Kunezizathu ezingu-11 ezingabangela izinhlungu zehlombe okufanele zicatshangelwe
Ubuhlungu behlombe kuyinkinga ejwayelekile kakhulu, futhi abantu abaningi ikakhulukazi babhekana nobuhlungu ebusuku. Nokho, akuzona zonke izinhlanzi ezibuhlungu ezinesizathu esifanayo. Nakuba ukwelashwa ngezimbangela zezinhlungu zehlombe kungase kube nokunye okungafani nokufana, kungase kube khona umehluko obalulekile ukwelashwa okusekelwe ekuxilongweni. Ngenxa yalesi sizathu, isinyathelo sokuqala sokuphatha ihlombe elibuhlungu ukuqonda umthombo wenkinga.
Ukwenza Ukuxilongwa
Lapho uthola ukuxilongwa ngezinhlungu zehlombe, udokotela wakho uzobheka izibonakaliso zemibandela ehlukene futhi uzohlola umkhawulo wakho ophezulu ukuhlola izinkinga ezikhona. Ezinye zezimpawu zezinhlobo ezahlukene zezinkinga zehlombe zifaka:
Indawo Yezinhlungu
Ngaphandle Kwendwangu: Ubuhlungu ngaphezu kwehlombe ngokuvamile kuvamise ingalo. Ubuhlungu kaningi buvuthwa kakhulu. Isizathu esivame kakhulu sobuhlungu ngaphezu kwehlombe kuyinkinga ye- rotator ye-cuff , kuhlanganise ne-tendonitis, i-bursitis, noma i- rotator cuff izinyembezi.
Ngaphambi Kwamahlombe: Ubuhlungu obuphambi kwehlombe buvame ukuhambisana ne- biceps tendon . I-tendon biceps igxila ngaphakathi ngaphakathi kwehlombe; izinkinga ze-biceps zihlanganisa i-biceps tendonitis, izinyembezi ze-SLAP , nama- biceps izinyembezi .
Okuphezulu Kwamahlombe: Isizathu esivame kakhulu sobuhlungu esiqongweni sehlombe sihlangene ne-AC engavamile. Izinkinga zokujoyina i-AC zihlanganisa i- AC arthritis , i- distal clavicle osteolysis , nokuhlukaniswa kwehlombe .
Isikhathi sobuhlungu
Ubuhlungu obuhlala njalo: Izinkinga eziningi zehlombe zivame ukuphazamisa umsebenzi. I-rotator cuff tendonitis nezinyembezi ngokuvamile zibuhlungu ngemisebenzi efana nokufinyelela noma ukuphonsa . Ubuhlungu obunjalo abuvamile kakhulu kulezi zimo. Amahlombe afriziwe angabangela ubuhlungu obunzima, kepha ngokuvamile kuvame kakhulu lapho efika emuva ngemuva noma ekhanda.
Ubuhlungu bokuhlwa : Ubunzima bokuhlunga ebusuku bufana nezinkinga ze-rotator. Ukucabanga akucaci, kodwa akuvamile iziguli ezine- tendonitis ye-rotator , noma i-rotator cuff izinyembezi, ukuvuswa ebuthongweni noma ubunzima bokulala ngenxa yobuhlungu behlombe.
Ukuhamba
Ukuhamba kwehlombe lakho kunciphise izimo eziningi, kodwa ngezindlela ezahlukene. Ngokuvamile, sikhuluma ngezinyathelo ezihambayo zokunyakaza (ongakwenza) kanye nohlobo oluthile lokunyakaza (lokho umhloli wakho angakwenza). Uhlobo oluhambayo oluhambayo lokunyakaza luyinkinga yenkinga ye- rotator yenkomo . Kulezi zimo, imisipha ngeke isenze umsebenzi ofanelekile, ngakho-ke ihlombe lizwa lukhuni. Kodwa uma othile engakwenzela umsebenzi ngokuphakamisa ingalo yakho, ihlombe lihamba ngokujwayelekile.
Ukulahlekelwa kwezintambo zokuhamba okuvamile kungavamile kwehlombe elifriziwe ne- arthritis . Ngamahlombe afriziwe, izicubu ezinjenge-scarlike ziyakhuphuka ezungeze ihlombe, okuholela ekulahlekelweni kwesisindo-ngisho noma othile ezama ukukuthutha. I-arthritis yehlombe ingabangela i- bone spurs ne-cartilage enamandla engakwazi ukukhawulela nokuhamba.
Amandla
With imisipha 17 ezizungezile ihlombe, kunezimo eziningi ezingakwazi ukunciphisa amandla ehlombe. Kunemisipha emine yokujikeleza okubalulekile ekuthuthekeni kwehlombe.
Lezi akuzona izimbungulu ezinkulu ezihilelekile ngokuphakamisa izinto ezinzima, kodwa zibalulekile ukuhambisa ihlombe ngokujwayelekile, futhi izinkinga zomkhumbi we-rotator zikhawulela ngamandla amandla.
Udokotela wakho angakwazi ukuhlukanisa izicubu zomzimba zomjikelezo ngamunye ngokuhlolwa okuqondile nokuqondisa ukuthola ukuthi kunenkinga kuphi. Ngezinye izikhathi imisipha ye-rotator ye-rotator ayisebenzi ngendlela evamile ngenxa yokuvuvukala, futhi ngezinye izikhathi ngoba ixhunyiwe (idwenguliwe).
Ukukhubazeka / ukuphuma ngaphandle
Amahlombe azizwa engazinzile angase abe nomuzwa wokuthi uzophuma ngaphandle. Uma othile ehlukanisile ihlombe lakhe , imilayezo evamile ephethe ihlombe ingabonakaliswa, futhi ihlombe lingase libe nethuba lokuphuma ngokuhlanganyela.
Abanye abantu banezimpawu ezingavamile eziholela ehlombe elingaguquguquki elibizwa ngokuthi ukungazinzeki kwe-multidirectional . Lezi zivame abesifazane abasha, abagijimi abazwa ihlombe labo ukungahlali ngokuqinile ( ukuxoshwa kwehlombe ).
I-Popping, Ukuchofoza, i-Snapping
Amazwi omunwe avame ukuvela ngesinye sezimo ezimbili. Izinkinga nge-labrum noma i- biceps tendon ingabangela ukuzwa noma ukuhlunga. Uma i- tendon biceps ingaguquki , ingashintsha kusuka esimweni sayo esivamile, okwenza kube nomuzwa wokuphuza.
I- labrum yehlombe i-cuff of cartilage eqinisa isikhwama sehlombe. Izinyembezi zeLabral zingabamba ehlombe, kubangele ukuchofoza noma ukupenda. I-arthritis ehlombe ingabangela i- cartilage ebushelelezi ukuba igqoke ekuhlanganyeleni kwehlombe. I-bone evezweyo kanye nezindawo ezingenalutho ze-cartilage zingabangela ukuzwa okugaya okuthiwa i- crepitus .
Izimbangela Zezinzwa Ezibuhlungu
- I-Bursitis | I-Rotator Cuff Tendonitis
Ukuxilongwa okuvamile kunazo zonke iziguli ezinezinhlungu zehlombe yi-bursitis noma i-tendonitis yesikhumba se-rotator. - I-Rotator Cuff Tear
Izinyembezi ze-rotator zenzeke lapho izintambo zomkhombe we-rotator zihlukaniswa namathambo. Ngezinye izikhathi ukuhlinzwa kudingekile kule nkinga. - Ihlombe eligcwele
Futhi okuthiwa 'i-adhesive capsulitis,' lesi simo esivamile esiholela ekuqineni kombuthano. Ukwelashwa ngokomzimba kanye nokweluleka kuyizinto ezibaluleke kakhulu zokwelashwa. - I-Calcific Tendonitis
I-tendonitis ye-calcific i-calcium ibeka ngaphakathi kwethethoni - ikakhulukazi ngaphakathi kwamathonti e-Rotator. Ukwelashwa kwe-tendonitis ye-calcific kuncike ekubaleni kwezimpawu. - Ukukhubazeka Kwamahlombe
Ukukhubazeka kuyinkinga ebangela ukuhlanganyela okuxekethile. Ukukhubazeka kungabangelwa ukulimala okulimazayo (ukuhlukaniswa), noma kungaba isimo esithuthukile. - Ukususwa Kwamahlombe
Ukuhlukaniswa ukulimala okwenzeka lapho isifuba sesiphakamiso siphezulu sinqanyulwa kusuka ku-scapula. - Ukuhlukana Kwamahlombe
Futhi okuthiwa ukuhlukaniswa kwe-AC, lokhu kulimala kungumphumela wokuphazanyiswa kokujoyina kwe-acromioclavicular. Lokhu ukulimala okwehluke kakhulu kusuka kokuhlukaniswa! - I-Labral Tear
Kukhona amaphethini amaningana ebramu eboshiwe futhi uhlobo lokwelapha luncike ekulimazeni okuqondile. - I-SLAP Izinyembezi
I-SLAP lesion ibuye ibe uhlobo lwezinyembezi ezinzima. Isizathu esivame kakhulu ukuwa kwesandla eseluliwe. - I-Arthritis Ehlombe
I-arthritis yehlombe ayifani kakhulu kune-knee kanye ne-hip arthritis, kodwa uma kunzima ukuthi kudingeke ukuba kwenziwe ukuhlinzwa okuhlanganyelwe. - I-Biceps i-Tendon Ukuphakama
Ukuqhekeka kwe-biceps ye-biceps ehamba phambili kwenzeka lapho ithoni ye-biceps imisipha iphela eduze kwe-joint.
Kufanele Uboneni Udokotela Nini?
Uma ungaqiniseki ngezimbangela zezinhlungu zehlombe lakho, noma uma ungazazi izincomo zokwelashwa eziqondene nesimo sakho, kufanele ufune usizo lwezokwelapha. Ukwelashwa kwale mibandela kufanele kuqondiswe imbangela ethile yenkinga yakho. Ezinye izimpawu ukuthi kufanele ubonwe udokotela zihlanganisa:
- Ukungakwazi ukuthwala izinto noma ukusebenzisa ingalo
- Ukulimala okubangela ukubola kwesibambisene
- Ubuhlungu obuhlungwini obwenzeka ebusuku noma ngenkathi bephumula
- Ubuhlungu obunamahloni obuphikelela ezinsukwini ezimbalwa
- Ukungakwazi ukuphakamisa ingalo
- Ukuvuvukala noma ukuphazamiseka okukhulu okuzungezile ukuhlangana noma ingalo
- Izimpawu zokutheleleka, kuhlanganise nomkhuhlane, ubomvu, ukushisa
- Noma yiziphi ezinye izimpawu ezingavamile
Ukuphatha Ubuhlungu Obunzima
Ukwelashwa kwezinhlungu zehlombe kuxhomeke ngokuphelele ekubambeni kwenkinga. Ngakho-ke, kubaluleke kakhulu ukuthi uqonde imbangela yezimpawu zakho ngaphambi kokuqala uhlelo lwezokwelapha. Uma ungaqiniseki ngokuthi uhlolwe kanjani, noma ukuthi isimo sakho sibi kangakanani, kufanele ufune iseluleko sezokwelapha ngaphambi kokuqala noma yikuphi ukwelashwa.
Akuzona zonke izindlela zokwelapha ezibalwe lapha ezifanele zonke izimo, kodwa zingase zibe usizo esimweni sakho.
- Ukuphumula: Ukwelashwa kokuqala kwezimo eziningi ezivamile ezibangelwa ubuhlungu behlombe ukuphumula okuhlangene, futhi uvumele ukuvuvukala okunamandla kuphephe. Kubalulekile, Nokho, ukuthi uqaphele lapho uvala ukujoyina, ngoba ukukhulelwa isikhathi eside kungabangela ihlombe elifriziwe .
- Isicelo se- Ice kanye nokushisa : I- Ice packs kanye ne-heat pads ziphakathi kwezokwelapha ezivame ukusetshenziselwa ubuhlungu behlombe. Ngakho yiyiphi enye okufanele ukuyisebenzisa, iqhwa noma ukushisa? Futhi kufanele kube nini isikhathi eside ukuthi iqhwa noma ukushisa kuphele? Funda ukuze uthole ulwazi oluthe xaxa mayelana nokwelashwa kwe-ice nokushisa.
- Ukwehlisa: Ukwehlisa imisipha kanye namathononi azungeze ukujoyina kungasiza ngezimbangela ezithile zobuhlungu behlombe. Kufanele kube nesimiso esihle, futhi ukulandela iziphakamiso ezithile kuzokusiza endleleni yakho.
- Ukwelashwa Kwemvelo: Ukwelapha ngokomzimba kuyisici esibalulekile sokwelapha cishe zonke izimo zezinyosi. Abahlinzeki bemvelo basebenzisa izindlela ezehlukene zokwandisa amandla, baphinde bahambe, futhi usizo babuyele iziguli endaweni yabo yokulimala ngaphambi kokulimala.
Ukuzivocavoca okunye okungakusiza kungakusiza uqinise imisipha ehlangene nokuhlanganyela futhi ukhulule ubuhlungu obuhambisana nezimo eziningi. - Imithi Yokuvimbela Ukuvuvukala: Imithi yokuhlunguphazwa okungavumelani nokuvuvukala, ngokuvamile ebizwa ngokuthi i- NSAID , ingenye yemithi ejwayelekile kakhulu, ikakhulukazi iziguli ezinamahlombe ehlombe ezibangelwa izinkinga ezifana ne-arthritis, bursitis, ne-tendonitis.
- I-Cortisone injection: I- Cortisone imithi enamandla eyenza ukuvuvukala, nokuvuvukala kuyinkinga evamile ezigulini ezinamahlombe ehlombe. Xoxa nodokotela wakho izinzuzo ezikhona zomjovo we- cortisone ngenxa yesimo sakho sezinhlungu.
> Imithombo:
> Tonino PM, et al. Ukucindezeleka Kwamahlombe Okuncintisana: Ukuhlolwa Nokunakekelwa. J Am Acad Orthop Surg ngoMashi 2009; 17: 125-136.