Ake sifunde kabanzi mayelana nokuhlolwa kwe-O'Brien kobuhlungu behlombe lakho.

Uma sinobuhlungu emahlombe, asikwazi ngisho nokwenza imisebenzi yethu yansuku zonke ngendlela efanele, akunjalo? Ngezinye izikhathi asikwazi ukuphakamisa izingalo zethu, kunzima ukushintsha izingubo, noma ubuhlungu abubekezeleleki uma siphakamisa okuthile. Uma ubona udokotela onjengalona, ​​uzokuvivinya ngezinto ezahlukene ukuze athole imbangela yobuhlungu emahlombe akho. Kulungile, ukuhlolwa kwe-O'Brien kuyindlela elula, kodwa ebaluleke kakhulu yokuqonda kahle ukuthi yini engalungile ngehlombe lakho.

Kalula nje, iyini i-O'Brien Test?

Ukuhlolwa kwe-O'Brien kuyindlela elula yokuhlola ngokomzimba udokotela wakho ayisebenzisayo ukuthola ukuthi yini ebangela ubuhlungu ehlombe lakho. Akuyona i-X-ray noma ukuhlolwa kwegazi. Kuhilela udokotela wakho ukubeka ingalo yakho ezindaweni ezithile, ukufaka ingcindezi encane, nokuhlola ukuthi uzizwa ubuhlungu yini. Lokhu kubizwa nangokuthi 'ukuhlolwa kokucindezela okusebenzayo.'

Lokhu kuhlolwa kunganikeza izinkomba mayelana nezinkinga ngezingxenye ezimbili ezithile zejoyinti lehlombe, okungukuthi:

1. Ukudabuka kwe-cartilage yehlombe, ikakhulukazi ukudabuka engxenyeni ebizwa ngokuthi i-labrum (ukudabuka kwe-labral).

2. Inkinga ngejoyinti le-acromioclavicular (AC) , elitholakala phezulu ehlombe.

Lokhu kuhlolwa kungenziwa ochwepheshe bezempilo abahlukahlukene. Isibonelo:

• Odokotela bamathambo
• Abelaphi bomzimba
• Abaqeqeshi bezemidlalo
• Udokotela womndeni wakho (Abahlinzeki bokunakekelwa okuyinhloko)

Kungani kwenziwa lokhu kuhlolwa? Yiziphi izingxenye zehlombe ezihlolwayo?

Ukuze siqonde lokhu, sidinga kuqala ukwazi okuncane ngamahlombe ethu. Cabanga ngamahlombe ethu njengomshini oyinkimbinkimbi kakhulu, oqondisa ngezindlela eziningi. Kunezingxenye eziningana ezibalulekile kuwo. Ukuhlolwa kwe-O'Brien kugxile kulezi zingxenye ezimbili ikakhulukazi.

1. Ijoyinti le-AC (ijoyinti le-Acromioclavicular)

Yilapho i-collarbone yethu (i-clavicle) ixhuma khona nengxenye ephezulu yethambo lethu lehlombe (i-scapula). Kalula nje, leli yilunga lapho amathambo amabili ehlangana khona, ongalizwa uma ubeka isandla sakho phezulu kwehlombe lakho. Ukuhlolwa kwe-O'Brien kusiza ukuthola izinkinga ezifana nokulahlekelwa yi-cartilage, ukuhlukana kwamalunga, noma inkinga ngaleli lunga.

2. I-Labrum

Ijoyinti lethu lamahlombe liyijoyinti 'eliyibhola nesokhethi'. Okusho ukuthi, ingxenye efana nebhola yethambo lethu elingenhla lengalo (i-humerus) ingena engxenyeni efana nendebe yethambo lethu lamahlombe (i-scapula). I-labrum iyisiqeshana se-cartilage esijiyile esifana nerabha esizungeze le ndebe. Isebenza njenge-bumper, isiza ukugcina ibhola lizinzile futhi lingaphumi endebeni.

Ngezinye izikhathi le labrum ingadabuka ngenxa yengozi noma ngesikhathi semidlalo. Ikakhulukazi uma ingxenye engenhla yayo idabukile, ibizwa ngokuthi i-SLAP tear.Ibizwa nangokuthi `(Superior Labrum, Anterior to Posterior)`. Ukuhlolwa kwe-O'Brien kunganikeza nesiqondiso sokuthi kukhona yini ukudabuka okunjalo.

Ungalwenza kanjani lolu vivinyo? Isinyathelo ngesinyathelo

Lolu vivinyo lulula kakhulu. Awudingi ukulungiselela okukhethekile ngalo. Udokotela uzokucela ukuthi uhlale noma ume bese ulandela lezi zinyathelo. Luqukethe izingxenye ezimbili eziyinhloko.

Isinyathelo sokuqala (isithupha phansi)

1. Phakamisa ingalo yakho: Phakamisa ingalo yakho ohlangothini lobuhlungu bakho iqonde phambi kwakho, ihambisane nephansi (amadigri angu-90). Gcina indololwane yakho iqonde ngokuphelele.

2. Letha isandla sakho ngaphakathi: Manje letha isandla sakho esiphakanyisiwe kancane emzimbeni wakho (cishe ama-degree ayi-10-15).

3. Phendukisa isandla sakho: Okulandelayo, phendukisa isandla sakho ngaphakathi, njengokungathi uthulula amanzi ebhodleleni lamanzi, isithupha sakho sibheke phansi kanti ingemuva lesandla sakho libheke esinye isandla sakho. Lokhu kubizwa ngokuthi "ukubiza amagama."

4. Melana nengcindezi: Manje udokotela uzobamba isihlakala sakho ngakwesokudla bese ecindezela isandla sakho phansi. Okudingeka ukwenze ukumelana nengcindezi, okungukuthi, zama ukuphakamisa isandla sakho esikhundleni sokusivumela sehle.

Udokotela ubuza ukuthi uzwa ubuhlungu ehlombe lakho ngalesi sikhathi.

Isinyathelo sesibili (ubhontsi phezulu)

1. Shintsha ukuma kwesandla sakho: Manje phendula isandla sakho ngenye indlela. Njengokungathi ucela othile okuthile, intende yakho ibheke phezulu kanti isithupha sakho sibheke ngaphandle. Lesi simo sibizwa ngokuthi `(supination)`. Gcina isandla sakho siqonde phansi, siqonde.

2. Melana nengcindezi futhi: Udokotela uzocindezela isandla sakho phansi futhi njengakuqala. Kufanele uzame ukuphakamisa isandla sakho ngokumelene nengcindezi.

Udokotela ubuza nokuthi ubuhlungu bunjani ngalesi sikhathi.

Usho ukuthini umphumela 'ohle'?

Manje yingxenye ebalulekile. Lokhu kuhlolwa kubizwa ngokuthi 'okuhle' kuphela uma zombili lezi zimo zihlangatshezwa:

• Kufanele uzwe ubuhlungu ehlombe lakho endaweni yokuqala (usithupha wakho ubheke phansi).
• Futhi, endaweni yesibili (uma usithupha siphakanyisiwe), ubuhlungu obuzwiwa ngaphambilini kufanele buncishiswe kakhulu noma buphele ngokuphelele.

Ukuze uqonde lo mphumela ngokucacile, bheka ithebula elingezansi.

Ingabe lokhu kuhlolwa kunembile ngokuphelele? Kuzokwenzekani ngokulandelayo?

Lokhu kuyinto sonke okudingeka siyazi. Ukuhlolwa kwe-O'Brien kuyithuluzi eliwusizo kakhulu elingakunikeza umbono ngenkinga yehlombe. Kodwa-ke, akusikho ukuhlolwa okunembile okungu-100% nokuqondile. Ngezinye izikhathi, umuntu onehlombe eliphilile angatholakala enegciwane kulokhu kuhlolwa ngisho noma engenazo izinkinga.

Udokotela ufinyelela esiphethweni sokugcina ngemva kokucabangela imiphumela yalolu hlolo, kanye nalokhu okulandelayo:

• Imininingwane oyinikezayo: Ubuhlungu buqale kanjani, isikhathi esingakanani, ukuthi buzizwa kanjani, njll.
• Ezinye izivivinyo zomzimba: Ezinye izivivinyo ezibheka izinto ezifana nokunyakaza kwamahlombe kanye namandla.

Ngezinye izikhathi, udokotela wakho angase ancome ezinye izivivinyo eziningana ukuze aqinisekise ukuthi unesifo.

• I-X-ray, i-CT scan, noma i-MRI: Lokhu kungabona kahle amathambo, i-cartilage, kanye nemisipha ngaphakathi kwehlombe.
• Ukuhlolwa kwegazi: Hlola ukuthi ubuhlungu bubangelwa yini ezinye izimo, njenge-gout noma i-rheumatoid arthritis.
• I-arthroscopy yamahlombe: Lokhu ukuhlinzwa okuncane. Ikhamera encane kakhulu ifakwa esibayeni ukuze ibone ngqo ukuthi inkinga ikuphi ngaphakathi.