Ake sithole ukuthi yini ngempela okudingeka ukwazi nge-scapula yakho.

Wake wavuka ekuseni, waphefumula kakhulu, welula izingalo zakho? Ngaleso sikhathi, cishe wezwa amathambo amabili ayisicaba ngemuva kwamahlombe akho. Abantu abaningi bawabiza ngokuthi “amahlombe” noma “ama-scapula.” Ngokwezokwelapha, siwabiza ngokuthi ama-scapula . Lokhu akuyona nje ingxenye yethambo, kodwa yingxenye ebaluleke kakhulu yehlombe lethu. Namuhla, sizokhuluma ngezinto ezithile okudingeka uzazi ngaleli hlombe.

Ngakho-ke iyini le scapula?

Kalula nje, i-scapula iyithambo elisehlombe lakho. Siyibiza nangokuthi "i-shoulder blade" uma sikhuluma. Ingenye yamathambo amathathu ayinhloko akha i-shoulder joint yakho. I-scapula yiyo exhumanisa i-collarbone yakho (clavicle) nethambo lakho elingenhla lengalo (humerus).

Cabanga ngakho, uma uzwa ubuhlungu ehlombe lakho, ikakhulukazi uma buvela ngemva kokulimala, kungakhathaliseki ukuthi buvela ekuweni noma ekudlaleni, kufanele nakanjani ubone udokotela. Ukulimala ehlombe kuvame ukungabi yinto evamile, kodwa noma yikuphi ukulimala ehlombe kungathinta nalokhu.

Kwenziwani ngebhande lehlombe? Kungani libaluleke kangaka?

Ihlombe lesandla lenza imisebenzi eminingana ebaluleke kakhulu. Cabanga nje ngokuthi leli thambo elincane lingenza okungakanani:

• Ukuxhuma ithambo lakho lengalo elingaphezulu (i-humerus) nethambo lakho le-collarbone (i-clavicle): Yilapho ingalo yakho ixhuma khona nomzimba wakho (okungukuthi, ingxenye ephakathi yomzimba wakho). Isebenza njengebhuloho.
• Ukwakha ingxenye yejoyinti lakho lehlombe: Kukhona ingxenye efana neqhubu yejoyinti lapho ithambo lakho lengalo elingaphezulu (i-humerus) lingena khona ukuze lenze ihlombe. Uhlangothi lwalo lwangemuva, ibhande lehlombe elingemuva , lwakhiwe yileli blade lehlombe.
• Ukunyakaza Kwamahlombe: Lokhu kuyamangalisa! Ubuwazi ukuthi ihlombe lixhunywe emisipheni engu-17, imisipha engu-12, imisipha engu-6, kanye nemizwa emibili ? Lokhu kuxhumana kuvumela ihlombe lakho ukuthi lihambe ngezindlela eziyisithupha. Eqinisweni, lingahamba ngezindlela eziningi kunanoma yiliphi elinye ilungu emzimbeni wethu!
• Ukuvikela isifuba sakho: Ihlombe lakho lifana nesihlangu esinamathiselwe esifubeni sakho. Nakuba lingavikeli ngqo noma yiziphi izitho zomzimba, liyithambo eliqinile neliqinile elisiza ekubambeni umthelela wokushayisana.

Cabanga nje ukuthi amahlombe asisiza kangakanani lapho siphakamisa izingalo zethu, sizibeka ngemuva, bese siziphendula!

Ikuphi i-blade yehlombe?

Amahlombe akho ayingxenye yohlaka lwakho lwe-axial . Okusho ukuthi, uhlelo lwamathambo oluphakathi nendawo yomzimba wakho. Unamahlombe amabili, elilodwa ohlangothini ngalunye lwesifuba sakho. Lawa atholakala ngemuva kwamathambo akho e-collarbone, ngaphandle.

Iyini isakhiwo sesifuba? Okusho ukuthi, sakhiwe kanjani?

I-blade yamahlombe ibizwa ngokuthi "i-scapula" ngenxa yesimo sayo esiyisicaba nesingunxantathu. Ifana ne-blade yommese. Nakuba iyithambo elilodwa, i-blade yamahlombe inezindawo ezintathu:

1. Ubuso obuphezulu noma obungaphambili

2. Ubuso obuseceleni

3. Ubuso obungemuva noma obungaphansi

Manje ake sibheke ngayinye yalezi zindawo ngemininingwane ethe xaxa.

Ubuso obuphezulu noma obungaphambili

Ubuso obuphezulu behlombe buyihlangothi langaphambili, uhlangothi lubheke ikheji lakho lezimbambo. Ingxenye eyinhloko yalobu buso yakha indawo encane efana nendebe (i-'subscapular fossa'). Lokhu kunikeza ukusekelwa komunye wemisipha ehlombe lakho obizwa ngokuthi i-'rotator cuff'. I-protrusion encane efana ne-hook ('inqubo ye-coracoid') ezansi kwethambo lakho lentamo ixhumanisa imisipha emithathu.

Ubuso obuseceleni

Ubuso obuseceleni behlombe bungumphetho walo wangaphandle, uhlangothi olubheke ithambo lengalo yakho engenhla (i-'humerus'). Yilapho izinto ezilandelayo zitholakala khona:

• I-Glenoid fossa: Lesi isikhala esingenalutho esakha ingemuva lebhola lehlombe lakho.
• I-Superglenoid tubercle: Yilapho imisipha yakho ye-biceps inamathela khona.
• I-Infraglenoid tubercle: Yilapho imisipha yakho ye-triceps inamathela khona.

Lokhu kungokwezokwelapha kancane, kodwa kalula nje, konke lokhu okwenzayo ukunikeza izindawo lapho imisipha nezinye izingxenye zingaxhumana khona ukuze ihlombe lisebenze kahle.

Ingemuva (indawo ephansi)

Ingxenye engemuva yehlombe iyingxenye yomhlane ebheke umhlane wakho. Iqukethe:

• Umgogodla (i-apex): Isihloko esicijile kancane phezulu kwehlombe lakho.
• I-Acromion: Lena yingxenye yethambo elifanayo. Lihamba ne-clavicle yakho uma uhambisa ihlombe lakho.
• I-Supraspinous fossa: Indawo engaphezulu komgogodla lapho imisipha inamathela khona. Lena indawo eyindilinga kancane.
• I-Infraspinous fossa: Indawo engaphansi komgogodla lapho imisipha inamathela khona. Inkulu kune-supraspinous fossa okukhulunywe ngayo ngenhla futhi inesimo esigobile kancane.

Yiziphi izimo noma ukulimala okuvamile okungase kwenzeke ehlombe?

Ukulimala emahlombe kuvame kakhulu. Lokhu kungenxa yokuthi ihlombe liyisakhiwo esiyinkimbinkimbi futhi silisebenzisela imisebenzi eminingi usuku lonke. Ukulimala ehlombe kuphela akuvamile. Kodwa-ke, ukulimala ehlombe kungalimaza nehlombe. Isibonelo:

• Ukukhubeka kwamahlombe.
• Amahlombe aphuke.
• Amahlombe ahlukene.

Ukuphuka kwamahlombe nakho kungathinta i-blade yamahlombe, kodwa lokhu akuvamile . Ama-blade amahlombe avame ukuphuka kuphela ekulimaleni okukhulu, njengezingozi zezimoto, noma lapho othile ewa esitebhisini.

Ezinye izimo zempilo ezingathinta amahlombe akho (kufaka phakathi amahlombe akho) zifaka:

• Isifo sokungashukumi kwamahlombe.
• Isifo samathambo ehlombe.
• I-bursitis yehlombe.
• Ukugoba kwe-scapular (ukuvela okungajwayelekile kwamahlombe).

Ziyini izimpawu zokulimala ehlombe?

Akuvamile kakhulu ukuthi ihlombe lilimale lodwa ngaphandle kokuthinta ezinye izingxenye zehlombe. Izimpawu ezivame kakhulu zokulimala kwehlombe yilezi:

• Ubuhlungu behlombe: Lokhu kuyinto eyinhloko.
• Ukuvuvukala: Indawo elimele ingase ivuvuke.
• Ukwehla kwebanga lokunyakaza: Lokhu kusho ukuthi awukwazi ukuhambisa ihlombe lakho kunoma iyiphi indlela noma kunoma iyiphi indlela.
• Ukuqina/Ukuqina: Kungaba nzima ukuhambisa ihlombe, futhi kungase kuzwakale sengathi linamathele.
• Ukuphuka noma ukushintsha kombala: Ngezinye izikhathi kungabukeka kuluhlaza okwesibhakabhaka noma kunsomi.

Ngisho noma unesinye noma ezimbili zalezi zimpawu, kungcono ukufuna iseluleko sezokwelapha, ikakhulukazi uma ubuhlungu bungapheli ngemva kwezinsuku ezimbalwa.

Yiziphi izivivinyo ezenziwayo ukuthola izinkinga zamahlombe?

Udokotela angase asebenzise izivivinyo eziningana ezahlukene zokuxilonga noma zokuthatha izithombe ukuze ahlole ihlombe lakho nendawo ezungezile. Ezinye zalezi zifo zifaka:

• I-X-ray yamahlombe.
• I-CT scan (`I-computer tomography (CT) scan`).
• Ukuskena kwe-MRI (i-Magnetic resonance imaging (MRI)).
• Ukuhlolwa kwe-EMG (electromyography) - Lokhu kuhlola ukusebenza kwemisipha kanye nezinzwa.

Lezi zivivinyo zinganquma ngokunembile ukuthi kukhona yini umonakalo, ukwaphuka, ukudabuka, noma enye inkinga esixukwini sehlombe noma ezicutshini ezizungezile.

Yiziphi izindlela zokwelapha ezivamile zezinkinga zamahlombe?

Uhlobo lokwelashwa oludingayo luzoncika ekulimaleni kwakho noma esimweni sakho sempilo. Akukho ukwelashwa okulingana nakho konke.

Ungadinga ukwelashwa okunje:

• Ukungashukumi: Lokhu kusho ukubeka into efana ne-plaster ye-Paris (cast), i-brace, noma i-sling ehlombe ukuze inganyakazi.
• Ukuphumula ihlombe noma ukugwema umsebenzi obangele ukulimala: Ngezinye izikhathi umuthi ongcono kakhulu ukuphumula.
• Ukwelashwa ngokomzimba:Lokhu kubaluleke kakhulu ekuqiniseni imisipha nokuthuthukisa ububanzi bokunyakaza, ikakhulukazi ngemva kokulimala ehlombe.
• Ukuhlinzwa kwehlombe: Ukuhlinzwa kungadingeka uma kulimala kakhulu noma izimo ezingaphenduli kwezinye izindlela zokwelapha.

Ngingawagcina kanjani amahlombe ami ephilile?

Empeleni, awudingi ukwenza lutho olukhethekile ukuze ugcine amahlombe akho ephilile. Into eyinhloko ukudla ukudla okunempilo nokuzivocavoca njalo .

Ngaphezu kwalokho, landela lawa macebiso okuphepha ukuze uzivikele ekulimaleni:

• Gqoka ibhande lakho lesihlalo njalo uma ugibele imoto.
• Gqoka imishini yokuphepha efanele ngesikhathi somdlalo noma omunye umsebenzi.
• Gcina ikhaya lakho nendawo yakho yokusebenza icocekile futhi ingenazo izinto ezingadingekile. Lokhu kuzonciphisa amathuba okushelela nokuwa.
• Uma uthatha okuthile okuvela phezulu , sebenzisa ithuluzi noma imishini efanele ngaso sonke isikhathi. Ungalokothi ukhwele ezihlalweni, ematafuleni, noma emakhandeni.
• Uma unenkinga yokuhamba noma usengozini enkulu yokuwa, sebenzisa izinduku zokusibekela noma i-walker.

Okokugcina, okufanele ukukhumbule (Umyalezo Wokuya Ekhaya)

Nakuba ungase ucabange ngamahlombe akho kuphela uma uvuka ekuseni, lawa ngamathambo amabili abaluleke kakhulu owasebenzisa ngaso sonke isikhathi. Asekela amahlombe akho, ahlinzeka ngokunyakaza, futhi abambe imisipha eminingi nezinye izicubu endaweni yazo.

Ngokuvamile, amahlombe akho awadingi ukunakekelwa okukhethekile noma ukuhlolwa njalo. Kodwa-ke, uma unesihlungu samahlombe, ikakhulukazi uma sihlala isikhathi esingaphezu kwesonto, ungasinaki. Uma unezinhlungu, ukuqina, noma ezinye izimpawu ezenza kube nzima ukwenza imisebenzi yakho evamile, qiniseka ukuthi ubona udokotela. Bazokuhlola futhi bakunike iseluleko esihle kakhulu kanye nokwelashwa okudingayo. Ukugcina amahlombe akho ephilile kusezandleni zakho!

I - blade yehlombe, i-scapula, ubuhlungu behlombe, izinkinga zehlombe, amathambo, amalunga, i-scapula, i-blade yehlombe, ubuhlungu behlombe