Ingabe leli lunga elincane liyimbangela yobuhlungu ehlombe? Ake sifunde ngelunga le-AC (i-Acromioclavicular Joint)

Ingabe ngezinye izikhathi uzizwa ubuhlungu obungavamile noma ukuqina engxenyeni engenhla yehlombe lakho, ikakhulukazi lapho ihlombe liphela khona? Mhlawumbe kwaqala lapho uwe phansi ngenkathi udlala ikhilikithi, noma lapho ushelela futhi ushaya isandla sakho phansi ngemva kokuhamba ngebhayisikili. Ngenkathi abantu abaningi becabanga ukuthi lobu buhlungu behlombe bujwayelekile, ukucindezelwa kwemisipha, imbangela yangempela ingaba yinkinga ngejoyinti elincane kodwa elibaluleke kakhulu ehlombe lethu. Namuhla, ake sixoxe ngejoyinti le-AC, okungewona wonke umuntu okhuluma kakhulu ngalo, kodwa libaluleke kakhulu.

Iyini le AC joint?

Kalula nje, i-AC joint ingenye yamalunga amabili ayinhloko ehlombe lakho. Igama layo eliphelele yi -Acromioclavicular Joint . Igama lizwakala liyinkimbinkimbi kancane, akunjalo? Kodwa indlela eyakhiwe ngayo ilula kakhulu. I-AC joint itholakala lapho i-collarbone yakho, noma i-clavicle , ixhuma khona phezulu kwehlombe lakho (scapula) . Ungazwa ingxenye ephezulu yehlombe lakho ngeminwe yesandla sakho esinye. Yiqhubu elincane eliphuma ekugcineni kwe-collarbone yakho, futhi yilapho i-joint ikhona khona.

Ngakho igama elithi `Acromio-clavicular` lakhiwa ngokuhlanganisa amagama ala mathambo amabili. Leli yilunga elibaluleke kakhulu ekunyakazeni nasekuzinzeni kwehlombe lethu.

Iyiphi insizakalo enikezwa yi-AC junction emzimbeni wethu?

Umsebenzi oyinhloko wejoyinti le-AC ukusekela ihlombe nokunikeza indawo lapho imisipha ezungeze ihlombe inamathela khona.

Cabanga ngejoyinti le-AC njengejoyinti 'elingenzi lutho' elingakwazi ukuzihambela lodwa. Okusho ukuthi, ukunyakaza kwalo kulawulwa eminye imisipha namalunga ehlombe. Lapho imisipha ehlombe inyakaza, lonke ihlombe liyanyakaza, futhi yilapho ijoyinti le-AC linyakaza khona. Empeleni, lijoyinti eliyindilinga elivumela amathambo amabili ukuthi ashelele kahle phezu komunye nomunye.

Isibonelo, ake ucabange ukuthi ugwedla isikebhe bese usunduza izingalo zakho phambili bese uzidonsela emuva. Phakathi nalokhu kunyakaza, ihlombe lakho liya phambili nangemuva, futhi i-AC joint yiyo esiza ihlombe ukuthi lihambe kahle. Leli lunga libaluleke kakhulu nalapho uphakamisa ingalo yakho phezulu.

Yenziwe ngani i-AC junction?

Ngaphakathi kwale ndawo encane yokuhlangana kukhona izingxenye eziningana ezibaluleke kakhulu zomzimba wethu.

• Amathambo: Njengoba sixoxile ngaphambili, i-clavicle kanye ne- scapula yiwona mathambo amabili ayinhloko akha leli lunga.
• I-cartilage: Ukuze kuvinjelwe la mathambo amabili ukuthi angagudlani ndawonye, ​​kukhona umcamelo phakathi kwawo. Yilokhu esikubiza ngokuthi i-cartilage. Yilokhu okuvumela amathambo amabili ukuthi ashelele kahle phezu komunye nomunye ngaphandle kokulimala.
• Ama-Ligaments: Amathambo amabili esihlanganisi axhumene ndawonye futhi abanjwe yi-ligaments. I-AC joint ine-ligaments ezintathu ezinkulu. Yilezi ezigcina ilunga lisendaweni yalo ngaphandle kokuba lihambe.
• Imizwa: Sithola ubuhlungu kanye nomuzwa kulokhu kuhlangana okuvela ohlelweni lwemizwa olusuka entanyeni luye ehlombe.
• Imithambo yegazi: Njenganoma yisiphi isitho, le ndawo yokuhlangana inesimiso semithambo yegazi sokunikeza ukudla okunomsoco kanye nomoya-mpilo.

Yiziphi izifo ezivame kakhulu zejoyinti le-AC?

Ukulimala kwamalunga e-AC empeleni kuvame kakhulu. Ngokusho kodokotela, cishe ama-40% azo zonke ukulimala kwamahlombe kuhlobene nelungu le-AC. Lokhu kulimala kungenzeka ngezindlela ezahlukene.

• Ukuklwebheka kwamahlombe: Ukudabuka kwemisipha ezungeze ilunga.
• Amahlombe ahlukene: Lokhu ukuhlukaniswa kwe-blade yehlombe kanye ne-clavicle ngenxa yokudabuka kwemisipha ebamba i-blade yehlombe ndawonye. Kunezigaba ezahlukene zobukhali.
• Amahlombe aphumile: Lokhu kuvame ukuthinta ilunga eliyinhloko lehlombe kunelunga le-AC, kodwa engozini enkulu ilunga le-AC nalo lingathinteka.
• Ukuphuka kwamahlombe: Ukuphuka kwe-blade yamahlombe noma i-humerus esibayeni.

Imbangela eyinhloko yanoma yikuphi kwalokhu amandla asheshayo, adlulele asetshenziswa ehlombe. Izingozi zemidlalo (isb., ukuwa ngenkathi udlala i-rugby, ukushayela ikhilikithi, noma ukudlala i-volleyball), izingozi zezimoto , kanye nokuwa usuka phezulu yizona ezivame kakhulu.

Ngaphezu kwalokho, i-arthritis, isimo esenzeka ngokuguga, singathinta naleli lunga. Kodwa-ke, abantu abaningi abane-arthritis kuleli lunga ababi nabuhlungu noma izimpawu. Ngakho-ke, ukwelashwa kungase kungadingeki.

Ubuhlungu bamalunga e-AC buzwakala kanjani?

Uma ihlombe lakho libuhlungu, kungaba nzima kancane ukubona ukuthi ubuhlungu buvela yini ejoyintini le-AC, ngoba uma libuhlungu, kuzwakala sengathi lonke ihlombe libuhlungu.

Ngezinye izikhathi ubuhlungu bungavela lapho kukhona khona i-AC joint. Kodwa ngezinye izikhathi ubuhlungu bungadlulela entanyeni, ehlombe elingezansi, emisipheni yesifuba, noma emhlane. Uhlobo lobuhlungu luyahlukahluka kuye ngokuthi lubangelwa yini.

Kungani kukhona umsindo othi 'tock tock' ovela endaweni yokuxhuma i-AC?

Lena inkinga abantu abaningi abanayo. Empeleni kuyinto evamile ukuthi amalunga ethu enze umsindo 'wokuchofoza' noma 'wokuchofoza' ngezikhathi ezithile. Lokhu kungenzeka uma selula umzimba wethu noma sigoba ilunga. Isizathu salokhu ukuthi amabhamuza omoya abanjwe oketshezini olungaphakathi kwelunga ayakhishwa. Asikho isidingo sokwesaba imisindo enjalo evamile.

Kodwa-ke, kunezimo ezikhethekile okudingeka uzinake.

Futhi, uma uhlala uzwa umsindo wokuchofoza lapho uxhawula isandla sakho ngendlela efanayo, noma uma uzwa umsindo 'wokuqhekeka' kanye nomsindo, njengokungathi amathambo amabili ayakhuhlana, kufanele futhi utshele udokotela ngalokho.

Kubaluleke kakhulu: Uma ucabanga ukuthi ulimele ehlombe, ungavumeli umuntu ongaqeqeshiwe alithinte, aliqinise, noma alilungise. Uma ucabanga ukuthi ilunga liphumile, ungazami ukulibuyisela ngaphakathi. Gcina ihlombe linganyakazi ngangokunokwenzeka bese uya eMnyangweni Wezimo Eziphuthumayo (ETU) oseduze ngokushesha.

Yiziphi izindlela zokwelapha izinkinga zamalunga e-AC?

Uhlobo lokwelashwa oludingayo luzoncika ohlotsheni kanye nobukhali besimo sakho. Udokotela wakho uzokuhlola kuqala (mhlawumbe nge-X-ray noma nge-scan) ukuze athole uhlobo oluqondile lwesimo sakho. Kulapho-ke kuphela lapho ezokunikeza khona ukwelashwa.

Lezi izindlela zokwelapha ezivame ukusetshenziswa:

• Ukuphumula: Kubaluleke kakhulu ukuphumula ihlombe elilimele. Kuzodingeka ugweme ukuphakamisa izinto ezisindayo, umsebenzi ongaphezulu, kanye nemidlalo okwesikhashana.
• Iziqeda-zinhlungu: Udokotela wakho angase ancome imithi efana nama-NSAID (izidakamizwa ezingezona eze-steroidal ezilwa nokuvuvukala) ukunciphisa ubuhlungu nokuvuvukala. Njalo thatha le mithi kuphela ngaphansi kweseluleko sikadokotela.
• Imijovo ye-Corticosteroid: Uma ubuhlungu nokuvuvukala kukhulu kakhulu, udokotela wakho angase ancome umjovo okhethekile ngqo emalungeni. Lokhu kubizwa nangokuthi umjovo we-cortisone .
• Ukwelashwa ngokomzimba: Lokhu kuyindlela yokwelapha ebaluleke kakhulu. Ngaphansi kokuqondisa kochwepheshe bezokwelapha ngokomzimba, kuzodingeka uhlanganyele ekuzivocavoceni okukhethekile okuqinisa imisipha yehlombe futhi kwandise ububanzi bokunyakaza kwejoyinti. Lokhu kuzosiza kakhulu ekubuyiseleni ijoyinti endaweni yalo evamile.
• Ukungasebenzi: Udokotela weluleka ukugcina ingalo ifakelwe isilingi ukuze kuphumuze ilunga futhi kuvinjelwe ukunyakaza ngokweqile.
• Ukuhlinzwa: Ezimweni eziningi, ukuhlinzwa akudingeki. Kodwa-ke, uma i-ligament idabuke ngokuphelele futhi ijoyinti liqhelelene kakhulu (ukuhlukana okukhulu), noma uma kukhona ukuphuka, kungase kudingeke ukuhlinzwa ukuze liphinde lilungiswe.

Ungayigcina kanjani i-AC junction iphilile?

Bathi, “Ukuvimbela kungcono kunokwelapha.” Ngakho-ke kunezinto eziningana esingazenza ukuze sizivikele ekulimaleni okungenzeka kwejoyinti le-AC.

• Indlela yokuphila enempilo: Ukudla ukudla okunempilo nokuzivocavoca okufanele kuhle kakhulu emzimbeni wonke, kanye namalunga.
• Ngaphambi nangemva kokuzivocavoca: Ngaphambi kokwenza noma yimuphi umdlalo noma ukuzivocavoca , fudumeza umzimba wakho kahle. Okusho ukuthi, fudumeza umzimba wakho. Futhi, ngemva kokuqeda ukuzivocavoca , zipholisa umzimba kahle, okungukuthi, welula imisipha yakho. Lokhu kunciphisa kakhulu ingozi yokulimala.
• 'Ungadlali udlule ebuhlungwini': Uma uzwa ubuhlungu ehlombe ngenkathi udlala umdlalo, ungabunaki bese uqhubeka nokudlala. Lokhu kungashintsha ukulimala okuncane kube inkinga enkulu. Uma uzwa ubuhlungu, yeka ukudlala bese uphumula.
• Gqoka imishini yokuzivikela: Uma udlala umdlalo onomthelela omkhulu njenge-rugby, gqoka imishini yokuzivikela efanele, njengezigqoko zamahlombe.
• Funa iseluleko sezokwelapha:Kungumqondo omuhle ukuthola ukuhlolwa njalo kwezokwelapha. Futhi, uma uzwa ubuhlungu obungavamile, ukuqina, noma umsindo oqhumayo ehlombe lakho, ungawushayi indiva bese ubona udokotela ngokushesha.

Ihlombe lethu liyilunga elimangalisayo emzimbeni wethu. Lingahamba ngezindlela eziningi futhi libe sezingeni eliphezulu kunanoma yiliphi elinye ilunga. Ilunga le-AC liyingxenye ebaluleke kakhulu yaleli lunga elimangalisayo. Ungase ungacabangi ngisho nangaleli lunga uze ulimele. Kodwa lokho akusho ukuthi kufanele ungalinaki noma yiluphi ubuhlungu noma ukuqina kwehlombe lakho. Uma uzizwa into engavamile ehlombe lakho, bona udokotela. Uzochaza kahle ukuthi inkinga iyini nokuthi iyiphi indlela engcono kakhulu yokwelapha ngayo.