Ixhefu elinyanzelisiweyo yinto eqhelekileyo yeentlungu zentlungu , nangona kunjalo, kudla ngokungaqhelekanga njengemeko yebhopu yokujikeleza . Iqabunga elinyeneyo lihluke kwi-tapator ye-tendonitis okanye i-rotator cuff ilambe, kwaye nangona bobabini bangabangela intlungu ebalulekileyo, ihlombe eliqingqiweyo likhokelela ekuhlanganyeleni. Izigulane ezinamahlombe aqingqiweyo ziye zanciphisa ukuhamba komxhelo, kwaye zihlala zikhalaza intlungu, nangemisebenzi elula.
Ixhepha elinyanzelisiweyo liqheleke kakhulu kwizigulane ezi:
- Bafazi
- Abadala abaphakathi (40-60)
- Ngaphandle kwesizathu esicacileyo
Ingxelo yokugqibela ikhona ngenxa yokuba abantu baninzi baqala ukuphuphuma kancane. Ngamanye amaxesha izigulane ziyakhumbula isiganeko esenzeka okokuqala xa bephawula iimpawu, kodwa ngoku kubekho umsebenzi omnene. Ngokwenene, le mi sebenzi mhlawumbi ayikho imbangela yecala eliqingqiweyo, kodwa kunoko okokuqala umsebenzi owenziwe xa isigulane siqale ukuhlakulela ukuqina kobambiswano.
Izizathu
Kukho imimiselo emininzi ibonakala yimiba yengozi kwizigulana ukuphuhlisa ihlombe eliqingqiweyo. Le miqathango ibonakala ngokugqithiseleyo kwizigulane ezifunyaniswe ngendoda ekhuniweyo, kodwa abahlala bekhona kwizigulane ezinamahlombe aqingqiweyo.
Ezinye zeemeko ziquka:
- I-Endocrine engafanelekiyo: Iimeko eziqhelekileyo ezibonwa kwizigulane ezakha ngokukhawuleza ihlombe eligciniweyo ziyizinto ezingapheliyo . Enyanisweni, ezinye izigulane ezinamahlombe afriziwe azikwazi ukungaqhelekanga kwe-endocrine, kwaye emva kokufunyaniswa ukuba negalelo eligciniweyo ukuba bafumene imeko ephantsi.
Izinto eziqhelekileyo eziqhelekileyo ziyi- diabetes kunye neemeko ze-thyroid (zombini i- hyperthyroidism kunye ne- hypothyroidism ibonakala). Izigulane ezihlakulela igalelo elikhutshwe ngokukhawuleza lixoxisana nodokotela wabo wokunyamekela ngokusisigxina ukuba kukho ukuhlola okufunekayo kulezi zifo ezingapheliyo.
- Ukuchithwa kwempahla: Isizathu sesibini esona siqhelekileyo somxholongwane okhuniweyo sibangelwa ukukhulelwa okanye ukuxhwaleka. Ngokuqhelekileyo ibizwa ngokuba "yecala" kwimixobo eqhotyoshelweyo (ngokuchasene negalelo eliphambili leqabileyo) ezi zizathu zibangelwa ukulimala, ukuhlinzwa okanye esinye isizathu sokuba igxala lingenakulungiswa. Ezinye izigulane ezinamaqabunga ehlombe zingaphuhlisa le meko. Enye imbangela eqhelekileyo yecala eligciniweyo eliqingqiweyo emva kokutyunjwa kwebhoyi yokujikeleza .
- Iingxaki ze-Neurologic: Iingxaki ze- neurologic, ezinjengezifo ze- Parkinson , zinokuthi zibekho kwizigulane eziphuhliswayo. Okungaphantsi kakhulu kunezigulane ezinobungozi be-endocrine, iimeko ze-neurologic zingaba ngumngcipheko wokuphuhliswa kwesi simo.
- Izifo zeCardiac: Ukungaqhelekanga kwe-cardiac, kubandakanya izifo ze-coronary disease kunye nezinye iimeko zeentliziyo, kunokukhokelela ekuphuhlisweni kwegxala eligcwebileyo.
Nangona le miqathango ingenza umntu afuneke ngakumbi ukuphuhliswa kwegxala eliqhoqhekileyo, eyona nto ibangela ukuba igalelo eligciniweyo "idiopathic," elibizwa ngokuba yindlela ekhethekileyo yokuthi, "asazi ukuba kutheni."
Unyango
Ixhepha elinyanzelisiweyo liba yimeko ephazamisayo. Ngokuqhelekileyo kubonakala kungabikho ndawo, iimpawu zengxowanqabisa eqabileyo zingathatha iminyaka ukugqiba ngokupheleleyo. Amanqanaba ehlombe eliqingqiweyo aphuza ukuqhubela phambili. Iindaba ezilungileyo kukuba intlungu iqala ukuphucula phakathi kweenyanga ezimbalwa, umngeni ngumsebenzi wokubuyisela ukuhamba okuthabatha iminyaka.
Ngokuqhelekileyo, kunye neyeza zonyango kunye nezinye izigulana, izigulane ziyakwazi ukuphinda zibuyele kule meko. Ubuhlungu bungathatha inyanga ukulungisa, isisombululo asikwazi ukubuyela ngokupheleleyo, kodwa umsebenzi uhlala uphucula ngokuqhelekileyo.
Ezinye iindaba ezilungileyo kukuba ukuhlinzwa akudingeki ukuba kuphuculwe kule meko.
Imithombo:
Warner JJ. I-Flezen Shoulder: I-Diagnosis kunye noLawulo "J Am Acad Orthop Surg Meyi 1997 vol. 5 akukho. 3 130-140