Ukuvinjelwa Kwezinzwa Zase-Ulnar

-Delile

• Kuyini ukubanjwa kwezinzwa ze-ulnar?
• Ziyini izimpawu zokufakwa kwe-ulnar nerve?
• Izimpawu zokubambeka endololwaneni
• Izimpawu zokubanjwa esihlakaleni
• Yini ebangela ukubanjwa kwezinzwa ze-ulnar?
• Izimbangela zokubanjwa endololwaneni
• Izimbangela zokubanjwa esihlakaleni
• Ubani osengozini yokuthola ukubanjwa kwezinzwa ze-ulnar?
• Ingabe kukhona ukuzivocavoca okungasiza?
• Ukuzivocavoca kwe-ulnar nerve entrapment endololwaneni
• Ukuzivocavoca kwe-ulnar nerve entrapment esihlakaleni
• Ingabe zikhona ezinye izindlela zokwelapha?
• Kuthiwani ngokuhlinzwa komgogodla we-ulnar?
• Ukuhlinzwa kokuvalelwa endololwaneni
• Ukuhlinzwa kokufakwa esihlakaleni
• Uyini umbono?

Kuyini ukubanjwa kwezinzwa ze-ulnar?

Ukubanjwa kwezinzwa ze-Ulnar kwenzeka lapho kufakwa ingcindezi eyengeziwe kwi-ulnar nerve yakho. Inzwa ye-ulnar isuka ehlombe lakho iye kumunwe wakho obomvana. Itholakala eduze kwesikhumba sakho, ngakho-ke ayivikelwe kahle yimisipha namathambo. Lokhu kwenza kube sengozini enkulu ekucindezelweni.

Isimo kwesinye isikhathi sihamba ngamanye amagama, kuya ngokuthi ukubanjwa kwenzeka kuphi:

• I-cubital tunnel syndrome isho ukubambeka endololwaneni yakho
• I-ulnar tunnel syndrome isho ukubanjwa esihlakaleni sakho

I-Cubital tunnel syndrome ingenye yezinhlobo ezivame kakhulu zokubanjwa kwezinzwa ze-ulnar. I-Ulnar tunnel syndrome ayijwayelekile kakhulu.

Indawo ejwayelekile kakhulu yokubanjwa kwe-ulnar nerve ingaphakathi lendololwane yakho, ngaphansi kwesigaxa sethambo esaziwa njenge-medic epicondyle. Kuyaziwa nangokuthi ithambo lakho elihlekisayo. I-Ulnar tunnel syndrome, ngakolunye uhlangothi, ayijwayelekile.

Ziyini izimpawu zokufakwa kwe-ulnar nerve?

I-ulnar nerve ithwala ukuzwa kwindandatho yakho nomunwe opinki, ngakho-ke izimpawu zivame ukuzwakala ezandleni zakho. Bangase bafike bahambe usuku lonke noma babe babi kakhulu ebusuku. Izimpawu zakho zangempela zizoya ngendawo yokubanjwa.

Izimpawu zokubambeka endololwaneni

Ukufakwa kwe-ulnar nerve endololwaneni kwesinye isikhathi kubangela ubuhlungu obubuhlungu ngaphakathi kwendololwane yakho.

Izimpawu esandleni zifaka:

• ukulahlekelwa umuzwa endandeni yakho naseminwe ebomvana
• ukubamba okubuthakathaka
• izikhonkwane nezinaliti ukuzwa
• inkathazo yokuhambisa iminwe

Ezimweni ezisezingeni eliphakeme, kungadala futhi:

• ukumosha imisipha esandleni sakho noma ingalo yakho
• ukukhubazeka okufana nokuzipho komunwe wendandatho nophinki

Izimpawu zokubanjwa esihlakaleni

Ukufakwa esihlakaleni kuvame ukudala izimpawu ezandleni zakho, kufaka phakathi:

• ubuhlungu
• ubuthakathaka
• ukuba ndikindiki
• ukudonsa umunwe wakho wendandatho ne-pinkie
• ukubamba okubuthakathaka
• Inkinga yokuhambisa iminwe yakho

Kungadala nobuthakathaka bemisipha noma ukuchitha ezimweni eziphambili.

Yini ebangela ukubanjwa kwezinzwa ze-ulnar?

Izinto eziningana zingabeka ingcindezi kwi-ulnar nerve yakho. Kwezinye izimo, asikho isizathu esicacile.

Amacala amaningi abangelwa ukwenza ukunyakaza okuphindaphindekayo ngengalo noma ngesandla sakho. Kepha ezinye izinto nazo zingakubangela. Lokhu ngokuvamile kuncike endaweni yokubanjwa.

Izimbangela zokubanjwa endololwaneni

Ukugoba indololwane yakho kunweba izinzwa zakho ze-ulnar. Lokhu kungadala ukucasuka njengoba inzwa yelula futhi islayida iye emuva naphambili ngemuva kwesigaxa sethambo lakho elihlekisayo. Uma ugcina indololwane yakho igobile isikhathi eside noma ulale ngendololwane yakho igobile, ukucasuka kungaba buhlungu.

Ngombono othile, ukugoba indololwane yakho kufaka ingcindezi ephindwe izikhathi ezingama-20 endaweni kunokuyigcina iphumule.

Ukunyakaza okufaka isandla ekubanjweni kwezinzwa ze-ulnar endololweni kufaka:

• ukushayela ngendololwane egobile kuphumula efasiteleni
• ukubamba ifoni uyibeke endlebeni isikhathi eside
• uncike endololwaneni yakho etafuleni lakho isikhathi eside
• ukubamba ithuluzi endaweni engaguquguquki

Ezinye izimbangela ezingaba khona zifaka:

• umqubuko endololwaneni yakho
• ukulimala kwangaphambili endololwaneni yakho
• ukwanda koketshezi nokuvuvukala ngemuva kokulimala
• isifo samathambo endololwaneni

Izimbangela zokubanjwa esihlakaleni

Isizathu esivame kakhulu sokubanjwa esihlakaleni yi-cyst enobungozi kuhlangothini lwakho lwesihlakala. Njengoba i-cyst ikhula, ingabeka ingcindezi eyandayo emsipheni.

Ezinye izimbangela kungenzeka zifaka:

• umsebenzi ophindayo emsebenzini, njengokusebenzisa i-jackhammer noma isando
• umsebenzi ophindaphindayo kwezemidlalo, njengokucindezela isandla sakho kuma-handlebars amabhayisikili noma ukujija iklabhu yegalufu

Ubani osengozini yokuthola ukubanjwa kwezinzwa ze-ulnar?

Izinto eziningana zingakhuphula ubungozi bakho bokubanjwa kwe-ulnar nerve endololwaneni yakho noma esihlakaleni. Lokhu kufaka phakathi:

• isifo sikashukela
• izimo ezizimele
• izimo ze-thyroid
• umfutho wegazi ophakeme
• ukukhulelwa

Ingabe kukhona ukuzivocavoca okungasiza?

Uma unezimpawu zokuvaleka kwe-ulnar nerve, ezinye izivivinyo ezilula ze-nerve gliding zinganikeza ukukhululeka. Lokhu kusebenza ukusiza ukwelula imizwa ye-ulnar. Vele uqiniseke ukuthi ungena nodokotela wakho kuqala. Bangase bakudlulisele kuchwepheshe wezemvelo ukuze athuthukise ukuzivocavoca nokwelula inqubo elungele wena.

Uma unezinhlungu lapho wenza lezi zivivinyo, khuluma nodokotela wakho noma umelaphi. Ukusebenzisa iqhwa endaweni ethintekile ngaphambi kokuzivocavoca kungasiza.

Ukuzivocavoca kwe-ulnar nerve entrapment endololwaneni

Ukuzivocavoca 1

1. Qala ngengalo yakho yelulwe iqonde bese uphakamisa intende yesandla sakho.
2. Gobisa iminwe yakho ngaphakathi.
3. Gobisa indololwane yakho, ulethe isibhakela sakho esigobekile siye ehlombe lakho.
4. Buyela endaweni yakho yokuqala.
5. Phinda ukuvivinya izikhathi ezi-3 kuye kwezi-5, izikhathi ezi-2 ukuya kwezi-3 ngosuku.

Ukuzivocavoca 2

1. Yelula ingalo yakho ohlangothini olusezingeni lehlombe, nentende yesandla sakho ibheke phansi.
2. Flex isandla sakho phezulu, udonse iminwe yakho ophahleni
3. Goba indololwane yakho, ulethe isandla sakho emahlombe akho.
4. Phinda isivivinyo kancane izikhathi ezi-5.

Ukuzivocavoca kwe-ulnar nerve entrapment esihlakaleni

Ukuzivocavoca 1

1. Yima uqonde izingalo zakho eceleni kwakho.
2. Phakamisa ingalo ethintekile bese uphumuza intende yakho ebunzini lakho.
3. Bamba isandla sakho lapho imizuzwana embalwa bese uletha isandla sakho phansi kancane.
4. Phinda ukuvivinya umzimba izikhathi ezimbalwa ngosuku, ukhuphule kancane inani lokuphindaphinda okwenzayo esimisweni ngasinye.

Ukuzivocavoca 2

1. Yima noma uhlale mude ingalo yakho ibhekiswe ngqo phambi kwakho nesandla sakho sibheke phezulu.
2. Gobisa isihlakala sakho neminwe emzimbeni wakho.
3. Gobisa isandla sakho emzimbeni ukuze welule isihlakala sakho ngobumnene.
4. Goba indololwane yakho bese uphakamisela isandla sakho phezulu.
5. Phinda ukuvivinya umzimba izikhathi ezimbalwa ngosuku, ukhuphule kancane inani lokuphindaphinda okwenzayo esimisweni ngasinye.

Ingabe zikhona ezinye izindlela zokwelapha?

Ukuzivocavoca kwemizwa kunganikeza ukukhululeka okuthile, kepha kunezindlela zokwelapha ezingezona ezokwelapha ezinganciphisa izinhlungu ngokunciphisa ukuvuvukala nengcindezi emthanjeni.

Uma unezimpawu eziphakathi nendawo kuya kokulingene, ukwelashwa okungahlinziwe kungenzeka kwanele. Kepha uma unezimpawu ezinzima kakhulu, ungadinga ekugcineni ukuhlinzwa uma ezinye izindlela zokwelapha zingasebenzi.

Ukwelashwa okunconywe udokotela wakho kuzoya ngezimpawu zakho kanye nembangela eyimbangela. Kepha kungenzeka baqale ngokuthola izindlela ongalungisa ukuma kwakho lapho usebenzisa ingalo yakho ethintekile.

Lokhu kufaka phakathi:

• ukungabeki izindololwane zakho ezindaweni eziqinile
• usebenzisa ifoni yakho nge-speakerphone noma ngamahedfoni
• ukugwema ukuphumuza indololwane yakho emnyango ngenkathi ushayela noma ugibela emotweni

Izidakamizwa ezingezona ukuvuvukala zingaphinde zinikeze ukukhululeka kobuhlungu besikhashana.

Uma ubambeke endololwaneni yakho, ungazama nokusonga ithawula engalweni yakho enwetshiwe ebusuku. Lokhu kufanele kukuvimbe ekulaleni ukhothame ngendololwane ngaphezu kwama-degree angama-45. Yenza lokhu izinyanga ezintathu kuya kweziyisithupha.

Ngokubanjwa esihlakaleni, zama ukusebenzisa isihlakala sesandla ukuze ugcine isihlakala sakho singathathi hlangothi ngenkathi uvumela ukusetshenziswa kweminwe yakho. Zama ukuyigqoka ebusuku amasonto ayi-1 kuye kwayi-12.

Kuthiwani ngokuhlinzwa komgogodla we-ulnar?

Uma ukuzivocavoca ngomusa nokwelashwa okungasetshenziswanga kungasizi, udokotela wakho angancoma ukuthi ucabangele ukuhlinzwa.

Lapho bencoma indlela yokuhlinza, bazocabangela:

• unesikhathi esingakanani unezimpawu
• ubunzima bezimpawu zakho
• yini ebangela izimpawu zakho

Ukuhlinzwa kokuvalelwa endololwaneni

Izinqubo eziningana zingasiza ngokufakwa kwe-ulnar nerve endololwaneni.

Okubili kokusemqoka kufaka:

• Ukucindezela. Le nqubo ihilela ukwandisa indawo lapho le nzwa idlula khona.
• Ukuguqulwa kwangaphambili. Kule nqubo, udokotela wakho ohlinzayo uzothutha imizwa yakho yezilonda, kungaba ngokususa ithambo lakho elihlekisayo noma alibeke kabusha ukuze lisondele esikhunjeni sakho.

Zombili izinqubo zivame ukwenziwa esimweni sokugula ngaphansi kwe-anesthesia ejwayelekile. Kungenzeka ube ne-splint yokuvimbela ingalo ezinsukwini ezimbalwa zokuqala. Ngemuva kwalokho, uzoqala izivivinyo zokwelashwa ngokomzimba ukubuyisa ibanga lakho lokunyakaza.

Kufanele uqale ukubona ukuthuthuka okuthile kungakapheli amasonto ayisithupha, noma kungathatha cishe unyaka ukuqaphela imiphumela ephelele.

Ukuhlinzwa kokufakwa esihlakaleni

Ukucindezelwa okukhulu kwezinzwa ze-ulnar esihlakaleni kuvame ukubangelwa ukukhula esihlakaleni okufanele kususwe. Lokhu kuvame ukwenziwa ngudokotela ohlinzayo wezandla esimweni sokugula.

Lapho ukukhula sekuhambile, kufanele uqaphele ukuthuthuka kwezimpawu zakho. Kepha inqubo yokuphulukisa ingathatha izinyanga ezimbalwa. Ungadinga futhi ukwelashwa ngokomzimba ukukusiza ukuthi uphinde usebenzise ngokugcwele isihlanganisi sesandla sakho nesandla sakho.

Ukufakwa kwe-Ulnar nerve esihlakaleni akuvamile, ngakho-ke ayikho imininingwane eminingi ngamazinga empumelelo nezikhathi zokululama. Wena dokotela ungakunika umbono ongcono wokuthi ungalindelani kule nqubo.

Uyini umbono?

Ukubanjwa kwezinzwa ze-Ulnar kungaba buhlungu futhi kungene endleleni yemisebenzi yansuku zonke. Kepha abantu abaningi bathola ukukhululeka okungenani ngokuphumula ingalo ethintekile nokwenza izivivinyo ezimnene.

Uma ukuzivocavoca kungasebenzi, ukuhlinza kungasiza. Sebenza nodokotela wakho ukuthola uhlelo lokwelashwa olusebenza kahle kakhulu kuwe.