Isiphakamiso sokuphosa ibhola yintlangano edibeneyo efuna ixilongwane elisebenza kakuhle apho imisipha, iintambo, iigaments, kunye nethambo zonke zihamba ngendlela ehambelanayo kunye nesigxina. Ngenxa yobunzima beli ntshukumo, ukungaqhelekanga okungaqondakaliyo kunokukhokelela ekuphuhliseni intlungu kunye neentlungu.
Iimpawu zeNgxaki
Isibongo sokuphosa sibangela i-torque ephezulu kakhulu kunye neentshukumo zokukhawuleza ezisebenza kwixhexhe kunye kunye nezihlunu, iigaments kunye neetoni ezijikeleze umdibaniselwano.
Ingaba ungumdlali we-baseball, okanye udlala ngokubamba nomntwana wakho egcekeni, ukungaqhelekanga komsebenzi wamagxa kungabangela intlungu ebalulekileyo. Ezinye zeempawu zeengxaki zomda zibandakanya:
- I-Pain Pain: Ngokuqhelekileyo ephantsi kwiphepha okanye elula ingalo engaphezulu
- " Isixhobo sokufa :" Isiva sokungabikho kwamandla okunyakaza
- Ubumnyama Bokuhlwa: Ngezinye ixesha intlungu ayiyona imbi xa iphosa, kodwa ibangela intlungu enokukuvusa ebuthongweni ebusuku
Xa abantu bekhalaza intlungu xa bephonsa, kubalulekile ukuqonda ngokucacileyo apho kwisilathiso sokuphosa kukho ukungaqhelekanga, kwaye yintoni enokubangela le ngxaki. Izindlela ezibalulekileyo kunceda ukuxilongwa ngokwenene ziqonde kakuhle iimpawu zesigulane kwaye zihlolisise igalelo lomntu oqhelekileyo ngokuphonsa i-mechanics.
Iimvavanyo zokuxilonga iintlungu zentlungu zinokuba luncedo, kodwa kuphela xa zifakwa kumxholo weempawu ezibangelwa isigulane.
Ngokuqhelekileyo kumathamli amancinci kunye nama-weekend age-old warfare, iimeko ezingaqhelekanga zingabonwa kwi-MRI, kodwa ezi zinto zingenzeka okanye zingabi yintlungu yentlungu. Yilapho umhloli okhangekileyo oqhelaniswe nokulimala kwamagxa angancedisa ukuba kukho ukungaqhelekanga kwesakhiwo esifanele senziwe.
Isizathu sokuPhosa
Isibongo sokuphosa sibonakala ngezigaba ezine ezihlukeneyo:
- Ugquthe phezulu
- Cocking
- Ukukhawuleza
- Ukulandela
Ukuze kube yimishini yokuphonsa ngokufanelekileyo, i- rotator cuff kunye nezinye iimfudu zehlombe kufuneka zikhokele ngokulandelelanisa ezi ntshukumo. Ibhulogi kufuneka lizinze ibhola kwisiseko sehlombe. Umgca wegxala kufuneka ujikeleze ngokuhambelana kunye neengalo ukuqinisekisa ukuhamba. Ukungaqhelekanga kuyo nayiphi na le mi sebenzi inokubangela intlungu kwaye yonakalise ngaphakathi kwiphepha.
Enye yezinto eziqhelekileyo ezingakuhoxiswa ukuhamba kwefayili ngumsebenzi wegxala. Umgca wehlombe uquka isiseko senxalenye yebhola kunye neenqwelo. Ukuze ibhola-ne-socket isebenze ngokuqhelekileyo, umgca wecala kufuneka usebenze ngokuqhelekileyo. Icala lehlombe linamathele eludongeni lwesifuba kunye nemigudu, imisipha kunye neeton. Imisipha eyahlukeneyo kunye neetoni ezilawula ukunyakaza kwegxala liyakwazi konke ukuphazamiseka kokuquka ukuphosa. Esi sizathu sezizathu zokuba isifo somzimba sisoloko sigxininisa ekuhambeni kwe-scapular xa kuthethwa ngeengxaki ezihlangeneyo
Unyango lokuLahla ubuhlungu
Uninzi lwezigulane ezithatha ukuqala kwintlungu ngokuphonsa zingalawulwa ngononophelo olungaphelelanga.
Isigaba sokuqala sonyango ukuphumla kunye kunye nokunciphisa ukuvuvukala. Unyango olunjengeqhwa, i- anti-inflammatory medication , kunye ne-cortisone injection inokuba luncedo ukuvumela ukuvuvukala ukuphelisa.
Emva kokuba iimpawu ezivakalayo zokuvuvukala ziye zanciphisa, umgqirha unokukhokela umgijimi ukuba abuye abuyele ngokugcwele nokuqina kwamagxa. Ukungaqhelekanga okuqhelekileyo kukuxinwa kwe-capsule ye-shoulder head, edala ukulahlekelwa kokujikeleza kwangaphakathi kwegxalaba (izigulane ziyakubona xa zifika emva kwazo, azikwazi ukufikelela phezulu njengecala kwicala elibuhlungu).
Ukuchonga ukuphucula ukujikelezwa kwangaphakathi, okanye nayiphi na enye imfudu elahlekileyo, kunokukunceda ukuvumela ukunyakaza okuqhelekileyo.
Amandla amaninzi ajoliswe kwikhopu yokujikeleza , njengoko le mihlathi ibaluleke kakhulu ekuqaliseni ukunyakaza kwamagxa okufanelekileyo, kunye nokuzinzisa umxhelo wegxala. Ukongezelela, izihlunu ze-periscapular (izihlunu ezinamathele kwisitembu se-scapula) zibalulekile ukuqinisekisa ukuba ukunyakaza kwama-scapular kulungelelaniswa nokunyakaza.
Njengoko kubonisiwe, ezininzi iintlungu zentlungu xa ukuphonsa kuya kuphucula ngala ma nyathelo. I-mechanics yegxala iyanzima kakhulu, kwaye ukungaqhelekanga okungaqondakaliyo kunokubangela ukuphazamiseka kwesi simiso esinzima. Ngokuphucula i-mechanics, ezininzi iintlungu zentlungu zingaphucula ngezobisi ezingabonakaliyo. Izigulane ezingaphumeleli ukuphucula neenyanga ezintathu zonyango, okanye ukuhluleka ukubuyela kwimidlalo yokukhuphisana zingangeenyanga ezi-6, zinokuqwalaselwa kwenkqubo yokucoca. Nangona kunjalo, kufuneka icaciswe malunga neyiphi ingxaki efunekayo ukujongiswa nayo, kwaye oko kuya kuphucula njani ukupakisha umatshini, ngaphambi kokuba uqalise ukuhlinzwa okukhulu kwegxalaba .
ILizwi
Ukunyakaza okuxakekileyo kukunyanzeliso oluxakekayo oludinga ukulungiswa kwemisipha, iintambo, iigaments, amathambo kunye namalungu. Ukungaqhelekanga kwanoma yiphina inxalenye yale nxu lumano edibeneyo kunokukhokelela ekujongeni ukungasebenzi kwaye ekugqibeleni ubuhlungu xa uphosa. Xa i-mechanics yesigxina sokuphosa ishintshwe, ukuvutha kudla ngokubakho, kwaye ukuphazamiseka kuyisifo esiqhelekileyo. Iindaba ezilungileyo, kukuba ukuba unyango olungenakuvakalayo ukuphucula i-mechanics ye-joint joint edla ngokusebenzayo ekunciphiseni iimpawu zentlungu xa uphonsa.
Imithombo:
> Tonino PM, et al. Ukuxhatshazwa kweengxaki zeNtlupheko: UkuVavanywa nokuPhathwa. J Am Acad Orthop Surg ngoMatshi 2009; 17: 125-136.
> Edwards, P; Ebert, J .; Joss, G. et al. "Ukuzivuselela kwi-Non-Operative Management of Rotator Cuff Izinyembezi: Ukuphononongwa kweencwadi." Int J Sports Phys Ther . 2016; 11 (2): 279-301.