Izimpawu Zokuphuka Kwethraphesiyam: Okungasho Ubuhlungu Besithupha Bakho Ngempela

Uwile esandleni sakho, manje uba ngenzansi yesithupha sakho ubuhlungu. Kungaba ukukhubazeka. Kodwa kungaba futhi into ethile okunzima ukuyithola. Ukuphuka kwethraphesiyam kuwukwephuka ethini elincane phansi kwesithupha sakho. Leli thambo lihlala lijulile esihlakahlakeni sakho futhi libamba iqhaza elikhulu ekuhambeni kwesithupha sakho.

Yini Ithambo Lethraphesiyam?

I-trapezium ingolunye lwamathambo ayisishiyagalombili amancane esihlakahlakeni sakho. Lihlangana phansi kwesithupha sakho futhi lisebenza njengesisekelo sokuhamba kwesithupha. Njalo lapho ubamba, uphinipha, noma ujikijela ikepisi leyimvaba, leli thambo lisebenza kanzima. Yona yakha isijobelelo esinjengesihlalo ngesibalo sesithupha, sivumela ukunyakaza ngezindlela eziningi. Ngisho nokwephuka okuncane lapha kungathinta imisebenzi yansuku zonke ngaphezu kwalokho ongakulindela.

Ukuphuka kwethraphesiyam kwenza cishe amaphesenti angu-1 kuya ku-5 azo zonke izimo zokuphuka kwamathambo esihlakahlakeni. Ngokuvamile kwenzeka kanye nezinye izilonda ezifana nokuphuka kwe-Bennett noma ukuphuka kwe-scaphoid. Kodwa-ke, ukuphuka okuzimele kwe-trapezium kuyenzeka, futhi kufanelwe ukunakwa kakhulu.

Kunjanani Ukuphuka Kwethraphesiyam?

Isifo esivelele kakhulu ubuhlungu obugxile phansi nje kwesithupha sakho. Ungase uqaphele lapho ucindezela indawo enamanono eduze kwesundu sakho, ebizwa nge-thenar eminence. Ubuhlungu buvame ukuhlala endaweni ethile kunokudlondlobala kulo lonke isihlakala.

Nansi eminye imiphumela ejwayelekile engase ibonise ukuphuka kwethraphesiyam:

• Ubuhlungu obubukhali phansi kwesithupha
• Ubuhlungu noma ubuthakathaka lapho uzama ukuphinya into noma wenza uphawu lokuthi "kulungile"
• Ukuvuvukala eduze kwesibhakabhaka sesithupha, yize kwesinye isikhathi kungaba ngobumnene
• Ukuqubuka endaweni ezungeze isithupha esingezansi noma isihlakala
• Ubuhlungu obuqhubeka buye bubi lapho ubamba izinto noma ujikijela isandla sakho
• Ubuhlungu endaweni ye-anatomical snuffbox, leyo ndawo encane esiceleni sesihlakala sakho

Ungase usakwazi ukuhambisa isithupha sakho, okuyingxenye yalesi sifo esikhohlisayo. Ukuhamba kuyenzeka, kodwa kuvame ukuzizwa buthakathaka futhi kubuhlungu. Abanye abantu bakubheka njengokukhubazeka okubi, ikakhulukazi lapho ukuvuvukala kungaphansi kakhulu.

Ezimweni ezingavamile, izimpawu zingabonakala kakhulu. Ukuvuvukala okukhulu, ukudayelwa okubonakalayo, nokuvinjelwa okuqinile kokunyakaza kungabonakala nokuphuka okuhanjisiwe. Abanye abantu bangase bazizwe ukubaleka noma ukudlikiza esithupheni noma eminweni. Lokhu kungenzeka uma ukuphuka kuhlaba imithambo eseduze, kufaka phakathi umthambo ophakathi odlula emgqeni we-carpal.

Lenziwa Kanjani Lesi Silonda?

Ukuphuka okuningi kwe-trapezium kwenzeka ngemuva kokubheka esihlakaleni eselulekile. Odokotela ngezinye izikhathi babiza lokhu njengesilonda se-FOOSH, esisho ukuthi "ukuwa esihlakaleni eselulekile." Lapho uwela ngaleyo ndlela, amandla ahamba esihlakaleni sesithupha futhi acindezela i-trapezium phakathi kwesibalo nesibalo se-radius esandleni sakho esihlakaleni.

Ukushaywa ngqo esithupheni kungakubanga lokhu. Lokhu kuvame kakhulu emidlalweni yokuxhumana noma ukubhayisekela, lapho umgqigqo we-handlebar ungadala amandla aqonde esiblonjeni.

Ukucindezeleka okuphindaphindayo kuyimbangela engavamile, kodwa ingaba nengqondo kubadlali abathile kanye nabasebenzi abanemishini.

Kungani Izikhathi Eziningi Ziyachithwa Kanjani?

Ama-X-rays ajwayelekile esihlakala avame ukwehluleka ukuphuka kwe-trapezium. Izithunzi ezidlulayo ezivela emathanjeni abazungezile angacisha umugqa wokuphuka. Izifundo zikhombisa ukuthi ama-X-rays avamile athola lezi zimpawu ngokusiza okungama-18%. Lokho kusho ukuthi iningi lokuphuka kwe-trapezium lingabonakali kufilimu evamile.

Ukubukeka okukhethekile kwe-X-ray njengokubukeka kwe-Bett, ukubukeka kwe-Robert, noma ukubukeka kwe-carpal tunnel kungasiza ukukhombisa ithambo kucacile. Kodwa-ke, uma kusenokungabaza, i-CT scan ivame ukuba yisinyathelo esilandelayo. I-CT scans inikeza izithombe ezinemininingwane ezinqamulayo ezingabonisa ngisho nokuphuka okuncane, okungahambisi. I-MRI yindlela eyodwa, ikakhulukazi uma kulimale nezicubu ezithambile.

I-Cone beam CT yindlela entsha yokwenza izithombe enikeza izithombe eziphezulu-zesisombululo ngokusabalala okuncane kokukhanya.

Kuthiwani Uma Ukuphuka Kwethraphesiyam Kuhamba Kungalashwa?

Ukushiya ukuphuka kwethraphesiyam kungalashwa kungaholela ezinkingeni ngokuhamba kwesikhathi. Inkinga evame kakhulu yesikhathi eside i-posttraumatic arthritis. Ucwaningo lubonisa ukuthi kufika ku-45% weziguli ezinokuphuka kwe-trapezium zingathola i-arthritis esijongweni esithintekayo, ngisho nangokwelashwa okufanele. Ngaphandle kokwelashwa, lokho kukhula kuyanda.

Ezinye izinkinga ezingenzeka zihlanganisa:

• Ubuhlungu obungapheli phansi kwesithupha
• Ubuthakathaka obuqhubekayo ekubambeni nasekuphinyweni kwemandla
• I-Nonunion, lapho izingcezu zamathambo zihluleka ukuphilisana
• Ukucasuka kwethambo le-flexor carpi radialis eduze kwendawo yokuphuka
• I-Carpal tunnel syndrome ngenxa yokuqubuka noma ukuhanjiswa kwamathambo okucindezela umthambo ophakathi

Lezi zinkinga zivame kakhulu ngezinhlobo ezithile zokuphuka, ikakhulukazi ukuphuka kwezimpawu lapho izingcezu zamathambo ezincane zingahamba futhi zihluleke ukuphinda zihlangane. Ukutholwa ngokushesha kwenza umehluko omkhulu ekunqandeni lezi ziphumo.

Lelashwa Kanjani Ukuphuka Kwethraphesiyam?

Ukwelashwa kuncike kuhlobo nobukhulu bokuphuka. Ngokuphuka okungahambisi, lapho izingcezu zamathambo zisezingeni elifanayo, i-cast ye-thumb spica noma i-splint egqokwe cishe amasonto amane kuya kwayisithupha kuvame ukwanele. Lokhu kugcina isithupha nesihlakala zimile ukuze ithambo likwazi ukuphila.

Ngokuphuka okuhanjisiwe, lapho izingcezu zamathambo sezihanjisiwe kunezinye izimitha ezimbili, ukuhlinzwa kuvame ukunconywa. Izinketho zokuhlinzwa zihlanganisa ukubeka izintambo ezincane noma ukulungisa ithambo ngezinkingo. Umgomo ukubuyisela indawo ejwayelekile yesijobelelo ukuze isithupha sikwazi ukusebenza kahle esikhathini esizayo.

Ngemuva kwesikhathi sokuphila sokuqala, izivivinyo zokubuyisela emuva zisiza ukubuyisela amandla nobubanzi bokunyakaza. Iningi labantu libuyisela isithupha nesihlakala ngokugcwele phakathi namasonto ayisithupha kuya kwayisishiyagalolunye kusukela ekuqaleni kokwelashwa.

Nini Okufanele Ubonane Nodokotela?

Uma uwile noma washaywa futhi uzwa ubuhlungu obuqhubekayo phansi kwesithupha sakho, kufanelekile ukuthi uyihlole. Lokhu kuyiqiniso ikakhulukazi uma ubuhlungu bungathuthuki ngemuva kwezinsuku ezimbalwa, noma uma ukubamba kuzizwa buthakathaka noma kubuhlungu. Yazisa udokotela wakho uma ama-X-rays ajwayelekile abuyela emuva ngokwejwayelekile kodwa ubuhlungu buqhubeka. Ukubuza nge-CT scan kungasiza ukubamba ukuphuka okungase kudlule.

Ukunakwa ngokushesha kungakongela izinyanga zobuhlungu obuqhubekayo futhi kusize ukuvikela ukusebenza kwesithupha sakho isikhathi eside.