Ake sifunde ngokuhlolwa kwe-O'Brien kobuhlungu behlombe ngendlela elula!

Ingabe ihlombe lakho liyabuhlungu kancane? Mhlawumbe uzwa lobo buhlungu uma wenza okuthile, uma uphakamisa ingalo yakho? Uma unesifo samahlombe esinjalo, kukhona ukuhlolwa okulula okubizwa ngokuthi ukuhlolwa kwe-O'Brien odokotela abakusebenzisa ukuthola imbangela. Ake sixoxe ngalokhu ngemininingwane ethe xaxa namuhla, kulungile?

Iyini isivivinyo sika-O'Brien?

Kalula nje, ukuhlolwa kwe-O'Brien kuyindlela elula yokuhlolwa odokotela abayisebenzisayo ukusiza ekuxilongeni imbangela yobuhlungu behlombe lakho. Kufana nokuhlolwa kwesandla okulula. Ngokuyisisekelo kubheka ukudabuka noma ukulimala kwe-cartilage ehlombe lakho, ikakhulukazi i-labrum , noma yiziphi izinkinga ngejoyinti lakho le-AC (ijoyinti le-acromioclavicular) . Kubizwa nangokuthi 'ukuhlolwa kokucindezela okusebenzayo' ngoba kuhilela ukuphakamisa ingalo yakho nokusebenzisa amandla.

Ukuhlolwa kwe-O'Brien kwenziwa nini?

Manje cishe ucabanga ukuthi, 'Liyini leli joint le-AC? Liyini leli labrum?' Ihlombe lethu liyijoint eliyinkimbinkimbi kakhulu, akunjalo? Linezingxenye eziningi. Lokhu kuhlolwa kwe-O'Brien kugxile ngqo ezingxenyeni ezimbili: ijoint yakho ye-AC kanye ne-labrum yakho .

Iyini i-AC Joint?

Ijoyinti le-AC lingenye yamalunga amane ehlombe lakho. Yilapho ingxenye ephezulu yejoyinti lakho (silibiza ngokuthi i-acromion , okuyingxenye ephezulu, engaphandle yejoyinti lehlombe) ihlangana khona nengxenye ephezulu yethambo lakho lentamo ( i-clavicle ). Cabanga ngalo njengejoyinti elincane phezulu kwehlombe lakho. Ukuhlolwa kwe-O'Brien kungabona noma yiziphi izinkinga ngejoyinti le-AC, njengokuhlukana noma ukudabuka kwe-cartilage lapho.

Iyini i-labrum?

I-labrum iyisiqeshana se-cartilage esime njenge-bumper. Sitholakala eduze kwejoyinti eliyinhloko ehlombe lakho (elibizwa ngokuthi i-glenoid) . Siza ukugcina ijoyinti lebhola nesokhethi ehlombe lakho lizinzile. Leli joyini lenziwe ngesokhethi lethambo lakho lehlombe (i-glenoid) kanye ne-ball-nesokhethi yethambo lakho lengalo elingaphezulu ( i-humerus ). Ukuhlolwa kwe-O'Brien kungahlola ukudabuka engxenyeni engenhla yale labrum . Lokhu kubizwa nangokuthi ukudabuka kwe-SLAP . I-SLAP ifushaniswa ne-Superior Labrum, Anterior to Posterior. Lokhu kusho ukudabuka engxenyeni engenhla ye-labrum, kusukela ngaphambili kuya ngemuva.

Futhi, lokhu kuhlolwa kwe-O'Brien ngezinye izikhathi kungabona ezinye izinkinga zamahlombe, isibonelo:

• I-Rotator Cuff Izinyembezi
• Isifo Sokucindezelwa Kwamahlombe
• I-arthritis ye-Acromioclavicular joint noma ukuhlukaniswa kwe-AC joint

Kuyasiza futhi ukuqinisekisa ukuthi lokhu akuyona into efana naleyo.

Ubani ohlola lo mbono ka-O'Brien?

Lokhu kuhlolwa kwe-O'Brien kuvame ukwenziwa abahlinzeki bezempilo abanjengo:

• Abaqeqeshi bezemidlalo , ikakhulukazi uma kwenzeka ukulimala kwabadlali.
• Odokotela bamathambo odokotela abanolwazi olukhethekile ngamathambo namalunga akho .
• Abelaphi bomzimba ngabantu abakufundisa ukuzivocavoca futhi bakusize ululame.
• Abahlinzeki bokunakekelwa okuyinhloko odokotela ovame ukubabona kuqala uma unesimo sezokwelapha.

Ukuhlolwa kwe-O'Brien kusebenza kanjani?

Kulungile, manje ake sibone ukuthi singalwenza kanjani lolu vivinyo luka-O'Brien ngqo. Kulula kakhulu. Ungakwenza uhleli noma umile.

Udokotela uzokutshela ukuthi wenze lokhu:

1. Okokuqala, welula izingalo zakho zombili ziqonde phambili nge-engeli engama-degree angu-90 emahlombe akho, zihambisane nomhlabathi . Izindololwane zakho kufanele ziqonde ngokuphelele.

2. Okulandelayo, letha izingalo zakho kancane ezinhlangothini, okungukuthi, eduze nesikhungo somzimba wakho (cishe ama-degree ayi-10 kuya kwangu-15).

3. Manje yingxenye ebaluleke kakhulu. Phendula izandla zakho zingene ngaphakathi . Izandla zakho zizobhekana, izithupha zakho zibheke phansi . Izindololwane zakho zizophendulwa zisuke emzimbeni wakho. Lokhu kubizwa ngokuthi ukubiza amagama ngokwezokwelapha.

Cabanga nje, uphethe ibhodlela lamanzi esandleni sakho bese usonga isivalo, njengokungathi uyasiqinisa.

Ngesikhathi ubambe izandla zakho kanje, udokotela uzohlala phambi kwakho noma ngemuva kwakho bese ecindezela izandla zakho kusukela phezulu kuya phansi . Uzokutshela ukuthi uphakamise izandla zakho ngokumelene nalolo cindezelo . Lokho kusho ukuthi akufanele uvumele izandla zakho ziwe.

Udokotela uzokutshela ukuthi uphendule izingalo zakho ngenye indlela. Okusho ukuthi, phendulela izintende zakho phezulu, ubheke ophahleni . Izindololwane zakho zizophendukela phansi. Lokhu kubizwa ngokuthi i-supination . Kufana nokuthi welula ingalo yakho ucele okuthile kothile.

Futhi, njengoba udokotela ecindezela izandla zakho phansi kusukela phezulu kuya phansi, kufanele uphakamise izandla zakho phezu kwayo.

Kusho ukuthini ukuhlolwa kuka-O'Brien "okuhle"?

Kulungile, njengoba lokhu kuhlolwa sekuqediwe, udokotela usho kanjani ukuthi 'kuqondile' noma 'kungekuhle'?

Ukuhlolwa kuka-O'Brien 'okuhle' kubhekwa njengokulandelayo:

• Uzwa ubuhlungu ehlombe lakho lapho udokotela ekucindezela isandla sakho ngenkathi uphendulela izandla zakho ngaphakathi (okungukuthi, endaweni yokuqala uphakamise izithupha zakho phansi).
• Kodwa, uma uphendulela izandla zakho ngaphandle (okungukuthi, endaweni yesibili izintende zakho zibheke phezulu) bese udokotela ecindezela isandla sakho,Lobo buhlungu buzoncipha, noma buphele nya.

Ubuhlungu kumele bunciphe nakanjani kulesi sikhundla sesibili ukuze isivivinyo sika-O'Brien sibe 'sihle'.

Manje, udokotela angathola umbono othile ngokusekelwe ekutheni ubuhlungu buzwakala kuphi.

• Uma ubuhlungu bujulile ngaphakathi kwehlombe, kungenzeka kakhulu ukuthi kube ukukhala kwe-labral . Ngezinye izikhathi, uma kukhona ukukhala kwe-labral, ungase uzwe umsindo othi 'click' ehlombe lapho kwenziwa lokhu kuhlolwa.
• Uma ubuhlungu butholakala phezulu kwehlombe lakho, eduze kwesikhumba , kungaba uphawu lwenkinga yamalunga e-AC .

Ngingalungiselela kanjani lolu vivinyo?

Akudingeki wenze noma yiluphi uhlobo lokulungiselela okukhethekile ukuze wenze isivivinyo sika-O'Brien, noma isivivinyo sokucindezela okusebenzayo. Lolu uhlobo lokuhlolwa olulula kakhulu oluvame ukwenziwa ehhovisi likadokotela.

Kwenzekani ngemva kokuhlolwa kuka-O'Brien?

Ngemva kokuhlolwa, udokotela wakho uzokhuluma nawe ngemiphumela. Okusho ukuthi, kungakhathaliseki ukuthi ukuhlolwa 'kuqondile' noma 'kungekuhle', kungani kwaba njalo, kusho ukuthini, njll. Ngemuva kwalokho, uzokutshela uma udinga ezinye izivivinyo.

Ukuhlolwa kwe-O'Brien kuthembeke kangakanani ?

Manje ungase uzibuze, 'Ingabe lokhu kuhlolwa kwe-O'Brien kunembile ngo-100%?' Eqinisweni, ngezinye izikhathi ngisho nabantu abanamahlombe aphilile bangaba nokuhlolwa kokucindezela okusebenzayo 'okulungile' . Lokho kusho ukuthi ngisho nomuntu ongenabuhlungu angazizwa ubuhlungu phakathi nalolo kunyakaza kokuqala.

Ngakho-ke, ukuhlolwa kwe-O'Brien kumane kuyithuluzi elilodwa elisetshenziswa udokotela ukuhlola ubuhlungu behlombe. Kunzima ukusho ngqo ukuthi lesi sifo sisekelwe kuphi kulokhu kuphela. Ngokuvamile, lokhu kuhlolwa kuhambisana nezinye izivivinyo zokuthola ukuxilongwa okunembile nokuphelele .

Kuthatha isikhathi esingakanani ukuthola imiphumela yokuhlolwa kuka-O'Brien?

Ungayazi imiphumela yokuhlolwa kuka-O'Brien ngokushesha ngoba udokotela ukwenza nawe. Angakutshela ngokushesha ukuthi ubuhlungu buqala nini noma cha.

Kodwa, njengoba ngishilo ngaphambili, lesi yisinyathelo esisodwa nje sokuhlola ubuhlungu behlombe lakho. Udokotela wakho angase futhi ancome ezinye izivivinyo, ezifana nalezi:

• I-X-ray, i-CT scan, noma i-MRI scan : Lokhu kungathatha izithombe zengaphakathi lehlombe lakho ukuze kubonwe isimo samathambo, i-cartilage, kanye nezicubu ezithambile.
• Ukuhlolwa kwegazi : Ngezinye izikhathi, ngokubheka amazinga amakhemikhali athile egazini lakho, ungathola ukuthi unesifo esifana ne -gout noma i-rheumatoid arthritis .
• I-arthroscopy yamahlombe: Lokhu ukuhlinzwa okuncane. Ikhamera ifakwa ngomsikelo omncane kakhulu bese kuhlolwa ingaphakathi lehlombe. Lokhu ngezinye izikhathi kusetshenziselwa ukuxilongwa kanye nokwelashwa.

Umyalezo oya nawo ekhaya

Kulungile, ngakho-ke ngithemba ukuthi usuyaqonda kangcono isivivinyo sika-O'Brien esikhulume ngaso namuhla.

Kalula nje, ukuhlolwa kwe-O'Brien kuwukuhlolwa okulula udokotela angakwenza ukuze asize ekutholeni imbangela yobuhlungu behlombe. Ngokuvamile kusetshenziselwa ukuhlola inkinga yokudabuka kwe-labral noma inkinga yamalunga e-AC.

Nakuba lokhu kukodwa kungenakuphetha noma yiziphi iziphetho eziqondile, kungasiza udokotela wakho ukuthi athole umbono ngesimo sakho. Uma ubhekene nobuhlungu behlombe, kungcono ukubona udokotela bese uthola ukuhlolwa nokwelashwa okudingekayo ngaphandle kokukushaya indiva. Ngemuva kwalokho ungalulama ngokushesha.

Ubuhlungu behlombe , ukuhlolwa kuka-O'Brien, ukuhlolwa kokucindezela okusebenzayo, ukudabuka kwe-labrum, izinkinga zamalunga e-AC, ukuhlolwa kwehlombe, ukudabuka kwe-SLAP