Ingaba igxalaba lakho liphumile? (Winged Scapula)

Ngaba wakha waphawula ukuba elinye lamagxa akho libonakala liphuma ngaphezu kwelinye? Ngamanye amaxesha oku kunokubangela iintlungu nokuqina xa ushukumisa igxalaba lakho. Namhlanje siza kuthetha ngale meko ibizwa ngokuba yi-"winged scapula" okanye njengoko oogqirha beyibiza. Asinto yokoyika, wakuba uyazi kakuhle, izinto ezininzi ziya kucaca.

Lithetha ukuthini eli thambo legxa eliphumayo? (`I-Winged Scapula`)

Ngamafutshane, ithambo legxalaba emqolo wakho (oogqirha balibiza ngokuba yi-"Scapula") yinto esiyibiza ngokuba yi-"Winged Scapula" okanye "Scapular Winging" xa liphuma ngasemva, endaweni yokuba libe tyaba kwaye linamathele emzimbeni wakho. Cinga ngalo njengephiko lentaka, kunye nethambo legxalaba eliphuma ngasemva. Kulapho igama elithi "winged" livela khona, kuba libonakala njengephiko.

Xa igxalaba likhutshiwe ngolu hlobo, kunokuba nzima kancinci ukuhambisa igxalaba elikwelo cala okanye ukuphakamisa ingalo. Usenokuziva iintlungu, mhlawumbi uzive ngathi ingalo yakho ayisebenzi. Khawuthelekelele ukuba uza kuphakamisa ubunzima, uze ngequbuliso uzive into ethile ngaphakathi egxalabeni lakho ibambeka. Yiloo nto inokuba yiyo.

Eyona nto ibalulekileyo kukuba, ukuba uvakalelwa kukuba elinye ithambo legxalaba libonakala lahlukile kwelinye, okanye ukuba unentlungu yegxalaba, ukuqina, okanye ubunzima bokuphakamisa ingalo yakho ixesha elingaphezu kweveki, ngokuqinisekileyo kuya kufuneka ubone ugqirha . Okukhona uyibona kwangoko, kokukhona kulula ukuyinyanga.

Ngaba zonke iingxaki zokukhubeka kwesisu zibalulekile? Masifunde nangokuba `(Scapular Dyskinesis)`

Ukuphapha kwe-scapular ngokwenene yimeko engaqhelekanga. Uninzi lwexesha, sibona into engacacanga kangako, apho i-blade yegxalaba ingahambelani nendawo yayo. Oogqirha bayibiza le Scapular Dyskinesis, oko kuthetha ukuba i-blade yegxalaba ayihambelani nendawo yayo kwaye inezinto ezithile ezingahambi kakuhle.

Ukuba unesifo esibizwa ngokuba yi-`(Scapular Dyskinesis)` i-blade yegxalaba lakho isenokubonakala yahlukile kancinci kunesiqhelo. Ayiphumi yonke indlela xa uphakamisa ingalo yakho. Nangona kunjalo, njengemeko ye-`(Winged Scapula)`, iimpawu – ezifana nentlungu nokuqina – zinokubakho, kodwa zihlala zingabi nzima kangako. Ungaziva ubuthathaka kancinci egxalabeni lakho, okanye ungaziva ngathi kukho into engalunganga xa uphakamisa ingalo yakho.

Zithini iimpawu zale meko `(Winged Scapula)`?

Eyona nto iphambili kukuba elinye igxalaba liphuma kakhulu kunelinye. Yiloo nto abantu abaninzi bayiqaphelayo kuqala. Ukongeza, ungaziva izinto ezinje:

• Intlungu yamagxa: Olu lolona phawu luqhelekileyo. Intlungu ingadlulela nasentanyeni.
• Ukuqina kwamagxa: Kungavakala ngathi ubambeke ngesikrufu.
• Ubunzima bokuphakamisa ingalo: Intlungu inokwanda, ingakumbi xa uzama ukuphakamisa ingalo ngaphezu kwentloko, okanye ingalo isenokungakwazi ukuphakanyiswa kwaphela. Oku kubizwa ngokuba kukuncipha "koLuhlu lokuHamba"
• Ukuziva ubuthathaka: Usenokuziva ngathi iingalo zakho zibuthathaka kwaye usenokuziva ngathi awukwazi ukuphakamisa nantoni na.
• Ukuva ingxolo xa unyusa amahlombe: Usenokuva okanye uzive isandi "esitshoyo", okanye into efana nento ejijekileyo.
• Ukuva ngathi icala elinye lentamo liyatsalwa: Xa uphakamisa ingalo yakho, ungaziva ngathi izihlunu zentamo zitsalwa kwelinye icala.

Ukuba unenye okanye ngaphezulu kwezi mpawu, kulungile ukuba nexhala.

Kutheni i-blade yegxalaba iphuma ngolu hlobo? Zithini izizathu?

Amaxesha amaninzi, le meko ye-"Winged Scapula" ibangelwa kukonakala kwemisipha ebambe i-blade yehlombe lakho okanye kwimithambo-luvo elawula ezo misipha .

Cinga ngayo njengenkqubo esebenza kunye. Xa siphakamisa ingalo yethu, siyithoba, okanye sijikeleza igxalaba lethu, izihlunu ezibandakanyekayo ziyafinyela, ziphumle, kwaye zincedane. Le yinto ekufuneka ilingane. Ngoku, ukuba umthambo okanye umsipha olawula ezi zihlunu wonakele, loo msipha uyalahleka. Emva koko izihlunu azikwazi ukubamba i-blade yegxalaba esifubeni kwaye zisigcine sithe tyaba.

Ukukunika omnye umzekelo olula: Khawucinge uzama ukuvala ibhokisi yekhadibhodi. Ufuna ukusonga onke amacala amane ebhokisi kunye uze uwavale kakuhle. Ngoku khawucinge ukuba elinye icala lebhokisi lityumkile okanye laphukile. Emva koko, nokuba uzama ukufaka elinye lamacala amane ngaphakathi, liya kuphuma lize linyuke, akunjalo? Yiyo loo nto. Xa esinye okanye ngaphezulu kwezihlunu ezijikeleze igxalaba siba buthathaka, ithambo legxalaba "liyaphuma."

Kukho izihlunu kunye nemithambo-luvo emininzi enokuchaphazeleka kakhulu yile meko:

• Imisipha yangaphambi kwethambo iSerratus: Oku kulawulwa yiLong Thoracic Nerve. Ukonakala kwale mithambo-luvo yikona okubangela iWinged Scapula.
• Izihlunu zeTrapezius: Le meko inokwenzeka ukuba nayiphi na kwezi zihlunu yonakele, okanye ukuba umthambo womqolo ozilawulayo wonakele.
• Imisipha yeRhomboid: Ezi zilawulwa yiDorsal Scapular Nerve. Ezinye iingozi nazo zinokubangela oku.

Ngoko ke, ezi mithambo-luvo okanye izihlunu zingonakaliswa njani?

• Iingozi zemidlalo: Imidlalo ebeka uxinzelelo olukhulu emagxeni, njengekhilikithi kunye nevolibholi.
• Ukulimala Koxinzelelo Oluphindaphindayo: Xa uqhubeka nokwenza uhlobo olufanayo lomsebenzi, umzekelo, umntu opeyinta okanye osebenza kwikhompyutha ngendlela efanayo.
• Amagxa aphumileyo.
• Iingozi: Izinto ezifana neengozi zeemoto, ukuwa.
• Iziphumo ebezingalindelekanga zotyando: Ngamanye amaxesha, ngexesha lotyando lwebele, ingakumbi i-mastectomies, imithambo-luvo ebandakanyekayo inokonakala, okanye ingaba yimpendulo kwi-anesthesia.

Ngubani osengozini enkulu yokuba nale meko?

Ukuqhwanyaza kweenyawo okuyinyani, okukukuba igxalaba liphuma kakhulu ngenxa yomonakalo wemithambo-luvo okanye wemisipha, kudla ngokubangelwa yingozi. Abantu abaye benza utyando lwesifuba, ingakumbi i-mastectomies, basengozini enkulu.

Nangona kunjalo, imeko endikhankanye ngayo ngaphambili ebizwa ngokuba yi-``Scapular Dyskinesis``, apho igxalaba litsalwa kancinci, inokubangelwa zezi zinto zilandelayo:

• Ukudlala imidlalo ebeka uxinzelelo emagxeni.
• Umsebenzi onzima ngokomzimba.
• Soloko uphethe ibhegi enzima (abantwana besikolo kufuneka balumke ngale nto).
• Ukuma okugobileyo, okuthetha ukuma ngokungathi ugobile.
• Elinye igxalaba libuthathaka kakhulu kunelinye.

Oogqirha bayibona njani le nto?

Xa usiya kugqirha, baya kuqala bakubuze imibuzo baze bahlole umqolo wakho. Ngokwesiqhelo, xa umi, unokuyibona le meko ethi "Winged Scapula" xa uyithelekisa nelinye igxalaba.

Uvavanyo lwe-`(Winged Scapula)`

Ugqirha uza kukucela ukuba wenze iintshukumo ezahlukeneyo kwaye ujonge ukuba igxalaba lakho lihamba kangakanani kwaye linamandla kangakanani. Uvavanyo oluphambili lokufumanisa i-winged scapula luvavanyo lwe-wall pushup .

Okwenzekayo koku kukuba, ucelwa ukuba ujonge eludongeni uze ubeke izandla zakho eludongeni. Emva koko, ngokungathi wenza i-"Pushup" phantsi, ucelwa ukuba usuke eludongeni ngezandla zombini ngaxeshanye. Ukuba une-"Winged Scapula", xa usenza oku, loo thambo legxalaba eliphumayo liya kubonakala ngokucacileyo.

Ukongeza, ezi mvavanyo zilandelayo zingenziwa ukujonga i-Scapular Dyskinesis:

• Uvavanyo lweScapular Assistance (SAT): Ugqirha uza kukucela ukuba uphakamise ingalo yakho ithe nkqo ngaphezu kwentloko yakho. Njengoko usenza njalo, uza kuyityhala kancinci phantsi kwegxalaba lakho. Ukuba oku kuyanceda ekunciphiseni iintlungu zakho okanye kwenza kube lula ukuphakamisa ingalo yakho, usenokuba une-dyskinesis.
• Uvavanyo lokuBuyisa iScapular (SRT): Kolu vavanyo, ugqirha ubeka isandla sakhe phezu kwegxalaba lakho aze acinezele igxalaba lakho ngasemva ngebunzi lakhe. Oku kuthetha ukuba igxalaba litsalwa ngasemva apho lifanele ukuba khona. Emva koko, ucelwa ukuba wolule ingalo yakho ecaleni. Emva koko ugqirha ubeka uxinzelelo oluthambileyo egxalabeni lakho nasengaloni yakho. Ukuba intlungu yakho iyancipha emva kokuba utsale igxalaba lakho ngasemva, okanye ukuba uziva unamandla ngakumbi engalweni yakho, oku kunokuba luphawu lwe-dyskinesis.

Uvavanyo lwemifanekiso alusoloko lufuneka. Kodwa ngamanye amaxesha ugqirha unokufuna ukujonga ngaphakathi kwegxalaba okanye igxalaba. Banokusebenzisa izinto ezinje:

• I-X-reyi yamagxa
• `(MRI)` (Umfanekiso weMagnetic Resonance)
• I-EMG (i-Electromyography) - Le ilinganisa umsebenzi wombane wemisipha.
• Uphononongo lokuHanjiswa kweMithambo - Oku kujonga isantya imiyalezo ehamba ngaso kwimithambo-luvo.

Inyangwa njani le meko `(Scapular Winging)`?

Ugqirha wakho uza kukucebisa unyango olusekelwe kwisizathu. Iindlela zonyango ezixhaphakileyo zezi:

• Ulawulo lweentlungu: Amayeza anikwa ukunciphisa iintlungu nokudumba. Uninzi lwabantu lunikwa amayeza athengiswa ngaphandle kwemvume kagqirha abizwa ngokuba yi-NSAIDs (Non-Steroidal Anti-Inflammatory Drugs). Abanye abantu banokunikwa amayeza okukhulula izihlunu.
• Unyango Lomzimba (PT): Oku kubaluleke kakhulu. Ingcali yonyango lomzimba iya kukufundisa imithambo kunye nokuzolula ukuqinisa izihlunu zakho zamagxa kunye nokwandisa ukuguquguquka. Nangona i-PT ingenakukulungisa umonakalo wemithambo-luvo, inokukunceda ukwandisa uluhlu lwakho lokushukuma kunye nokulawula ezinye iimpawu.
• Utyando: Uninzi lwabantu aludingi tyando. Nangona kunjalo, ukuba ezinye iindlela zonyango azincedi, ukuba unentlungu enzima, okanye ukuba awukwazi ukushukumisa igxalaba lakho kwaphela, utyando lunokufuneka. Utyando ludla ngokuqwalaselwa emva kwengozi. Ungadinga ukufakelwa kwemisipha okanye imithambo-luvo (inkqubo ebandakanya ukuthatha izicwili eziphilileyo uze uzifake kwindawo eyonakeleyo). Okanye ungadinga inkqubo ebizwa ngokuba yi-scapular arthrodesis (i-joint fusion). Ugqirha wakho uza kukuchazela ukuba loluphi utyando olufanelekileyo kuwe kunye noko ungakulindela.

Kuza kwenzeka ntoni ukuba ayinyangwa?

Ukuba ayinyangwa, i-winged scapula inokubeka uxinzelelo olungeyomfuneko egxalabeni lakho nakwizicwili ezingqongileyo. Abantu abangafumani nyango basengozini enkulu yokufumana imeko ebizwa ngokuba yi-frozen shoulder (adhesive capsulitis).

Ukuba i-"Winged Scapula" ibangelwa kukonakala kwemithambo-luvo, kukho ithuba lokulahlekelwa yimvakalelo kunye nokunyakaza kwimisipha efanelekileyo. Umngcipheko uyanda xa uqatshelwa kwaye unyangwa ixesha elide. Yiyo loo nto kucetyiswa ukuba ubone ugqirha ngokukhawuleza ukuba uneempawu.

Yintoni onokuyilindela ukuba unesifo se-"Winged Scapula"?

Abantu abaninzi banokuyilawula le meko ngaphandle kotyando. Ugqirha wakho kunye nonyango lomzimba baya kukunceda ufumane unyango oluza kukunceda ulawule iimpawu zakho. Baya kucebisa notshintsho emsebenzini okanye kwimisebenzi yakho ukuze kuncitshiswe uxinzelelo egxalabeni lakho kwaye kuthintelwe ukwenzakala.

Ihlala ixesha elingakanani i-`(Scapular Winging)`?

Ukuba oku kuhlala ixesha elingakanani kuxhomekeke kwisizathu kunye nokuba kukho umonakalo wemithambo-luvo okanye imisipha. Ungadinga unyango lomzimba lweenyanga ezininzi ukuze ubuyisele igxalaba lakho kwimeko entle kwaye uphinde ufumane ithuba lokuhamba.

Abanye abantu, ingakumbi abo bafumene le meko emva kwengozi, banokuba neempawu kangangeminyaka eliqela. Malunga nekota yabantu abane-winged scapula basenokuba neentlungu ezithile emva kokuphola.

Ngaba i-Scapular Winging ingathintelwa?

Oku kudla ngokubangelwa ziingozi ezingalindelekanga, ngoko ke kusenokungabi lula ukuyithintela ngokupheleleyo.

Nangona kunjalo, kungcono ukulandela la macebiso okhuseleko ngokubanzi ukuze unciphise umngcipheko weengozi:

• Soloko unxibe ibhanti yakho xa ukhwela imoto.
• Nxiba izixhobo zokhuseleko ezifanelekileyo xa udlala imidlalo neminye imisebenzi.
• Gcina ikhaya lakho nendawo yakho yokusebenza ingenazo izinto ezininzi ezinokubangela ingozi.
• Sebenzisa isixhobo esifanelekileyo rhoqo xa uthatha into evela phezulu. Musa ukukhwela ezitulweni okanye etafileni.
• Ukuba unengxaki yokuhamba okanye usemngciphekweni omkhulu wokuwa, sebenzisa into efana nomsimelelo.

Ndifanele ndimbone nini ugqirha?

Ukuba uneentlungu zegxalaba, ukuqina, okanye ezinye iimpawu ixesha elingaphezu kweveki, bonana nogqirha.

Ukuba awukwazi ukushukuma okanye ukusebenzisa igxalaba lakho, yiya kwigumbi likaxakeka esibhedlele ngoko nangoko. Ukuba uziva ngathi igxalaba lakho likhutshiwe, ungaze uzame ukulinyanzela ukuba libuyele endaweni yalo. Gcina ingalo negxalaba lakho zizinzile kangangoko, zixhase, kwaye uye esibhedlele ngoko nangoko.

Ndingayibuza yiphi imibuzo ugqirha wam?

• Kutheni ndine "Winged Scapula"?
• Ngaba ndinomonakalo kwimithambo-luvo okanye kwimisipha?
• Luhlobo luni lonyango olucebisayo?
• Kuza kufuneka ndenze unyango lomzimba ixesha elingakanani?
• Ungandixelela ukuba zeziphi imithambo okanye ukolula umzimba endinokuwenza ekhaya?

Ngoko ke, yintoni esiyifumanayo apha?

Xa ufumanisa ukuba une "Winged Scapula", usenokukhumbula iphupha lakho lobuntwana lokubhabha. Kodwa, eneneni, mhlawumbi ucinga kakhulu ngentlungu nokuqina kwegxalaba lakho.

Ukuphapha kwe-scapular yimeko eyenzeka xa izihlunu kunye nemithambo-luvo egxalabeni lakho zingakwazi ukubamba i-blade yegxala lakho esifubeni sakho. Musa ukoyika. Ugqirha wakho unokuchaza ukuba yintoni ebangela oku kunye nendlela yokulawula iimpawu ezifana nentlungu kunye nobunzima bokuhamba. Eyona nto ibalulekileyo kukufuna unyango ngokukhawuleza ukuba uneempawu. Oku kuya kukunceda uphile ngokukhawuleza.

Ukukhubeka kwegxalaba , i-scapula enamaphiko, iintlungu zegxalaba, i-scapular dyskinesis, iingxaki zemithambo-luvo, unyango lomzimba, umthambo wamagxa