Ingabe ngezinye izikhathi uzizwa ubuhlungu obukhulu ehlombe lakho uma uvuka ekuseni? Noma uzizwa ubuhlungu obukhulu uma uphakamisa ingalo yakho bese uzama ukucosha okuthile eshalofini? Ubuhlungu behlombe obufana nabu buyinkinga evamile kubantu abaningi ezweni lakithi. Esikhathini esiningi, imbangela yalokhu ukuphazamiseka engxenyeni yehlombe lethu ebizwa ngokuthi 'i-Rotator Cuff'. Ngakho-ke, ake sixoxe ngalokhu ngqo nangokulula namuhla.
Kalula nje, iyini le Rotator Cuff?
I-rotator cuff iyiqoqo lemisipha emine kanye nemisipha ezungeze ijoyinti lakho lehlombe. Njenge-cuff yesikhwama sehembe, le misipha kanye nemisipha yakha igobolondo elivikelayo elizungeze ijoyinti lehlombe. Sinezinhlelo ezimbili ze-rotator cuff emahlombe ethu ngalinye.
Umsebenzi wayo oyinhloko ukuxhuma nokuqinisa ithambo lakho lehlombe, i-scapula, kanye nethambo lengalo engenhla, i-humerus. I-rotator cuff ikusiza ukuthi uphakamise ingalo yakho, ujikeleze ingalo yakho, futhi ugobe ingalo yakho emuva.
Cabanga ngejoyinti lethu lamahlombe njengebhola legalofu, elino-'T' omncane phezulu. 'Ibhola' lapha liyinhloko yethambo lengalo engenhla (i-humerus). 'T' liyimbobo encane ehlombe. Ngakho-ke lokho okwenziwa yi-Rotator Cuff ukugcina lelo bhola lizinzile ku-T. Ngaphandle kwalokho lizomane ligxume, akunjalo?
Yimiphi imisipha eyakha i-rotator cuff?
Njengoba ngishilo ngaphambili, yakhiwe yimisipha emine eyinhloko kanye nemisipha ehlobene nayo. Ama-tendon ayimicu eqinile exhumanisa imisipha namathambo. Ake sibheke le misipha emine kanye nemisebenzi yayo eyinhloko.
| Igama Lezokwelapha | Okufanele ukwenze nje |
|---|---|
| I-Supraspinatus | Kusiza ukuphakamisa nokuzungezisa ingalo. Lena yingxenye evame ukulimala kakhulu. |
| I-Infraspinatus | Kusiza ukuzungezisa ingalo ngaphandle (isib., njengalapho udlala ithenisi) |
| I-Teres minor | Lokhu kusiza futhi ukujikisa ingalo ngaphandle. |
| I-Subscapularis | Kusiza ukuzungezisa isandla ngaphakathi (isib., njengalapho uklwebha umhlane) |
Kungani i-Rotator Cuff ivame ukulimala?
Ngenxa yokuthi sisebenzisa amahlombe ethu emisebenzini eminingi usuku lonke, le ndawo isengozini yokulimala. Okunye ukulimala kungabangelwa ukulimala okungazelelwe. Okunye kungakhula kancane kancane ngokuhamba kwesikhathi. Lokhu kulimala kuvame kakhulu kubadlali.
Lezi ezinye zezinkinga ezivame kakhulu:
- I-Overuse Syndrome: Lesi simo singavela uma uqhubeka nokwenza uhlobo olufanayo lokunyakaza (isib., ukupenda uphahla lwendlu, noma umdlali wekhilikithi eqhubeka nokubhowula).
- Isifo sokungangeni emahlombe: Esaziwa nangokuthi "i-rotator cuff tendinitis", lokhu kwenzeka lapho isikhala esiphakathi kwamathambo ehlombe sincipha, okubangela ukuba imisipha ye-rotator cuff ibambeke futhi icindezelwe. Lokhu kubangela ukuvuvukala nobuhlungu.
- Ukudabuka kwe-Rotator cuff: Lokhu kungaba ukudabuka okungaphelele noma ukudabuka okuphelele. Kungavela ngokuzumayo (njengasekwindla) noma kancane kancane ngokuhamba kwesikhathi.
- Ukukhubeka kwamahlombe.
Ngingazi kanjani ukuthi i-Rotator Cuff yami idabukile?
Ukwephuka kwe-rotator cuff kuvame ukuhambisana nobuhlungu ehlombe . Lobuhlungu bungaba ubuhlungu obungajabulisi obuvela ngaphakathi kwehlombe, noma kungaba ubuhlungu obuhlabayo obuhlabayo.
Uma uzwa ubuhlungu obukhulu emahlombe kanye nobuthakathaka bengalo ngemva kwengozi, kungaba ukudabuka kwe-rotator cuff.
Uma ubuhlungu behlombe bungapheli ezinsukwini ezimbalwa, qiniseka ukuthi ubona udokotela. Ikakhulukazi uma ungakwazi nhlobo ukuhambisa ihlombe lakho noma uma ube sengozini, hamba ngokushesha eMnyangweni Wezimo Eziphuthumayo (ETU) .
Udokotela ukuxilonga kanjani lokhu ngqo?
Uma ubona udokotela, uzoqala akuhlole futhi akubuze ngezimpawu zakho. Qiniseka ukuthi umtshela ngqo ukuthi ubuhlungu buqale nini, uhlobo luni lwemisebenzi oluyenza bube bubi noma bube ngcono, njalo njalo.
Ngemva kwalokho, kungenziwa izivivinyo eziningana ukuqinisekisa ukuxilongwa, njengokuthi:
- I-X-ray:Lokhu kungasiza ekunqumeni ukuthi kunenkinga yini ngamathambo, njengokuqhekeka kwethambo.
- I-MRI scan: Lena yindlela engcono kakhulu yokubona ngokucacile isimo sezicubu ezithambile, okungukuthi, imisipha kanye nemisipha. Ingabona kahle ukuthi kukhona ukudabuka nokuthi kukhulu kangakanani.
- Ukuskena kwe-Ultrasound: Lokhu kungahlola nesimo semisipha kanye nemisipha ngesikhathi sangempela.
Yiziphi izindlela zokwelapha lokhu?
Uhlobo lokwelashwa oludingayo luzoncika ohlotsheni kanye nobukhulu bokulimala kwakho. Udokotela wakho angase ancome ukwelashwa okufana nalokhu ukuze kusize ekunciphiseni ubuhlungu futhi kusize i-rotator cuff yakho ukuthi iphole:
- Ukuphumula: Into yokuqala okufanele uyenze ukunikeza ihlombe lakho ukuphumula okuhle ngokugwema imisebenzi ebangele ubuhlungu.
- Iqhwa: Iqhwa lisiza kakhulu ekunciphiseni ubuhlungu nokuvuvukala. Kodwa ungalokothi ubeke iqhwa ngqo esikhumbeni. Lisonge ngethawula elincane bese ulishiya cishe imizuzu eyi-15-20. Ungakwenza lokhu izikhathi eziningana ngosuku.
- Ama-Painkiller: Udokotela wakho angase akunikeze imithi efana nemithi elwa nokuvuvukala engeyona i-steroidal (ama-NSAID) ukunciphisa ubuhlungu nokuvuvukala. Kodwa-ke, uma usebenzisa lokhu izinsuku ezingaphezu kweziyi-10, kufanele ukhulume nodokotela wakho.
- Ukwelashwa ngokomzimba: Ukwelashwa ngokomzimba kubalulekile ukuqinisa imisipha yehlombe nokubuyisela ukunyakaza kwamahlombe. Uchwepheshe wezokwelapha ngokomzimba uzokufundisa ukuzivocavoca okufanele wena.
- Imijovo ye-Cortisone: Uma ubuhlungu nokuvuvukala kukhulu kakhulu, udokotela wakho angakunika umjovo wama-steroid (ama-corticosteroids) ngqo ehlombe lakho.
- Ukuhlinzwa: Uma isimo sibi kakhulu, noma uma ezinye izindlela zokwelapha zingakasizi izinyanga eziningana, kungase kudingeke ukuhlinzwa. Udokotela wakho uzochaza lokhu kuwe.
Ungazigwema kanjani izinkinga ezinjalo?
Indlela engcono kakhulu yokuvimbela ukulimala kwe-rotator cuff ukusebenzisa ihlombe lakho ngokucophelela futhi ungalithwali umthwalo omkhulu.
- Lalela ubuhlungu: Uma uzwa ubuhlungu emahlombe, kungaba ngesikhathi sokuzivocavoca noma eminye imisebenzi, ungabunaki. Ungalokothi "udlale udlule ebuhlungwini." Yeka ukusebenza bese uphumula.
- Ukuzifudumeza Nokuzipholisa: Zifudumeze kahle ngaphambi kokuqala noma yikuphi ukuvivinya umzimba noma umsebenzi womzimba. Futhi, ungakhohlwa ukuzola ngemva kokuqeda.
- Sebenzisa imishini efanele: Sebenzisa imishini efanele nephephile lapho udlala imidlalo noma wenza umsebenzi onzima.
- Funa iseluleko sezokwelapha ngokushesha:Bonana nodokotela ngokushesha nje lapho uzwa ubuhlungu noma ezinye izimpawu. Ukuthola ukwelashwa kusenesikhathi kungasiza ekuvimbeleni inkinga ukuthi ingabi yimbi kakhulu.
Into ebaluleke kakhulu ukulalela umzimba wakho. Uma uqhubeka nokubeka isisindo ehlombe lakho, noma ngabe ukulimala okuncane, kungenzeka kakhulu ukuthi kube yinkinga enkulu.
Ngakho-ke, i-Rotator Cuff iyingxenye ebaluleke kakhulu yehlombe lethu ebalulekile ekunyakazeni nasekuzinzeni. Ngakho-ke, kungumthwalo wethu ukuyinakekela. Uma uzwa ubuhlungu behlombe, ungabunaki. Phumula futhi, uma kudingeka, bona udokotela bese uthola ukwelashwa okufanele.
Umlayezo Wokuya Nawe Ekhaya
- I-rotator cuff iyiqoqo lemisipha nemisipha esiza ukunyakaza nokuqinisa ihlombe lakho.
- Ubuhlungu behlombe, ikakhulukazi lapho uphakamisa noma uphendula ingalo, kungaba uphawu lokulimala kwe-rotator cuff.
- Uma uzwa ubuhlungu, kubaluleke kakhulu ukuyeka imisebenzi ebangela ubuhlungu futhi unike ihlombe lakho ukuphumula.
- Uma ubuhlungu bungapheli ezinsukwini ezimbalwa, noma uma ubuhlungu bukhulu ngemva kwengozi, ungachithi isikhathi bese ubona udokotela.
- Ukulimala okuningi kwe-rotator cuff kungelashwa ngempumelelo ngokuxilongwa okufanele kanye nokwelashwa ngokomzimba.
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