Izizathu Zingenzeka Zezinhlungu Zengaphakathi
Uma uzwa ubuhlungu phakathi kwamahlombe akho kungenzeka ukuthi ukhathazekile kancane. Kungenzeka ukuthi lolu hlobo lobuhlungu luvelaphi? Kungaba yini into engathí sina engaba yiphuthumayo?
Ubuhlungu phakathi kwamahlombe ehlombe, okunye okubizwa ngokuthi ubuhlungu obungaphakathi, bungaba nezimbangela eziningi. Nakuba lesi sibonakaliso sivame ukubangelwa into encane njengengcindezi yemisipha, kubalulekile ukuqaphela ukuthi kungase kube isibonakaliso sento engathí sina, ngezinye izikhathi into enzima njengokuhlasela kwenhliziyo noma umdlavuza wamaphaphu.
Ubuhlungu buyindlela yomzimba wethu wokusitshela ukuthi kukhona okungahambi kahle, kodwa ngezinye izikhathi kunzima ukwazi ukuthi lokho kuyisisulu nje, noma into edinga ukunakekelwa okuphuthumayo. Enye indlela noma enye, noma kunjalo, kubalulekile ukuthola isizathu salokho okukukhathazayo.
Yiziphi ezinye izimo ezingabangela lobu buhlungu, yimiphi imibuzo udokotela wakho angakubuza yona, futhi yiziphi izivivinyo ezingase zinconywe ukuze uthole izimpendulo?
Sibutsetelo
Uma ucabangela ubuhlungu kunoma yisiphi isifunda somzimba, kuyasiza ukucabanga ngezakhiwo ezikuleyo ndawo. Izakhiwo eziphakathi kwama-shoulder blade zihlanganisa:
- Isikhumba
- Imisipha: Imisipha ekhona esifundeni phakathi kwamahlombe ehlombe ihlanganisa i- rhomboid kanye nemisipha yomphakathi nephansi. Lezi zinhlanzi zidlala indima ebalulekile ekugcineni futhi phansi.
- Umgogodla we-thoracic
- I-aorta ye-thoracic (ingxenye ye-thoracic yesitsha esikhulu segazi esithwala igazi kusukela enhliziyweni kuya kuwo wonke umzimba.
- Ingxenye yendawo
- Ingxenye yenhliziyo
- Ingxenye yamaphaphu
Ubuhlungu obwenzeka phakathi kwama-shoulder blade bungase kuqale kunoma iyiphi yalezi zakhiwo noma kunalokho kungase kwenzeke ezindaweni ezikude ibanga ukusuka endaweni ngenxa yokuthi izinzwa zithumela izimpawu zobuhlungu.
Izizathu Ezingenzeka
Kunezimbangela eziningi zokubangela ubuhlungu obuzwa phakathi kwamahlombe.
Ubuhlungu bungase buzwakale kusuka ezimweni ezithinta izakhiwo ezikulesi sifunda, noma kunalokho kungathunyelwa ubuhlungu -phapha evezwa phakathi kwamahlombe amahlombe kepha avela kwenye indawo. Ezinye izimbangela ezibuhlungu zobuhlungu phakathi kwama-shoulder blade zihlanganisa:
- Ukuhlukunyezwa kwe- muscle: Isizathu esivame kakhulu sobuhlungu obuphakathi kwama-shoulder blade siyinkinga yemisipha . Lokhu kungabangela ukungahambi kahle (ikakhulukazi ukugxila phambili ngokuhlala isikhathi eside noma ukuma, ukuphakamisa ngokweqile, imisebenzi ehilela ukuguquka njengegalufu noma i-tennis, noma ngisho nokulala kumamitha ompofu.
- I-Trauma: Izimo ezingase ziholele ubuhlungu emkhatsini wezinhlanzi ezilandela ukuhlukumezeka ngokuvamile zibandakanya ukuhlukaniswa okuhlangene kwe-acromioclavicular kanye nezinyembezi ze-rotator . Ukuhlukaniswa kwehlombe kuhluke ekuhlanjululeni ihlombe okuvezwa ngokuvame kakhulu ekuhlanganyeleni kwehlombe.
- Ama-discs e-Herniated noma e-bulging: Izifo ze- disgenerative ezingeni lomgogodla nomgogodla we-thoracic zingabangela ubuhlungu obukhulunywe kulo ndawo. Akuvamile ukuthi abantu abanesifo se-disc entanyeni yabo bazizwe ubuhlungu kuphela kwezinye izindawo, futhi lokhu kungabangela ukulibaziseka ekuxilongweni. Ezinye izimpawu zingase zibandakanye ama-numbness nokukhala, noma ubuhlungu kwesinye noma zombili izingalo. Ngezinye izikhathi ubuhlungu ngenxa yezinkinga ze-disc entanyeni bunemiqondo, isibonelo, kungase kuthuthuke noma kuqhubeke kakhulu ngokushintshashintsha noma kwandise intamo yakho.
- I-arthritis: I- arthritis entanyeni noma ngisho nezimbambo zingabangela ubuhlungu obungaphakathi. Njenge-disc isifo, i-arthritis entanyeni ingabangela ubuhlungu phakathi kwama-shoulder blade noma ezinye izifunda ngisho nalapho kungekho khona ubuhlungu bentamo.
- Ukuhlaselwa yinhliziyo: Ukuhlaselwa kwenhliziyo, ikakhulukazi ukuhlaselwa kwenhliziyo kwabesifazane , akuqali ngaso sonke isikhathi ubuhlungu besifuba. Kwenye ubuhlungu bokutadisha obubheke abantu abahlaselwa yinhliziyo, amaphesenti amathathu abe nobuhlungu obufakwe endaweni ephakathi kwamahlombe ehlombe. Lobu buhlungu buvame ukugoqa futhi kungahambisane nobuhlungu besifuba, ukuphefumula, noma ukukhanya okuncane. Kubalulekile ukuba wonke umuntu azi kahle ukuthi izimpawu zokuhlaselwa kwenhliziyo kwabesifazane zihluke kanjani kulabo besilisa . Izimpawu zesifo senhliziyo kwabesifazane zivame ukungenangqondo futhi ezingacacile, okubonakala sengathi zibhekene nesilinganiso sokufa esiphakeme kwabesifazane abanesifo senhliziyo.
- I-Cancer: Umdlavuza we- Lung , ikakhulukazi izicubu ze-Pancoast , kungabangela ubuhlungu obukhulunywe phakathi kobuhlungu behlombe ngokugxilisa izinzwa eduze nenhla yamaphaphu. Amanye amakhemikhali angabangela ubuhlungu kulesi sifunda afaka umdlavuza we-esophageal , mesothelioma , i- lymphomas , nomdlavuza wesibindi . Amanqamu asakaza emathanjeni entanyeni njengemdlavuza webele angabangela ubuhlungu emkhatsini wamahlombe ehlombe, ngezinye izikhathi ngaphandle kwezinye izimpawu.
- Isifo se-Gallbladder: Ubuhlungu obubhekene nokugula kwesifo se-gallbladder kubonakala sengathi bubuhlungu obuhlabayo phakathi kwama-shoulder blade, futhi bungase buhlotshwe nobuhlungu esifundeni esiphezulu esifanele sesisu nesisu. Ngokuvamile kwenzeka emva kokudla ukudla okunamafutha.
- Ukungena emzimbeni: Ukufakelwa kwemizwa njengama- syndrome we- myofascial of the rhomboids kungabangela ubuhlungu phakathi kwama-shoulder blade.
- I-Reflux ye-Acid: Isifo se-reflux se-gastroesophageal (GERD) singabangela ubuhlungu obukhulunywe emuva emuva esifundeni esiphakathi kwamahlombe ehlombe. Izimpawu ze-GERD zingase zibandakanye ubuhlungu besifuba, ukuphazamiseka, nobunzima bokugwinya. Akukona kuphela ukungaphathwa kabi kwe-GERD kuyabangela ukungathandeki, kodwa kuhlotshaniswa nokuthuthukiswa okulandelayo kwemigqa kanye nomdlavuza we-esophageal. Ukuvuvukala kwe-pancreas kungabangela nalolu hlobo lobuhlungu obubangelwa ukucasula ngaphansi kwengaphakathi le-diaphragm.
- Ukuqothuka kwesibindi: Ukwehla kwesibindi se-thoracic umgogodla kungabangela ubuhlungu kule ndawo. Izikhathi eziningi abantu bayazi ukuthi banesivinini somgogodla wabo, kodwa hhayi njalo.
- Ukuqhekeka kwe-araca noma i-aortic dissection: Ubuhlungu obuhambisana ne-thoracic dissection (uma izinyembezi odongeni lwesitsha segazi zivumela ukuthi igazi livuke phakathi kwezindonga ze-aorta) kuvame ukushesha futhi kube nzima kakhulu, eziphuthumayo. Lokhu kuvame ukuzwakala njengesihlungu esiphuthumayo nokuqhaqhazela emhlane wangaphakathi.
- Ukumbumbuluzwa kwepulmonary: I-pulmonary emboli yenzeke lapho igoqa emilenzeni (inhlanzi ejulile ye-thrombosis) igxuma futhi iya emaphashini. Ubuhlungu buvame ukuqala ngokuzumayo, obukhali, futhi bungase buhlotshaniswe nokuphefumula okukhulu, nakuba ngezinye izikhathi abantu bengaqapheli ukukhathazeka okuncane. Kuvame ukulandelwa izimpawu zezindwangu zegazi emilenzeni kufaka phakathi ubuhlungu, ubomvu nokuvuvukala. Ezinye izici ezingozini ze-pulmonary emboli zihlanganisa izimo zezokwelapha ezifana nomdlavuza, ukuhamba isikhathi eside ngemoto noma indiza, ukulala embhedeni isikhathi eside, ukukhulelwa, nokuhlinzwa okwakamuva.
- Ukwehlukana kwama-vertebral fractures: Ukuhlukumeza ukucindezeleka , ngokuvamile ngenxa ye-osteoporosis, kungabangela ubuhlungu obungaphakathi.
- Izikhwama: Izibungu zingabangela ubuhlungu cishe noma yikuphi emzimbeni, kuye ngokuthi yisiphi isisulu esithinta igciwane, futhi singase senzeke ngaphambi kokuba kuphawulwe. Ubuhlungu bungase buvezwe kakhulu esifundeni phakathi kwamahlombe akho, kepha kuhloswe ukugxila ohlangothini olulodwa lomzimba noma olunye.
- I-epestural anesthesia: Abesifazane abanesifo se-epidural for labor or for a section C bavame ukuzwa ubuhlungu obukhulu obukhulu. Ngokujabulisayo, lobu buhlungu buxazulula lapho ukuvuza kwehlisa kancane futhi kuhamba ngokushesha ngemva kokubeletha.
Nini Ukubiza uDokotela Wakho noma 911
Eminye yezimbangela zobuhlungu emkhatsini wezintambo zamapayipi zimbi futhi zingasongela ukuphila. Uma izimpawu zakho zihambisana nokuphefumula, ubuhlungu besifuba, ubuhlungu obukhulu, noma ngabe nje "unesifo sokuzwa" okuthi kukhona okubi okwenzeka emzimbeni wakho, shayela u-911 ngokushesha. Ungalindi. Izimbangela eziningi zobuhlungu ezixoxwa ngenhla zilashwa ngezokwelapha okuphuthumayo.
Izimo ezimbalwa ezimbi kakhulu ezibangela ubuhlungu kule ndawo zihlanganisa ukuhlaselwa kwenhliziyo (ukuhlukunyezwa kwe-myocardial), ukuhlakaza ama-aromatic aneurysms (isimo esivame ukutholakala kumadoda ane-Marfan's syndrome lapho igazi lingene phakathi kwezingxenye zokufaka i-aorta), kanye ne-pulmonary emboli (i-blood clots (thromboses) emilenzeni ehlukana nokuya emaphashini. Futhi, ukunakekelwa kwezempilo ngokushesha kungathinta umphumela wesifo.
Khumbula ukuthi ubuhlungu phakathi kwamahlombe ehlombe kungase kube yingozi nakakhulu kunokuba ubuhlungu buzwe kwezinye izifunda zomzimba wakho. Inkulumo ethi "uma ungabaza, hlola it" isebenza kakhulu ekubekeni kwalolu hlobo lobuhlungu.
Imibuzo UDokotela Wakho Ungabuza
Udokotela wakho uzokubuza imibuzo eminingi ukuze uzame ukuthola imbangela yobuhlungu bakho. Imibuzo ewusizo ihlanganisa:
- Ubuhlungu buqala nini?
- Ingabe ubuhlungu buqala ngokuzumayo noma kancane kancane?
- Yeka ubuhlungu obukhulu kangakanani? Kungasiza uma uchaza ubuhlungu bakho ngesilinganiso se-1 kuya kwezingu-10, kanti u-1 usho ukuthi unemizwa encane, kanti u-10 uchaza ubuhlungu obukhulu kakhulu ongacabanga.
- Yiziphi ezinye izimpawu ozibonayo, ezifana nobuhlungu besifuba, ukuphefumula okuncane , ukulahlekelwa isisindo esingavamile , ubunzima bokugwinya , ubuhlungu emathunjini akho emaseni noma emandleni? Ungakhathazeki ngokuzwakala njenge-hypochondriac. Ngisho nezimpawu ezincane zingasiza udokotela wakho ukuba abone imbangela yobuhlungu bakho.
- Ingabe wena (noma ubani emndenini wakho) unomlando we-disc noma i-osteoporosis?
- Ingabe ubuhlungu buvutha uhlamvu, bubukhali noma bubuhlungu, bugwaza noma buya?
- Ingabe ikhona into eyenza ubuhlungu bubi nakakhulu noma bubuhlungu kangcono?
- Uke wakubona noma yikuphi ukuhlukunyezwa?
- Uqale noma yikuphi ukuzivocavoca okusha?
- Uke wenza noma yikuphi ukuphakamisa okunzima?
- Unayo yini ingozi yokugula isifo senhliziyo njengomlando womndeni, i-cholesterol ephezulu, noma umfutho wegazi ophezulu?
- Ingabe wena noma wake wake waphuza?
Ukwelapha
Ukwelashwa kobuhlungu bakho kuzoxhomeka esibangelwa imbangela yezimpawu zakho.
Izwi elivela
Kukhona izimbangela eziningi zobuhlungu esifundeni phakathi kwamahlombe akho. Uma uzwa lolu hlobo lobuhlungu, kubalulekile ukwenza i-aphoyintimenti ukuze ubone udokotela wakho (noma shayela u-911 njengoba kukhulunywe ngenhla). Uma ubonile udokotela wakho futhi ungenayo impendulo, cela futhi, noma ufune umbono wesibili.
Ubuhlungu yindlela umzimba wethu osivumela ngayo ukuthi kukhona okungalungile. Lalela umzimba wakho. Izimo eziningi zezokwelapha, ngisho nalabo abangathí sina, ziyakwazi ukwelashwa kakhulu ekuqaleni.
> Imithombo:
> Klumpner, T., Toledo, P., Wong, C., noJ. Farrer. Ubuhlungu obuyi-Interscapular obuhlanganiswa ne-Neuraxial Labor Analgesia: A Case Series. I-Canadian Journal ye-Anesthesia . 2016. 63 (4): 475-9.
> I-National Institute of Health. I-MedlinePlus. I-aractic aortic aneurysm. Kubuyekezwe 04/27/17. https://medlineplus.gov/ency/article/001119.htm
> Sultan, H., noG. Younis-El-Tantawi. Indima ye-dorsaal scapular entrapment entrapment ekubuyeni okungenasisindo okungahambisani nayo. Archives of Medicine Physical and Rehabilitation . 2013. 94 (6): 1118-25.