Gamekeeper ko Skier Thumb
Babban yatsan mai wasa, wanda ake kira babban yatsa na skier, yana da rauni ga ɗaya daga cikin muhimman abubuwan haɗin gwiwa a gindin yatsun yatsa. Raunin ya ƙunshi ligament ƙaddarar ulnar (UCL), wani nau'i na tauri, nau'in fibrous wanda ya haɗu da kasusuwa a gindin yatsa. Wannan haɗin yana hana yatsan hannu daga nunawa nisa daga hannun.
Wani ciwo ga ligament na haɓaka na ulnar yana faruwa a yayin da aka tsara wannan tsari zuwa nesa.
Wadannan ka'idodi guda biyu na lalacewa don raunin da ya faru ga ligament na kullun na farko shine:
- Skier's yatsa kuma
- Gamekeeper babban yatsa
Ana amfani da wadannan sunaye ne sau ɗaya, duk da cewa suna nuna nau'i-nau'i daban-daban.
Matsalar Skier: Rauni mai zurfi ga UCL
An bayyana rauni a kan yatsa mai rauni a matsayin rauni mai tsanani a kan ligament ta haɓaka. Lokacin da sarkin ya fadi da hannunsa hannunsa a cikin ƙwanan ƙaya, za a iya cire yatsan hannu daga hannun. Saboda siffar ƙwanƙolin ƙuƙwalwa, yatsun yatsa na ɗaukar kamala da damuwa mai mahimmanci ana sanya su a kan ligament ta haɓaka. Idan haɗin linzarin ulnar ya kasance mai zurfi, zai tsaga. Duk da yake akwai hanyoyi da dama don cutar da ligament na ulnar, babban yatsa na skier shine sunan da ya dace don rauni mai tsanani ga ligament.
Gamekeeper's Thumb: Chronic Rauni ga UCL
Sauran rauni ana kiransa thumb; wannan yana nufin karin ciwo na yau da kullum da ke haifar da suturar haɓaka a cikin lokaci.
Sunan ya fito ne daga 'yan wasa na Turai waɗanda zasu kashe wasan su ta hanyar fahimtar shugaban dabba a tsakanin yatsunsu da yatsa don karya wuyansa. Yawan lokaci, haɗin linzamin na ulnar ya miƙa kuma zai haifar da matsaloli. Bugu da ƙari, babban yatsa na wasa shine hanyar da ta dace don bayyana raunin da ya faru ga ciwon haɗari.
Cutar cututtuka
Raunin ligament da ke ciwo na ulnar ulnar sau da yawa yana faruwa ne sakamakon sakamakon raunin raga. 'Yan wasan da suka kasance' yan wasa da 'yan wasan ƙwallon ƙafa sukan shawo kan wannan rauni. Raunin haɗari na ciwo na ulnar na ulnar zai iya faruwa a sakamakon ɓaɗuwa ko wata cuta.
Magunguna waɗanda ke riƙe da hawaye mai haɗari na ligament mai cin gashin kansa na ulnar sukan nuna damuwa da ciwo da kumburi kai tsaye a kan ligament mai tsage a gindin yatsa. Magunguna za su sami sauƙin fahimtar abubuwa ko riƙe abubuwa da tabbaci. Saboda ciwon da ake fuskanta a cikin 'yan wasa, za su yi la'akari da wahalar samun raket din tennis ko jefaballi. Marasa lafiya na iya yin korafin rashin zaman lafiya ko kamawa da yatsa a cikin aljihu na wando.
Gwaje-gwaje da aka yi amfani da shi don tabbatar da ganewar asali na iya hada da hasken rana ko MRIs. Hakanan X zai iya taimakawa yayin da suke bada izinin likitan ku damu da haɗin gwiwa kuma ku gani idan ligament yana aiki ko kuma idan ya lalace sosai don tabbatar da haɗin gwiwa. Bugu da ƙari, wani lokacin hasken rana yana nuna wani ƙananan ƙashi na yatsun ƙwayar cutar ta UCL. Wannan kashi, wanda ake kira suturar Stener, alama ne cewa tiyata yawanci dole ne a matsayin kashi zai hana UCL daga warkewarta a matsayinsa ta dace ba tare da gyare-gyare ba.
Jiyya
Wannan magani ya dogara ne da dalilai da dama, ciki har da raunin da ya faru, tsawon lokacin da cutar ta faru, shekarun mai haƙuri, da kuma bukatar jiki na mai haƙuri. Idan hawaye yana da hankali, kuma yatsun yatsa ba a yaduwa ba, ana yin haƙuri a cikin simintin gyare-gyaren ko yatsun wuyan hannu (wanda ake kira thumb spica) na tsawon makonni 4 zuwa 6.
Idan hawaye ne cikakke ko kuma idan mai haƙuri yana da babban rashin zaman lafiya saboda hawaye na ligament na kundin ulnar , sa'an nan za'a iya yin aikin tiyata. Yayi aiki mafi mahimmanci lokacin da aka yi a cikin makonni na farko bayan rauni. Idan za ta yiwu, likita zai gyara gyaran haɗin haɗin gwiwar tare.
Idan haɗin haɗuwa ya tsage daga kasusuwa, to an yanke karshen zafin jiki zuwa kashin kansa.
Idan raunin da ya faru ga haɓakacciyar liyafa na ulnar ya tsufa, to akwai yiwuwar gyara gyara ba zai yiwu ba. A wannan yanayin, ko dai wata tsari za a canja shi don sake sake haɓaka mai haɗari na ulnar ko ɗaya daga cikin tsokoki a gindin yatsin yatsa za a ci gaba don ramawa ga ligament mai tsage.
Bayan yin aiki, za'a sanya marasa lafiya a cikin simintin gyare-gyare har tsawon makonni hudu zuwa shida don kare haɗin ginin gyaran. A wancan lokaci, motsi mai yatsa zai fara. Yawancin marasa lafiya suna iya wasa wasanni 3 zuwa 4 watanni bayan tiyata.
Sources:
Tang P. "Raunin haɗin gwiwar haɗin gwiwar haɗin gwiwa na haɗin gwiwar haɗin gwiwa na J Am Acad Orthop Surg 2011 May; 19 (5): 287-96.
Morgan WJ, Slowman LS. "Hannun hannu da ƙwaƙwalwar hannu a cikin 'yan wasa: kimantawa da kulawa." J Am Acad Orthop Surg. 2001 Nov-Dec; 9 (6): 389-400.