Uyazi, kuvamile ukuthola imihuzuko noma ukuklwebheka okuncane ngesikhathi sisebenza noma sidlala nsuku zonke. Kungakhathaliseki ukuthi ushaya itafula noma udlala nezingane zakho, ngezinye izikhathi uzothola ibala eliluhlaza okwesibhakabhaka noma elinsomi esikhumbeni sakho. Kodwa namuhla sizokhuluma ngomhuzuko ojulile kancane futhi odinga ukunakwa okwengeziwe. Lokho kubizwa ngokuthi ukubola kwamathambo .
Kuyini Ukuqunjelwa Kwamathambo?
Kalula nje, ukulimala kwethambo kuwukulimala ethanjeni lakho. Kufana nje nokulinyazwa esikhumbeni sakho. Kodwa-ke, kuyingozi kakhulu kunokulinyazwa ebusweni besikhumba. Odokotela ngezinye izikhathi bakubiza ngokuthi 'ukulinyazwa kwethambo'. Ukulinyazwa yigama lezokwelapha elisho ukulimala.
Ukulimala kwenzeka lapho igazi liqoqana ngaphansi kwethambo lakho ngemva kokushaywa kanzima. Amathambo akho nawo ayizicubu eziphilayo. Njengoba nje isikhumba sakho singalimala, amathambo nawo angalimala. Kodwa-ke, ithambo liyalimala uma ushaywa ngamandla amakhulu kunokuphula nje isikhumba. Ithambo lingaphuma igazi ngaphakathi ngaphandle kokuphuka.
Cabanga nje, uma uwa noma usengozini yemoto, futhi uzwa ubuhlungu obukhulu njengokungathi buvela ethanjeni, nakanjani udinga ukubona udokotela noma uye esibhedlela.
Ingabe kukhona izinhlobo zokulimala?
Manje ake sibheke izinhlobo zokuphuka kwamathambo. Udokotela angahlukanisa lokhu kuphuka kwamathambo ngokusekelwe lapho kutholakala khona:
- Ukuqhekeka kwe-Periosteal: I-periosteum iyi-membrane encane ezungeze iningi lamathambo akho futhi iqukethe imithambo yegazi kanye nemizwa. Lokhu kuwukulimala kwalolu lwelwesi.
- I-subchondral lesion: Lokhu kwenzeka ejoyintini, okungukuthi, ethanjeni elingaphansi kwe-cartilage emajoyintini. Cabanga ngakho njengedolo.
- Ukuminyana kwethambo: Kulokhu, ukuminyana kungaphakathi kwethambo.
Kuphi lapho kuvame ukubonwa khona?
Kuvamile ukuthi lokhu kuphuka kwamathambo kwenzeke ngemva kwengozi enkulu noma ukulimala okukhulu. Isibonelo, ngokusho kochwepheshe, cishe abantu abangu-80% abadabula i-ACL (i-Anterior Cruciate Ligament) edolweni nabo banenkinga yokuphuka kwamathambo edolweni.
Empeleni, lokhu kuphuka kungenzeka kunoma yiliphi ithambo emzimbeni. Kodwa-ke, kuvame kakhulu emathanjeni amade, ikakhulukazi lawo asemilenzeni yakho:
- I-Femur
- Ithambo lesifuba (i-Tibia)
- I-Fibula (ithambo elincane ngemuva kwe-tibia)
Ziyini izimpawu? Uzizwa kanjani?
Kulungile, manje ake sibheke izimpawu zokulimala kwamathambo. Ungase uzizwe izinto ezinjengalezi:
- Ubuhlungu bamathambo: Ubuhlungu obukhulu nobujulile.
- Ubumnene: Kubuhlungu kakhulu uma uthinta indawo .
- Ukuvuvukala: Indawo ephukile ingase ivuvuke.
- Ukuphuka noma ukushintsha kombala wesikhumba: Ngezinye izikhathi ubuso besikhumba bungase bube luhlaza okwesibhakabhaka/bubende.
Kuzwakala kanjani lokhu?
Ukulimala kwamathambo kuzwakala njengobuhlungu obukhulu kancane, obujulile kunokulimala kwesikhumba okuvamile. Ukulimala esikhumbeni noma ingxenye yenyama kuyabuhlungu uma uyithinta. Ukulimala kwamathambo kuvame ukuzwakala njengobuhlungu obungacacile, obubuhlungu obuvela ngaphakathi emzimbeni. Ngezinye izikhathi, kuye ngethambo elilimele, ubuhlungu bungase bube bubi nakakhulu uma unyakaza, ume, noma ubamba izikhundla ezithile.
Kungani lokhu kwenzeka? Yiziphi izizathu?
Kungani kuvela imivimbo emathanjeni? Kalula nje, lesi simo singavela uma ushaya into eqinile ngokwanele ukulimaza amathambo akho.
Lokhu kuvame ukuholela ezingozini ezinkulu nasekulimaleni:
- Izingozi zemidlalo: Cabanga ngokushaywa kanzima yibhola ngenkathi udlala ikhilikithi, noma ukuwa ngenkathi udlala ibhola.
- Ukuwa: Ukuwa usuka endaweni ephakeme, njengokuwa phansi ezitebhisini.
- Izingozi zezimoto.
Ukulimala okuhilela ukusonta amalunga noma umzimba wakho cishe kungabangela ukuphuka kwamathambo. Isibonelo, ukuphuka kweqakala noma idolo kungabangela ukuphuka kwamathambo ngenxa yokucindezela okufakwa emathanjeni.
Ubani osengozini enkulu?
Noma ubani angaphuka ithambo, kodwa abanye abantu basengozini enkulu kancane:
- Abadlali abadlala imidlalo yokuxhumana: njenge-rugby kanye ne-boxing.
- Abantu abanemisebenzi noma izinto abazithandayo ezidinga amandla amaningi.
- Abantu abanezinkinga ezithile zegazi.
- Abantu abanezifo zamalunga njenge-arthritis.
Kwenzekani uma ukwelashwa kunganikezwa? (Izinkinga)
Uma kungelashwa ngokushesha, lokhu kuphuka kwamathambo kungenza amathambo akho abe buthaka futhi kuholele nasekuqhekekeni kwamathambo . Ngokuvamile, izingozi ezifanayo ezibangela ukuphuka kwamathambo nazo zingaholela ekuqhekekeni kwamathambo.
Cabanga nje, ithambo lakho liphukile, kodwa uma ungalinaki futhi uqhubeka nokulisebenzisa, ulicindezela, umonakalo unganda futhi ithambo lingaqhekeka noma liphuke.
Udokotela ukubona kanjani lokhu?
Manje ake sibone ukuthi udokotela angakuxilonga kanjani ngokunembile ukuphuka kwethambo. Udokotela uzokuxilonga futhi enze izivivinyo ezithile zokuqinisekisa lokhu.
Udokotela wakho uzohlola ngokucophelela ithambo lakho elilimele kanye nendawo ezungezile. Kufanele futhi utshele udokotela wakho ukuthi waqala nini ukuzwa izimpawu ezifana nobuhlungu nokuvuvukala, nokuthi uyazi ukuthi yini ebangele lokho (njengokuwa noma ingozi yezemidlalo). Futhi, mtshele ukuthi lezi zimpawu ziyanda (noma ziyancipha) ngemisebenzi ethile, ukunyakaza, noma ukuma komzimba.
Hlobo luni lokuhlolwa okwenziwayo?
Udokotela wakho angase asebenzise izivivinyo ezahlukene zezithombe ukuze athathe izithombe zamathambo akho nendawo ezungezile:
- Iskeni se-MRI (Magnetic Resonance Imaging): Lena yindlela evame kakhulu yokubona ngokucacile ukuphuka kwethambo.
- Ukuhlolwa kwe-Ultrasound.
- Iskeni se-CT (Computed Tomography).
I-X-ray ayikwazi ukukhombisa ukulimala kwethambo. Kodwa-ke, udokotela angase athathe i- X-ray ukuze ahlole ukuthi ithambo liphukile yini.
Yiziphi izindlela zokwelapha? Yini engingayenza ukuze ngilulame?
Kulungile, manje ake sibone ukuthi ukwelashwa kwalokhu kuyini. Udokotela uzokweluleka ukuthi wehlise ingcindezi ethanjeni elilimele bese uliphatha ngendlela ezolisiza ukuthi liphole.
Abantu abaningi bangakwazi ukulawula lezi zimpawu ekhaya besebenzisa indlela ye-RICE :
- R (Ukuphumula): Gwema umsebenzi onzima womzimba. Zama ukugwema ukusebenzisa ingxenye elimele ngangokunokwenzeka kuze kube yilapho iphola.
- I (Iqhwa): Faka iphakethe leqhwa endaweni elimele cishe imizuzu eyi-15 izikhathi eziningana ngosuku. Khumbula ukusonga iphakethe leqhwa ngendwangu encane ukuze lingathinti isikhumba ngqo.
- C (Ukucindezela): Bopha ibhandishi elithambile elizungeze ithambo elilimele ukuze unciphise ukuvuvukala. Udokotela wakho uzokukhombisa ukuthi ungakwenza kanjani lokhu ngendlela efanele.
- E (Ukuphakama): Gcina ithambo elilimele lingaphezulu kwezinga lenhliziyo yakho noma nini lapho kungenzeka.
Kunezinye izindlela zokwelapha:
- Imithi: Ukuze unciphise ukuvuvukala nobuhlungu, udokotela wakho angakunika imithi yobuhlungu efana nama-NSAID (Imithi Engavimbi Ukuvuvukala) (isib. ibuprofen) noma i-acetaminophen (isib. iPanadol). Udokotela wakho uzokutshela ukuthi kufanele uyithathe isikhathi esingakanani le mithi nokuthi kangaki. Ungaphuzi imithi yobuhlungu njalo izinsuku ezingaphezu kweziyi-10 ngaphandle kokubonisana nodokotela wakho.
- Ukwelashwa ngokomzimba: Udokotela wezokwelapha ngokomzimba uzokufundisa ukuzivocavoca nokwelula ukuze akusize uqinise imisipha yakho, wandise ukuguquguquka, futhi abuyisele ububanzi bokunyakaza engxenyeni yomzimba wakho. Lokhu kuyasiza kakhulu uma ukuklwebheka kungaphakathi noma eduze kwelunga.
- Ukungasebenzi: Udokotela wakho angakutshela ukuthi ugqoke i-splint , i-brace , noma i-cast (njenge-plaster yaseParis). Lokhu kugcina ithambo lakho endaweni yalo, kunciphisa ingcindezi kulo, futhi kusize ukuthi liphole. Udokotela wakho uzokutshela nokuthi kufanele uligcine isikhathi esingakanani endaweni yalo.
Izophola ngokushesha kangakanani?
Njengoba uqala ukulawula izimpawu zakho, uzoqala ukuzizwa ungcono kancane kancane. Njengoba uqala ukuthatha imithi yobuhlungu futhi unciphisa ukusetshenziswa kwethambo elimele, ubuhlungu nokuvuvukala kufanele kunciphe kancane kancane.
Kodwa-ke, ungaqhubeki nomsebenzi womzimba kuze kube yilapho udokotela wakho ekuyala ukuba wenze kanjalo. Kuthatha isikhathi ukuthi ithambo lakho liphinde lithole amandla alo ngokugcwele futhi liphole ngokuphelele.
Uma ucindezela ithambo eliphukile ngaphambi kokuba liphole kahle (ngokudlala imidlalo, ukuya emsebenzini, noma ukwenza ukuzivocavoca okunzima), ingozi yokuphuka endaweni ebuthakathaka eduze kwenxeba iphakeme kakhulu.
Yini ongayilindela?
Ungalindela ukuthi ithambo eliphukile liphole. Kodwa kungathatha isikhathi, futhi ngezinye izikhathi kungaba yinto ekhungathekisayo.
Ukulimala esikhumbeni ngokuvamile akuvamile ukuba kubi kakhulu (yize kungaba buhlungu uma ukhohlwa ukukugxeka). Kodwa ukulimala emathanjeni kuhlukile. Ngenxa yokuthi kuwukulimala ethanjeni, kubalulekile ukunikeza umzimba wakho isikhathi sokululama. Kuye ngokuthi ukulimala kukuphi, kungadingeka uhlale kude nemisebenzi ethile isikhashana. Kungaba yinkinga enkulu nakakhulu uma kufanele uyeke ukudlala umdlalo, umdlalo, noma into oyithandayo isikhashana.
Khuluma nodokotela wakho mayelana nokuthi kufanele ugweme isikhathi esingakanani umsebenzi onzima womzimba noma ukuzivocavoca. Ngaleyo ndlela, uzoba nomqondo ocacile walokho ongakulindela.
Kuthatha isikhathi esingakanani ukuphulukiswa?
Imivimbo yamathambo ithatha isikhathi ukuphola. Imivimbo eminingi yamathambo iphola emavikini ambalwa. Kodwa-ke, imivimbo enzima kakhulu ingathatha izinyanga (noma ngisho nangaphezulu) ukuphola ngokuphelele.
Ukuthi kuthatha isikhathi esingakanani ukuthi ukulimala kwethambo kuphole kuncike ekutheni uhlobo luni lokulimala, ukuthi kuliphi ithambo, nokuthi ngabe kube nezinye ukulimala ngesikhathi esifanayo.
Ukugwema kanjani lokhu? (Ungakugwema kanjani?)
Ungase ungakwazi ukuvimbela ukuphuka kwethambo. Esikhathini esiningi, lokhu kulimala kubangelwa izingozi ongakwazi ukuzilawula. Kodwa-ke, ngokuvamile unganciphisa ingozi yakho yokulimala ngokulandela lawa macebiso okuphepha:
- Gqoka ibhande lesihlalo njalo uma ugibele imoto.
- Gqoka imishini yokuphepha efanele kuyo yonke imidlalo, umsebenzi, noma umsebenzi womzimba.
- Gcina ikhaya lakho nendawo yakho yokusebenza icocekile futhi ingenazo izinto ezingabangela ukuba ushelele futhi uwe.
- Uma uthatha okuthile okuvela phezulu, sebenzisa ithuluzi noma iladi elifanele ngaso sonke isikhathi. Ungalokothi ukhwele ezihlalweni noma ematafuleni.
- Uma unenkinga yokuhamba noma usengozini enkulu yokuwa, sebenzisa induku noma i-walker .
Ingabe udinga ukubona udokotela?
Yebo, impela. Uma ucabanga ukuthi unenxeba lethambo, kufanele uhlale ubona udokotela. Nakuba ungadingi ukubona udokotela ngenxa yenxeba elivamile, kufanele nakanjani ubonane nodokotela ngenxa yenxeba lethambo.
Uma unezinhlungu zamathambo izinsuku ezingaphezu kwezimbalwa, noma uma unezinye izimpawu ezifana nokuvuvukala, ubunzima bokuhambisa ingxenye yomzimba wakho, noma ubuhlungu lapho uyisebenzisa, bona udokotela.
Uma ubhekene nengozi enkulu, njengokuwa okukhulu noma ingozi yemoto, hamba uye esibhedlela ngokushesha.
Yini okufanele uyibuze udokotela?
Ungabuza udokotela wakho imibuzo efana nale:
- Ingabe nginokulimala kwamathambo noma okunye ukulimala?
- Yiliphi ithambo elilimele ekulimaleni kwami? Hlobo luni lokulimala?
- Hlobo luni lokwelashwa engiludingayo?
- Ngingaqala nini ukudlala imidlalo, ukuzivocavoca, noma ukwenza eminye imisebenzi yomzimba enzima futhi?
Yiziphi izigaba zokululama?
Imivimbo engaphansi kwesikhumba sakho ishintsha umbala njengoba iphola. Ekuqaleni ingase ibukeke ibomvu noma iphuzi. Uma unesikhumba esimnyama, imivimbo ingase ibukeke iphuzi, inombala onsundu omnyama, noma imnyama. Njengoba imivimbo iphola, ingase ibe nsundu kancane, iluhlaza okotshani, noma iphuzi.
Ukulimala kwethambo nakho kudlula ezigabeni zokuphulukiswa. Kodwa-ke, ngenxa yokuthi ukulimala kungaphakathi emzimbeni, ungase ungakwazi ukubona noma yiziphi izinguquko ezibonakalayo ngaphandle. Kungcono ukubuza udokotela wakho ukuthi kuphephile nini ukufaka ingcindezi ethanjeni lakho elilimele futhi uqalise yonke imisebenzi evamile.
Wazi kanjani ukuthi ithambo liphukile noma likhumukile?
Ukuphuka kwethambo kanye nokuqhekeka kwethambo kokubili ukulimala okubuhlungu okubangelwa ukushaywa kanzima emzimbeni (ngokuvamile ukuwa, ingozi yemoto, noma ingozi yezemidlalo). Umehluko usekutheni ithambo lakho lonakele kanjani.
Ukuqhekeka kwamathambo kwenzeka lapho into eqinile ishaya ithambo futhi ibangela ukopha, kodwa ithambo aliphuki noma lingaphuki.
Ukuphuka kwethambo kwenzeka lapho ithambo lishaywa kanzima ngokwanele ukuze liphuke okungenani endaweni eyodwa. Ukuphuka kwethambo kuyizingozi ezinkulu kakhulu kunezibazi. Kungathatha isikhathi eside ukuphola kunezibazi.
Uma ube sengozini enkulu futhi uzwa ubuhlungu eduze noma ethanjeni, hamba esibhedlela ngokushesha. Kungakhathaliseki ukuthi ulimale kanjani, kubaluleke kakhulu ukuthi uhlolwe ithambo lakho ngokushesha.
Cabanga ngakho, kungakhathaliseki ukuthi ushaya umlenze wakho etafuleni lekhofi noma unzima kakhulu ngenkathi udlala i-basketball nozakwenu, uthola ukulimala. Ukulimala kwamathambo kufana nebala eliluhlaza okwesibhakabhaka noma elimnyama esikhumbeni sakho. Kodwa lokhu ukulimala okujulile, okubi kakhulu.
Okokugcina, khumbula (Umyalezo Wokuya Ekhaya)
Udokotela wakho uzochaza ngqo ukuthi ithambo lakho eliphukile likuphi nokuthi yini ongayenza ukuze ulisize liphole. Ungasheshi inqubo yokuphulukiswa. Kungathatha isikhathi, kodwa kuyafaneleka. Linda kuze kube yilapho udokotela wakho ekutshela ukuthi uqalise kabusha umsebenzi onzima womzimba. Uma ithambo lakho selipholile ngokuphelele, ungaqhubeka nemisebenzi yakho evamile. Ungesabi, bese ulandela imiyalelo kadokotela wakho ngqo. Khona-ke ungaphola ngokushesha!
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Ingabe ukudumba kwamathambo kuwukulimala kwamathambo?
Cha! Amathambo awaphuki noma akhumule. Uma uwa noma ushaywa kanzima, akuzona nje kuphela izihlunu ezingaphansi kwesikhumba sakho ezikhumulekayo, kodwa futhi 'nobuso bethambo' (imithambo yegazi emincane iyaqhuma). Lokhu kubizwa ngokuthi i-bone bruise/contusion, okuyi-bone bruise enzima lapho ithambo ligcwala khona igazi noketshezi bese livuvukala.
💬 Sihlukanisa kanjani ithambo eliphukile nokulimala okuvamile?
Ukulimala kwemisipha okuvamile kuyaphola emavikini angu-1-2. Kodwa-ke, uma ithambo lilimele, kuba nebala elikhulu eliluhlaza okwesibhakabhaka/elimnyama ebusweni besikhumba (Ukushintsha kombala wesikhumba), futhi kuba nobuhlungu obukhulu bethambo obungabekezeleleki uma ucindezela ithambo elilimele ngomunwe wakho izinyanga. Lokhu kuvamile ezindaweni ezifana nedolo.
💬 Yikuphi ukwelashwa okufanele kwenziwe ukuze kuphulukiswe leli thambo eliphukile?
Lokhu akubonakali ku-X-ray (ku-MRI kuphela), ngoba ithambo aliphukile. Ukwelashwa okuyinhloko kwalokhu indlela ethi 'RICE': Phumula (uphumule ngokuphelele, ungabeki isisindo ethanjeni), Iqhwa (faka iqhwa izikhathi eziningana ngosuku), Cindezela (ubophe ngebhandeji) kanye ne-Elevate (gcina indawo iphakeme). I-Paracetamol/Ibuprofen ingathathwa ngenxa yobuhlungu. Kuthatha cishe izinyanga ezi-2-6 ukuphulukiswa ngokuphelele.
Ukuqhekeka kwamathambo , ubuhlungu bamathambo, ukuvuvukala, ukulimala kwezemidlalo, indlela ye-RICE











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