Ukwelashwa Ochwepheshe Kokulimala Kwamahlombe Okubangelwa Ukuphonsa
Ukunyakaza kokuphonsa ngaphezulu kubeka ingcindezi enkulu ehlombe, kanti abasubathi ababhekene nokulimala emahlombe ngenxa yokuphonsa badinga ukunakekelwa okukhethekile ukuze babuyele emncintiswaneni ngokuphephile. Abaphosi bebhola, ama-quarterback, abadlali be-tennis, kanye nabanye abasubathi abaphezulu babhekene namaphethini okulimala ahlukile adinga ubuchwepheshe kwezokwelapha kwezemidlalo ukuze bathole futhi baphathe kahle. Ukuqonda izindlela zokuphonsa kanye nezindlela zokulimala kuvumela ukwelashwa okuqondisiwe okubuyisela abasubathi ekuphonseni ezingeni labo langaphambilini.
KwaMadison Medical, ochwepheshe bethu bezokwelapha ezemidlalo baletha ubuchwepheshe obugxile ekuhloleni nasekwelapheni ukulimala kokuphonsa. Siyaqonda izidingo zemidlalo ekhokhelwa ngaphezulu futhi sisebenzisana nabasubathi ukubuyisela impilo yamahlombe ngenkathi sibhekana nezici zemishini kanye nokuqeqeshwa ezifaka isandla ekulimaleni. Kusukela ekuxilongweni kokuqala kuya ezinqubweni zokubuyela kwezemidlalo, siqondisa abasubathi ngokuvuselelwa okuphelele.
Ukuqonda Ukulimala Kokuphonsa
Ukunyakaza kokuphonsa kudala amandla angadabula i-ligament ye-UCL uma imisipha inganikezi ukuzinza okuguquguqukayo. Abaphosi abangochwepheshe bathola isivinini sengalo esingaphezu kwama-degrees angu-7,000 ngomzuzwana ngesikhathi sokuphonsa. Lokhu kucindezeleka okukhulu, okuphindaphindiwe izikhathi eziyizinkulungwane ngesizini, kubangela ukulimala okuncane okungaholela ezindleleni ezahlukene zokulimala.
Imisipha ye-rotator cuff yehlombe izinzisa ijoyinti ngesikhathi sokuphonsa kuyilapho i-labrum—indandatho ye-cartilage ezungeze isokhethi—inikeza ukuzinza okwengeziwe. I-biceps tendon ibambelela ku-labrum ephezulu futhi ibhekana nokucindezeleka okukhulu ngesikhathi sokuncishiswa kwejubane. Noma yiziphi zalezi zakhiwo zingonakaliswa ngokuphonsa.
Amaphethini okulimala ayahluka phakathi kwezehlakalo eziphuthumayo kanye nokusetshenziswa ngokweqile okungapheli. Ukulimala okuphuthumayo kungabangelwa ukujikijela kanye noma ukushayisana. Ukulimala okungapheli kukhula kancane kancane ngenxa yokucindezeleka okuphindaphindiwe, okuvame ukubonakala njengokungasebenzi kahle ngaphambi kokuba ubuhlungu buvele.
Ukulimala Okuvamile Kwamahlombe Okujikijelwa
Ukudabuka kwe-SLAP kuthinta i-labrum ephezulu lapho i-biceps tendon inamathela khona. Lokhu kulimala kuvame ukubangela ubuhlungu obukhulu behlombe, ikakhulukazi ngesikhathi sokuphonsa. Umuzwa "wokufa kwengalo" ngesikhathi sokugoba sekwephuzile noma izigaba zokusheshisa uvame ukukhombisa isifo se-SLAP. Ukuchofoza, ukubamba, noma ukungazinzile kungase kwenzeke.
Ukulimala kwe-Rotator cuff kusukela ku-tendinitis kuya ekudabukeni okuyingxenye nokuphelele. Ukuthinteka kwangaphakathi kwenzeka lapho i-rotator cuff icindezelwa phakathi kwekhanda le-humeral kanye ne-glenoid ngesikhathi sokujikijela. Ukuqina kwehlombe ngemuva kunomthelela kule ndlela.
Ukungazinzi—kungakhathaliseki ukuthi kuvela ekuqhekekeni okukhulu noma ekuyekeni okungapheli—kuthinta ukusebenza kokuphonsa futhi kwandisa ingozi yokulimala. Abanye abasubathi banokungakhululeki ngokomthetho okubangela izinkinga. Ukungazinzi okucashile kungabangela ubuhlungu ngaphandle kweziqephu zokuqhekeka okuqondile.
Ukulimala Okuvamile Kwamahlombe Okujikijelwa
- Izinyembezi ze-SLAP: Izinyembezi ze-labrum eziphakeme ezithinta i-biceps anchor
- Ukulimala kwe-Rotator cuff: I-Tendinitis, ukudabuka okungaphelele, noma ukudabuka okuphelele
- Ukuphazamiseka Kwangaphakathi: Ukuncinza i-Rotator cuff ngesikhathi sokubhoboza
- Ukuqina kwe-capsule yangemuva: Ukulahlekelwa ukujikeleza kwangaphakathi okuthinta ukusebenza kwemishini
- Ukuntengantenga: Ukuyekethisa noma ukuphambuka okuqondile okuthinta ukuphonsa
- I-Scapular dyskinesis: Ukunyakaza okungajwayelekile kwe-blade yamahlombe
Ukuhlola Ukuxilonga
Ukuhlolwa okuphelele kuhlanganisa ukuhlolwa kobubanzi bokunyakaza kwamahlombe, amandla, kanye nokuqina. Ukuhlolwa okukhethekile kugcizelela izakhiwo ezithile ukuze kutholakale izifo. Ukuqhathanisa ihlombe elijikijelwayo nohlangothi olungabalulekile kubangela izinguquko eziguquguqukayo ezivamile kuma-thrower.
I-MRI ene-contrast injection (MR arthrography) inikeza umbono oningiliziwe we-labrum, i-rotator cuff, kanye nezinye izakhiwo zezicubu ezithambile. Lokhu kuthathwa kwezithombe kubaluleke kakhulu ekutholeni ukudabuka kwe-SLAP kanye nokulimala kwe-partial rotator cuff. Imijovo yokuxilonga ingasiza ekutholeni imithombo yobuhlungu.
Ukuhlaziywa kwevidiyo kwe-throwing mechanics kukhomba izici ze-biomechanical ezibangela ukulimala. Amaphethini angajwayelekile ku-kinetic chain—kusukela emilenzeni kuye enkabeni kuya engalweni—athinta ukucindezeleka kwamahlombe kanye nengozi yokulimala.
Izindlela Zokwelapha
Ukulimala okuningi kokuphonsa kusabela ekwelashweni okulondolozayo. Ukuphumula ekuphonseni kuvumela ukuvuvukala okukhulu ukuba kuxazululeke. Ukwelashwa ngokomzimba kulungisa ukuntuleka kokuguquguquka—ikakhulukazi ukuqina kwehlombe elingemuva—futhi kuqinisa i-rotator cuff kanye ne-scapular stabilizers.
Uhlelo lokuzivocavoca oluyishumi lomjikijeli luhlose imisipha ebalulekile ekujikijeleni. Ukulungiswa kwemisipha engaphakathi kanye nengxenye engezansi kusekela uchungechunge lwe-kinetic. Ukubuyela kancane kancane ekujikijeleni kulandela izinhlelo ezihleliwe zezikhawu ezikhulisa ibanga kanye nokuqina kancane kancane.
Ukuhlinzwa kungadingeka ekulimaleni okuthile okungaphenduli ekwelashweni okulondolozayo. Izinqubo ze-arthroscopic zingalungisa ukudabuka kwe-labral, zibhekane nesifo se-rotator cuff, futhi ziqinise amahlombe angazinzile. Ukuvuselelwa ngemva kokuhlinzwa kubanzi, ngokuvamile izinyanga ezingu-9-12 ngaphambi kokubuyela ekuphonseni okuncintisanayo.
Ukuvimbela Ukulimala Kokuphonsa
Imikhawulo yokubala iphimbo kanye nokuphumula okwanele phakathi kokubonakala kuvikela ekulimaleni ngokweqile. Ukugwema ukuphonsa unyaka wonke kunikeza amahlombe isikhathi sokululama ngesikhathi sokuphumula. Ukufudumeza okufanele kulungiselela izicubu zokucindezela.
Izinhlelo zokulungisa umzimba ezibhekana nochungechunge lonke lwe-kinetic zisekela ukuphonsa okunempilo. Amandla angaphakathi kanye namandla emilenze kunciphisa ukucindezeleka okudluliselwa ehlombe. Izinhlelo zokuguquguquka zigcina ukuhamba okudingekayo ukuze kube nobuchwepheshe obufanele.
Ukubhekana nezimpawu zokuxwayisa kusenesikhathi kuvimbela izinkinga ezincane ekubeni ukulimala okukhulu. Ubuhlungu, ukwehla kwejubane, noma ukulahlekelwa ukulawula kufanele kushukumise ukuhlolwa ngaphambi kokuqhubeka nokudlulisa izimpawu.
Abasubathi abasebasha badinga ukunakwa okukhethekile ukuze bavimbele ukulimala ngokweqile ngesikhathi sokuthuthukiswa kwamathambo. Iziqondiso zokubala amaphimbo ngokusekelwe eminyakeni zivikela izindololwane namahlombe angakavuthwa. Ukubamba iqhaza kwezemidlalo eminingi kunciphisa ukucindezeleka okuphindaphindiwe okuvela ekukhetheni umdlalo wokuphonsa owodwa unyaka wonke.
Ukuxhumana nabaqeqeshi nabazali mayelana nezimpawu kubalulekile. Abasubathi abasebasha bangase badlule ebuhlungwini ukuze bahlale emidlalweni, okungabangela ukulimala okukhulu. Ukudala indawo lapho ukubika izimpawu kukhuthazwa khona kuvikela impilo yezemidlalo yesikhathi eside.
Kungani uMadison Medical Ebhekene Nokulimala Okujikijelwayo?
Ochwepheshe bethu bezokwelapha kwezemidlalo bayaqonda izidingo ezihlukile zemidlalo yokuphonsa ngaphezulu. I-Madison Medical ibona iziguli ezingaphezu kuka-1,200 masonto onke, inolwazi ekuxilongeni nasekwelapheni lonke uhlobo lokulimala kokuphonsa. Sisebenzisana nabadlali kuzo zonke izigaba ukubuyisela impilo yamahlombe kanye nokusebenza kokuphonsa.
Indlela yethu ebanzi ibhekana nokwelashwa kokulimala kanye nezici zemishini ezibangela izinkinga. Iningi lomshuwalense omkhulu liyamukelwa ezindaweni zethu eziseduze zaseNew Jersey.
Bukela ukuze ufunde kabanzi
Buyela Ekuphonseni Ngokuphepha
Ukulimala kwamahlombe akudingeki kuqede imisebenzi yokuphonsa. Ngokuthola isifo esifanele, ukwelashwa, kanye nokuvuselelwa, iningi labadlali libuyela ezingeni labo langaphambilini lokuncintisana. Ukuhlolwa kwangaphambi kwesikhathi kwezinkinga zamahlombe kuvumela izinketho eziningi zokwelapha kanye nemiphumela engcono.
Xhumana neMadison Medical ukuze uhlele ukuhlolwa kwakho kwehlombe elijikijelwayo. Ochwepheshe bethu bezokwelapha ezemidlalo bazohlonza ukulimala kwakho futhi bathuthukise uhlelo lokwelashwa ukuze bakubuyisele enkundleni.