Ake sijwayelane kangcono nehlombe lakho.

Sawubona! Unjani? Namuhla sizokhuluma ngengxenye ebaluleke kakhulu futhi evame ukuba yinkinga yomzimba wethu. Leyo yi -shoulder joint . Uma uvuka ekuseni bese ushwiba ingalo yakho, uphakamisa isisindo, noma udlala ikhilikithi, le shoulder joint iyasiza kukho konke lokhu. Ngakho ake sibone ukuthi iyini ngempela, isebenza kanjani, nokuthi yiziphi izifo engazibangela.

Iyini i-shoulder joint?

Kalula nje, ilunga yindawo lapho iziphetho zamathambo amabili zihlangana khona ukuvumela ukunyakaza. Ihlombe lakho lakhiwe amalunga amabili ayinhloko. Lawa malunga axhuma amathambo amathathu ehlombe lakho. Lokhu kuxhumana kuqiniswa kakhulu yizicubu ezithambile, njengemisipha, imisipha, imisipha kanye ne-cartilage.

Amathambo amathathu ayinhloko ehlombe lakho yilawa:

• Ithambo lehlombe `(i-Scapula)`
• I-Clavicle - Abanye abantu bakubiza nangokuthi ithambo lekhola.
• I-Humerus - Leli yithambo elide engalweni yakho engenhla.

Lawa mathambo amathathu axhumene futhi ahamba ndawonye ehlombe, yingakho singaphendula izingalo zethu kunoma iyiphi indlela, sigobe izindololwane zethu, futhi sisebenze ngezandla zethu. Cabanga nje, ukwakheka okumangalisayo kwaleli hlombe kusenza sikwazi ukujikisa izingalo zethu lapho siphonsa ibhola.

Yiziphi izihlanganisi ezimbili eziyinhloko ehlombe?

Kulungile, manje ake sibheke la malungu amabili ayinhloko ehlombe. Womabili lawa abaluleke kakhulu.

• Esokuqala yi -`Acromioclavicular joint` . Nakuba igama lingase lizwakale lide kancane, empeleni lixhumanisa ingxenye ephezulu yehlombe lakho (elibizwa ngokuthi i-`acromion`) nethambo lakho lentamo (i-`Clavicle`). Leli yilunga eliphuma kancane phezulu kwehlombe lakho.

• Esesibili `i-Glenohumeral joint` . Empeleni leli yilungu elikhulu, eliyinhloko abantu abaningi abacabanga ngalo uma sithi `ilungu lehlombe`. Yilapho ingxenye efana nebhola yethambo lakho lengalo elingenhla `(i-Humerus)` ingena khona engxenyeni efana nendebe yethambo lakho lehlombe `(i-Scapula)` (ebizwa ngokuthi `i-glenoid cavity`). Yilapho iningi lokunyakaza kwengalo lenzeka khona.

Luhlobo luni lwejoyinti lehlombe?

Ijoyinti lehlombe, ikakhulukazi ijoyinti le-glenohumeral, liyijoyinti eliyibhola nesokhethi . Libizwa nangokuthi ijoyinti eliyi-spheroidal. Cabanga ukuthi isiphetho esiyindilinga sethambo elilodwa singena esikhoxeni esifana nendebe kwelinye ithambo.

Ungazama lokhu nje. Bamba isandla sakho sokudla ngesibhakela bese usibeka esandleni sakho sobunxele. Manje songa isandla sakho sobunxele ngesibhakela sokudla. Ngesikhathi ubambe isibhakela sakho sokudla esandleni sakho sobunxele, hambisa isandla sakho sokudla phezulu naphansi, ohlangothini olulodwa, nangaphandle. Yilolo hlobo lokunyakaza oluthola "ekuhlanganeni kwebhola nesokhethi".

Ngenxa yesenzo esihlangene salezi zihlanganisi ezimbili ehlombe kanye nendlela ihlombe elihamba ngayo emuva naphambili phezu kwekheji lezimbambo, ihlombe lingahamba ngebanga elikhulu lokunyakaza kunanoma yiliphi elinye ilunga emzimbeni wethu. Lokho kusho ukuthi singahambisa ingalo yethu phambili, emuva, phezulu, eceleni, nxazonke, nakunoma iyiphi indlela.

Kwenzekani esihlangwini sehlombe?

Ngakho-ke, into eyinhloko eyenziwa yihlombe ukuvumela ukuthi uhambise ingalo yakho. Ngokuxhumanisa lawo mathambo amathathu, kukuvumela ukuthi wenze ukunyakaza okubanzi. Cabanga ngakho, uma ufinyelela okuthile eshalofini, uma uphonsa ibhola, uma ugqoka izingubo, uma ukama izinwele zakho, uma ubhala, uma udla... zonke lezi zinto zingenzeka ngaphandle kwehlombe. Kufana 'nephaneli yokulawula' yengalo yethu.

Isebenza kanjani ihlombe?

Amathambo ehlombe awawona nje amathambo amaningi. Anezinye izingxenye eziningana eziwasekelayo futhi eziwasiza ukuba ahambe kahle. Ake sibheke ukuthi ayini:

• Ama-Ligaments nama-Tendons: Lezi yizinto ezifana nentambo, kodwa eziqinile, neziguquguqukayo. Ama-Ligaments abamba amathambo ndawonye ngokuqinile, ukuze ilunga lingashukumi. Ama-Tendons axhuma imisipha namathambo. Uma sifuna ukuhambisa ingalo yethu, imisipha iyafinyela, okudlulisela amandla ethanjeni nge-tendon, okubangela ukuba ithambo linyakaze.
• I-Cartilage: Lokhu futhi kuyizicubu eziguquguqukayo, ezifana nerabha. Ezindaweni lapho amathambo ehlangana khona esibayeni, kukhona ungqimba lwalesi sikhwepha. Lokhu kusiza amathambo ukuthi ashelele phezu komunye nomunye kahle (i-articular cartilage), kuzinzise ukunyakaza (isibonelo, i-labrum esibayeni se-glenohumeral), futhi, njengesisekelo sesicathulo sakho, kumunca ukushaqeka okuthinta isikhwepha. Ngaphandle kwalokhu, amathambo angakhuhlana ndawonye futhi aguge.
• Imisipha: Phakathi kwehlombe lakho nethambo lengalo kukhona uhlelo olukhethekile lwemisipha olubizwa ngokuthi i-rotator cuff . Lolu iqoqo lemisipha emine. Le misipha ibamba ilunga ndawonye ngokuqinile, isiza ekuliqiniseni, ekulisekeleni, nasekusizeni ukuphakamisa nokuzungezisa ingalo.
• I-Bursa: I-bursa isiza imisipha yakho, imisipha, kanye nemisipha ukuthi kuhambe kahle ngaphandle kokugudlana. Ifana nesikhwama esincane esigcwele uketshezi. Isebenza njengomcamelo ngaphakathi kwejoyinti, ikakhulukazi phakathi kwethambo kanye ne-tendon.
• Ulwelwesi lwe-synovial: Lolu lwelwesi luzungeza ilunga futhi lukhipha uketshezi olunamathelayo (ulwelo lwe-synovial). Lokhu kugcina ilunga lithambile futhi kwenza ukunyakaza kube lula, njengamafutha emshinini. Kuphinde kunikeze ukudla okunomsoco ku-cartilage.

Ikuphi indawo yokuhlangana kwehlombe?

Ihlombe litholakala phezulu kwengalo yakho, lapho ingalo yakho ixhumana khona nomzimba wakho. Sinezihlanganisi ezimbili zamahlombe ohlangothini ngalunye lomzimba wethu, elilodwa engalweni yesokudla nelinye engalweni yesobunxele.

I-``(Acromioclavicular joint)`` okukhulunywe ngayo ngaphambilini ixhuma i-collarbone yakho ne-blade yakho yehlombe. Ngaphansi kancane kwalokho kukhona i-``(Glenohumeral joint)``. Ixhuma ithambo lengalo yakho ne-blade yakho yehlombe.

Ijoyinti lehlombe libukeka kanjani?

Kunamalunga amabili ehlombe lakho. Ngalinye libukeka lihlukile kancane.

• Ijoyinti le-Acromioclavicular:Lokhu kuxhuma i-blade yamahlombe kanye ne-clavicle. Kubukeka sengathi amapensela amabili abekwe eceleni, elinye ngemuva kwelinye, nesikhala esincane phakathi kwawo. Leli lunga lincane kakhulu.
• I-glenohumeral joint: Yilapho ithambo lengalo elingaphezulu (ithambo lengalo) lixhuma khona nethambo lehlombe. Ithambo lehlombe linomumo ofana nendebe (obizwa ngokuthi i-glenoid cavity). Ithambo lengalo yakho elingaphezulu lide, linengxenye ephezulu eyindilinga (ebizwa ngokuthi ikhanda le-humeral). Leyo ngxenye eyindilinga ingena esimweni esifana nendebe sethambo lehlombe, yakha i-joint. Leli 'bhola ne-socket' yilokho okuvumela ingalo yakho ukuthi ijikeleze kuzo zonke izinhlangothi.

Yiziphi izimo ezivamile ezithinta ihlombe?

Ngenxa yokuthi sisebenzisa amalunga ethu ehlombe kaningi, asengozini enkulu yokulimala nokuguguleka. Nazi ezinye zezimo ezivame kakhulu ezithinta ihlombe:

• Ukukhubeka kwamalunga: Umsipha esihlanganisini sehlombe uyanwebeka noma udabuke. Lokhu kungenzeka ngokuwa noma ukujijeka kwengalo ngokuzumayo.
• Ihlombe eliphumile: Ikhanda le-humeral lethambo lengalo liphuma emgodini we-glenoid. Lokhu kubuhlungu kakhulu.
• I-Arthritis: Ubuhlungu nokuvuvukala kwamalunga. Lokhu kungabangelwa ukuwohloka kwe-cartilage njengoba siguga (i-Osteoarthritis) noma ngezinye izimo (i-Rheumatoid Arthritis).
• I-Bursitis: Ukuvuvukala kwesikhwama esigcwele uketshezi (i-bursa) ngaphakathi kwamalunga. Lokhu kungenzeka uma uqhubeka nokwenza ukunyakaza okufanayo.
• I-Tendinitis: Ukuvuvukala kwemisipha ehlombe. I-Rotator cuff tendinitis yisimo esivamile.
• Ukuphuka kwehlombe: Ukuphuka kwelinye lamathambo ehlombe (i-clavicle, i-humerus, noma ithambo lengalo elingaphezulu) elixhumanisa nelunga. Lokhu kungenzeka ngenxa yezinto ezifana nokuwa.

Ziyini izimpawu zezinkinga zamajoyinti ehlombe?

Uma unenkinga ngehlombe lakho, ungase ube nezimpawu ezifana nalezi:

• Ubuhlungu: Lokhu kuyinto eyinhloko. Ubuhlungu bungenzeka uma ushukumisa ihlombe lakho, ulele, noma ngisho umile nje.
• Ukuvuvukala: Ihlombe lingase libonakale livuvukile.
• Ukuqina kwemisipha, ukuqina: Kungaba nzima ukuphakamisa noma ukujikisa ingalo.
• Ukushintsha kombala wesikhumba noma ukuphuka: Uma kube nokulimala.
• Ukunyakaza okulinganiselwe, ubuhlungu lapho uhambisa ingalo, noma ukungakwazi ukusebenzisa ingalo ngendlela evamile. Isibonelo, kungaba nzima ukukama izinwele zakho noma ukuxubha amazinyo akho.
• Ngezinye izikhathi ungase uzwe umsindo "wokuchofoza" noma umuzwa wokuqina lapho ushukumisa ihlombe lakho.

Uma unalezi zimpawu, qiniseka ukuthi ubona udokotela.

Ungayihlola kanjani impilo yamalunga ehlombe?

Udokotela uzohlola ihlombe lakho, akubuze ukuthi ubuhlungu bunjani, nokuthi hlobo luni lokunyakaza olunzima. Ngemuva kwalokho, uma befuna ukubhekisisa ijoyinti lehlombe, bangase bacele ukuhlolwa kwesithombe.

Izinhlobo ezivame kakhulu zokuhlolwa kwezithombe yilezi:

• I-X-ray: Lokhu kungahlola isimo samathambo nokuthi ngabe kukhona yini ukwaphuka.
• I-MRI (I-Magnetic Resonance Imaging): Lokhu kungasetshenziswa ukubheka isimo sezicubu ezithambile, njengemisipha, imisipha, i-cartilage, kanye nemisipha. Lokhu kuwusizo kakhulu ekubhekeni izinto ezifana nokwephuka kwe-rotator cuff.
• Ngezinye izikhathi ukuhlolwa kwe-ultrasound nakho kungenziwa.

Lokhu kungasiza udokotela ukuthi aqonde kangcono amathambo, imisipha, imisipha, kanye nemisipha ehlombe lakho.

Yiziphi izindlela zokwelapha izifo zamajoyinti ehlombe?

Izinketho zokwelapha zingahluka kuye ngokuthi imbangela yokulimala kwehlombe lakho noma isimo sakho sinjani. Akukho ukwelashwa okulingana nakho konke. Kalula nje, nansi eminye yemithi ejwayelekile yokwelapha:

• Ukugqoka isilingi kuze kube yilapho ukulimala kuphola. Lokhu kunikeza ilunga ukuphumula.
• Ukuhlinzwa kuyindlela yokulungisa izingxenye zejoyinti lehlombe (njengemisipha, imisipha, kanye ne-cartilage). Ngezinye izikhathi ukuhlinzwa kwe-keyhole, njenge-arthroscopy, nakho kungenziwa.
• Ukwelashwa ngokomzimba ukuthuthukisa ukunyakaza, ukwakha amandla, nokunciphisa ubuhlungu kubaluleke kakhulu.
• Ukuthatha imithi (isib., imithi yokubulala izinhlungu, `ama-NSAID`) ukunciphisa ukuvuvukala (ukuvuvukala) noma ubuhlungu. Ungase futhi unikezwe umjovo esilungwini.
• Phumula futhi unciphise ukusetshenziswa kwesandla kuze kube yilapho ilunga selipholile ngokuphelele, ikakhulukazi ukugwema imisebenzi ebangela ubuhlungu.
• Ukusebenzisa iqhwa noma ukushisa (njengoba kuqondiswe udokotela).

Okubalulekile: Udokotela uzokutshela ukuthi yikuphi ukwelashwa okufanelekela kangcono ukuxilongwa kwakho. Ngakho-ke, kungcono ukufuna iseluleko sezokwelapha ngaphambi kokwenza noma yini ozizwa sengathi uyayenza.

Ungawagcina kanjani amalunga ehlombe ephilile?

"Ukuvimbela kungcono kunokwelapha." Lokho kusho ukuthi kungcono ukuvimbela isifo ngaphambi kokuba sivele kunokuselapha ngemva kokuba sivele. Ngakho-ke, ungagcina amalunga akho ehlombe ephilile ngokwenza okulandelayo:

• Yidla ukudla okunomsoco olinganiselayo . Yidla ukudla okucebile ngezakhamzimba ezinhle emathanjeni, njenge-calcium ne-vitamin D.
• Fudumeza futhi upholise kahle ngaphambi nangemva kokuzivocavoca, bese welula, ikakhulukazi imisipha ehlobene namahlombe.
• Yenza imisebenzi ejwayelekile kanye nokuzivocavoca okulula njengoba kunconywe udokotela wakho. Ukuzivocavoca okuqinisa imisipha yamahlombe kubalulekile.
• Uma udlala imidlalo yokuthintana, uphakamisa izinsimbiGcina ukuma okufanele, gqoka izinto zokuzivikela (uma kudingeka) futhi uvikele umzimba wakho ekulimaleni.
• Uma usebenza ngendlela efanayo ngaso sonke isikhathi, thatha ikhefu ngezikhathi ezithile bese ushintsha izikhundla.
• Gwema ukubhema. Ukubhema kubi empilweni yamalunga.

Khumbula lokhu kafushane.

Ilungu lehlombe lakho liyingxenye yomzimba eguquguqukayo kakhulu, okwenza izingalo zakho zikwazi ukunyakaza ngezindlela eziningi. Ngaphandle kwala malunga, ikhono lakho lokusebenzisa izingalo zakho beliyoncipha kakhulu. Amalunga ehlombe anempilo abalulekile emisebenzini yansuku zonke kanye nemidlalo.

Ngakho-ke, kubaluleke kakhulu ukugcina amalunga akho ehlombe ephilile ngokudla ukudla okulinganiselayo, ukuzivocavoca njengoba kunqunywe udokotela wakho, kanye nokufudumala. Uma uzwa ubuhlungu, ukuvuvukala, noma ubunzima bokunyakaza, ungabunaki futhi ufune iseluleko sezokwelapha ngokushesha. Ngaleyo ndlela, uma kunenkinga, ingaxazululwa ngaphambi kokuba ibe yinto enkulu.

Ihlombe , ihlombe, izifo zamalunga, amathambo, ubuhlungu behlombe, impilo yomzimba, iseluleko sezokwelapha