Xa kuyimfuneko ukuba ihlombe lihluthwe?
Unyango lwe- shoulder dislocation kuxhomekeke kwizinto eziliqela, kwaye ezinye izigulane zingadinga ukuhlinzwa. Xa isiguli sigxotha igxalaba kwisiganeko esibuhlungu (umz. Ukubethelwa kwezemidlalo, ukuwa, ingozi yemoto, njl.) Basengozini yokulondoloza ukuphindaphindwa okuzayo kwixesha elizayo. Ilungelo lokuxhatshazwa kwegxalaba lokuba yinkinga ephindaphinda incike kakhulu kwixesha lomguli.
Ipesenteji yokutshintshwa kwakhona kwakhona malunga:
- Ngaphantsi kweminyaka engama-20 ubudala: 90%
- 20-30 ubudala: 75%
- 30-40 ubudala: 30%
Lawa manani e-ballpark, kunye nezinye izinto ezibangela ingozi yomntu ngamnye wokuphindaphinda ukuxhatshazwa kwegxalaba.
Ngaba Kufuneka Unyango?
Ngokwesiko, abaninzi abagqirha bezinthambo babengayi kukhetha ukusebenza kwisigulane emva kokususwa kokuqala. Kunoko, emva kwexesha elincinci lokunciphisa, olulandelwe unyango lomzimba, isiguli siya kuqhubeka ngokuqhubekayo nemisebenzi yabo eqhelekileyo. Ukuba isigulane sasihlala sesibini, okanye siphinde siphinde siphumelele, kwagqitywa ukuhlinzwa.
Ngoku kutshanje, kukho ubungqina obunzulu bokwenzululwazi ukuxhasa ukuhlinzwa kwangaphambili, ingakumbi kwizigulane eziselula ezisemngciphekweni omkhulu wokuphindaphinda. Ukuba ugxininisa ukuhluthwa kwegxalaba kwaye unomdla wokuhlinzwa, xubusha nodokotela wakho inzuzo yokufumana unyango ngokungahambisani nonyango.
Okukhethwa Ngonyango
Xa utyando lukhethwa njengonyango lwenyango, injongo kukulungisa umonakalo owenziwe xa ihlombe liphuma kwisiseko sayo. Ukulimala okuqhelekileyo okwenzekayo apho enye yezona zinto zizinzileyo zizinamathele kwi-labrum yexenti yegxala. Olu hlobo oluthile lokulimala lubizwa ngokuba yi-Bankart kunye nokuchaza nje uhlobo oluthile lokulimala olwenzekayo ngenxa yesigxina.
Xa i- Bankart inyembezi inesidingo sokulungiswa , oku kuya kwenziwa ngophando oluvulekileyo okanye uvavanyo lwe-arthroscopic shoulder shoulder. Ininzi ngokuqhelekileyo le ntsuku i-arthroscopic yonyango ifanelekileyo, nangona kunjalo, kukho iimeko ezithile xa utyando oluvulekileyo lendabuko lungaba yindlela engcono. Ukulungiswa kweBhanart kwenziwa ngokubuyisela kwakhona i-labrum eyonakalisiwe kwisiseko segxala, ukubuyisela ukuqina komgudu oqhelekileyo obamba ibhola kwisiseko.
Kukho unyango olungapheliyo olutholakalayo kubantu abaye baqhubeka nokuxhatshazwa kwamagxa. Ngokuqhelekileyo abantu baya kuzama unyango olwenziweyo ukuze kuqiniswe imisipha eyanceda ukuzinzisa ibhola lehlombe kwisiseko. Nangona i-labrum ayiphilisi kwisimo sayo esifanelekileyo, ngamanye amaxesha kunokwenzeka ukuhlawulela ngokuqinisa izihlunu ngeenxa zonke apho abantu abaninzi banokuqalisa kwakhona imisebenzi yabo eqhelekileyo. Kwakhona kukho uphando oluthile olubonisa ukuba ukukhupha umxhelo kwimeko ethile kunokunceda ukukhusela ithuba lokuphindaphinda. Le yonyango eqhelekileyo isetyenziswa ngenxa yokuba indawo efunekayo yokukhungula ingxaki kwaye ingalo yaphuma emzimbeni.
Yintoni Okufanele Uyenze?
Njengoko kubonisiwe, kukho ukuphikisana malunga nonyango olungcono.
Kwiimidlalo ezincinci ezithatha imidlalo yokudibanisa (kubandakanywa ibhola lebhola okanye i-hockey yeqhwa) mhlawumbi yonyango oluhle emva kokutshintshwa kokuqala ekubeni ithuba lokuphindaphinda ngokubanzi liphezulu xa bengenalo utyando. Kweminye iminye, kunengqiqo ukuzama unyango lwezonyango kwimigudu yokuqala yokulawula le nzakala. Ukuba ukutshatyalaliswa okwesibini kwenzeka, ngoko utyando kufuneka kucatshangelwe.
> Imithombo:
> Kirkley A, et al. Uvavanyo olulinganiselayo lwezonyango olulinganiselayo oluthelekisa ukusebenza kwe-arthroscopic stabilization ngokumelene nokuchithwa kwempahla kunye nokulungiswa kwimeko yokuqala yokuphazamiseka kwangaphambili kwegxalaba: ukuhlolwa kwexesha elide. " Arthroscopy. 2005 Jan; 21 (1): 55-63.