Ingabe ihlombe lakho libukeka sengathi liseceleni? Ingabe yilokhu okushoyo uma uthi 'Ihlombe Elihlukene'?

Wake wawa, washaya ihlombe lakho kanzima, wacabanga, "Hawu Nkulunkulu, ihlombe lami liphumile!"? Kungase kungabi 'ukuphumile' njengoba ucabanga, kodwa 'ihlombe elihlukanisiwe' . Leyo indaba ehlukile. Namuhla, sizoxoxa ngokuthi liyini ihlombe elihlukanisiwe, ukuthi kungani lenzeka, yiziphi izimpawu, ukuthi ungaliphatha kanjani, nokuthi yini ongayenza ukuze ulivimbele ukuthi lingaphinde lenzeke.

Kuyini 'ihlombe elihlukanisiwe'?

Kalula nje, ihlombe elihlukanisiwe yisimo esenzeka ejoyintini le-acromioclavicular ehlombe lakho. Leli joyinti yilapho ithambo lakho le-collarbone, i-clavicle , lihlangana khona nengxenye ephezulu yehlombe lakho, i-acromion . Cabanga ngakho njengebhuloho.

Into ebalulekile ukuthi, lokhu akulona ukulimala kwejoyinti eliyinhloko lebhola nesokhethi ehlombe lakho. Akukho nkinga lapho. Okwenzekayo lapha ukuthi imisipha ephakathi kwe-clavicle ne-acromion - izibopho ezibamba ijoyinti ndawonye - iyanwetshwa noma idabuke . Uma lokhu kwenzeka, ukuxhumana phakathi kwe-collarbone ne-blade yehlombe kuyakhululeka, bese lokhu kokubili kuqala ukuhlukana, noma ukuhamba kuhlukane. Yingakho kubizwa ngokuthi ukuhlukaniswa kwehlombe. Abanye abantu bakubiza nangokuthi ukuhlukaniswa kwejoyinti le-AC.

Sivame kangakanani lesi simo?

Kuvamile kakhulu kunalokho ocabanga. Ezinye izifundo ziphakamisa ukuthi cishe ama-40% azo zonke izilima zamahlombe abangelwa ukulimala kwamalunga e-acromioclavicular! Lokhu kuvame kakhulu kubantu abadlala imidlalo yokushayisana njengebhola, i-lacrosse, kanye ne-hockey. Ukuhlukaniswa kwamalunga e-AC kubanga ama-9% azo zonke izilima kule midlalo.

Ziyini izimpawu zalokhu?

Izimpawu zokukhumuka kwehlombe zingahluka kumuntu nomuntu. Kuya ngokuthi ukulimala kungakanani. Abanye abantu bangase babe nobuhlungu obuncane, kanti abanye bangase babe nobuhlungu obukhulu nezinye izimpawu. Bheka ukuthi unanoma yikuphi kwalokhu:

• Ubuhlungu phezulu ehlombe: khona lapho i-collarbone iphela khona.
• Iqhubu phezulu kwehlombe, njengeqhubu: Lesi yisibonakaliso esisobala kakhulu kubantu abaningi. Yilokhu okwenzekayo lapho imisipha idabuka, okwenza ihlombe liwe phansi ngaphansi kwesisindo sengalo yakho. Bese kuthi ingxenye ephezulu ye-clavicle iqhume. Kubukeka njengeqhubu elincane.
• Ukungakwazi ukuhambisa ihlombe kahle: Kungase kube nzima ukuphakamisa noma ukujikisa ingalo.
• Ukuvuvukala nobuhlungu uma ucindezelwa: Isandla singase sizwakale sibuhlungu futhi sivuvukele.
• Ukuphuka: Ngezinye izikhathi kungaba luhlaza okwesibhakabhaka futhi kubonakale kuphukile.

Kungani kukhona ukuhlukana okungaka kwamahlombe?

Ngokuvamile, lokhu kubangelwa ukuwa ngqo ngemuva kwehlombe.Uma ukuwa kunzima kakhulu, imisipha ingadabuka. Cabanga nje, uwe ebhayisikilini lakho, noma ushelele esitebhisini walimala ehlombe lakho, noma ushaye othile ngenkathi udlala ezemidlalo walimala ehlombe lakho.

Isibonelo, uma umdlali webhola egxuma ukuze abambe ibhola bese eshaya ngemuva kwehlombe lakhe bese eshelela, ingalo yakhe ingacindezelwa phansi bese ibangela lolu hlobo lokulimala. Lokhu kungenzeka nasezingozini zezimoto.

Yiziphi izinkinga ezingabangelwa yilokhu?

Nakuba abantu abaningi belulama ngokuphelele ngemva kokwelashwa, ngezinye izikhathi iqhubu lingasala. Futhi, abanye abantu bangase babe nobuhlungu obuqhubekayo, noma kungase kubonakale njengokulimala okuncane. Lokhu kungabangelwa ukukhuhlana kwamathambo, isifo samathambo, noma ukulimala kwe-cartilage esebenza njengomqamelo phakathi kwamathambo esihlanganisi sehlombe .

Udokotela ukubona kanjani lokhu?

Uma uya kudokotela, uzoqala ngokukubuza ngezimpawu zakho zamanje nokuthi lokhu kwenzeke kanjani. Ngemuva kwalokho uzokwenza ukuhlolwa ngokomzimba . Udokotela angase akucele ukuthi ubambe isisindo esincane esandleni sakho. Uma wenza lokhu, ungabona ukuthi i-collarbone ivele phezulu, okuzosiza ukuqinisekisa ukulimala.

Kuye ngohlobo lwesifo, udokotela angase futhi acele ukuhlolwa okuthile kwezithombe . Lokhu kufaka phakathi:

• I-X-ray yamahlombe
• Ukuhlolwa kwe-Ultrasound
• Ukuhlolwa kwe-MRI (Magnetic Resonance Imaging)

Ungase futhi ucelwe ukuthi ubambe isisindo esandleni sakho phakathi nalezi zivivinyo, ukuze ukulimala kubonakale ngokucacile ezithombeni.

Ngemva kwalezi zivivinyo, udokotela wakho angakudlulisela kudokotela ohlinza amathambo . Lochwepheshe anganquma ubukhali bokuqhekeka kwehlombe lakho. Basebenzisa uhlelo lokuhlukanisa olubizwa ngokuthi i-Rockwood classification of AC joint injuries. Lokhu kuhlukanisa ukulimala kusukela ku-Type I (umonakalo omncane ku-AC ligament, lapho ijoyinti lisaphelele) kuya ku-Type VI (ukudabuka okuphelele kwe-ligament, lapho ijoyinti lihlukanisiwe ngokuphelele). Lokhu kuhlukaniswa kuzonquma ukwelashwa, ukuthi ukuhlinzwa kuyadingeka yini, ukuthi ukwelashwa kuzohlala isikhathi esingakanani, nokuthi imiphumela yesikhathi eside izoba yini.

Amazinga ahlukene okuhlukaniswa kwamahlombe

Ukuhlukana kwamahlombe kungahluka kusukela kokuncane kuya kokungathi sína kakhulu. Odokotela bahlukanisa lokhu kwahlukana kwe-"Acromioclavicular joint" ngokususelwa ebangeni lokulimala kanye nokuthi zingaki imisipha eyonakele. Ukuhlukaniswa kwe-"Rockwood" okukhulunywe ngakho ekuqaleni yikona okusetshenziswa kakhulu. Ake sibheke eminye yemininingwane yayo:

• Uhlobo I:Kulesi simo, imisipha yakho ye-acromioclavicular (AC) ingase inwebeke noma idabuke kancane. Kodwa-ke, eminye imisipha esiza ekuqiniseni i-clavicle yakho, imisipha ye-coracoclavicular (CC), ayonakele. Ungase ube nokuvuvukala nokuthamba okuthile. Lokhu kufanele kuphele ngokwako emavikini ambalwa.
• Uhlobo II: Lapha ama-ligaments akho e-AC aklebhukile ngokuphelele, kanti ama-ligaments akho e-CC aklebhukile noma aklebhukile kancane. Kungase kube nokuvuvukala okukhulu kanye nokuqina okuncane.
• Uhlobo III: Kulesi simo, zombili imisipha ye-AC kanye nemisipha ye-CC idabukile ngokuphelele. I-AC joint yakho ingase ibukeke njengeqhubu elikhulu futhi ingase ivuvuke kakhulu. I-CC joint nayo ingase ibe buhlungu kakhulu uma icindezelwa.
• Uhlobo IV: Yilapho i-ligament idabuka khona, okwenza i-collarbone yakho isunduzelwe emuva futhi inamathele ngemuva kwe-acromioclavicular joint. Lokhu ukulimala okubi kakhulu futhi kungadinga ukuhlinzwa .
• Uhlobo V: I-ligament iyadabuka, bese kuthi ingxenye yokugcina ye-clavicle (ithambo le-clavicle) idonswe ibe yimisipha engaphezulu kwejoyinti le-acromioclavicular. Lokhu nakho kuyingozi futhi kungadinga ukuhlinzwa.
• Uhlobo VI: I-ligament iyadabuka, kanti i-clavicle icindezelwa phansi bese ibanjwa ngaphansi kwe-coracoid, eyingxenye ye-blade yakho yehlombe. Lesi yisimo esingavamile kakhulu kodwa esibucayi kakhulu. Kudingeka ukuhlinzwa.

Kuphathwa kanjani lokhu?

Izindaba ezinhle ukuthi abantu abaningi bangalulama ekuhlukaneni kwamahlombe phakathi kwamasonto amabili kuya kwayishumi nambili ngaphandle kokuhlinzwa. Ukwelashwa okungahlinzwa kuhlanganisa:

• Ukusebenzisa i-sling: Lokhu kusiza ukugcina ihlombe lisendaweni eyodwa kuze kube yilapho liphola.
• Amaphakethe eqhwa kanye nezinhlungu zobuhlungu: Udokotela wakho angase ancome ama-NSAID (izidakamizwa ezingezona eze-steroidal ezilwa nokuvuvukala) , njenge- Ibuprofen ne -Naproxen , noma i-aspirin noma i-acetaminophen, ukuze kuncishiswe ubuhlungu.
• Ukwelashwa ngokomzimba noma uhlelo lokuzivocavoca: Uma ihlombe lakho selipholile, lokhu kungasiza ekuqiniseni imisipha nemisipha ehlombe lakho. Kodwa-ke, kufanele uthole imvume kuchwepheshe wakho wamathambo ngaphambi kokuqala uhlelo lokuvuselela.
• Gwema ukuphakamisa izinsimbi amasonto angu-8 kuya kwangu-12 ngemva kokuba ukulimala sekupholile.

Kwezinye izimo ezinzima kakhulu (njengeRockwood grade IV, V, kanye ne-VI), noma uma ukwelashwa okungewona ukuhlinzwa kunganikezi imiphumela oyifunayo, kungase kudingeke ukuhlinzwa. Uma iminwe yakho indikindiki, izizwa ibanda, inemisipha yengalo ebuthakathaka, noma inokukhubazeka okukhulu kwamahlombe, lokhu kubonisa isimo esibi kakhulu. Ukwelashwa kokuhlinzwa kungafaka:

• Ukunquma ingxenye engezansi ye-clavicle: Lokhu kuzoyivimba ukuthi ingathintani ne-blade yehlombe.
• Ukuhlanganisa kabusha imisipha edabukile ngaphansi kwethambo leqakala: Lokhu kuhlinzwa kungenziwa ngisho nangemva kwesikhathi eside kusukela ukulimala. Kodwa-ke, uma ukulimala sekuqhubeke isikhathi eside, kungadingeka izicubu zokufakelwa ukuze kwakhiwe kabusha imisipha.

Ingabe ukuhlukana kwamahlombe kungavinjelwa?

Ayikho indlela eqinisekile yokuvimbela ukukhumuka kwehlombe ngokuphelele. Kodwa-ke, kungaba usizo ukuqaphela ezinye izinto ezandisa ingozi yokulimala kwehlombe. Izinto ezinjengalezi zingabeka ihlombe lakho engozini:

• Ukunyakaza okuphindaphindiwe usebenzisa ihlombe.
• Ukuguga .
• Ukusebenzisa kakhulu noma ukukhandleka kwamahlombe, ikakhulukazi kubantu abaneminyaka engaphezu kwengu-65 ubudala .
• Umsebenzi wezandla .
• Ukuhlanganyela kwezemidlalo ezihilela ukushayisana nabanye abantu noma phansi.
• Izingozi nokuwa .

Yini engingayilindela uma ihlombe lami liphumile?

Ungalindela ukuzwa ubuhlungu nokuvuvukala, ikakhulukazi uma ukulimala kukhulu. Kodwa izindaba ezinhle ukuthi isibikezelo sokulimala kwamalunga amaningi e-acromioclavicular ngokuvamile sihle.

Iningi lokukhumuka kwamahlombe alashwa ngaphandle kokuhlinzwa. Isikhathi sakho sokululama ekukhumulweni kwamahlombe amancane singasukela ezinsukwini ezimbalwa kuya ngaphansi kwamasonto ayisithupha . Kuye ngobukhulu bokulimala, kufanele ukwazi ukubuyela emisebenzini evamile zingakapheli izinyanga ezintathu.

Kodwa uma udinga ukuhlinzwa ukuze uhlukanise ihlombe lakho, isikhathi sokululama singase sibe side. Ungase ungakwazi ukusebenzisa ihlombe lakho kuze kube amasonto ayisithupha. Kungathatha cishe izinyanga eziyisithupha ukubuyela kancane kancane emisebenzini evamile.

Ngingazinakekela kanjani ? Ingabe kukhona ukuvivinya umzimba engingakwenza ekhaya?

Yebo, kunezindlela zokuzivocavoca ezingasiza ihlombe lakho ukuthi liphole ngokushesha. Kodwa khumbula, ngaphambi kokuqala noma yikuphi ukuzivocavoca kwamahlombe, kufanele ukhulume nodokotela wakho wamathambo. Ziqale njengoba esho, nalapho esho.

Ukuzivocavoca okuhambayo

Lokhu kuzivocavoca kuzokusiza ukuthi ugcine ukunyakaza kwamalunga akho futhi kugcine imisipha yamahlombe akho kanye nemisipha iguquguquka. Zama ukwenza lokhu kuzivocavoca kanye noma kabili ngosuku cishe imizuzu emihlanu.

• Ukwelula kwe-pendulum:
• Khulula imisipha yakho yamahlombe.
• Uhlezi noma umile, sondeza ingalo yakho elimele eduze komzimba wakho, iqonde phansi.
• Vayizisa isandla sakho emuva naphambili, bese uvayizisa uhlangothi nohlangothi. Bese udweba imibuthano emincane ngesandla sakho.
• Yenza lokhu ngaphandle kokulinganisa izinsuku ezintathu kuya kweziyisikhombisa zokuqala. Bese wengeza kancane kancane amakhilogremu angu-1-2 (0.5-1 kg) esisindo ngesonto. Ngokuhamba kwesikhathi, ungandisa kancane kancane ububanzi besiyingi.

• Ukukhuphuka udonga:
• Sebenzisa isandla sakho esihle bese ubamba isandla sakho esikhubazekile odongeni.
• Manje sebenzisa iminwe yakho ukunyuka kancane odongeni (njengesicabucabu esikhuphuka odongeni).
• Sebenzisa esinye isandla nomzimba wakho ukuze unikeze lokhu usizo oluncane.
• Yibambe cishe imizuzwana engama-30 bese uphumula.
• Yenza lokhu cishe izikhathi ezine, uzama ukukhuphuka kancane isikhathi ngasinye.

Ukuzivocavoca okuqinisa imisipha

Lezi zivivinyo zizosiza ukuqinisa imisipha yamahlombe akho futhi zivimbele ukulimala okwengeziwe. Ngokuvamile ungaqala lezi zivivinyo isonto noma amabili ngemuva kokuqala ukwelula i-pendulum. Isibonelo salokhu ukucindezelwa kwe-scapular. Zama ukukwenza kabili noma kathathu ngosuku.

• Ukucindezelwa kwe-Scapular:
• Lala ngomhlane wakho, amadolo agobile, nezinyawo ziphansi.
• Bamba izingalo zakho ziqonde, izintende zibheke phezulu, futhi zingamasentimitha angu-15-30 ukusuka emaceleni akho.
• Manje cindezela amahlombe akho phansi futhi ndawonye (ubheke maphakathi nomgogodla wakho). Kuleli qophelo, umhlane wakho ongezansi kufanele ucindezelwe phansi.
• Bamba imizuzwana emihlanu, bese uphumula. Yenza lokhu izikhathi ezingu-20.
• Gcina intamo yakho ikhululekile futhi ungaphakamisi amahlombe akho. Kufanele uzizwe imisipha ephakathi kwamahlombe akho iqina.

Kufanele ubonane nini nodokotela mayelana nokukhumuka kwehlombe?

Ngemva kokulimala ehlombe, kufanele nakanjani ufune iseluleko sezokwelapha uma unezinye zalezi zimpawu:

• Ubuhlungu obukhulu.
• Ubuthakathaka esandleni sakho noma eminweni.
• Uma iminwe yakho ingenamizwa noma izizwa ibanda.
• Uma kunzima ukuhambisa isandla sakho ngendlela evamile.
• Uma kubukeka njengeqhubu ehlombe lakho futhi kubukeka kuphambene.

Khumbula: Uma unezinye zalezi zimpawu, ungaziphilisi ekhaya. Bonana nodokotela ngokushesha.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma ihlombe lakho liphumile, kuwumqondo omuhle ukubuza udokotela wakho le mibuzo:

• Nginaluphi uhlobo noma izinga lokuhlukaniswa kwamahlombe?
• Hlobo luni lokwelashwa olunconywayo?
• Yini engingayenza ekhaya ukuze ngilulame?
• Kuzothatha isikhathi esingakanani ukululama kulesi sifo?
• Yini engingayenza ukuze ngivimbele ihlombe lami ukuthi lingaphinde liqhume?

Uyini umehluko phakathi 'kwehlombe elihlukanisiwe' kanye 'nehlombe elihlukanisiwe'?

Lokhu kuyinto abantu abaningi abadideka ngayo. Laba ababili bahle!

• Ihlombe Elihlukene: Lokhu ukulimala kwemisipha yejoyinti lakho le-acromioclavicular . Yilapho ithambo lakho le-collarbone (clavicle) lihlangana khona nengxenye ephezulu yehlombe lakho (i-acromion).
• Ihlombe Eliphumile: Lokhu kwenzeka ejoyintini lakho le-glenohumeral . Yilapho ithambo lakho lengalo elingaphezulu (i-humerus) lixhuma khona nesokhethi lehlombe. Yilapho ingxenye efana nebhola yethambo lengalo iphuma khona ejoyintini.

Kalula nje, 'ehlombe elihlukanisiwe' kuvela ithambo lentamo, kanti 'ehlombe eliphumile' lonke ilungu lehlombe liyaphuma.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukuqhekeka kwehlombe kuwukulimala kwehlombe okungabangela ubuhlungu nokuvuvukala. Nakuba iningi lalezi zingozi lincane, ezinye zingaba zimbi kakhulu futhi zidinga ukuhlinzwa. Kungenzeka kunoma ubani, hhayi nje kubadlali, abaye bawa noma balimale ehlombe.

Uma lokhu kwenzeka kuwe, into ebaluleke kakhulu ukuphumula futhi ungacindezeli ihlombe lakho. Kungase kube ngcono ngokwakho ezinsukwini ezimbalwa. Kodwa, uma kungenjalo, qiniseka ukuthi ubonana nodokotela ukuze uthole ukuthi yini ngempela engalungile. Uma uthola ukwelashwa okufanele ngokushesha, uzokwazi ukululama ngokushesha futhi ubuyele emisebenzini yakho evamile!

Ukuhlukana kwamahlombe , ijoyinti le-AC, ukulimala kwamahlombe, ubuhlungu behlombe, ukudabuka kwemisipha, ukulimala kwezemidlalo, ukwelashwa ngokomzimba