Khawuthelekelele usiwa ngequbuliso, okanye ngelixa udlala imidlalo, ingalo yakho ibambeka emhlabeni ngendlela engafanelekanga. Ngequbuliso, uziva iintlungu ezinganyamezelekiyo ezivela engqinibeni yakho, kwaye awukwazi nokushukumisa ingalo yakho. Xa ujonga ingqiniba yakho, imo yayo itshintshile kwaye ibukeka ingaqhelekanga. Oku sikubiza nje ngokuba yi-"dislocated elbow." Eli liva eloyikekayo nelibuhlungu kakhulu. Ke namhlanje, siza kuthetha ngento omawuyenze kwimeko efana nale, kwaye yintoni kanye kanye.
Kalula nje, yintoni le nto yokutsiba ngengqiniba?
Ingqiniba yethu ayilolungu nje kuphela. Yindawo ebaluleke kakhulu apho amathambo amathathu adibana khona. Naliphi na ilungu emzimbeni wethu yindawo apho amathambo amabini okanye ngaphezulu adibana khona. Ingqiniba yenziwe ngala mathambo mathathu:
- Ithambo lengalo ephezulu (iHumerus): Eli lithambo elide eliqala egxalabeni lakho liye engqinibeni yakho.
- I-Ulna: Ithambo elide elingaphakathi kwengalo yakho (kwicala lomnwe omncinci).
- I-Radius: Ithambo elihamba ecaleni kwesithupha kwingalo.
Ingqiniba ephumileyo kuxa la mathambo mathathu, ngenxa yokubethwa okanye ukuwa okunzima, ephuma kwindawo yawo efanelekileyo aze ahlukane. Kufana nedrowa ephuma esiporweni. Xa oku kusenzeka, awukwazi ukuyishukumisa ingalo yakho kwaye uzive ubuhlungu obukhulu.
Okubaluleke kakhulu, xa ithambo liphuma ngolu hlobo, linokonakalisa nezicubu ezithambileyo ezijikeleze ingqiniba. Oku kuthetha:
- Izihlunu
- Imiva
- Iitendon
- Iiligamenti
- Ivazi yegazi
Ngenxa yokuba zonke ezi zinto zinokuba yingozi, ukuba unesikrokro sokuba ukrunekile ingqiniba yakho, kuya kufuneka uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngoko nangoko. Musa, nangasiphi na isizathu, ukuzama ukubuyisela ingqiniba yakho endaweni yayo, nokuba nguwe wedwa okanye nomnye umntu.
Ziziphi iintlobo eziphambili zokutsiba ngengqiniba?
Oogqirha bahlulahlula ukukrwempa kwengqiniba ngokusekelwe kwizinto ezimbini eziphambili. Enye kukuba ithambo liphume kangakanani. Enye yindlela umonakalo owenzeka ngayo kwizicwili ezingqongileyo. Ukuze kube lula ukuqonda oku, masijonge ngale ndlela.
| Ulwahlulo | Inkcazo |
|---|---|
| Kuxhomekeke kubungakanani bokuhamba kwamathambo | |
| Ukufuduka/Ukuphumla ngokupheleleyo | Okwenzekayo kule meko kukuba amathambo elungu ahlukane ngokupheleleyo aze atshintshe indawo. Kungathi ilungu liphumile ngokupheleleyo. |
| Ukukhutshelwa/ukususwa kwenxalenye | Apha amathambo awahlukani ngokupheleleyo. Ayahamba kancinci endaweni yawo, kodwa asadibana ngandlela ithile. |
| Kuxhomekeke kuhlobo lomonakalo | |
| Ukufuduka okulula | Akukho kwaphuka kwamathambo engqiniba, kodwa imisipha ebamba ingqiniba kunye isenokuba yonakele. |
| Ukufuduka Okuntsonkothileyo | Oku kunzulu ngakumbi. Ukongeza ekukhupheni ithambo, kukho ukwaphuka kwelinye okanye ngaphezulu kwamathambo enza i-elbow joint. Kunokubakho nomonakalo omkhulu kwimisipha kunye nemisipha ejikelezileyo. |
| Ukuphuma Kwamalungu Omzimba Okukhulu | Le yeyona meko inzima kakhulu. Kunye nokuqhekeka kwamathambo kunye nokuqhekeka, kukwakho nomonakalo kwimithambo-luvo ebalulekileyo kunye nemithambo yegazi ehamba kufutshane nengqiniba. |
Zithini iimpawu zengqiniba etyumkileyo?
Ukuba uneengqiniba ezikrwitshiweyo, unokufumana enye okanye ngaphezulu kwezi mpawu:
- Intlungu ebuhlungu nenganyamezelekiyo kwindawo yengqiniba.
- Ukudumba kwengqiniba.
- Umbala oluhlaza okwesibhakabhaka/omfusa wesikhumba esijikeleze ingqiniba.
- Inkangeleko yengqiniba iyatshintsha , oko kuthetha ukuba ingalo ingalo yoluliwe.
- Ukungakwazi ukuhamba, ukugoba, okanye ukolula ingalo.
- Ukurhawuzelela okanye ukuba ndindisholo esandleni (oku kunokwenzeka ukuba imithambo-luvo yonakele).
- Ukuziva ubuthathaka esandleni.
Ziziphi izizathu eziphambili zoku?
Ukuze ingqiniba iphume kwisokethi yayo, kufuneka inikwe amandla aneleyo. Ezona zizathu zixhaphakileyo zezi:
- Ukuwa: Ingakumbi xa siwa silule iingalo zethu. Xa siza kuwa, sizibeka ngokuzenzekelayo iingalo zethu phambili size sizibeke emhlabeni ukuze sikhusele umzimba wethu. Oku kunokwenzeka ngenxa yoxinzelelo olukwiingqiniba ngelo xesha.
- Iingozi zeemoto: Oku kunokubangelwa kukothuka kunye nomonakalo wesandla xa imoto itshayisa.
- Iingozi zemidlalo: Le meko inokwenzeka xa udlala imidlalo echaphazela kakhulu efana neragbi kunye nebhola ekhatywayo, okanye ukuba uwa kwindawo engafanelekanga ngexesha lemidlalo efana nejimnastiki.
Inqaku elikhethekileyo kubazali: Ukuphakamisa umntwana omncinci ngengalo, okanye ukuyijika, kunokubangela ukuba ingqiniba yomntwana ikhubeke kancinci. Oku kwaziwa ngokwezonyango njenge "Nursemaid's Elbow." Ngoko ke, kuphephe ukuphakamisa umntwana omncinci ngengalo.
Ngubani osengozini enkulu yokukhubeka kwengqiniba?
Nangona le ngozi inokwenzeka nakubani na, kwabanye abantu umngcipheko uphezulu kancinci.
- Abadlali: Ingakumbi abo badlala imidlalo ebandakanya unxibelelwano oluninzi.
- Abantu abangaphezu kweminyaka engama-65 ubudala: Njengoko ukhula, amathuba okuba uwe ngenxa yamathambo abuthathaka kunye nokulahlekelwa yibhalansi.
- Abantwana abangaphantsi kweminyaka eli-16 ubudala: Amathambo namalungu abantwana asakhula, ngoko ke basengozini enkulu yokwenzakala.
- Abantu abaneemeko eziwenza buthathaka amalungu abo: Umzekelo, abantu abaneemeko ezifana ne -Ehlers-Danlos syndrome kunye ne -joint hypermobility syndrome banamajoyinti aguquguqukayo ngakumbi kunesiqhelo, nto leyo eyonyusa umngcipheko wokuqhekeka kwamalungu.
- Abantu abasebenzisa iingqiniba zabo rhoqo: Kwabo basebenza kwimisebenzi equka ukuphindaphinda okanye kwabo basebenzisa iingqiniba zabo kakhulu kwezemidlalo (umz. ababhowuli).
Uyifumana njani le nto, Gqirha?
Xa usiya esibhedlele, into yokuqala ugqirha aza kuyenza kukuhlola ingalo yakho. Baza kujonga imilo yengqiniba yakho, bajonge ukudumba, baze bajonge nemivumbo. Baza kukubuza nokuba yenzeke njani ingozi kunye neempawu ozifumanayo. Ukuchaza esi siganeko ngokucacileyo kangangoko unako kuya kunceda kakhulu ekuxilongweni.
Zeziphi iimvavanyo ezinokwenziwa?
Emva kovavanyo lomzimba, ugqirha wakho unokucebisa olunye okanye ngaphezulu kwezi vavanyo ukuze aqinisekise ubungakanani bomonakalo wangaphakathi.
- I-X-reyi: Oku kusetyenziswa kakhulu ukufumanisa ukuba ithambo liphumile okanye laphukile.
- I-MRI scan (Magnetic Resonance Imaging): Oku kunokubona ngokucacileyo umonakalo kwizicubu ezibuthathaka ezijikeleze amathambo, njengee-ligaments, i-tendon, kunye nemisipha.
- I-CT Scan (i-Computed Tomography): Ukuba ukwaphuka kuyinkimbinkimbi, oku kunokunceda ekufumaneni umfanekiso wethambo onemilinganiselo emithathu kunye nokuqonda ngcono indlela elaphuka ngayo.
- I-ultrasound scan: Ngamanye amaxesha oku kusetyenziswa ukubona ukuba imithambo yegazi yonakele na.
Uyinyanga njani ingqiniba etyumkileyo?
Olona nyango lubalulekileyo nolokuqala lokukrwitshwa kwengqiniba kukubuyisela ilungu elikrwitshiweyo endaweni yalo. Oogqirha bakubiza oku ngokuthi kukunciphisa okuvaliweyo .
Khumbula oku: Ukuba ucinga ukuba ukrunekile ingqiniba yakho, into yokuqala omawuyenze kukuya kwigumbi likaxakeka esibhedlele (ETU). Musa, nangayiphi na imeko, ukuzama ukutsala, ukujija, okanye ukulungisa ingalo yakho, nokuba wedwa okanye nomntu ongaqeqeshwanga. Ukwenza njalo kuya kuyenza mandundu ingozi kwaye konakalise imithambo-luvo kunye nemithambo yegazi ejikelezileyo. Gcina ingalo yakho ingashukumi kangangoko kunokwenzeka.
Le yindlela ugqirha aza kulungelelanisa ngayo amalungu akho. Okokuqala, baza kukunika iyeza lokunciphisa iintlungu ukuze banciphise iintlungu. Basenokukufaka phantsi kwe-sedation. Emva koko, ngononophelo olukhulu, baza kulungelelanisa amathambo endaweni yawo besebenzisa indlela ekhethekileyo.
Emva kokuba ilungu lilungisiwe, kufuneka unyango olongezelelweyo de inxeba liphole:
- Ukungashukumi: I -splint okanye i-sling (intambo ebamba ingalo endaweni yayo) ingafakwa ukuze ingqiniba ingashukumi ide iphole.
- Amayeza: Ugqirha wakho uza kukunika amayeza afanelekileyo okunciphisa iintlungu nokudumba. Musa ukuzisela iintlungu zodwa iintsuku ezingaphezu kwe-10 ngaphandle kokubonisana nogqirha wakho.
- Ukuphumla: Kufuneka uziphephe naziphi na izinto ezibeka uxinzelelo engqinibeni yakho. Kufuneka uziphephe ngokupheleleyo ukuphakamisa iintsimbi okanye ukudlala imidlalo ude uphile.
Kunini apho kufuneka khona utyando?
Amaxesha amaninzi, ingqiniba ekhutshiweyo ayifuni utyando. Nangona kunjalo, utyando lunokufuneka kwiimeko ezilandelayo:
- Ukuba ingozi ibangele ukwaphuka kwamathambo okanye umonakalo omkhulu kwimithambo-luvo okanye kwimithambo yegazi.
- Ukuba ugqirha akakwazi ukulungisa ijoyinti ngesandla (ukunciphisa okuvaliweyo).
- Ukuba ukutsiba kunzima kakhulu okanye kunzima.
Kuthatha ixesha elingakanani ukuphiliswa?
Oku kuxhomekeke kubungakanani bomonakalo owenzekileyo.
- Ukususwa nje kwengalo kunokuphola kwiiveki ezimbalwa. Ingalo idla ngokufuna ukuba ingashukumi kangangeveki okanye ezimbini. Emva koko, unyango lomzimba luya kufuneka ukubuyisela intshukumo engalweni. Ingcali yonyango lomzimba iya kukufundisa imithambo yokugoba, yolula, kwaye yomeleze ingalo yakho.
- Ukuphazamiseka okuntsonkothileyo okanye okunzulu kuya kuthatha ixesha elide ukuphiliswa, mhlawumbi iinyanga ezininzi. Ugqirha wakho uza kukuchazela oku.
Eyona nto ibalulekileyo kukuphepha imidlalo okanye umsebenzi onzima ude uphile ngokupheleleyo. Ukuba wenza njalo, unamathuba amaninzi okufumana ukwenzakala okufanayo kwakhona.
Ngaba zikho iindlela zokuthintela le ngozi?
Asinakuzithintela rhoqo iingozi, kodwa kukho izinto esinokuzenza ukunciphisa umngcipheko.
| Imeko | Amanyathelo Okufuneka Uwathathe |
|---|---|
| Xa udlala imidlalo |
|
| Ukhuseleko ngokubanzi |
Ingqiniba etyumkileyo yimeko embi kakhulu efuna unyango olukhawulezileyo. Ngoko ke musa ukuhlala ekhaya ucinge nje, "Yinto encinci le." Nokuba umqeqeshi wakho okanye umntu omthandayo unembono entle ngawe, musa ukumvumela ukuba alungise eli lungu. Liya kwenza umonakalo omkhulu kunokuba lincede.
Ukuba unesikrokro sokuba ukrunekile ingqiniba yakho, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngoko nangoko. Ngonyango olufanelekileyo, ungaphila ngokukhawuleza kwaye ubuyele ebomini obuqhelekileyo.
Umyalezo Wokuya Ekhaya
- Iqatha elityumkileyo liyenzakala kakhulu ebangela iintlungu eziqatha kwaye lifuna unyango olukhawulezileyo.
- Ukuba ubona iimpawu, yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko.
- Ungaze uzame ukulungisa ingqiniba etyumkileyo wedwa okanye nomntu ongaqeqeshwanga nangasiphi na isizathu. Oku kungayenza imeko ibe mandundu.
- Unyango lufuna ukuba ugqirha alungise ilungu, athintele ingalo ukuba ingashukumi, aze anikeze unyango lomzimba.
- Ukulandela imiyalelo kagqirha kanye de ube uphilile ngokupheleleyo kubalulekile ukuze uphile ngokukhawuleza nangokupheleleyo.
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