Ihlombe (ijoqo le-glenohumeral) lihlangene ngokuyingqayizivele ngomqondo wokuthi kuvumela ukuhamba okuphawulekayo nokuhamba kwezinto eziningi. Ngenxa yale nkululeko ehlangene, sikwazi ukufaka ibhola yokugqoka kanye nokugebha ngokushesha ngamanzi. Ukunyakaza ngokweqile kunika imali ekuhlanganyeleni ukuba ibe yinto engazinzile, noma kunjalo.
I-Anatomy ne-Injury
Amathambo amathathu akha ihlangothini lwehlombe aqiniswa endaweni ethile ngamagundane amaningi, kanye nemisipha yamabhodlela okubalulekile.
Isikhumba se-Rotator sinezinhlanzi ezine ezihlanganisa ehlombe ukuze zenze "i-cuff" enamandla phezu kokujoyina. Isikhumba se-rotator sinomsebenzi obalulekile wokuqiniswa kwehlombe kanye nokuphakamisa nokuguqula ingalo. Imisipha ngayinye iphuma ehlombe (scapula) futhi ifaka emathanjeni wengalo (humerus).
Ibhola nesakhiwo esisekelweni yisona isizathu sokuthi ihlombe lenye yezingxenye eziguquguqukayo kakhulu emzimbeni. Ngenxa yalolu khuleko, noma kunjalo, ihlombe liyindawo yokulimala okuvamile. Ukuphindaphindiwe okuphindaphindiwe kufaka imisipha namathenda ehlombe endaweni esengozini. Ngakho-ke, ukulimala okuningi kwamahlombe kwenzeka kubantu abanemisebenzi edinga umsebenzi ophezulu. Iningi lokulimala kwehlombe lingelashwa ngokuzenzekelayo ngokuphumula, iqhwa, ukugqugquzela kanye nokwelashwa ngokomzimba. Nokho, ezinye ukulimala kwehlombe kudinga ukungenelela okuhlinzekwayo.
Izingxabano ezivamile
- Ihlombe elinyanisiwe: Ihlombe elinyene, noma i-adhesive capsulitis, yisimo sezokwelapha esibandakanya ubuhlungu obuqhubekayo nokulahlekelwa kokunyakaza ekuhlanganyeleni kwehlombe. Isizathu esiqondile sehlombe elifriziwe asiyazi, kodwa kuvame kakhulu kwabesifazane kunamadoda. Ihlombe elivuthayo liphuma ekugxileni nasekunciphiseni i-capsule ejikeleze ukuhlanganiswa kwehlombe.
- I-Biceps Tendonitis : Imisipha ye-biceps emisipha enkulu engalweni eyenza ukugoba i-elbow kanye nokuphakamisa ihlombe. Le misipha ixhunywe emathanjeni angenhla nangaphansi kwengalo nge-tendon eqinile. I-tendonitis ye-biceps ibangela ukuzwa okubuhlungu ekhanda elingenhla elivela ngokunyakaza kwengalo.
- Ukuhlukana Kwamahlombe : Ukulimala kokuhlwithwa kwehlombe kuhilela ukuphazamiseka kombuthano we-acromioclavicular (AC). Isizathu esivame kakhulu sokuhlukaniswa kwehlombe, noma ukuphazamiseka kwe-AC ngokuhlanganyela, kuwela ngokuqondile ehlombe. Lokhu kwehla kulimaza izintambo ezinikeza ukuzinza kokujoyina.
- I-Bicep Tendon Ukukhuphuka : Ukuphakama kwethenda ye-bicep kwenzeka lapho ithenda itholakala ngaphansi kwesigxobo sehlombe. Lokhu kubangelwa lapho ithethoni ifakwa ngaphansi kwesibindi ngesikhathi sokunyakaza okuphindaphindiwe kwengalo. Izimpawu zezinyembezi ze-biceps zezinyembezi zihlanganisa ubuhlungu obunzima okungazelelwe, kanye nesisa sokuthinta esifundeni esiphezulu.
I-Thoracic Outlet Syndrome: I-Thoracic outlet syndrome imiphumela uma kunezinkinga zezinhlaka zemizimba ezisezintanyeni. Izimpawu ze-thoracic outlet syndrome zibandakanya ubuhlungu behlombe noma ingalo, ukulinganisa noma ukuphazamiseka (ama-paresthesias), kanye nobunzima obunzima bomzimba.
I-shoulder and Rotator I-Exercises I-Exercises
- Ukuzivocavoca Nge-Post-Operative I-Exercise : Uhlelo oluvivinya umzimba lokuzivocavoca lubalulekile ekutheni lilulame ngemuva kokuhlinzwa kwamahlombe. Ubuthakathaka bemisipha nokuqina komphumela ohlangene kaningi ngenxa kaningi ukuqala ukubambelela kohlelo lokuvuselela. Ngenxa yalokho, kubalulekile ukufaka udokotela / ukwelashwa okuvunyelwe ukwelashwa kanye nokwenza umsebenzi wokuzivivinya ngokushesha ngemuva kokuhlinzwa. Ukwenza lokhu kuqala kuzothuthukisa ukutakula kwakho, futhi kufanele usebenze ngokulandela uhlelo oluhlelelwe isimo sakho.
- I-Pectoral Muscle Iqondisa: Imisipha ye-pectoral ifinyeleleke ingaba umphumela wokuma okuncane, ukuphakama kwesisindo, noma imisebenzi eminye yansuku zonke. Funda indlela yokukhipha lezi misipha.
- I-Rotator Cuff Ukuzivocavoca : Lezi zinhlanzi zijwayele ukuvuvukala nezinyembezi phakathi nemisebenzi ephezulu. Indlela ebalulekile yokunciphisa izinyembezi kuqala ukuqinisa lezi zinhlanzi.
- Ukuzivocavoca Emva Kwama-Arthroscopy Ehlombe : Ukuvuselelwa ngemuva kwe-shoulder arthroscopy kuyinye yezindlela ezingcono kakhulu zokuthola ukubuyiswa okugcwele. Funda izivivinyo ezine ezilula ukusiza ukuphinde uphinde usebenze ngemuva kokuhlinzwa kwe-shoulder.
- Ukuzivocavoca Ngamahlombe Okugcwele : Lezi zivivinyo ziphelele ekuthuthukiseni ukuhamba kwehlombe lakho uma une-adhesive capsulitis.
Uma unezinhlungu zehlombe, kufanele uhlole nodokotela wakho bese uvakashele udokotela wakho wezempilo ukuze ufunde imbangela yezinhlungu zehlombe lakho futhi uqalise ukwelashwa okulungile ngokushesha.
Imithombo:
I-American Physical Therapy Bulletin, "Ukunakekela Ihlombe Lakho." Umhlahlandlela Wokwaziswa Wokubekezela. Jan. 20, 2008
UDavid M. Quillen, MD, uMark Wucher, MD, noRobert L. Hatch, MD, MPH "Ukulimala okuPhezulu." I-American Family Physician. I-Vol. 70 / No. 10, Nov. 15, 2004.