Kuyini nokuthi ungaselapha kanjani iSifo se-Kienbock

-Delile

• Ungazikhulula kanjani izimpawu
• 1. Ukungasebenzi komzimba kwesihlakala
• 2. Amakhambi alwa nokuvuvukala
• 3. I-Physiotherapy nokuzivocavoca umzimba
• 4. Ukuhlinzwa
• Ungakuqinisekisa kanjani ukuxilongwa

Isifo sikaKienbock yisimo lapho elinye lamathambo amancane akha isihlakala, elaziwa njengethambo le-semilunar, engatholi inani elidingekayo legazi ngakho-ke aqala ukonakala, abangele ubuhlungu obungapheli esihlakaleni nobunzima bokuhambisa noma ukuvala isandla , Ngokwesibonelo.

Lokhu kuguqulwa kungavela kunoma yisiphi isikhathi, noma kunjalo, kuvame kakhulu phakathi kweminyaka engama-20 nengama-40 futhi akuvamile ukuthi kuthinte zombili izibhakela ngasikhathi sinye.

Yize lungekho ikhambi eliqondile lesifo sikaKienbock, ezinye izindlela zokwelashwa njengokuhlinzwa noma ukusetshenziswa kwezidakamizwa zingasetshenziswa ukudambisa ingcindezi ethanjeni nokuqeda izimpawu.

Ungazikhulula kanjani izimpawu

Ukwelashwa kwesifo sikaKienbock kwenziwa kuphela ukudambisa izinhlungu nobunzima ngokunyakaza kwesihlakala, ngoba ukwanda kokujikeleza kwegazi kuya ethanjeni kunzima kakhulu ukukufeza. Ngalokhu, kunezinhlobo eziningi zokwelashwa okufanele zihlolwe ngudokotela wamathambo ngokwezinga lesifo kanye nobukhulu bezimpawu.

Ezinye zezindlela zokwelashwa ezisetshenziswa kakhulu zifaka:

1. Ukungasebenzi komzimba kwesihlakala

Izimo eziningi zesifo sikaKienbock zingathuthuka kuphela ngokuncishiswa kwesihlakala, ngoba ngaleyo ndlela ithambo aligcwali ngokweqile, livumela ukuvuvukala nengcindezi esizeni ukwehla.

Ukwehlisa isihlakala, udokotela uvame ukufaka ukhonkolo esandleni, okufanele ugcinwe okungenani amasonto ama-2 noma ama-3.

2. Amakhambi alwa nokuvuvukala

Ukusetshenziswa kwezidakamizwa ezilwa nokuvuvukala, njenge-Aspirin noma i-Ibuprofen, kungenye yezindlela zokuqala zokwelapha le nkinga futhi kuvame ukusebenza ngokuqeda ukuvuvukala kwezicubu ezizungeze ithambo le-semilunar, ukunciphisa ingcindezi nokuqeda izinhlungu.

3. I-Physiotherapy nokuzivocavoca umzimba

Ukwenza izivivinyo zokwelula isihlakala kungasiza ekunciphiseni ukucindezela kwemisipha emathanjeni, kudambise ubuhlungu futhi kuvumele inkululeko enkulu yokuhamba.

Ngokuvamile, lokhu kuvivinya umzimba kungenziwa ngezikhathi ze-physiotherapy, kepha futhi kungaqeqeshwa ekhaya ngemuva kokuholwa yi-physiotherapist. Nakhu ukwelulwa kwesihlakala okungasiza ekunciphiseni ubuhlungu.

4. Ukuhlinzwa

Ukwelashwa ngokuhlinzwa kuvame ukubekelwa amacala athuthukile esifo sika-Kienbock, lapho izimpawu zingathuthuki ngezinhlobo zokwelashwa eziboniswe ngenhla.

Uhlobo lokuhlinzwa luyehluka kuye ngomuntu nenkinga ethile, kufaka phakathi:

• Ukubekwa kabusha kwamathambo ahlangene esihlakaleni: lapho elinye lamathambo engalweni lifushane kancane, udokotela angafaka okuhlanganisiwe kwamathambo amancane noma asuse ucezu lwethambo elide, ukuze alinganise ukuhlangana futhi anciphise ukucindezela kwethambo le-semilunar, aqede izimpawu;
• Ukususwa kwethambo le-semilunar: lapho ithambo le-semilunar lonakele kakhulu, udokotela wamathambo angakhetha ukukhipha ngokuphelele ithambo. Kodwa-ke, kulezi zimo kuyadingeka futhi ukukhipha amathambo amabili asohlangothini, aqeda ubuhlungu, kepha anganciphisa uhla lokunyakaza kwesihlakala;
• Ukuhlanganiswa kwamathambo esihlakaleni: kwezinye izimo, inketho yokwelashwa iqukethe ukunamathisela amathambo esihlakaleni, ukuze wakhe ithambo elilodwa elithola ukujikeleza kwegazi kwamanye amathambo ahlukanisiwe, kuqeda zonke izimpawu.

Ngaphezu kwalokho, ukuhlinzwa kungasetshenziswa futhi ekuqaleni kwesifo ukuzama ukuqondisa ukujikeleza kwegazi ethanjeni lonyaka. Ngale ndlela, udokotela ususa ucezu lwelinye ithambo elithola igazi alinamathisele ethanjeni lonyaka, alivumele nokuthi liniselwe ngegazi. Kodwa-ke, le ndlela ayinakwenzeka kuzo zonke izimo futhi kungenzeka ingakhombisi imiphumela egculisayo esikhathini sangemva kokuhlinzwa.

Ungakuqinisekisa kanjani ukuxilongwa

Ubuhlungu obubangelwa yisifo sikaKienbock buvame ukudideka ne-carpal tunnel syndrome, ngakho-ke, kuyalulekwa ukuxhumana nodokotela wamathambo ukuze aqinisekise ukutholakala kwesifo bese eqala ukwelashwa okufanele.

Ukwenza ukuxilongwa, udokotela anga-oda ezinye izivivinyo zokuxilonga njenge-X-ray yesihlakala ne-MRI. Lezi zivivinyo futhi zenza lula ukuhlolwa kwezinga lokuvela kwenkinga:

• Isigaba 1: kulesi sigaba i-X-ray ivame ukuba yinto ejwayelekile, kepha i-MRI ikhombisa ukungahambi kwegazi ethanjeni;
• Isigaba 2: ithambo lesemilunar liqala ukuba nzima ngenxa yokushoda kwegazi futhi, ngakho-ke, libonakala limhlophe ngombala kunamanye amathambo esihlakaleni, ku-X-ray;
• Isigaba 3: kulesi sigaba, ithambo liqala ukwephuka futhi, ngakho-ke, izivivinyo zingabonisa izingcezu ezahlukahlukene esizeni samathambo futhi zishintshe ukuma kwamathambo azungezile;
• Isigaba 4: yisigaba esithuthuke kakhulu lapho izingcezu zamathambo angangenyanga zibanga ukuwohloka kwamathambo azungezile, okudala isifo samathambo esihlakaleni.

Njengoba lesi sifo siqhubeka, ubuhlungu esihlakaleni buba bukhulu kakhulu, nokunyakaza kube nzima kakhulu. Ngakho-ke, ukwazi ukuthi yisiphi isigaba esivumela udokotela ukuthi akhethe indlela yokwelashwa efanelekile kunazo zonke.