Masifumanise kanye into ekufuneka uyazi malunga ne-scapula yakho.

Ngaba wakha wavuka kusasa, waphefumla nzulu, wolula iingalo zakho? Ngelo xesha, mhlawumbi wawuziva amathambo amabini asicaba emva kwamagxa akho. Abantu abaninzi babiza la mathambo ngokuthi "ziiblade zamagxa" okanye "iiscapula." Ngokwezonyango, siwabiza ngokuba yi-scapula . Oku akusiyo nje ithambo, kodwa yinxalenye ebaluleke kakhulu yegxalaba lethu. Namhlanje, siza kuthetha ngezinto ezithile ekufuneka uzazi ngale blade yamagxa.

Ngoko ke yintoni le scapula?

Ngamafutshane, i-scapula lithambo elisegxalabeni lakho. Sikwayibiza ngokuba "yi-shoulder blade" xa sithetha. Lelinye lamathambo amathathu aphambili enza i-shoulder joint yakho. I-scapula yiyo edibanisa i-collarbone yakho (clavicle) nethambo lakho lengalo ephezulu (humerus).

Cinga ngako oku, ukuba unentlungu egxalabeni lakho, ingakumbi ukuba ivele emva kokwenzakala, nokuba kukuwela okanye ukudlala, ngokuqinisekileyo kuya kufuneka ubone ugqirha. Ukwenzakala emagxalabeni kudla ngokungaxhaphakanga kangako, kodwa naluphi na ukwenzakala egxalabeni kunokuchaphazela oku.

Kwenziwa ntoni ngentambo yamagxa? Kutheni ibaluleke kangaka?

I-blade yegxalaba yenza imisebenzi emininzi ebalulekileyo. Cinga nje ngendlela eli qhekeza lethambo elinokuyenza ngayo le nto incinci:

• Ukudibanisa ithambo lengalo yakho engasentla (ihumerus) nethambo lentamo (i-clavicle): Kulapho ingalo yakho iqhagamshela khona nomzimba wakho (oko kukuthi, inxalenye esembindini womzimba wakho). Isebenza njengebhulorho.
• Ukwenza inxalenye yelungu legxalaba lakho: Kukho inxalenye efana neqhuma yelungu apho ithambo lakho lengalo ephezulu (ihumerus) lingena khona ukuze lenze igxalaba. Icala lalo elingasemva, ibhande legxalaba elingasemva , lenziwe yile blade yegxalaba.
• Ukushukuma Kwamagxa: Oku kuyamangalisa! Ubusazi ukuba igxalaba liqhagamshelwe kwimisipha eli-17, imisipha eli-12, imisipha emi-6, kunye nemithambo-luvo emi-2 ? Olu qhagamshelo luvumela igxalaba lakho ukuba lihambe kwicala elithandathu. Enyanisweni, linokuhamba kwicala elingaphezulu kunalo naliphi na elinye ilungu emzimbeni wethu!
• Ukukhusela isifuba sakho: I-blade yakho yegxalaba ifana nekhaka elinamathele esifubeni sakho. Nangona ingakhuseli ngqo naziphi na izitho zomzimba, lithambo elomeleleyo neliqinileyo elinceda ekuthinteleni impembelelo yokungqubana.

Khawucinge nje ukuba la magxa asinceda kangakanani xa siphakamisa iingalo zethu, sizibeka ngasemva, size sizijikelezise!

Iphi i-blade yegxalaba?

Iiblade zamagxa akho ziyinxalenye ye -axial skeleton yakho. Oko kukuthi, inkqubo yamathambo embindini womzimba wakho. Uneeblade zamagxa ezimbini, enye kwicala ngalinye lesifuba sakho. Ezi zifumaneka ngasemva kwamathambo akho ekhola, ngaphandle.

Injani indlela elimile ngayo ibele? Oko kukuthi, lenziwe njani?

I-blade yegxalaba ibizwa ngokuba yi-"scapula" ngenxa yesimo sayo esithe tyaba nesinxantathu. Ifana ne-blade yemela. Nangona ilithambo elinye, i-blade yegxalaba ineendawo ezintathu:

1. Umphezulu ongaphezulu okanye ongaphezulu

2. Umphezulu osecaleni

3. Umphezulu ongasemva okanye ongaphantsi

Ngoku makhe sijonge nganye kwezi ndawo ngokweenkcukacha ezithe vetshe.

Umphezulu ongaphezulu okanye ongaphezulu

Umphezulu we-blade yegxalaba licala langaphambili, icala lijongene ne-rib cage yakho. Inxalenye ephambili yalo mphezulu yenza indawo encinci efana nekomityi (i-'subscapular fossa'). Oku kubonelela ngenkxaso kwenye yezihlunu egxalabeni lakho ebizwa ngokuba yi-'rotator cuff'. I-protrusion encinci efana ne-hook ('inkqubo ye-coracoid') ezantsi kwe-collarbone yakho idibanisa izihlunu ezintathu.

Umphezulu osecaleni

Umphezulu osecaleni we-blade yegxalaba ngumphetho walo wangaphandle, icala elijongene nethambo lengalo yakho engaphezulu (i-'humerus'). Kulapho ezi zinto zilandelayo zifumaneka khona:

• I-Glenoid fossa: Le yindawo engenanto eyenza umva webhola yelungu legxala lakho.
• I-Superglenoid tubercle: Kulapho izihlunu zakho ze-biceps zinamathela khona.
• I-Infraglenoid tubercle: Kulapho izihlunu zakho ze-triceps zinamathela khona.

Oku kuxhomekeke kwezonyango kancinci, kodwa ngokufutshane nje, konke okufunekayo kukubonelela ngeendawo apho izihlunu nezinye iindawo zinokudibana khona ukuze igxalaba lisebenze kakuhle.

Ingasemva (umphezulu ongaphantsi)

Umphezulu ongasemva wegxalaba yinxalenye yomqolo ejonge umqolo wakho. Iqulethe:

• Umqolo (incopho): Incam etsolo kancinci phezulu kwebhere yehlombe lakho.
• I-Acromion: Le yinxalenye yethambo elifanayo. Ihamba kunye ne-clavicle yakho xa ushukumisa igxalaba lakho.
• I-Supraspinous fossa: Indawo engaphezulu komqolo apho izihlunu zinamathela khona. Le yindawo engqukuva kancinci.
• I-Infraspinous fossa: Indawo engaphantsi komqolo apho izihlunu zinamathela khona. Inkulu kune-supraspinous fossa ekhankanyiweyo apha ngasentla kwaye inomfanekiso ogobileyo kancinci.

Ziziphi iingozi okanye iimeko eziqhelekileyo ezinokwenzeka egxalabeni?

Ukulimala emagxeni kuxhaphake kakhulu. Oku kungenxa yokuba igxalaba liyisakhiwo esintsonkothileyo kwaye silisebenzisela imisebenzi emininzi imini yonke. Ukulimala egxalaba kuphela kunqabile. Nangona kunjalo, ukwenzakala egxalaba kunokonakalisa igxalaba. Umzekelo:

• Ukutyumza kwamagxa.
• Amagxa aphuke isihlalo.
• Amagxa ahlukeneyo.

Ukuqhekeka kwamagxa kunokubandakanya i-blade yamagxa, kodwa oku kunqabile kakhulu . Amagxa adla ngokuphuka kuphela xa kuthe kwalimala kakhulu, njengeengozi zeemoto, okanye xa umntu ewa kwileli.

Ezinye iimeko zempilo ezinokuchaphazela amahlombe akho (kuquka neeblade zamahlombe akho) ziquka:

• Isifo sokuxinana kwamagxa.
• Isifo samathambo esigxalabeni.
• I-bursitis yamagxa.
• Amaphiko e-scapular (ukuvela okungaqhelekanga kwamagqabi egxalabeni).

Zithini iimpawu zokwenzakala egxalabeni?

Kunqabile kakhulu ukuba i-blade yegxalaba iyenzakale yodwa ngaphandle kokuchaphazela ezinye iindawo zegxalaba. Iimpawu eziqhelekileyo zokwenzakala kwegxalaba zezi:

• Intlungu yamagxa: Le yeyona nto iphambili.
• Ukudumba: Indawo eyonzakeleyo ingadumba.
• Ukunciphisa isantya sokuhamba: Oku kuthetha ukuba awukwazi ukushukumisa igxalaba lakho nakweyiphi na indlela okanye nakweyiphi na indlela.
• Ukuqina/Ukuqina: Kunokuba nzima ukushukumisa igxalaba, kwaye kunokuvakala ngathi libambekile.
• Ukugruzuka okanye ukutshintsha kombala: Ngamanye amaxesha ingabonakala iluhlaza okwesibhakabhaka okanye imfusa.

Nokuba unenye okanye ezimbini kwezi mpawu, kungcono ukufuna ingcebiso kagqirha, ingakumbi ukuba intlungu ayipheli emva kweentsuku ezimbalwa.

Zeziphi iimvavanyo ezenziwayo ukuze kufunyanwe iingxaki zamagxa?

Ugqirha angasebenzisa uvavanyo olwahlukeneyo lokuxilonga okanye lokuthatha imifanekiso ukuze ahlole igxalaba lakho kunye nendawo engqongileyo. Ezinye zezi ziquka:

• I-X-reyi yamagxa.
• Iskeni ye-CT (`Iskeni ye-CT eqikelelweyo`).
• Iskeni se-MRI (i-Magnetic resonance imaging (MRI)).
• Uvavanyo lwe-EMG (electromyography) - Olu vavanyo luvavanya ukusebenza kwezihlunu kunye nemithambo-luvo.

Olu vavanyo lunokuchonga ngokuchanekileyo ukuba kukho nawuphi na umonakalo, ukwaphuka, ukukrazuka, okanye enye ingxaki kwilungu legxalaba okanye kwizicubu ezingqongileyo.

Ziziphi iindlela eziqhelekileyo zonyango lweengxaki zamagxa?

Uhlobo lonyango olufunekayo luya kuxhomekeka ekwenzenikala okanye kwimeko yakho yempilo. Akukho nyango lufanayo.

Ungadinga unyango olufana nolu:

• Ukungakwazi ukuhamba: Oku kuthetha ukubeka into efana neplasta yeParis (cast), i-brace, okanye i-sling egxalabeni ukuze ingashukumi.
• Ukuphumza igxalaba okanye ukuphepha ukwenzakala: Ngamanye amaxesha elona yeza lilungileyo kukuphumla.
• Ulungiso lwenyama:Oku kubaluleke kakhulu ekuqiniseni izihlunu nokuphucula indlela yokushukuma, ingakumbi emva kokwenzakala egxalabeni.
• Utyando lwegxalaba: Utyando lunokufuneka xa kuthe kwakho ukwenzakala okukhulu okanye iimeko ezingaphenduliyo kwezinye iindlela zonyango.

Ndingawagcina njani amahlombe am esempilweni?

Enyanisweni, akufuneki wenze nantoni na ekhethekileyo ukuze ugcine amahlombe akho esempilweni. Eyona nto iphambili kukutya ukutya okunesondlo kunye nokuzilolonga rhoqo .

Ukongeza, landela la macebiso okhuseleko ngokubanzi ukuze uzikhusele ekulimaleni:

• Soloko unxibe ibhanti yakho xa ukhwela imoto.
• Nxiba izixhobo zokhuseleko ezifanelekileyo ngexesha lomdlalo okanye nawuphi na omnye umsebenzi.
• Gcina ikhaya lakho nendawo yakho yokusebenza icocekile kwaye ingenazo izinto ezingafunekiyo. Oku kuya kunciphisa amathuba okutyibilika nokuwa.
• Xa uthatha into evela phezulu , soloko usebenzisa isixhobo okanye izixhobo ezifanelekileyo. Ungaze ukhwele ezitulweni, etafileni, okanye kwiikhawuntara.
• Ukuba unengxaki yokuhamba okanye usemngciphekweni omkhulu wokuwa, sebenzisa iintonga okanye i-walker.

Okokugqibela, yintoni ekufuneka uyikhumbule (Umyalezo Wokuya Ekhaya)

Nangona usenokucinga ngamagxa akho kuphela xa uvuka kusasa, la ngamathambo amabini abaluleke kakhulu owasebenzisa rhoqo. Axhasa amagxa akho, anika intshukumo, kwaye agcina izihlunu ezininzi kunye nezinye izicubu endaweni yazo.

Ngokwesiqhelo, amahlombe akho awadingi nyango lukhethekileyo okanye ukuvavanywa rhoqo. Nangona kunjalo, ukuba uneentlungu zamagxa, ingakumbi ukuba zihlala ixesha elingaphezu kweveki, musa ukuzityeshela. Ukuba uneentlungu, ukuqina, okanye ezinye iimpawu ezenza kube nzima ukwenza imisebenzi yakho yesiqhelo, qiniseka ukuba ubona ugqirha. Baza kukuhlola baze bakunike iingcebiso ezilungileyo kunye nonyango olufunekayo. Ukugcina amagxa akho ephilile kusezandleni zakho!

I - blade yegxalaba, i-scapula, iintlungu zegxalaba, iingxaki zegxalaba, amathambo, amalungu, i-scapula, i-blade yegxalaba, iintlungu zegxalaba