Unayo I-Acromio-Clavicular Joint ehlukile?
Ukuhlanganiswa kwe-acromioclavicular (AC) kuyingxenye yokuhlanganiswa kwehlombe lakho elihlanganisa umhlangano we-collar bone (clavicle) nenqubo ye-acromion ye-shoulder blade. Izinkinga lapha zingabangela ukulahlekelwa kwesimo sehlombe, ubuhlungu, nobunzima ukwenza imisebenzi efuna ukusetshenziswa kwengalo yakho. Uma unamahlombe ehlombe, udokotela wakho womzimba angakwazi ukuhlola isimo sakho futhi anqume ukwelashwa okungcono kakhulu.
Ngesikhathi sokuhlolwa, i-PT yakho ingenza ukuhlolwa kokuncintisana kokuhlanganyela kwe-AC.
Ukuhlangana kwe-AC kuhlangene okuqinile, futhi ukunyakaza okuncane kuphela okwenzeka lapho. Noma kunjalo, ungase uhlupheke umgogodla wemigqa ebambe iqhaza lakho le-AC ndawonye. Uma lokhu kwenzeka, kubizwa ngokuthi ukuhlukaniswa kwe- AC ngokuhlanganyela . Lokhu kungabangela ubuhlungu obukhulu behlombe futhi ungase ube nobunzima ukuhambisa ingalo yakho ngokujwayelekile.
Ukuhlukaniswa okuhlangene kwe-AC akufanele kudidaniswe nokuhlukaniswa kwehlombe . Ukuphazamiseka kwehlombe kwenzeka lapho ibhola kanye nesibopho sehlangothini lakho lehlombe lihlangana. Ukuhlukaniswa okuhlangene kwe-AC kwenzeka engxenyeni engenhla yehlombe lakho lapho ikholomu lakho lekholomu kanye nenqubo ye-acromion ye-scapula yakho ihlangana.
Izimbangela ze-AC Joint Separation
Njengoba ukujoyina kwakho kwe-AC kuhlangene okunjalo, ngokuvamile kuvame ukukhathazeka okubangela ukulimala lapha. Ukuhlukaniswa okuhlangene kwe-AC ngokuvamile kwenzeka ngemva kokuwa ohlangothini lwehlombe lakho noma ngesikhathi sokuwa esandleni sakho eseluliwe.
Impikiswano noma amandla phakathi komncintiswano wezemidlalo ovela ohlangothini noma ngqo phambi kwehlombe lakho kungabangela ukuhlukaniswa kwe-AC ngokuhlanganyela.
Ukuhlolwa kwe-AC Joint Separation
Isivivinyo esikhethekile sehlombe sokuhlukaniswa okuhlangene kwe-AC kuthiwa ukuhlolwa kwe-AC yokucindezela ngokuhlanganyela. Kuyinto yokuhlola okulula ukwenza, futhi i-PT yakho ingakwenza lokhu njengengxenye yokuhlola kwakho ngezinhlungu zehlombe noma izinkinga.
Nansi indlela okwenza ngayo:
- Hlala ukhululekile esihlalweni.
- Ngabe umngane noma ilungu lomndeni lime eceleni kwakho lapho ihlombe lakho elibuhlungu likhona.
- Umngani wakho kufanele abeke isandla esisodwa phambi kwehlangothini lakho lehlombe kanye nesandla esisodwa emva kokuhlangene kwehlombe lakho.
- Okokugcina, umngane wakho kufanele acindezele kancane kancane kodwa acindezele izinhlangothi zombili zehlombe lakho ukucindezela ukujoyina kwakho kwe-AC.
Isivivinyo esihle esichaza ukuhlukaniswa okuhlangene kwe-AC kungukuthi ubuhlungu obunzima bufakwe ehlombe lakho ngesikhathi sokucindezela. Uma ukuhlolwa kwakho kokunamathela kwe-AC kulungile, kufanele uvakashele udokotela wakho ngokushesha ukuqinisekisa izikhalazo zakho bese uqala ukwelashwa okulungile ngokushesha.
Uma unehlukaniswe ngokuhlanganyela kwe-AC, cishe uzodinga ukugqoka isigwegwe ehlombe lakho ngenkathi izinto ziphulukisa. Ngemuva kwamasonto ambalwa wokuphulukiswa kokujoyina kwakho kwe-AC, udokotela wakho angancoma ukwelashwa ngokomzimba ukukusiza ukuba uthuthukise uhla lwezintambo ze-motion (ROM) namandla. I-PT yakho ingahle ibeke umzimba wokuzivocavoca othize ukuze ubeke ihlombe lakho (ne-shoulder blade) ngokuhamba kahle.
Ngezinye izikhathi, kunconywa ukuhlinzwa ukulungisa ukuhlukaniswa okuhlangene kwe-AC. Uma uhlinzekwa ukulungisa ukujoyina kwakho kwe-AC, ungase futhi uzuze ekuphatheni okwenyama ngemuva kokuhlinzwa kwakho ukusiza ukuthuthukisa ukuhamba kwakho jikelele nokubuyisela ukunyakaza okuvamile nokuphakama kwamandla.
I-PT yakho ingakusiza nokuphatha ubuhlungu bakho behlombe ngemva kokuhlinzwa.
Uma unamahlombe ehlombe futhi umsolwa ulimazile ukujoyina kwakho kwe-AC, ukuhlolwa kokuxilongwa kokuhlanganyela kwe-AC kungasiza ukuqinisekisa izikhalazo zakho. Uma uzama ukuhlolwa futhi uzizwe uhlukanisile ukujoyina kwakho kwe-AC, vakashela udokotela wakho ukuze uqinisekise ukuthi uyazihlola futhi uqale inqubo yokuphulukisa nokuphulukisa.
Izwi kusuka
Ubuhlungu obunamahloni bungenza umkhawulo wakho ukwazi ukwenza imisebenzi evamile, kodwa uma uphathwa kahle, ungabuyela emuva emisebenzini evamile. Uma ngabe ihlombe lakho libuhlungu, bheka udokotela wakho kanye nodokotela wakho wezempilo, bese uqala ukwelashwa ngokushesha.
Ngaleyo ndlela ungabuyela ngokushesha emsebenzini wakho wosuku nosuku.
> Umthombo: Pauly, S. etal. Ukukhula kanye nephethini lokulimala kwe-glenohumeral phakathi kokukhubazeka okuhlangene okunamandla okuhlanganiswa kwe-acromioclavicular. I-Journal Ye-Surgery Ye-Shoulder ne-Elbow. 2013: 22 (6); 760-766.