Ukuhlukana kwegxalaba kuzandile njengengozi engavumelekanga, kodwa ngokwenene, ibhekisela ekutheni okanye ekuqhekekeni kweelamente apho i-collarbone (i-clavicle) idibana ne-blaple (scapula). Le ngqungquthela ikwabizwa ngokuba yi-acromioclavicular okanye i-AC. Xa le mijelo ibe yincinci okanye ingcangcazele, i-clavicle igxotha phambili kwaye ingayifumana kwi-scapula.
Ukuhlukana kwamagxa ngokuqhelekileyo kubangelwa yimpembelelo okanye ukubetha phambi kwegxalaba okanye ngokuwa ngesandla eseluliweyo.
Ukuhlukana kwamagxa kunye nokuxhatshazwa
Ukuphazamiseka kwamagxa kuyahluke ngokuhlukana kwamagxa, kwenzeka kwiindawo ezihlukeneyo zomxhelo, kwaye uphathwa ngendlela eyahlukileyo. Ukutshatyalaliswa kwenzeka kwi-joint glenohumeral, apho i-humerus bone yeengalo ezingaphezulu ichaza kwi-scapula, kunokubambisana kwe-AC. Ukuhluthwa kwamagxa kuya kunyangwa ngokuncitshiswa .
Izibonakaliso kunye neMpawu
Iintlungu zentlungu kunye nobubele ziyimpawu eziqhelekileyo zokuhlukana kwamagxa emva kokuwa okanye impembelelo. Ngamanye amaxesha kukho i-bump encinci phezu kwegxala kunye kunye kunye nokuvuvukala. Izibonakaliso neempawu zenzakalo ezixhamlekileyo zegxala zivela kwintsholongwane encinci kunye nentlungu ebuhlungu kwintlungu ebunzima kakhulu.
Ukuhlukana kobuhlunu kunye nohlobo
Ubunzima bokuhlukana bubekwe ngumlinganiselo kunye nesikhokelo sohlulo oludibeneyo kunye nomonakalo we-ligament obonisa ii-x-ray.
Uhlobo lwe-I kunye ne-II lwe-AC ngokuxhatshazwa ngokubambekayo lubonakala lunomoya kwaye luyakwazi ukuphendula unyango olulondolozayo. Ngohlobo olunzima kakhulu lwe-IV, V, kunye no-VI ukuxhatshazwa kwamacala okuhlukana, iigxam ezisekelayo zinokugqithiswa. Ezi nzakala zivame ukuphathwa ngokuhlinzwa.
Unyango
Uhlobo lwe-I kunye ne-II ye-AC Joint Injury Treatment
Unyango olwenziwe ngohlobo lwe-I ne-II lwama-joint injuries lubandakanya ukunyanga okulondolozayo kuquka oku:
- Ukuphumla ukuvumela izicubu ezinobungozi ukuphilisa
- Inkxaso kunye neengqungquthela zokuthatha uxinzelelo kwi-joint
- Icebo ukunciphisa ukuvuvukala nokuvuvukala
- Ubuhlungu obugqithiseleyo kunye neyeza ezichasayo
- Uphulo lwamaziko olwenziwe ngokwenyama luyakwandisa ubuninzi bezincophiso kunye namandla
Uhlobo lwe-III AC Joint Injury Treatment
Ukunyanga obumnene ukuya kumodareyitha, okanye udidi lwe-III, ukulimala kwamalungu e-AC akucaci. Kukho ukuphikisana phakathi kwabagqirha malunga nokuba basebenzise unyango olusetyenziswayo okanye utyando olwenziwe ngohlobo lwe-III lokuhlukana. Uninzi lwezigulane ezinokuhlukana kweentlobo ze-III ziphilisa kakuhle kunye nokunyango olulondolozayo kwaye zibuyela kwimidlalo ngokukhawuleza kunezigulane ezithe zahlinzwa. Ukongezelela, bayakuphepha yonke ingozi yokuhlinzwa. Nangona kunjalo, ezinye izigulane zinokuzuza kwiinkqubo zokuphanda. Ezi zi gulane ezibandakanyekayo kwizandla ezidangalayo okanye ezemidlalo ezidinga iminyango ephindaphindiweyo, njenge-tennis okanye i-baseball, inokungenelwa ngakumbi kwi-intervention yokungenelelo ngenxa yobungakanani bemisebenzi yabo.
Uhlobo IV, V, kunye ne-VI AC Joint Injury Treatment
Utyando lwe-Type IV, V, kunye ne-VI kunye nokulimala ngokubambisana ngokuqhelekileyo kubandakanya ukuhlinzwa ukulungelelanisa nokudibanisa iimbundane ezilinakalise okanye eziqhekekileyo kwaye ubambe i-clavicle endaweni njengoko iphilisa. Kukho ezininzi iintlobo zeenkqubo zokuhlinzwa ezivulekile kunye ne- arthroscopic ezingasetyenziselwa ukulungisa umgca ohlukeneyo.
Injongo yazo zonke ezi zikulungele ukulungelelanisa nokuzinzisa i-clavicle kwindawo kwaye uphinde uphinde ulungelelanise izigulane ezonakalisiweyo. Kwiinkqubo ezinjalo, i-clavicle ibanjwe kwindawo ye-sutures okanye i-screws yesinyithi ngelixa iigaments iphilisa.
Uninzi lwahlukeneyo lwamahlombe lungaphilisa kwiinyanga ezimbini ukuya kwethathu kungekho nkathazo.
Umthombo:
Ukulimala kwama-Acromioclavicular Joint: Ukuxilongwa noLawulo, R. Simovitch, et al, I-Journal ye-Am. I-Academy ye-Orthopedic Surgeons 2009 17: 207-219.