Akudingekile ukuba umsubathi ukuze ube nobuhlungu obukhulu obuhlangene. I-subluxation yehlombe ibhekisela ekuhlukaneni okuyingxenye kokujoyina. Lokhu kwenzeka lapho ibhola lethambo lengalo engenhla, elibizwa ngokuthi i-humerus, liphuma kancane kusokhethi ye-glenoid ehlombe. Ekuhlukaniseni okuphelele, i-humerus ikhishwa ngokuphelele esisekelweni.
Ihlombe liyilunga elihambayo kakhulu emzimbeni. Iqukethe amathambo ahlukahlukene, imisipha, nemisipha esebenza ndawonye ukuyigcina izinzile. Njengoba iyijoyinti ephathwayo, isengozini enkulu yokukhishwa.
I-subluxation ngokuvamile iwumphumela wokuhlukumezeka, ukulimala, noma isifo sohlangothi esenza buthaka imisipha yengalo. Lapha sikutshela izimbangela, izimpawu kanye nokwelashwa okungenzeka kwalokhu kulimala.
Iyini i-subluxation yehlombe?
Njengoba sishilo ngaphambili, lokhu kulimala kuwukugudluka kwehlombe ngokwengxenye. Ijoyinti lakhiwa yibhola lethambo lengalo engenhla (i-humerus), elingena kusokhethi emise okwenkomishi (glenoid).
Lapho ihlombe ligudluzwa, ikhanda lethambo lengalo engenhla liwa ngokuphelele esisekelweni salo. Kodwa ku-subluxation, ikhanda lethambo lengalo liphuma kuphela ingxenye yesokhethi.
Ukuhamba kwamahlombe kuvumela ukushwiba ingalo kuzo zonke izinhlangothi. Ukujikijela ngokushesha okukhulu noma ngamandla amakhulu kungabangela ukuba ilungu liqhume, nakuba lokhu kulimala kuvame ukwenzeka ngemva kweminyaka yokusetshenziswa okuphindaphindiwe.
Ku-subluxation, ithambo lingaqhubekela phambili, emuva, noma phansi. Kwesinye isikhathi ukulimala kubuye kudabule imisipha, imigqa, noma imisipha ezungeze ilunga.
Yiziphi izimpawu?
Lokhu kulimala kungaba bangela ukuqina nobuhlungu emalungeni. I-subluxation ingaba nzima kakhulu ukuyibona kunokususwa okuphelele. Kodwa-ke, kwezinye izimo, i-humer ehlukanisiwe kancane ibonakala ngaphansi kwesikhumba.
Umuntu angase ezwe ibhola le-humerus lingena liphuma esisekelweni sehlombe, ngokuvamile elingakhululekile futhi lingase libe buhlungu.
Izimpawu ze-subluxation yehlombe zingabandakanya:
- Ihlombe elibonakalayo elikhubazekile noma elingekho endaweni
- dolor
- Ukuvuvukala
- Ukuba ndikindiki noma ukuluma, okubuye kubizwe nge-paresthesia, phansi ngobude bengalo
- Izinkinga zokuhambisa ilunga
Ngaphezu kwalokho, umuntu angase futhi aqaphele ukuzwa ngokuchofoza noma ukubamba ehlombe ngenkathi enza imisebenzi yakhe yansuku zonke, ikakhulukazi leyo ehilela ukufinyelela okuthile phezulu.
Izinkinga ze-subluxation
Ngenxa yokuthi ihlombe lihamba ngezindlela eziningi, lingakwazi ukuhlehlela phambili, emuva, noma phansi. Uma ukuhlukaniswa kuyingxenye, i-capsule yehlombe inganwetshwa noma idatshulwe, engenza kube nzima ukukhishwa. Ngokuvamile, ukushaya nje kanzima noma ukuwa kungabangela ukuthi i-humerus iphume endaweni. Ukuzungezisa okwedlulele kungakhipha ingalo endaweni.
Uma ususa ihlombe, ukuhlangana kungase kungazinzi futhi kuthambekele ekuhlukaniseni esikhathini esizayo noma ukuxutshwa.
Izimbangela ezivame kakhulu yilezi:
- ukuhlukumezeka. Ukucwiliswa kwamahlombe kungabangelwa izingozi noma ukulimala okulimaza ilunga noma ezinye izakhiwo ezinikeza ukuzinza. Izibonelo ezijwayelekile zihlanganisa ukuwa nezingozi zezimoto.
- Ukulimala kwezemidlalo. Imidlalo yokuxhumana, ehlanganisa i-hockey nebhola likanobhutshuzwayo, ivamise ukubangela ukuguquguquka kwehlombe, njengoba kwenza imidlalo ehlanganisa ukuwa, njengokushushuluza nokujima.
- isifo sohlangothi. Ukushaywa unhlangothi kungabangela ubuthakathaka bemisipha, okungaholela ekukhubazekeni kokuhlangana kwehlombe.
Ingabe kukhona ukwelashwa?
La i-physiotherapy noma i ukuvuselelwa ingasiza ekwelapheni ilunga lehlombe. Ukwelashwa kuhloswe ekubekeni kabusha i-humerus kusokhethi nokuqinisekisa ukuthi ihlala endaweni.
Udokotela angakwazi ukuxilonga i-subluxation yehlombe esebenzisa i-ultrasound. Ukuxilongwa okufanele kuyisihluthulelo sokunquma inkambo engcono kakhulu yokwelapha.
Ukwelashwa kungase kuhlanganise okulandelayo:
- ukunciphisa okuvaliwe. Lona udokotela ozama ukuqondisa kahle ithambo libuyele endaweni yalo. Lapho lokhu kufezwa, ubuhlungu obukhulu kufanele buthuthuke cishe ngokushesha.
- Ukuhlinzwa. Lokhu kungase kunconywe uma ukususwa kwenzeka futhi. Kungase futhi kube ukwelashwa okukhethwa kukho lapho imizwa, imithambo yegazi, noma imigqa ehlombe yonakele.
- I-orthosis yamahlombe. Umuntu angase adinge ukuthi afake i-splint, i-brace, noma isihlilingi izinsuku ezimbalwa noma amasonto ukuze ihlombe linganyakazi. Isikhathi sizoncika kubukhulu bokukhishwa.
- Imithi. Lokhu kungase kuhlanganise isiphumuli semisipha kanye ne-ejenti elwa nokuvuvukala, njenge-ibuprofen, yobuhlungu nokuvuvukala.
- Ukuvuselelwa. Ngemva kokuhlinzwa noma isikhathi esichithwe ku-sling, udokotela angase atuse uhlelo lokuvuselela. Umgomo uwukubuyisela ububanzi bokunyakaza, amandla, nokuzinza ekuhlanganyeleni kwehlombe.
Ukuze ukwelashwa ekhaya kunconywa:
- sebenzisa iqhwa. Bamba i-compress ebandayo noma iphakethe leqhwa ehlombe lakho imizuzu engu-15 kuya kwangu-20 ngesikhathi, izikhathi eziningana ngosuku. Iqhwa lizokhulula ubuhlungu futhi linciphise ukuvuvukala ngokushesha ngemva kokulimala. Ngemuva kwezinsuku ezimbalwa, ungashintshela ekushiseni.
- Ikhefu. Uma usubophe ihlombe lakho okokuqala, maningi amathuba okuthi kwenzeke futhi. Gwema noma yimuphi umsebenzi ongase uphoqe ibhola lethambo lengalo yakho liphume esokhethini yakho, njengokujikijela noma ukuphakamisa kanzima. Buyela ezemidlalo nakweminye imisebenzi kancane kancane, usebenzisa ihlombe lakho kuphela uma uzizwa ulungile.
- Sebenza ngokuguquguquka. Yenza izivivinyo ezinconywe udokotela wakho womzimba nsuku zonke. Ukunyakaza okumnene okuvamile kuzovimbela ihlombe elihlangene ukuba libe lukhuni.
Ukulimala kwehlombe okufana ne-subluxation
Lesi silonda sabelana ngezimpawu nezinye ezifanayo. I-Misdiagnosis ivamile futhi ivame ukudideka nezinye ezaziwa kakhulu njenge:
- I-Biceps tendinopathy. Lokhu kubhekisela ekuvuvukeni kwe-biceps tendon. Ngenxa yesikhundla se-tendon, i-biceps tendinopathy iyimbangela evamile yobuhlungu behlombe.
- ukulimala kwe-clavicle. Ukuphuka noma ukulimala ku-clavicle kungabangela ubuhlungu behlombe kanye nobunzima bokuhambisa ukujoyina.
- Ukulimala kwe-Rotator cuff. Ukulimala kwe-Rotator cuff tendon kuvame ukubangela ubuhlungu behlombe kubantu bayo yonke iminyaka. Ukulimala okuncane kungase kuzipholise ngokwazo, kuyilapho ukulimala okubi kuvame ukudinga ukuhlinzwa.
- ukususwa kwehlombe. Ukukhishwa kuhilela ukuhlukaniswa okuphelele kwethambo lengalo engenhla nesokhethi lehlombe. Izimpawu ziyafana nalezo ze-subluxation futhi zingahlukaniswa kuphela nguchwepheshe wezokwelapha.
- Ihlombe likaMbhukudi. Ubuhlungu bamahlombe kubabhukudi abaqhudelanayo buvame ukubizwa ngokuthi ihlombe lombhukudi. Ngenxa yokuthi ukubhukuda kudinga izinga eliphezulu lokuguquguquka kwehlombe kanye nohlobo lokunyakaza, ababhukudi kungenzeka babe ne-hypermobility ehlangene kanye nengozi eyengeziwe yokulimala.
Kuthatha isikhathi esingakanani ukuphulukisa?
Uma umuntu olimele ene-subluxation ngaphandle kokulimala okukhulu kwenzwa noma izicubu, ihlombe lehlombe kufanele ngcono ngokushesha. Kodwa-ke, uma umuntu eqala ukusebenza ngokushesha kakhulu, kungenzeka ukuthi abhekane nokugudluka esikhathini esizayo.
Ngemuva kokuhlinzwa kwehlombe eliqhephukile, udokotela uzovame ukuncoma ukuthi umuntu agqoke isihlilingi amasonto ambalwa. Ukwethulwa kancane kancane kokwelashwa ngokomzimba kungasiza umuntu aphinde athole amandla kanye nohlu lokunyakaza. Kungcono ukugwema ukunyakaza okunamandla kwehlombe ukuvimbela izinkinga.
Uma ufuna usizo lwezokwelapha ngokushesha futhi uthola ukuxilongwa okulungile, i-subluxation yehlombe iyelapheka. Lapho ukuhlinzwa kunganconywa, kungenzeka Izinyanga eziningana ngaphambi kokuba umuntu azi ukuthi ukwelashwa kusebenza kahle kangakanani.
Isikhathi sokuthola kabusha siyahlukahluka, kuye ngezinga le-subluxation nokuthi ngabe umuntu uhlinzwe noma cha. Ngemuva kokuxutshwa, umsebenzi onzima kufanele ugwenywe ukuvimbela ukuphindeka.