Ukuhlukunyezwa kwama-muscle kulimala kakhulu kwezemidlalo, okwesibili kumvuthwandaba kubagijimi kuphela ezinsikeni zemisipha . Okuvame ukubonwa kwabahlanganyeli emidlalweni yokuxhumana efana nebhola , i-rugby, ne-lacrosse, ukuphikisana kwemisipha nakho kwenzeka emidlalweni engathintana nayo njengobhola bebhola, i-baseball, kanye nebholabhasi. Izindawo ezivame kakhulu zokulimala yizintambo, zilandelwa yingalo.
Cishe konke ukuhlukunyezwa kwemisipha kungaphathwa ngaphandle kokuhlinzwa, kodwa ngokuvamile kuvame ukuphikisana mayelana nokuthi ukwelashwa okufaneleka komfutho we-muscle kufanele kube.
Izimpawu
Ukwenza ukuxilongwa komfutho we-muscle kunengqondo ngokuqondile uma kukhona ukulimala okusobala umdlali noma isiguli esikhumbula kodwa kungaba nzima nakakhulu uma ukulimala okuthile kungakhunjulwa. Ngokujwayelekile, inkinga ukukhipha ezinye, ukulimala kaningi nakakhulu. Lezi zingozi zingase zibandakanye ama-fractures ( amathambo aphukile ), ama-dislocation, kanye nama-muscle aphelele.
Izimpawu ezijwayelekile zokulimala kwamasipha zihlanganisa:
- Buhlungu ngqo phezu kwendawo ephikisiwe
- Ukuvuvukala, ukulimaza nokubomvu
- Uhlu olubuhlungu noma ukunyakaza
Ukulimala kweMiscle Ukulimala
Lapho ukulimala komfutho we-muscle kwenzeka, ingxenye yesisipha iphela. Lokhu kubangele ukuphazanyiswa kwemithwalo encane yegazi okuthiwa i-capillaries futhi iphuma egazini eliyisisindo. Ngaleso sikhathi, ukuphuma kwegazi kudala iqoqo legazi ngaphakathi nangaseduze nezicubu ze-muscle okuthiwa i-hematoma.
Ngemuva kokulimala kokuqala, kunyuke kancane kancane ukuvuvukala ngezinsuku ezimbalwa ezilandelayo. Nakuba ukugxila kokulimala kwemisipha bekulokhu ukulawula lokhu kuvutha, siyazi nokuthi ukuvuvukala kubalulekile empilweni yokuphulukisa. Lokhu kubangela ukungavumelani phakathi kwabanye odokotela kanye nososayensi mayelana nokuphathwa kahle kwemisipha yokulimala kwemisipha.
Njengoba izicubu zomzimba ziphilisa, abagijimi abaningi besaba ukwakhiwa kwezicubu ezibomvu. Ukunyakaza okuqala kubonakala kukusiza ekuvimbeleni ukubunjwa kobunzima. Ngaphezu kwalokho, inani lokushaya lihlobene kakhulu nokulimala kokuqala, lapho ukukhwabanisa okukhulu kwemisipha kubangela ukukhishwa kanzima okuphawulekayo.
Ukwelashwa okuphelele kwama-Muscle Contusions
Njengoba kushiwo, kukhona ukuphikisana mayelana nokwelashwa okunamandla kokulimala kwemisipha. Uma uye waqhubeka nokuphazamiseka, futhi uhlolwe ukuqinisekisa ukuthi akubanga nokulimala okubi kakhulu, ezinye zezokwelapha ezivamile zihlanganisa:
Iqhwa: I- ice application ivame ukwenza, futhi iyasiza ukunciphisa izigaba zokuqala zokuvuvukala. Ucwaningo lwamuva lubonise imiphumela ye-icing cishe ephawulekayo emaminithini wokuqala namahora ngemva kokulimala, kodwa ice lingasiza ekulawuleni ubuhlungu ngemva kwalokho.
I-Movement Early: Ukuchithwa kwempahla kuye kwaboniswa ukuthi kuyingozi empilweni yokuphulukisa imisipha eholela ekuqineni okuhlangene kanye nase-atrophy ye-muscle. Umsebenzi wezinyathelo ezincane wokunconywa unconywa futhi ububanzi noma ukuchithwa kwempahla kufanele kugwenywe. Uma isisindo sithinta ubuhlungu, izikhonkwane zingasiza ukunciphisa ubuhlungu ngenkathi uvumela ukuhamba okuthile.
Imithi Yokuvimbela Ukuvuvukala: Imithi emibili engavumelani nokuvuvukala (ama-NSAID) kanye nama- corticosteroids (i-cortisone) isetshenziselwe ukuphatha ukuhlukunyezwa kwamasipha.
Umqondo wukuthi bazokwehlisa ukuvuvukala bese behambisa ukuphulukiswa esigabeni sokulungisa. Izifundo zibonise imiphumela encane nemiphumela ephikisanayo. Ayikho ubufakazi obucacile bokuthi lezokwelapha zishintsha umphumela wokuphulukiswa kwemisipha, kepha zingasiza ukulawula izimpawu.
Ukuhlinzwa: Cishe konke ukulimala kwemisipha kuphathwa ngaphandle kokuhlinzwa. Ezimweni ezingavamile kakhulu, lapho ukulimala kubangela ukukhubazeka kwesibindi emisipha, abanye odokotela bangase batusa ukulungiswa. Futhi, kuncane idatha yesayensi yokusekela le ndlela yokwelapha.
Izinkinga Zokuncintisana
Enye yezinkinga ezingavamile zengozi ye-muscle ibizwa ngokuthi i- myositis ossificans .
Le nkinga engavamile ijwayele ukulimala kakhulu, kodwa akucaci ukuthi kungani kwenzeka kwezinye iziguli hhayi kwabanye. Iziguli ezakha i-myositis ossificans zakha ukwakhiwa kwethambo ngaphakathi kwezicubu zomzimba. Ekugcineni, ithambo kumele likhishwe ngokuhlinzwa, kodwa lokhu kususwa kufanele kubambezeleke ngaphandle kwalokho ama-ossificans angama-myositis angase abuyele. Ngokuvamile, ukuhlinzwa kubambezeleka cishe unyaka ngaphambi kokususwa kokuhlinzwa.
Imithombo:
I-Beiner JM ne-Jokl JM. Ukulimala Kwemisipha: Ukukhethwa Kwamanje Kwelashwa "J Am Acad Orthop Surg July / Agasti 2001; 9: 227-237.