Ingabe ihlombe lakho liphuma? (I-Winged Scapula)

Wake waphawula ukuthi elinye lamahlombe akho libonakala liphuma kakhulu kunelinye? Ngezinye izikhathi lokhu kungabangela ubuhlungu nokuqina uma ushukumisa ihlombe lakho. Namuhla sizokhuluma ngalesi simo esibizwa ngokuthi "i-winged scapula" noma njengoba odokotela besibiza kanjalo. Akuyona into okufanele uyesabe, uma usuyazi kahle, izinto eziningi zizocaca.

Lisho ukuthini leli thambo lehlombe eliphumayo? (`I-Winged Scapula`)

Kalula nje, ithambo lehlombe emhlane wakho (odokotela balibiza ngokuthi "i-Scapula") yilokho esikubiza ngokuthi "i-Winged Scapula" noma "i-Scapular Winging" uma liphuma ngemuva, kunokuba libe liyisicaba futhi linamathele emzimbeni wakho. Cabanga ngalo njengephiko lenyoni, lapho ithambo lehlombe liphuma ngemuva. Yilapho igama elithi "winged" livela khona, ngoba libukeka njengephiko.

Uma ihlombe liphuma kanje, kungaba nzima kancane ukuhambisa ihlombe kulolo hlangothi noma ukuphakamisa ingalo. Ungase uzwe ubuhlungu, futhi mhlawumbe uzizwe sengathi ingalo yakho ayizwakali. Zicabange usuzophakamisa isisindo, bese ngokuzumayo uzwa okuthile ngaphakathi kwehlombe lakho kubhajwa. Yilokho okungaba yikho.

Into ebaluleke kakhulu ukuthi, uma unomuzwa wokuthi ithambo elilodwa lehlombe libukeka lihlukile kwelinye, noma uma unezinhlungu zehlombe, ukuqina, noma ubunzima bokuphakamisa ingalo yakho isikhathi esingaphezu kwesonto, kufanele nakanjani ubone udokotela . Uma usheshe ukuqaphela, kuba lula ukwelapha.

Ingabe konke ukuphuma kwezicubu kuyingozi kakhulu? Ake sifunde futhi nge-`(Scapular Dyskinesis)`

Ukuphapha kwe-scapular empeleni kuyisimo esingavamile. Esikhathini esiningi, sibona into engacacile kangako, lapho i-blade yehlombe ingahambi kahle khona. Odokotela bakubiza lokhu ngokuthi i-Scapular Dyskinesis, okusho ukuthi i-blade yehlombe ayihambi kahle futhi inokungahambi kahle kokunyakaza kwayo.

Uma unesifo esibizwa ngokuthi `(Scapular Dyskinesis)` ihlombe lakho lingase libukeke lihlukile kancane kunejwayelekile. Aliphumi ngokuphelele uma uphakamisa ingalo yakho. Kodwa-ke, njengesimo `(Winged Scapula)`, izimpawu – ezifana nobuhlungu nokuqina – zingavela, kodwa ngokuvamile azibi zimbi kakhulu. Ungase uzizwe ubuthakathaka kancane ehlombe lakho, noma ungase uzizwe sengathi kukhona okungahambi kahle uma uphakamisa ingalo yakho.

Yiziphi izimpawu zalesi simo se-`(Winged Scapula)`?

Into eyinhloko ukuthi ithambo elilodwa lehlombe liphuma kakhulu kunelinye. Yilokho abantu abaningi abakuqaphelayo kuqala. Ngaphezu kwalokho, ungase uzizwe izinto ezinjengalezi:

• Ubuhlungu behlombe: Lolu uphawu oluvame kakhulu. Ubuhlungu bungadlulela nasentanyeni.
• Ukuqina kwamahlombe: Kungase kuzwakale sengathi ubhajwe ngesikrufu.
• Ubunzima bokuphakamisa ingalo: Ubuhlungu bungakhula, ikakhulukazi uma uzama ukuphakamisa ingalo ngaphezu kwekhanda, noma ingalo ingase ingakwazi nhlobo ukuphakanyiswa. Lokhu kubizwa ngokuthi ukwehla "kwe-Range of Motion".
• Ukuzizwa ubuthakathaka: Ungase uzizwe sengathi izingalo zakho zibuthakathaka futhi ungase uzizwe sengathi awukwazi ukuphakamisa lutho.
• Ukuzwa umsindo lapho uphakamisa amahlombe: Ungase uzwe noma uzwe umsindo "wokukhala", noma into efana nokuthile okusontekile.
• Ukuzizwa sengathi uhlangothi olulodwa lwentamo luyadonswa: Uma uphakamisa ingalo yakho, ungase uzizwe sengathi imisipha yentamo idonswa ohlangothini olulodwa.

Uma unesinye noma ngaphezulu salezi zimpawu, kuwumqondo omuhle ukukhathazeka.

Kungani ihlombe liphuma kanje? Ziyini izimbangela?

Ngokuvamile, lesi simo se-"Winged Scapula" sibangelwa ukulimala kwemisipha ebamba ihlombe lakho noma imizwa elawula leyo misipha .

Cabanga ngakho njengohlelo olusebenza ndawonye. Uma siphakamisa ingalo yethu, siyihlisa, noma sizungeza ihlombe lethu, imisipha ehilelekile iyafinyela, iphumule, futhi isizane. Lokhu kuyinto okufanele ilingane. Manje, uma inzwa noma imisipha elawula le misipha yonakele, leyo bhalansi iyalahleka. Khona-ke imisipha ayikwazi ukubamba i-blade yehlombe esifubeni futhi isigcine sithe tyaba.

Ukuze sikunikeze esinye isibonelo esilula: Zicabange uzama ukuvala ibhokisi lekhadibhodi. Ufuna ukugoqa zonke izinhlangothi ezine zebhokisi bese uzivala kahle. Manje cabanga ukuthi uhlangothi olulodwa lwebhokisi luchotshoziwe noma luphukile. Khona-ke, noma ngabe uzama ukufaka olunye lwezinhlangothi ezine, luzophuma lukhuphuke, akunjalo? Yilokho okwenzekayo. Lapho imisipha eyodwa noma ngaphezulu ezungeze ihlombe iba buthakathaka, ithambo lehlombe "liyaphuma."

Kunemisipha nemizwa eminingana engathinteka kakhulu yilesi simo:

• Imisipha Yangaphambili Yesitho Sokuqaqamba Kwesifuba: Lokhu kulawulwa yi-Long Thoracic Nerve. Ukulimala kwale mithambo yikona okuvame ukubangela i-Winged Scapula.
• Imisipha ye-Trapezius: Lesi simo singase senzeke uma noma yimuphi wale misipha ulimele, noma uma umthambo womgogodla olawulayo ulimele.
• Imisipha ye-Rhomboid: Lokhu kulawulwa yi-Dorsal Scapular Nerve. Okunye ukulimala nakho kungabangela lokhu.

Ngakho-ke, le mizwa noma imisipha ingalimala kanjani?

• Izingozi zemidlalo: Imidlalo ebeka ingcindezi enkulu emahlombe, njengekhilikithi nevolibholi.
• Ukulimala Kokucindezeleka Okuphindaphindayo: Uma uqhubeka nokwenza uhlobo olufanayo lomsebenzi, isibonelo, umuntu openda noma osebenza kukhompyutha ngendlela efanayo.
• Amahlombe aphumile.
• Izingozi: Izinto ezifana nezingozi zezimoto, ukuwa.
• Imiphumela emibi yokuhlinzwa: Ngezinye izikhathi, ngesikhathi sokuhlinzwa kwebele, ikakhulukazi i-mastectomies, imizwa ehilelekile ingalimala, noma kungaba ukusabela kokuhlinzwa kwe-anesthesia.

Ubani osengozini enkulu yalesi simo?

Ukuphapha kwe-scapular yangempela, okuyisimo lapho ihlombe liphuma khona kakhulu ngenxa yokulimala kwemizwa noma kwemisipha, kuvame ukwenzeka ngenxa yengozi. Abantu abaye bahlinzwa esifubeni, ikakhulukazi ama-mastectomies, basengozini enkulu.

Kodwa-ke, isimo engikhulume ngaso ekuqaleni esibizwa ngokuthi ``Scapular Dyskinesis``, lapho ihlombe lidonswa khona kancane, singabangelwa yizici ezilandelayo:

• Ukudlala imidlalo ebeka ingcindezi emahlombe.
• Umsebenzi onzima ngokomzimba.
• Ukuphatha isikhwama esisindayo njalo (izingane zesikole kufanele ziqaphele ngalokhu).
• Ukuma okugobile, okusho ukuma sengathi ugobile.
• Ihlombe elilodwa libuthakathaka kakhulu kunelinye.

Odokotela bakuthola kanjani lokhu?

Uma uya kudokotela, bazoqala bakubuze imibuzo futhi bahlole umhlane wakho. Ngokuvamile, uma umi, ungasibona lesi simo esithi "Winged Scapula" uma usiqhathanisa nesinye ihlombe.

Ukuhlolwa kwe-`(Winged Scapula)`

Udokotela uzokucela ukuthi wenze ukunyakaza okuhlukahlukene futhi uhlole ububanzi bokunyakaza kanye namandla ehlombe lakho. Ukuhlolwa okuyinhloko kokuxilonga i-scapula enamaphiko ukuhlolwa kwe-wall pushup .

Okwenzekayo kulokhu ukuthi, ucelwa ukuthi ubheke odongeni bese ubeka izandla zakho odongeni. Bese, njengokungathi wenza i-"Pushup" phansi, ucelwa ukuthi usuke odongeni ngezandla zombili ngesikhathi esisodwa. Uma une-"Winged Scapula", uma wenza lokhu, lelo thambo lehlombe eliphumayo lizobonakala kahle.

Ngaphezu kwalokho, ukuhlolwa okulandelayo kungenziwa ukuhlola i-Scapular Dyskinesis:

• Ukuhlolwa Kokusiza Nge-Scapular (SAT): Udokotela uzokucela ukuthi uphakamise ingalo yakho iqonde ngaphezu kwekhanda lakho. Njengoba wenza kanjalo, uzocindezela kancane ngaphansi kwehlombe lakho. Uma lokhu kusiza ekunciphiseni ubuhlungu bakho noma kwenza kube lula ukuphakamisa ingalo yakho, ungase ube ne-dyskinesis.
• Ukuhlolwa Kokuhoxiswa Kwe-Scapular (SRT): Kulokhu kuhlolwa, udokotela ubeka isandla sakhe phezu kwehlombe lakho bese ecindezela i-blade yakho emuva ngebunzi lakhe. Lokhu kusho ukuthi i-blade yehlombe idonswa emuva lapho kufanele ibe khona. Ngemuva kwalokho, ucelwa ukuthi welule ingalo yakho iye eceleni. Udokotela ube esefaka ukucindezela okuncane ehlombe lakho nasengalweni yakho. Uma ubuhlungu bakho buncipha ngemva kokudonsa i-blade yakho emuva, noma uma uzizwa unamandla engeziwe engalweni yakho, lokhu kungaba uphawu lwe-dyskinesis.

Ukuhlolwa kwezithombe akudingi njalo. Kodwa ngezinye izikhathi udokotela kungadingeka abheke ngaphakathi kwehlombe noma ehlombe. Bangase basebenzise izinto ezinjengalezi:

• I-X-ray yamahlombe
• `(MRI)` (Ukufanekisa Ukuzwakala Kwamagnetic)
• I-EMG (i-Electromyography) - Lokhu kulinganisa umsebenzi kagesi wemisipha.
• Ucwaningo Lokuqhutshwa Kwezinzwa - Lokhu kubheka isivinini imiyalezo ehamba ngaso ngemizwa.

Lesi simo `(Scapular Winging)` selashwa kanjani?

Udokotela wakho uzoncoma ukwelashwa okusekelwe kumbangela. Izindlela zokwelapha ezivame kakhulu yilezi:

• Ukulawulwa kobuhlungu: Imithi inikezwa ukunciphisa ubuhlungu nokuvuvukala. Iningi labantu linikezwa imithi ethengiswa ngaphandle kwemithi kadokotela ebizwa ngokuthi ama-NSAID (Izidakamizwa Ezingezona Ezika-Steroidal Anti-Inflammatory). Abanye abantu banganikezwa neziphumuli zemisipha.
• Ukwelashwa Komzimba (PT): Lokhu kubaluleke kakhulu. Udokotela wezokwelapha ngokomzimba uzokufundisa ukuzivocavoca nokwelula ukuze aqinise imisipha yamahlombe akho futhi andise ukuguquguquka. Nakuba i-PT ingenakukwazi ukulungisa umonakalo wezinzwa, ingasiza ekwandiseni ububanzi bokunyakaza kwakho nokulawula ezinye izimpawu.
• Ukuhlinzwa: Iningi labantu alidingi ukuhlinzwa. Kodwa-ke, uma ezinye izindlela zokwelapha zingasizi, uma unezinhlungu ezinzima, noma uma ungakwazi nhlobo ukuhambisa ihlombe lakho, kungase kudingeke ukuhlinzwa. Ukuhlinzwa kuvame ukucatshangelwa ngemva kwengozi. Ungadinga ukufakelwa kwemisipha noma kwemizwa (inqubo ehilela ukuthatha izicubu ezinempilo bese uzifakela endaweni eyonakele). Noma ungadinga inqubo ebizwa ngokuthi i-scapular arthrodesis (i-joint fusion). Udokotela wakho ohlinzayo uzokuchazela ukuthi yikuphi ukuhlinzwa okufanele wena nokuthi yini ongayilindela.

Kwenzekani uma ingelashwa?

Uma ingelashwa, i-winged scapula ingabeka ingcindezi engadingekile ehlombe lakho nasezicutshini ezizungezile. Abantu abangatholi ukwelashwa basengozini enkulu yokuthola isimo esibizwa ngokuthi i-frozen shoulder (adhesive capsulitis).

Uma i-"Winged Scapula" ibangelwa ukulimala kwemizwa, kungenzeka ukuthi ilahlekelwe umuzwa kanye nokunyakaza emisipheni efanele. Ingozi iyanda uma iqhubeka nokuqashelwa futhi yelashwa. Yingakho kunconywa ukuthi ubonane nodokotela ngokushesha okukhulu uma unezimpawu.

Yini ongayilindela uma unesifo esithi "Winged Scapula"?

Abantu abaningi bangakwazi ukuphatha lesi simo ngaphandle kokuhlinzwa. Udokotela wakho kanye nochwepheshe wezokwelapha ngokomzimba bazokusiza ukuthola izindlela zokwelapha ezizokusiza ukuphatha izimpawu zakho. Bazophinde batuse izinguquko emsebenzini wakho noma emisebenzini yakho ukuze kuncishiswe ukucindezeleka ehlombe lakho futhi kuvinjelwe ukulimala.

I-`(Scapular Winging)` ihlala isikhathi esingakanani?

Ukuthi lokhu kuzohlala isikhathi esingakanani kuncike embangela nokuthi kukhona yini ukulimala kwemizwa noma kwemisipha. Ungadinga izinyanga eziningana zokwelapha ngokomzimba ukuze ubuyisele ihlombe lakho esimweni esihle futhi ubuyisele izinga lokunyakaza.

Abanye abantu, ikakhulukazi labo abathola lesi simo ngemva kwengozi, bangase babe nezimpawu iminyaka eminingana. Cishe ingxenye yesine yabantu abane-winged scapula bangase babhekane nobuhlungu obuthile ngemva kokululama.

Ingabe i-Scapular Winging ingavinjelwa?

Lokhu kuvame ukwenzeka ngenxa yezingozi ezingalindelekile, ngakho-ke kungase kungenzeki ukukuvimbela ngokuphelele.

Kodwa-ke, kungcono ukulandela lawa macebiso okuphepha ukuze unciphise ingozi yezingozi:

• Gqoka ibhande lakho lesihlalo njalo uma ugibele imoto.
• Gqoka imishini yokuphepha efanele lapho udlala imidlalo neminye imisebenzi.
• Gcina ikhaya lakho nendawo yakho yokusebenza ingenazo izinto eziningi ezingaba yingozi.
• Sebenzisa ithuluzi elifanele njalo uma uthatha okuthile okuvela phezulu. Ungakhweli ezihlalweni noma ematafuleni.
• Uma unenkinga yokuhamba noma usengozini enkulu yokuwa, sebenzisa into efana nenduku.

Kufanele ngimbone nini udokotela?

Uma unesihlungu samahlombe, ukuqina, noma ezinye izimpawu isikhathi esingaphezu kwesonto, bona udokotela.

Uma ungakwazi ukunyakaza noma ukusebenzisa ihlombe lakho, iya ekamelweni lezimo eziphuthumayo esibhedlela ngokushesha. Uma uzizwa sengathi ihlombe lakho liphumile, ungalokothi uzame ukuliphoqa ukuthi libuyele endaweni yalo. Gcina ingalo nehlombe lakho kuthule ngangokunokwenzeka, basekele, bese uya esibhedlela ngokushesha.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

• Kungani ngine-"Winged Scapula"?
• Ingabe nginomonakalo wezinzwa noma imisipha?
• Hlobo luni lokwelashwa olusikiselayo?
• Kuzothatha isikhathi esingakanani ukwenza ukwelashwa ngokomzimba?
• Ungangitshela ukuthi yimiphi imivimbo noma ukwelula engingayenza ekhaya?

Ngakho-ke, yini esiyitholayo ekhaya kulokhu?

Uma uthola ukuthi une-"Winged Scapula", ungase ukhumbule iphupho lakho lobuntwana lokundiza. Kodwa, empeleni, cishe ucabanga kakhulu ngobuhlungu nokuqina kwehlombe lakho.

Ukuphapha kwe-scapular yisimo esenzeka lapho imisipha nemizwa ehlombe lakho ingakwazi ukubamba kahle i-blade yehlombe lakho esifubeni sakho. Ungesabi. Udokotela wakho angachaza ukuthi yini ebangela lokhu nokuthi ungazilawula kanjani izimpawu ezifana nobuhlungu nobunzima bokunyakaza. Into ebaluleke kakhulu ukufuna usizo lwezokwelapha ngokushesha okukhulu uma unezimpawu. Lokhu kuzokusiza ukuthi ululame ngokushesha.

Ukuhlukana kwehlombe , i-scapula enamaphiko, ubuhlungu behlombe, i-scapular dyskinesis, izinkinga zemizwa, ukwelashwa ngokomzimba, ukuvivinya umzimba kwamahlombe