Kungani ihlombe Lami Libuhlungu?

-Delile

• Yini ebangela ubuhlungu behlombe?
• Itholakala kanjani imbangela yobuhlungu behlombe?
• Kufanele ngilufune nini usizo lwezokwelapha?
• Yiziphi izinketho zokwelashwa zobuhlungu behlombe?
• Ngingabunqanda kanjani ubuhlungu behlombe?

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Ukubuka konke

Ihlombe linezinhlobonhlobo eziningi zokunyakaza. Uma kukhona okungahambi kahle ngehlombe lakho, kuthikameza ikhono lakho lokuhamba ngokukhululeka futhi kungadala ubuhlungu obukhulu nokungakhululeki.

Ihlombe liyinhlanganisela yebhola nesokhethi enamathambo amathathu amakhulu: i-humerus (ithambo lengalo ende), i-clavicle (i-collarbone), ne-scapula (eyaziwa nangokuthi i-blade blade).

La mathambo ahlanganiswe noqweqwe lwenhlwathi. Kukhona amalunga amabili amakhulu. Ukuhlanganiswa kwe-acromioclavicular kuphakathi kwengxenye ephezulu kakhulu ye-scapula ne-clavicle.

Ijoyini le-glenohumeral lakhiwe ngenhla, ingxenye emise ibhola yethambo le-humerus kanye nomphetho ongaphandle we-scapula. Lelijoyinti laziwa nangokuthi ilunga lehlombe.

Ilunga lehlombe yilona elihamba phambili kakhulu emzimbeni. Ihambisa ihlombe phambili nangemuva. Ibuye ivumele ingalo ukuthi inyakaze ngokunyakaza okuyindilinga futhi inyuke iye kude nomzimba.

Amahlombe athola uhla lwawo lokunyakaza kusuka enkomishini ye-rotator.

Ikhefu le-rotator lakhiwe ngamathenda amane. Ama-tendon yizicubu ezixhuma imisipha nethambo. Kungaba buhlungu noma kube nzima ukuphakamisa ingalo yakho phezu kwekhanda lakho uma imisipha noma amathambo azungeze isikhwama se-rotator alimele noma avuvukile.

Ungalimaza ihlombe lakho ngokwenza umsebenzi wezandla, ukudlala imidlalo, noma nangokunyakaza okuphindaphindwayo. Izifo ezithile zingaletha ubuhlungu obuya ehlombe. Lokhu kufaka phakathi izifo zomgogodla womlomo wesibeletho (intamo), kanye nesibindi, inhliziyo, noma isifo se-gallbladder.

Kungenzeka ukuthi ube nezinkinga ehlombe lakho njengoba ukhula, ikakhulukazi ngemuva kweminyaka yobudala engama-60. Lokhu kungenxa yokuthi izicubu ezithambile ezizungeze ihlombe zivame ukwehla ngeminyaka.

Ezimweni eziningi, ungaphatha ubuhlungu behlombe ekhaya. Kodwa-ke, ukwelashwa ngokomzimba, imishanguzo, noma ukuhlinzwa nakho kungadingeka.

Nakhu okudingayo mayelana nobuhlungu behlombe, kufaka phakathi izimbangela, ukuxilongwa, ukwelashwa, kanye nokuvinjelwa.

Yini ebangela ubuhlungu behlombe?

Izici nezimo eziningana zingaba nomthelela ebuhlungwini behlombe. Isizathu esivame kakhulu yi-rotator cuff tendinitis.

Lesi yisimo esivezwa yimisipha evuvukele. Enye imbangela ejwayelekile yobuhlungu behlombe yi-impingement syndrome lapho ikhafu ye-rotator ibanjwa khona phakathi kwe-acromium (ingxenye ye-scapula emboza ibhola) nekhanda le-humeral (ingxenye yebhola le-humerus).

Kwesinye isikhathi ubuhlungu behlombe bungumphumela wokulimala kwenye indawo emzimbeni wakho, imvamisa intamo noma ama-biceps. Lokhu kwaziwa njengobuhlungu obuthunyelwe. Ubuhlungu obubhekisiwe ngokuvamile abubi kakhulu lapho uhambisa ihlombe lakho.

Ezinye izimbangela zobuhlungu behlombe zifaka:

• isifo samathambo
• uqwanga oludabukile
• ikhafu ye-rotator edabukile
• ama-bursa sacs noma imisipha evuvukile
• amathambo (ama-bony projection akhula emaphethelweni amathambo)
• izinzwa ezicindezelwe entanyeni noma ehlombe
• ihlombe elaphukile noma ithambo lengalo
• ihlombe elifriziwe
• ehlombe ehlakazekile
• ukulimala ngenxa yokusebenzisa ngokweqile noma ukuphindaphinda
• ukulimala komgogodla
• isifo senhliziyo

Itholakala kanjani imbangela yobuhlungu behlombe?

Udokotela wakho uzofuna ukuthola imbangela yobuhlungu behlombe lakho. Bazocela umlando wakho wezokwelapha futhi bakuhlole ngokomzimba.

Bazozwa ubumnene nokuvuvukala futhi bazophinde bahlole ububanzi bokunyakaza nokuqina okuhlangene. Ukuhlola ukuhlolwa, njenge-X-ray noma i-MRI, kungaveza izithombe eziningiliziwe zehlombe lakho ukusiza ngokuxilongwa.

Udokotela wakho futhi angabuza imibuzo ukuthola imbangela. Imibuzo ingafaka:

• Ingabe ubuhlungu busehlombe linye noma bobabili?
• Ingabe lobu buhlungu buqale ngokuzumayo? Uma kunjalo, wawenzani?
• Ingabe ubuhlungu buya kwezinye izindawo zomzimba wakho?
• Ungakwazi yini ukukhomba indawo yobuhlungu?
• Ingabe kuba buhlungu uma ungahambi?
• Ingabe kuba buhlungu kakhulu lapho uhamba ngezindlela ezithile?
• Ingabe ubuhlungu obubukhali noma ubuhlungu obungathandeki?
• Ngabe indawo yezinhlungu ibomvu, ishisa, noma ivuvukile?
• Ingabe izinhlungu zikugcina uphapheme ebusuku?
• Yini eyenza ibe yimbi futhi yini eyenza ibe ngcono?
• Ngabe kufanele ukhawulele imisebenzi yakho ngenxa yobuhlungu behlombe lakho?

Kufanele ngilufune nini usizo lwezokwelapha?

Kufanele uxhumane nodokotela wakho uma uhlangabezana nomkhuhlane, ukungakwazi ukuhambisa ihlombe lakho, ukulimaza okuhlala njalo, ukushisa nobumnene ezungeze ilunga, noma ubuhlungu obuqhubeka ngaphezu kwamasonto ambalwa okwelashwa kwasekhaya.

Uma ubuhlungu behlombe lakho bungazelelwe futhi bungahlobene nokulimala, shayela u-911 ngokushesha. Kungaba uphawu lokuhlaselwa yisifo senhliziyo. Ezinye izimpawu zokuhlaselwa yinhliziyo zifaka:

• inkinga yokuphefumula
• ukuqina kwesifuba
• isiyezi
• ukujuluka okweqile
• ubuhlungu entanyeni noma emihlathini

Futhi, shayela u-911 noma uye egumbini lezimo eziphuthumayo ngokushesha uma ulimale ihlombe futhi wopha, uvuvukile, noma ungabona izicubu eziveziwe.

Yiziphi izinketho zokwelashwa zobuhlungu behlombe?

Ukwelashwa kuzoya ngesizathu nobukhulu bezinhlungu ezisehlombe. Ezinye izinketho zokwelashwa zifaka ukwelashwa ngokomzimba noma kokusebenza, indwayimane noma isivikeli samagxa, noma ukuhlinzwa.

Udokotela wakho angaphinde anikeze imishanguzo efana ne-nonsteroidal anti-inflammatory (NSAIDs) noma i-corticosteroids. I-Corticosteroids yimithi enamandla elwa nokuvuvukala engathathwa ngomlomo noma udokotela wakho angakujova ehlombe lakho.

Uma uke wahlinzwa ehlombe, landela imiyalo yangemva kokunakekelwa ngokucophelela.

Ezinye izinhlungu ezincane zamahlombe zingelashwa ekhaya. Ukubeka uphawu ehlombe imizuzu eyi-15 kuye kwengama-20 kathathu noma kane ngosuku izinsuku eziningana kungasiza ekunciphiseni ubuhlungu. Sebenzisa isikhwama seqhwa noma bopha iqhwa ngethawula ngoba ukubeka iqhwa ngqo esikhunjeni sakho kungadala isithwathwa bese kushise isikhumba.

Ukuphumula ihlombe izinsuku ezimbalwa ngaphambi kokubuyela emsebenzini ojwayelekile nokugwema noma yikuphi ukunyakaza okungadala ubuhlungu kungasiza. Nciphisa umsebenzi ongaphezulu noma imisebenzi.

Ezinye izindlela zokwelapha ekhaya zifaka phakathi ukusetshenziswa kwemithi elwa nokuvuvukala okungaphezu kwamanani okusiza ukusiza ukunciphisa ubuhlungu nokuvuvukala nokucindezela indawo ngebhandeshi eliqinile lokunciphisa ukuvuvukala.

Ngingabunqanda kanjani ubuhlungu behlombe?

Ukuzivocavoca okulula kwamahlombe kungasiza ukwelula nokuqinisa imisipha kanye nemisipha ye-rotator cuff. Umelaphi womzimba noma owelapha emsebenzini angakubonisa ukuthi uzenza kanjani kahle.

Uma uke waba nezinkinga zamahlombe ezedlule, sebenzisa iqhwa imizuzu eyi-15 ngemuva kokuzivocavoca ukuvimbela ukulimala okuzayo.

Ngemuva kokuthola i-bursitis noma i-tendinitis, ukwenza izivivinyo ezilula zokuhamba nsuku zonke kungakugcina ekutholeni ihlombe elifriziwe.