Ngaba igxalaba lakho libonakala ngathi likwelinye icala? Ngaba yiloo nto uthetha ngayo xa uthetha 'ngegxalaba elahlukileyo'?

Ngaba wakha wawa, wabetha igxalaba lakho kakhulu, waza wacinga, "Owu Thixo wam, igxalaba lam likhutshiwe!"? Isenokungabi 'kukhutshiwe' njengoko ucinga, kodwa 'ligxalaba elahlukileyo' . Elo libali elahlukileyo. Namhlanje, siza kuthetha ngokuba yintoni igxalaba elahlukileyo, isizathu sokuba lenzeke, zithini iimpawu, indlela yokulinyanga, kunye nento onokuyenza ukuthintela ukuba liphinde lenzeke.

Yintoni 'igxalaba elahlukileyo'?

Ngamafutshane, igxalaba elahlukileyo yimeko eyenzeka kwijoyinti ye-acromioclavicular egxalabeni lakho. Eli joyinti kulapho ithambo lakho le-collarbone, i-clavicle , lidibana khona nenxalenye ephezulu yeblade yegxala lakho, i-acromion . Cinga ngayo njengebhulorho.

Into ebalulekileyo kukuba, oku akuyongozi kwilungu eliphambili le-ball-and-socket egxalabeni lakho. Akukho ngxaki apho. Okwenzekayo apha kukuba ii-ligaments eziphakathi kwe-clavicle kunye ne-acromion - ii-bands ezibamba i-joint kunye - ziyatsalwa okanye zikrazuke . Xa oku kusenzeka, unxibelelwano phakathi kwe-clavicle kunye ne-shoulder blade luyakhululeka, kwaye ezi zimbini ziqala ukwahlukana, okanye ukuhlukana. Yiyo loo nto kuthiwa kukwahlukana kwamagxa. Abanye abantu bakubiza ngokuba kukwahlukana kwamagxa e-AC.

Ixhaphake kangakanani le meko?

Kuqheleke kakhulu kunokuba ucinga. Ezinye izifundo zibonisa ukuba ukuya kuthi ga kwi-40% yazo zonke iingozi zamagxa zibangelwa kukwenzakala kwamalungu e-acromioclavicular! Oku kuqheleke kakhulu kubantu abadlala imidlalo yokungqubana efana nebhola ekhatywayo, i-lacrosse, kunye ne-hockey. Ukwahlulwa kwamalungu e-AC kubangela i-9% yazo zonke iingozi kule midlalo.

Zithini iimpawu zoku?

Iimpawu zokukhubeka kwegxalaba zingahluka kumntu nomntu. Kuxhomekeke kubukhulu bokwenzakala. Abanye abantu banokuba neentlungu ezincinci, ngelixa abanye banokuba neentlungu ezinzima kunye nezinye iimpawu. Jonga ukuba unayo na kwezi:

• Intlungu phezulu egxalabeni: kanye apho i-collarbone iphela khona.
• Iqhuma elingaphezulu kwegxalaba, njengeqhuma: Olu luphawu olucacileyo kubantu abaninzi. Oku kwenzeka xa imisipha ikrazuka, nto leyo ebangela ukuba igxalaba liwe phantsi ngenxa yobunzima bengalo yakho. Emva koko umphezulu we-clavicle uyavuthuluka. Ubonakala ngathi liqhuma elincinci.
• Ukungakwazi ukuhambisa igxalaba ngokufanelekileyo: Kunokuba nzima ukuphakamisa okanye ukujikelezisa ingalo.
• Ukudumba kunye nentlungu xa ucinezelwe: Isandla sinokuvakala sibuhlungu kwaye sidumbile.
• Ukugruzuka: Ngamanye amaxesha kungajika kube luhlaza okwesibhakabhaka kwaye kubonakale ngathi kugruzukile.

Kutheni kukho ukwahlulwa kwamagxa kangaka?

Oku kubangelwa kukuwela ngqo ngasemva kwegxalaba.Ukuba ukuwa kunzima kakhulu, imisipha ingakrazuka. Khawucinge nje, uwile ebhayisekileni yakho, okanye utyibilike kwinyathelo waza wenzakala egxalabeni lakho, okanye ubethe umntu ngelixa udlala imidlalo waza wenzakala egxalabeni lakho.

Umzekelo, ukuba umdlali webhola ekhatywayo utsibela ukuze abambe ibhola aze abethe ngasemva kwegxalaba lakhe aze atyibilike, ingalo yakhe inokucinezelwa phantsi kwaye ibangele olu hlobo lokulimala. Oku kunokwenzeka nakwiingozi zeemoto.

Zeziphi iingxaki ezinokubangela oku?

Nangona uninzi lwabantu luchacha ngokupheleleyo emva konyango, ngamanye amaxesha iqhuma lisenokuhlala. Kwakhona, abanye abantu banokuba neentlungu eziqhubekayo, nangona kunokubonakala ngathi kukwenzakala okuncinci. Oku kunokubangelwa kukukhuhlana kwamathambo, isifo samathambo, okanye umonakalo kwi-cartilage esebenza njengomqamelo phakathi kwamathambo kwijoyinti yamagxa .

Ugqirha uyibona njani le nto?

Xa usiya kugqirha, uza kuqala akubuze ngeempawu zakho zangoku kunye nendlela oku kwenzeke ngayo. Emva koko uza kwenza uvavanyo lomzimba . Ugqirha angakucela ukuba ubambe ubunzima obuncinci esandleni sakho. Ukuba wenza oku, ungabona ukuba i-collarbone ivele phezulu, nto leyo eya kunceda ukuqinisekisa ukwenzakala.

Ngokuxhomekeke kuhlobo lwesifo, ugqirha unokuyalela iimvavanyo ezithile zokuthatha imifanekiso . Ezi ziquka:

• I-X-reyi yamagxa
• Uvavanyo lwe-ultrasound
• Uvavanyo lwe-MRI (Magnetic Resonance Imaging)

Ungacelwa ukuba ubambe ubunzima esandleni sakho ngexesha lovavanyo, ukuze ukwenzakala kubonakale ngokucacileyo kwimifanekiso.

Emva kwezi mvavanyo, ugqirha wakho unokukuthumela kugqirha wamathambo . Le ngcali inokufumanisa ubunzima bokuqhekeka kwegxalaba lakho. Basebenzisa inkqubo yokwahlulahlula ebizwa ngokuba yiRockwood classification of AC joint injuries. Oku kwahlulahlula ukwenzakala ukusuka kuhlobo I (umonakalo omncinci kwi-AC ligament, apho ijoyinti isaphelele) ukuya kuhlobo VI (ukukrazuka ngokupheleleyo kwe-ligament, apho ijoyinti lihlukanisiwe ngokupheleleyo). Olu luhlu luya kumisela unyango, ukuba utyando luyadingeka, ukuba unyango luza kuhlala ixesha elingakanani, kunye nokuba iziphumo zexesha elide ziya kuba zeziphi.

Amanqanaba ahlukeneyo okuhlukana kwamagxa

Ukukhubeka kwamagxa kunokuhluka ukusuka kokuncinci ukuya kokubi kakhulu. Oogqirha bahlula la malungu e-"Acromioclavicular joint" ngokusekwe kubungakanani bokwenzakala kunye nokuba zingaphi ii-ligaments ezonakeleyo. Uhlu lwe-"Rockwood classification" olukhankanyiweyo ngaphambili lolona lusetyenziswa kakhulu. Makhe sijonge ezinye zeenkcukacha zalo:

• Uhlobo lokuQala:Kwimeko enjalo, ii-ligaments zakho ze-acromioclavicular (AC) zinokolulwa okanye zikrazuke kancinci. Nangona kunjalo, ezinye ii-ligaments ezinceda ekuzinziseni i-clavicle yakho, ii-ligaments ze-coracoclavicular (CC), azonakalanga. Usenokuba nokudumba nokuthamba. Oku kufanele kuphele ngokwako kwiiveki ezimbalwa.
• Uhlobo lwesibini: Apha ii-ligaments zakho ze-AC zikrazukile ngokupheleleyo, kwaye ii-ligaments zakho ze-CC zoluliwe okanye zikrazukile kancinci. Kunokubakho ukudumba okukhulu kunye nokuqina okuncinci.
• Uhlobo lwesithathu: Kule meko, zombini ii-ligaments ze-AC kunye nee-CC ligaments zikrazukile ngokupheleleyo. I-AC joint yakho isenokubonakala ngathi yiqhuma elikhulu kwaye isenokudumba kakhulu. I-CC joint inokuba buhlungu kakhulu xa icinezelwe.
• Uhlobo lwesine: Kulapho i-ligament ikrazukileyo khona, nto leyo ebangela ukuba i-collarbone yakho ityhalelwe ngasemva ize inamathele ngasemva kwe-acromioclavicular joint. Le yingozi embi kakhulu kwaye ingadinga utyando .
• Uhlobo V: I-ligament ikrazukile, kwaye isiphelo se-clavicle (ithambo le-clavicle) sitsalwa kwisihlunu esingaphezulu kwejoyinti ye-acromioclavicular. Oku nako kuyingozi kwaye kunokufuna utyando.
• Uhlobo lwe-VI: I-ligament ikrazukile, kwaye i-clavicle ityhalelwa phantsi kwaye ibanjwe phantsi kwe-coracoid, eyinxalenye ye-blade yehlombe lakho. Le yimeko engaqhelekanga kodwa imbi kakhulu. Kufuneka utyando.

Iphathwa njani le nto?

Iindaba ezimnandi zezokuba uninzi lwabantu lunokuchacha emva kokuhlukana kwamagxa kwiiveki ezimbini ukuya kwezilishumi elinesibini ngaphandle kotyando. Unyango olungelulo utyando luquka:

• Ukusebenzisa isilingi: Oku kunceda ukugcina igxalaba likwindawo enye de liphole.
• Iipakethi zeqhwa kunye neentlungu: Ugqirha wakho unokucebisa ii-NSAID (iziyobisi ezichasene nokuvuvukala ezingezizo ii-steroidal) , ezifana ne -Ibuprofen kunye ne-Naproxen , okanye i-aspirin okanye i-acetaminophen, ukunciphisa iintlungu.
• Unyango lomzimba okanye inkqubo yokuzilolonga: Nje ukuba igxalaba lakho lipholile, oku kunokunceda ukuqinisa izihlunu kunye nemisipha egxalabeni lakho. Nangona kunjalo, kufuneka ufumane imvume kwingcali yakho yamathambo ngaphambi kokuba uqalise inkqubo yokubuyisela umzimba kwimeko yesiqhelo.
• Kuphephe ukuphakamisa iintsimbi iiveki ezisi-8 ukuya kwezili-12 emva kokuba ukwenzakala kupholile.

Kwezinye iimeko ezinzima (ezifana neRockwood grade IV, V, kunye neVI), okanye ukuba unyango olungelulo utyando aluniki ziphumo zifunwayo, utyando lunokufuneka. Ukuba iminwe yakho ayisebenzi kakuhle, uziva ubanda, unezihlunu ezibuthathaka zengalo, okanye unesiphene esinzima segxalaba, oku kubonisa imeko embi kakhulu. Unyango lotyando lungabandakanya:

• Ukunqumla isiphelo se-clavicle: Oku kuya kuyithintela ukuba ingachukumisi i-blade yegxalaba.
• Ukubopha kwakhona imisipha ekrazukileyo kwicala elingaphantsi kwethambo leqakala: Olu tyando lunokwenziwa nangona emva kwexesha elide ukusukela ukwenzakala. Nangona kunjalo, ukuba ukwenzakala kuqhubeke ixesha elide, izicubu ezifakelweyo zinokufuneka ukuze kwakhiwe kwakhona imisipha.

Ngaba ukwahlukana kwamagxa kunokuthintelwa?

Akukho ndlela iqinisekileyo yokuthintela ukukhubeka kwegxalaba ngokupheleleyo. Nangona kunjalo, kunokuba luncedo ukuqaphela ezinye izinto ezibangela umngcipheko wokwenzakala kwegxalaba. Izinto ezinje ngezi zinokubeka igxalaba lakho emngciphekweni:

• Iintshukumo eziphindaphindwayo usebenzisa igxalaba.
• Ukwaluphala .
• Ukusebenzisa kakhulu okanye ukucinezela amagxa, ingakumbi kubantu abaneminyaka engaphezu kwama-65 ubudala .
• Umsebenzi wezandla .
• Ukuthatha inxaxheba kwimidlalo ebandakanya ukungqubana nabanye abantu okanye emhlabeni.
• Iingozi kunye nokuwa .

Ndingalindela ntoni ukuba igxalaba lam liphumile?

Ungalindela ukuba uzive iintlungu kunye nokudumba, ingakumbi ukuba ukwenzakala kukhulu. Kodwa iindaba ezimnandi zezokuba ikamva lokulimala kwamalungu amaninzi kwi-acromioclavicular lihle ngokubanzi.

Uninzi lokukhubeka kwamagxa lunyangwa ngaphandle kotyando. Ixesha lakho lokuchacha emva kokukhubeka kwamagxa amancinci linokuba phakathi kweentsuku ezimbalwa ukuya ngaphantsi kweeveki ezintandathu . Ngokuxhomekeke kubukhulu bokwenzakala, kufuneka ukwazi ukubuyela kwimisebenzi eqhelekileyo kwiinyanga ezintathu.

Kodwa ukuba udinga utyando lokwahlula igxalaba lakho, ixesha lokuchacha linokuba lide. Usenokungakwazi ukusebenzisa igxalaba lakho ukuya kuthi ga kwiiveki ezintandathu. Kungathatha malunga neenyanga ezintandathu ukubuyela kancinci kancinci kwimisebenzi yesiqhelo.

Ndingazinyamekela njani ? Ngaba kukho imithambo endinokuyenza ekhaya?

Ewe, kukho imithambo enokunceda igxalaba lakho liphole ngokukhawuleza. Kodwa khumbula, ngaphambi kokuba uqale nayiphi na imithambo yegxalaba, kufuneka uthethe nogqirha wakho wamathambo. Yiqale njengoko etsho, naxa etsho.

Ukuzilolonga ngeendlela ezahlukeneyo zokuhamba

Ezi ziqhelo ziya kukunceda ugcine ukuhambahamba kwamalungu akho kwaye ugcine izihlunu zamagxa akho kunye nemisipha iguquguquka. Zama ukwenza ezi ziqhelo kanye okanye kabini ngemini kangangemizuzu emihlanu.

• Ukolulwa kwePendulum:
• Khulula izihlunu zakho zamagxa.
• Uhleli okanye umile, sondeza ingalo yakho eyonzakeleyo emzimbeni wakho, ngqo ezantsi.
• Phakamisa isandla sakho usiya phambili nangasemva, uze ujikeleze icala ukuya kwelinye. Emva koko, zoba izangqa ezincinci ngesandla sakho.
• Yenza oku ngaphandle kobunzima kwiintsuku zokuqala ezintathu ukuya kwezisixhenxe. Emva koko wongeza kancinci kancinci ubunzima obuyi-1-2 pounds (0.5-1 kg) ngeveki. Ngokuhamba kwexesha, ungayandisa kancinci ububanzi besangqa.

• Ukunyuka udonga:
• Sebenzisa isandla sakho esilungileyo ubambe isandla sakho esikhubazekileyo eludongeni.
• Ngoku sebenzisa iminwe yakho ukunyuka kancinci udonga (njengesigcawu esinyuka udonga).
• Sebenzisa esinye isandla sakho nomzimba wakho ukuze uncede oku.
• Yibambe imizuzwana engama-30 uze uphumle.
• Yenza oku malunga nezihlandlo ezine, uzama ukunyuka kancinci ngalo lonke ixesha.

Ukuzilolonga okuqinisa izihlunu

Ezi ziqhelo ziya kunceda ukuqinisa izihlunu zakho zamagxa kwaye zithintele ukwenzakala okungakumbi. Ngokwesiqhelo ungaqala ezi ziqhelo emva kweveki okanye ezimbini emva kokuqala ukolula i-pendulum. Umzekelo woku kukucinezela nge-scapular. Zama ukwenza oku kabini okanye kathathu ngemini.

• Ukucudiswa kwe-Scapular:
• Lala ngomqolo, amadolo agobile, neenyawo zithe tyaba phantsi.
• Bamba iingalo zakho zithe ngqo, iintende zijonge phezulu, kwaye zikude malunga ne-15-30 cm ukusuka emacaleni akho.
• Ngoku cinezela amahlombe akho ezantsi kunye (ukuya embindini womqolo wakho). Kule ndawo, umqolo wakho ongezantsi kufuneka ucinezelwe phantsi.
• Bamba imizuzwana emihlanu, uze uphumle. Yenza oku izihlandlo ezingama-20.
• Gcina intamo yakho ikhululekile kwaye ungaphakamisi amahlombe akho. Ufanele uzive izihlunu eziphakathi kwamagqabi amahlombe akho ziqina.

Ufanele uye nini kugqirha malunga nokukhubeka kwegxalaba?

Emva kokwenzakala egxalabeni, ngokuqinisekileyo kufuneka ufune iingcebiso zonyango ukuba unayo nayiphi na kwezi mpawu:

• Intlungu ebuhlungu.
• Ubuthathaka esandleni sakho okanye kwiminwe yakho.
• Ukuba iminwe yakho ayinamandla okanye ivakala ibanda.
• Ukuba kunzima ukuhambisa isandla sakho ngendlela eqhelekileyo.
• Ukuba ijongeka njengeqhubu egxalabeni lakho kwaye ijongeka igqwethekile.

Khumbula: Ukuba unayo nayiphi na kwezi mpawu, musa ukuya kunyanga ekhaya. Bonana nogqirha ngokukhawuleza.

Ndingayibuza yiphi imibuzo ugqirha wam?

Ukuba igxalaba lakho liphumile, kulungile ukubuza ugqirha wakho le mibuzo:

• Loluphi uhlobo okanye inqanaba lokwahlulwa kwamagxa endinalo?
• Luhlobo luni lonyango olucetyiswayo?
• Ndingenza ntoni ekhaya ukuze ndikwazi ukuchacha?
• Kuza kuthatha ixesha elingakanani ukuze kuphole kwesi sifo?
• Ndingenza ntoni ukuze ndithintele igxalaba lam ukuba lingaphindi liphume?

Yintoni umahluko phakathi 'kweGxalaba Elihlukanisiweyo' kunye 'neGxalaba Eliqhekekileyo'?

Le yinto ebangela ukuba abantu abaninzi badideke ngayo. Ezi zimbini zilungile!

• Igxalaba elahlukileyo: Oku kukulimala kwemisipha kwijoyinti yakho ye-acromioclavicular . Kulapho ithambo lakho le-collarbone (clavicle) lidibana khona nomphezulu we-blade yegxalaba lakho (acromion).
• Igxalaba eliphumileyo: Oku kwenzeka kwilungu lakho le-glenohumeral . Kulapho ithambo lakho lengalo ephezulu (ihumerus) liqhagamshela khona nesokethi yegxalaba. Kulapho inxalenye efana nebhola yethambo lengalo iphuma khona kwilungu.

Ngamafutshane, 'kwigxalaba elahlukileyo' kuvela i-collarbone, ngelixa 'kwigxalaba eliphumileyo' lonke ilungu legxalaba liyaphuma.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukuqhekeka kwegxalaba kukwenzakala kwegxalaba okunokubangela iintlungu nokudumba. Nangona uninzi lwale mingcipheko incinci, eminye inokuba yingozi kwaye ifuna utyando. Inokwenzeka nakubani na, kungekuphela nje kubadlali bezemidlalo, abaye bawa okanye bawela kwenye ingozi egxalabeni.

Ukuba oku kuyenzeka kuwe, eyona nto ibalulekileyo kukuphumla kwaye ungawutsali igxalaba lakho. Kungangcono ngokwako kwiintsuku ezimbalwa. Kodwa, ukuba akwenzeki, ngokuqinisekileyo bonana nogqirha ukuze ufumane ukuba yintoni kanye kanye ingxaki. Ukuba ufumana unyango olufanelekileyo ngokukhawuleza, uya kukwazi ukuchacha ngokukhawuleza kwaye ubuyele kwimisebenzi yakho yesiqhelo!

Ukwahlulwa kwamagxa , ilungu le-AC, ukwenzakala kwamagxa, iintlungu zamagxa, ukukrazuka kwemisipha, ukwenzakala kwezemidlalo, unyango lomzimba