Zicabange uwela ngokuzumayo, noma ngenkathi udlala ezemidlalo, ingalo yakho inamathela phansi ngendlela engafanele. Ngokuzumayo, uzwa ubuhlungu obungabekezeleleki obuvela endololwaneni yakho, futhi awukwazi ngisho nokunyakaza ingalo yakho. Uma ubheka indololwane yakho, isimo sayo sishintshile futhi sibukeka singajwayelekile. Lokhu yilokho esikubiza ngokuthi "indololwane ephumile." Lokhu kuyinto eyesabekayo futhi ebuhlungu ngempela. Ngakho-ke namuhla, sizoxoxa ngalokho okufanele ukwenze esimweni esinjengalesi, nokuthi siyini ngempela.
Kalula nje, kuyini lokhu kugxuma kwendololwane?
Ingqiniba yethu ayilona nje ilunga. Yindawo ebaluleke kakhulu lapho amathambo amathathu ehlangana khona. Noma yiliphi ilunga emzimbeni wethu yindawo lapho amathambo amabili noma ngaphezulu ehlangana khona. Ilunga lengqiniba lakhiwe ngala mathambo amathathu:
- Ithambo lengalo engenhla (iHumerus): Leli yithambo elide eliqala ehlombe lakho liye endololwaneni yakho.
- I-Ulna: Ithambo elide ngaphakathi kwengalo yakho (ohlangothini lomunwe omncane).
- I-Radius: Ithambo eligijima eceleni kwesithupha engalweni.
Ingqiniba ephukile yilapho la mathambo amathathu, ngenxa yokushaywa noma ukuwa okunzima, ephuma endaweni yawo efanele futhi ahlukane. Kufana nedrowa eliphuma ethangini. Uma lokhu kwenzeka, awukwazi ukuhambisa ingalo yakho futhi uzwa ubuhlungu obukhulu.
Okubaluleke kakhulu, uma ithambo liphuma ngale ndlela, lingalimaza nezicubu ezithambile ezizungeze indololwane. Lokhu kusho ukuthi:
- Imisipha
- Imizwa
- Ama-Tendon
- Ama-Ligaments
- Imithambo yegazi
Ngenxa yokuthi zonke lezi zinto zingaba yingozi, uma usola ngisho nokuncane ukuthi uklwebheke indololwane yakho, kufanele uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha. Ungazami, nganoma yisiphi isizathu, ukubuyisela indololwane yakho endaweni yayo, kungaba wedwa noma nomunye umuntu.
Yiziphi izinhlobo eziyinhloko zokugxuma ngendololwane?
Odokotela bahlukanisa ukuklwebheka kwendololwane ngokusekelwe ezintweni ezimbili eziyinhloko. Esinye ukuthi ithambo seliphumile kangakanani. Esinye ukuthi umonakalo wezicubu ezizungezile ungakanani. Ukuze lokhu kube lula ukukuqonda, ake sikubheke ngale ndlela.
| Ukuhlukaniswa | Incazelo |
|---|---|
| Kuye ngokuthi amathambo ahamba kangakanani | |
| Ukususwa/Ukunethezeka Okuphelele | Okwenzekayo kulokhu ukuthi amathambo elunga ahlukana ngokuphelele futhi ashintshe izikhundla. Kunjengokungathi ilunga liphumile ngokuphelele. |
| Ukuhlukaniswa/Ukususwa Okuyingxenye | Lapha amathambo awahlukani ngokuphelele. Ahamba kancane endaweni yawo, kodwa asaxhumana ngezinga elithile. |
| Kuye ngohlobo lomonakalo | |
| Ukuhlukaniswa Okulula | Akukho ukuphuka kwamathambo endololwaneni, kodwa imisipha ebamba indololwane ndawonye ingase yonakale. |
| Ukuhlukaniswa Okuyinkimbinkimbi | Lokhu kuyingozi kakhulu. Ngaphezu kokuhlukanisa ithambo, kukhona ukuphuka kwelinye noma ngaphezulu kwamathambo akha i-elbow joint. Kungaba nomonakalo omkhulu kuma-ligaments nama-tendon azungezile. |
| Ukuphuma Okukhulu Kwesisu | Lesi yisimo esibi kakhulu. Kanye nokuqhekeka kwamathambo kanye nokuqhekeka, kukhona nomonakalo ezinzwa ezibalulekile kanye nemithambo yegazi egijima eduze kwendololwane. |
Ziyini izimpawu zokuthi indololwane ikhubekile?
Uma une-elbow ephukile, ungase ube nesinye noma ngaphezulu salezi zimpawu:
- Ubuhlungu obungabekezeleleki, obubukhali endaweni yendololwane.
- Ukuvuvukala kwendololwane .
- Ukushintsha kombala wesikhumba okuluhlaza okwesibhakabhaka/okunsomi okuzungeze indololwane.
- Ukubukeka kwendololwane kuyashintsha , okusho ukuthi kungase kubonakale sengathi ingalo yeluliwe.
- Ukungakwazi ukunyakaza, ukugoba, noma ukwelula ingalo.
- Ukuqaqamba noma ukuba ndikindiki esandleni (lokhu kungenzeka uma imizwa yonakele).
- Ukuzizwa ubuthakathaka esandleni.
Yiziphi izizathu eziyinhloko zalokhu?
Ukuze indololwane iphume engosini yayo, idinga ukucindezelwa ngamandla anele. Izimbangela ezivame kakhulu yilezi:
- Ukuwa: Ikakhulukazi uma siwa izingalo zethu zeluliwe. Uma sesizowa, sizibeka phambili ngokuzenzakalelayo bese sizibeka phansi ukuze sivikele imizimba yethu. Lokhu kungenzeka ngenxa yokucindezeleka ezindololwaneni ngaleso sikhathi.
- Izingozi zezimoto: Lokhu kungabangelwa ukushaqeka kanye nomonakalo wesandla lapho imoto ishayisa.
- Izingozi zemidlalo: Lesi simo singase senzeke uma udlala imidlalo enomthelela omkhulu njenge-rugby nebhola, noma uma uwa endaweni engalungile ngesikhathi semidlalo efana ne-gymnastics.
Inothi elikhethekile kubazali: Ukuphakamisa ingane encane ngengalo, noma ukuyijika, kungabangela ukukhumuka kwengxenye yengqiniba yengane. Lokhu kwaziwa ngokwezokwelapha ngokuthi "i-Nursemaid's Elbow." Ngakho-ke, gwema ukuphakamisa ingane encane ngengalo.
Ubani osengozini enkulu yokukhumuka kwendololwane?
Nakuba le ngozi ingenzeka kunoma ubani, kwabanye abantu ingozi iphakeme kancane.
- Abadlali: Ikakhulukazi kulabo abadlala imidlalo edinga ukuxhumana okuningi.
- Abantu abangaphezu kweminyaka engama-65 ubudala: Njengoba ukhula, kungenzeka kakhulu ukuthi uwe ngenxa yamathambo abuthakathaka kanye nokulahlekelwa yibhalansi.
- Izingane ezingaphansi kweminyaka eyi-16 ubudala: Amathambo namalunga ezingane asakhula, ngakho-ke zisengozini enkulu yezingozi.
- Abantu abanezimo ezenza amalunga abo abe buthaka: Isibonelo, abantu abanezimo ezifana ne -Ehlers-Danlos syndrome kanye ne-joint hypermobility syndrome banama-joint aguquguquka kakhulu kunokuvamile, okwandisa ingozi yokuqhekeka kwamalunga.
- Abantu abasebenzisa izindololwane zabo njalo: Kulabo abasebenza emisebenzini ehilela ukunyakaza okuphindaphindiwe noma kulabo abasebenzisa izindololwane zabo ngokweqile kwezemidlalo (isib. ababhowuli).
Ukuthola kanjani lokhu, Dokotela?
Uma uya esibhedlela, into yokuqala udokotela azokwenza ukuhlola ingalo yakho. Bazobheka ukuma kwendololwane yakho, babheke ukuvuvukala, futhi babheke imivimbo. Bazokubuza nokuthi ingozi yenzeke kanjani nokuthi yiziphi izimpawu ozizwayo. Ukuchaza lesi sigameko ngokucacile ngangokunokwenzeka kuzosiza kakhulu ekuxilongweni.
Yiziphi izivivinyo ezingenziwa?
Ngemva kokuhlolwa ngokomzimba, udokotela wakho angase ancome okukodwa noma ngaphezulu kwalokhu kuhlolwa ukuze anqume izinga eliqondile lomonakalo wangaphakathi.
- I-X-ray: Lokhu kusetshenziselwa kakhulu ukuthola ukuthi ithambo liphumile noma liphukile.
- Ukuskena kwe-MRI (I-Magnetic Resonance Imaging): Lokhu kungabona ngokucacile umonakalo ezicutshini ezithambile ezizungeze amathambo, njengemisipha, imisipha, kanye nemisipha.
- I-CT Scan (i-Computed Tomography): Uma ukwaphuka kuyinkimbinkimbi, lokhu kungasiza ekutholeni isithombe sethambo esinezilinganiso ezintathu nokuqonda kangcono ukuthi laphuka kanjani.
- Ukuskena nge-ultrasound: Lokhu ngezinye izikhathi kusetshenziselwa ukubona ukuthi imithambo yegazi yonakele yini.
Uphatha kanjani indololwane ephukile?
Ukwelashwa okubaluleke kakhulu nokukuqala kokulimala kwendololwane ukubuyisela ilunga eliphukile endaweni yalo. Odokotela bakubiza lokhu ngokuthi ukunciphisa okuvaliwe .
Khumbula lokhu: Uma ucabanga ukuthi ukhumukile indololwane yakho, into yokuqala okufanele uyenze ukuya egumbini lezimo eziphuthumayo esibhedlela (ETU). Ungazami, ngaphansi kwanoma yiziphi izimo, ukudonsa, ukusonta, noma ukulungisa ingalo yakho, kungaba wedwa noma nomuntu ongaqeqeshwanga. Ukwenza kanjalo kuzomane kubhebhethekise ukulimala futhi kulimaze imizwa nemithambo yegazi ezungezile. Gcina ingalo yakho ithule ngangokunokwenzeka.
Lena yindlela udokotela azolungisa ngayo amalunga akho. Okokuqala, bazokunikeza umuthi wokuqeda izinhlungu ukuze uqede ubuhlungu. Bangase bakunike nomuthi wokudambisa ubuhlungu. Bese, ngokucophelela okukhulu, bazolungisa amathambo abuyele endaweni yawo besebenzisa indlela ekhethekile.
Ngemva kokulungiswa kwelunga, kudingeka ukwelashwa okwengeziwe kuze kube yilapho inxeba liphola:
- Ukungashukumi: I -splint noma i-sling (ibhande elibamba ingalo endaweni yayo) ingafakwa ukuze ingqiniba ingashukumi ize iphole.
- Imithi: Udokotela wakho uzokunikeza imithi efanele yokunciphisa ubuhlungu nokuvuvukala. Ungaphuzi imithi yokubulala izinhlungu wedwa izinsuku ezingaphezu kweziyi-10 ngaphandle kokubonisana nodokotela wakho.
- Ukuphumula: Kufanele ugweme noma yimiphi imisebenzi ebeka ingcindezi endololwaneni yakho. Kufanele ugweme ngokuphelele ukuphakamisa izinsimbi noma ukudlala imidlalo uze ululame.
Kunini lapho kudingeka khona ukuhlinzwa?
Esikhathini esiningi, indololwane ephukile ayidingi ukuhlinzwa. Kodwa-ke, ukuhlinzwa kungadingeka ezimweni ezilandelayo:
- Uma ingozi ibangele ukuphuka kwamathambo noma umonakalo omkhulu ezinzwa noma emithanjeni yegazi.
- Uma udokotela engakwazi ukulungisa ijoyinti ngesandla (ukunciphisa okuvaliwe).
- Uma ukugxuma kuyinkimbinkimbi kakhulu noma kunzima.
Kuthatha isikhathi esingakanani ukuphulukiswa?
Lokhu kuncike ekutheni umonakalo owutholile ungakanani.
- Ukuhlukana okulula kungaphola emavikini ambalwa. Ingalo ngokuvamile kuzodingeka ingasebenzi isonto elilodwa noma amabili. Ngemva kwalokho, kuzodingeka ukwelashwa ngokomzimba ukuze kubuyiselwe ukunyakaza engalweni. Uchwepheshe wezokwelapha ngokomzimba uzokufundisa izivivinyo zokugoba, ukwelula, nokuqinisa ingalo yakho.
- Ukuphuma kwesikhumba okuyinkimbinkimbi noma okukhulu kuzothatha isikhathi eside ukuphulukiswa, mhlawumbe izinyanga eziningana. Udokotela wakho uzochaza lokhu kuwe.
Into ebaluleke kakhulu ukugwema ezemidlalo noma umsebenzi onzima uze ululame ngokuphelele. Uma wenza kanjalo, cishe uzophinde ulimale indololwane yakho.
Ingabe zikhona izindlela zokuvimbela le ngozi?
Asikwazi ukuvimbela izingozi ngaso sonke isikhathi, kodwa kunezinto esingazenza ukuze sinciphise ingozi.
| Isimo | Izinyathelo Okufanele Zithathwe |
|---|---|
| Uma udlala imidlalo |
|
| Ukuphepha okujwayelekile |
Ukukhubeka kwendololwane kuyisimo esibi esidinga usizo lwezokwelapha ngokushesha. Ngakho-ke ungahlali nje ekhaya ucabange ukuthi, "Kuyinto encane nje." Ngisho noma umqeqeshi wakho noma othandekayo wakho enombono omuhle ngawe, ungamvumeli ukuthi alungise leli lunga. Kuzokwenza umonakalo omkhulu kunokuhle.
Uma usola ngisho nokuncane ukuthi uklwebheke indololwane, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha. Ngokwelashwa okufanele, ungalulama ngokushesha futhi ubuyele empilweni evamile.
Umlayezo Wokuya Nawe Ekhaya
- Iqakala eliphukile liwukulimala okukhulu okubangela ubuhlungu obukhulu futhi kudinga usizo lwezokwelapha ngokushesha.
- Uma ubona izimpawu, hamba uye e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha.
- Ungalokothi uzame ukulungisa indololwane ephukile wedwa noma nomuntu ongaqeqeshiwe nganoma yisiphi isizathu. Lokhu kungenza isimo sibe sibi kakhulu.
- Ukwelashwa kudinga udokotela ukuthi alungise ilunga, avimbele ukunyakaza kwengalo, futhi anikeze ukwelashwa ngokomzimba.
- Ukulandela imiyalelo kadokotela kuze kube yilapho usululame ngokugcwele kubalulekile ukuze ululame ngokushesha nangokuphelele.
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