Xa kwenziwe ngokuchanekileyo, ukuphakamisa iintsimbi kuyindlela ekhuselekileyo nesebenzayo yokomeleza iindawo ezahlukeneyo zomzimba. Nangona kunjalo, ukuphakamisa iintsimbi ngokugqithisileyo okanye ngokungafanelekanga kunokubangela ukwenzakala ngokulula. Ekubeni umdibaniso wegxalaba unoxanduva lokunyakaza okuninzi okubandakanyekayo ekuphakamiseni izisindo, kwakhona enye yeendawo eziqhelekileyo zokulimala kwesisindo. Ukuba uva intlungu ephuma kwi-elbow yakho emva kokuphakamisa iintsimbi, kukho izizathu ezininzi ezinokuthi ziqwalaselwe.
Izizathu ezi-4 zokuba kutheni intlungu iphuma egxalabeni ukuya engqinibeni
Ukufakwa kwekhafu yerotator
Iqela eliyinkimbinkimbi yemisipha emine, i-rotator cuff ibaleka ukusuka kwi-clavicle ukuya phezulu kwithambo lengalo. Imisebenzi ephambili ye-rotator cuff ibandakanya ukuxhasa, ukubeka, kunye nokujikeleza igxalaba. Ukunyakaza okuphindaphindiweyo okufunekayo ukuphakamisa izisindo ngamanye amaxesha kubangela ukuba i-rotator cuff igubungele kumda wangaphandle we-shoulder blade. Xa oku kwenzeka, i-rotator cuff iyavutha kwaye icaphuke. Njengoko i-rotator cuff ikhula kwaye isanda, inokubanjwa phantsi kwe-shoulder blade, ibangele ukucaphuka ngakumbi. Le meko, eyaziwa ngokuba yi-rotator cuff impingement, ibangela intlungu ebuhlungu ehlala iphuma egxalabeni ukuya kwingqiniba. Ukuba ayiphathwa kakuhle, ekugqibeleni inokubangela ukuba i-tendon ikrazule okanye ihlukane namathambo.
biceps tendinitis
I-Tendonitis yingxaki eqhelekileyo enokuthi ichaphazele phantse nayiphi na i-tendon emzimbeni. Ngamafutshane, i-tendinitis ibhekisa ku-a ukudumba komthambo. Ithenda ye-biceps ichaphazeleka kakhulu njengesiphumo ukuphakamisa ubunzima obugqithisileyo okanye obungafanelekanga. Njenge-rotator cuff impingement, i-biceps tendinitis idla ngokuba ngumphumo we-tendon egubha ithambo. Enyanisweni, i-biceps tendinitis kunye ne-impingement ihlala isenzeka kunye. Iimpawu ziquka ukuqala kancinci kweentlungu eziqala ngaphambili okanye ecaleni kwegxalaba kwaye zehla ngengalo ukuya engqinibeni. Ngokuqhelekileyo iintlungu ziba mbi ngakumbi xa ingalo itsalwa kude nomzimba okanye ngaphezulu.
Bursitis
Ngaphakathi kwe-rotator cuff, i-supraspinatus muscle iyona misipha ephambili ehamba phezu kwe-shoulder blade. Esi sihlunu sinoxanduva kuphela lokuphakamisa iingalo kwicala. Ikwanoxanduva lokubamba ithambo lengalo ngaphakathi kwegxalaba ngelixa ujula into. Ithenda engqindilili incamathela isihlunu se-supraspinatus kwithambo lengalo engasentla, kwaye ingxowa encinci emtyibilizi ihlala phezu kwalo mthambo. Le sac, eyaziwa ngokuba yi-subacromial bursa, inceda ukugcoba i-tendon njengoko ihamba ngaphakathi kwedibeneyo. Ngokufana ne-biceps tendinitis, le bursa ngamanye amaxesha ixinzelelwa phakathi kwamathambo, okukhokelela ekudumbeni. Nangona iintlungu zinzima kakhulu kufuphi nomphezulu wegxalaba, inokukhanyisa ingalo.
Ukususwa kwindawo
I-dislocation kukulimala okunzulu okubandakanya ithambo le ingalo yangaphezulu iphuma kwisokethi yegxalaba. Ukubetha okukhulu okanye ukujikeleza okugqithisileyo komdibaniso zizona zizathu eziqhelekileyo zegxalaba elichithiweyo. Kwiimeko ezininzi, ukuphakamisa iintsimbi akufanele kubangele ukuchithwa kwegxalaba ngokulula. Nangona kunjalo, ukujikeleza ngokugqithiseleyo umdibaniso kunye nobunzima obuninzi kwizandla kunokukhokelela ekwenzakala. Iimpawu ziquka a ukukhubazeka okubonakalayo kufuphi negxalaba, kunye nokudumba kunye nokugruzuka. Iintlungu ezibuhlungu zihlala zivakala kwingalo yonke, ngamanye amaxesha zihamba kunye nokuba ndindisholo, ubuthathaka, kunye nokulahlekelwa yintshukumo. Unyango olukhawulezileyo luyafuneka ukuze kuthintelwe umonakalo osisigxina.