Iyini i-hernia yezemidlalo?
Ukuthola ukuxilongwa ngokufanele kokuhlunguphazwa kobuhlungu ku-athlete kuye kwaba inselelo odokotela nabagijimi. Esikhathini esidlule, iningi lazo zonke izinhlungu ezibuhlungu ku-athlete zatholakala ukuthi ziyi-muscle strain. Emashumini ambalwa eminyaka adlule, ucwaningo olubalulekile luye lwahlola umthombo wokuhlunguphazeka komzimba futhi lathola izimo ezihlukahlukene kusukela ekulimaleni kwemisipha, ukulimala kwe-cartilage, izinkinga zezinzwa, nezimo ze-urologic zingabangela izimpawu ezifanayo.
Inkinga eyodwa eyinkimbinkimbi yokuxilonga ibizwa ngokuthi i-hernia yezemidlalo.
I-hernia yezemidlalo iyenzeka uma kunobuthakathaka bemisipha noma izintambo zodonga oluphansi lwesisu. Le ngxenye yesisu yisifunda esifanayo lapho kwenzeka khona i-hernia engumgogodla, ebizwa ngokuthi umsele wamanzi . Uma i-hernia engakhiwa yenzeke kunobuthakathaka okwanele odongeni lwesisu ukuze kuvunyelwe isikhwama, i-hernia. Endabeni ye-hernia yezemidlalo, le nkinga ingenxa yokwehla kwamasipha omzimba wesisu esisodwa, kodwa ayikho i- hernia ebonakalayo.
I-canal inguinal isifunda esifubeni esingaphansi, ngenhla ngaphezu kwe-groin. Umsele usungulwa ukufaka imisipha yamathumbu namathenda, kanye nemigudu eminingana. Ngaphakathi komsele ongasetshenzisiwe uhamba ngentambo ye-spermatic (emadodeni) noma i-ligament nxazonke (kwabesifazane). Lesi sigaba sesisu sisengcupheni yokwehlisa udonga lwesisu, okuvumela ukukhipha, noma i-hernia, ukwakha.
Inkinga ngodonga lwamathumbu kubantu abanempilo yakhe yezemidlalo akuyona inkinga yamandla emisipha. Ukuba nengxenye ebuthakathaka odongeni lwesisu akusho ukuthi awukwenzi okwenziwe ngokwanele kokuhlala noma ukuqiniswa komgogodla. Esikhundleni salokho, udonga lwesisu esisendaweni esithile lube mncane kakhulu, okuvumela ukuba i -hernia iqale. I-hernia yezemidlalo ayitholakali endaweni enkulu, engxenyeni ye-muscle.
Izimpawu ze-Hernia yezemidlalo
I- hernia yezemidlalo ngokuvamile iqala ngokuqala kancane kokubuhlungu okubuhlungu esifundeni esingaphansi kwesisu. Izimpawu zingafaka:
- Uzwa ubuhlungu esiswini esingaphansi
- Uzwa ubuhlungu ku-groin
- Unabuhlungu esithombeni (kubesilisa)
Ngokuvamile lezi zimpawu zinyanyiswa yimisebenzi efana nokugijima, ukusika, nokuguqa phambili. Iziguli kungenzeka nazo zanda izimpawu lapho zikhwehlela noma ziphawula. Ama-hernias ezemidlalo avame kakhulu kubagijimi okumele balondoloze isikhundla esiphambili, njengabadlali be-hockey. Kodwa-ke, ama-hernias ezemidlalo atholakala kwezinye izinhlobo eziningi zabadlali abafana nebhola lebhola kanye nabadlali bebhola.
Ukuxilongwa kwe-hernia yezemidlalo kunqunywa ngokubambisana komlando wesiguli, ukuhlolwa ngokomzimba, nokuhlolwa kokuhlola. Muva nje, ukusetshenziswa kwezivivinyo ze-MRI sekuye kwavame ukufuna izimpawu ze-hernia yezemidlalo. Esikhathini esidlule, i-MRI yayisetshenziswe ngokuyinhloko ukubheka ezinye izimbangela zokuhlunguphazwa kokubuhlungu, kodwa ucwaningo lwamuva luye lwathola ezinye izici ezitholakala kwi-MRI kuziguli ezine-hernia yezemidlalo. Ngakho-ke, i-MRIs isetshenziselwa kakhulu ukusiza ukuqinisekisa ukutholakala kwe-hernia yezemidlalo.
Kunezinye izimbangela eziningi zokuhlukunyezwa kwabagibeli, futhi empeleni, i-hernia yezemidlalo yimbangela engavamile yokuhlunguphazeka.
Ngeshwa, iziguli eziningi zinikezwa lokhu okuxilongwa ngaphandle kokuhlolwa okwanele kwazo zonke izimbangela ezibangelwa ubuhlungu be-groin. Ngivame ukubona abagijimi abanenkinga yokuhlonza isibonakaliso sobuhlungu obubuhlungu abatshelwa ukuthi banempilo yakhe yezemidlalo - kanti lokhu kungenzeka ukuthi kubalulekile ukungagxili kulokhu kutholakala ngaphandle kokuhlolwa okuphelele ngumhloli ojwayele konke imithombo ekhona yokuhlunguphaza kwabadlali.
Eminye yeminye imithombo ekhona yokuhlunguphaza ubuhlungu ihlanganisa:
- Imithwalo yemisipha ye-Adductor
- Izinyembezi ze-Hip labral
- Osteitis pubis
- Ukucindezeleka ukuphuka emakhaleni
I-Sports Hernia Ukwelashwa
Kunezinhlobo ezimbalwa zokwelapha eziye zaboniswa ukuthi ziyasebenza kumsebenzi wezemidlalo ngaphandle kokuhlinzwa.
Lokho kusho ukuthi ukwelashwa kokuqala kwe-hernia yezemidlalo kuhlale kunesibindi ngokuthemba ukuthi lezi zimpawu zizoxazululwa. Ukuphumula emisebenzini, imithi elwa nokuvuvukala , ukwelapha kweqhwa , kanye nokwelapha ngokomzimba kungenziwa konke ukuzama ngomzamo wokunciphisa izimpawu zesiguli. Ukuqiniswa kwesisu somzimba nesisu esisodwa ngezinye izikhathi kuphumelela ekunciphiseni izimpawu.
Uma lezi zinyathelo zingakhulumi izimpawu ze-hernia yezemidlalo, ukuhlinzekwa kungase kuphakanyiswe ukuze kulungiswe indawo ebuthakathaka edongeni lomzimba. Ezifundweni eziningana zibonise phakathi kwamaphesenti angama-65 namaphesenti angama-90 abagijimi abakwazi ukubuyela emsebenzini wabo ngemuva kokuhlinzwa kwe-hernia yezemidlalo. Ukuvuselelwa kusukela ekuhlinzekeni kwe-hernia yezemidlalo kuvame ukuthatha amasonto ayisishiyagalombili.
Izwi elivela
I-hernias yezemidlalo kuyinkinga enzima yokwelapha; abanye odokotela abakholelwa ukuthi ngisho bekhona. Kodwa-ke, abahlinzayo abaningi bezokwelapha bezemidlalo babona lokhu kulimala futhi babone abagijimi bokuphumula abangenza uma isimo sibonakala kahle futhi siphathwa kahle. Uma unesifo esiphansi sezinhlungu zesisu noma esiswini, kanti udokotela wakho unenkinga yokuthola ukuxilongwa, buza ukuthi ungahlolwa yini ngudokotela ophethe njalo abagijimi abanemidlalo yezemidlalo.
Imithombo:
I-Minnich JM, uHanks JB, uMuschaweck U, Brunt LM, uDauchuch DR. "I-hernia yezemidlalo: ukuxilongwa kanye nokwelashwa okugcizelela ukulungiswa okuncane okusebenzayo" Am J Sports Med. 2011 Jun; 39 (6): 1341-9.
I-Farber AJ1, u-Wilckens JH. "I-hernia yezemidlalo: ukuxilongwa nendlela yokwelashwa" J Am Acad Orthop Surg. 2007 Aug; 15 (8): 507-14.
I-Zoga AC, et al. "Athletic pubalgia kanye" nemidlalo yezemidlalo ": UM MR ukufundwa." I-Radiology. 2008 Jun; 247 (3): 797-807. A