Ngaba wakha waziva iintlungu ezibukhali egxalabeni lakho xa uvuka kusasa? Okanye uziva iintlungu ezibukhali egxalabeni lakho xa uphakamisa into enzima okanye uphakamisa ingalo yakho? Le ntlungu yegxala yingxaki eqhelekileyo kubantu abaninzi kwilizwe lethu. Kodwa akulunganga ukuyityeshela nje njengesigulo somzimba. Kuba igxala lethu lilungu elinzima kakhulu nelibaluleke kakhulu. Ngoko ke, masithethe ngale nto ngeenkcukacha ezithe vetshe namhlanje.
Luhlobo luni lwelungu legxalaba?
Ngamafutshane, igxalaba lethu lelona lungu lihambahambayo emzimbeni. Lilo esilibiza ngokuba yi-'ball-and-socket joint'. Oko kukuthi, inxalenye efana nebhola yethambo lengalo ephezulu (ihumerus) ixhomekeke kwinxalenye efana nekomityi yeblade yegxalaba ( scapula ) kwaye ijikeleza ngokukhululekileyo. I-clavicle inamathele kweli lungu.
Ukubamba yonke le nkqubo kunye, ukunceda ekuphakamiseni, ekujikelezeni, nasekutsaleni ingalo ngasemva yingqokelela yemisipha emine kunye nemisipha ebizwa ngokuba yi-rotator cuff . Ukongeza, kukho ii-ligaments ezidibanisa amathambo kunye nengxowa egcwele ulwelo ebizwa ngokuba yi-bursa esebenza njengomqamelo welungu. Njengoko iindawo ezininzi zisebenza kunye, igxalaba lisengozini yokwenzakala.
Zithini izizathu eziphambili zentlungu emagxeni?
Iintlungu zamagxa zinokuvela ngequbuliso, okanye zikhule kancinci kancinci. Zininzi izizathu zoku. Masizihlukanise zibe ziindidi ezimbalwa.
1. Ukulimala Okugqithisileyo
Xa siphinda-phinda senza intshukumo efanayo, izicubu ezithambileyo egxalabeni zinokonakala. Umzekelo, ukupeyinta iindonga zendlu, ukuhlakula igadi, okanye ukudlala imidlalo efana nokudada, ithenisi, okanye ikhilikithi.
- I-Bursitis: Ingxowa egcwele ulwelo (i-bursa) esithethe ngayo ngaphambili iyadumba kwaye ivuvuke. Intlungu ivakala kakhulu xa igxalaba lishukunyiswa.
- Ukukrazuka kweRotator Cuff: Ukukrazuka kwenye okanye ngaphezulu kwemisipha ejikeleze igxalaba. Oku kunokuwohloka njengoko ukhula. Iimpawu zingabandakanya iintlungu eziba mandundu ebusuku xa ulele, ubunzima bokuphakamisa, kunye nesandi sokuqhuma xa ushukumisa igxalaba lakho .
- Ukuxinwa: Imeko apho i-rotator cuff tendon ibanjwa phakathi kwamathambo egxalabeni. Oku kuqhelekile kubantu abanemisebenzi efuna ukuba baphakamise iingalo zabo ngaphezu kweentloko zabo.
- I-Tendinitis: Ukudumba kwe-tendon.
2. Ukonzakala okanye ukuwa
Ingozi yemoto okanye ukuwa kunokubangela umonakalo omkhulu egxalabeni.
- Ukukhubeka: Ithambo elikwingalo engentla liphuma kwisokethi yalo, apho kufanele ukuba libe khona. Oku kubuhlungu kakhulu. Kunokubangela ubuthathaka, ukudumba, kunye nokungaziva mnandi egxalabeni.
- Ukwahlulwa kwamalungu: Oku kuchaphazela ilungu le-Acromioclavicular (AC), apho ithambo le-collarbone kunye ne-blade yegxalaba zidibana khona. Xa ii-ligaments ezibamba eli lungu kunye zikrazukile, njengaxa umntu ewile, ithambo le-collarbone linokuphakama lize libonakale njengeqhubu egxalabeni .
- Ukwaphuka : Amaxesha amaninzi, ithambo le-clavicle okanye ithambo lengalo engentla (i-humerus) linokwaphuka.
3. Ezinye iimeko zonyango
- Isifo samathambo:
- I-Osteoarthritis : Imeko ebangelwa kukukrazuka kwamalungu. Izicubu ezithambileyo ezibizwa ngokuba yi-cartilage ziyaphela kwaye zibangele iintlungu njengoko amathambo egudlana.
- I-Rheumatoid Arthritis: Ingxaki kwinkqubo yomzimba yokuzikhusela ibangela ukudumba kunye nentlungu emalungeni.
- Igxalaba Eliqandisiweyo: Oku kukwabizwa ngokuba ' ligxalaba elinamatheleyo '. Izicubu ezingaqhelekanga (ukuncamathela) kwakheka ngaphakathi kwelungu, nto leyo ethintela intshukumo yegxalaba. Oku kunokwenzeka xa igxalaba lingasetyenziswa ngenxa yentlungu okanye emva kotyando.
- Ukuhluma kwamathambo: Ukukhula okuncinci, okutsha kwithambo okubizwa ngokuba yi-osteophytes kunokubangela intlungu kwimisipha.
- Intlungu Ebhekiselweyo: Oku kubaluleke kakhulu. Ngamanye amaxesha, iintlungu zegxalaba zinokubangelwa yingxaki kwenye indawo emzimbeni, kunokuba yingxaki egxalaba. Umzekelo, isifo senyongo okanye sesibindi.
Kubaluleke kakhulu: Ukuba intlungu egxalabeni lasekhohlo ifikelela emhlathini, ihamba nokuqina kwesifuba okanye ubunzima bokuphefumla, inokuba luphawu lokuhlaselwa yintliziyo. Kwimeko enjalo, endaweni yokuzama ukuyinyanga ekhaya, kufuneka utsalele umnxeba ku-1990 ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngokukhawuleza.
Ugqiba njani ukuba uya kugqirha okanye cha?
Ezinye iintlungu ezincinci zinokuthomalaliswa ekhaya ngokuphumla iintsuku ezimbalwa kunye nomkhenkce. Nangona kunjalo, qaphela ezi mpawu zilandelayo.
| Uphawu | Inkcazo |
|---|---|
| Ukuba unale mpawu, bonana nogqirha ngokukhawuleza. | |
| Inkangeleko egqwethekileyo | Ukuba igxalaba lakho litshintshile, libonakala linamaqhuqhuva, okanye libonakala lingaqhelekanga. |
| Ukungakwazi ukusebenzisa | Ukuba awukwazi ukwenza nayiphi na intshukumo efana nokuphakamisa okanye ukujikelezisa ingalo yakho. |
| Intlungu ebuhlungu | Ukuba kukho intlungu enganyamezelekiyo. |
| Ukudumba ngequbuliso | Ukuba igxalaba livuvuka ngequbuliso. |
| Ukuba ndindisholo okanye ubuthathaka | Ukuba isandla okanye iminwe yakho ivakala ngathi ayinamandla okanye ibuthathaka. |
| Intlungu yexesha elide | Ukuba intlungu iyaqhubeka kangangeeveki ezingaphezu kwezimbini ukuya kwezine. |
Ugqirha usifumanisa njani esi sifo?
Xa ubona ugqirha, baya kuqala bahlole igxalaba lakho baze bashukumise ingalo yakho kwiindlela ezahlukeneyo. Oku kuya kukunika umbono womgama wegxalaba lakho kunye namandla alo. Emva koko, ukuba kuyimfuneko, banokuyalela iimvavanyo ezifana nezi ukuqinisekisa unobangela ngakumbi:
- Ii-X-reyi: Jonga ukuba amathambo aqhekekile na, aphumile na, okanye amathambo angaphezulu aqhekekileyo.
- Iskeni ye-MRI:Fumana umfanekiso ocacileyo wezicubu ezithambileyo emagxeni, ezifana nemisipha, izihlunu kunye ne-cartilage.
- I-CT Scan: Ibona imeko yamathambo ngokucacileyo kune-X-ray.
- I-Arthroscopy: Olu lutyando oluncinci. Ikhamera encinci ifakwa kwilungu ize ijongwe kwiscreen. Oku kunokuchonga izifo kwaye ngamanye amaxesha kunyange izinto ezifana nokukrazuka okuncinci.
Unyango kunye nezinto onokuzenza ekhaya
Indlela yonyango ixhomekeke kwisizathu sentlungu yakho egxalabeni.
- Ukuphumla kunye nonyango olulula: Uninzi lwexesha, ugqirha uya kuqala akucebise ukuba uphumze igxalaba, ufake umkhenkce, kwaye uthabathe amayeza okudambisa iintlungu ukunciphisa ukudumba kunye nentlungu.
- Ukunxiba isling: Kwiimeko ezinje ngokuphuma kwegxalaba okanye ukwaphuka, emva kokuba ilungu libuyiselwe kwindawo yalo efanelekileyo, isling ingasetyenziselwa ukuyigcina ingashukumi ide iphole.
- Unyango lweFiziyoloji: Le yinxalenye ebaluleke kakhulu yonyango. Uqeqesho lonyango lomzimba lubalulekile ukuqinisa izihlunu ezijikeleze igxalaba, ukubuyisela umgama wokunyakaza kwilungu, kunye nokuthintela ukwenzakala kwakhona. Yenza imithambo kanye njengoko ugqirha wakho okanye ingcali yonyango lomzimba ekuxelela.
- Iinaliti zeSteroid: Ukuba intlungu kunye nokudumba kukhulu , ugqirha unokugqiba ekubeni afake inaliti yesteroid kwilungu.
- Utyando: Kunokufuneka utyando xa kukho ukukrazuka okukhulu kwe-rotator cuff, iimeko zamagxa aqandisiweyo, okanye ukwaphuka okukhulu okungapholiyo ngonyango olulula.
Umyalezo Wokuya Ekhaya
- Iintlungu zegxalaba zinokuba nezizathu ezininzi, ngoko ke musa ukuzityeshela ngokucinga, "Ligxalaba nje elibuhlungu."
- Ukuba intlungu ihlala ngaphezu kweeveki ezimbini, ayinyamezeleki, okanye ukuba imo yegxalaba ibonakala itshintshile, qiniseka ukuba ubona ugqirha.
- Ukuba intlungu yegxalaba lasekhohlo ihamba nentlungu yesifuba kunye nobunzima bokuphefumla, oko kungaba luphawu lokuhlaselwa yintliziyo. Yiya esibhedlele ngoko nangoko.
- Ukunamathela ngokungqongqo kunyango oluchazwe ngugqirha, ingakumbi i-physiotherapy, kubalulekile ukuze uphile ngokukhawuleza.
- Izinto ezifana nokuma kakubi kunye nokulala nazo zinokubangela iintlungu emagxeni, ngoko ke lumka naloo nto.
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