Kuyini ukungazinzi kwehlombe?
Ukungazinzi kokungenelela kuyinkinga eyenzeka lapho izakhiwo ezungeze ukuhlanganiswa kwehlombe azisebenzi ukugcina ibhola liqinile ngokuqinile ngaphakathi kwesikhwama salo. Uma okuhlangene kukhululekile kakhulu, kungase kube isilayidi eceleni endaweni, isimo esibizwa ngokuthi i- shoulder subluxation . Uma okuhlangene kuvela ngokuphelele endaweni, lokhu kubizwa ngokuthi i- shoulder dislocation . Iziguli ezinokuhlushwa kwehlombe zivame ukukhononda ngokuzwa okungenakukhathazeka ukuthi ihlombe labo lingase libe mayelana nokushiya indawo - yilokho odokotela bakubiza ngokuthi "ukukhathazeka."
Ukungazenzeki kwamaphutha kuthatha ukuvela emaqenjini amathathu abantu:
- Ama-Dislocators asengaphambili
Iziguli eziye zahlukumeza ihlombe kuqala zihlakulela ukungazinzi okungapheli. Kulezi ziguli, izigxobo ezisekela ihlombe ziqhekekile lapho kuvela ukuxoshwa. Uma lezi ziphulukisa ukuphulukisa ngokukhululekile, khona-ke ihlombe lizokwazi ukuphindaphinda ukuhlukaniswa kanye neziqephu zokungazinzi. Lapho iziguli ezincane (ezingaphansi kweminyaka engaba ngu-35 ubudala) zisekela ukuhlukumezeka okubuhlungu, ukungazinzi kwehlombe kuzolandela iziguli ezingaba ngu-80%. - Abadlali Abasha
Abagijimi abanobudlelwane emidlalweni ehilela imisebenzi ephezulu bangase babe nehlombe elibi noma ukungazinzi okuhlukahlukene (MDI). Laba badlali, njengabadlali be-volleyball, abagijimi, kanye namapaki we-baseball, balula i- capsule ne-ligaments ehlombe , futhi bangase bathuthuke ukungazinzi okungapheli. Ngenkathi zingase zingasebenzi ngokuphelele, ukukhathazeka, noma umuzwa wokuba uhambe, kungavimbela ikhono labo lokudlala le midlalo.
- "Izigulane ezimbili" ezihlanganisiwe
Iziguli ezinezinye izifo ezixhumene nezicubu zingase zibe namajoyini ahlangene. Ezigulini ezinesimo esibangela ukuxhuma okuhlangene , noma ukujoyina kabili, amalunga abo angase alahleke kakhulu kuwo wonke umzimba. Lokhu kungaholela ekuziphatheni kokuzimele futhi ngisho nokuhlukaniswa.
Ukwelashwa Kwamahlombe Okuhlunga
Ukwelashwa kokungazinzi kwehlombe kuxhomeke kulokhu okushiwo ngenhla kubangela ukuba ihlombe liphume ngokuhlanganyela. Iningi leziguli ezinezinkinga ezihlukahlukene zokuqondisa izimo zizophathwa ngokuphumelelayo ngohlelo olugxilwe ukwelapha ngokomzimba ukuze kuqiniswe imisipha esiza ukubamba isikhundla. Kwezinye iziguli ezine-MDI, uma ukwelashwa isikhathi eside kungaphumelelanga, kunezinketho zokuhlinza ukuqinisa i-capsule yehlombe ukusiza ukunciphisa inani lokuhamba kwesibambisene. Lesi sinyathelo asidingi njalo, njengoba ukwelashwa okungcono kulaba bantu kutholakala ngelashwa. Kumele kuqashelwe ukuthi ukuze ukwelashwa kusebenze kahle, kuthatha izinyanga eziningi zomsebenzi ezigxile ekuziphatheni kwezintambo ukuze ufeze umphumela oyifunayo.
Iziguli eziye zahlukumeza kakhulu ihlombe zivame ukubhidliza enye yezakhiwo eziphethe ihlombe ngendlela efanele. Ezigulini ezincane (ezingaphansi kweminyaka engama-30), i- labrum yehlombe ivame ukuqothulwa, okuthiwa i- Bankart izinyembezi . Kulezi zimo, i-labrum ivame ukulungiswa ngokuhlinzwa, okuthiwa i-Bankart ukukhanda. Iziguli ezineminyaka engaphezu kwengu-30 zinethuba eliphakeme lokudwengula i-rotator cuff , kunokuba i-Bankart izinyembezi, lapho zihlukana.
Kulezi zimo, ukwelashwa kungacatshangelwa ukwelashwa kwe- rotator cuff izinyembezi, noma ukuhlinzwa kwe-cuffler .
Iziguli ezinezixhumanisi ezingavamile, okuthiwa zihlanganiswe kabili, azivame ukuphathwa ngokuhlinzwa. Ngenxa yokuthi lezi ziguli zinezicubu ezingavamile, ukuhlinzwa akukulungisi inkinga engaphansi. Inkinga ngalezi ziguli kaningi kaningi udaba lofuzo olungenakuphathwa kahle ngenqubo yokuhlinzwa. Ukwelapha umzimba kungasiza ekuthuthukiseni izimpawu, futhi kuphela ezimweni ezingavamile ukuthi ukuhlinzwa kungacatshangelwa.
> Imithombo:
> Li X1, Ma R, Nels Nielsen, Gulotta LV, Dines JS, Owens BD. "Ukuphathwa kokungazinzi kwehlombe esigulini esinezifo ezincane" J Am Acad Orthop Surg. 2013 Sep; 21 (9): 529-37.