Ingabe ihlombe lakho libuhlungu ngaso sonke isikhathi? Kungaba 'ukuboshwa kwamahlombe' (i-Rotator Cuff Tendinitis)!

Sawubona! Ingabe ngezinye izikhathi uzizwa ubuhlungu obukhulu ehlombe lakho? Isibonelo, uma uzama ukuphakamisa ingalo yakho, uphakamisa okuthile, noma uma ujika ohlangothini olulodwa ngenkathi ulele ebusuku, ingabe ihlombe lakho liyabuhlungu? Ungase ungalinaki kakhulu leli buhlungu. Kodwa lokhu kungaba uphawu lwesimo esibizwa ngokuthi 'i-Shoulder Impingement' , okuyilapho izingxenye zehlombe zisunduzwa ngaphakathi. Namuhla, sizoxoxa ngalokhu ngokuningiliziwe, kalula.

Kuyini 'Ukuboshwa Kwamahlombe'?

Kalula nje, ukugoba emahlombe yisimo lapho i-rotator cuff yakho, etholakala ngaphansi komphetho wangaphandle we-blade yakho yehlombe (scapula), ithukuthela khona. Odokotela ngezinye izikhathi babiza lokhu ngokuthi i-Impingement Syndrome. Ukugoba ukugoba, ukuncinza, noma ukuhlikihla izingxenye ezingaphakathi kwelungu. Yilokhu okubangela ubuhlungu, ikakhulukazi uma ushukumisa ihlombe lakho.

Cabanga ngakho, i-'Rotator Cuff' yakho iyiqembu lemisipha emine emikhulu exhumanisa ihlombe lakho kanye nethambo elikhulu engalweni yakho engenhla (i-'humerus'). Usebenzisa le 'Rotator Cuff' ukuphakamisa ingalo yakho bese uphendula ingalo yakho ohlangothini nangemuva.

I-rotator cuff itholakala endaweni encane phakathi kwethambo lakho elingaphezulu lengalo (i-humerus) kanye nengxenye ephezulu yehlombe lakho (i-acromion). Yingakho i-rotator cuff inamathuba amaningi okubamba phakathi kwalawo mathambo amabili bese ibanjwa. Lokhu kubanjwa kubizwa ngokuthi ukuboshwa kwamahlombe.

Uma uzwa ubuhlungu ehlombe, noma uma ungakwazi ukuhambisa ihlombe lakho ngaphandle kobuhlungu, qiniseka ukuthi ubona udokotela.

Ingabe kunezinhlobo ezahlukene ze-'Shoulder Impingement Syndrome'?

Yebo, udokotela angahlukanisa lesi simo 'sokuboshwa emahlombe' njengenye inkinga ethile. Eziyinhloko yilezi:

`I-Rotator Cuff Tendinitis`

Lokhu, njengoba igama lisho, yisimo esibizwa ngokuthi i-Tendinitis, esithinta imisipha ye-Rotator Cuff. I-Tendinitis ukuvuvukala noma ukuvuvukala kwemisipha. Kunemisipha emine esiza i-Rotator Cuff yakho ukuthi inyakaze ihlombe lakho. Noma yini elimaza noma ecasula le misipha ingabangela ukuthi ivuvuke. Lokhu kuvuvukala yikho okubangela ukuminyana kwehlombe.

I-Bursitis Yehlombe

I-Bursitis ukuvuvukala kwe-bursa, isikhwama esincane esigcwele uketshezi. Le bursa itholakala emalungeni ethu futhi isebenza njengomcamelo. Kukhona ne-bursa phakathi kwe-rotator cuff tendon yakho kanye nethambo lakho le-acromion, okusiza ekunciphiseni ukungqubuzana phakathi kwalezi zibili. Kodwa-ke, uma le bursa ivuvukala, ingabangela nokuvaleka kwamahlombe.

Izinguquko esimweni sethambo le-acromion

I-acromion ivame ukuba yisicaba. Kodwa-ke, uma i-acromion yakho igobile noma igobile njengehhuku, ingagudlana ne-rotator cuff futhi ibangele ukuxhuzula kwamahlombe. Abanye abantu bazalwa nale acromion enomumo ongavamile. Noma, njengoba bekhula, kungavela ama-bone spurs.

Sivame kangakanani lesi simo?

Ngokusho kwabacwaningi, ukucindezelwa kwamahlombe kuyimbangela yobuhlungu behlombe obungaba ngu-50% . Lesi simo sivame kakhulu kubadlali nakubantu abasebenza kanzima.

Ziyini izimpawu 'zokuboshwa emahlombe'?

Uphawu oluyinhloko noluvame kakhulu lokuxhuzula kwamahlombe ubuhlungu emahlombe .

Lobuhlungu buvame ukuzwakala ngaphambili kwehlombe. Futhi:

• Kungaba buhlungu kakhulu uma uthinta ihlombe lakho.
• Ubuhlungu bungavela ngaphambili kwehlombe phansi engalweni kuye ohlangothini.
• Ubuhlungu bungase bube bubi kakhulu ebusuku , okwenza kube nzima ngawe ukulala noma ukuhlala ulele.

Ubuhlungu bokuxhuzula emahlombe bungakhula ngokunyakaza noma izikhundla ezithile. Isibonelo:

• Uma uphakamisa ingalo iqonde phezulu, ngaphezu kwekhanda.
• Uma uphakamisa isandla sakho bese usihlisa futhi.
• Uma welula isandla sakho ukuze uthathe okuthile.
• Uma ulele ohlangothini lokho kubuhlungu.
• Uma ubeka isandla sakho ngemuva komhlane wakho (njengokufaka isandla sakho ephaketheni elingemuva lebhulukwe lakho, noma ukusonta isandla sakho ukuze uvule isikhwama).

Izici ezikhethekile ze-'Rotator Cuff Tendinitis'

Izimpawu zingase zihluke kancane kuye ngohlobo 'lokuboshwa emahlombe' onalo. Isibonelo, ngaphezu kobuhlungu emahlombe, umuntu one-'Rotator Cuff Tendinitis' angase abe nezimpawu ezifana nalezi:

• Umuzwa wokuqina nokuqina ehlombe.
• Ukuba nokuvuvukala .
• Ngezinye izikhathi kuba noshintsho embaleni wesikhumba noma ebubomvu.
• Ukuzwa umsindo "wokuklewula" noma ukuzwa into efanayo uma ushukumisa ihlombe lakho.

Yiziphi izimbangela zokuboshwa kwamahlombe?

Ngokuvamile, ukuboshwa kwamahlombe kuwukulimala okwenziwa ngokweqile . Lokhu kusho ukuthi lesi simo sikhula kancane kancane ngokuhamba kwesikhathi ngenxa yokucindezela ngokweqile ehlombe kanye ne-Rotator Cuff lapho kwenziwa ukunyakaza okufanayo ngokuphindaphindiwe.

Odokotela bakubiza lokhu ngokuthi "ukunyakaza kokujikeleza okungaphezulu." Okusho ukuthi, noma yikuphi ukunyakaza okuphindaphindiwe okuhilela ukubamba ingalo phezulu nokujikeleza ihlombe. Izimbangela eziyinhloko zalokhu ukuqeqeshelwa umdlalo, noma ukwenza uhlobo olufanayo lokunyakaza usuku lonke emsebenzini.

Cabanga nje, umdlali we-cricket bowler uqhubeka ejika ingalo yakhe ngendlela efanayo. Noma umdwebi usebenza ngokujika ingalo yakhe phezulu usuku lonke. Lezi yizinto ezibeka lokhu kucindezela ehlombe.

Abanye abantu bangaba nokuxhuzula kwamahlombe ngendlela engavamile. Kungavela futhi ngokuzumayo ngenxa yokulimala, njengokuwa, ingozi yemoto, noma ukulimala kwezemidlalo.

Ubani osengozini enkulu yokuthola lokhu? (Izici Eziyingozi)

Ukuboshwa emahlombe kungenzeka kunoma ubani. Kodwa-ke, kuvame kakhulu kubasubathi nakubantu abasebenza kanzima . Ngokuvamile akwenzeki konke ngesikhathi esisodwa, kodwa kukhula kancane kancane emavikini, ngezinye izikhathi ezinyangeni.

Izinhlobo zemidlalo ezingabangela 'ukuboshwa kwamahlombe':

• Ukubhukuda
• Ikhilikithi (ikakhulukazi ababhowuli)
• I-Volleyball
• Ithenisi

Lesi simo singabangelwa yinoma yimuphi umsebenzi onzima ngokomzimba obeka ingcindezi emahlombe:

• Umsebenzi wokwakha
• Ibhulashi lokupenda
• Ukuhlanza amafasitela
• Ukuhlobisa ngephepha lodonga, ukuhlobisa nge-drywall

Ungakuthola kanjani ukucindezelwa kwehlombe?

Udokotela uzohlola ukushayeka kwehlombe ngokuhlolwa ngokomzimba . Uzohlola ihlombe lakho futhi ahlole ukunyakaza kwakho (ukuthi ungalihambisa ibanga elingakanani ngaphandle kobuhlungu). Tshela udokotela wakho ukuthi wawunzani lapho uqala ukuzwa ubuhlungu nezinye izimpawu. Uma wenza ezemidlalo, izinto ozithandayo, noma umsebenzi obeka ukucindezeleka okuphindaphindiwe ehlombe noma engalweni yakho, qiniseka ukuthi uyakusho lokho futhi.

Ukuhlolwa Kokuboshwa Kwamahlombe

Udokotela wakho angase futhi enze izivivinyo eziningana zokuthatha izithombe zehlombe:

• `I-X-ray`
• `I-MRI (Umfanekiso Wokuqabulana Kwamagnetic)` (I-M.R.I.)
• I-Ultrasound

Lezi zivivinyo zokuthatha izithombe zinganikeza udokotela wakho isithombe esicacile samathambo nezicubu ezikujoyintini lakho lamahlombe. Zingasiza futhi ekutholeni imbangela eqondile yokuphazamiseka.

Akukhona lokho kuphela, lezi zivivinyo zingasiza futhi ekunqumeni ukuthi zikhona yini ezinye izimbangela zobuhlungu emahlombe. Isibonelo:

• `Izinyembezi ze-Rotator cuff`
• Ukulimala kwemisipha ye-Biceps
• Isifo samathambo ehlombe

Indlela yokwelapha ukugoba kwehlombe? (`Ukwelashwa`)

Udokotela wakho uzoncoma izindlela zokwelapha ezizokusiza ukulawula izimpawu zakho, ukwelapha ihlombe lakho, futhi zikubuyisele ekusebenzeni okuvamile kwehlombe. Izindlela zokwelapha eziyinhloko zokuxinwa yihlombe yilezi:

• Ukuphumula: Isikhathi esikude nomsebenzi onzima, ikakhulukazi umdlalo noma umsebenzi obangele lesi simo.
• Ukwelashwa ngokomzimba:Udokotela wezokwelapha uzokunikeza ukwelula nokuzivocavoca ukuze uqinise ihlombe lakho futhi uthuthukise ububanzi bokunyakaza kwakho. Njengoba ihlombe lakho liphola, uzokunikeza nokuzivocavoca ukuze uqinise imisipha yakho ye-rotator cuff.
• Ukufaka iqhwa: Songa i-ice cube noma iphakethe leqhwa ngethawula elincane bese ulibeka ehlombe lakho. Ungalokothi ubeke iqhwa ngqo esikhumbeni. Udokotela wakho uzokutshela ukuthi kufanele ulifake isikhathi esingakanani iqhwa nokuthi ulifake kangaki ngosuku.
• Iziqeda ubuhlungu: Ama-NSAID athengiswa ngaphandle kwemithi (OTC) (Izidakamizwa Ezingavimbeli Ukuvuvukala) angasiza ekunciphiseni ubuhlungu nokuvuvukala. Kodwa-ke, ungayithathi le mithi izinsuku ezingaphezu kweziyi-10 ngesikhathi ngaphandle kokukhuluma nodokotela.
• Ama-Corticosteroids: Lena imithi enqunywe udokotela ukunciphisa ukuvuvukala (ukuvuvukala nokulunywa). Ngezinye izikhathi kungadingeka ukuthi uthole imijovo ye-cortisone ehlombe.

Ingabe kuzodingeka ukuhlinzwa ukuze kukhishwe ihlombe?

Uma ezinye izindlela zokwelapha zingasizi izimpawu zakho, udokotela wakho angase acabangele ukuhlinzwa. Udokotela ohlinzayo angase enze inqubo ebizwa ngokuthi i-arthroscopic shoulder decompression. Lokhu kuhilela ukufaka ikhamera kanye namathuluzi amancane ngokusebenzisa izimbobo ezimbalwa ezincane ukuze kususwe ucezu oluncane lwethambo lakho le-acromion ukuze kube nendawo eyengeziwe ye-rotator cuff.

Udokotela wakho ohlinzayo uzochaza ngokuningiliziwe ukuthi hlobo luni lokuhlinzwa oludingayo nokuthi isikhathi sokululama sizoba njani ngemva kwalokho.

Yikuphi ukwelashwa okungcono kakhulu kwe-'Rotator Cuff Tendinitis'?

Ukwelashwa kwe-rotator cuff tendinitis kuvame ukufana nokwelashwa kwezinye izinhlobo zokuboshwa kwamahlombe. Udokotela wakho uzokutshela izindlela ezinhle kakhulu zokusiza i-rotator cuff tendon yakho ukuthi iphole.

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokuqala ukwelashwa?

Iningi labantu liqala ukuzizwa lingcono futhi ubuhlungu bunciphe emavikini ambalwa okuqala ukwelashwa kokuxhuzula kwamahlombe. Kodwa-ke, noma ngabe izimpawu zakho ziyathuthuka, akufanele ubuyele kwezemidlalo noma emisebenzini enzima kuze kube yilapho udokotela wakho ekunika ithuba.

Kuthatha isikhathi esingakanani ukuthi ukuxhuzula emahlombe kuphole?

Isikhathi sokululama ekubanjweni kwamahlombe sincike ohlotsheni lokubanjwa onalo nokuthi kukhulu kangakanani.

Nakuba ngokuvamile uqala ukuzizwa ungcono phakathi namasonto ambalwa okuqala ukwelashwa, kungathatha izinyanga eziningana ukuthi ihlombe lakho liphole ngokuphelele. Abanye abantu bangadinga ukwelashwa nokuvuselelwa kuze kube unyaka (`rehab`).

Ingabe i-Rotator Cuff Tendinitis ingelapheka ngokuphelele?

Yebo, zonke izinhlobo 'zokulimala emahlombe', okuhlanganisa 'ne-Rotator Cuff Tendinitis', zingelashwa futhi zelapheke kahle kakhulu.Kodwa-ke, ungalibali ukubona udokotela ngokushesha nje lapho uzwa ubuhlungu ehlombe. Uma kungelashwa, ukuxhuzula ehlombe kungaba kubi kakhulu, kuholele ezinkingeni, noma kukwenze kube kubi kakhulu ukulimala.

Bonana nodokotela ngokushesha nje lapho ubona izimpawu ezifana nobuhlungu, ukuvuvukala, noma ubunzima bokunyakaza kwehlombe lakho.

Ungakuvimbela kanjani ukuboshwa kwamahlombe? (Ukuvimbela)

Indlela engcono kakhulu yokugwema ukucindezelwa emahlombe ukugwema ukusebenzisa amahlombe akho ngokweqile :

• Yeka ukuzivocavoca noma ukwenza umsebenzi onzima ngokushesha nje lapho uzwa ubuhlungu. Ungalokothi udlale noma usebenzele ubuhlungu.
• Yenza 'ukufudumeza' okuhle (ukuzivocavoca ukuze ulungiselele umzimba) ngaphambi komsebenzi onzima noma ezemidlalo, bese 'ukupholisa' (ukuzivocavoca ukuze uzole umzimba) ngemva kokuqeda.
• Sebenzisa imishini yokuphepha efanele kuyo yonke imidlalo nemisebenzi yomzimba.
• Landela uhlelo lokudla okunempilo kanye nokuzivocavoca olukufanele.
• Bonana nodokotela ngokushesha nje lapho uzwa ubuhlungu noma ezinye izimpawu.

Ngingazinakekela kanjani uma ngine-'Shoulder Impingement'?

Ungaqhubeki nemisebenzi enzima kuze kube yilapho udokotela wakho ekunike imvume. Uma ucindezela ihlombe lakho, i-rotator cuff, ngaphambi kokuba lithole isikhathi sokululama ngokuphelele, cishe uzolilimaza futhi. Lokhu kungaholela ekulimaleni okukhulu, njenge-rotator cuff edabukile.

Kufanele ngimbone nini udokotela?

Uma uzwa ubuhlungu obusha, ukuqina, noma ukuvuvukala ehlombe lakho – ikakhulukazi uma izimpawu ziba zimbi kakhulu, noma uma unenkinga yokunyakaza noma ukusebenzisa ihlombe noma ingalo yakho – bona udokotela ngokushesha.

Uma uke waba nengozi, ungakwazi ukuhambisa ihlombe lakho, noma uma ucabanga ukuthi ihlombe lakho liphumile, iya ekamelweni lezimo eziphuthumayo esibhedlela ngokushesha. Ungalokothi uzame ukubuyisela ihlombe lakho endaweni yalo wedwa.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Ungabuza udokotela wakho le mibuzo:

• Ingabe nginokulimala kwehlombe noma okunye ukulimala?
• Uhlobo luni 'lokuvinjelwa' enginalo?
• Hlobo luni lokwelashwa engiludingayo?
• Ingabe ngizodinga ukuhlinzwa?
• Kufanele ngihlale isikhathi esingakanani ngingayi kwezemidlalo nemisebenzi enzima?

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukuminyana kwamahlombe kungabangelwa yinoma yini ecasula noma evuvukisa i-rotator cuff yakho kanye nezicubu ezikujoyintini lakho lamahlombe. Kungakhathaliseki ukuthi une-rotator cuff tendinitis, i-bursitis, noma inkinga yesakhiwo ngamathambo ehlombe lakho, udokotela wakho uzoncoma inhlanganisela yezindlela zokwelapha ukusiza ekunciphiseni izimpawu zakho nokubuyisela ukusebenza kwehlombe okuvamile.

Ukushayeka kwamahlombe kungaba buhlungu futhi kukhungathekise – ikakhulukazi uma kuthatha amasonto amaningi ngaphandle komdlalo wakho owuthandayo noma imisebenzi yansuku zonke. Kodwa-ke, ungalokothi ungazinaki izimpawu ezinjengobuhlungu, ukuthamba, noma ubunzima bokuhambisa ihlombe lakho.

Uma usheshe uhlolwe ihlombe lakho ngudokotela, kulapho ungaqala khona ngokuphepha nangenjabulo ukwenza izinto ozithandayo futhi. Ngikufisela ukululama okusheshayo!

Ubuhlungu Behlombe , Ukuvaleka Kwamahlombe, I-Rotator Cuff Tendinitis, Ukucindezeleka Kwamahlombe, I-Tendonitis, Izinkinga Zamahlombe, Ukwelashwa Komzimba