Ingaba igxalaba lakho lihlala libuhlungu? Kusenokuba yi-'Shoulder Impingement' (iRotator Cuff Tendinitis)!

Molo! Ngaba ngamanye amaxesha uziva intlungu ebukhali egxalabeni lakho? Umzekelo, xa uzama ukuphakamisa ingalo yakho, ukuphakamisa into ethile, okanye ukujika uye kwelinye icala ngelixa ulele ebusuku? Usenokungayinaki kangako le ntlungu. Kodwa oku kungaba luphawu lwemeko ebizwa ngokuba yi -'Shoulder Impingement' , apho iindawo zegxala zityhalelwa ngaphakathi. Namhlanje, siza kuthetha ngale nto ngokweenkcukacha, ngokulula.

Yintoni 'Ukubethelwa Kwamahlombe'?

Ngamafutshane, ukuxinwa kwamagxa yimeko apho i-rotator cuff yakho, engaphantsi komphetho wangaphandle we-blade yehlombe lakho (scapula), iyacaphuka. Oogqirha ngamanye amaxesha bayibiza le Impingement Syndrome. Ukuxinwa kukukhuhla, ukucinezela, okanye ukukhuhla iindawo ezingaphakathi kwelungu. Yile nto ibangela intlungu, ingakumbi xa ushukumisa igxalaba lakho.

Cinga ngayo, i-'Rotator Cuff' yakho liqela lemisipha emine emikhulu edibanisa i-blade yegxalaba lakho kunye nethambo elikhulu kwingalo yakho engasentla (i-'humerus'). Usebenzisa le 'Rotator Cuff' ukuphakamisa ingalo yakho kwaye ujikelezise ingalo yakho ecaleni nangasemva.

I-rotator cuff ikwindawo encinci phakathi kwethambo lengalo yakho ephezulu (i-humerus) kunye nomphezulu we-blade yehlombe lakho (i-acromion). Yingakho i-rotator cuff inokubambeka phakathi kwala mathambo mabini ize ibanjwe. Oku kubanjwa kubizwa ngokuba yi-shoulder impingement.

Ukuba uneentlungu emagxeni, okanye ukuba awukwazi ukushukumisa igxalaba lakho ngaphandle kwentlungu, qiniseka ukuba ubonana nogqirha.

Ngaba kukho iintlobo ezahlukeneyo ze-'Shoulder Impingement Syndrome'?

Ewe, ugqirha angalubeka olu hlobo lwengxaki 'yokuxinwa ngamagxa' njengenye ingxaki ethile. Ezona ziphambili zezi:

`I-Rotator Cuff Tendinitis`

Njengoko igama lisitsho, le yimeko ebizwa ngokuba yiTendinitis, echaphazela imisipha yeRotator Cuff. ITendinitis kukudumba okanye ukudumba kwemisipha. Kukho imisipha emine enceda iRotator Cuff yakho ukuba ishukumise igxalaba lakho. Nantoni na eyonakalisayo okanye ecaphukisa le misipha inokubangela ukuba idumbe. Oku kudumba kuko okubangela ukuxinana kwamagxa.

I-Bursitis yamagxa

I-Bursitis kukudumba kwe-bursa, ingxowa encinci ezele lulwelo. Le bursa ifumaneka kufutshane namalungu ethu kwaye isebenza njengomqamelo. Kukwakho ne-bursa phakathi kwe-rotator cuff tendon yakho kunye nethambo lakho le-acromion, elinceda ekunciphiseni ukungqubana phakathi kwezi zimbini. Nangona kunjalo, ukuba le bursa iyavuvukala, inokubangela ukuxinana kwamagxa.

Utshintsho kwimo yethambo le-acromion

I-acromion idla ngokuba tyaba. Nangona kunjalo, ukuba i-acromion yakho igobile okanye igobile njengehoko, inokukhuhlana ne-rotator cuff ize ibangele ukuxinana kwamagxa. Abanye abantu bazalwa bene-acromion emile ngendlela engaqhelekanga. Okanye, njengoko bekhula, i-bone spurs inokukhula.

Ixhaphake kangakanani le meko?

Ngokutsho kwabaphandi, ukuxinwa kwamagxa yimbangela yeentlungu zamagxa ezimalunga nama-50% . Le meko ixhaphake kakhulu kubadlali bezemidlalo nakubantu abasebenza nzima.

Zithini iimpawu `zokuxinwa ngamagxa`?

Uphawu oluphambili noluqhelekileyo lokuxinana kwamagxa ziintlungu zamagxa .

Le ntlungu idla ngokuvakala ngaphambili egxalabeni. Kwakhona:

• Inokuba buhlungu kakhulu xa uchukumisa igxalaba lakho.
• Intlungu ingavela ngaphambili egxalabeni ukuya ezantsi engalweni ukuya ecaleni.
• Intlungu inokuba mandundu ebusuku , nto leyo enokwenza kube nzima ukuba ulale okanye uhlale ulele.

Intlungu yokuxhuzula emagxeni inokwanda ngokushukuma okanye ngezikhundla ezithile. Umzekelo:

• Xa uphakamisa ingalo ngqo phezulu, ngaphezu kwentloko.
• Xa uphakamisa isandla sakho uze usihlise kwakhona.
• Xa ufikelela ekuthatheni into ethile.
• Xa ulele ngecala oko kubuhlungu.
• Xa ubeka isandla sakho ngasemva komqolo wakho (njengokufaka isandla sakho epokothweni engasemva yebhulukhwe yakho, okanye ukujija isandla sakho ukuze uvule ibhegi).

Iimpawu ezikhethekileyo ze-'Rotator Cuff Tendinitis'

Iimpawu zinokwahluka kancinci ngokuxhomekeke kuhlobo `lokubetheka kwamagxa` onalo. Umzekelo, ukongeza kwiintlungu zamagxa, umntu one`Rotator Cuff Tendinitis` usenokuba neempawu ezifana nezi:

• Ukuziva uxinene kwaye uxinene egxalabeni.
• Ukuba nokudumba .
• Ngamanye amaxesha kukho utshintsho kumbala wesikhumba okanye ububomvu.
• Ukuva isandi esithi "screaming" okanye ukuziva into efanayo xa ushukumisa igxalaba lakho.

Zithini izizathu zokuxinwa kwamagxa?

Amaxesha amaninzi, ukuxinwa kwamagxa kukwenzakala okugqithisileyo . Oku kuthetha ukuba le meko ikhula kancinci kancinci ngokuhamba kwexesha ngenxa yoxinzelelo olugqithisileyo kwilungu legxalaba kunye neRotator Cuff xa kusenziwa intshukumo efanayo ngokuphindaphindiweyo.

Oogqirha babiza oku ngokuthi "ziintshukumo zokujikeleza ngaphezulu." Oko kukuthi, naluphi na ukunyakaza okuphinda-phindayo olubandakanya ukubamba ingalo ngaphezulu nokujikelezisa igxalaba. Izizathu eziphambili zoku kukuziqeqesha kwimidlalo, okanye ukwenza uhlobo olufanayo lokunyakaza imini yonke emsebenzini.

Khawucinge nje, umdlali webhola yekhilikithi uhlala ejika ingalo yakhe ngendlela efanayo. Okanye umzobi usebenza ngokujika ingalo yakhe iye phezulu imini yonke. Ezi zizinto ezibeka olu xinzelelo egxalabeni.

Abanye abantu banokuba nokuxinana kwamagxa ngendlela engaqhelekanga. Oku kungenzeka ngequbuliso ngenxa yokwenzakala, njengokuwa, ingozi yemoto, okanye ukwenzakala kwezemidlalo.

Ngubani osengozini enkulu yokuhlaselwa yile nto? (Izinto Ezinobungozi)

Ukuxinwa ngamagxa kunokwenzeka nakubani na. Nangona kunjalo, kuqheleke kakhulu kubadlali nakubantu abasebenza nzima . Ngokuqhelekileyo akwenzeki ngaxeshanye, kodwa kukhula kancinci kancinci kwiiveki, ngamanye amaxesha kwiinyanga.

Iintlobo zemidlalo ezinokubangela 'ukubetheka kwamagxa':

• Ukuqubha
• Ikhilikithi (ingakumbi abadlali bebhowula)
• Ibhola yevoli
• Ithenisi

Le meko inokubangelwa yiyo nayiphi na imisebenzi enzima emzimbeni ebeka uxinzelelo emagxeni:

• Umsebenzi wokwakha
• Ibhrashi yokupenda
• Ukucoca iifestile
• Udonga, udonga oludibeneyo

Ungayixilonga njani ingxaki yokuphazamiseka kwamagxa?

Ugqirha uza kuxilonga ukuxinwa kwegxalaba ngovavanyo lomzimba . Uza kuxilonga igxalaba lakho aze ajonge ukuba lihamba kangakanani na (ukuba ungalishukumisa kangakanani ngaphandle kwentlungu). Xelela ugqirha wakho into obuyenza xa wawuqala ukuva intlungu kunye nezinye iimpawu. Ukuba wenza imidlalo, izinto ozithandayo, okanye umsebenzi obeka uxinzelelo oluphindaphindayo egxalabeni okanye engalweni yakho, qiniseka ukuba uyayikhankanya loo nto.

Uvavanyo lokubanjwa kwamagxa

Ugqirha wakho unokwenza iimvavanyo ezininzi zokuthatha imifanekiso yelungu legxalaba:

• `Ii-X-reyi`
• `I-MRI (Umfanekiso weMagnetic Resonance)` (I-M.R.I.)
• I-ultrasound

Olu vavanyo lwemifanekiso lunokunika ugqirha wakho umfanekiso ocacileyo wamathambo kunye nezicubu ezikwilungu lakho lamagxa. Lunokunceda ekufumaneni unobangela ochanekileyo wokuxinana.

Ayipheleli apho, olu vavanyo lunokunceda ekuqinisekiseni ukuba kukho ezinye izizathu zentlungu yamagxa. Umzekelo:

• Iinyembezi ze-Rotator cuff
• Ukulimala kwemisipha yeBiceps
• Isifo samathambo esigxalabeni

Indlela yokunyanga ukuxinwa kwegxalaba? (`Unyango`)

Ugqirha wakho uza kucebisa unyango oluza kunceda ukulawula iimpawu zakho, ukuphilisa igxalaba lakho, kunye nokukubuyisela ekusebenzeni kakuhle kwamagxa akho. Unyango oluphambili lokuxinwa kwamagxa zezi:

• Ukuphumla: Ixesha elithile kude nomsebenzi onzima, ingakumbi umdlalo okanye umsebenzi obangele le meko.
• Ulungiso lwenyama:Ingcali yezonyango iza kukunika ukolula kunye nokuzilolonga ukuqinisa igxalaba lakho kunye nokuphucula indlela ohamba ngayo. Njengoko igxalaba lakho liphola, uza kukunika nokuzilolonga ukuqinisa izihlunu zakho ze-rotator cuff.
• I-ayisi: Songa iqhekeza lomkhenkce okanye ipakethe yomkhenkce ngetawuli ebhityileyo uze uyibeke egxalabeni lakho. Ungaze ubeke umkhenkce ngqo eluswini. Ugqirha wakho uza kukuxelela ukuba kufuneka uwufake ixesha elingakanani umkhenkce kunye nokuba uwufake kangaphi ngemini.
• Izithomalalisi zentlungu: Ii-NSAID ezithengiswa ngaphandle kwekhawuntara (OTC) (Amayeza achasene nokudumba) zinokunceda ukunciphisa iintlungu nokudumba. Nangona kunjalo, musa ukuthatha la mayeza kangangeentsuku ezingaphezu kwe-10 ngexesha ngaphandle kokuthetha nogqirha.
• IiCorticosteroids: La ngamayeza amiselwe ngugqirha ukunciphisa ukudumba (ukudumba nokurhawuzelela). Ngamanye amaxesha unokufuna ukufumana imijovo ye-cortisone kwijoyinti yamagxa.

Ngaba kuya kufuneka utyando ukuze igxalaba liphume?

Ukuba ezinye iindlela zonyango azincedi iimpawu zakho, ugqirha wakho unokuqwalasela utyando. Ugqirha unokwenza inkqubo ebizwa ngokuba yi-arthroscopic shoulder decompression. Oku kubandakanya ukufaka ikhamera kunye nezixhobo ezincinci ngokusebenzisa imingxunya embalwa emincinci ukuze kususwe iqhekeza elincinci lethambo lakho le-acromion ukuze kubekho indawo engaphezulu ye-rotator cuff.

Ugqirha wakho uza kukuchazela ngokweenkcukacha ukuba loluphi uhlobo lotyando oluya kulufuna kunye nexesha lokuchacha eliya kuba njani emva koko.

Yeyiphi eyona ndlela ilungileyo yonyango lwe-'Rotator Cuff Tendinitis'?

Unyango lwe-rotator cuff tendinitis ludla ngokufana nonyango lwezinye iintlobo zokuxinwa kwamagxa. Ugqirha wakho uza kukuxelela iindlela ezilungileyo zokunceda i-rotator cuff tendon yakho iphile.

Ndiza kuziva bhetele nini emva kokuqala unyango?

Uninzi lwabantu luqala ukuziva ngcono kwaye iintlungu zingabi ninzi kwiiveki ezimbalwa emva kokuqala unyango lokuxinwa kwamagxa. Nangona kunjalo, nokuba iimpawu zakho ziyaphucuka, akufanele ubuyele kwezemidlalo okanye kwimisebenzi enzima de ugqirha wakho akunike ithuba.

Kuthatha ixesha elingakanani ukuba ukuxinwa kwamagxa kuphole?

Ixesha lokuchacha emva kokuxinwa ngamagxa lixhomekeke kuhlobo lokuxinwa onalo kunye nokuba yingozi kangakanani.

Nangona uhlala uqala ukuziva ungcono kwiiveki ezimbalwa emva kokuqala unyango, kungathatha iinyanga ezininzi ukuba igxalaba lakho liphile ngokupheleleyo. Abanye abantu banokufuna unyango kunye nokuvuselelwa (`rehab` ukuya kunyaka).

Ngaba i-Rotator Cuff Tendinitis inganyangeka ngokupheleleyo?

Ewe, zonke iintlobo 'zokuxinwa ngamagxa', kuquka 'i-Rotator Cuff Tendinitis', zinokunyangwa kwaye zinyangeke kakuhle.Nangona kunjalo, musa ukulibazisa ukuya kugqirha xa uneentlungu emagxeni. Ukuba azinyangwa, ukuxinwa kwamagxa kunokuba mandundu, kukhokelele kwiingxaki, okanye kuyenze mandundu ingozi.

Bona ugqirha kwangoko xa ubona iimpawu ezifana nentlungu, ukudumba, okanye ubunzima bokushukumisa igxalaba lakho.

Ungayithintela njani imingxunya yamagxa? (Ukuthintela)

Eyona ndlela ingcono yokuphepha ukuxinwa ngamagxa kukuphepha ukusebenzisa amagxa akho ngokugqithisileyo :

• Yeka ukuzilolonga okanye ukwenza umsebenzi onzima kwangoko nje ukuba uzive iintlungu. Ungaze udlale okanye usebenzele intlungu.
• Yenza 'ukuzilolonga' (ukuzilolonga ukulungiselela umzimba) kakuhle ngaphambi komsebenzi onzima okanye imidlalo, kwaye 'uzipholise' (ukuzilolonga ukuzola umzimba) emva kokuba ugqibile.
• Sebenzisa izixhobo zokhuseleko ezifanelekileyo kuyo yonke imidlalo nemisebenzi yomzimba.
• Landela ukutya okunempilo kunye nesicwangciso sokuzilolonga esikufaneleyo.
• Bona ugqirha kwangoko xa uva iintlungu okanye ezinye iimpawu.

Ndingazinyamekela njani xa ndine-"Shoulder Impingement"?

Musa ukuqhubeka nemisebenzi enzima de ugqirha wakho akunike imvume. Ukuba ubeka uxinzelelo egxalabeni lakho, i-rotator cuff, ngaphambi kokuba liphole ngokupheleleyo, unamathuba amaninzi okuphinda ulilimaze. Oku kunokukhokelela ekwenzakaleni okukhulu, okufana ne-rotator cuff ekrazukileyo.

Ndifanele ndimbone nini ugqirha?

Ukuba ufumana nayiphi na intlungu entsha, ukuqina, okanye ukudumba egxalabeni lakho – ingakumbi ukuba iimpawu ziya zisiba mandundu, okanye ukuba unengxaki yokushukuma okanye ukusebenzisa igxala okanye ingalo yakho – bonana nogqirha ngoko nangoko.

Ukuba ukhe waba nengozi, awukwazi ukushukumisa igxalaba lakho, okanye ukuba ucinga ukuba igxalaba lakho liphumile, yiya kwigumbi likaxakeka esibhedlele ngoko nangoko. Ungaze uzame ukubuyisela igxalaba lakho endaweni yalo wedwa.

Ndingayibuza yiphi imibuzo ugqirha wam?

Ungabuza ugqirha wakho le mibuzo:

• Ingaba ndinayo i-impingement yegxalaba okanye ndiyenzakele kwenye indawo?
• Luhlobo luni 'lokuthintelwa' endinalo?
• Luhlobo luni lonyango endiludingayo?
• Ngaba ndiza kufuna utyando?
• Ndingahlala ixesha elingakanani ndingayi kwezemidlalo nemisebenzi enzima?

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukuxinwa yigxalaba kunokubangelwa yinto ecaphukisa okanye evuthisa i-rotator cuff yakho kunye nezicubu ezikwijoyinti yakho yegxalaba. Nokuba une-rotator cuff tendinitis, i-bursitis, okanye ingxaki yesakhiwo ngamathambo egxalaba lakho, ugqirha wakho uya kucebisa indibaniselwano yonyango ukunceda ukunciphisa iimpawu zakho kunye nokubuyisela ukusebenza kwegxalaba okuqhelekileyo.

Ukuxinwa yigxalaba kunokuba buhlungu kwaye kuyacaphukisa – ingakumbi ukuba kuthatha iiveki ungadlali kumdlalo owuthandayo okanye kwimisebenzi yemihla ngemihla. Nangona kunjalo, ungaze uzityeshele iimpawu ezifana nentlungu, ukuthamba, okanye ubunzima bokushukumisa igxalaba lakho.

Okukhona ugqirha ekujonga igxalaba lakho ngokukhawuleza, kokukhona ungaqala kwakhona ngokukhuselekileyo nangovuyo ukwenza izinto ozithandayo. Sikunqwenelela ukuchacha ngokukhawuleza!

Intlungu Yamagxa , Ukuxinana Kwamagxa, I-Rotator Cuff Tendinitis, Uxinzelelo Lwamagxa, I-Tendonitis, Iingxaki Zamagxa, Unyango Lomzimba