Ngaba wakha wabetha igxalaba lakho ngelixa udlala ikhilikithi nge-drive? Okanye wakha watyibilika wawa ngelixa uqhuba ibhayisekile waza wabetha igxalaba lakho emhlabeni? Kuqhelekile ukuba igxalaba lakho libe buhlungu xa oko kusenzeka. Kodwa ngaba wakha waphawula ukuba ngamanye amaxesha, kunye naloo ntlungu, kukho iqhuma elincinci elibonakala ngathi liqhuma phezu kwegxalaba lakho? Abantu abaninzi bayoyika xa bebona oku. Bacinga, "Owu, ndiyazibuza ukuba ithambo lam legxalaba liya kuphuma na." Namhlanje siza kuthetha ngemeko enjalo. Ngokwezonyango, oku kubizwa ngokuba yi "Separated Shoulder."
Yintoni kanye kanye igxalaba elahlulweyo?
Ngamafutshane, oku kukwenzakala kwelungu elisegxalabeni lakho. Kodwa akulogxala eliphumileyo, njengoko abantu abaninzi becinga. Ezi zimbini zahlukile ngokupheleleyo.
Cinga nje, igxalaba lakho liyinkqubo entsonkothileyo yamalungu. Apho ithambo lakho lentamo (esilibiza ngokuba yi-"clavicle" ngokwezonyango) liqhagamshela phezulu kwegxalaba lakho (i-"acromion"), kukho ijoyinti encinci. Eli joyinti libizwa ngokuba yi-"acromioclavicular joint" okanye ijoyinti ye-AC.
Eli lungu lifana nebhulorho encinci. Ukuze le bhulorho ihlale iqinile, oko kukuthi, ukugcina amathambo amabini edibene, kukho imisipha okanye iibhanti eziqinileyo (`ligaments`). Kwingozi, umzekelo, ukuba uwela ngamandla egxalabeni, le misipha (`ligaments`) inokolulwa okanye ikrazuke. Xa le misipha ikrazukile okanye yolulwa, ithambo lekhola (clavicle) kunye nethambo legxala (acromion) ziyahlukana kancinci. Oku sikubiza ngokuba yiGxalaba Elihlukanisiweyo.
Khumbula, oku akukokukhubeka kwenxalenye enkulu yegxalaba efana nebhola. Yimeko eyahlukileyo leyo. Oku kwenzeka kwilungu elidibanisa i-blade yegxalaba ne-collarbone.
Le meko ixhaphake kakhulu kangangokuba ezinye izifundo zibonisa ukuba ama-40% okwenzakala kwamagxa kubangelwa yi-AC joint. Ixhaphake kakhulu kubantu abadlala imidlalo efana ne-rugby kunye nebhola ekhatywayo.
Uyazi njani ukuba unale meko? (Iimpawu)
Iimpawu zegxalaba elahlukileyo ziyahluka ngokuxhomekeke kubukhali bokwenzakala. Abanye abantu banokuba neentlungu ezincinci, ngelixa abanye bengenakukwazi ukushukumisa igxalaba labo ngenxa yentlungu enzima. Makhe sijonge iimpawu eziphambili.
| Uphawu | Inkcazo |
|---|---|
| Intlungu kwinxalenye ephezulu yegxalaba | Intlungu ivela phezulu kwegxalaba, apho i-collarbone iphela khona. Intlungu inokwanda xa uphakamisa ingalo yakho okanye uphakamisa ubunzima. |
| Iqhubu eliqhumayo egxalabeni | Olu luphawu olubangela uloyiko kubantu abaninzi. Xa i-ligament ikrazukile, i-blade yegxalaba iyehla phantsi kobunzima bengalo. Emva koko incam ye-collarbone ibonakala ngathi ivele phezulu. |
| Ubunzima bokuhambisa igxalaba | Intlungu yenza kube nzima ukwenza izinto ezinje ngokuphakamisa ingalo yakho okanye ukuyibeka ngasemva komqolo wakho. |
| Ukudumba kunye nentlungu xa ucinezelwe | Kusenokuba kukho ukudumba okujikeleze ilungu elonzakeleyo, kwaye ukuba ucinezela indawo ngomnwe wakho, usenokuva iintlungu eziqatha. |
| Ukutshintsha kombala oluhlaza okwesibhakabhaka (ukugruzuka) | Ngamanye amaxesha ulusu olujikeleze inxeba lunokuguquka lube luhlaza okwesibhakabhaka. |
Kutheni oku kusenzeka? (Izizathu eziphambili)
Eyona nto ibangela le meko kukuwela ngqo egxalabeni. Impembelelo yokuwa okunjalo inokukrazula imisipha esithethe ngayo.
Kukho iimeko ezininzi apho oku kunokwenzeka khona:
- Iingozi zemidlalo: Ukungqubana okanye ukuwa ngexesha lemidlalo efana neragbi, ibhola ekhatywayo, kunye nehoki. Kwilizwe lethu, ukwenzakala okunje kunokwenzeka xa umdlali ewa ngelixa edlala ibhola ngelixa edlala ikhilikithi.
- Ukuwa: Ukuba wenzakele egxalabeni lakho, njengaxa utyibilika uze uwe kwigumbi lokuhlambela okanye uwela ezinyukweni.
- Iingozi zeemoto: Ingakumbi kwiingozi zeemoto, xa igxalaba liwela phantsi.
Ugqirha uyixilonga njani le nto?
Xa usiya kugqirha oneentlungu emagxeni, uza kuqala akubuze ngengozi kunye neempawu zakho. Emva koko uza kuhlola igxalaba lakho.
- Uvavanyo lomzimba:Ugqirha uza kukuva igxalaba lakho aze ajonge ukuba akukho ntlungu, ukudumba, okanye ukuqhekeka kwamathambo. Ngamanye amaxesha baya kukucela ukuba uphakamise ingalo yakho ngobunzima obuncinci. Ukuba unokubona ukuqhekeka kwamathambo kuphuma ngakumbi, unokufumana umbono olungileyo wokwenzakala.
- Uvavanyo lweMifanekiso: Ukuze kuchongwe ubunzulu bokwenzakala, ugqirha wakho unokukuthumela kwiimvavanyo ezithile.
- I-X-reyi yamagxa: Oku kungabonisa ngokucacileyo ukuba amathambo omabini ahlukene kangakanani.
- Iskeni ye-ultrasound: Oku kunceda ukujonga umonakalo kwimisipha.
- I-MRI scan (Magnetic Resonance Imaging): Oku akufuneki kwiimeko ezininzi. Nangona kunjalo, ukuba ukwenzakala kuyinkimbinkimbi, i-MRI inokuyalelwa ukuze ibone ngokucacileyo umonakalo kwimisipha kunye nezicubu ezithambileyo ezingqongileyo.
Emva kwezi mvavanyo, kuxhomekeke kuhlobo lokulimala kwakho, ugqirha wakho unokukuthumela kugqirha wamathambo . Nguye oza kugqiba ngonyango oluya kulandelwa bubungakanani bokulimala kwakho.
Uhlu lobunzima bokwenzakala
Oogqirha bahlulahlula ukwenzakala kwamagxa abe ziindidi ezi-6 eziphambili ngokusekwe kubukhali bako. Uhlu olusetyenziswa kakhulu luhlu lweRockwood. Olu hlu luchaza ukuba utyando luyadingeka na kwaye kuza kuthatha ixesha elingakanani ukuphiliswa.
| Uhlobo lokwenzakala | Inkcazo (elula) |
|---|---|
| Uhlobo I | I-ligament ekwi-AC joint yoluliwe kancinci. Amathambo amabini awahlukananga. Kusenokubakho iintlungu nokudumba. Iya kuphola ngokwayo kwiiveki ezimbalwa. |
| Uhlobo II | I-ligament ye-AC ikrazukile ngokupheleleyo, kodwa i-ligaments ezinamandla ngaphantsi kwayo (i-``coracoclavicular`` okanye ``CC ligaments``) zoluliwe kancinci. I-collarbone iphakanyisiwe kancinci kwaye ibonakala. |
| Uhlobo lwesithathu | Zombini ii-ligaments ze-AC kunye ne-CC zikrazukile ngokupheleleyo. I-collarbone ibonakala ngokucacileyo njengeqhubu. Intlungu kunye nokudumba kukhulu. |
| Uhlobo lwesine | I-ligament ikrazukile, kwaye i-collarbone ityhalelwa ngasemva. Le yimeko enzima. Kufuneka utyando rhoqo. |
| Uhlobo V | Oku kuqatha ngakumbi kunohlobo lwesithathu. Imisipha ikrazukile, ithambo lentamo lityhalelwa phezulu kakhulu, kwaye nemisipha yegxalaba inokwenzakala. Ngokuqinisekileyo kufuneka utyando. |
| Uhlobo VI | Le yimeko engaqhelekanga nembi kakhulu. I-ligament iyakrazuka kwaye i-collarbone iyatyhalelwa phantsi ize ibanjwe phantsi kwe-blade yegxalaba. Ngokuqinisekileyo kufuneka utyando. |
Luluphi unyango lwale nto?
Ngethamsanqa, uninzi lwezinxeba ezihlukeneyo zamagxa (ingakumbi iintlobo I, II, kunye nezinye iintlobo III) zinokunyangwa ngaphandle kotyando. Indlela yonyango ixhomekeke kubukhulu bengozi.Unyango Olungelulo Utyando
- Ukuphumla kunye nokungashukumi: Kubalulekile ukuphumza ingalo yakho kwiintsuku zokuqala de intlungu iphele. Ugqirha wakho unokucebisa ukuba usebenzise isilingi ukuvalela ingalo yakho. Oku kuya kunceda ukuthintela ukushukuma kwamagxa okungeyomfuneko kwaye kuncede imisipha ukuba iphiliswe.
- Umkhenkce: Kwiintsuku zokuqala ezingama-48-72, ukufaka umkhenkce kwindawo eyonzakeleyo imizuzu eli-15-20 rhoqo emva kweeyure ezi-2-3 kunokunciphisa kakhulu iintlungu kunye nokudumba.
- Iipilisi zokunciphisa iintlungu: Ukulawula iintlungu, ugqirha wakho unokukunika amayeza okuthomalalisa iintlungu aqhelekileyo afana neparacetamol okanye amayeza angengo-steroidal anti-inflammatory (NSAIDs) (afana ne-ibuprofen kunye ne-naproxen).
- Unyango Lomzimba: Nje ukuba intlungu iphele, uqeqesho lomzimba lubaluleke kakhulu ekuncedeni ukubuyisela ukuhamba kwamagxa nokuqinisa izihlunu ezijikeleze igxalaba. Kodwa khumbula, olu qeqesho lufanele luqalwe kuphela emva kokufumana imvume kwingcali yamathambo.
- Ukuphepha ukuphakamisa izinto ezisindayo: Kufuneka ukuphephe ngokupheleleyo ukuphakamisa izinto ezisindayo de inxeba liphole, ngesiqhelo kangangeeveki ezisi-8 ukuya kwezili-12.
Unyango lotyando
Utyando lunokufuneka xa kusenziwa utyando olunzima (iintlobo ezine, ezine, ezine, ezine), okanye ezo ntlobo ze-III ezingaphenduliyo kunyango olungelulo utyando. Ukuba kukho ukwenzakala kohlobo lwe-III, ingakumbi kumntu oselula, okhutheleyo, okanye odlala imidlalo, ugqirha wakho unokuba luncedo kakhulu xa kusenziwa utyando. Utyando lubandakanya:
- Lungisa okanye uqinise imisipha ekrazukileyo.
- Ukusebenzisa izixhobo ezikhethekileyo (ezifana neephini, iingcingo, okanye iipleyiti) ukuhambisa i-collarbone kunye ne-shoulder blade zibuyele kwindawo efanelekileyo kwaye zizinzise.
- Ngamanye amaxesha, ukuba ukwenzakala kuqhubeke ixesha elide, kunokufuneka ukuba kwakhiwe kwakhona i-ligament kusetyenziswa izicwili ezithathwe kwenye indawo yomzimba (i-graft tissue).
Kuza kuthatha ixesha elingakanani ukuphiliswa?
Ixesha lokuchacha lixhomekeke kubukhulu bengozi kunye nonyango olufumeneyo.
Ngokwesiqhelo, ukwenzakala okuncinci (uhlobo I, II) okungadingi utyando kuya kuphiliswa kakhulu kwiiveki ezi-2-6. Ufanele ukwazi ukubuyela kwimisebenzi eqhelekileyo kwiinyanga ezi-3.
Ukuba utyando, ixesha lokuchacha liza kuba lide nangakumbi. Awuyi kukwazi ukusebenzisa igxalaba lakho kangangeeveki ezi-6 emva kotyando. Ngonyango lomzimba, kunokuthatha malunga neenyanga ezi-6 ukuze uphile ngokupheleleyo.
Izinto onokuzenzela zona ngexesha lokuchacha
Wakuba ufumene imvume kagqirha wakho, kukho imithambo elula onokuyenza ekhaya ukuqinisa igxalaba lakho nokwandisa ukuguquguquka.
1. Ukuzilolonga ngeendlela ezahlukeneyo zokuhamba
Ezi zinokuqaliswa kuqala emva kokuba intlungu iphelile.
- Ukolulwa kwePendulum:
- Yima kufutshane nento efana netafile, beka isandla sakho esilungileyo etafileni, uze ugobe kancinci phambili.
- Vumela ingalo eyonzakeleyo ixhomeke ngokukhululekileyo phantsi.
- Ngoku phumza izihlunu egxalabeni lakho uze uhambise ingalo yakho phambili nangasemva, ecaleni, nangokwezangqa.
- Kwenze ngaphandle kobunzima ekuqaleni. Emva kweentsuku ezimbalwa, ukuba akukho ntlungu, ungakwenza ubambe ubunzima obuncinci, njengebhotile yamanzi.
- Ukunyuka udonga:
- Yima ujonge eludongeni.
- Beka iminwe yesandla esonzakeleyo eludongeni.
- Ngoku, njengesigcawu, khwela kancinci udonga ngeminwe yakho. Nyuka phezulu kangangoko unako, ubambe malunga nemizuzwana engama-30, uze ukhwele kancinci ubuyele ezantsi.
2. Ukuzilolonga okuqinisa izihlunu
Ungaziqala ezi emva kokuba uphilile kancinci.
- Ukucudiswa kwe-Scapular:
- Lala phantsi, goba amadolo akho, uze ugcine iinyawo zakho zisephantsi.
- Gcina zombini iingalo zakho zithe nkqo emacaleni.
- Ngoku cinezela amagxa akho ngokungathi uwatsalela emqolweni.
- Bamba imizuzwana emi-5, uze uphumle. Yenza oku malunga nezihlandlo ezingama-20.
Eyona nto ibalulekileyo: Musa ukunyanzela naluphi na uhlobo lomthambo ngenxa yentlungu. Ukuba kukho naluphi na uhlobo lomthambo oluyandisa intlungu yakho, yeka uthethe nogqirha wakho okanye ingcali yezonyango.
Ufanele uye nini kugqirha?
Ukuba unezinye zezi mpawu zilandelayo emva kokwenzakala egxalabeni, ngokuqinisekileyo kuya kufuneka ubone ugqirha ngokukhawuleza. Ukuba kuyimfuneko, yiya kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
- Ukuba kukho intlungu enzima .
- Ukuba kukho iqhuma okanye isiphene esibonakalayo egxalabeni.
- Ukuba une -hayindwo okanye uphelelwe yimvakalelo ezandleni okanye eminweni yakho.
- Ukuba iminwe yakho ivakala ibanda okanye imhlophe .
- Ukuba isandla sakho sivakala singenabomi .
- Ukuba kunzima ukuhambisa isandla ngendlela eqhelekileyo.
Umyalezo Wokuya Ekhaya
- Igxalaba elahlulweyo kukukrazuka kwe-ligament edibanisa i-blade yegxalaba ne-collarbone. Le yimeko eyahlukileyo kunegxalaba eliphumileyo.
- Iimpawu eziphambili ziintlungu egxalabeni eliphezulu kunye nokubonakala okubonakalayo kwe-collarbone.
- Kwiimeko ezininzi, le meko inokunyangeka ngaphandle kotyando ngokuphumla, umkhenkce, iintlungu zokuphelisa iintlungu, kunye nonyango lomzimba.
- Utyando lunokufuneka ukuba ukwenzakala kukhulu (iintlobo ze-IV, ze-V, ze-VI) okanye ukuba ezinye iindlela zonyango aziphumelelanga.
- Ukuba wenzakele egxalabeni, uneentlungu eziqatha, inkangeleko egqwethekileyo, okanye ubuthathaka engalweni yakho, funa ingcebiso kagqirha ngokukhawuleza.
- Musa ukuqala naluphi na uhlobo lomthambo ngaphandle kwemvume kagqirha wakho.
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