Umsebenzi wokuhlanganyela ohlangene uvela kakhulu emibikweni yemiphumela yezifundo zezokwelapha nezokucwaninga. Abacwaningi bakhuluma ngomsebenzi ohlangene nokuthi uyathinteka kanjani izifo, njenge- arthritis , noma ngezokwelapha i-arthritis. Iyini umsebenzi ohlangene?
Amajoyina nokusebenza okuhlangene kuchazwe
Ukuhlanganiswa kuchazwa njengendawo lapho amathambo amabili noma ngaphezulu ehlangana khona ngenhloso yokunyakaza noma ukuzinza.
Ukungafani kwemisipha ewela ukubambisana kubangela ukuthi ihambe. Umsebenzi ovamile ohlangene uchazwa njengekhono lokuhlanganyela lokuhamba kulo lonke uhlangothi lwawo lokunyakaza , ukuthwala isisindo futhi wenze umsebenzi.
Odokotela kanye nabahlinzeka ngemithi baqeqeshwa ekuziphatheni nasekuziphatheni kwamandla ukuze bazi ukuthi ukuhlanganyela okujwayelekile kufanele kubheke futhi kuthathe kanjani isenzo. Bazi isakhiwo nomsebenzi wamathambo, imisipha, i-ligaments, tendon, izinzwa, kanye negazi lokuhlanganyela. Konke lokhu kungaboniswa kwimidwebo nakwehlukanisa ama-cadavers. Kodwa ngaphesheya kwalokho, kufanele bazi ukuthi ukujoyina okujwayelekile kuvame kanjani. Lokho kufaka phakathi ukuthi kufanele kube lula kangakanani ukukwazi ukushintsha, ukuwandisa noma ukushintshanisa. Ikhono lokuthwala isisindo noma ukumelana nokucindezelwa okuphikisana nesenzo sokujoyina yizinye izici zomsebenzi ohlangene.
Ukuhlola umsebenzi ohlangene
Uma uya kudokotela isikhalazo ngethambo, umsila noma ohlangene, uzokwenza uhlolo lwe- musculoskeletal oluhlanganisa nokuhlola umsebenzi ohlangene.
Umsebenzi ohlangene ungathinteka ngokulimala noma ukuvuvukala, ngakho-ke uzobukeka obomvu, ukulimaza, nokuthi uqhathanisa kanjani nokuhlangene okuhlukile okungeke kube khona. Ingabe ubukhulu obufanayo nobujamo?
Udokotela uzoba nesiguli sithuthelele ngokuhlanganyela ngokuhamba kwayo okujwayelekile - ukuguquguquka, ukukhula, ukujikeleza.
Uzophinde asebenze ngokubambisana ukuze awuthathe. Kuzo zombili izimo, ubheka imingcele ekuhambeni kokuhamba nokuthi ngabe kukhona ubuhlungu phakathi nokuhamba. Ubeka isandla ekuhlanganyeleni ukuze uzizwe nge- crepitus ( ukuhlambalaza ) okubonisa ukuchithwa kokujoyina . Uzokwenza ezinye izivivinyo zomsebenzi eziqondile zokulimala okusolakala ukuthi zilimale. Ubona ukuthi isiguli singakwazi kanjani ukumelana nokunyakaza kwesibindi.
Isibonelo Sokusebenza Okuhlangene Okusebenzayo
Ububanzi bokuhlolwa kokuhamba kwehlombe kubandakanya ukuphanga, ukuphakamisa ingalo ekuhlaleni phansi, kuya ohlangothini kuze kube ngaphezu kwekhanda ku-arc, ne-crossxion evivinywe ngezingalo eziphakanyisiwe ngaphambili futhi iphakanyiswe ngaphezu kwekhanda, ngokujwayelekile ibanga kusuka ku-0 kuya ku-180 degrees. Ukwenyuswa nokushintshaniswa kwangaphakathi bese kukhishwa futhi ukujikelezwa kwangaphandle kuhlolwe ngenye ingalo kuqala ukufinyelela emuva kusukela ngezansi bese kusuka phezulu. Okunye ukuhlola kufaka ukuhlolwa kwe-Neer no-Hawkin kokufaka ukungena kanye nokuhlolwa okungenalutho ne-Gerbers Liftoff kokulimala kwe-cuffator.
Isibonelo soHlelo Lokusebenza Oluhlanganisiwe Lokusebenza
Ngodolo, udokotela uzobukela ukuhamba kwesiguli futhi abone ukuthi kukhona yini i-limp, okuzobonisa ukuthi umsebenzi ohlangene awuphephile. Udokotela uzobheka isiguli sokuma ukuze abone ukuthi imilenze ikhothamele noma idonsa ( varus vs. valgus deformity ) ekhombisa ukusebenza kwegolo elingasebenzi.
Indlela isiguli esivela ngayo esihlalweni futhi uma engakwazi ukukhuphuka izitebhisi futhi kubonisa umsebenzi ohlangene. Isiguli sigqila phansi, futhi udokotela umenze aguqe ngamadolo, okumele afinyelele kumazinga angama-zero futhi akwazi ukuzivumelanisa nezilinganiso ezingu-140 ngomsebenzi ohlangene ojwayelekile. Udokotela futhi uguqa ngamadolo.
Okunye ukuvivinya komsebenzi wokubamba ngamadolo kuhlanganisa ukuhlolwa kukaMcMurray no-Appley Grind Test yokulimala kwamadoda, ukuhlolwa kokucindezeleka kwe-ligal lateral yokugunda kanye nomgogodla ophakathi, ukuvivinya kukaLachman we-antiger cruciate ligament, i-Posterior Drawer Test nokuhlolwa kwe-chondromalacia.
Imithombo:
Ukuhlolwa kwe-Musculo-Skeletal, University of California, eSan Diego, ngo-Okthoba 2015.
I-Merck Manual, Version Consumer, 2015.