Amahlombe angakhawuleki a-Slip emakethe awo
Isihlanganisi sehlombe sihlangene esiyinkimbinkimbi evumela ukunyakaza okungaphezu kwanoma yikuphi okunye okuhlangene emzimbeni. Ngenxa yokuthi ukujoyina kuhamba kakhulu, kungase kube nomkhuba wokuba uhamba kakhulu futhi kulungele ukuhlukaniswa. Abantu abanamahlombe abangahlali ngokuqinile ngaphakathi kokubambisana kuthiwa banokungazinzi kwehlombe.
Ukungazenzeki ngokweqile kuyimimo lapho ibhola lomhlanganiso webhola-ne-ekhoneni lingaphuma ekhoneni.
Ngezinye izikhathi ibhola liyingxenye yendlela yokuphuma engxenyeni, ebizwa nge- subluxation yehlombe . Ngezinye izikhathi, ibhola liphuma ngokuphelele ekhoneni, elibizwa nge- shoulder dislocation .
Kunezinhlobo ezimbili ezijwayelekile zokungazinzi kwehlombe:
- Ukukhubazeka Okudabukisayo: Ukungazinzi kahle kwehlombe kwenzeka lapho kunobungozi obukhulu ehlombe, njengokuwa noma ukulimala kwezemidlalo. Ihlombe lixoshwa ngokuqinile emzimbeni walo, futhi ngokuvamile kufanele libuyiselwe esikhundleni ngokusebenza okukhethekile, ngezinye izikhathi kudinga i-anesthesia. Ukuphazamiseka okudabukisayo kuvame ukulimaza izigxobo ezithinta ibhola kulesi sikhwama bese kwenza ihlombe lilungele ukuyeka futhi esikhathini esizayo.
- Ukukhubazeka Okuningi: Ukungazinzeki okuningi (ngezinye izikhathi kugcizelelwe njenge MDI) kwenzeka lapho ihlangothini lehlombe livulekile ngaphakathi kokungena. Asikho isenzakalo esibuhlungu esibangela ukungazinzeki, kodwa kunalokho ihlombe linomkhuba wokushintsha ngokweqile, okwenza ubuhlungu buhlangane. Ngokuvamile, abantu abanezibonakaliso zokungazinzile okungaqondakali kwezikhalazo ngokukhononda, noma ukuguqula, kwehlombe ngokunyakaza okuphezulu.
Izinto Ezintathu Zezintambo Zizinzile Ukubambisana Kwe-MDI
Kunezici ezintathu ezenza kube nokuthula kwanoma yikuphi ukujoyina emzimbeni. Lokhu kufaka:
- I-Bony Anatomy: Amathambo ehlombe abambelela kancane kakhulu ekuqineni kwalokhu okuhlangene. I-socket ayinalutho, futhi ngaphandle kwezinye izakhiwo ukubeka ihlombe endaweni, ibhola ngeke lihlale endaweni. Qhathanisa lokhu nokuhlanganiswa kwe-hip, enesixhumi esijulile futhi lapho kunzima ukukhipha ibhola kusuka ekhoneni.
- Izivikelo eziqinile: Izisindo eziqinile eziyizungezile okuhlangene. Amagciwane axhuma amathambo amabili ndawonye. Ama-ligamenti aguquguqukayo (angakwazi ukugoba), kodwa angahlanganisi (awakhulumi). Abantu abanokungazinzi okuphazamiseka kakhulu bavame ukubhoboza izigxobo zomhlanganiso. Abantu abanokungazinzi okungaqondakali ngokuvamile babe nemigqa engavamile. Eqinisweni, kunezimo zomgogodla wezakhi zofuzo ezingabangela ukungazinzi okunamandla okuningi.
- Izivivinya ezinamandla : Ukuqiniswa okunamandla kuyimisipha nama-tendon ezungeze ehlombe. Lezi zinyosi zihlanganisa ikhofu yokujikeleza , iqembu lezinsimu ezizungeze ibhola lehlombe. Izimo ezinamandla eziguquguqukayo ziguquguqukayo, futhi ziyanwebeka. Abantu abaningi abanokungazinzi okungaqondakali abaningi bangaqinisa ukuqiniswa okunamandla ukukhokhela izigxobo ezingavamile.
Izimpawu zokungazinzi kwezintambo eziningi zihlanganisa ubuhlungu nobunzima ngemisebenzi ephezulu. Iningi labantu abanezibonakaliso ezihlobene nokungazinzi okuhlukahlukene ukubandakanya emidlalweni ehlanganisa ukunyakaza okuphezulu, kuhlanganise nokubhukuda, ukuvocavoca, kanye ne-softball. Abesifazane abasebasha bavame ukuhlukumezeka ngokungaqondakali okuningi.
Ukwelapha
Ukwelashwa kwe-MDI kuhlukile ekwelapheni kokungahlali kahle kwehlombe.
Ngokuvamile, abantu bangaphinde bahlaziyeke ngokungazinzile okungahambisani nokuhlinzeka ; lokhu kubandakanya abadlali bezinga eliphezulu, abancintisanayo.
Ukwelashwa kufanele kugxile ekuqiniseni ukuqiniswa okunamandla kokuhlanganiswa kwehlombe. Ukwengeza, abantu abaningi abanokungazinzi okungaqondakali abaningi bacatshangwa ukuthi banezimboni zokuhlunga amahlombe-ikakhulukazi, ukunyakaza kwabo kwama-shoulder (shoulder shoulder) akuhambisani kahle nokunyakaza kwamahlombe. Ngokubuyisela ukunyakaza okujwayelekile, nokuqinisa ukuqiniswa okunamandla okubandakanya i-rotator cuff, umsebenzi ohlangene ohlangothini ungahle uthuthuke.
Ucwaningo oluningi luye lwabonisa ukuthi iningi leziguli ezikhuthazwayo lingabuyiselwa ukungazinzi okungahambisani nokuhlelwa ohlelweni lokuvuselela amahlombe. Cishe iziguli ezingu-85% ezithatha uhlelo olunjalo zizobika imiphumela emihle. Kunabantu abathile abahluleka ukuthuthukisa futhi bangase banqume ukuthi babe nokuhlinzwa kwamahlombe.
Ukuhlinzwa
Izinqubo zokuhlinzekwa kwe-MDI zibhekwa iziguli ezinezibonakaliso eziqhubekayo zehlombe eziphuma esikhwameni, naphezu kokwelashwa okungapheli okungapheli. Ngokuvamile, ukuhlinzwa kuhilela ukuqinisa imigudu ejikeleze ihlombe. Abanye odokotela abahlinzayo bakhetha ukwenza lokhu okuyi-arthroscopically, kanti abanye ngokubandakanya okujwayelekile okuhlinzwa .
Esikhathini esidlule, kwakuthandwayo ukwenza inqubo ebizwa ngokuthi i-shrinkage esishisayo, isebenzisa ukushisa kwesibindi ukuze kukhishwe izicubu ezinesisindo ehlombe ukuze kuqinisekiswe i-capsule ehlangene. Le nqubo ye-shrinkage efudumele yabonakala ibe nemiphumela embi kakhulu, futhi ngokuvamile yayidinga ukwelashwa okuqhubekayo okuqhubekayo.
Ukuhlinzwa okungcono kakhulu kokungazinzeki okuhlukahlukeneyo kuyindlela yokushintshashintsha kwe-capsular noma ukuphindaphindiwe kwe-capsular, okubili kokubili izinqubo eziqinisa i-capsule yehlombe. Ngaphezu kwalokho, abanye odokotela abahlinzayo bazokwenza ukuvala isikhashana se-rotator, inqubo evimbela igebe phakathi kwezimbungulu ezimbili ze-rotator.
Ukuhlinzwa okulandelayo kwe-Rehab kubhekana nezinyanga eziningi. Ekuqaleni, ngemuva kokuhlinzwa, ihlombe alinamandla ukuvumela izicubu eziqinile ukuba ziphulukise, bese umsebenzi uqalwa ukuphinde uhambe, ulandelwe ukuqiniswa. Abagijimi abaningi bavunyelwe ukuqhuba umsebenzi ogcwele ezinyangeni ezingu-6.
Umthombo:
I-Gaskill TR, et al. "Ukuphathwa Kokukhubazeka Kwama-Multidirectional of the Ehlombe" J Am Acad Orthop Surg December 2011; 19: 758-767.