Ingabe nawe uzwa ubuhlungu obukhulu uma uphakamisa ihlombe lakho noma uhambisa ingalo yakho emuva? Ingabe ngezinye izikhathi uzwa umsindo othi 'chofoza' uvela ngaphakathi kwehlombe lakho, noma uzizwa sengathi uyasonta? Sivame ukunganaki lezi zinto njengokujwayelekile. Kodwa-ke, ngezinye izikhathi lokhu kungaba uphawu lokulimala okukhulu ngaphakathi kwehlombe. Namuhla sikhuluma ngokulimala kwehlombe okwenzeka esimweni esinjalo, okwaziwa kwezesayensi yezokwelapha ngokuthi i-SLAP Tear .
Kalula nje, kuyini i-SLAP Tear?
Leli gama lingase lizwakale liyinkimbinkimbi kancane, kodwa masiligcine lilula. I-ehlombe lethu lifana ne-ball kanye ne-socket joint. Ingxenye ephezulu yethambo lengalo engenhla (ibhola) ingena e-socket encane (indebe) ethanjeni lehlombe. Eduze kwaleli socket, kunendandatho eqinile ye-cartilage esiza ukuyijulisa nokugcina ibhola liqinile endaweni yalo. Yilokhu esikubiza ngokuthi i-labrum . Ngamanye amazwi, isebenza njenge-gasket futhi isiza ukugcina i-joint izinzile.
I-SLAP imele i- Superior Labrum , i-Anterior to Posterior . NgesiSinhala, lokhu kuwukudabuka engxenyeni engenhla ye-labrum, kusukela ngaphambili (Anterior) kuya ngemuva (Posterior) . Ingxenye engenhla yale labrum yilapho i-tendon exhuma khona nemisipha yethu ye-biceps inamathela khona. Ngakho-ke lapho lokhu kudabuka kwe-SLAP kwenzeka, i-labrum, efana nomcamelo ehlombe, iyalimala, futhi i-biceps tendon nayo ingathinteka. Yingakho ihlombe libuhlungu futhi lingazinzile, futhi lizwakala sengathi "liyathuthumela".
Yiziphi izimbangela eziyinhloko zokukhala kwe-SLAP?
Akukho sizathu esisodwa salesi simo, kodwa kunezici eziningana ezingaba nomthelela kuso. Ake sibheke izizathu eziyinhloko.
| Imbangela | Incazelo |
|---|---|
| Ukulimala kwehlombe okungapheli | Lena yimbangela evame kakhulu. I-labrum ingawohloka kancane kancane ngenxa yemisebenzi ephindaphindwayo yamahlombe isikhathi eside. Isibonelo, lokhu kungenzeka uma umdlali wekhilikithi ebhowula njalo, umbhukudi ebhukuda njalo, noma umuntu ophakamisa izinsimbi ebeka isisindo njalo emahlombe akhe. |
| Ukulimala Okukhulu | Lokhu kudabuka kungabangelwa futhi ingozi engazelelwe. Lo monakalo ungabangelwa izinto ezifana nokuwa nokwelula ingalo yakho, ngokuzumayo uzama ukuphakamisa into esindayo (isib. isilinda segesi), noma ingozi yemoto. |
| Kwenzekani ngokuguga (Ukuguga) | Njengezinye izingxenye zomzimba wethu, i-labrum ingaguga futhi ibe buthaka ngokuhamba kwesikhathi. Lezi zinyembezi zivame ukubonakala kubantu abaneminyaka engaphezu kwengu-40, noma ngabe abasengozini enkulu. |
Ingabe nginokudabuka kwe-SLAP ehlombe lami? Ziyini izimpawu?
Uma unesinye noma ngaphezulu salezi zimpawu, kufanele ukhathazeke.
- Ubuhlungu behlombe: Lokhu kungaba ubuhlungu obuhlala njalo, noma kungaba ubuhlungu obungazelelwe, obubukhali, obuhlabayo.
- Ubuhlungu ngesikhathi sokuma okuthile: Ubuhlungu bungakhula lapho uphakamisa ingalo ngaphezu kwekhanda, ubeka ingalo ngemuva komhlane, noma wenza ukunyakaza okufana nokuphonsa ibhola.
- Umsindo 'wokuchofoza' noma umuzwa wokugaya: Uma uzwa umsindo wokuchofoza uvela ngaphakathi kwelunga lapho ushukumisa ihlombe lakho, noma uma uzizwa sengathi amathambo amabili ayagobhoza ndawonye, kungaba uphawu lwalesi simo.
- Umuzwa wokuqhuma kwehlombe: Ijoyinti lehlombe alisekelwa kahle, futhi kunomuzwa ongazinzile njengokungathi "lizoqhuma" nganoma yisiphi isikhathi.
- Ukuzizwa ubuthakathaka ehlombe nasengalweni.
Into ebaluleke kakhulu ukubona udokotela ngokushesha uma unezinye zalezi zimpawu, kunokuzishaya indiva. Uma zingelashwa, ubuhlungu bungakhula futhi ungase ulahlekelwe ngisho nekhono lokusebenzisa ihlombe lakho.
Ukuthola kanjani lokhu, Dokotela?
Uma uya kudokotela, uzoqala akubuze ngobuhlungu, ukuthi buqale kanjani, nokuthi wenzani. Ngemuva kwalokho, uzokwenza ukuhlolwa ngokomzimba.
1. Ukuhlolwa Komzimba: Udokotela uzojikeleza futhi aphakamise ingalo yakho ngezindlela ezahlukene. Lokhu kuzosiza ekunqumeni ububanzi bokunyakaza kwehlombe lakho, amandla emisipha, kanye nezinhlobo zokunyakaza ezibangela ubuhlungu.
2. I-MRI scan: I-MRI (Magnetic Resonance Imaging) iyindlela engcono kakhulu yokubheka ngokunembile izicubu ezithambile ngaphakathi kwehlombe, njenge-labrum kanye nemisipha.Ukuskena. Ngezinye izikhathi, udokotela wakho angase futhi ancome i- MRI arthrogram , ehilela ukufaka idayi ekhethekile esibayeni ukuze ubone ukudabuka ngokucacile.
Yiziphi izindlela zokwelapha lokhu?
Ukwelashwa kuncike ohlotsheni lokudabuka, iminyaka yakho, kanye nezinga lomsebenzi wakho. Akuzona zonke izinyembezi ze-SLAP ezidinga ukuhlinzwa.
Ukwelashwa Okungeyona Eyokuhlinzwa
Okokuqala, udokotela uzama ukwelapha lokhu ngaphandle kokuhlinzwa.
- Ukuphumula: Ukuzigcina kude nemisebenzi ebangela ubuhlungu ehlombe isikhashana.
- Izibulali-zinhlungu: Imithi yokulwa nokuvuvukala enikezwe udokotela wakho ukuze unciphise ukuvuvukala nobuhlungu.
- Imijovo ye-Cortisone: Umjovo okhethekile ojovwa ngqo emalungeni ukuze unciphise ubuhlungu nokuvuvukala ngokushesha.
- Ukwelashwa Komzimba: Lokhu kuyindlela yokwelapha ebaluleke kakhulu . Ngaphansi kokuqondiswa ngumelaphi womzimba, ukuzivocavoca okuqinisa imisipha ezungeze ihlombe kungasiza ekuqiniseni amalunga futhi kunciphise ubuhlungu.
Ukwelashwa Kokuhlinzwa
Uma ubuhlungu bungapheli ngemva kwezinyanga ezingu-3-4 zokwelashwa okungenhla, noma uma ukudabuka kukhulu kakhulu, udokotela wakho angase ancome ukuhlinzwa. Lokhu kuhlinzwa kuvame ukwenziwa nge-arthroscopically . Lokhu kusho ukuthi kufakwa ikhamera kanye namathuluzi abucayi ngokusebenzisa ukusikwa okuncane ehlombe ukuze kulungiswe i-labrum edabukile.
- Ukulungiswa Kwe-Labral: Ukuhlanganisa kabusha i-labrum edabukile ethanjeni.
- I-Biceps Tenodesis: Ngezinye izikhathi, uma i-biceps tendon yonakele, iyasuswa bese inamathiselwa endaweni ephephile ehlombe.
Kuthatha isikhathi esingakanani ukuphulukiswa?
Lena yinkinga abantu abaningi abanayo. Ukululama ekukhaleni kwe-SLAP akuwona umjaho wobusuku bonke, kodwa umjaho we-marathon othatha isikhathi.
Isineke nokuzinikela kubaluleke kakhulu. Ngisho nangaphandle kokuhlinzwa, kungathatha izinyanga ezi-3-4 ukuthi ubuhlungu buphele futhi isiguli sibuyele esimweni esijwayelekile. Uma kwenziwa ukuhlinzwa, kungathatha izinyanga ezi-6 kuya onyakeni ukuthi silulame ngokugcwele futhi sibuyele emisebenzini efana nezemidlalo. Ngemva kokuhlinzwa, kuzodingeka ugqoke i-arm sling amasonto ambalwa. Futhi, ukwenza izivivinyo ezichazwe ngumelaphi womzimba kubalulekile ukuze ululame ngokushesha.
Singakuvimbela kanjani lesi simo ukuthi singaphinde senzeke?
Yebo, kunengozi yokulimala kabusha, ikakhulukazi uma uqala ukudlala imidlalo noma ukwenza umsebenzi okufaka umthwalo omkhulu ehlombe lakho futhi. Ngakho-ke qaphela lezi zinto:
- Fudumeza kahle ngaphambi kokuzivocavoca: Fudumeza kahle imisipha yamahlombe akho ngaphambi kokudlala imidlalo.
- Lalela umzimba wakho: Uma uzwa ubuhlungu noma ukuqina ehlombe lakho, ungakushayi indiva bese uphumula.
- Sebenzisa indlela efanele: Sebenzisa indlela efanele lapho uphakamisa izisindo futhi udlala imidlalo. Ungaphakamisi izisindo ngokugxumagxuma okungazelelwe.
- Bona udokotela: Uma ubuhlungu buqhubeka noma kuvela ukulimala okusha, funa iseluleko sezokwelapha.
Umlayezo Wokuya Nawe Ekhaya
- Ubuhlungu behlombe, ikakhulukazi uma buhambisana nomsindo 'wokuchofoza', bungaba uphawu lokudabuka kwe-SLAP.
- Lokhu kungabangelwa ukusetshenziswa njalo kwamahlombe, ingozi, noma ukuguga.
- Ungakunaki ubuhlungu behlombe, bonana nodokotela ngokushesha bese uthola ukuxilongwa okunembile.
- Ukuhlinzwa akuyona impoqo ekwelapheni. Ukwelashwa ngokomzimba kanye nokuphumula kubaluleke kakhulu.
- Kuthatha isikhathi ukululama, ngakho-ke yiba nesineke futhi ulandele imiyalelo enikezwa udokotela wakho kanye nochwepheshe wezokwelapha ngokomzimba.
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