Iintlungu zegxalaba? Masifunde ngejoyinti ye-AC (i-Acromioclavicular Joint - i-AC Joint)!

Ngaba wakha waphathwa ziintlungu zamagxa? Okanye wakha waziva iintlungu okanye ukungakhululeki egxalabeni lakho ngelixa udlala imidlalo, uphakamisa iintsimbi, okanye umi nje? Ngamaxesha anjalo, kusenokwenzeka ukuba sesive ngento ebizwa ngokuba yi-'AC joint'. Mhlawumbi ugqirha ukuxelele eli gama. Ngoko ke, namhlanje siza kuthetha ngokuba yintoni le AC joint, ukuba ibaluleke kangakanani emzimbeni wethu, kunye nohlobo lweengxaki enokuzibangela, kunye nendlela yokuzikhusela kuzo.

Yintoni i-AC Joint?

Ngamafutshane, i-AC joint yenye yezona ndawo zimbini ziphambili egxalabeni lakho. Kulapho i-collarbone yakho, okanye into esiyibiza ngokuba yi-'collarbone' yakho, idibana khona nomphezulu we-blade yehlombe lakho, i -'acromion' . Yiyo loo nto ibizwa ngokuba yi-'acromioclavicular joint' ngokupheleleyo. Elo ligama elide, akunjalo? Ngoko masilibize nje ngokuba yi-AC joint ngamafutshane, kulula kakhulu.

Yintoni umsebenzi wejoyinti ye-AC? Inceda njani igxalaba?

Ngoku makhe sijonge ukuba le AC joint yenza ntoni emzimbeni wethu kwaye yenza ntoni. Umsebenzi wayo ophambili kukubonelela ngenkxaso efanelekileyo egxalabeni lakho kunye nokubonelela ngendawo ebalulekileyo apho imisipha ejikeleze igxala inamathela khona.

Cinga ngayo, le AC joint ifana ne- 'passive' joint. Oko kukuthi, ayinakuzihambela yodwa. Xa ezinye izihlunu kunye namalungu egxalabeni zishukuma, i-AC joint nayo ihamba ngokwentshukumo. Ifana nebhola eqengqelekayo xa umntu eyityhala. Ikwabizwa ngokuba yi-'planar joint.' Oko kukuthi, inceda amathambo amabini ukuba atyibilike kakuhle phezu komnye, ngaphandle kokungqubana.

Xa usebenzisa izihlunu zamagxa akho ukuhambisa igxa lakho, i-AC joint inceda ukuhambisa igxa lakho phambili nangasemva (intshukumo ye-anteroposterior). Kalula nje, cinga ngayo ngokungathi uqhuba isikhephe, apho iingalo zakho zoluliwe phambili zize zitsalwe ngasemva, nto leyo ebangela ukuba iingqiniba zakho zibuyele umva. I-AC joint inceda kakhulu kwiintshukumo zamagxa ezinjalo.

Iphi kanye kanye indawo edibeneyo ye-AC?

Oku kubalulekile ukwazi. I-AC joint ikwindawo ephezulu egxalabeni lakho. Ukuchaneka, le joint incinci kodwa ibaluleke kakhulu kulapho isiphelo sangaphandle se-collarbone yakho sidibana khona nomphambili we-blade yegxala lakho. Ukuba ubeka isandla sakho phezulu egxalabeni lakho, unokukwazi ukuziva apho le joint ikhoyo.

Zeziphi iindawo eziqulethwe yi-AC joint?

I-AC joint yenziwe ngamacandelo aliqela. Makhe sijonge ukuba zeziphi:

• Amathambo: Ithambo lakho lekhola (iClavicle) kunye ne-shoulder blade (iScapula) ngamathambo amabini enza eli lungu.
• I-Cartilage:Ukugquma iziphelo zala mathambo kukho umaleko oqinileyo noqinileyo we-cartilage. Oku kusebenza njengomqamelo olungileyo kwi-AC joint, kunceda amathambo omabini ukuba ahambe kakuhle kwaye angabi buhlungu ngaphandle kokukhuhlana.
• Iiligamenti: Kukho iiligamenti ezintathu eziphambili ezidibanisa i-AC joint. Ezi ligaments zibamba amathambo amabini kunye kwaye zinceda i-joint igcine imo yayo. Zifana neentambo ezibamba i-joint kunye.
• Iimithambo-luvo: Ilungu le-AC lifumana imvakalelo kwiimithambo-luvo ezihamba ukusuka entanyeni ukuya egxalabeni. Ezi mithambo-luvo zezona zisenza sikwazi ukuva iintlungu.
• Imithambo yegazi: Ilungu le-AC lifumana izondlo kunye neoksijini egazini. Olu nikezelo lwegazi luvela ikakhulu kwi -suprascapular artery kunye ne-thoracoacromial artery .

Ziziphi izifo neemeko eziqhelekileyo ezichaphazela i-AC joint?

Okubuhlungu kukuba, ukwenzakala kwamalungu e-AC kuxhaphake kakhulu. Ngokutsho kweengcali zonyango, ama-40% azo zonke iingozi zamagxa zinxulumene ne-AC joint! Khawuthelekelele ukuba eli lungu linokwenzakala kangakanani.

Imizekelo eqhelekileyo yoku yile:

• Ukutyumza kwamagxa: Ukonakala kwemisipha.
• Amagxa ahlukeneyo: Ukwahlulwa kwethambo lekhola kwi-acromion.
• Amagxa aphumileyo: Ilungu alikho kwindawo yalo.
• Ukuqhekeka kwamagxa: Ukuqhekeka kwamathambo ajikeleze ilungu.

Nantoni na ebeka amandla amaninzi okanye uxinzelelo olukhulu egxalabeni ngequbuliso inokonakalisa i-AC joint. Iingozi zemidlalo, iingozi zeemoto, kunye nokuwa ukusuka phezulu zezona zinto zixhaphakileyo ezibangela oku.

Kwakhona, isifo samathambo sinokukhula kwilungu le-AC. Kulapho i-cartilage elunguni iphela khona. Nangona kunjalo, abantu abaninzi abanazo iintlungu okanye ezinye iimpawu. Ngoko usenokungadingi unyango kwaye usenokungazi nokuba une-AC joint arthritis.

Injani intlungu yamalungu e-AC?

Xa uneentlungu emagxeni, kunokuba nzima ukufumanisa ukuba ngaba yintlungu edibene ne-AC. Kuba igxalaba yindawo enzima. Nokuba uyazi kakuhle ukuba yintoni i-AC joint kwaye ikuphi, akulula ukubona ngqo apho intlungu iqala khona xa igxalaba lakho libuhlungu.

Usenokuziva iintlungu kanye apho i-AC joint ikhona, ngaphezulu nje kwegxalaba. Nangona kunjalo, ngamanye amaxesha iintlungu zinokuphuma ziye entanyeni, kwiindawo ezisezantsi zegxalaba, okanye kwizihlunu esifubeni okanye emqolo.

Indlela iintlungu zamalungu e-AC ezivakala ngayo ixhomekeke kwinto ebangela oko. Iintlungu zinokuvakala ngeendlela ezahlukeneyo, kuquka:

• Intlungu ebukhali nehlabayo: Olu hlobo lwentlungu lunokwenzeka, ingakumbi xa ushukumisa igxalaba lakho, uphakamisa ingalo yakho, okanye wenza nantoni na esebenzisa igxalaba lakho.
• Intlungu ebuhlungu neyoyikekayo: Intlungu ebuhlungu neyoyikekayo evakala ngathi yingxolo ethambileyo ngasemva, okanye ngathi kukho into ehlala ikwenzakalisa. Oku kusenokuba yinto eqhubekayo.
• Intlungu: Intlungu evakala ngathi besizilolonga nzima, okanye senza imisebenzi yasekhaya enzima, okanye sincedisa umhlobo ukuphakamisa into ethile, size emva koko amalungu ethu omzimba abe buhlungu.

Kutheni i-AC joint isenza isandi esithi "pop"?

Kuqhelekile ukuva isandi esiphumayo okanye esikrwelayo kumalungu akho, kungekuphela nje emagxeni akho, kodwa nakumadolo akho nakwiminwe yakho. Esi sandi sidla ngokubangelwa ngamaqamza omoya avalelekileyo kwi -synovial membrane , ulwelo oluthambisa ilungu, luqhuma. Akuyonto ibangela ixhala ukuba uzolula okanye uhambahamba nje.

Kodwa, lumka ngezi zinto:

Ukuba uva isandi esikhulu esithi 'pop' xa usiwa, ubethe igxalaba lakho ngamandla ngelixa udlala imidlalo, okanye ukuba unentlungu enkulu yamagxa, intlungu eyenza kube nzima ukushukumisa igxalaba lakho, okanye ukuba imo yegxalaba lakho ibonakala itshintshile, ngokuqinisekileyo kuya kufuneka ubone ugqirha ngoko nangoko. Olu hlobo lwengxolo lunokubangelwa kukuqhekeka okanye ukwahlulwa kwegxalaba. Kwakhona, ukuba uhlala usenza ingxolo efanayo xa ushukumisa igxalaba lakho, okanye ukuba uziva udiniwe xa ushukumisa igxalaba lakho, kuya kufuneka uyibonise ugqirha.

Enye into ebaluleke kakhulu:

Ukuba ucinga ukuba igxalaba lakho lisengozini, musa ukuvumela nabani na ukuba alichukumise, alicinezele, alitsale, okanye alilungise ngaphandle kogqirha oqeqeshiweyo okanye ingcali yezonyango. Ingakumbi ukuba ucinga ukuba igxalaba lakho likhutshiwe okanye lahlukene, ungaze uzame ukulilungisa ngokwakho okanye ucele umntu ongamaziyo ukuba alilungise. Ukwenza njalo kunokubangela umonakalo ongakumbi. Ligcine lizinzile kangangoko kwaye uye kwigumbi likaxakeka esibhedlele ngoko nangoko.

Ziziphi iindlela eziqhelekileyo zonyango lweengxaki ze-AC joint?

Uhlobo lonyango olufunekayo luya kuxhomekeka kwingozi okanye ingxaki onayo. Oko kukuthi, awuyi kunyangwa ngenxa yokukruneka, kodwa ngenxa yokuphuka. Ugqirha wakho uza kukuhlola aze akucebise unyango oluya kunceda ukulawula iimpawu zakho kwaye luncede ilungu lakho le-AC liphole ngokukhawuleza.

Nazi ezinye zezona ndlela zonyango zisetyenziswa kakhulu:

• Phumla: Phumla igxalaba elichaphazelekileyo kwaye uphephe ukwenza imisebenzi enzima yomzimba, ingakumbi imisebenzi yokuthwala ubunzima, okwethutyana.
• Amayeza:
• Ukuze unciphise iintlungu nokudumba, ungathenga iipilisi zokunciphisa iintlungu ezithengiswa ngaphandle kwekhawuntara kwivenkile yezonyango, umzekelo , ii-NSAID (Amayeza alwa nokuvuvukala angengowe-steroidal) (afana ne-ibuprofen, i-naproxen) okanye i-paracetamol (i-Acetaminophen) .
• Ii-corticosteroids ngamayeza akhutshwa ngugqirha anciphisa ukudumba kunye nentlungu ngokukhawuleza. La mayeza anokunikwa njengeepilisi okanye njengeenaliti ze-cortisone ngqo kwilungu.
• Unyango lomzimba: Oku kubaluleke kakhulu. Ingcali yonyango lomzimba iya kukufundisa imithambo ethile kunye nonyango olunokukunceda uphinde ubuyele ekushukumeni kwamagxa, uqinise izihlunu zakho, kwaye unciphise iintlungu.
• Ukungakwazi ukuhambahamba: Kwezinye iingozi, unokucelwa ukuba unxibe isilingi okanye i-brace ekhethekileyo kangangeentsuku ezimbalwa ukuze uthintele igxalaba lakho.
• Utyando: Utyando lunokufuneka xa kuthe kwalimala kakhulu njengokuqhekeka kwamathambo, okanye xa kuthe kwakrazuka imisipha engazange iphole ngezinye iindlela zonyango.

Ndingaligcina njani ilungu lam le-AC liphilile kwaye liqinile?

"Ukuthintela kungcono kunokunyanga." Oko kukuthi, kungcono ukuthintela isifo ngaphambi kokuba senzeke kunokusinyanga emva kokuba senzeke. Ngoko ke, eyona ndlela ilungileyo yokugcina kungekuphela nje ilungu lakho le-AC, kodwa nomzimba wakho wonke uphilile kukulandela imikhwa emihle yempilo iyonke. Oko kuthetha:

• Ukutya ukutya okunempilo okukulungeleyo kunye nokuzilolonga rhoqo .
• Kubalulekile ukufudumeza kakuhle ngaphambi kokuba wenze nawuphi na umsebenzi womzimba, ingakumbi imidlalo, kwaye uphole emva komsebenzi.
• Ukuba igxalaba lakho libuhlungu, nokuba ngexesha lomsebenzi womzimba okanye emva kwawo, ungaze 'udlale ngentlungu'. Le yinto eyenziwa ngabantu abaninzi, kodwa yinto ongafanele uyenze. Intlungu luphawu oluvela emzimbeni wakho, yimamele.
• Ukusebenzisa izixhobo zokuzikhusela ezifanelekileyo kuyo nayiphi na imisebenzi, imidlalo, okanye umsebenzi owenzayo. Umzekelo, ukunxiba ii-shoulder pads kweminye imidlalo.
• Yiya kuxilongwa rhoqo ngugqirha kwaye ubone ugqirha kwangoko xa ubona naluphi na utshintsho olungaqhelekanga, iintlungu, okanye ezinye iimpawu emagxeni akho.

Okokugqibela, khumbula ezi zinto

Igxalaba lakho liyilungu elintsonkothileyo nelimangalisayo. Likunceda wenze izinto ezininzi ebomini bakho bemihla ngemihla, ukusuka ekuphakamiseni ingalo yakho, ukuyijika, ukuphakamisa iintsimbi, ukubhala, nokutya. Enyanisweni, igxalaba lakho lingahamba lide kwaye lihambe ngeendlela ezingaphezulu kunalo naliphi na elinye ilungu emzimbeni wakho. Ilungu le-AC liyinxalenye ebalulekileyo yaloo nkqubo imangalisayo. Aligcini nje ngokuxhasa igxalaba lakho, kodwa likwanceda ukuba lihambe kakuhle.

Ixesha elininzi, awucingi nokucinga nge-AC joint kubomi bakho bemihla ngemihla, kuba yenza umsebenzi wayo ngokuthula. Nangona kunjalo, asicingi kakhulu ngayo de kubekho ukwenzakala okanye imeko echaphazela ijoint. Nangona kunjalo, oko akuthethi ukuba ufanele ungayinaki nayiphi na intlungu, ukuqina, ukungaziva, okanye ezinye iimpawu ezingaqhelekanga ozivayo egxalabeni lakho.

Khumbula, ukuba uziva into engaqhelekanga, iintlungu, okanye ukungakhululeki egxalabeni lakho, musa ukuyityeshela loo nto. Bona ugqirha. Baza kukuchazela kakuhle ukuba yintoni ingxaki yakho, loluphi unyango olufanelekileyo, baze benze konke okusemandleni abo ukukunceda ubuyele empilweni kwaye uphile kakuhle. Ungakhathazeki, kukho unyango olusebenzayo kwiingxaki ezininzi zamagxa!

Iintlungu zamagxa , ilungu le-AC, ilungu le-acromioclavicular, iingxaki zamagxa, iintlungu zamalungu, i-collarbone, i-blade yamagxa, ukukhubeka kwamagxa, ukukruneka kwamagxa