Iintlobo ze-Immobilization - I-Braceband Brace - Ukuhlinzwa njengeZisombululo
Yintoni Ukuxhatshazwa Kweentlungu?
Ukuxhatshazwa kwamagxalaba kubakho ukulimala okwenzekayo xa ibhola lomxholongwane webhola kunye nekhosi liphuma kwindawo. Ngokuqhelekileyo, ukuxhatshazwa kwamagxa kwenzeka emva kokulimala kwezemidlalo okanye ukulimala, njengokuwa. Ukuhluthwa kwamagxathu kunzima, kwaye unyango olukhawulezayo luyimfuneko. Xa igxalaba libuyele kwindawo efanelekileyo, ukhetho lokuqwalasela lunokuqwalaselwa.
Ukuqwala unyango olufanelekileyo kuxhomekeke kwizinto eziliqela ezibandakanya oko kwonakaliswe kwiphepha, zingaphi ukutshatyalaliswa okwenzekile, ubudala begulane, imisebenzi okanye imidlalo eyenziweyo, kunye nezinye izinto. Uya kufuneka uxoxe nodokotela wakho unyango olufanelekileyo kwiimeko zakho.
Ukubekwa kwakhona kwiNdawo yokuHlukana
Ukumisela ihlombe kwindawo efanelekileyo yinkqubo ebizwa ngokuthi "ukunciphisa ihlombe." Kukho iindlela ezininzi ezingasetyenziswa ukubeka ukuxhatshazwa kwegxalaba - ngokuqhelekileyo ugqirha ngamnye unomdla wokunciphisiswa. Ngokubanzi, umgomo kukusebenzisa ukudibanisa ukuvumela ibhola ukuba idibanise kwisithuba ngaphandle kokudala umonakalo kumxhelo.
Xa kufuneka ukufuduka kuqhutywe endaweni, phinda i-X-ray iyenziwa ukuqinisekisa ukuba ngokwenene kwindawo echanekileyo, kwaye ukuvavanya ezinye izinto ezilimazayo ezifana neziqhekeza.
Izigulane zifakwe kwisalathisi ukuze ziphule ihlombe kwaye zibhekiswe kwi- ogunta yezokwezinyo ukuze ziqhubeke nokuphathwa .
Sling for Outband Distlocation
Ukunyangwa ngokukhawuleza kwendawo yokuxhatshazwa kwegxalaba kukubeka isigulane kwisiringi ukuze kuvunyelwe ukuvuvukala nokuvuvukala ecaleni kwehlombe.
Emva koko, kuqaliswa ukuqeqeshwa okuqhubekayo de kube isigulane sikwazi ukuqhubeka kwakhona nemisebenzi yabo eqhelekileyo. Akukho zifundo ezibonisa ukusetyenziswa kwesalathiso malunga naliphi ixesha elithile elifanelekileyo.
Isalathiso esisetyenziselwa ukunyanga amaninzi ehlombe sithatha igalelo ngaphakathi kwangaphakathi . Oku kuthetha ukuba igxalaba liguqulwe ngaphakathi, kunye ne-forearm ibanjwe ngokumelene nomzimba. Xa igxalaba liqhutywa ngokujikeleza kwangaphakathi, i-ligament eqhekeza ngokukhawuleza (i- Bankart inyembezi ) xa igxalaba lihamba, ligcinwe kwindawo engavumelekanga. Xa i-ligament iphilisa , ithambe ukupholisa kule ndawo engafanelekanga. Kwezinye izigulane, ngakumbi abadlali abancinci, ukuphulukiswa kwe-ligament kule ndawo kunokukhokelela ekuphinda kuphindwe ukuhluthwa kwamagxa .
Ukuchithwa kwempahla kwi-Rotation yangaphandle
Uphando oluvela eJapan luchengisise unyango lwamagxala ehlanjululwe ngeplanga elijikelezwe ngaphandle . Xa igxalaba liqhutyelwa ukujikeleza kwangaphandle, i-ligament ephuthiweyo ifakwe kwisithuba esivamile, kwaye inokuphulukisa kulo mlungelelwaniso olufanelekileyo. Iingcamango zokungabikho kokujikeleza kwangaphandle kukuba ukuba i-ligament iyaphilisa kwindawo efanelekileyo, kwaye ukuphinda ukuphinda ukuxothwa kwamagxa kungahle kube lula.
Ukuchithwa kwempahla ekujikelezeni kwangaphandle kunzima kwaye kunzima ukwenza. Kubalulekile ukuba ulungelelaniso lwangaphandle lulungiswe kakuhle - ingalo engaphezulu kufuneka ibanjwe ngokuqinileyo ngasecaleni, kwaye i-forearm kufanele ibhekise kude nomzimba. Izigulane ezininzi (kunye noogqirha abathile) zidibanisa ukuchithwa kwe-immobilizers (i-immobilizers yamagxa kunye nomlotha kwisikhwama) nge-immobilizer yangaphandle yokujikeleza. Oku akufani, kwaye iziphumo ezifanayo zonyango akumele zilindeleke. Nangona le nyango ifumaneka ngolu hlobo, izigulane ezininzi azikwazi ukuthobela i-brace, ngoko ke le nyeza ayisebenzisekanga.
Ulungiso lwenyama
Ulwaphulo olunokwenyama lunokunceda umntu onokulimala aphinde abuyele amandla kunye nokuhamba emva kokuhluthwa kwamagxa . Xa ukutshatyalaliswa kwenzeka, umonakalo ungakhokelela ekutheni ukuphindaphinda ukutshintshwa. Ulwaphulo lungasetyenziselwa ukuqinisa imisipha encedayo ukubamba ihlombe kwindawo yokuhlawulela iigamente ezilimele ukusuka kwingozi yokutshatyalaliswa.
Kwakhona, nangona unyango lwamaziko lusetyenziswa rhoqo, kwaye luncedo kakhulu ekubuyiseleni amandla nokuhamba, oku akuzange kubonakaliswe ukunciphisa ithuba lokungena kwesibini. Incomo yonyango eqhelekileyo kukuba uzame unyango emva kokutshatyalaliswa kokuqala, kwaye ukuba kukho ukutshintshwa kweyesibini, ukuqhubeka nokuhlinzwa.
I-Brace for Distribution Dislocation
Ngamanye amaxesha ukugqithwa kuthathwa ingqalelo kwizigulane ezigcina ukuxothwa kwamagxa. I-brace isetyenziswe ngokuqhelekileyo kumdlali we-in-season oqhubekayo. Kule meko, utyando olwenziwe unyango lwe-shoulder dislocation luya kuba lixesha lexesha. Ngoko ke, i-brace ingasetyenziselwa ukunceda ukukhutshwa kwegxa.
Ubungqina bunokukunceda ukukhusela ihlombe ukuba ibekwe kwisithuba apho kunokwenzeka khona ukuphazamiseka. Nangona bengenakukuthintela zonke iigxalaba ezixubileyo, ezi bhondi zinganciphisa ithuba elibanzi lokugxothwa kwamagqabi kwiimbaleki.
Ingxaki enkulu yokubhikisha, ngaba abagijimi abathatha inxaxheba kwimidlalo bahlala benzima ukugqoka i-brace kunye nokukhuphisana ngokufanelekileyo. Iibhonkco zibaluleke kakhulu kwiimbaleki ezisebenza ngokubanzi (njengokuphonsa) kubaluleke kakhulu ekusebenzeni kwazo. Ngako oko, abaninzi abagijimi abanako ukubuyela kwimidlalo yabo ngelixa begqoke ihlombe lokuxuba.
Ugqirha lweentlungu
Unyango oluphandwayo lokunyanzelwa kwamagxa luninzi lunconywa kwizigulana eziphindaphindiweyo, okanye ziphinda, ukuxhatshazwa kwamagxa. Kwezinye izigulane, utyando lunokucetyiswa emva kokuqala kokuxhatshazwa kwegxalaba. Uphando lubhekwa ngokuqhelekileyo njengonyango lokuqala, ikakhulukazi kwiimbaleki ezincinci ezithatha inxaxheba kwimidlalo yokuthintana. Ngenxa yokuba aba babaleki banokutshintshwa okuphezulu kokuphindaphinda, ukuhlinzwa ngokuqhelekileyo kusetyenziswa njengonyango lokuqala.
Ugqirha lwenziwe ukulungisa izakhiwo ngokuqhelekileyo zibamba igalelo kwindawo. Umonakalo oqhelekileyo ngowama-ligaments phambi komxhelo wegxala. Ugqirha ukuze ulungise le mijelo kuthiwa yi- Bankart ukulungiswa .
Imithombo:
Itoi, E, et al. "Indlela entsha yokusilela emva kokuphazamiseka kwangaphambili kwesigxina: isifundo sokuqala." J Uluhlu lwe-Elbow Surg. 2003 Sep-Oct; 12 (5): 413-5.
Owens BD, et al. "Ulawulo lwe-Mid-season Inkathazo yokuPhepha okuPhezulu kwi-Athletes J Am Acad Orthop Surg Agasti 2012; 20: 518-526.