Ingabe uwile ngokuzumayo ngenkathi udlala? Noma ingabe ushelele endlini yokugezela walimala ehlombe? Ngokuzumayo, awukwazanga ngisho nokunyakaza ingalo yakho ngenxa yobuhlungu obungabekezeleleki? Ngezinye izikhathi ungase uqaphele ukuthi ukuma kwehlombe lakho kushintshile. Uma kwenzeka into efana nale, kungase kube yihlombe lakho eliphumile. Nakuba lokhu kuyesabeka kancane, kuyisimo esingalapheka ngokuphelele ngokwelashwa okufanele . Ngakho-ke ake sithole okwengeziwe ngalokhu.
Kusho ukuthini lokhu kushukuma kwamahlombe?
Kalula nje, ihlombe eliphumile lisho ukuthi amathambo asemahlombe akho ahamba esuka lapho kufanele abe khona, ahlukane.
Ake sichaze lokhu kakhudlwana. Ilunga emzimbeni wethu yilapho kuhlangana khona amathambo amabili. Ilunga lakho lehlombe lakhiwe yibhola lengalo yakho engenhla (i-humerus) kanye nesokhethi noma i-glenoid ye-blade yakho yehlombe (i-scapula). Kufana nebhola elingena kusokhethi. Lokhu sikubiza ngokuthi "ilunga lebhola nesokhethi". Leli yilunga elisivumela ukuthi sishukumise ingalo yethu kuzo zonke izinhlangothi.
Ihlombe eliphumile livela lapho ithambo elifana nebhola liphuma ngokuphelele esokhethini. Uma lokhu kwenzeka, izicubu ezithambile ezizungeze ilunga nazo zingalimala.
Lokho kusho ukuthi:
- Imisipha
- Imizwa
- Ama-Tendon
- Ama-Ligaments
- Imithambo yegazi
Lesi yisimo esibuhlungu kakhulu. Uma uzizwa sengathi ihlombe lakho liphumile noma awukwazi ukuhambisa ingalo yakho, ungalokothi uzame ukuyilungisa wena. Into engcono kakhulu ongayenza ukuya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha okukhulu.
Ingabe kunezinhlobo ezahlukene zokuhlikihla amahlombe?
Yebo, odokotela bahlukanisa lokhu ngezindlela ezimbili eziyinhloko. Enye isekelwe ekutheni amathambo asuswe kangakanani.
1. Ukuhlukana Okuphelele Noma Ukuhlukana: Lokhu kwenzeka lapho amathambo amabili esihlanganisi sehlombe ehlukana ngokuphelele futhi ephuma. Yilokhu esivame ukubhekisela kukho uma sithi "ihlombe elihlukanisiwe."
2. Ukuxhuzula: Lokhu kwenzeka lapho amathambo engahlukani ngokuphelele, kodwa kunalokho anyakaza kancane, ehamba phakathi. Amathambo asathintana, kodwa hhayi ngendlela evamile. Nakuba kukhona ubuhlungu, kungase kungabi nzima njengokuhlukana okuphelele.
Ziyini izimpawu zehlombe eliphumile?
Ihlombe eliphumile livame ukubangela eyodwa noma ngaphezulu yalezi zimpawu.
| Isibonakaliso | Incazelo |
|---|---|
| Ubuhlungu obukhulu | Ubuhlungu obungazelelwe, obungabekezeleleki, nobukhali. |
| Ukungakwazi ukuxhawulana | Angikwazi ukuphakamisa ingalo yami noma ukuyiphendula. Kuzwakala sengathi ingalo yami ayinampilo. |
| Ushintsho esimweni sehlombe | Uma ubheka ngaphandle, ihlombe lingase libonakale lishone noma liphumile, njengokungathi alikho lapho kufanele libe khona. |
| Ukuvuvukala nokudumba | Indawo yamahlombe ivuvukele futhi iqala ukuphenduka ibe luhlaza okwesibhakabhaka/nsomi. |
| Ukuqina Kwemisipha | Njengoba umzimba uzama ukuzivikela ekulimaleni, imisipha ezungeze ihlombe iqala ukuqina, okwandisa ubuhlungu. |
| Ukuzwa ubuhlungu noma ubuthakathaka | Ungase uzwe ukuqaqamba noma ukuba ndikindiki ezandleni zakho, ezintendeni zezandla, noma eminweni uma leyo mizwa ithintekile. |
Kungani ihlombe ligxuma? Ubani osengozini?
Lokhu kungenzeka uma kunamandla anele afakwa ehlombe ukuze liphume. Ngokuvamile kubangelwa izinto ezifana nalezi:
- Ukuwa: Izinto ezifana nokuwa usuka endaweni ephakeme, ukushelela, njll.
- Izingozi zezimoto: Umthelela ehlombe engozini yemoto.
- Izingozi zezemidlalo:Ukukhumuka kwamahlombe kungenzeka, ikakhulukazi emidlalweni yokuxhumana efana ne-rugby nebhola, kanye nalapho ucwila ekhilikithi kanye nokudlala i-volleyball.
Ubani osengozini enkulu?
Nakuba noma ubani engathola ukukhumuka kwehlombe, abanye abantu basengozini enkulu.
- Abadlali: Ikakhulukazi labo abadlala imidlalo ehilela ukushayana.
- Amadoda: Amadoda anamathuba okukhumuka kwamahlombe ngokuphindwe kabili kunabesifazane.
- Intsha ephakathi kweminyaka eyi-15-30: Abantu balesi sikhathi banamathuba amaningi okuba nezingozi ngoba bamatasa.
- Abantu abake baphuma ehlombe labo ngaphambili: Uma usuphumile ehlombe lakho, imisipha ezungeze lelo lunga iba buthakathaka kancane. Ngakho-ke, amathuba okuphumula futhi aphezulu kakhulu.
Yiziphi izinkinga ezingaba khona ngenxa yokuphuma kwehlombe?
Ukuqhekeka kwehlombe akukhona nje ukuhamba kwethambo emuva naphambili. Umthelela ungalimaza nezicubu ezizungezile ihlombe.
- Ukuphuka kwamathambo: Izingcezu ezincane zamathambo zingaphuka lapho ihlombe liphuma.
- Ukuqhekeka kwemisipha kanye nemisipha: Lezi zicubu ezibamba ilunga ndawonye zinganwetshwa noma ziklebhuke.
- Ukulimala kwemizwa: Imizwa egijima ehlombe ingacindezelwa noma icindezelwe.
- Imithambo yegazi eyonakele: Nakuba ingavamile, imithambo yegazi ingonakala.
Abanye abantu baba nesimo esibizwa ngokuthi i-Hill-Sachs lesion lapho bekhumuka ihlombe labo. Lokhu kwenzeka lapho ibhola le-humerus (ithambo elifana nebhola engalweni engenhla) lonakala. Lolu hlobo lomonakalo lungenzeka lapho ihlombe likhumuka futhi ithambo elifana nebhola lishaya isokhethi.
Udokotela uhlonza futhi aphathe kanjani lokhu?
Uma uya ku-ETU, into yokuqala udokotela ayenzayo ukuhlola ihlombe lakho. Uyakubuza ukuthi kwenzeke kanjani nokuthi yiziphi izimpawu ozizwayo manje.
Ngemva kwalokho, ukuhlolwa okufana nalokhu kungenziwa ukuhlola umonakalo wangaphakathi:
- Ama-X-ray: Lokhu kubalulekile ukuze kubonakale ukuthi ithambo liphumile noma liphukile.
- I-MRI scan (i-Magnetic resonance imaging): Lokhu kusiza ukuthola umonakalo ezicutshini ezibucayi njengemisipha kanye nemisipha.
- I-CT scan (i-computed tomography scan): Lokhu kwenzelwa ukuthola isithombe esicacile somonakalo emathanjeni.
Izindlela zokwelapha
Ukwelashwa okubaluleke kakhulu nokukuqala kwehlombe eliphumile ukubuyisela ithambo eliphumile endaweni yalo.
Lokhu kubizwa ngokuthi 'Ukunciphisa Okuvaliwe'.Lokhu akusikho ukuhlinzwa. Udokotela uzobamba umzimba wakho ngaphandle bese edonsa ingalo yakho kancane ayibuyisele endaweni yayo. Ngesikhathi enza lokhu, angase akunike umjovo wendawo wokubulala izinzwa ehlombe lakho ukuze anciphise ubuhlungu noma akunike imithi yokudambisa ubuthongo ukuze uzizwe ulele kancane.
Okubaluleke kakhulu:
- Ungazami ukulungisa ihlombe lakho wedwa.
- Ungavumeli noma ubani ongeyena udokotela ukuthi akuthinte noma akulungise ehlombe.
Ukwenza kanjalo kungabangela umonakalo omkhulu ezinzwa, emithanjeni yegazi, nakwezinye izicubu, okwenza isimo sibe sibi nakakhulu.
Ngemva kokulungisa ihlombe, udokotela uzoncoma izindlela zokwelapha ezilandelayo:
- Ukungashukumi: Ngemva kokuba ihlombe lisesimweni esifanele, kufakwa i-sling noma i-splint ukuze ingalo inganyakazi. Lokhu kwenzelwa ukunikeza ihlombe ukuphumula nokuvumela izicubu ezonakele ukuthi ziphole. Ingalo ivame ukugcinwa kulesi simo amasonto amaningana.
- Imithi: Udokotela uzokunikeza imithi yokunciphisa ubuhlungu nokuvuvukala.
- Ukuphumula: Kufanele ugweme ukwenza noma yini ekucindezela amahlombe akho noma ekwenza uzizwe ukhathele.
- Ukwelashwa ngokomzimba: Lokhu kubaluleke kakhulu. Uma ihlombe lakho seliqala ukuphola, kufanele uqale ukuzivocavoca ngaphansi kokuqondiswa ngumelaphi womzimba. Uzoqala ngokuzivocavoca okulula ukunciphisa ukuqina kwehlombe lakho, bese udlulela ekuzivocavoceni ukuze uqinise imisipha ezungeze ihlombe lakho. Uma ungakwenzi kahle lokhu, kungenzeka ukuthi ubuye ukhubeke ehlombe lakho.
Ingabe ukuhlinzwa kuzodingeka?
Esikhathini esiningi, ihlombe eliphumile alidingi ukuhlinzwa. Kodwa-ke, ukuhlinzwa kungadingeka ezimweni ezilandelayo:
- Uma imisipha kanye nemisipha yehlombe yonakele kakhulu ngesikhathi sokuwa.
- Uma indlela 'yokunciphisa okuvaliwe' ingakwazi ukubuyisela ihlombe endaweni efanele.
- Uma ihlombe lakho liqhuma njalo, kungenxa yokuthi imisipha ibuthakathaka kakhulu. Kungenziwa ukuhlinzwa ukuze kuqiniswe leyo misipha.
Kuzothatha isikhathi esingakanani ukuphulukiswa?
Ihlombe eliphumile lithatha izinyanga eziningana ukuze liphole ngokuphelele. Ingalo idinga ukungasebenzi amasonto ambalwa okuqala. Ngemva kwalokho, kuzodingeka wenze ukwelashwa ngokomzimba izinyanga eziningana.
Uma ungumsubathi, kufanele nakanjani uthintane nodokotela wakho ngaphambi kokuqala ukudlala futhi. Uma wenza umsebenzi onzima noma udlala ngaphambi kokuba ihlombe lakho liphole ngokuphelele, kunethuba elikhulu lokuthi uzophinde uqhumuke ihlombe lakho futhi bese wenza ukulimala kube kubi kakhulu.
Iningi labantu liyalulama ngokugcwele ngokwelashwa okufanele kanye nokwelashwa ngokomzimba. Bangabuyela emisebenzini yabo evamile kanye nemidlalo.
Umlayezo Wokuya Nawe Ekhaya
- Ihlombe eliphumile livela lapho ithambo elisesihlalweni sehlombe liphuma endaweni yalo. Lokhu kuyinto ebuhlungu kakhulu.
- Uma usola ukuthi ihlombe lakho liphumile, ungalokothi uzame ukukulungisa wena noma ucele omunye umuntu akulungise.
- Yiya ekamelweni lezimo eziphuthumayo esibhedlela esiseduze (i-ETU) ngokushesha. Gcina ingalo ithule ngangokunokwenzeka.
- Ngemva kokuba udokotela ebuyisele ihlombe endaweni yalo (ukunciphisa okuvaliwe), kubalulekile ukugcina ingalo inganyakazi futhi welashwe ngokomzimba.
- Kubaluleke kakhulu ukwenza izivivinyo zokwelapha ngokomzimba ngendlela efanele ukuvimbela ukukhumuka kwamahlombe nokuqinisa imisipha.
- Kuze kube yilapho usululame ngokuphelele, landela imiyalelo kadokotela wakho futhi ugweme imisebenzi ekucindezelayo.
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