Kusanthula ndi Kupatsa Mankhwala Opatsirana ndi Kutayika
Mankhwala otsekemera ndi zovulaza ndizovulazidwa kawirikawiri kwa dzanja . Pamene phokoso limapezeka, mitsempha yomwe imathandizira mgwirizano imatambasulidwa kwambiri ndipo zida zolimba za mitsempha ya ligament zimagawidwa pang'ono kapena pang'ono. Nthawi zina, kuwonongeka kwa mitsempha yothandizira ndi kofunikira kwambiri kuti mgwirizano umachoka pambali, kuvulaza kutchedwa dislocation.
Zomwe zimayambitsa zokolola zala ndi zovulaza zimaphatikizapo kuvulala masewera, kuvulala kwa ntchito, ndi ngozi za galimoto. Pali kuwonjezereka kochepa kwa zovulaza zamagulu, ndipo chifukwa cha kuwerengedwa kwa dokotala kungathandize kuti musapewe mankhwala oyenera.
Nkhuni Zotsamba
Zilonda zamkati zimakhala zofala, makamaka chifukwa cha kuvulala kwa masewera ndi kugwera pa dzanja lanu. Kaŵirikaŵiri, izi zimapangitsa kuti chala chigwedezeke mosavuta, kuvulaza ligament ndi ululu wotsatira.
Mankhwalawa amatha kuchitika pa zilembo zonsezi, koma zimakhala zofala kwambiri pa PIP (mwachindunji interphalangeal) yomwe ili pakati pa chala.
Zizindikiro zomwe mungathe kuyembekezera kukumana ndi izi:
- Ululu ndi kusuntha kwala
- Kutupa pozungulira mpeni
- Chifundo cha chala
Ngati dokotala akulangiza x-ray, tsimikizirani kuti ndi njira yoyenera yowonetsetsa kuti palibe kugwidwa kwa fupa, pamene kuthamanga kuzungulira palimodzi kungafunike chithandizo chowonjezereka.
Mayesero ena, monga MRIs kapena CT scans, kawirikawiri sangafunikire kuti adziwe kuti ali ndi vutoli.
Kuchiza Mankhwala Otsekemera
Zilonda zamphongo zimakhala zogawidwa kapena zojambulidwa ndi abwenzi (zojambulidwa ku chala chapafupi) kwa kanthawi kochepa. Malingana ngati palibe kupunthwa kapena kutayika, mabala ambiri amchere ayenera kuloledwa kusunthira mkatikati mwa sabata.
Kutupa chala chachisawawa pa masewera kungathandize kuteteza chovulaza, koma kugawanika kwadodometsa kwadodometsa chiwerengerochi. Muyenera kukambirana ndi dokotala wanu kuti muyambe kuyambira.
Mankhwala ena a chala chophwanyika ndi awa:
- Sakanizani chala chovulala
- Kukwezera ngati pali kutupa
- Tengani mankhwala oletsa-yotupa
- Pewani pang'ono pang'ono kuti muteteze
Mankhwala opaka mankhwala ndi zina zotsekemera zala ana angafunike kutaya nthawi yaitali kapena kuyesedwa ndi katswiri, makamaka ngati pali nkhawa kuti ligamento inang'ambika. Mmodzi wavulala makamaka, chomwe chimatchedwa " Thupi la Gamekeeper ," amafuna kuchepa komanso nthawi zina opaleshoni. Kuvulala kwakukulu ndi kofunika chifukwa mavitamini aakulu omwe ali ophatikizidwa pa mgwirizano uwu amachititsa kuti tigwire.
Si zachilendo kuti mankhwala otupa amachititse kutupa ndi kuuma kumene kungapitirire kwa miyezi yotsatira kuvulala. Ndikofunika ngati muli ndi zizindikiro izi zomwe mukuzidziwitsa dokotala wanu kuti atsimikizire kuti palibe chovulaza choipa (monga kupweteka kwala ).
Kusokonezeka kwa Finger
Kusokoneza chala kumakhala kovulaza kwambiri ku chiwerengerocho, chifukwa sikumangogwiritsa ntchito mitsempha yokhayokha, koma kumaphatikizapo makoswe, mapepala, ndi zina.
Pamene mgwirizano umasunthidwa, kusinthasintha kwachilendo kwa chala kumasintha, ndipo mgwirizano uyenera kubwezeretsedwa.
Nthawi zina, kusuntha chotsitsa chala kungakhale kosavuta ndipo nthawi zina zingakhale zovuta kwambiri. Kawirikawiri, munthu amene akuchiritsidwa amatha kusuntha yekha chala chake pokhapokha atachikoka. Nthaŵi zina, kusokonezeka kungafunike kupweteka kwa anesthesia kapena njira yopaleshoni kuti imvetsetse chiwerengerocho. Panthawi zovuta izi, pangakhale phokoso kapena matenda ena omwe amalepheretsa mgwirizano kuti ubwerere ku malo.
Pamene chophatikizidwacho chimasokonezedwa, mitsempha yowonjezera yowonjezera yowonongeka imang'ambika.
Nthawi zina, mitsempha iyi siimachiritsa mokwanira ndi opaleshoni nthawi zina pakufunika kukonzanso malo ovulalawo. Izi zinati, zambiri zowonongeka kwazitsulo zingathe kuchiritsidwa mosavuta. Mgwirizanowo ukabwezeretsedwanso, chala chimagawanika kuti mitsempha yothandizana nayo ikhale yathanzi.
Chithandizo cha chala chochotsedwa chimakhala chofanana ndi chala chachitsulo. Muyenera kuundana ndi kukweza chikho chovulala pambuyo povulala. Pambuyo pa kuchepetsedwa (kubwezeretsedwanso), mgwirizano uyenera kupangidwa ndi x-ray. X-ray ikuchitidwa pofuna kutsimikizira kuti mgwirizanowu ukugwirizanitsa bwino, ndikuti panalibe kuphwanyika komwe kunachitika panthawi ya kuvulala. Kenaka tsatirani malangizo a dokotala wanu kuti muyambe kuyendetsa manja.
Mawu Ochokera
Kawirikawiri, zonsezi zimakhala zosavuta. Kawirikawiri, mutha kugwiritsa ntchito dzanja lanu mwachilendo mkati mwa sabata, koma musadandaule ngati mankhwalawa amachititsa ululu ndi kuvutika kwa nthawi yaitali-ndizozolowereka. Ngati zikukuvutitsani, kambiranani ndi dokotala wanu kuti muwone ngati pali njira yothetsera vutoli.
Ngakhale kusokonezeka ndi kuvulaza kwakukulu, kuyembekezera chithandizo chofanana ndi cha mankhwala. Pazochitika zonsezi, musawopsyeze ngati dokotala akulangiza x-ray -ndi njira yachizolowezi yowonetsetsa kuti chiwerengero chanu chikuchiritsidwa bwino komanso kubwerera kuchizolowezi.
> Chitsime:
> Elfar J, Mann T. Kuchotsa-kusokoneza kwa mgwirizano waukulu wa interphalangeal. J Am Acad Kupatula Opaleshoni. 2013 Feb; 21 (2): 88-98.