Ukuhlolwa Okukhethekile Ngezinhlungu Zezinzwa
Isivivinyo se-Neer yisilingo esikhethekile sehlombe ukuhlola ukuthi ukuxilongwa kwehlombe kungabangela ubuhlungu bakho nokunyakaza okugxilwe kwehlombe. Udokotela wakho noma uchwepheshe wezinto ezingokwenyama angenza ukuhlolwa kwe-Neer njengengxenye yokuhlolwa kwakho kwe-shoulder ephelele.
Uma unamahlombe ehlombe , ungase uqonde ukuthi ubuhlungu bungakanani obukwazi ukunciphisa ikhono lakho lokuphakamisa ingalo yakho phezulu bese usebenzisa ingalo yakho ngokujwayelekile.
Ungase uzwe ubuhlungu lapho uphakamisa ingalo yakho eceleni, isimo esibizwa ngokuthi i- arc ebuhlungu .
Kunezimbangela eziningi zezinhlungu zehlombe . Lezi zingabandakanya ihlombe elifakwe efrijini , i-rotator impingement noma i-tear, i- labrum , i-bursitis, noma i-arthritis. Ungase uzizwe ubuhlungu behlombe obuvela entanjeni ekhonjiwe entanyeni yakho.
Udokotela wakho angakutjela kumhlengikazi ongokwenyama ukukusiza ukuphatha ubuhlungu bakho behlombe. Angenza izivivinyo ezikhethekile ehlombe lakho ukusiza ukuthola ukuthi imbangela yobuhlungu bakho. Imiphumela yokuhlola nokuhlolwa kwakhe kungasiza ekuqondiseni ukwelashwa kwakho ekuhluphekeni kwehlombe.
Ukuhlolwa kwe-Neer kuyilinga elikhethekile ehlombe lakho. Inquma ukuthi ukushaywa kwe-cuffator okuyi-rotator kubangela ubuhlungu bakho.
Ukwenza ukuhlolwa kwe-Neer
Ukuze wenze ukuhlolwa kwe-Neer, udinga ukuqoqa umngane noma ilunga lomndeni ukukusiza. Nansi indlela okwenza ngayo:
- Hlala kahle ngesitulo.
- Yenza umlingani wakho aphakamise ingalo yakho ngezinhlungu zehlombe phambi kwakho nangaphezulu ngokusemandleni akho.
- Uma ingalo yakho iphakanyiswe ngokugcwele ngaphezulu, yiba nomlingani wakho uphakamise ingalo yakho nakakhulu. Kufanele asebenzise isandla esisodwa engalweni yakho nenye isandla esisekela ihlombe lakho.
- Uma ingalo yakho iphakanyiswa phezulu futhi iqhutshelwa emkhawulweni, isikhala lapho i-rotator cuff tendon kanye ne-shoulder bursa (ebizwa ngokuthi isikhala esincane) sihlala sibe mncane.
- Uma ubuhlungu bufakwe ehlombe lakho, ukuhlola kukaNeer kubhekwa njengokuhle, okusho ukuthi ubuhlungu bakho behlombe bubangelwa ukufakwa kwamathenda noma i-bursa ehlombe lakho.
Ngemuva kokuba umngane wakho evivinya ihlombe lakho elibuhlungu, umqondo omuhle ukuhlola ihlombe lakho elingenabuhlungu, ukuze uthole umqondo wokuthi ukuhlolwa kuka-Neer "okujwayelekile" kufana kanjani.
Ukuhlolwa kwe-Neer kuyinto enhle. Manje?
Uma wenze uhlolo lwe-Neer futhi lubonisa ukuthi unemfucuza yehlombe, kungcono ukuthi uvakashele udokotela wakho. Angase akubhekise kumhlengikazi ongokwenyama ukuze usize ukuthi kungani lezi zakhiwo ehlombe lakho zikhonjiwe.
Isivivinyo se-Neer simane sitshele i-PT uma unesiphakamiso sehlombe; akutsheli umhlengikazi wakho ukuthi yisiphi isakhiwo ehlombe lakho esiphonswa. Ingabe i-bursa yakho ye-bursa? Ingubo yakho ye-rotator? I-tendon yakho ye-biceps? Ukuhlolwa okuqhubekayo kokuhamba kwamapayipi nokuqina kwakho kuyadingeka ukwakha isithombe esiphelele sesimo sakho se-shoudler.
Ukwelashwa Kwemvelo Ukumiswa Kwamahlombe
Ngezinye izikhathi ukulahlekelwa kwezinyathelo zokuhamba (i-ROM) kungabangela ukungena kwehlombe lakho. Umhlinzeki wakho wenyama angabeka ama- ROM umzimba wakho ehlombe . Ungase futhi uzuze ngokusebenzisa uhlelo lwe-pulley yehlombe ukubuyisela ubuhlungu bezinhlanzi zamahhala.
Uma ubuthakathaka emisipha yakho ye-rotator ye-rotator kuyisisusa sokugxilongwa kwehlombe lakho, umhlinzeki wakho uyobe ebeka umzimba wokuzivocavoca oqondile kanye nokuzivocavoca okunamandla okusiza ukuthuthukisa ukuzinza kwehlombe lakho.
Umhlinzeki wakho wenyama angase akhethe ukusebenzisa izindlela zokwelapha ukusiza ukuphatha ukungena kwakho kwehlombe. Lezi zindlela zokwelashwa zenza ukwandisa ihlombe lakho, futhi kungasiza ukunciphisa ubuhlungu nokuvuvukala ehlombe lakho. Izindlela zokwelashwa akufanele kube yindlela yokwelapha kuphela oyithola ngesikhathi sesipiliyoni sakho sokwelashwa ngokomzimba.
Uma ubonile umhlinzeki wezinto zokwelapha ekufakweni kwehlombe futhi ubuhlungu bakho buyaqhubeka, khona-ke ungadinga ukwelashwa okungenayo okungajwayelekile njengamagciwane e- cortisone .
Ukuhlinzeka ngamagundane, okuthiwa i -subcompress ye-sub-acromial , kungadingeka ukuba uthole ukugcwele, ubuhlungu bokuhamba mahhala emuva ehlombe lakho.
Uma ubuhlungu behlombe, ungase uzuze ekwenzeni izivivinyo ezikhethekile ehlombe lakho ukuze usize ukucacisa imbangela yobuhlungu bakho. Isivivinyo se-Neer yisinye sokuhlolwa okunjalo ongayenza ukuze ubone ukuthi i-rotator cuff iyimbangela yobuhlungu bakho. Uma kunjalo, khona-ke ungafuna ukuphathwa ngendlela efanele ehlombe lakho.
Izwi kusuka
Ungenza ukuhlolwa kwe-Neer ngokwakho, kodwa umhlinzeki wezempilo oqeqeshwe futhi oqeqeshiwe kuphela okwazi ukuqonda ngokugcwele incazelo yezivivinyo ezithile nezindlela zehlombe lakho. Kuhlale kungumqondo omuhle ukuhlola nodokotela wakho ngaphambi kokwenza noma yikuphi ukuzivocavoca okuqondile noma ukuhamba ngamahlombe akho.
> Umthombo: Watts, Amy etal. Ukubuyekezwa Okuhlelekile Kwezindlela Zokuxilongwa Ze-Impingement Syndrome. I-Orthopedic Proceedings; Jan 25, 2016.