Ukuhlukaniswa kwehlombe kuzwakala njengokulimala okungaqondakali, kodwa empeleni, kubhekisela ekusweleni noma ekuqothulweni kwemigqa lapho i-collarbone (i-clavicle) ihlangana ne-shoulder blade (scapula). Le mpikiswano ibizwa nangokuthi ukuhlanganiswa kwe-acromioclavicular noma i-AC. Uma lezi zigcwala kancane noma ziqhekeze ngokuphelele, i-clavicle igxila phambili futhi ingase ikwazi ukusuka ku-scapula.
Ukuhlukaniswa kwehlombe ngokuvamile kubangelwa umthelela noma ukushaya okuphambi kwehlombe noma ngokuwa ngesandla eseluliwe.
Ukuhlukana Kwehlombe Nokuhlanjululwa Kwamahlombe
Ukuhlukaniswa kwehlombe kuhlukile ekuhlukaneni kwehlombe, okwenzeka endaweni ehlukile yehlangothini lwehlombe, futhi uphathwa ngendlela ehlukile. I-dislocation yenzeka ekuhlanganyeleni kwe-glenohumeral, lapho i-humerus bone yengalo engenhla ibonisa khona ngesiteji, kunokubambisana kwe-AC. Ukuhlwithwa kwehlombe kuphathwa ngokunciphisa .
Izimpawu nezibonakaliso
Ubuhlungu obunamahloni nobubele buyimpawu ezivamile zokuhlukaniswa kwehlombe ngemva kokuwa noma umthelela. Ngezinye izikhathi kukhona i-bump encane ngaphezulu kwehlombe kanye nokulimaza nokuvuvukala. Izibonakaliso zokulimala kwamalungu ehlombe zivela ekungcoleni okuncane kanye nobumnene obukhulu ebuhlungu obukhulu futhi obukhulu kakhulu.
Ukuhlukana Kwamahlombe Ubunzima nohlobo
Ubukhulu bokuhlukaniswa kunqunywa inani kanye nesiqondiso sokuhlukaniswa okuhlanganyelwe kanye nomonakalo we-ligament obonisa ama-x-ray.
Thayipha ukulimala kokujoyina i-I no-II kuthathwa njengobumnene futhi kungase kuphendule ukwelashwa okunamandla. Ngohlobo olunzima kakhulu IV, V, no-VI ukulimala kokuhlukana, ama-ligam ukweseka angase aqedwe. Lezi zingozi ngokuvamile ziphathwa ngokuhlinzwa.
Ukwelapha
Thayipha I no-II AC Joint Injury Treatment
Ukwelashwa kohlobo lwe-I no-II lwama-AC ngokuhlanganyela kuhlanganisa nemithi yokwelapha ehlanganisa okulandelayo:
- Ukuphumula ukuvumela izicubu ezonakalisiwe ukuba ziphulukise
- Ukusekela kanye nezindwangu zokuthatha ingcindezi kuhlangene
- Ice ukuze unciphise ukuvuvukala nokuvuvukala
- Ubuhlungu obuningi bokulwa nomuthi kanye nemithi elwa nokuvuvukala
- Ukuzivocavoca umzimba ukukhulisa ukuhamba nokuqina
Uhlobo lwe-AC AC Joint Injury Treatment
Ukwelapha okunciphisa ukulinganisa, noma u-III, ukulimala okuhlangene kwe-AC akucaci. Kukhona ukungqubuzana phakathi kwabahlinzeki bokuhlinza ukuthi kufanele basebenzise kanjani ukwelashwa okuqaphayo noma ukuhlinzekwa kohlobo lwe-III lwehlukaniso. Iningi leziguli ezinezinhlobo zokuhlukanisa izinhlobo zohlobo lwe-III ziphulukisa kahle ngezokwelapha okuzenzekelayo futhi zibuyele ezemidlalo ngokushesha kuneziguli ezihlinzwa. Ngaphezu kwalokho, bagwema noma yiziphi izingozi zokuhlinzwa. Kodwa-ke, ezinye iziguli zingase zithole inqubo yokuhlinzwa. Lezi ziguli ezibandakanyeka emisebenzini enzima noma ezemidlalo ezidinga izinyathelo ezivamile, ezifana ne-tennis noma i-baseball, zingase zithole okuningi ngokungenelela kokuhlinzeka ngenxa yokuqina komsebenzi wabo.
Uhlobo IV, V, no-VI AC Joint Injury Treatment
Ukwelashwa kwe-Type IV, V, kanye ne-VI AC ukulimala ngokuhlanganyela kuhlanganisa nokuhlinzwa ukuze kulungiswe futhi kufaka imibuthano ewonakele noma eboshiwe bese ibamba i-clavicle endaweni lapho iphelisa. Kunezinhlobo eziningi zombili izinqubo zokuhlinzeka ezivulekile nezingamakhemikhali ezingasetshenziswa ukulungisa ihlombe elihlukanisiwe.
Umgomo wawo wonke lokhu ukuhambisana nokuqiniswa kwesihluthulelo esifubeni futhi ukuvuselela izigameko ezonakalisiwe. Ngezinqubo ezinjalo, i-clavicle ibanjwe esikhundleni se-sutures noma i-metal screws ngenkathi i-ligaments ipholisa.
Ukuhlukana okuningi kwehlombe kuphulukisa ezinyangeni ezimbili kuya kwezintathu ngaphandle kwezinkinga.
Umthombo:
Ukulimala Okuhlangene Kwama-Acromioclavicular: Ukuhlonza Nokuphathwa, R. Simovitch, et al, Journal of the Am. I-Academy yezigulane ezingama-Orthopedic 2009 17: 207-219.