Ukunyakaza kokuphonsa ibhola ukunyakaza okuyinkimbinkimbi okudinga ihlombe elisebenza kahle lapho imisipha, ama-tendon, ligaments, kanye nethambo zonke zihamba ngendlela ehambisanayo futhi ezinzile. Ngenxa yinkimbinkimbi yalokhu ukunyakaza, ukungaqondakali okucashile kungaholela ekuthuthukiseni ubuhlungu behlombe kanye nokungahambi kahle.
Izimpawu zenkinga
Ukunyakaza okukhiphayo kubangela i-torque ephezulu kakhulu kanye nokusheshisa amandla okwenza ngokuhlanganyela kwehlombe kanye nemisipha, imigqa kanye namathononi azungeze ukujoyina.
Kungakhathaliseki ukuthi ungumqeqeshi wezemidlalo we-baseball, noma ukudlala ukubamba ingane yakho egcekeni, ukusebenza okungavamile kwehlombe kungabangela ubuhlungu obukhulu. Ezinye zezibonakaliso zenkinga yehlombe zihlanganisa:
- I-Aching Pain: Ngokuvamile ejulile ehlombe noma ewehlisa ingalo engenhla
- "I-Arm Arm:" Isizwe sokuntuleka kwamandla okunyakaza
- Ubusuku Bokuhlwa: Ngezinye izikhathi ubuhlungu abubi kakhulu uma uphonsa, kodwa kubangela ubuhlungu obungakuvusa ebuthongweni ebusuku
Lapho abantu bekhalaza ubuhlungu behlombe uma bephonsa, kubalulekile ukuqonda kahle ukuthi lapho ukunyakaza ukuphonsa kukhona okungavamile, futhi yini engase ibangele le nkinga. Izindlela eziwusizo kakhulu zokwenza ukuxilongwa empeleni ziqondisise ngokucophelela izimpawu zesiguli futhi zihlolwe ihlombe ngomuntu ojwayele ukuphonsa imishini.
Izivivinyo zokuhlonza ubuhlungu bezinsizi zingasiza, kodwa kuphela uma zifakwa kumongo wezimpawu ezitholwa isiguli.
Ngokuvamile kulababili abagijimi abasha kanye nempelasonto ephakathi kwamasonto amakhulu, ukungajwayelekile kungabonakala kwi-MRI, kodwa lokhu kungase kungabangela ubuhlungu behlombe. Yilapho umhloli onamakhono ojwayele ukulimala kwehlombe kungasiza ekunqumeni ukuthi kukhona ukungajwayelekile kwesakhiwo okudingeka kulungiswe.
Ummoya Wokuphonsa
Ukunyakaza okuvelayo kubonakala ngezigaba ezine ezihlukene:
- Wind up
- Ukuhlanganisa
- Ukusheshisa
- Landela
Ukuze kube nemishini yokuphonsa ngempumelelo, i- rotator cuff nezinye izinhlanzi zehlombe kufanele ziqondise lezi zihambeli ngokulandelana. I- labrum kumele iqinise ibhola kulesi sikhwama sehlombe. I-shoulder blade kufanele ijikeleze ngokuhamba okuhambisanayo ngengalo ukuqinisekisa ukuhamba. Ukungahleleki kunoma yimuphi wale misebenzi kungaholela ebuhlungu futhi ngisho nokulimala ngaphakathi kwehlombe.
Esinye sezici ezithinteka kakhulu zokuhamba kwehlombe ngumsebenzi wekhasi lamahlombe. Ijaji lehlombe lihlanganisa isikhwama sombuthano wehlombe nebheksi. Ukuze ibhola-ne-socket isebenze ngendlela evamile, i-shoulder blade kufanele isebenze ngokujwayelekile. Ibhande lehlombe lihlanganiswe nodonga lwesifuba nemigudu, imisipha, namathenda. Imisipha kanye namathononi ahlukahlukene alawula ukunyakaza kwekhasi lamahlombe nakho konke kungathinta ukunyakaza okufaka ukuphonsa. Lesi esinye sezizathu zokuthi kungani umuthi wezinto ezibonakalayo ejwayele ukugxila ekuhambeni kwe-scapular lapho ekhuluma nezinkinga ezihlangene zamahlombe
Ukwelapha Ukuphonsa Ubuhlungu
Iningi leziguli ezithola ukuqala okubuhlungu kokuzikhandla ngokuphonsa zingaphathwa ngezokwelapha okungezona ukuhlinzwa.
Isigaba sokuqala sokwelapha ukuphumula okuhlangene nokunciphisa ukuvuvukala. Ukwelapha okunjengeqhwa, imithi elwa nokuvuvukala , kanye nomjovo we-cortisone kungasiza ekuvumela ukuvuvukala ukuba kuncishiswe.
Uma izibonakaliso ezinzima zokuvuvukala seziyeke, umelaphi angakwazi ukuhola umgijimi ukuze aphinde abuyele ngokugcwele nokuqina kwehlombe. Ukungajwayelekile okuvamile kuyinkimbinkimbi ye-posterior capsule ye-shoulder, okwenza kube khona ukujikeleza kwangaphakathi kwesiguli (iziguli zingase ziqaphele lapho zifika ngemuva, azikwazi ukufinyelela phezulu njengalokhu ehlangothini nehlombe elibuhlungu).
Ukugxila ekuthuthukiseni ukujikeleza kwangaphakathi, noma noma yikuphi ukunyakaza okulahlekile, kungasiza ukuvumela ukunyakaza okujwayelekile ngokwengeziwe.
Amandla avame ukuhloswa ngenduku ye - rotator , njengoba lezi zinhlanzi zibaluleke kakhulu ekuqaliseni ukunyakaza okufanele kwehlombe, futhi nokuqinisa ukuhlanganiswa kwehlombe. Ngaphezu kwalokho, imisipha ye-periscapular (imisipha ehlangene nesitembu se-scapula) ibalulekile ukuqinisekisa ukuthi ukunyakaza kwe-scapular kuhlotshaniswa nokunyakaza kokuphonsa.
Njengoba kukhonjisiwe, iningi lamahlombe wehlombe uma ukuphonsa kuzokwenza ngcono ngalezi zinyathelo. I-mechanics yehlombe iyinkimbinkimbi kakhulu, futhi ukungaqondakali okucashile kungabangela ukuphazanyiswa kwalokhu ukunyakaza okuyinkimbinkimbi. Ngokuthuthukisa imishini, izinkinga eziningi zezinhlanzi zingathuthukiswa nokuphathwa okungenasidingo. Iziguli ezihluleka ukwenza ngcono ngezinyanga ezintathu zokwelashwa, noma ukwehluleka ukubuyela ezemidlalo ezikhuphisana zingakapheli izinyanga ezingu-6, zingacatshangelwa ngenqubo yokuhlinzwa. Noma kunjalo, kufanele kucaciswe ukuthi iyiphi inkinga okudingeka ixazululwe, nokuthi lokho kuzokwenza kanjani ukukhishwa kwemishini, ngaphambi kokuqala ukuhlinzwa okukhulu kwehlombe .
Izwi elivela
Ukunyakaza ukuqhuma kuyinkimbinkimbi yokunyakaza kwamahlombe okudinga imishini evamile yemisipha, ama-tendon, ligaments, amathambo namalunga. Ukungahleleki kwanoma iyiphi ingxenye yalokhu kuhlanganiswa okuyinkimbinkimbi kungaholela ekuhlungeni kwehlombe futhi ekugcineni kube nobuhlungu lapho uphonsa. Lapho ama-mechanics of motion ukuphonsa aguqulwa, ukuvuvukala kuvame ukuba umphumela, futhi ukungahambi kuyinto uphawu njalo. Izindaba ezinhle, ukuthi lezo zokwelapha ezingenakuvusa ukuthuthukisa umshini wokuhlanganiswa kwehlombe zivame ukuphumelela ekunciphiseni izimpawu zobuhlungu behlombe uma uphonsa.
Imithombo:
> Tonino PM, et al. Ukucindezeleka Kwamahlombe Okuncintisana: Ukuhlolwa Nokunakekelwa. J Am Acad Orthop Surg ngoMashi 2009; 17: 125-136.
> Edwards, P; U-Ebert, J .; UJoss, G. et al. "Ukuzivocavoca Ukuvuselela Ukuphathwa Okungeyona Ukusebenza Kwe-Rotator Cuff Izinyembezi: Ukubuyekezwa Kwezincwadi." Int J Sports Phys Ther . 2016; 11 (2): 279-301.