Kunini lapho kudingeke khona ukuhlukaniswa kwehlombe?
Ukwelashwa kwe- shoulder dislocation kuncike ezintweni eziningana, kanti ezinye iziguli zingadinga ukuhlinzwa. Uma isiguli sigxila emahlombe abo kumcimbi osengozini (isib. Ukushayisana kwezemidlalo, ukuwa, ingozi yezimoto, njll) basengozini yokugcina ukuhlukaniswa okuphindaphindiwe esikhathini esizayo. Ukuphazamiseka kwehlombe kube yinkinga ephindaphindiwe kuncike kakhulu ekuguleni kwesiguli.
Iphesenti yokubuyiswa kabusha kabusha mayelana nalokhu:
- Ngaphansi kweminyaka engama-20 ubudala: 90%
- Iminyaka engu-20-30 ubudala: 75%
- 30-40 ubudala: 30%
Lezi yizibalo ze-ballpark, futhi ezinye izinto zifaka ingozi engozini yomuntu ngamunye wokuphindaphinda kwehlombe labo.
Ingabe Ukuhlinzwa Kudingekile?
Ngokwesiko, odokotela abaningi bamazinyo babengeke bakhethe ukusebenza esigulini ngemva kokuhlukaniswa kokuqala. Esikhundleni salokho, emva kwesikhathi esifushane sokungasebenzi kahle, kulandelwa ukwelashwa ngokomzimba, isiguli siyoqala kancane kancane imisebenzi yabo evamile. Uma isiguli sinezinsuku ezimbili, noma ukuphindaphinda, ukuhlinzwa, kwakubhekwa ukuhlinzwa.
Muva nje, kunobufakazi obuhle besayensi bokusekela ukuhlinzwa okuqala, ikakhulukazi ezigulini ezincane ezisengozini enkulu yokuphindaphinda. Uma ugxila ekuhlanjululeni ihlombe futhi unesithakazelo ekuhlinzekeni, xoxa nodokotela wakho izinzuzo ezikhona zokuphathwa kokwelashwa okungahambi kahle.
Izinketho Zokwelapha
Lapho ukuhlinzwa kukhethwa njengendlela yokwelashwa, umgomo ukulungisa umonakalo okwenzeka lapho ihlombe liphuma ekhoneni layo. Ukulimala okuvame kakhulu okukwenzeka lapho enye yezimpawu ezinkulu eziqinisayo zihambisana ne-labrum yesikhwama sehlombe. Lolu hlobo oluthile lokulimala lubizwa ngokuthi i-Bankart izinyembezi futhi luyisichazamalo nje uhlobo oluthile lokulimala olwenzeka njengoba umphumela wehlombe uhlukanisa.
Lapho i- Bankart izinyembezi zidinga ukulungiswa , lokhu kungafezwa noma ngokuhlinzwa okuvulekile noma ukuhlinzwa kwe-shoulder arthroscopic. Ngokuvamile kulezi zinsuku ukwelashwa kwe-arthroscopic kunenzuzo, noma kunjalo, kunezimo ezithile lapho ukuhlinzwa okujwayelekile okuvulekile kungaba yindlela engcono kakhulu. Ukukhishwa kweBanartart kwenziwa ngokubuyisela kabusha i-labrum eyonakalisiwe kuya esikhwameni sehlombe, ukubuyisela ukuqina komgogodla ovamile obamba ibhola esitsheni.
Kukhona izindlela zokwelashwa okungezona okuhlinzekwa nazo ezitholakalayo kubantu abaye baqhubeka nokuhlukunyezwa kwehlombe. Ngokuvamile abantu bazozama ukwelapha ngokomzimba ukuqinisa imisipha esiza ukuzinzisa ibhola lehlombe ekhoneni. Ngenkathi i-labrum ingasiphululi esimweni sayo esivamile, ngezinye izikhathi kungenzeka ukuthi inxephezelo ngokuqinisa imisipha ehlombe ehlombe ukuthi abantu abaningi bangaqala kabusha imisebenzi yabo evamile. Kubuye kube nezifundo ezithile ezibonisa ukuthi ukuvimbela ihlombe endaweni ethile kungasiza futhi ukuvimbela ithuba lokuhlehliswa kabusha. Lokhu kuyindlela yokwelashwa engavamile kakhulu ngoba isikhundla esidingekayo sokuthi singakwazi ukulungisa impela siyinkinga kakhulu ingalo isuke emzimbeni.
Yini Okufanele Uyenze?
Njengoba kukhonjisiwe, kukhona ukuphikisana ngokuthi iyiphi ukwelashwa okungcono kakhulu.
Kubantu abadlali abasha abadlala imidlalo yezokuxhumana (kubandakanya ukugijima kwebhola noma i-hockey ice) cishe ukuphathwa kahle ngemva kokuhlukaniswa kokuqala kusukela ithuba lokuphindaphinda okuphezulu kakhulu uma bengenalo ukuhlinzwa. Eminye iningi, kunengqondo ukuzama ukwelashwa okungenasisakazo emzamweni wokuqala wokuphatha le ngozi. Uma ukuhlukaniswa kwesibili kwenzeka, khona-ke ukuhlinzeka kufanele kucatshangelwe.
> Imithombo:
> Kirkley A, et al. "Isivivinyo somtholampilo esingahle senziwe ngokungahleliwe ngokuqhathanisa ukuphumelela kokuqiniswa kwe-arthroscopic ngokushesha nokuphelelwa imvelo nokuvuselelwa ekuhambeni kokuqala kokuhlukunyezwa kwangaphambili kwehlombe: ukuhlolwa kwesikhathi eside." I-Arthroscopy. 2005 Jan; 21 (1): 55-63.