Gamekeeper's kana Skier's Thumb
Chigunwe chemuti wemuvhidzi, chinonziwo skier's thumb, ndiko kukuvara kune chimwe chezvinhu zvakakosha pamusana wechigunwe chechigunwe. Ikukuvara kunosanganisira ulnar collateral ligament (UCL), boka rehondo, rakaoma, rinogunzva mapfupa ari pasi pechigunwe. Izvi zvinotadzisa chigunwe kubva kureva kure kure nechokuita.
Chikuvadza kune chirwere chinotarisa chinoitika apo sarudzo iyi yakatambanudzwa zvikuru.
Mashoko maviri aya anonyatsorondedzerwa ekukuvadzwa kwechirwere chechirwere ndeye:
- Skier's thumb and
- Mutambo weGemaker
Aya mazita anowanzoshandiswa zvakasiyana-siyana, kunyange zvazvo achitsanangura nzira dzakasiyana siyana dzekukuvara.
Chikwata cheChechi: Chikuvadza Kwazvo kuUCL
Kuvhuvhuta kwechigunwe chechikwata chakatsanangurwa sekukuvadza kwakanyanya ku-ulnar collateral ligament. Apo gore rinopera neruoko rwake rwakabatwa mumapuranga eguru, chigunwe chinogona kubviswa kubva paruoko. Nemhaka yehupenyu hwechikepe chepakati, chigunwe chechigunwe chinotanga kubatwa uye kunyanya kunetseka kunowanikwa pamusana wezvigaro. Kana iyo yakagadzikana inogadziriswa inotorwa zvakakwana, ichaputsa. Nepo kune nzira dzakawanda dzekukuvadza hutnar collateral ligament, chikwata chechikwata ndiro zita rakakodzera rekukuvadza kwakanyanya kune ligament.
Chikwata cheMutambo weGemaker: Chiitiko Chisingagumi kuUCL
Chimwe chikuvadzwa chinonzi chigunwe chemuti wezvokudya; izvi zvinoreva chimiro chisingaperi chekukuvadza kunotungamirira kusunungura kwekurnar ligament munguva.
Zita racho rinobva kuvaridzi vemidziyo yekuEurope avo vaizouraya mutsara wavo nekubata musoro wemhuka pakati pechigunwe uye muromo wechinyorwa kuti usiye mutsipa. Nokufamba kwemazuva, chironda chinosungirirwa chinogadziriswa chakatambanudzwa uye pakupedzisira chinokonzera matambudziko. Zvakare, chigunwe chemusikana ndiyo nzira yakakodzera yokurondedzera kukuvadza kusingaperi kumusana wezvigaro.
Zviratidzo
An ulnar collateral ligament kuurayiwa kazhinji inowanzoitika semagumisiro emitambo. Vatambi vanove varikudenga uye vatambi vematambo vanowanzosimbisa kukuvara uku. An ulnar collateral ligament kuurayiwa kunogonawo kuitika semugumisiro wekuwa kana zvimwe zvinetso.
Varwere vanotsigira kusvimha kwakanyanya kwechirwere ichi chinowanzogunun'unira kurwadziwa uye kuzvirumbidza zvakananga pamusoro pechipfupa chakasakara pamucheto wechigunwe. Varwere vachawanzova nenguva yakaoma kubata zvinhu kana kuchengetedza zvinhu zvakasimba mubasa ravo. Nemhaka yekuti kukuvara uku kunowanzoonekwa nevatambi, vanowanzonyunyuta nezvekuoma kwekutamba tennis kana kukanda baseball. Varwere vanogonawo kunyunyuta nezvekusagadzikana kana kubata zvigunwe zvavo mumapato emabhurukwa avo.
Miedzo inoshandiswa kusimbisa kuongororwa ingasanganisira x-ray kana MRIs. X-rays inogona kubatsira sezvo inobvumira chiremba wako kuti asimbise hutano pamwe uye aone kana gorozi iri kuita basa rayo kana kana rakakonzera zvakanyanya kuti igadzikane pamwe chete. Mukuwedzera, dzimwe nguva x-rays inoratidza chiduku chiduku chefupa chakakanganiswa chechigunwe chemaketakari neUCL ligament. Iri pfupa, rinonzi Stener lesion, chiratidzo chokuti chirwere chinowanzodiwa sezvo pfupa rinodzivirira UCL kubva pakuporesa munzvimbo yakakodzera pasina kugadziriswa kwekugadzira.
Kurapa
Kurapa kunoenderana nezvimwe zvinhu, kusanganisira kuwanda kwekukuvadzwa, nguva yakareba sei kukuvara kwakaitika, nguva yemurwere, uye zvinodiwa zvemuviri zvevarwere. Kana kusvimha kwechinguva kwakasarura, uye chigunwe chacho hachina kusununguka, murwere anowanzoiswa muchikanda kana kuti shanduko yakagadziriswa (inonzi chimbwa spica) kwevhiki 4 kusvika ku6.
Kana kuchema kwapera kana kana murwere ane kusakosha kwakanyanya pamusana pekusvimha misodzi yerinar collateral ligament , ipapo chirwere chinogona kuonekwa. Kuvhiya kunowanzobudirira zvikuru kana kuchiitwa mukati memavhiki mashomanana okutanga mushure mokukuvara. Kana zvichikwanisika, chiremba anovhiya achagadzirisa migumo yakabvamburwa yerigament zvakare pamwe chete.
Kana iyo gorosi yakabvaruka kubva pfupa, ipapo mugumo wakabvongodzwa uchatemwa kusvika pfupa pachako.
Kana kukuvadzwa kwawunarar collateral ligament kune yakwegura, saka zvingangodaro kuti kugadzirisa zvakananga hakuzokwanisika. Muchiitiko ichi, kana imwe sarudzo ichashandiswa kuzogadzirisa dambudziko rekupedzisira kana imwe yemisungo iri pasi pechigunwe ichi ichasvika kuti inobhadhara iyo yakabvaruka.
Mushure mekuvhiyiwa, varwere vachaiswa mukanda kwemavhiki mana kusvika matanhatu kuti vadzivirire kugadzirwa kwakagadzirwa. Panguva iyoyo, kufamba kwakanyanyisa kwomunwe kunotanga. Vakawanda varwere vanogona kutamba mitambo 3 kusvika kumwedzi mina mushure mekuvhiyiwa.
Sources:
Tang P. "Kubatwa kwekugadzikana kwegumbo kwechigunwe chematacarpophalangeal joint J Am Acad Orthop Surg. 2011 May; 19 (5): 287-96.
Morgan WJ, Slowman LS. "Ruoko rwakakosha uye kukuvara kwemaoko kune vatambi: kuongorora uye kutungamira." J Am Acad Orthop Surg. 2001 Nov-Dec; 9 (6): 389-400.