Iyini ukuhlukaniswa kwehlombe?
Ukuphazamiseka kwehlombe kungukulimala okwenzeka lapho ibhola lehlangothini lehlombe nekhanda lihlukaniswa nesimo salo esivamile. Ibhola liphuma ekhoneni lehlombe. Uma lokhu kwenzeka, ibhola lingase lihlale ehlombe futhi lidingeke libuyiselwe emuva, noma likwazi ukubuyela emuva endaweni ejwayelekile yedwa.
Kwenzeka Kanjani
Ihlangothini lehlombe lihlangene nebhola-ne-socket .
Ibhola liphezu kwethambo lesandla (i-humerus), futhi lokhu kufanelana nesikhwameni sehlombe (i-scapula) ebizwa ngokuthi i-glenoid. Ihlangene lehlombe liyamangalisa ngoba lisivumela ukuba sithuthele ihlombe lethu njengento emangalisayo yokunyakaza - akukho ukujoyina emzimbeni kuvumela ukunyakaza okungaphezu kokuhlangana kwehlombe. Ngeshwa, ngokuvumela lolu hlu olubanzi lokunyakaza, ihlombe alinamathele njengamanye amalunga. Ngenxa yalokhu, ukungazinzi kwehlombe akuvamile.
Ukuphazamiseka kwehlombe kubonakala ngemuva kokulimala njengokuwa noma ukulimala okuhlobene nemidlalo. Cishe ngo-95% wesikhathi, lapho ihlombe liphuma, phezulu kwe-humerus ihlezi phambi kwekhasi lehlombe - ukuhlukaniswa kwangaphambili. Ngamacala angaphansi kuka-5%, phezulu kwe-humerus kungemva kwe-shoulder blade - ukuhlukaniswa kokuhamba ngemuva. Ukuthunyelwa kokuthunyelwe kwangokwemvelo akuvamile, futhi kubonakala ngemuva kokulimala okunjengo-electrocution noma ngemuva kokuthunjwa.
Ukuhlukaniswa noma Ukuhlukaniswa?
Ukuphazamiseka kwehlombe kuvamise ukudideka ngokuhlukaniswa kwehlombe , kodwa lokhu kulimala okubili kakhulu! Kubalulekile ukuhlukanisa lezi zinkinga ezimbili ngoba izinkinga zokuphatha, ukwelashwa, nokuvuselelwa zihlukile. Ukuhlukaniswa kwehlombe kwenzeka lapho i-collar bone ilahlekelwa ukuthintana nehlombe.
Ngokuvamile la mazwi adidekile, futhi ukulimala, futhi okubaluleke nakakhulu impikiswano yokwelapha, kuhluke kakhulu.
Izimpawu Zokuphulukisa Ngezinwele
Iziguli ezinokuhlushwa kwehlombe ngokuvamile zibuhlungu obukhulu. Bayazi ukuthi kukhona okungahambi kahle, kodwa kungenzeka ukuthi abazi ukuthi baye basakaza amahlombe. Izimpawu ze-dislocation yehlombe zifaka:
- Ubuhlungu behlombe
- U-Arm wayebhekene naso, ngokuvamile kancane kancane emzimbeni ohlangene
- Ukulahlekelwa umjikelezo ojwayelekile ohlangene we-muscle wehlombe
- Ukungakwazi ukuhambisa isikhundla sesandla
- Ukuvuvukala kwehlombe
Ukuxilongwa kwe-shoulder dislocation ngokuvamile kubonakala nje ngokukhuluma nesiguli nokuhlola okuhlangene. Iziguli kufanele zihlolwe ukuze zithole ukuthi zikhona yini umonakalo wegazi noma umonakalo wegazi. Lokhu kufanele kwenziwe ngaphambi kokubeka kabusha i-dislocation yehlombe. Ama-X-rays kufanele atholakale ukuze ahlole noma yiliphi ithambo eliphukile elizungeze ukujoyina, nokunquma indawo yokuhlukaniswa kwehlombe.
Ukwelashwa Kwamahlombe Okuthintekayo
Kunezinhlobo eziningi zokhetho mayelana nokwelapha kwe-shoulder dislocation , kodwa isinyathelo esibaluleke kakhulu ukubeka kabusha ukujoyina, okubizwa ngokuthi ukunciphisa ukuhlukaniswa . Uma ihlombe selibuyele emuva, ukwelashwa okufanele kungenziwa.
Isinqumo esibaluleke kunazo zonke ukucacisa ukuthi ukuhlinzwa kufanele yini ukulungisa umonakalo osehlombe. Lapho ihlombe liphazamisa, into ehlombe yahlushwa ukuze ihlombe liphume. Ukulungisa lowo monakalo kungasiza ekuvimbeleni ukuphindaphinda kokuphazamiseka kwehlombe. Udokotela wakho angakusiza ukunquma ukwelashwa okungcono kwesimo sakho.
Imithombo:
ULintner SA kanye noMnuz Speer KP "Ukuzimela Kwangaphambili Kwe-Glenohumeral Eyingozi Yomsebenzi: Indima Ye-Arthroscopy" J Am Acad Orthop Surg Okthoba 1997; 5: 233-239.