Kutsekemera kwa dzanja - chisamaliro chotsatira

Kuthyoka ndimavulala amitsempha yolumikizana. Magalasi ndi ulusi wolimba, wosasunthika womwe umagwira mafupa pamodzi.

Mukapukuta dzanja lanu, mudakoka kapena kung'ambika imodzi kapena zingapo mwamphamvu mu cholumikizira chanu. Izi zitha kuchitika ikatera padzanja lanu molakwika mukagwa.

Onani wothandizira zaumoyo mwamsanga mutatha kuvulala.

Kupindika kwa dzanja kumatha kukhala kofewa mpaka kovuta. Iwo amadziwika kuti ali ndi minyewa yambiri yotani kapena yang'ambika kuchokera kufupa.

• Kalasi 1 - Magalamenti amatambasulidwa kwambiri, koma osang'ambika. Uku ndikuvulala pang'ono.
• Kalasi 2 - Magalamenti amang'ambika pang'ono. Uku ndikumavulaza pang'ono ndipo kungafune kupukutidwa kapena kuponyedwa kuti kukhazikika kolumikizana.
• Kalasi 3 - Magalamenti adang'ambika kwathunthu. Uku ndiko kuvulala kwakukulu ndipo nthawi zambiri kumafunikira chithandizo chamankhwala kapena opaleshoni.

Kupindika kwa dzanja kwanthawi yayitali kuchokera kuvulala kosavomerezeka kwa m'mbuyomu kumatha kubweretsa kufooka kwa mafupa ndi mitsempha m'manja. Ngati sanalandire chithandizo, izi zimatha kuyambitsa nyamakazi.

Zizindikiro monga kupweteka, kutupa, mabala ndi kufooka kwa mphamvu kapena kukhazikika ndizofala ndikuchepera (grade 1) to average (grade 2) sprains.

Ndi kuvulala pang'ono, kuuma kumakhala kwachilendo kamodzi kokha ligament ikayamba kuchira. Izi zitha kusintha ndikutambasula kuwala.

Mikwingwirima yolimba (grade 3) ya dzanja ingafune kuyang'aniridwa ndi dotolo wamanja. X-ray kapena MRI ya dzanja ingafunike kuchitidwa. Kuvulala koopsa kungafune kuchitidwa opaleshoni.

Matenda opatsirana ayenera kuthandizidwa ndi kupopera, mankhwala opweteka, ndi mankhwala oletsa kutupa. Kupunduka kosatha kungafune jakisoni wa steroid ndipo mwina kuchitidwa opaleshoni.

Tsatirani malangizo aliwonse othandizira kupumula. Mutha kulangizidwa kuti m'masiku kapena milungu yoyamba mutavulala:

• Pumulani. Siyani ntchito iliyonse yomwe imapweteka. Mungafunike splint. Mutha kupeza zidutswa za dzanja lanu kumalo ogulitsa mankhwala kwanuko.
• Ikani dzanja lanu mphindi 20, 2 kapena 3 patsiku. Pofuna kupewa kuvulala pakhungu, kukulunga phukusi la ayisi mu nsalu yoyera musanalembe.

Onetsetsani kuti mupumitse dzanja lanu momwe mungathere. Gwiritsani ntchito kukulunga kapena kupindika kuti dzanja lisasunthike komanso kuti pakhale kutupa.

Pogwiritsa ntchito ululu, mungagwiritse ntchito ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), kapena acetaminophen (Tylenol). Mutha kugula mankhwala amtunduwu kusitolo.

• Lankhulani ndi omwe amakupatsani mankhwala musanagwiritse ntchito mankhwalawa ngati muli ndi matenda a mtima, kuthamanga kwa magazi, matenda a impso, kapena mudakhala ndi zilonda zam'mimba kapena kutuluka magazi m'mbuyomu.
• Musatenge zochuluka kuposa zomwe zakulimbikitsidwa mu botolo kapena ndi omwe amakupatsirani.
• Osapatsa ana aspirin.

Kuti mukhale wolimba dzanja lanu likayamba kumva bwino, yesani kubowola mpira.

• Mutakweza dzanja lanu, ikani mpira pamiyendo yanu ndikuigwira ndi zala zanu.
• Sungani dzanja lanu ndi dzanja lanu kwinaku mukufinya mpira modekha.
• Finyani pafupifupi masekondi 30, kenako mutulutse.
• Bwerezani izi kawiri, kawiri patsiku.

Kuchulukitsa kusinthasintha ndi mayendedwe:

• Limbikitsani dzanja lanu pogwiritsa ntchito pedi yotentha kapena nsalu yofunda kwa mphindi 10.
• Dzanja lanu likakhala lotentha, gwirani dzanja lanu mosanja ndikugwira zala zanu ndi dzanja losavulala. Pewani zala zanu modekha kuti mugwetse dzanja. Imani itangoyamba kumene kuti musamve bwino. Gwirani masekondi 30.
• Tengani miniti kuti dzanja lanu lipumule. Bwerezani kutambasula kasanu.
• Pindani dzanja lanu mbali inayo, kutambasula pansi ndikugwira masekondi 30. Pumulani dzanja lanu kwa mphindi, ndikubwereza kutambasula kasanu.

Ngati mukumva kusapeza bwino m'manja mwanu mutatha kuchita masewera olimbitsa thupiwa, yambani dzanja lanu kwa mphindi 20.

Chitani zolimbitsa thupi kawiri patsiku.

Tsatirani omwe akukuthandizani 1 mpaka 2 masabata mutavulala.Kutengera kukula kwa kuvulala kwanu, omwe akukuthandizani angafune kukuwonani kangapo.

Kuti mukhale ndi zikwapu zamanja nthawi yayitali, lankhulani ndi omwe amakuthandizani pazinthu zomwe zingakupangitseni kuvulaza dzanja lanu ndi zomwe mungachite kuti musavulaze kwambiri.

Imbani wothandizira ngati muli ndi:

• Kufooka mwadzidzidzi kapena kumva kulira
• Kukula kwadzidzidzi kupweteka kapena kutupa
• Kudziphwanya mwadzidzidzi kapena kutseka m'manja
• Kuvulala komwe sikuwoneka ngati kukuchiritsa monga zikuyembekezeredwa

Scapholunate ligament sprain - aftercare

Marinello PG, Gaston RG, Robinson EP, Lourie GM. Kuzindikira dzanja ndi dzanja ndikupanga zisankho. Mu: Miller MD, Thompson SR. okonza. DeLee, Drez, & Miller's Orthopedic Sports Medicine. 5th ed. Philadelphia, PA: Elsevier; 2020: chap 67.

Williams DT, Kim HT. Dzanja ndi mkono wakutsogolo. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 44.

• Kupopera ndi Mavuto
• Kuvulala Kwamavuto Ndi Kusokonezeka