Ubuhlungu Ehlombe Lwe-ulnar: Izimpawu, Izimbangela, Nokwelapha

Ubuhlungu behlombe le-ulnar yinkinga evela ngecala leminwe emincane yesandla sakho, kuvame ukubizwa ngokuthi ukucasuka, ubuhlungu obukhulu, noma imizwa ebuhlungu. Lolu hlobo lobuhlungu luvela uma izakhi ezifana ne-tendons, ama-ligaments, noma i-ulnar nerve ngecala langaphandle lesandla sakho ziqala ukuvuvukala noma ukwenzakala.

Ungase uqaphele lobuhlungu ngesikhathi semisebenzi yansuku zonke efana nokubamba izinto, ukujikeleza izinkinobho zezinyango, noma ngisho nokuphumula isandla sakho. Izindaba ezinhle ukuthi izincazelo eziningi zobuhlungu behlombe le-ulnar ziphendula kahle ekwelapheni nasekunakekelweni okufanele.

Ziyini izimpawu zobuhlungu behlombe le-ulnar?

Uphawu olucacile kakhulu yilona ubuhlungu ohlangothini lwezinzwane zesandla sakho olungase luze luye noma luhlale usuku lonke. Lolu buhlungu luvame ukuba sibi uma uhambisa isandla sakho noma ubeke uxinzelelo kukho.

Nawa zimpawu ezivamile ongazihlangabezana nazo:

• Ubuhlungu obukhulu noma obukhulu ohlangothini langaphandle lesandla sakho
• Ubuhlungu uma uthinta uhlangothi lwezinzwane zesandla sakho
• Ubuthakathaka uma ubamba izinto noma uqopha isandla
• Ukuqina, ikakhulukazi ekuseni noma ngemuva kwesikhathi sokuphumula
• Ukukhula ngokweqile eduze kwendawo yokuhlangana yesandla
• Ilizwi lokucisha noma lokudubula uma uhambisa isandla sakho
• Ukungazi lutho noma ukukhahlela eminweni yakho emincane nephakathi

Ngezinye izikhathi ungase uqaphele ukuthi ubuhlungu buhamba phezulu ngesandla sakho noma phansi esandleni sakho. Lezi zimpawu zingase zibe ukukhathazeka okuncane kuya ekucasukeni okukhulu okuthinta imisebenzi yakho yansuku zonke.

Yini ebangela ubuhlungu behlombe le-ulnar?

Ubuhlungu behlombe le-ulnar buvame ukuvela ngenxa yokusetshenziswa kakhulu, ukulimala, noma uxinzelelo ezakhi ezisehlangothini lwezinzwane zesandla sakho. Isandla sakho siqukethe amathambo amancane amaningi, ama-tendons, nama-ligaments asebenza ndawonye, futhi uma noma yikuphi kulawa kuqala ukucindezeleka noma ukwenzakala, ubuhlungu bungase buvele.

Ake sibheke izimbangela ezivamile ongazihlangabezana nazo:

• Ukwenza izinto ezifanayo njalo njengokutayela, ukudlala ithenisi, noma ukusebenzisa amathuluzi
• Ukuwa phezu kwesandla esilulamile
• Ukuthinta noma ukulimala ngqo ekhanda
• Ukuvuvukala kwamajozi amancane esandleni sakho
• Ukuvuvukala kwezintambo ngenxa yokusebenzisa kakhulu imisipha yesandla
• Ukucindezelwa noma ukuvuvukala komthambo we-ulnar
• Ukuphuka kwamakhanda, ikakhulukazi emathanjeni e-ulna

Kwezinye izimo, izimo eziyisisekelo ezinjengogciwane lwe-rheumatoid noma i-lupus zingase zifake isandla ebuhlungwini besandla. Udokotela wakho angakusiza ukuthola imbangela ethile efanele isimo sakho ngokuhlola okufanele.

Izimbangela ezingavamile zobuhlungu besandla se-ulnar

Nakuba kungavamile, ezinye izimo ezingathi sína zingabangela ubuhlungu besandla se-ulnar futhi zidinga ukunakekelwa ngokushesha kwezokwelapha. Lezi zihlanganisa ukutheleleka ejoyini yesandla, iziphundu ezihlasela amathambo noma izicubu ezithambile, nokulimala okukhulu komthambo.

I-complex regional pain syndrome, nakuba ingavamile, ingase ibe khona ngemva kokulimalala futhi ibe nobuhlungu obuqhubekayo, obukhulu obungafani nokulimala okuqalayo. Uma ubuhlungu bakho bubonakala bukhulu kakhulu noma abulungi ngokuphumula nokunakekelwa okuyisisekelo, kubalulekile ukubona umhlinzeki wezinsizakalo zezempilo.

Nini okufanele ubona udokotela ngenxa yobuhlungu besandla se-ulnar?

Kufanele uxhumane nomhlinzeki wezinsizakalo zezempilo uma ubuhlungu besandla bakho buhlala izinsuku ezimbalwa noma buhlanganisa nemisebenzi yakho yansuku zonke. Ukwelashwa kwasekuqaleni kuvame ukuletha imiphumela emihle futhi kuvimba isimo ekubeni libi kakhulu.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nanoma yiziphi lezi zibonakaliso zexwayiso:

• Ubuhlungu obukhulu obungaphuli ngokuphumula noma ngokunciphisa ubuhlungu obungaphezu kokuthengwa ngaphandle kwesitolo
• Ukubukeka okungalungile noma ukukhula okubonakalayo kwesandla sakho
• Ukukhahlela noma ukungqongqotha okungapheli
• Ukungenakho ukunyakaza isandla sakho noma izinzwane zakho ngokujwayelekile
• Izibonakaliso zokutheleleka njengokufudumeleka, ubomvu, noma ukufiphaza
• Ubuhlungu obukuvusa ebusuku njalo

Ungalindi ukuya ufune usizo uma ukhathazekile ngezimpawu zakho. Umhlinzeki wakho wezinsizakalo zezempilo angakwazi ukuxilonga imbangela ngendlela efanele futhi ancoma ukwelashwa okuphumelelayo esimweni sakho esithile.

Iyini imikhakha yengozi yokuhlunguluka kwesandla se-ulnar?

Izici ezithile zingakwenza kube lula ukuthuthukisa ubuhlungu besandla se-ulnar, yize ukuba nale mikhakha yengozi akusho ukuthi uzobhekana nezingqinamba. Ukuqonda lokhu kungakusiza ukuthi uthathe izinyathelo zokuvikela izandla zakho.

Nawa ama-risk factor aphambili okufanele uwaqaphele:

• Imisebenzi noma izinto ezihlangene ezibandakanya ukunyakaza okuphindaphindwayo kwesandla
• Ukudlala imidlalo efana ne-tennis, i-golf, noma i-gymnastics
• Ukulimala kwangaphambili kwesandla noma ukweqa amathambo
• Iminyaka engaphezu kuka-40, lapho izintambo ngokwemvelo zibhekana nokuqina okukhulu
• Isimo sokuvuvukala njenge-rheumatoid arthritis
• I-Diabetes, engathinta impilo yezinzwa
• Ukusebenza okubi komzimba emsebenzini noma ekhaya

Abesifazane bangase babe nenhlanhla kancane ezinye izinhlobo zezinkinga zesandla, ikakhulukazi ezihlobene nezinguquko ze-hormonal. Uma unemikhakha eminingi yengozi, ukunaka isikhundla esifanele sesandla nokuthatha ama-break njalo emisebenzini ephindaphindwayo kuba kubaluleke kakhulu.

Ziyini izinhlanganisela ezingase zibe khona zokuhlunguluka kwesandla se-ulnar?

Uma kushiywa kungelashwa, ubuhlungu besandla se-ulnar bungadala izinkinga ezinzima kakhulu ezingase zidinga ukwelashwa okukhulu. Izindaba ezinhle ukuthi izinhlanganisela eziningi zingavikeleka ngokunakekelwa okuhle nokungenelela kwangaphambi kwesikhathi.

Nawa ama-complications angase ufuna ukuwagwema:

• Ubuhlungu obuhlala njalo obukhulu kakhulu ukulawula
• Ubuthakathaka obuhlala njalo emandleni akho okubamba
• Ukulahlekelwa ukunyakaza kwesandla sakho
• Ukuthuthukiswa kwe-arthritis ejoyini yesandla
• Ukulimala kwezinzwa okubangela ukungaziwa okuhlala njalo
• Ukulahleka kwemisipha esandleni nasekhoneni lakho

Ezimweni ezingavamile, ukutheleleka okungaphathwanga noma ukulimala okukhulu kungabangela umonakalo ophakade odinga ukuhlinzwa. Yingakho ukunakekela ubuhlungu behlombe ngokushesha nokulandela izincomo zonyango lwakho kubalulekile kakhulu ekuvikeleni impilo yehlombe isikhathi eside.

Ukuvimbela ubuhlungu behlombe eceleni?

Ukuvimbela kugxila ekuvikeleni amahlombe akho ekusetshenzisweni okweqile nokulondoloza imikhuba emihle emisebenzini yansuku zonke. Ukushintsha okulula kokusebenzisa izandla namahlombe akho kungenza umehluko omkhulu ekuvimbeleni ubuhlungu.

Nazi izinyathelo ezisebenzayo ongazithatha ukuze uvikele amahlombe akho:

• Thatha ikhefu njalo ngemizuzu engama-30-60 emisebenzini ephindaphindwayo
• Sebenzisa indlela efanele uma uqeqesha noma udlala imidlalo
• Lungisa indawo yokusebenza enhle ngamahlombe akho esimweni esijwayelekile
• Qinisisa imisipha yezandla namahlombe akho ngezingxenye zokuzivocavoca ezimnene
• Gqoka izingubo zokukhuselwa ngesikhathi semisebenzi engozi
• Londoloza impilo enhle jikelele ukuze usekele umsebenzi wamajoyinti
• Bhekana nanoma yiziphi izimo zempilo ezingaphansi ezihlasela amajoyinti akho

Uma ubona izimpawu zokuqala zokungakhululeki, ungazidediseli. Ukwenza ukulungiswa okuncane kwemisebenzi yakho nokusebenzisa ukusekela okuhle kwamahlombe kuvame ukuvimbela izinkinga ezincane ezingaba yizinkinga ezinkulu.

Ubuhlungu behlombe eceleni butholakala kanjani?

Umhlinzeki wakho wezempilo uzoqala ngokubuza ngezimpawu zakho, ukuthi zaqala nini, nezinto ezenza zibe ngcono noma zimbi. Bazophinde benze ukuhlolwa komzimba ukuze bahlole izindawo ezibuhlungu, ukukhula, kanye nokuhamba komzimba.

Ngesikhathi sokuhlolwa, udokotela wakho angenza izivivinyo ezithile ukuze abonise imbangela eqondile yobuhlungu bakho. Lokhu kungafaka ukucindezela ezindaweni ezahlukene zehlombe lakho, ukukucela ukuthi uhambise ihlombe lakho ngezindlela ezahlukene, nokuhlola amandla akho okubamba.

Uma kudingeka, umhlinzeki wakho angalandela izivivinyo ezengeziwe ezifana ne:

• Izithombe ze-X-ray ukuhlola ukukhubazeka kwamathambo noma izinkinga zamathambo
• I-MRI scans ukuhlola izicubu ezithambile njenge-tendons nama-ligaments
• Izivivinyo zokuphatha kwezinzwa ukuhlola ukusebenza kwezinzwa
• I-Ultrasound ukubuka ama-tendons nezinye izakhiwo ezithambile
• Izivivinyo zegazi ukuhlola izimo zokuvuvukala

Izivivinyo ezithile ozidingayo zizoxhomeka ezimpahleni zakho nalokho udokotela wakho akufumanayo ekuhlolweni kokuqala. Ukuthola ukuxilongwa okuchane kukunzima ekukhetheni indlela yokwelapha ephumelelayo.

Iyini impilo yokuhlungwa kokubuhlungu kwe-ulnar wrist?

Ukwelashwa kuvame ukuqala ngezindlela zokugcina ezincipha ubuhlungu nokuvuvukala ngenkathi kuvumela i-wrist yakho ukuba iphulukiswe. Abantu abaningi bathola impumuzo enkulu ngalezi zindlela zokuqala zokwelapha, nakuba isikhathi sokuphulukiswa sihluka kuye ngesizathu esiyimbangela.

Umhlinzeki wakho wezinsizakalo zezempilo angakuncoma ezinye izinketho zokwelapha:

• Ukuphumula nokuguqula umsebenzi ukuze ugweme ukunyakaza okuvusa ubuhlungu
• Ukufake isilinganiso selanga imizuzu engu-15-20 izikhathi eziningi ngosuku
• Abaphuli bobuhlungu abangaphezulu kokuthengwa njenge-ibuprofen noma i-acetaminophen
• Ama-wrist splints ukunikeza ukwesekwa nokulinganisela ukunyakaza
• Ukwelashwa komzimba ukuthuthukisa amandla nokuguquguquka
• Ukuqothulwa kwe-corticosteroid ngenxa yokuqunjelwa okukhulu
• Ukwelashwa komsebenzi ukuguqula umsebenzi noma imisebenzi yansuku zonke

Ngalezi zimo ezinzima kakhulu noma lapho ukwelashwa okuqondile kungasizi, udokotela wakho angacabanga ngezinketho zokucutshungulwa. Ukuhlinzwa kuvame ukugcinelwa izimo ezithile njengokucindezelwa okukhulu kwezinzwa noma ukonakala okukhulu kwesakhiwo okungaphendulanga kwezinye izindlela zokwelapha.

Indlela yokuphatha ubuhlungu be-ulnar wrist ekhaya?

Ukwelashwa ekhaya kungaba nemiphumela emihle kakhulu ekuphatheni ubuhlungu be-ulnar wrist, ikakhulukazi uma kuqalwa kusenesikhathi. Ikhona ukuba uqine ngokulandela uhlelo lwakho lokuphatha nokwazi nini ukufuna usizo olwengeziwe.

Nanku ongakwenza ekhaya ukuze usekele ukuphulukiswa kwakho:

• Faka iqhwa isikhathi esingu-15-20 imizuzu njalo ngemva kwamahora ambalwa phakathi kwamahora angu-48 okuqala
• Sebenzisa ibhande lesandla noma i-splint, ikakhulukazi ngesikhathi semisebenzi noma ubuthongo
• Thatha imithi yokunciphisa ubuhlungu otholwa ezitolo ngaphandle kwelayisensi njengoba kuqondiswe ephaketheni
• Yenza ukuzivocavoca okuthambile kokwelula uma ubuhlungu obukhulu buyehla
• Shintsha imisebenzi eyenza ubuhlungu bakho bube bukhulu
• Gcina isandla sakho siphakamile uma kungenzeka ukuze unciphise ukukhuluphala
• Faka ubushushu ngemuva kokuba ukuvuvukala okuqala kunciphile

Khumbula ukuthi ukwelashwa ekhaya kufanele kuhambisane, kungabi yisikhundla sokukhathalela kwezokwelapha kwabachwepheshe. Uma izimpawu zakho zingathuthuki ezinsukwini ezimbalwa noma zibe zimbi nakakhulu naphezu kokwelashwa ekhaya, sekufanele uxhumane nodokotela wakho.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ukulungiselela i-aphoyintimenti yakho kungakusiza ukuba uthole okuningi ngesikhathi sakho nodokotela wakho futhi kuqinisekise ukuthi uthola ulwazi oludingayo. Ukuthatha imizuzu embalwa ukuhlela imicabango yakho ngaphambi kwesikhathi kungadala ukunakekelwa okuhle.

Ngaphambi kwendwendwelo yakho, buza lolu lwazi oluwusizo:

• Bhala phansi ukuthi izimpawu zakho zaqala nini nokuthi zishintshe kanjani
• Bala imisebenzi noma ukuhamba okwenza ubuhlungu bube ngcono noma bube bubi
• Qaphela noma yikuphi ukwelashwa osele uzama kanye nokuphumelela kwalo
• Letha uhlu lwemithi yonke kanye nezinye izinto ozithathayo
• Lungiselela imibuzo mayelana nesimo sakho kanye nezinketho zokwelashwa
• Cabanga ukuthi ulethe ilungu lomndeni noma umngani ukuze akusekele

Ungangabazi ukubuza imibuzo ngesikhathi se-aphoyintimenti yakho. Udokotela wakho ufuna ukukusiza ukuthi uqonde isimo sakho futhi uzizwe ukhululekile ngohlelo lwakho lokwelashwa. Ukuthatha amanothi noma ukuba nomuntu onaye kungakusiza ukuba ukhumbule ulwazi olubalulekile oluxoxwe ngesikhathi sendwendwelo.

Iyini into ebalulekile mayelana nobuhlungu besandla se-ulnar?

Ubuhlungu ehlombe lwase-ulnar luyisimo esivamile esivame ukuphendula kahle ekwelapheni nasekunakekelweni okufanele. Nakuba kungabi nakuthula futhi kunciphisa imisebenzi yakho yansuku zonke, abantu abaningi bayaphila ngokuphelele ngendlela efanele nokubekezela.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukwelashwa kwasekuqaleni kuvame ukuletha imiphumela emihle. Ungawunaki ubuhlungu obungapheli ehlombe noma ucabange ukuthi luzonyamalala ngokwalo, ikakhulukazi uma luthinta ikhono lakho lokusebenza noma ukujabulela imisebenzi oyithandayo.

Ngokunakekelwa okufanele, abantu abaningi abanebuhlungu ehlombe lwase-ulnar bangabuyela emisebenzini yabo evamile futhi bagweme izinkinga zesikhathi esizayo. Umhlinzeki wakho wezinsizakalo zezempilo ungumthombo wakho omuhle kakhulu wokwakha uhlelo lokwelapha olusebenza esimweni sakho esithile nendlela yakho yokuphila.

Imibuzo evamile ebuzwa ngebuhlungu ehlombe lwase-ulnar

Q1: Ingabe ubuhlungu ehlombe lwase-ulnar bunganyamalala ngokwalo?

Ubuhlungu obuncane ehlombe lwase-ulnar obuvela ekusetshenzisweni okuncane noma ukucindezela kungathuthuka ngokuphumula nokunakekelwa okuyisisekelo ekhaya phakathi nezinsuku ezimbalwa kuya kwesonto. Noma kunjalo, ubuhlungu obuqhubeka ngaphezu kwezinsuku ezimbalwa noma obuphazamisa imisebenzi yansuku zonke kuvame ukudinga ukuhlolwa nokwelashwa kwabasebenzi bezempilo ukuvimbela ukuba lube yisikhathi eside.

Q2: Kuphephile yini ukuzivocavoca ngebuhlungu ehlombe lwase-ulnar?

Imisebenzi elula engalwenzi ubuhlungu bakho bube sibi ngokuvamile iphephile, kodwa kufanele ugweme ukuzivocavoca okubekela ingcindezi ehlombe lakho kuze kube yilapho ubuhlungu buthuthuka. Ukubhukuda, ukuhamba, nokuzolula okuthambile ngokuvamile kulungile, kuyilapho imisebenzi efana nokuqeqesha isisindo noma imidlalo ye-racquet kufanele igwenywe kuze kube yilapho umhlinzeki wakho wezinsizakalo zezempilo ekukhulula ukuba ubuyele kuyo.

Q3: Ubuhlungu ehlombe lwase-ulnar buhlala isikhathi esingakanani?

Isikhathi sokuphulukisa sihluka kuye ngesizathu esiyimbangela nobunzima besimo sakho. Ukuqina okuncane kungase kuphele ezinsukwini ezingu-1-2 ngokunakekelwa okufanele, kuyilapho izimo ezinzima kakhulu njengotendinitis noma ukucindezelwa kwezinzwa kungathatha amasonto amaningana kuya ezinyangeni ukuze ziphile ngokuphelele ngokwelashwa okufanele.

Q4: Ingabe ukubhala noma umsebenzi wekhompyutha kungabangela ubuhlungu ehlombe lwase-ulnar?

Yebo, ukubhala okwesabekayo noma ukusebenza kwikhompyutha ngesimo esibi se-wrist kungase kube nomthelela ebuhlungwini be-ulnar wrist ngokuhamba kwesikhathi. Ukusebenzisa i-ergonomics efanele, ukuthatha ama-break njalo, nokugcina isimo se-wrist esiqondile ngenkathi ubhalela kungasiza ekunqobeni lo mkhuba wokulimaza okuphindaphindwayo.

U-Q5: Ubuhlungu be-ulnar wrist bufuna nini ukuhlinzwa?

Ukuhlinzwa kuvame ukucatshangelwa kuphela uma ukwelashwa okuqondile sekuhlulekile ngemuva kwezinyanga ezimbalwa, noma uma kukhona ukucindezelwa okukhulu kwezinzwa, ukonakala okukhulu komzimba, noma ukuqhekeka okuphelele kwe-tendon. Iningi lamacala obuhlungu be-ulnar wrist lingaphathwa ngempumelelo ngaphandle kokuhlinzwa ngokwelashwa okuqondile okuqondile nokuguqulwa kwendlela yokuphila.