Izinhlobo Zokungasebenzi - I-Brace Brace - Ukuhlinzwa njengezixazululo
Kuyini Ukuhlukunyezwa Kwamahlombe?
Ukuhlukunyezwa kwamagundane kukhona ukulimala okwenzeka lapho ibhola lomhlanganiso webhola-ne-ekhanda liphuma esikhundleni. Ngokuvamile, ukuphazamiseka kwehlombe kwenzeka ngemuva kokulimala kwezemidlalo noma ukulimala, njengokuwa. Ukuhlukunyezwa kwamaphutha kuyabuhlungu, futhi ukwelashwa okusheshayo kuyadingeka. Uma ihlombe selibuyele endaweni efanele, izinketho zokuphatha zingacatshangwa.
Ukunquma ukwelashwa okufanele kuncike ezintweni eziningana ezibandakanya ukuthi yini eyonakalisiwe ehlombe, kungakanani ukudilizwa okwenzekile, iminyaka yesiguli, imisebenzi noma ezemidlalo ezenziwe, nezinye izici. Kuzodingeka uxoxe nodokotela wakho ukwelashwa okufanele kakhulu ngesimo sakho.
Ukuhlelwa kabusha kwe-Dislocation
Ukubeka ihlombe endaweni efanele kuyinkqubo ebizwa ngokuthi "ukunciphisa ihlombe." Kunezinyathelo eziningana ezingasetshenziselwa ukubeka kabusha i-shoulder dislocation - ngokuvamile udokotela ngamunye unendlela yokunciphisa yokunciphisa. Ngokuvamile, umgomo ukuphatha ukujoyina ukuvumela ibhola ukuba ibuyele emuva endaweni ngaphandle kokudala umonakalo owengeziwe ekuhlanganyeleni kwehlombe.
Uma ukudilizwa kufanele kubuyele emuva, phenduka i-X-ray eyenziwa ukuqinisekisa ukuthi isesimeni esifanele, futhi ukuhlola ezinye ukulimala ezifana nokuhlukana.
Iziguli zifakwa esitokisini ukuze ziphumule ihlombe futhi zibhekiswe ku- odokotela abahlinzayo bama-orthopedic ukuze ziqhubeke nokuphathwa .
Ukuthungela Ukuhlukana Kwamahlombe
Ukwelashwa okusheshayo kokuphazamiseka kwamahlombe ukubeka isiguli esigodini ukuze kuvunyelwe ukuvuvukala nokuvuvukala ehlombe.
Emva kwalokho, ukuqeqeshwa okuqhubekayo kuqaliswa kuze kube yilapho isiguli sikwazi ukuqhuba imisebenzi yabo evamile. Kubekho izifundo zokubonisa ukuthi usebenzisa isiteji nganoma yisiphi isikhathi esithile sesikhathi esihle kakhulu.
I-sling esetshenziselwa ukuphatha amahlombe amaningi ehlombe igcina ihlombe ekushintsheni kwangaphakathi . Lokhu kusho ukuthi ihlombe liguqulwa ngaphakathi, kanti i-forearm ibanjwe ngokumelene nomzimba. Lapho ihlombe liqhutshwa ngaphakathi, i-ligament evame ukuqothulwa (i- Bankart izinyembezi ) lapho ihlombe liphuma, libhekene nesimo esingavamile. Uma i -ligament iphilisa , ijwayele ukuphulukisa kule ndawo engafanele. Kwezinye iziguli, ikakhulukazi abagijimi abasha, ukuphulukiswa kwegamentali kule ndawo kungase kuholele ekutheni baphinde baphenduke amahlombe .
Ukumiswa Kwezinguquko Ekuphumeni Kwangaphandle
Ucwaningo oluvela eJapane luye lwaphenya ukwelashwa kwamahlombe ngehlombe eliqhutshwa ukujikeleza kwangaphandle . Lapho ihlombe liqhutshwa ukuzungeza kwangaphandle, i-ligament ephukile ihanjiswe endaweni ejwayelekile, futhi ingaphilisa kulolu lungiso olufanele. Umqondo wokusilela ukungqubuzana kwangaphandle ukuthi uma i-ligament igula endaweni efanele, bese uphinda ukuphindaphindiwe kwehlombe kungase kungabi lula.
Ukungabi nokuzimela ekujikelezeni kwangaphandle kuyinkimbinkimbi futhi kunzima ukwenza. Kubalulekile ukuthi i-brace yangaphandle yokulungiswa ihlelwe kahle - ingalo engaphezulu kufanele ibanjwe ngokuqinile ngokumelene nohlangothi, futhi ingaphambili kufanele ibhekise emzimbeni. Iziguli eziningi (kanye nabanye odokotela) zididliza ukuchithwa kwemimoya (i-immobilizers ye-shoulder and pillow in the armpit) nge-immobilizer yangaphandle yokujikeleza. Lezi azifani, futhi imiphumela efanayo yokwelashwa akufanele ilindeleke. Ngenkathi lokhu kukwelashwa kukuthakazelisa kumqondo, iziguli eziningi azikwazi ukuhambisana nalesi sikhwama, ngakho-ke le ndlela yokwelashwa ayivame ukusetshenziswa.
Ukwelashwa Kwemvelo
Ukwelapha ngokomzimba kungasiza umuntu olimazekile abuye aphinde avuse amandla futhi ahambe ngemva kokuphazamiseka kwehlombe . Lapho ukuxoshwa kwenzeka, umonakalo ungaholela ekuthambekeni kokuphindaphindiwe. Ukwelapha kungasetshenziselwa ukuqinisa imisipha esiza ukubamba ihlombe endaweni yokukhokhela izigameko ezilimazayo kusukela ekulimazeni kokuxoshwa.
Nakulokhu, lapho ukwelashwa ngokomzimba kuvame ukusetshenziswa, futhi kuyasiza kakhulu ekuphinde uphinde uthole amandla nokuhamba, lokhu akubonwanga ukwehlisa ithuba lokuba nokuhlukaniswa kwesibili. Isiphakamiso esivame kakhulu sokwelashwa ukuzama ukwelashwa ngemuva kokuhlukaniswa kokuqala, futhi uma kwenzeka ukuhlukaniswa kwesibili kwenzeka, ukuqhubeka nokuhlinzwa.
I-Brace for Distribution Dislocation
Ngezinye izikhathi ukubhekwa kubhekwa iziguli ezisekela amahlombe. I-brace ijwayele ukusetshenziselwa umdlali we-in-season ogcina lokhu kulimala. Kulesi simo, ukuhlinzekwa ukwelashwa kwe-shoulder dislocation kungaba ukuphela kwesikhathi. Ngakho-ke, i-brace ingasetshenziselwa ukusiza ukuvimbela ukuhlukaniswa kwehlombe.
Ama-braces angasiza ekuvimbeleni ihlombe ukuba lingene endaweni lapho kungenzeka khona ukuhlukaniswa. Ngenkathi bengenakuvimbela konke ukuphazamiseka kwamahlombe, lawa ma-braces anganciphisa amathuba okuba ama-shoulder atshayeke .
Inkinga enkulu ngokukhwabanisa, yilokho abagijimi abamba iqhaza ezemidlalo bavame ukubhekana nobunzima bokugqoka i-brace nokuncintisana ngempumelelo. Ama-braces ahlaselwa ikakhulukazi kubagijimi abasebenza phezulu (njengokuphonsa) kubalulekile ekusebenzeni kwabo. Ngakho-ke, abagijimi abaningi abakwazi ukubuyela emdlalweni wabo ngenkathi begqoka i-shoulder dislocation brace.
Ukuhlinzeka Ngezinhlanzi Ukuhlukana
Ukwelapha okuhlinzekwa ukuphazamiseka kwamahlombe kuvame ukuphakanyiswa iziguli eziye zaphindaphinda, noma ziphinda, ukuxoshwa kwehlombe. Kwezinye iziguli, ukuhlinzwa kungase kunconywe ngemuva kokuhlukaniswa kwehlombe lokuqala. Ukuhlinzwa kubhekwa njengento yokuqala yokwelapha, ikakhulukazi kubadlali abasha abahlanganyela emidlalweni yokuxhumana. Ngenxa yokuthi laba badlali banomthelela omkhulu wokuphindaphindiwe, ukuhlinza kuvame ukusetshenziswa njengendlela yokwelashwa kokuqala.
Ukuhlinzwa kwenziwa ukuze kulungiswe izakhiwo ezivame ukubamba ihlombe endaweni. Umonakalo ovame ukwedlula wonke umgogodla ohlangothini lwe-shoulder joint. Ukuhlinzwa ukuze kulungiswe lezi zimpawu kuthiwa ukukhishwa kweBanartart .
Imithombo:
Itoi, E, et al. "Indlela entsha yokukhubazeka ngemuva kokuphazamiseka kwangaphambili kwe-shoulder shoulder: isifundo sokuqala." J Shoulder Elbow Surg. 2003 Sep-Oct; 12 (5): 413-5.
Owens BD, et al. "Ukuphathwa Kwemidlalo YaseMid-Season Ukukhubazeka Kwamaphutha Okungavamile Kwama-Athletes J Am Acad Orthop Surg Ngo-Agasti 2012; 20: 518-526.