuhambisa isihlakala noma izinto zokubamba. Ubuhlungu besihlakala bungathinta imisebenzi yansuku zonke, njengokuthayipha, ukuphakamisa, noma ngisho nemisebenzi elula efana nokufaka izinkinobho zehembe.

Izimbangela Ezivamile kanye Nezingozi Zobuhlungu Besandla

Ubuhlungu besihlakala bunezimbangela ezihlukahlukene, kusukela ekulimaleni okungazelelwe kuya ezimeni zezokwelapha zesikhathi eside. Ukuqonda lezi zimbangela zobuhlungu bezihlakala kanye nezici zobungozi kungasiza ekuvimbeleni nasekwelashweni kobuhlungu besandla kusenesikhathi.

• Ukulimala: Ukulimala kuyimbangela evamile yobuhlungu besandla kungazelelwe. Ukuwa noma izingozi kungabangela ama-sprains, ama-sprains, noma ukuphuka, okubangela ubuhlungu ngokushesha, ukuvuvukala, nobunzima bokunyakazisa isihlakala.
• Ukusebenzisa ngokweqile kanye nokucindezeleka okuphindaphindiwe: Ukunyakaza okuphindaphindiwe kungabangela ubuhlungu besandla ngokuhamba kwesikhathi. Imisebenzi efana nokuthayipha, ukudlala ithenisi, noma ukusebenzisa amathuluzi ngokuphindaphindiwe kungacindezela isihlakala, okuholela ku-tendonitis noma i-carpal tunnel syndrome. Lokhu kulimala kokusetshenziswa ngokweqile kuvame ukukhula kancane kancane futhi kungabangela ukungakhululeki okuqhubekayo.
• Izimo Zezokwelapha: Izimo eziningana zezokwelapha zingaba nomthelela ebuhlungu besandla. Isifo Sokuqaqamba Kwamalunga, ikakhulukazi osteoarthritis & rheumatoid arthritis, kungabangela ukuvuvukala okuhlangene nobuhlungu. sifo, uhlobo lwesifo samathambo, lungathinta nesihlakala. Ezinye izimo ezifana ne-ganglion cysts noma i-nerve compression syndromes zingaholela ekuphathekeni kwengalo.

Izingozi Zezingozi

Izici ezithile zandisa amathuba okuba ube nobuhlungu besandla, njenge:

• Iminyaka yobudala idlala indima ebalulekile, njengoba abantu abadala bethambekele kakhulu ezimeni zamathambo njenge-arthritis. 
• Imisebenzi noma izinto zokuzilibazisa ezihlanganisa ukunyakaza kwezihlakala okuphindaphindayo kuphakamisa ingcuphe yokulimala ukusetshenziswa ngokweqile. 
• Ukulimala esihlakaleni kwangaphambilini kungenza ilunga libe lula kakhulu ezinkingeni zesikhathi esizayo. 
• Izimo zesistimu ezifana nesifo sikashukela noma ukukhuluphala zingandisa ingozi yokuba nobuhlungu bezihlakala.
• Ukuqonda lezi zizathu ezingaba khona kanye nezici zobungozi kungasiza ekuboneni imithombo engaba khona yobuhlungu besandla futhi uthathe izinyathelo zokubuvimba noma ukubulawula ngempumelelo.

Izimpawu Zobuhlungu Esihlakaleni

Izimpawu zobuhlungu esihlakaleni zincike kumbangela, njenge:

• Esihlakaleni esiphihlizekile, abantu bangase bezwe ubuhlungu esihlakaleni obuhambisana nokuvuvukala kanye nemihuzuko, okwenza kube nzima ukuhambisa isihlakala noma izinto zokubamba. 
• Endabeni ye-tendonitis noma isifo samathambo, abantu ngabanye bangase bazwe ubuhlungu, ukuvuvukala, nokuqina ngaphansi kwesithupha eduze kwesihlakala. 
• I-Carpal tunnel syndrome ibonakala njengobuhlungu obubuhlungu obunzima ebusuku futhi ukungabi namandla, ukuntweza, noma izikhonkwane nezinaliti eminweni, esandleni, noma engalweni. Ubuthakathaka besithupha noma ubunzima bokubamba izinto izimpawu ezivamile ze-carpal tunnel syndrome.
• Endabeni yama-ganglion cysts, abantu bangabona isigaxa esibushelelezi phezu kwesandla sabo, esingase sibe buhlungu noma singabi buhlungu. 
• Abantu bavame ukuzwa ubuhlungu obungalindelekile, obubukhali kanye nokuvuvukala ezimweni zehlakala eliphukile. Kungase futhi kube khona umsindo ophumayo noma onqamukayo ngesikhathi sokulimala.

Kubalulekile ukuqaphela ukuthi ubuhlungu besandla bungenzeka ezinhlangothini ezihlukene zesihlakala. Ubuhlungu ohlangothini lwe-ulnar (ohlangothini lomunwe omncane) noma uhlangothi lwe-radial (uhlangothi lwesithupha) lungabonisa izinkinga ezihlukene eziyisisekelo.

Ukuxilongwa Kwezinhlungu Zesihlakala

Ukuhlola ubuhlungu besandla kuhilela indlela ebanzi ehlanganisa umlando wezokwelapha, ukuhlolwa ngokomzimba, nokuhlolwa kwezithombe, okufana nalokhu: 

• Umlando Wezokwelapha: Odokotela bazobuza ngomlando onemininingwane yezimpawu zakho, umlando wokulimala, nezimo zezokwelapha.
• Ukuhlola Umzimba: Ngesikhathi sokuhlolwa komzimba, udokotela uhlola ukuthamba, ukuvuvukala, noma ukukhubazeka esihlakaleni. Bangase bacele isiguli ukuthi sinyakaze isihlakala sabo ukuze sihlole uhla lokunyakaza futhi sihlole amandla okubamba. 
• Ukuhlola Okukhethekile: Ukuhlolwa Kokugaya kuhilela ukucindezela i-distal ulnar namakhanda e-radial ngokuzungezisa kwengalo futhi kungase kuhlonze ukuntengantenga kwamalunga e-distal radioulnar. Okunye ukuhlola kufaka i-Finkelstein, i-lunotriquetral shear, kanye nokuhlolwa kuka-Watson.
• Ukuhlola ukuhlolwa: 
  • Ama-X-ray ukuze akhiphe ukuphuka kwamathambo noma izimpawu ze-osteoarthritis. 
  • I-CT scan ukuze uthole ukubukwa okuningiliziwe kwesihlakala.
  • Izikena ze-MRI zinikeza izithombe ezinemininingwane yawo womabili amathambo nezicubu ezithambile. 
  • I-Ultrasound ukuhlola ama-tendon, ligaments, nama-cysts.
  • I-Electromyography ye-carpal tunnel syndrome esolwayo 
  • I-Arthroscopy ibona ngeso lengqondo izakhiwo zangaphakathi zesihlakala ngokuqondile futhi ibhekwa njengokuhlolwa kwegolide kokuhlola ubuhlungu besihlakala besikhathi eside.

Ukwelashwa Kwezinhlungu Zesihlakala

Ukwelashwa kobuhlungu besihlakala kuncike kumbangela, ukuqina, kanye nobude besikhathi, njengalokhu:

• Ukuze kube nobuhlungu bezihlakala obumaphakathi kuya kobumaphakathi, ukuphumula ngokuvamile kuyisinyathelo sokuqala. Ukugcina iphakethe leqhwa eligoqwe ithawula esihlakaleni kuze kufike emaminithini angu-20 njalo ngemva kwamahora angu-2 kuya kwangu-3 kungasiza ekunciphiseni ukuvuvukala nokungakhululeki. Ukuzivocavoca umzimba nokuzelula kungadambisa ubuhlungu nokuqina.
• Ama-over-the-counter relievers anganikeza ukukhululeka. Nokho, ukugwema ibuprofen emahoreni okuqala angu-48 ngemva kokulimala kungcono kakhulu. 
• Ukugqoka i-splint kungasekela isihlakala futhi kunciphise ubuhlungu. 
• Ukuze uthole ubuhlungu obunamandla noma obuqhubekayo besandla, ukwelashwa kungase kudingeke. Odokotela bakho bangase bakunikeze izidambisi zinhlungu ezinamandla noma batuse imijovo ye-corticosteroid ukunciphisa ukuvuvukala. 
• Ukwelapha ngokomzimba ngoba ubuhlungu besihlakala bungazuzisa izimo eziningi zesihlakala, ukusebenzisa imithi ethile nokuzivocavoca ukuze kuthuthukiswe amandla nokuguquguquka.
• Kwezinye izimo, ikakhulukazi ezimweni ezifana ne-carpal tunnel syndrome noma ukuphuka okukhulu, odokotela batusa ukuhlinzwa. Lokhu kungase kuhilele izinqubo ezifana nokusika umsipha ukuze unciphise ingcindezi ku-nerve noma ukusebenzisa i-hardware yensimbi ukuzinzisa izingcezu zamathambo.

Kufanele Ufune Nini Usizo Lwezokwelapha

Nakuba izimo eziningi zobuhlungu besandla ziba ngcono ngokuhamba kwesikhathi noma ukuzinakekela, kunezimo lapho kudingeka khona ukunakekelwa kwezokwelapha, njenge:

• Uma ubulawula izinhlungu zesihlakala ekhaya amasonto amabili ngaphandle kokuba ngcono
• Uma ubuhlungu buthiya imisebenzi yakho yansuku zonke noma bubi kakhulu ngokuhamba kwesikhathi. 
• Ubuhlungu obungapheli noma obuphindaphindayo 
• Uma uzwa ukuntweza noma ukulahlekelwa umuzwa esandleni noma esihlakaleni,
• Ubuthakathaka esandleni noma isihlakala 
• Uma unesifo sikashukela futhi uba nobuhlungu esihlakaleni
• Uma uzwe umsindo onqamukayo, ugaya, noma ophumayo ngesikhathi sokulimala, noma uma isihlakala sakho sishintshile isimo noma umbala 

Prevention

Ukuvimbela ubuhlungu bezihlakala kubalulekile ekugcineni impilo yesandla nempilo yonke. Ungathatha izinyathelo ezimbalwa ukuze unciphise ingozi yokuthuthukisa ukungakhululeki noma ukulimala kwesihlakala, njengokuthi:

• Uma usebenzisa ikhompuyutha njalo, i-ergonomics efanele ibalulekile. Yehlisa ikhibhodi yakho ukuze izihlakala zakho zingagobi phezulu lapho uthayipha. Lokhu kusiza ukugcina isimo sokungathathi hlangothi, kunciphisa ubunzima emalungeni esihlakala. Ukuphumula kwengalo ngekhibhodi, igundane, noma i-trackpad kungakunikeza ukwesekwa okwengeziwe.
• Ukuthatha ikhefu ngezikhathi ezithile emisebenzini ephindaphindayo kuvimbela ukulimala okungaphezu kwamandla futhi kuvumela imisipha yakho yesandla kanye nemisipha ukuthi ilulame.
• Ukugqoka amagiya afanele okuzivikela kubalulekile kulabo abenza imisebenzi engokomzimba noma ezemidlalo. 
• Empilweni yakho yansuku zonke, qaphela indawo okuzungezile ukuze uvimbele ukuwa okungaholela ekulimaleni esihlakaleni. 

Isiphetho

Ubuhlungu besihlakala yinkinga evamile yezokwelapha engaba nomthelela omkhulu empilweni yansuku zonke. Kusukela emakhambi emvelo alula kuya ekungeneleleni kwezokwelapha, kunezindlela eziningi zokubhekana nobuhlungu besandla, kuye ngobunzima baso kanye nembangela ewumsuka.

Ukuthatha izinyathelo zokuvimbela ubuhlungu besihlakala kubalulekile ukuze ugcine isandla sinempilo. Ukwamukela i-ergonomics efanele, ukuthatha ikhefu njalo phakathi nemisebenzi ephindaphindwayo, nokuqaphela izingozi ezingase zibe khona kunganciphisa ingozi yokulimala esihlakaleni. Khumbula, uma ubuhlungu esihlakaleni buqhubeka noma buba bubi nakakhulu, ukufuna isiqondiso sezokwelapha kubalulekile ukuze uqinisekise ukuxilongwa nokwelashwa okufanele. Ngokuhlala unolwazi futhi umatasa, ungagcina izihlakala zakho ziphilile futhi zingenabuhlungu, okukuvumela ukuthi wenze imisebenzi yakho yansuku zonke kalula.

Imibuzo Evame Ukubuzwa

1. Ingabe ubuhlungu besihlakala bubucayi?

Ubuhlungu besihlakala bungahluka ukusuka kokuzwa okuncane kuye kobuhlungu obukhulu, obuqeda amandla. Ezimweni eziningi, akubi bucayi futhi kungaphathwa ekhaya. Nokho, izimo ezithile zidinga ukunakekelwa kwezokwelapha. Uma ubuhlungu besandla sakho buqhubeka isikhathi esingaphezu kwamasonto amabili naphezu kokwelashwa kwasekhaya, kuphazamisa imisebenzi yansuku zonke, noma bubi kakhulu ngokuhamba kwesikhathi, kungcono ukubonana nodokotela. Ukwengeza, uma uzwa ukuluma, ukungabi namandla, noma ubuthakathaka esandleni noma esihlakaleni sakho, lezi kungaba izimpawu zokucindezelwa kwemizwa, okudinga ukuhlolwa kodokotela.

2. Ingabe ubuhlungu besihlakala bungelapheka?

Ukwelashwa kanye nokwelapha okungaba khona kobuhlungu besihlakala kuncike kumbangela yabo. Izimo eziningi zobuhlungu besandla ziba ngcono ngokuphumula, ukufaka iqhwa, kanye nezidambisi zobuhlungu ezitholakala ngaphandle kwekhawunta. Ezimweni ezibeleselayo noma ezinzima, izindlela zokwelashwa ezahlukahlukene ziyatholakala. Lokhu kungase kuhlanganise ukwelashwa ngokomzimba, imijovo ye-corticosteroid, noma, kwezinye izimo, ukuhlinzwa. Ukusebenza kahle kokwelashwa kuyehluka ngokuya endaweni, uhlobo, nobukhulu bokulimala, kanye neminyaka yomuntu nempilo iyonke. 

3. Ngibunciphisa kanjani ubuhlungu besihlakala ngokwemvelo?

Kunezindlela ezimbalwa zemvelo zokusiza ukunciphisa ubuhlungu besandla:

• Ukuphumula: Nika isihlakala sakho ikhefu emisebenzini ephindaphindayo ebangela ubuhlungu.
• Ukwelashwa kweqhwa: Faka i-ice compress noma iphakethe leqhwa kuze kufike emaminithini angu-20 njalo emahoreni amabili kuya kwamathathu ukuze unciphise ukuvuvukala nokungakhululeki.
• Ukuzivocavoca okuthambile nokulula: Lokhu kungasiza ukuthuthukisa ukuguquguquka namandla esihlakaleni sakho.
• Ukulungiswa kwe-ergonomic: Qinisekisa ukuthi isihlakala simi ngendlela efanele ngesikhathi semisebenzi, ikakhulukazi uma usebenzisa ikhompuyutha.
• Izintambo zesihlakala: Ukugqoka i-splint, ikakhulukazi ebusuku, kungasekela futhi kudambise ubuhlungu.
• Prakthiza ukuma okuhle: Gcina umhlane wakho uqondile nezinyawo ziphansi ukuze unciphise ubunzima ezihlakaleni zakho.

UDkt. Chandra Sekhar Dannana

I-MBBS, i-MS (Amathambo), i-MRCS, i-FRCSED (I-Trauma & Orthopaedics)
CARE Hospitals, Banjara Hills, Hyderabad

Ukuze Ubhukhe Isikhathi, shayela:

+ 91 40-68106529

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