Iingxaki kunye nokuxilongwa kobuhlungu be-Scapular Pain
Intlungu yentlungu idideka ngenxa yokuba izibangela azikho rhoqo. Esi sibonakaliso singabonakalisa into enzulu njengesihlungu senhliziyo okanye umdlavuza wamaphaphu, okanye into elula njengokulala engalunganga. Yintoni omele uyayazi ukuba ufumana intlungu kwindawo yakho yamagxa akho (scapulae yakho)?
Sibanzi
Ngaphambi kokuba uthethe ngeempawu, kunceda ukuchaza ngokucacileyo indawo esiyithetha ngayo xa kuchaza iiplanga.
Amagxa aseguleni-owaziwayo njenge-scapulae-ngamathambo enjenge-triangular of back your back that stick out and become more visible when you extend your limbs back to your back. Amagxa enamahlombe anemisebenzi emininzi, enye yazo kukuxhasa ukunyakaza okuphambili kwegxalaba.
Ubunzima kummandla wegxala lugxala lunokuba ngenxa yezizathu ezininzi. Kungenzeka ngenxa yokuvuvukala kwi-scapula ngokwayo okanye intlungu evezwe kwezinye iindawo zomzimba. Yiyiphi ipaliti echaphazelekayo ngumbuzo obalulekileyo, njengoko ezinye iimeko ziyakwazi ukuphazamisa umgca wesigxina, kwaye abanye banokuchaphazela okulungileyo.
Eli nqaku lithetha malunga nento eyenzeka kumagxa ehlombe kunokuba igxile. Ukuba ufumana intlungu ehlombe lakho, cinga ukufunda ngaphezulu kwiimpawu zentlungu kunye neentlungu zentlungu .
Izizathu ezinokwenzeka
Ubuhlungu emagxeni asemagxeni anxulumene nokuvuvukala okanye ukuxhwaleka kummandla wegxala ngokwawo, okanye mhlawumbi kungenxa yeentlungu ezivela kwezinye iindawo kwisifuba nesisu.
Ngenxa yoko, intlungu ekhoyo kulo mmandla ingaba yinto elula njengobunzima bomzimba, okanye njengobunzima njengentliziyo okanye imeko yomphunga okanye umhlaza.
Ezinye iimeko ziyakwazi ukuphazamisa amahlombe emacaleni kwelinye icala. Ngokomzekelo, isifo se-gallbladder sinokubangela intlungu ekuthethwa ngayo kwixheba elifanelekileyo ngelixa iintliziyo zentliziyo zinokubangela ukuba intlungu ibhekiswe kwi-shoulder blade.
Makhe sijonge kwiimeko ezinokubangela iintlungu ezityhulwa phantsi kwiinkqubo ezahlukeneyo zomzimba kunye nemimandla yomzimba.
Izizathu zeMusculoskeletal
Iyona nto ibangela kakhulu intlungu yexalaba yintlungu yomzimba. Ukusetyenziswa kakubi kwexesha elifutshane lweengalo zakho kunye nesantya esiphezulu sinokufumaneka kwi-scapula yakho. Le ntlungu inokuhamba kunye neentlungu kwezinye iimfudu, ezinjengegxala lakho okanye umva, kodwa unokuthi uzive nje kuphela ehlombe lakho. Nangona into elula njengokulala kwindawo engafanelekanga (ingakumbi ukulala ixesha elide kwelinye icala) ingaba yimbangela yale ntlungu.
Ngokuqhelekileyo, iintlobo zeentlungu zivakalelwa "njenge-muscle", kwaye zinokwenzeka ukuba ngaba uqalise inkqubo entsha yokuzilolonga, uyenze ukuphakamisa ukuba awuqhelekanga, okanye ulala embhedeni entsha okanye eyahlukileyo.
Ezinye izimo ze-muscular ezinokubangela iintlungu zentendelezo ziquka iinyembezi zokujikeleza kunye neemeko ezibizwa ngokuba yi-scapula syndrome. I-Snapping syndrome iyabonakala ngokuba neempawu zokuqhaqha kunye nokuphamba (i-crepitus) ecaleni kwecala lasempeni. Abantu abaninzi abaneli syndrome nabo banokungazinzi kwegxalaba kunye neentlungu.
Izizathu ezinxulumene neThambo kunye neziNxulumene
Iingxaki ze-Bone ezifana neziqhekeza aziqhelekanga kwixeni njengoko i-scapulae ithathwa njengamanye amathambo anzima kunomzimba. Akunakwenzeka ukuba uya kuba ne- scapular fracture ngaphandle kokukhumbula isizathu. Iimbangela zidla ngokuquka ukuwa okanye izingozi zezithuthi eziphambili.
Ingxenye yebony ye-scapula inokuchaphazeleka ngaphandle kwimbali yentlungu xa unembali yomhlaza. I-Boneastast i-Boneastas kuya kumahlombe asemagxeni ayenzeka ngamagciwane okufana nesifo somhlaza wesifuba , umdlavuza wamaphaphu, umhlaza wesifo somhlaza , kunye nomhlaza wesibeletho .
I-osteoporosis inokuchaphazela amahlombe akho, amahlombe, okanye intanyeni, okubangelwa intlungu.
I-arthritis inokubangela intlungu emacaleni emagxeni ngendlela engaphezulu kweyodwa. I-scapula inokubandakanyeka ngokuthe ngqo, okanye unokuba neentlungu ezibhekiselele kwi-arthritis kwezinye iindawo ezikuyo esifubeni kubandakanya umqolo wakho, umxhelo, okanye iimbambo.
Ekugqibeleni, ukunyanzeliswa kweentliziyo entanyeni ngokutshabalalisa okanye ukukhutshwa kwidiski kunokubangela intlungu evezwe kwiindawo zamagxa. Ngesifo se-disk, unokuba nentlungu entanyeni yakho okanye udibanise kwaye uguqe ingalo yakho ezandleni zakho. Indawo yentlungu ehlanjeni echaphazelekayo nesifo somhlaza wesibeleko ngokwenene ihlolwe ukukwazi ukukunceda oogqirha ukuba babone indawo yokunyanzeliswa kwemizwa efuna ukuhlinzwa.
I-Heart Related (Cadiac) Izizathu
Nangona intlungu emagxeni ehlombe kwenzeka ngokuqhelekileyo kuneentlungu zesifuba, iintlungu ezenzeka kumagxa ehlombe zodwa zibhalwe kakuhle kubantu abahlaselwa yintliziyo. Intliziyo yokuhlaselwa, ikakhulukazi kwabasetyhini , kufuneka iqwalaselwe naluphi na uhlobo lweentlungu kwi-torso. Imiqathango efana ne- pericarditis (ukuvuvukala kwimbali yentliziyo,) okanye i- aortic dissection inokuba namava njengentlungu ehlathini lasekhohlo kuphela.
Ukuba awuqinisekanga malunga nesizathu sentlungu yakho kwaye unayo nayiphi na ingozi yokugula kwesifo senhliziyo, khangela uncedo lwezonyango.
Iziganeko ezinxulumene nezilwanyana (i-Pulmonary)
Ipesenti ezininzi zabantu abanomdlavuza womhlaza wamaphaphu emagxeni abo okanye emagxeni abo. Iimvumba zomzimba zihlobo lomhlaza womphunga okhula kwiindawo eziphakamileyo zemiphunga, kwaye ngokuqhelekileyo kubangele ubuhlungu emagxeni, emagxeni, nangengalo, kunokuba zibonakalise iimpawu zomhlaza womphunga.
Izimo zengqungquthela ezifana ne- pulmonary emboli ( iimbambo zegazi emilenzeni eyahlukanayo kwaye ihambe emiphakeni) okanye i- pneumothorax (i-lung epholile) nayo inokubangela.
I-Wall Chest (I-Skin and Soft Tissue) Izizathu ezihambelanayo
Iingqungquthela , intsholongwane ebangelwa yintsholongwane efanayo eyabangela inkukhu, inokubangela intlungu yomthwalo. Intlungu ngokuqhelekileyo ibuhlungu obuvuthayo. Nangona iinqabana zivame ukubandakanya ukukhawuleza okwenzeka kwingingqi yentsholongwane echaphazelekayo, intlungu ihlala ihamba ngaphambi kweentsuku ezimbalwa, okwenza ukuba ukuxilongwa kunzima ekuqaleni.
Izizathu zobomi kunye neenpelvic
Usenokumangaliswa ukuva ukuba iingxaki zesisu okanye i-pelvic iingxaki zingabangela intlungu yesalathiso, kodwa oku kuqhelekileyo. Ukutshiswa kweentliziyo ezidlulayo kwisiseko se-diaphragm (izihlunu ezahlula isifuba esifubeni esiswini) zingabangela iintlungu ezivakalelwa ngathi zivela ehlombe lakho okanye emagxeni. Usenokuba uvile abantu bethetha malunga neentlungu okanye ihlombe emva kokuhlinzwa.
Ezinye iziganeko ezinokubangela iintlungu zentlungu ziquka i- gallstones , isifo sezilonda zesilonda kunye nesifo sesibindi. Ngale miqathango, intlungu ebhekiswe kuyo idla ngokukhawuleza. I-pancreas inxalenye yenkqubo yokutya, kodwa i- pancreatitis inokubangela ukuba intlungu ehlanjeni elisekhohlo.
Ukuxilongwa
Ugqirha wakho uya kuqala ngokuthatha imbali ngokucophelela kwaye enze ukuhlolwa ngokomzimba. Zininzi izibangela zeentlungu zesifo ezinokuthi zifumaneke ngokusekelwe kwimbali yakho. Uza kwenza uvavanyo oluthatyayo, kodwa uphando lubonisa ukuba kunzima ukuxilonga imbangela yeentlungu zamagxa ezisekelwe kwisivivinyo somzimba kuphela. Ezinye iimvavanyo kunye nezifundo zingabandakanya:
- Izifundo zee radiological . Ucwaningo lwe-Radiologic lungabandakanya i-x-ray esifubeni, i-CT scan yakho esifubeni okanye ezinye iindawo zomzimba wakho, i-MRI esifubeni sakho okanye kwezinye iindawo, kunye / okanye i- PET yokuhlola ukuba unembali yomhlaza.
- Iimvavanyo zentliziyo . Ukuba ugqirha wakho uchaphazelekayo ukuba intlungu yakho ingavela entliziyweni yakho, iimvavanyo ezifana ne- EKG okanye uvavanyo loxinzelelo luya kunconywa. Kufanelekile ukuphinda ukuba intlungu yentliziyo, ingakumbi kubasetyhini, ingabonwa kuphela emagxeni akho.
- Izivivinyo zesisu . Iimvavanyo ezinjenge- endoscopy ephezulu zingenziwa ukuvavanya isisu sakho nesisu esincinci. Kwi-endoscopy, unikezelwa ngamachiza ukuba ukhathele kwaye ityhubhu ifakwe emlonyeni wakho nasesigxeni sakho nasesisu, uvumela ugqirha ukuba acinge ngolu hlobo.
- Umsebenzi wegazi . Iimvavanyo zegazi zingenziwa kwakhona. Izilingo zomsebenzi zentsholongwane zingase ziqhutyelwe ukuhlola ukutshabalala kwesibindi sakho (esinokuthi sithunyelwe kwihlombe lakho langasekhohlo okanye ehlombe.) Uvavanyo lunokwenziwa kwakhona ukuba lukhange iifom ezinokuvuthayo zesifo se-arthritis kunye nezinye izifo zenyama.
Imibuzo Igqirha Wakho Unokubuza
Nangona imibuzo ethile ingaba yodwa kwimbali yakho yempilo kunye nemeko, kwiimeko ezininzi zilungele ukuphendula:
- Liliphi iqatha lehlombe elibuhlungu? Isalathisi sakho sokunene, ihlombe lakho lasekhohlo, okanye zombini?
- Kude kube nini ube nentlungu?
- Ingaba intlungu yafika ngokukhawuleza okanye ngokukhawuleza?
- Ngaba utshintshile uhambo lwakho lomsebenzi kungekudala?
- Ngaba uthatha inxaxheba kwimisebenzi edla ngokubangela intlungu ehlombe nasemagxeni? Ngokomzekelo, i-tenisi, igalufu, ukubhukuda, ibhola yebhoksi, i-badminton, i-racquetball?
- Ingaba intlungu ecaleni elinye lomzimba olala kuwo?
- Ungayichaza njani intlungu? Ngokomzekelo, libukhali okanye liphosa, ngokugqithiseleyo (phezulu) okanye inzulu, ishushu okanye i-achy, ihlabayo okanye iyenzileyo?
- Yintoni eyenza intlungu ibe yimbi? Ngokomzekelo, ngaba uhambo oluthile, ukuphefumula, okanye ukutya kwenza ukuba intlungu ibe yimbi?
- Yintoni eyenza intlungu ibe bhetele?
- Ziziphi ezinye iimpawu ozifumanayo? Umzekelo, ukuphefumula okufutshane , intlungu kwezinye iindawo zomzimba wakho, ukukhwehlela , intlungu yesifuba , okanye intlungu yesisu .
- Ingaba wena okanye uke wapha?
Unyango
Ulwaphulo lweentlungu zentlungu luya kuxhomekeka kwisizathu esibangela intlungu. Ukuba kuhlobene nokunyusa, unyango lunokuba lulula nje njengokuphumla. Ngeentlungu ezinxulumene nokusabalaliswa komhlaza, ukhetho luquka i-radiation, i-chemotherapy, kwaye ngamanye amaxesha iinkqubo zokuhlinzwa zinciphisa intlungu.
Nini ukubiza uDokotela wakho
Ukuba unengxaki yentlungu eqhubekayo ngaphezu kweentsuku ezimbalwa kubalulekile ukwenza ukuqesha ukuba ugqirha ugqirha-nokuba ngaba uthathe inxaxheba kwimisebenzi oyityhola ukuba ubangele intlungu. Ukuba intlungu yakho inzima okanye ihamba kunye neempawu zesifo somfuba okanye ukuphefumula kwefowuni ye-911 okanye ugqirha wakho ngokukhawuleza.
> Imithombo:
> Choi, H., Lee, P., noK. Kim. I-Scapuloplasty iyanciphisa intlungu ebangelwa ngumdlavuza wemiphunga yamaphaphu. Ugqirha wezinhlungu . 2010. 13 (5): 485-91.
> Kibler, W., Sciascia, A., kunye noT. Wilkes. I-dyskinesis ye-Scapular kunye nokuxhatshazwa kwayo. Umbhalo we-American Academy of Orthopedic Surgeons . 2012. 20 (6): 364-72.
> Suh, B., You, K., kunye noMark Park. Ingxaki Inokubangela Ukuba Uncedo UkuQinisekisa iNqanaba Lokupasa kwi-Multilevel Cervic Radiculopathy. I-Journal ye-Orthopedic Surgery . 2017. 25 (1): 2309499016684091.
> Warth, R., Spiegl, U., kunye noP. Millett. I-scapulothoracic bursitis kunye ne-snapping syaprome syndrome: uhlalutyo olubalulekileyo lobubungqina obukhoyo. Umbhalo waseMerika weMithi yeMidlalo . 2015. 43 (1): 236-45.
> Wright, A. et al. Ukuchaneka ngokuchaneka kweemvavanyo zokuhlola eziphathekayo eziphathekayo ngenxa yokukhathazeka kwegxalaba: ukuhlolwa kweenkqubo. IBritish Journal of Medicine yeMidlalo . 2012 I-Oktobha 18. (i-Epub ngaphambi kokushicilela)