Masifunde ngakumbi ngovavanyo lwe-O'Brien lwentlungu yakho yamagxa.

Xa sibuhlungu emagxeni, asikwazi nokwenza imisebenzi yethu yemihla ngemihla ngokufanelekileyo, akunjalo? Ngamanye amaxesha asikwazi ukuphakamisa iingalo zethu, kunzima ukutshintsha impahla, okanye intlungu ayinyamezeleki xa siphakamisa into ethile. Xa ubona ugqirha onje, uya kukuvavanya izinto ezahlukeneyo ukuze afumane unobangela wentlungu emagxeni akho. Kunjalo, uvavanyo lwe-O'Brien luvavanyo olulula, kodwa olubaluleke kakhulu ukuqonda ukuba yintoni kanye kanye ingxaki egxalabeni lakho.

Kalula nje, yintoni uvavanyo lwe-O'Brien?

Uvavanyo lwe-O'Brien luvavanyo olulula lomzimba olusetyenziswa ngugqirha wakho ukufumanisa ukuba yintoni ebangela intlungu egxalabeni lakho. Asilulo uvavanyo lwe-X-ray okanye lwegazi. Lubandakanya ugqirha wakho ukubeka ingalo yakho kwiindawo ezithile, ukufaka uxinzelelo oluncinci, nokujonga ukuba uziva na iintlungu. Oku kukwabizwa ngokuba 'luvavanyo lokucinezelwa olusebenzayo.'

Olu vavanyo lunokunika izikhokelo malunga neengxaki kwiindawo ezimbini ezithile zegxalaba, ezizezi:

1. Ukukrazuka kwe-cartilage yegxalaba, ingakumbi ukukrazuka kwinxalenye ebizwa ngokuba yi-labrum (i-labral tear).

2. Ingxaki kwijoyinti ye-acromioclavicular (AC) , ekwindawo ephezulu egxalabeni.

Olu vavanyo lungenziwa ziingcali ezahlukeneyo zempilo. Umzekelo:

• Iingcali zamathambo
• Iingcali zonyango lomzimba
• Abaqeqeshi bezemidlalo
• Ugqirha wakho wosapho (Ababoneleli ngeenkonzo zokhathalelo oluphambili)

Kutheni le nto kwenziwa olu vavanyo? Zeziphi iindawo zegxalaba ezihlolwayo?

Ukuze sikuqonde oku, kufuneka siqale sazi okuncinci ngamagxa ethu. Cinga ngamagxa ethu njengomatshini ontsonkothileyo kakhulu, ohamba ngeendlela ezininzi. Kukho iindawo ezininzi ezibalulekileyo kuwo. Uvavanyo lwe-O'Brien lugxile kwezi ndawo zimbini ngokukodwa.

1. Ilungu le-AC (ilungu le-Acromioclavicular)

Kulapho i-collarbone (clavicle) yethu iqhagamshela khona phezulu kwethambo lethu lehlombe (scapula). Ngamafutshane, eli lilungu apho amathambo amabini adibana khona, onokuliva ukuba ubeka isandla sakho phezulu kwegxalaba lakho. Uvavanyo lwe-O'Brien lunceda ekufumaneni iingxaki ezinje ngokulahleka kwe-cartilage, ukwahlukana kwamalungu, okanye ingxaki ngeli lungu.

2. I-Labrum

Ilungu lethu legxalaba lilungu 'lebhola kunye nesokethi'. Oko kukuthi, inxalenye efana nebhola yethambo lethu elingaphezulu lengalo (ihumerus) ingena kwilungu elifana nekomityi yethambo lethu legxalaba (i-scapula). I-labrum sisiqwenga se-cartilage esityebileyo esifana nerabha esijikeleze le ndebe. Sisebenza njenge-bumper, sinceda ukugcina ibhola izinzile kwaye ingaphumi kwindebe.

Ngamanye amaxesha le labrum inokukrazuka ngenxa yengozi okanye ngexesha lemidlalo. Ingakumbi xa inxalenye yayo engentla ikrazukile, ibizwa ngokuba yi-SLAP tear.Ikwabizwa ngokuba yi-`(Superior Labrum, Anterior to Posterior)`. Uvavanyo lwe-O'Brien lunokunika icebiso lokuba ingaba kukho na ukukrazuka okunjalo.

Ungayenza njani le vavanyo? Inyathelo ngenyathelo

Olu vavanyo lulula kakhulu. Awudingi lungiselelo likhethekileyo kulo. Ugqirha uza kukucela ukuba uhlale phantsi okanye ume uze ulandele la manyathelo. Luneziqendu ezimbini eziphambili.

Inyathelo lokuqala (ubhontsi ezantsi)

1. Phakamisa ingalo yakho: Phakamisa ingalo yakho ecaleni kwentlungu yakho ngqo phambi kwakho, ngokulandelelana nomgangatho (iidigri ezingama-90). Gcina ingqiniba yakho ithe tye ngokupheleleyo.

2. Zisa isandla sakho ngaphakathi: Ngoku sondeza isandla sakho esiphakanyisiweyo kancinci emzimbeni wakho (malunga ne-10-15 degrees).

3. Jikelezisa isandla sakho: Okulandelayo, jikela isandla sakho ngaphakathi, ngokungathi uthulula amanzi ebhotileni yamanzi, ubhontsi wakho ujonge ezantsi kwaye umva wesandla sakho ujonge kwesinye isandla. Oku kubizwa ngokuba yi-"pronation."

4. Melana noxinzelelo: Ngoku ugqirha uza kubamba isandla sakho ngasekunene aze acinezele isandla sakho ezantsi. Okufuneka ukwenze kukumelana noxinzelelo, oko kukuthi, zama ukutyhala isandla sakho phezulu endaweni yokusivumela sehle.

Ugqirha uyabuza ukuba ngaba uziva iintlungu egxalabeni lakho ngeli xesha.

Inyathelo lesibini (ubhontsi phezulu)

1. Tshintsha isikhundla sesandla sakho: Ngoku jika isandla sakho ngenye indlela. Njengokungathi ucela into ethile komnye umntu, intende yakho ijonge phezulu kwaye ubhontsi wakho ujonge ngaphandle. Le ndawo ibizwa ngokuba yi-`(supination)`. Gcina isandla sakho simi ngakwicala lomhlaba, sithe tye.

2. Melana noxinzelelo kwakhona: Ugqirha uza kuphinda acinezele isandla sakho phantsi njengangaphambili. Kufuneka uzame ukuphakamisa isandla sakho nxamnye noxinzelelo.

Ugqirha ubuza nokuba intlungu injani ngeli xesha.

Kuthetha ukuthini ukuba nesiphumo 'esihle'?

Eli licandelo elibalulekileyo. Olu vavanyo lubizwa ngokuba 'lulungile' kuphela xa zombini ezi meko zifezekiswa:

• Ufanele uzive iintlungu egxalabeni lakho kwindawo yokuqala (ubhontsi wakho ujonge ezantsi).
• Kwakhona, kwindawo yesibini (ubhontsi uphakamise phezulu), iintlungu eziviwa ngaphambili kufuneka zincitshiswe kakhulu okanye ziphele ngokupheleleyo.

Ukuze uqonde esi siphumo ngokucacileyo, jonga itheyibhile engezantsi.

Ingaba olu vavanyo luchanekile ngokupheleleyo? Kuza kwenzeka ntoni emva koko?

Le yinto sonke ekufuneka siyazi. Uvavanyo lwe-O'Brien sisixhobo esiluncedo kakhulu esinokukunika ulwazi malunga nengxaki yegxalaba. Nangona kunjalo, alulovavanyo oluchanekileyo nolucacileyo olupheleleyo. Ngamanye amaxesha, umntu onegxalaba eliphilileyo unokufunyanwa ene-HIV kolu vavanyo nokuba akanazo iingxaki.

Ugqirha ufikelela kwisigqibo sokugqibela emva kokuqwalasela iziphumo zolu vavanyo, kunye nezi zilandelayo:

• Iinkcukacha ozibonelelayo: Indlela eyaqala ngayo intlungu, yayilixesha lini, yayivakala njani, njl.
• Ezinye iimvavanyo zomzimba: Ezinye iimvavanyo ezijonga izinto ezifana nokunyakaza kwamagxa kunye namandla.

Ngamanye amaxesha, ugqirha wakho unokucebisa ezinye iimvavanyo ezininzi ukuqinisekisa ukuba unesifo.

• I-X-ray, i-CT scan, okanye i-MRI: Ezi zinokubona ngokucacileyo amathambo, i-cartilage, kunye nemisipha ngaphakathi kwejoyinti yamagxa.
• Uvavanyo lwegazi: Jonga ukuba intlungu ibangelwa zezinye iimeko, ezifana ne-gout okanye i-rheumatoid arthritis.
• I-Arthroscopy yamagxa: Olu lutyando oluncinci. Ikhamera encinci kakhulu ifakwa kwilungu ukuze ibone ngokuthe ngqo ukuba yintoni ingxaki ngaphakathi.