Umsebenzi odibeneyo wekota uvela kakhulu kwiingxelo zeziphumo zonyango nophando lophando. Abaphandi bathetha umsebenzi odibeneyo kunye nendlela echaphazeleka ngayo izifo, ezifana nesifo samathambo , okanye unyango lwe-arthritis. Nguwuphi umsebenzi odibeneyo?
Amanyathelo kunye nomsebenzi ohlangeneyo uchazwe
Intsebenziswano ichazwa njengendawo apho amathambo amabini okanye amaninzi ahlangana ndawonye ngenjongo yokuhamba okanye ukuzinza.
Ukwahlukana kwezihlunu eziwela idibeneyo kubangela ukuba zihambe. Umsebenzi odibeneyo oqhelekileyo uchazwa njengamandla okubambisana ekuhambeni kulo lonke uluhlu lwawo lwenkqubela , kuthwala ubunzima kwaye wenze umsebenzi.
Oogqirha kunye nabagqithisi bomzimba baqeqeshwe kwi-anatomy kunye ne-physiology ukuze bazi ukuba indlela eqhelekileyo yokubambisana kufanele ibuke ngayo. Bayazi isakhiwo kunye nomsebenzi wamathambo, imisipha, iigaments, i-tendon, neentsholongwane kunye nokunikezelwa kwegazi ngokubambisana. Konke oku kungaboniswa kwimifanekiso kunye nokusabalalisa iidididi. Kodwa ngaphaya kwaloo nto, kufuneka baqonde indlela osebenza ngayo ngokuqhelekileyo. Oko kubandakanya ukuba kude kangakanani ukukwazi ukuguqulela, ukunyusa okanye ukujikeleza. Ukukwazi ukuthwala ubunzima okanye ukumelana noxinzelelo oluchasene nesenzo sendibano kunye nezinye iinkalo zomsebenzi ohlangeneyo.
Ukuhlola umsebenzi ohlangeneyo
Xa uhamba ugqirha usebenzisa isikhalazo malunga nesithambo, isisipha okanye udibaniselwano, uya kwenza uviwo oluxutywa ngamasculoskeli oluquka ukuhlola umsebenzi ohlangeneyo.
Umsebenzi ohlangeneyo unokuchaphazeleka ngokulimala okanye ukuvuvukala, ngoko uya kukhangela ubomvu, ukutyumza, kunye nendlela ekuthelekiswa ngayo kunye nomxube olwahlukileyo onokungenakonakaliswa. Ingaba ubukhulu obufanayo kunye nobume?
Ugqirha uya kuba nesigulana sitshintshele idibeneyo ngokusebenzisa uluhlu oluqhelekileyo lokunyakaza-oluguquguqukayo, olwandisa, olujikelezayo.
Uya kuphinda asebenze ngokubambisana ukuze ahambe. Kuzo zombini iimeko, ubheka izithintelo kwiinkqubo zokunyakaza nokuba ngaba kukho intlungu ngexesha lokuhamba. Ubeka isandla kwidibeneyo ukuze uzive nge- crepitus ( ukukhahlaza ) okubonisa ukuthotywa kwe-joint. Uya kwenza iimvavanyo ezithile zomsebenzi ngenxa yokulimala kanobom. Ubona indlela isigulane esinokumelana ngayo nokunyakaza kokubambisana.
Umzekelo woSebenzi Ohlanganyelweyo Uvavanyo
Uluhlu lweemvavanyo zokunyuka kwiphepha luquka ukuphanga, ukuphakamisa ingalo ekuhlaleni, ukuya kwicala ukuya phezulu ngentloko kwi-arc, kunye nekhendi evivinywe ngeengalo eziphakanyisiwe ngaphambili kwaye ziphakanyiswe ngaphezu kwentloko, ngokuqhelekileyo ububanzi ukusuka kwi-0 ukuya kwi-180 degrees. Ukutshintshwa kunye nokujikelezwa kwangaphakathi kunye nokutshintshwa kunye nokujikelezwa kwangaphandle kuvivinywa ngengalo yokuqala kuqala ukuya ngasezantsi ukusuka phezulu. Ezinye iimvavanyo ziquka uvavanyo lwe-Neer kunye no-Hawkin yokuvalelwa kunye nokuhlola okungenalutho kunye neeGerbers Liftoff ukwenzela ukulimala kongxube.
Umzekelo woVavanyo loKwenziwa koMsebenzi ohlangeneyo
Kuba idolo, ugqirha uya kujonga isigulane sihambe kwaye sibone ukuba kukho i-limp, eyobonisa ukuba umsebenzi odibeneyo awunakwenzeka. Ugqirha uya kujonga isigulane esimele simele sibone ukuba imilenze iqubude okanye iguqulwe ( varus vs. valgus deformity ) ebonisa ukusebenza komdolo ongaphumeleli.
Indlela isigulane esiphumela ngayo esihlalweni kwaye ukuba unako ukunyuka izitebhisi kwakhona ibonisa umsebenzi ohlangeneyo. Isigulane sibeka phantsi, kwaye ugqirha uyayiguqa ngamadolo, okumele afike kwiiyure ze-degrees kwaye akwazi ukuguqulela kwi-degrees ezingama-140 ngokusebenza ngokuqhelekileyo. Ugqirha kwakhona uguqa idolo.
Ezinye iimvavanyo zomsebenzi wokudibana ngamadolo zibandakanya uvavanyo lukaMcMurray kunye novavanyo lwe- Appley Grind yokulimala kwamadoda, ukuvavanywa koxinzelelo lwe-colalateral ligament kunye ne-collateral ligament, uvavanyo lukaLachman lwangaphambili lwe-ligament, i-Posterior Drawer Test kunye neemvavanyo ze-chondromalacia.
Imithombo:
I-Musculo-Skeletal Examination, iYunivesithi yaseCalifornia, iSan Diego, Oktobha 2015.
I-Merck Manual, I-Consumer Version, 2015.