Akuyimfuneko ukuba ngumdlali ukuba ube nentlungu edibeneyo. I-subluxation yegxalaba ibhekisela ekukhutshweni kwenxalenye yokudibanisa. Oku kwenzeka xa ibhola yethambo lengalo ephezulu, ebizwa ngokuba yi-humerus, iphuma ngokuyinxenye kwisokethi yeglenoid egxalabeni. Kwi-dislocation epheleleyo, i-humerus ikhutshwe ngokupheleleyo kwi-socket.
Igxalaba lelona lungu lihambayo emzimbeni. Iqulethe amathambo ahlukeneyo, iigaments, kunye nezihlunu ezisebenza kunye ukuyigcina izinzile. Kuba iluhlanganiso oluhambayo, luchaphazeleka kakhulu kwi-dislocation.
I-subluxation idla ngokuba ngumphumo wokuxhwaleka, ukulimala, okanye ukubetha okunciphisa imisipha yengalo. Apha sikuxelela izizathu, iimpawu kunye nonyango olunokwenzeka lwale nzakala.
Yintoni i-subluxation yegxalaba?
Njengoko besesitshilo ngaphambili, le nzakala yinxenye yegxalaba. Umdibaniso wenziwa yibhola yethambo lengalo engaphezulu (humerus), elingena kwisokethi emile okwekomityi (glenoid).
Xa igxalaba lisusiwe, intloko yethambo lengalo ephezulu iwela ngokupheleleyo kwisokethi yayo. Kodwa kwi-subluxation, intloko yethambo lengalo iphuma kuphela kwi-socket.
Ukushukuma kwamagxa kuvumela ukujiwuzisa ingalo macala onke. Ukuphosa ngokukhawuleza okanye ngamandla amaninzi kunokubangela ukuba umdibaniselwano uqhume, nangona le nzakala idla ngokubakho emva kweminyaka yokusetyenziswa ngokuphindaphindiweyo.
Kwi-subluxation, ithambo linokuqhubela phambili, ngasemva, okanye phantsi. Ngamanye amaxesha ukwenzakala kukwakrazula izihlunu, iiligaments, okanye iitendon ezijikeleze umdibaniso.
Zithini iimpawu?
Le nzakala inako bangela ukuqina kunye neentlungu kumalungu. I-subluxation ingaba nzima ngakumbi ukuchonga kunokuba i-dislocation epheleleyo. Nangona kunjalo, kwezinye iimeko, i-humerus ekhutshwe ngokuyinxenye ibonakala phantsi kwesikhumba.
Umntu unokuva ibhola le-humerus lingena kwaye liphuma kwi-socket yegxalaba, elidla ngokungahambi kakuhle kwaye linokuba buhlungu.
Iimpawu ze-subluxation yegxalaba zingabandakanya:
- Ibonakala ikhubazekile okanye ingekho endaweni yegxalaba
- Isiporho
- Ukudumba
- Ukuba ndindisholo okanye ukubetha, okukwabizwa ngokuba yi-paresthesia, phantsi kobude bengalo
- Iingxaki zokuhambisa umdibaniso
Ukongeza, umntu unokuqaphela ukucofa okanye ukubamba imvakalelo egxalabeni ngelixa esenza imisebenzi yakhe yemihla ngemihla, ngakumbi ezo zibandakanya ukufikelela kwinto engaphezulu.
Iimbangela ze-subluxation
Ngenxa yokuba igxalaba lihamba ngeendlela ezininzi, liyakwazi ukuhla liye phambili, ngasemva, okanye lihle. Xa i-dislocation iyingxenye, i-capsule ye-shoulder capsule inokwelulwa okanye ikrazulwe, enokuthi ibe nzima ukuchithwa. Ngokuqhelekileyo, ukubetha nje kanzima okanye ukuwa kunokubangela ukuba i-humerus iphume endaweni. Ukujikeleza okugqithisileyo kunokukhupha ingalo kwindawo yayo.
Emva kokuba ukhuphe igxalaba, umdibaniso unokungazinzi kwaye ulungele ukuchithwa kwexesha elizayo okanye i-subluxations.
Ezona zizathu zixhaphakileyo zezi:
- I ngxaki. Ukuxutywa kwamagxa kungabangela iingozi okanye ukulimala okonakalisa umdibaniso okanye ezinye izakhiwo ezibonelela ngokuzinza. Imizekelo eqhelekileyo ibandakanya ukuwa kunye neengozi zemoto.
- Ukwenzakala kwezemidlalo. Imidlalo yoQhagamshelwano, kubandakanywa nehoki kunye nebhola ekhatywayo, ngokuqhelekileyo ibangela ukuxutywa kwamagxa, njengoko kwenza imidlalo ebandakanya ukuwa, njenge-skiing kunye ne-gymnastics.
- istroke. Imivimbo inokubangela ubuthathaka bemisipha, enokubangela ukungazinzi kwegxalaba.
Ngaba lukhona unyango?
La unyango lomzimba okanye ukuhlaziya inokunceda ukunyanga igxalaba. Unyango lujolise ekubuyiseleni i-humerus kwi-socket kunye nokuqinisekisa ukuba ihlala kwindawo.
Ugqirha unokuxilonga i-shoulder subluxation usebenzisa i-ultrasound. Uxilongo oluchanekileyo lungundoqo ekumiseleni eyona ndlela yonyango.
Unyango lungabandakanya oku kulandelayo:
- ukunciphisa okuvaliweyo. Lo ngugqirha ozama ukulilawula ngobunono ithambo libuyele kwindawo. Xa oku kufeziwe, iintlungu ezibuhlungu kufuneka ziphucuke ngokukhawuleza.
- Utyando. Oku kunokucetyiswa xa ukususwa kuphinda kusenzeka. Isenokuba lunyango olukhethwayo xa imithambo-luvo, imithambo yegazi, okanye imithambo emagxeni yonakele.
- I-orthosis yamagxa. Umntu kusenokufuneka anxibe iqhiya, iplangana, okanye isilingi kangangeentsuku okanye iiveki ezimbalwa ukuze igxalaba lingashukumi. Ixesha liya kuxhomekeka kubungakanani bokukhutshwa.
- Unyango. Oku kunokubandakanya ukuphumla kwemisipha kunye ne-anti-inflammatory agent, njenge-ibuprofen, ngenxa yeentlungu kunye nokudumba.
- Ukubuyisela kwimeko yesiqhelo. Emva kokuhlinzwa okanye ixesha elichithwe kwi-sling, ugqirha unokuncoma inkqubo yokubuyisela. Injongo kukubuyisela uluhlu lwentshukumo, amandla, kunye nokuzinza kwigxalaba.
Kunyango lwasekhaya kuyacetyiswa:
- sebenzisa umkhenkce. Bamba i-compress ebandayo okanye ipakethe yeqhwa ehlombe lakho imizuzu eyi-15 ukuya kwe-20 ngexesha, amaxesha amaninzi ngosuku. I-Ice iya kunciphisa intlungu kunye nokunciphisa ukuvuvukala ngokukhawuleza emva kokulimala. Emva kweentsuku ezimbalwa, ungatshintshela kubushushu.
- Ikhefu. Emva kokuba ugxininise ihlombe lakho okokuqala, kunokwenzeka ukuba kwenzeke kwakhona. Gwema nawuphi na umsebenzi onokunyanzela ibhola yengalo yakho ukuba iphume kwisokethi yakho, njengokuphosa okanye ukuphakamisa ubunzima. Buyela kwimidlalo kunye neminye imisebenzi ngokukhawuleza, usebenzisa igxalaba lakho kuphela xa uziva ulungile.
- Sebenzela ekubeni bhetyebhetye. Yenza imithambo ecetyiswa ngugqirha wakho womzimba yonke imihla. Ukunyakaza okuthambileyo rhoqo kuya kuthintela igxalaba ukuba libe lukhuni.
I-subluxation-efana nokulimala kwegxalaba
Esi silonda sabelana ngeempawu kunye nezinye ezifanayo. I-Misdiagnosis ixhaphakile kwaye ihlala ibhidaniswa kunye nezinye ezaziwa kakhulu ezinje:
- I-biceps tendinopathy. Oku kubhekisela ekudumbeni kwe-biceps tendon. Ngenxa yesikhundla se-tendon, i-biceps tendinopathy yimbangela eqhelekileyo yeentlungu zegxalaba.
- Ukulimala kwe-clavicle. Ukuqhekeka okanye ukulimala kwi-clavicle kunokubangela intlungu yegxalaba kunye nobunzima bokuhambisa umdibaniselwano.
- Ukulimala kwe-Rotator cuff. Ukulimala kwe-Rotator cuff tendon kuhlala kuxanduva lweentlungu zegxalaba kubantu bayo yonke iminyaka. Ukulimala okuncinci kunokuphilisa ngokwabo, ngelixa ukulimala okunzulu kudla ngokufuna utyando.
- ukususwa kwegxalaba. I-dislocation ibandakanya ukuhlukana okupheleleyo kwethambo lengalo ephezulu ukusuka kwisiseko segxala. Iimpawu zifana nezo ze-subluxation kwaye ziyakwazi ukuhlukaniswa kuphela ngumsebenzi wezonyango.
- Igxalaba leNdadi. Iintlungu zamagxa kwiindadi ezikhuphisanayo zidla ngokubizwa ngokuba ligxalaba lendadi. Ngenxa yokuba ukubhukuda kufuna inqanaba eliphezulu lokuguquguquka kwamagxa kunye noluhlu lokuhamba, ababhukudi banokuthi babe ne-hypermobility edibeneyo kunye nomngcipheko wokulimala.
Kuthatha ixesha elingakanani ukuphilisa?
Xa umntu owenzakeleyo ene-subluxation ngaphandle komonakalo omkhulu we-nerve okanye izicubu, igxalaba kufuneka ukuphucula ngokukhawuleza. Nangona kunjalo, ukuba umntu uyasebenza ngokukhawuleza, kunokwenzeka ukuba bafumane ukuchithwa kwexesha elizayo.
Emva kotyando lwegxalaba elichithiweyo, ugqirha uya kuhlala ecebisa ukuba umntu anxibe isilingi iiveki ezininzi. Ukuqaliswa ngokuthe ngcembe kwonyango lomzimba kunokunceda umntu aphinde afumane amandla kunye noluhlu lwentshukumo. Kungcono ukuphepha ukunyakaza okuqinileyo kwegxalaba ukukhusela iingxaki.
Ukuba ufuna unyango ngokukhawuleza kwaye ufumane ukuxilongwa ngokuchanekileyo, i-subluxation yegxalaba iyanyangeka. Xa utyando alukhuthazwa, lunokwenzeka Iinyanga ezininzi ngaphambi kokuba umntu azi ukuba unyango lusebenza kakuhle kangakanani na.
Ixesha lokubuyisela liyahluka, kuxhomekeke kubungakanani be-subluxation kunye nokuba ngaba umntu uye wahlinzwa. Emva kwe-subluxation, umsebenzi onzima kufuneka ugwenywe ukukhusela ukuphindaphinda.