Uke waphawula ukuthi abanye babangani bakho bagoba izitho zabo ngendlela engavamile kunabanye? Mhlawumbe ungagoba izithupha zakho zize zithinte izandla zakho, noma ugcine imilenze yakho iqondile bese ubeka izintende zakho phansi. Nakuba lokhu kuyinzuzo kwabanye abantu ezintweni ezifana nokudansa kanye ne-gymnastics, kwabanye kungaba yinto ecasulayo nebuhlungu. Namuhla sikhuluma ngalokhu 'kugoba ngokweqile', okuyisimo esisibiza ngokwezokwelapha ngokuthi i-Ligamentous Laxity .
Ziyini lezi zicubu?
Kalula nje, ama-ligaments ayizinhlayiya eziqinile zezicubu emizimbeni yethu. Afana nama-rubber bands, kodwa aqine kakhulu. Umsebenzi wawo oyinhloko ukubamba amathambo ethu ndawonye nokunikeza ukuqina nokusekela amalunga ethu.
Cabanga ngedolo lethu. Amathambo aphezulu nawaphansi edolo axhunywe ndawonye yilezi zintambo. Yilezi ezivimbela amathambo ethu ukuthi angaqhekezi kakhulu noma asonteke kakhulu. Umsebenzi oyinhloko wezintambo ukuvikela ilunga ngale ndlela.
Futhi, akuwona wonke ama-ligaments axhumene namathambo. Amanye ama-ligaments asiza ekubambeni izitho zangaphakathi, njengesibeletho, endaweni yazo. Ngisho nezitho ezifana namathumbu nesibindi zibanjwa yilezi zitho.
Yiziphi izimpawu ze-Ligamentous Laxity?
Uma unalesi simo, kungenzeka ukuthi ujwayelene nalezi zimpawu. Lezi ezinye zezimpawu eziyinhloko ezibangelwa ukuxega kwemisipha.
| Isibonakaliso | Incazelo elula |
|---|---|
| Ukukhathala okuvamile | Ngenxa yokuthi imisipha kufanele isebenze kanzima ukuze amalunga ahlale eqinile, ungase uzizwe ukhathele ngokushesha kunomuntu ovamile. |
| Ukungazinzi kwamalunga | Ilunga lizwakala likhululekile, lingalawuleki, njengokungathi alivalekile endaweni yalo. Isibonelo umuzwa wokuthi idolo 'liyagoba' ngenkathi limile. |
| Ubuhlungu bamalunga (Ubuhlungu) | Ukucindezela okungadingekile emalungeni nasemisipheni ezungezile kungabangela ubuhlungu besikhathi eside. |
| Ukuthambekela kokuba nokuhlukana kwamalungu | Ngenxa yokuthi imisipha ikhululekile, ilunga elifana nehlombe noma idolo lingakhumuka kalula noma likhumuke kancane (subluxate) ngisho noma liwa kancane noma linyakaze ngokuzumayo. |
Yini ebangela lesi simo?
Kulinganiselwa ukuthi phakathi kuka-5% no-12% wabantu bomhlaba wonke banamajoyinti aguquguqukayo kangaka. Imizimba yezingane ezincane iguquguquka kakhulu kunabantu abadala. Lokhu kuvamile. Ngakho-ke, kunzima ukusho ukuthi ukugoba komzimba wengane encane kuhlale kuhlobene nesimo esithile sezokwelapha.
Kodwa-ke, ezinye izimo zofuzo zibonwe njengezimbangela eziyinhloko zalesi simo. Kulezi, kufanele siqaphele ezimbili ngokukhethekile.
I-Marfan Syndrome
Lesi yisifo esingavamile, esizuzwe njengefa esithinta izicubu ezixhumene emizimbeni yethu. Abantu abane-Marfan syndrome bavame ukuba bancane, bade, futhi banezingalo, iminwe, imilenze, nezinzwane ezinde ngokungavamile. Lesi sifo singathinta izingxenye eziningi zomzimba, okuhlanganisa inhliziyo, amehlo, isikhumba, kanye nemithambo yegazi. Ezinye izinkinga, njengokuvuvukala kwe-aorta, zingaba yingozi kakhulu.
I-Ehlers-Danlos Syndrome
Leli futhi yiqembu lezifo ezithinta izicubu ezixhumeneyo. Abantu abanalesi sifo bavame ukuba nesikhumba esinwebeka kakhulu kanye namalunga aguquguquka kakhulu. Uhlobo olubi kakhulu, i-Vascular Ehlers-Danlos syndrome, lungenza buthaka i-aorta kanye neminye imithambo yegazi. Lungabangela futhi ukuthi izindonga zezitho ezifana nekholoni kanye nesibeletho ziqhume.
Ubudlelwano phakathi kokungakhululeki kwemisipha kanye nezingozi
Sikhulume ngaphambilini ngokuthi ukuxega kwemisipha kunganciphisa kanjani ukuqina kwamalunga. Lapho imisipha iba buthaka, ayibe isakwazi ukuhlanganisa amathambo kahle. Yilapho kuvela khona ukuhlukana noma ukuhlukana kwamalunga.
Lobu budlelwano bufakazelwe yizifundo eziningana ezenziwe ngale ndaba.
- Ucwaningo olwenziwe kubadlali be-rugby abangu-51 luthole ukuthi abadlali abanamalunga e-hypermobile babenokulimala okuningi kakhulu kunabadlali abangenawo. Okumangazayo ukuthi womabili amaqembu ayenamazinga afanayo amandla emisipha.Lokho kusho ukuthi ukuba nemisipha eqinile akwanele ukuvikela abantu abanjengalaba ezingozini.
- Olunye ucwaningo luthole ukuthi amadoda ayekhumule ihlombe lawo ayenamathuba aphindwe ka-6.8 okuba ne-ligament laxity kunabantu abaningi.
Ungasibona kanjani lesi simo?
Ayikho indinganiso ecacile yokuchaza ukuxega kwemisipha. Kodwa-ke, kukhona indlela esetshenziswa kabanzi odokotela emhlabeni jikelele, ebizwa ngokuthi ukuhlolwa kwe-Beighton .
Lokhu kuhlolwa kuhlola kakhulu ukuguquguquka kwamalunga akho amaningana:
- Ingalo yomunwe omncane
- Isisekelo sesithupha
- Amadolo
- Umgogodla
- Izindololwane
Phakathi nalolu vivinyo, udokotela uzokucela ukuthi wenze izinto ezimbalwa:
- Gcina imilenze yakho iqondile, goba phambili bese ubeka izintende zombili phansi.
- Goba isithupha sakho emuva bese uzama ukusihlikihla entendeni yesandla sakho.
- Goba umunwe wakho omncane emuva ngaphezu kwama-degree angu-90.
Kodwa khumbula, ukuthi nje uthole amaphuzu aphezulu esivivinyweni saseBeighton akusho ukuthi une-hypermobility syndrome. Udokotela wakho uzokwenza isiphetho ngokusekelwe ekuhlolweni okuphelele kwakho kanye nezinye izimpawu.
Yiziphi izindlela zokwelapha lokhu?
Uma ungenabo ubuhlungu noma ukungakhululeki ngenxa yokuthi ilunga lakho liyaguquguquka, alidingi ukwelashwa okukhethekile. Kwabaningi, lokhu akuyona inkinga.
Kodwa-ke, uma lokhu kukubangela ubuhlungu noma ubuhlungu bamalunga obuvamile, qiniseka ukuthi ubona udokotela wakho.
Okulandelayo izindlela zokwelapha eziyinhloko ezinganconywa:
- Ukwelapha ngokuzivocavoca umzimba: Lesi yisisombululo esingcono kakhulu nesibaluleke kakhulu. Singaqinisa imisipha ezungeze amalunga akho futhi sinikeze ukuqina okwengeziwe kwamalunga. Kubaluleke kakhulu ukwenza izivivinyo ezifanele ngaphansi kwesiqondiso sikadokotela wezokwelapha ngokuzivocavoca umzimba.
- Ukuthepha/Ukuthepha: Ngaphambi kokuzibandakanya kwezemidlalo noma emisebenzini engabangela ukulimala, unganikeza isivikelo esengeziwe ngokubeka i-splint noma ukufaka i-tape ekhethekile emalungeni athintekile.
- Ukwelashwa nge-prolotherapy:Lena enye indlela yokwelapha. Kodwa kunemibono ehlukene ngayo. Kuhilela ukufaka isisombululo esicasulayo emgogodleni obuhlungu. Ngokuvamile, kusetshenziswa uhlobo lukashukela olubizwa ngokuthi i-dextrose kulokhu. Kukholelwa ukuthi lo mjovo uvuselela ukukhula kwezicubu ezixhumene futhi unciphise ubuhlungu. Kodwa-ke, ezinye izifundo zibonise imiphumela exubile. Ngakho-ke, abanye ochwepheshe bakholelwa ukuthi i-prolotherapy inikeza impumuzo yesikhashana kuphela (umphumela we-placebo). Ngakho-ke, kubaluleke kakhulu ukukhuluma nodokotela wakho ngakho ngaphambi kokuthola noma yikuphi ukwelashwa.
Umlayezo Wokuya Nawe Ekhaya
- Ukuxega kwemisipha kwenzeka lapho amalunga akho egoba ngaphezu kwebanga lawo elijwayelekile. Lokhu akuyona inkinga kubantu abaningi.
- Lokhu kungaba wusizo kubantu abafana nabadansi nabadlali, kodwa kwabanye, kungaholela ebuhlungwini, ekungazinzini kwamalunga, kanye nokukhumuka kwamalunga njalo.
- Lesi simo singahlotshaniswa nezinkinga zofuzo ezifana ne -Marfan syndrome kanye ne-Ehlers-Danlos syndrome . Ngakho-ke, kubalulekile ukufuna iseluleko sezokwelapha uma uzwa ubuhlungu noma ukuqina kwamalunga njalo.
- Ukwelashwa nge-physiotherapy kungaqinisa imisipha ezungeze amalunga futhi kwandise ukuzinza.
- Uma unenkinga, ungakhululeki, noma ukungabaza ngalokhu, ungakhohlwa ukuthi umuntu ongcono kakhulu ongakhuluma naye ngakho udokotela wakho .
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