Izimbangela Nokuxilongwa Ngezinhlungu Eziyinkimbinkimbi
Ubuhlungu bezintambo zomzimba buyinto edidekayo ngoba izimbangela azikhona njalo. Lesi sibonakaliso singaba uphawu lwezinto ezinzulu ezifana nesifo senhliziyo noma umdlavuza wamaphaphu, noma into elula njengokulala okungalungile. Yini okufanele uyazi uma uzwa ubuhlungu esifundeni samahlombe akho (i-scapulae yakho)?
Sibutsetelo
Ngaphambi kokukhuluma ngezimpawu, kusiza ukuchaza kahle ukuthi siphi indawo esikhuluma ngayo lapho echaza amahlombe ehlombe.
Ama-shoulder blades-ngokwemithi eyaziwa ngokuthi i-scapulae-yizintambo ezinjenge-triangular zempuphu yakho engenhla ezigxila futhi zibonakala nakakhulu uma unwebisa izikhawu zakho emuva kwakho. Amahlombe ehlombe anemisebenzi eminingi, enye yawo ukusekela ukunyakaza okubalulekile kwehlombe.
Ubuhlungu esifundeni sehlombe lungase kube ngenxa yezimbangela eziningi. Kungenzeka ngenxa yokuvuvukala ku-scapula ngokwayo noma ubuhlungu obuvela kwezinye izindawo zomzimba. Ngumuphi umgodi wehlombe othintekayo ngumbuzo obalulekile, njengoba ezinye izimo zingase zibe nomthelela ohlangothini lwehlombe lwesokunxele, kanti amanye amathuba okuthinta ilungelo.
Lesi sihloko sikhuluma ngalokho okwenzeka emahlombe ehlombe kunamahlombe . Uma ubhekene nobuhlungu ehlombe lakho, cabanga ngokufunda okwengeziwe ezimpawu zobuhlungu behlombe kanye nezimbangela zezinhlungu zamahlombe .
Izizathu Ezingenzeka
Ubuhlungu emahlombe wehlombe bungabhekiswa nokuvuvukala noma ukuhlukumezeka endaweni yecala ngokwayo, noma esikhundleni salokho kungenxa yokuthi ubuhlungu obubhekiswe kwezinye izifunda esifubeni nasesisu.
Ngenxa yalokhu, ubuhlungu obukhona kule ndawo kungaba yinto elula njenge-muscle mildness, noma njengoba sína njengenhliziyo noma isimo sephunga noma umdlavuza.
Ezinye izimo zingase zithinte amahlombe ohlangothini olulodwa. Isibonelo, isifo se-gallbladder singabangela ubuhlungu obukhulunywe ehlombe elungile kanti izimo zenhliziyo zingase zenze ubuhlungu obukhulunywe ku-shoulder shoulder blade.
Ake sibuke ukuthi izimbangela ezikhona zezinhlanzi zamapayipi zihluke zibe yizinhlelo ezahlukene zezinhlaka nezifunda zomzimba.
Izizathu ze-Musculoskeletal
Isizathu esivamile kakhulu sehlombe lamahlombe amahlumela awumthwalo wemisipha. Ukusebenzisa ngokweqile kwezingalo zakho kanye nesiphambano esingaphezulu kungase kube nakho ku-scapula yakho. Lokhu ubuhlungu bungase buhambisane nobuhlungu kwezinye amaqembu omzimba, njengamahlombe akho noma emuva, kepha kungase kuvezwe kuphela emahlombe akho. Ngisho into elula njengokulala endaweni engafanele (ikakhulukazi ukulala isikhathi eside ngakolunye uhlangothi) ingaba yimbangela yalolu buhlungu.
Ngokuvamile, izinkinga zemisipha zivame ukuzizwa "njengezicucu ezithintekayo" futhi kungenzeka ukuthi ziba njalo uma uqale uhlelo olusha lokuzivocavoca, olwenziwe uphakamisa ukuthi awujwayele, noma ulele embhedeni omusha noma ohlukile.
Ezinye izimo ze-muscular ezingabangela ubuhlungu behlombe lamapulazi zihlanganisa izinyembezi ze-rotator nezinyembezi ezibizwa ngokuthi i-snapping syaprome syndrome. Ukwehla kwesifo se-scapula syndrome kuphawuleka ngokuba nezimpawu zokuqhaqhaza nokuphuma (i-crepitus) eceleni komngcele wangaphakathi wehlombe. Abantu abaningi abane-syndrome nabo banokungazinzile kwehlombe labo elihambisana nobuhlungu behlombe.
Izizathu Ezihlobene Nezifo Nezixhumano
Izinkinga zamathambo ezinjengezinhlanzi ezingavamile emahlombe njengoba ama-scapulae abhekwa njengamathambo ambalwa kunzima kakhulu emzimbeni ukuze aphule. Akunakwenzeka ukuthi uzoba nokuhlukana okukodwa ngaphandle kokukhumbula imbangela. Izimbangela ngokuvamile zihlanganisa ukuwa noma izingozi zemoto ezisheshayo.
Ingxenye ye-bony ye-scapula ingathinteka ngaphandle komlando we-trauma uma unomlando womdlavuza. I-bone metastases eya emahlombe ehlombe angase ivele ngamanqamu afana nomdlavuza webele , umdlavuza wamaphaphu , umdlavuza we-esophageal , nomdlavuza we-colon .
I-osteoporosis ingathinta amahlombe akho, amahlombe, noma intamo yakho, okubangelwa ubuhlungu behlombe.
I-arthritis ingabangela ubuhlungu emahlombe ehlombe ngezindlela ezingaphezu kweyodwa. I-scapula ingabandakanyeka ngokuqondile, noma ungase ubhekane nobuhlungu obubhekiselwe kwi-arthritis kwezinye izifunda zakho esifubeni kubandakanya umgogodla, ihlombe, noma izimbambo.
Okokugcina, ukucindezeleka kwezinzwa ezisezintanyeni nge- discs eziwehliwe noma ezifudukayo kungabangela ubuhlungu obukhulunywe emahlombe ehlombe. Ngesifo se-disc, ungaba nobuhlungu entanyeni yakho noma ugule futhi uphonsa phansi ingalo yakho ezandleni zakho. Indawo yobuhlungu emahlombe ehlombe ahlobene nesifo somlomo wesibeletho empeleni ihlolwe ngokukwazi kwayo ukusiza odokotela ukubona indawo yokucindezeleka kwemizwa edinga ukuhlinzwa.
I-Heart-Related (Inhliziyo) Izimbangela
Ngenkathi ubuhlungu emahlombe ehlombe kwenzeka kancane kakhulu kunokuba ubuhlungu esifubeni, ubuhlungu obwenzeka emahlombe ehlombe bodwa bulotshwe kahle kubantu abahlaselwa yinhliziyo. Ukuhlaselwa kwenhliziyo, ikakhulukazi kwabesifazane , kudinga ukucatshangwa nganoma yiluphi uhlobo lobuhlungu esifundeni. Izimo ezifana ne- pericarditis (ukuvuvukala kwendwangu yenhliziyo,) noma ukuhlukaniswa kwe-aortic kungase kube nanjengoba ubuhlungu emgqeni we-shoulder shoulder kuphela.
Uma ungaqiniseki ngokubangela ubuhlungu bakho futhi ube nezinkinga zengozi yesifo, funa ukwelashwa ngokushesha.
Izimbangela eziphathelene nokulimala (Izidakamizwa)
Amaphesenti amakhulu abantu abanomdlavuza wamaphaphu abhekana nobuhlungu emahlombe abo noma emahlombe abo. Amathumba omzimba anesifo somdlavuza wamaphaphu okhula ezindaweni eziphakeme zamapayipi, futhi ngokuvamile ubangela ubuhlungu emahlombe, emagxeni, nasemagqeni, kunokuba kubonakale izimpawu zesifo somdlavuza wamaphaphu.
Izimo zezimungulu ezifana ne- pulmonary emboli (i-blood clots emilenzeni ephumula futhi iya emaphashini) noma i- pneumothorax (i-lung epholile) nayo ingabangela izimbangela.
I-Wall Chest (I-Skin and Soft Tissue) Izizathu Ezihlobene
Ama-shingles , ukutheleleka okubangelwa igciwane elifanayo elibangela inkukhu, kungabangela ubuhlungu behlombe. Ubuhlungu ngokuvamile buhlungu obuvuthayo noma obuhlungu. Ngesikhathi ama-shingles ngokuvamile ehilela ukuqhuma okwenzeka esifundeni sezinzwa ezithintekile, ubuhlungu ngokuvamile buqala ukuqhuma ngezinsuku ezimbalwa, okwenza kube nzima ukuthola ukuxilongwa ekuqaleni.
Izimbangela zesisu nesisu
Ungase kusimangale ukuzwa ukuthi izinkinga zesisu noma zezintambo zingabangela ubuhlungu behlombe, kepha lokhu kujwayelekile. Ukuthukuthela kwemizwa edlulisa isisekelo se-diaphragm (imisipha ehlukanisa isikhumba esifubeni esiswini esiswini) ingabangela ubuhlungu obuzwa sengathi buvela ehlombe lakho noma ehlombe. Kungenzeka ukuthi uzwile abantu bekhuluma ngokuba nobuhlungu obuhlungu ngemuva kokuhlinzwa.
Ezinye izimo ezingabangela ubuhlungu bezinhlanzi zihlanganisa ama-gallstones , isifo se-peptic sesilonda nesifo sesibindi. Ngalesi simo, ubuhlungu obukhulunywe ngokuvamile buya ehlombe lokunene lehlombe. Ama-pancreas ayingxenye yesimiso sokugaya, kepha ukuphazamiseka komzimba kungabangela ubuhlungu ehlombe lesokunxele.
Ukuxilongwa
Udokotela wakho uzoqala ngokuthatha umlando oqaphele futhi enze ukuhlolwa ngokomzimba. Izimbangela eziningi zezinhlanzi zamahlombe zingase zitholwe ngokusekelwe emlandweni wakho. Uzohlola ngokucophelela ngokomzimba, kodwa izifundo zikhombisa ukuthi ngokuvamile kunzima ukuxilonga imbangela yezinhlungu zamahlombe ezisekelwe ekuhloleni ngokomzimba kuphela. Okunye ukuhlolwa nezifundo kungafaka:
- Izifundo zemvelo . Ucwaningo lwe-Radiologic lungabandakanya i-x-ray yesifuba, isisindo se-CT esifubeni sakho noma ezinye izifunda zomzimba wakho, i-MRI yesifuba sakho noma ezinye izifunda, kanye / noma i- PET scan uma unomlando womdlavuza.
- Ukuhlolwa kwenhliziyo . Uma udokotela wakho ekukhathazeka ukuthi ubuhlungu bakho buvela enhliziyweni yakho, ukuhlolwa okufana ne- EKG noma ukuhlolwa kokucindezeleka kunganconywa . Kubalulekile ukuphindaphinda ukuthi ubuhlungu benhliziyo, ikakhulukazi kwabesifazane, kungabonakala kuphela emahlombe akho.
- Izivivinyo zesisu . Izivivinyo ezifana ne- endoscopy engenhla zingenziwa ukuhlola isisu sakho nesisu somncane. Ku-endoscopy, unikezwa imithi yokwenza ukhathele futhi ithubhu isetshenziswe ngomlomo wakho nasesiswini sakho nasesisu, okuvumela udokotela ukuba acabange kahle lezi zindawo.
- Umsebenzi wegazi . Ukuhlolwa kwegazi kungenziwa futhi. Izivivinyo zomsebenzi zesibindi zingase zisebenze ukuhlola ukuvuvukala kwesibindi sakho (okungasetshenziswa ukubhekwa ehlombe lakho langakwesobunxele noma ehlombe.) Ukuhlolwa kungenziwa futhi ukuhlola izinhlobo zokuvuvukala kwe-arthritis nezinye izifo ezixhumene nezicubu.
Imibuzo UDokotela Wakho Ungabuza
Nakuba eminye imibuzo ingase ihluke kumlando wakho wezempilo nesimo, ezimweni eziningi zilungele ukuphendula:
- Iyiphi ihlombe lehlombe elibuhlungu? Uhlangothi lwakho lwesokunene lwehlombe, uhlangothi lwakho lwesokunxele lwehlombe, noma kokubili?
- Kuze kube nini uye waba nobuhlungu?
- Ingabe ubuhlungu bufika kancane kancane noma ngokuzumayo?
- Ingabe usishintshile isimiso sakho sokuzivocavoca nje maduzane?
- Ingabe ubamba iqhaza emisebenzini evame ukubangela ubuhlungu emahlombe noma emahlombe? Isibonelo, i-tennis, igalofu, ukubhukuda, ibhola basketball, i-badminton, i-racquetball?
- Ingabe ubuhlungu ohlangothini olufanayo lomzimba wakho ulala kuwo?
- Ungayichaza kanjani ubuhlungu bakho? Isibonelo, ingabe ibukhali noma ibuhlungu, ngokuyisisekelo (phezulu) noma ejulile, eshisayo noma e-achy, ehlabayo noma ehlala njalo?
- Yini eyenza ubuhlungu bubi nakakhulu? Isibonelo, ingabe ukunyakaza okuthile, ukuphefumula okujulile, noma ukudla kwenza ubuhlungu bubi nakakhulu?
- Yini eyenza ubuhlungu bube ngcono?
- Yiziphi ezinye izimpawu ozitholile? Isibonelo, ukuphefumula , ubuhlungu kwezinye izifunda zomzimba wakho, ukukhwehlela , ubuhlungu besifuba noma ubuhlungu besisu .
- Ingabe wena, noma uke upheze?
Ukwelapha
Ukwelashwa kwamahlombe ehlombe kuyoxhomeka ekubangela imbangela yobuhlungu. Uma kuhlobene nokusebenzisa ngokweqile, ukwelashwa kungenzeka kube njengokulula njengokuphumula. Ngezinhlungu ezihlobene nokusakazeka komdlavuza, izinketho zifaka imisebe, i-chemotherapy, futhi ngezinye izikhathi izinqubo zokuhlinza ukunciphisa ubuhlungu.
Nini Ukubiza Udokotela Wakho
Uma unamahlombe ehlombe lamahlombe aphikelela ngaphesheya kwezinsuku ezimbalwa kubalulekile ukwenza i-aphoyintimenti ukubona udokotela wakho-noma ngabe uhlanganyele emisebenzini osolwa ukuthi ubangele ubuhlungu bakho. Uma ubuhlungu bakho bukhulu noma buhambisana nezimpawu zesifo somswakama noma ukuphefumula kokuphefumula ucingo 911 noma udokotela wakho ngokushesha.
> Imithombo:
> Choi, H., Lee, P., noK. Kim. I-scapuloplasty inciphisa ubuhlungu obukhulu obubangelwa umdlavuza wamaphaphu wamaphaphu. Udokotela Wezinhlungu . 2010. 13 (5): 485-91.
> Kibler, W., Sciascia, A., noT. Wilkes. I-dyskinesis ene-scapular kanye nokuhlobana kwayo nokulimala kwehlombe. Journal of the American Academy of Orthopedic Surgeons . 2012. 20 (6): 364-72.
> Suh, B., You, K., noM. Park. I-Axial Pain ingaba usizo ekunqumeni izinga lokuhlinzeka kwi-Multilevel Cervical Radiculopathy. Journal of Surgery Orthopedic . 2017. 25 (1): 2309499016684091.
> Warth, R., Spiegl, U., noP. Millett. I-scapulothoracic bursitis ne-snapping syaprome syaprome: ukubuyekezwa okubucayi kobufakazi bamanje. Umagazini waseMelika wezeMidlalo . 2015. 43 (1): 236-45.
> Wright, A. et al. Ukunemba kokuthola ukuhlolwa kwezinto ezibonakalayo zokuhlolwa kwezifo ze-shoulder: ukubuyekezwa kwesistimu. I-British Journal yeMidlalo Yezokwelapha . 2012 Okthoba 18. (i-Epub ngaphambi kokuphrinta)