Ungase uzizwe nobuhlungu obuncane ehlombe lakho ngezinye izikhathi, akunjalo? Mhlawumbe uzizwa lobu buhlungu uma uphakamisa ingalo yakho, uphakamisa isisindo, noma ngisho umane ume. Ikakhulukazi uma ungumbhukudi, udlala umdlalo ofana nekhilikithi noma i-volleyball, noma unomsebenzi odinga ukuthi uphakamise izingalo zakho, lobu buhlungu behlombe bungase bujwayelene nawe kancane. Namuhla sikhuluma ngembangela evamile yalolu hlobo lobuhlungu behlombe olubizwa ngokuthi 'i-Swimmer's Shoulder'. Nakuba igama lingabonakala sengathi liyisifo esithinta ababhukudi kuphela, akunjalo. Lingakhula kunoma ubani obeka umthwalo omkhulu emahlombe akhe.
Iyini ngempela i-Swimmer's Shoulder?
Kalula nje, i-Swimmer's Shoulder yigama elijwayelekile elisho iqoqo lezimpawu, njengobuhlungu nobuthakathaka, emalungeni akho ehlombe. Akusona isifo esisodwa, kodwa iqoqo lezinkinga eziningana ezincane ezibangela izimpawu ezifanayo.
Cabanga ngehlombe lakho njengomshini oyinkimbinkimbi kakhulu. Linamathambo, imisipha, kanye nezingxenye eziningi, njengemisipha kanye nemisipha, ezizihlanganisa ndawonye. Zonke lezi zinto zisebenza ndawonye ukukusiza ukuthi uphakamise ingalo yakho, uyijikeleze, futhi wenze konke okufunayo. Ngakho-ke uma ubhukuda, udlala ezemidlalo, noma wenza umsebenzi odinga ukuthi uphakamise ingalo yakho, izicubu ezithambile kuleli hlombe zihlala zicindezelekile. Uma usebenza kanzima kanje isikhathi eside, lezo zicubu ziqala ukulimala nokuvuvukala. Yilapho ubuhlungu buqala khona.
Leli gama livela eqinisweni lokuthi lesi simo sivame kakhulu phakathi kwababhukudi. Kodwa-ke, singavela kunoma yimuphi umdlalo noma umsebenzi odinga ukuphakanyiswa ngaphezulu. Uma unesihlungu samahlombe isikhathi esingaphezu kwesonto, kubalulekile ukubona udokotela ukuze uthole iseluleko.
Yiziphi izimo eziyinhloko eziwela ngaphansi kwe-Swimmer's Shoulder?
Kunezimo eziningana zezokwelapha ezibizwa ngegama elivamile elithi Swimmer's Shoulder. Uma uya kudokotela, angakutshela ukuthi unesinye salezi. Ake sibheke ukuthi ziyini.
| Igama lesimo (Isimo) | Kalula nje, yilokhu okwenzekayo... |
|---|---|
| Isifo Sokucindezelwa Kwamahlombe | I-rotator cuff, umsipha ohamba ngaphansi kwethambo phezulu kwehlombe lakho (scapula), uyaqina futhi uqine. Kufana nokubhajwa ngomunwe emnyango bese kuba buhlungu. Uma lo msipha uqina, kuba buhlungu uma uphakamisa ingalo yakho. |
| I-Rotator Cuff Tendinitis | Lokhu kubangelwa ukuvuvukala kwemisipha enamathela emisipheni ye-rotator cuff ezungeze ihlombe. I-Tendinitis yigama lezokwelapha lokuvuvukala kwemisipha. |
| Ukulimala Kwe-Labrum Ehlombe | Kukhona indandatho ye-cartilage ebizwa ngokuthi i-labrum esiza ukugcina ihlombe lizinzile. Ukulimala kwale cartilage nakho kungabangela ubuhlungu. |
| Ukucindezeleka Kwemisipha Yamahlombe | Kalula nje, lokhu kuwukucindezeleka kwemisipha. Uma imisipha ehlombe inwetshiwe kakhulu, imicu ingadabuka. Siphinde sikubize lokhu ngokuthi ukucindezeleka kwemisipha. |
| Imizwa Ecindezelwe | Uma izicubu ezizungeze ihlombe zivuvukala, inzwa egijima eduze ingacindezelwa. Uma inzwa icindezelwa, ithumela izimpawu zobuhlungu ebuchosheni. Lokhu futhi kuyimbangela yobuhlungu emahlombe. |
Sivame kangakanani lesi simo?
Ngenxa yokuthi kunezimo eziningi kakhulu eziwela ngaphansi kwegama elihlanganisa igama elithi “Swimmer's Shoulder,” kunzima ukusho ukuthi livame kangakanani. Kodwa-ke, izifundo zithole ukuthi okungenani ingxenye eyodwa kwezintathu yababhukudi abancintisanayo bake babhekana nalokhu kulimala kwehlombe ngesikhathi esithile empilweni yabo.
Kodwa inani langempela lingaba phezulu kakhulu. Lokhu akubandakanyi abasubathi abasafufusa, labo abadlala eminye imidlalo (isibonelo, ababhowuli bekhilikithi, abadlali bevolibholi), kanye nalabo abasebenza ngamahlombe abo (ababazi, abakhandi). Ngakho-ke, lena yinkinga evamile ethinta abantu abaningi.
Yiziphi izimpawu eziyinhloko ze-Swimmer's Shoulder?
Uma unalesi simo, ungase ube nesinye noma ngaphezulu kwalezi zimpawu ezilandelayo.
- Ubuhlungu behlombe: Lolu uphawu oluyinhloko. Ubuhlungu bungenzeka uma uphakamisa ingalo, uphakamisa isisindo, futhi ngezinye izikhathi ngisho nalapho ulele.
- Ubuthakathaka bemisipha: Ihlombe lizwakala lingenampilo. Kuba nzima ukuphakamisa izinsimbi noma ukusebenzisa ingalo ngendlela yakudala.
- Ukunyakaza okulinganiselwe: Amandla okuphakamisa nokuzungezisa ingalo ayancipha. Kungase kube nobuhlungu obukhulu lapho uphakamisa ingalo ngaphezu komkhawulo othile.
- Ukuzizwa ungazinzile ehlombe: Ijoyinti lehlombe lingase lizwakale likhululekile, njengokungathi selizokhululeka.
Kungani lesi simo sivela?
Isizathu esiyinhloko salokhu ukucindezeleka okuphindaphindiwe ehlombe. Uma lokhu kucindezela kusetshenziswa isikhathi esithile, izicubu ezithambile ngaphakathi kwehlombe ziyalimala bese kwakheka ukudabuka okuncane. Lo monakalo ubangela ukuthi lezo zindawo zivuvuke. Lokhu kuvuvukala yikho okubangela ukuthi ihlombe lilahlekelwe ukusebenza kwalo okubushelelezi futhi kubangele ubuhlungu.
Cabanga ukuthi ukhipha ukhukhunathi nsuku zonke, noma umbazi usika izinkuni nsuku zonke. Uma usebenzisa izandla zakho ngendlela efanayo, amalunga akho azizwa ekhathele ngemva kwesikhathi esithile, akunjalo? Kunjalo nalokhu.
Ukubhukuda yisona sizathu esiyinhloko salokhu. Futhi,
- Ukubhowula (ikhilikithi)
- Ezemidlalo ezifana ne-baseball ne-volleyball
- Imisebenzi esebenzisa imishini esindayo njengesando
Izinto ezinjengalezi nazo zingadala lokhu.
Dokotela, ukuxilonga kanjani lokhu?
Uma uya kudokotela, into yokuqala azokwenza ukukuhlola umzimba. Uzokubuza ngezimpawu zakho.
- Ubuhlungu buqale nini?
- Yiziphi izinto ezenza ubuhlungu bube bubi nakakhulu?
- Yimuphi umdlalo noma umsebenzi owudlalayo?
Kubaluleke kakhulu ukusho ngokucacile konke okwaziyo ngemibuzo efana nale.
Udokotela uzobe esehlola ibanga lokunyakaza kwehlombe lakho. Lokhu kusho ukuthi ungayiphakamisa futhi uyijikeleze kangakanani ingalo yakho ngaphandle kobuhlungu. Uzohlola namandla ehlombe lakho bese eliqhathanisa nelinye ihlombe lakho, elingenabuhlungu.
Yiziphi izivivinyo ezingadingeka?
Lesi simo ngokuvamile singatholakala ngokuhlolwa ngokomzimba, kodwa ngezinye izikhathi ungase ucelwe ukuthi wenze izivivinyo ezithile futhi uthathe izithombe ukuze ubone ukuthi kwenzekani ngaphakathi kwehlombe.
- Ama-X-ray: Lokhu kungasetshenziswa kakhulu ukuhlola umonakalo wamathambo.
- I-MRI scan (Magnetic Resonance Imaging): Lokhu kungabona ngokucacile umonakalo ezicutshini ezibuthakathaka njengemisipha nama-tendon ehlombe.
Yiziphi izindlela zokwelapha lokhu?
Kunemigomo emibili eyinhloko yokwelapha ihlombe lombhukudi. Enye ukunciphisa ubuhlungu. Enye ukuvimba ukulimala okwengeziwe ehlombe nokubuyisela ukusebenza okuvamile. Lena yindlela yokwelapha evame ukusetshenziswa kakhulu kulokhu.
1. Ukuphumula umuthi wokuqala.
Lokhu kubaluleke kakhulu. Umsebenzi obangele ubuhlungu ehlombe lakho, kungaba ezemidlalo noma emsebenzini, kufanele umiswe okwesikhashana. Udokotela wakho uzokutshela ukuthi udinga ukuphumula isikhathi esingakanani.
2. Ukwelashwa ngokomzimba
Udokotela wezokwelapha uzokufundisa izivivinyo ezithile kanye nokwelula ukuze aqinise ihlombe lakho futhi andise ububanzi bokunyakaza kwalo. Njengoba ihlombe lakho liphola, uzokunikeza nezivivinyo zokuqinisa imisipha ezungeze ihlombe lakho.
3. Ukusetshenziswa kweqhwa
Ukufaka iphakethe leqhwa endaweni yobuhlungu nokuvuvukala kungasiza. Kodwa ungalifaki ngqo esikhumbeni sakho. Lisonge ngethawula elincane. Buza udokotela wakho ukuthi kangaki ngosuku futhi isikhathi esingakanani.
4. Izibulala-zinhlungu
Imithi efana nemithi elwa nokuvuvukala engeyona i-steroidal (ama-NSAID) ingasetshenziswa isikhathi esifushane, kodwa ungayisebenzisi njalo izinsuku ezingaphezu kweziyi-10 ngaphandle kweseluleko sikadokotela.
5. Imijovo ye-Corticosteroid
Uma ubuhlungu nokuvuvukala kukhulu kakhulu, udokotela wakho angase anqume ukujova uhlobo lomuthi olubizwa ngokuthi i-corticosteroid ngqo ehlombe. Lena imithi enamandla yokulwa nokuvuvukala.
6. Yenza izinguquko ezincane endleleni osebenza ngayo.
Ungase ukwazi ukunciphisa ukucindezeleka emahlombe akho ngokwenza izinguquko ezincane endleleni oma ngayo umzimba wakho noma endleleni osebenza ngayo. Uma ungumsubathi, ungakhuluma nomqeqeshi bese wenza izinguquko ezincane endleleni yakho yokusebenza.
7. Ukuhlinzwa
Ukuhlinzwa kubhekwa njengesinyathelo sokugcina kuphela uma kungekho okunye ukwelashwa okuye kwasebenza. Uma udinga ukuhlinzwa, udokotela wakho uzochaza ukuthi hlobo luni lokuhlinzwa nokuthi kuzothatha isikhathi esingakanani ukululama.
Siyazi ukuthi kuyacasula kangakanani ngomdlali wezemidlalo ukulimala. Kodwa ungasheshi izinto. Lalela umzimba wakho. Nikeza ihlombe lakho isikhathi esidingekayo ukuze lilulame ngokuphelele.
Kuzothatha isikhathi esingakanani ukuthi lesi simo siphole?
Akukho usuku noma isikhathi esiqondile salokhu. Kuyahlukahluka kuye ngomuntu nomuntu. Lesi sikhathi sizoncika ebangeni lomonakalo ehlombe lakho kanye nesivinini umzimba wakho ophulukisa ngaso.
Ngokuvamile, abantu abaningi baqala ukuzizwa bengcono phakathi namasonto ambalwa okuqala ukwelashwa. Kodwa-ke, kungathatha inyanga noma ngaphezulu ukululama ngokugcwele nokuqala kabusha ukuzivocavoca okuvamile. Ungaqali ukuzivocavoca futhi kuze kube yilapho udokotela wakho ethi ubuhlungu sebuphelile. Ukwenza kanjalo kungandisa ingozi yokulimala okuphinde kwenzeke futhi kuqhubekele esimweni esibucayi kakhulu (njenge-rotator cuff edabukile).
Ungakuvimbela kanjani ihlombe lombhukudi?
Bathi, “Ukuvimbela kungcono kunokwelapha.” Ngakho-ke uma ungakwazi ukuvimbela lesi simo ngaphambi kokuba senzeke, yilokho okungcono kakhulu ongakwenza.
- Yeka umsebenzi ngokushesha nje lapho uzwa ubuhlungu: Dlala ubuhlungu, ungasebenzi. Kuyisixwayiso somzimba wakho.
- Fudumeza bese upholisa kahle:Fudumala kahle ngaphambi kwanoma yimuphi umsebenzi womzimba. Phola ngemva kwalokho.
- Gcina imisipha yakho yamahlombe neyangemuva iqinile: Yenza izivivinyo eziqinisa i-rotator cuff nemisipha yangemuva esekela ihlombe lakho.
- Gcina ukuma okufanele: Gcina umzimba usebenza kahle ngenkathi uzivocavoca futhi usebenza.
- Ukuphumula kubalulekile: Phumula lapho amahlombe akho ezizwa ekhathele noma ekhathele. Ungaqhubeki nokuzikhandla.
Kufanele ubonane nini nodokotela?
Nini okufanele ubonane nodokotela ojwayelekile:
Bonana nodokotela ngokushesha nje lapho uqaphela izimpawu ezinjengobuhlungu behlombe, ukuvuvukala, noma ubunzima bokuhambisa ingalo yakho. Ukwelapha inkinga kusenesikhathi kungasiza ekuvimbeleni ukuthi ibe yimbi kakhulu.
Nini ukuya e-Emergency Treatment Unit (ETU):
Ezimweni ezilandelayo, iya ngokushesha e -Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
- Uma uke walimala ehlombe ngenxa yengozi ethile (ukuhlukumezeka).
- Uma ungakwazi nhlobo ukushukumisa amahlombe akho.
- Uma ucabanga ukuthi ihlombe lakho liphumile, ungalokothi uzame ukulungisa ijoyinti ngokwakho.
Umlayezo Wokuya Nawe Ekhaya
- Ihlombe Lombhukudi yisimo esenzeka ngenxa yokucindezeleka okuqhubekayo ehlombe. Kungenzeki kuphela kubabhukudi, kodwa nakunoma ubani ocindezela ihlombe lakhe.
- Ubuhlungu behlombe, ubuthakathaka, kanye nobunzima bokunyakaza yizimpawu eziyinhloko.
- Isinyathelo sokuqala esingcono kakhulu ukuyeka umsebenzi obuhlungu bese uphumula.
- Lesi simo singelapheka ngokwelashwa ngokomzimba, ukufakwa kweqhwa, kanye nemithi uma kudingeka, njengoba kuqondiswe udokotela.
- Ungalokothi ungazinaki izinhlungu. Uma ubuhlungu buhlala isikhathi esingaphezu kwesonto, qiniseka ukuthi ubona udokotela.
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