Cishe uke wezwa nge-'scapula', akunjalo? Leli thambo elingunxantathu emhlane wakho, ngaphansi nje kwehlombe lakho, yilokho esikubiza ngokwezokwelapha ngokuthi 'scapula'. Kungase kubonakale kungathandeki kuwe, kodwa leli qhawe elincane liyingxenye ebalulekile yokunyakaza okuningi engalweni yakho, ehlombe, nasemhlane. Cabanga ukuthi libaluleke kangakanani leli scapula uma ufinyelela okuthile eshalofini, uphonsa ibhola lekhilikithi, noma ngisho nokuklwebha umhlane wakho.
Iyini le scapula?
Kalula nje, i-scapula iyithambo eliyisicaba, elinobunxantathu emhlane wakho ongenhla elixhuma ehlombe lakho. Akuyona nje ingxenye yethambo. Iningi lemisipha esezingalweni zethu nasemhlane inamathela kule scapula, njenge-anchor.
Ngisho noma leli kuyithambo elilodwa nje, ihlombe linezingxenye eziningana ezibaluleke kakhulu ekusebenzeni kwemizimba yethu. Ake sibheke ukuthi ziyini.
| Ihlombe | Kalula nje... |
|---|---|
| I-Acromion | Leli yithambo elifana nesipikili phezulu kwehlombe lakho ongalibamba ngesandla sakho. Lixhuma nethambo lakho lentamo futhi lisiza ukugcina ihlombe lakho lizinzile. |
| Inqubo ye-Coracoid | Leli yithambo elimise okwehhuku elinwebeka phezu kwehlombe bese lihlangana ne-acromion ukusiza ukuqinisa ijoyinti lehlombe. |
| Umgodi we-Glenoid | Lokhu kufana nomsele omncane. Yilapho ingxenye efana nebhola yethambo lakho elingaphezulu lengalo (i-humerus) ingena khona. Yilokhu okukuvumela ukuthi ujikeleze ingalo yakho yonke indawo. |
Ngaphezu kwalezi zingxenye, kunezinye izindawo eziningana ezibalulekile (imingcele, ama-engeli, ama-fossa) lapho imisipha nemisipha kunamathela khona ehlombe.
Ikuphi ngempela ibhande lehlombe? Lisebenza kanjani?
Ihlombe litholakala emhlane wakho, ngemuva kwehlombe lakho. Lixhunywe kakhulu ngamajoyinti amabili.
1. Ngethambo lengalo elingaphezulu: Umgodi we-glenoid ehlombe uxhumeka ekhanda elifana nebhola le-humerus. Lokhu kubizwa ngokuthi i-glenohumeral joint. Leli yi -ball-and-socket joint . Njenge-hip joint yethu. Kungenxa yala ma-joint ukuthi sinebanga eliphezulu lokunyakaza, okusho ukuthi singaphendula izingalo zethu kunoma iyiphi indlela.
2. Ngethambo le-collarbone: Ingxenye yehlombe ebizwa ngokuthi i-"Acromion" ixhuma nethambo le-collarbone lethu elithi "(clavicle).`` Leli lunga libizwa ngokuthi "ilunga le-acromioclavicular." Njengoba lokhu "kuyilunga elishelelayo ", ukunyakaza okulinganiselwe kuphela okwenzekayo lapha.
Yimiphi imisebenzi eyinhloko ye-blade yehlombe?
I-blade yamahlombe akuyona nje ithambo. Ifana nesikhungo semisipha eminingi. Imisipha eminingi emikhulu enyakazisa ingalo, umhlane ongaphezulu, kanye nehlombe ixhunywe kule blade yamahlombe. Ake sibheke eminye yaleyo misipha emikhulu nokuthi yenzani.
| Imisipha | Isenzo esenzeka kuso (Umsebenzi) |
|---|---|
| I-Levator scapulae | Lo msipha, otholakala kuzo zombili izinhlangothi zentamo, uphakamisa amahlombe phezulu. Okusho ukuthi, yiwona okusiza ukuthi uphakamise amahlombe akho sengathi uthi "Angazi." |
| Ama-Rhomboid | Le misipha, esukela emhlane wakho iye emahlombe akho, ikusiza ukuthi uhlanganise amahlombe akho . Iphinde ikusize uphakamise ingalo yakho phezulu naphansi. |
| I-Serratus yangaphambili | Lo msipha, owelula ngaphezu kwezimbambo ezinhlangothini zesifuba futhi unamathele ezinsikeni zamahlombe, ukuvumela ukuthi uzungeze amahlombe akho . |
| I-Trapezius - ephezulu, ephakathi, ephansi | Lona umsipha omkhulu, omise okwedayimane osuka entanyeni uye phakathi nomhlane. Ingxenye engenhla yalo msipha iyasiza ekuphakamiseni amahlombe, ingxenye ephakathi iyasiza ekuhlanganiseni amahlombe, kanti ingxenye engezansi iyasiza ekucindezeleni amahlombe phansi. |
Izifo nezinkinga ezingase zivele ezihlobene nehlombe
Uma nje ihlombe nemisipha ehambisana nalo isebenza kahle, asinankinga. Kodwa uma ngesizathu esithile ukusebenza kwalolu hlelo kuphazamiseka, siba nobunzima bokusebenzisa ihlombe nengalo yethu.
Ngokuvamile sibiza lokhu kuphazamiseka kokunyakaza kwamahlombe ngokuthi i-scapular dyskinesis . Kunezimbangela eziningana ezingaba khona zalesi simo.
- Ubuthakathaka, ukuqina, noma ukungalingani kwemisipha elawula amahlombe.
- Ukulimala kwemizwa exhuma kuleyo misipha.
- Ukulimala kwamathambo ehlombe noma ehlombe.
Izibonelo ezimbalwa zalesi simo
- Isifo sokungashukumi kwamahlombe: Lokhu kwenzeka lapho umsipha we-rotator cuff ehlombe uvuvukala futhi ugudla i-acromion, okubangela ubuhlungu obukhulu lapho uphakamisa ihlombe.
- I-Subacromial bursitis: Amalunga ethu anezikhwama ezincane ezigcwele uketshezi ezibizwa ngokuthi i-bursae ezisiza ekunciphiseni ukungqubuzana. Lokhu kungavuvukala futhi kubangele ubuhlungu behlombe kanye nokutheleleka.
Ingabe nawe unalezi zimpawu?
- Ubuhlungu obuzungeze ihlombe noma ukuqina kwalo uma lithintekile.
- Ukuzizwa ubuthakathaka engalweni noma ehlombe ohlangothini lobuhlungu.
- Ukuzizwa ukhathele ngokushesha uma wenza umsebenzi ofanayo njalo, ikakhulukazi uma wenza umsebenzi wezandla.
- Ukuzwa umsindo othi 'snapping' noma 'snapping' lapho ushukumisa ihlombe.
- Ihlombe ohlangothini olunezinhlungu libonakala lilenga phansi.
- Ukunyakaza okulinganiselwe engalweni nasehlombe.
- Amahlombe aphuma emzimbeni, abukeka njengamaphiko.Lokhu kubizwa nangokuthi "i-scapula enamaphiko".
Izindlela zokuxilonga kanye nokwelapha
Uma unalezi zimpawu, into engcono kakhulu ongayenza ukubonana nodokotela . Udokotela uzokuxilonga. Bangase bahlole izinga lokunyakaza kwamahlombe akho kanye namandla emisipha.
Into ebaluleke kakhulu ukubona udokotela uma unalolu hlobo lobuhlungu. Yilapho-ke kuphela lapho ungathola khona imbangela eqondile bese uqala ukwelashwa okufanele wena.
Kwezinye izimo, kunganconywa i-X-ray noma i-MRI scan ukuze kutholakale imbangela.
Izindlela zokwelapha zincike ebunzimeni besimo sakho kanye nembangela yaso.
- Imithi: Udokotela wakho angase ancome imithi engeyona eye-steroidal yokulwa nokuvuvukala ( ama-NSAID ), njenge- ibuprofen , ukunciphisa ukuvuvukala nobuhlungu.
- Ukwelashwa ngokomzimba: Lokhu kuyindlela yokwelapha ebaluleke kakhulu. Ngaphansi kokuqondiswa ngumelaphi womzimba, ungenza izivivinyo zokuqinisa imisipha eziqinisa futhi zinyakazise ihlombe futhi zelule imisipha eqinile.
- Ukuhlinzwa: Esikhathini esiningi, lezi zimo zingelashwa ngokuzivocavoca kanye nemithi. Kodwa-ke, uma kunomonakalo omkhulu emisipheni noma ezicutshini, ukuhlinzwa kungadingeka, akuvamile kakhulu.
Uma ucabanga ukuthi ube nengozi ethinta ihlombe lakho, noma uma unezinye zezimpawu esixoxe ngazo, bona udokotela wakho ngokushesha ngaphambi kokuba kwenzeke umonakalo owengeziwe.
Umlayezo Wokuya Nawe Ekhaya
- I-scapula iyithambo elibaluleke kakhulu elibalulekile ekunyakazeni kwehlombe lakho kanye nengalo.
- Ubuhlungu, ubuthakathaka, noma ubunzima bokushukumisa ihlombe lakho, umhlane, noma ingalo kungaba uphawu lwenkinga yehlombe.
- Ungazinaki izimpawu ezinjengalezi. Kungenza isimo sibe sibi kakhulu.
- Qiniseka ukuthi ubona udokotela ukuze uthole ukuxilongwa okunembile kanye nokwelashwa okufanele wena.
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