Ukususwa kwesigxobo sehlombe: ukwelashwa ekhaya. Ukuhlukaniswa kokuhlanganiswa kwehlombe: izimbangela

Ukuhlukaniswa kokuhlanganiswa kwehlombe kuyinkinga ejwayelekile kakhulu ehlobene nesistimu ye-musculoskeletal. Isizathu siyisakhiwo esiyingqayizivele esihlinzeka ngobubanzi obuhamba phambili phakathi kwazo zonke izingxenye zomzimba wethu. Kulesi sihloko, sizobheka indlela yokuqaphela ukuphazamiseka kwehlombe, izimpawu zesifo. Ukuvimbela nokwelashwa njengendlela ebalulekile yokuvimbela nokuqeda imiphumela yengozi enjalo izochazwa nakwaziswa okukhulunywe ngakho.

Kuyini ukuhlukaniswa?

Ukuhlukaniswa kuthiwa ukulahlekelwa othintana nabo ezindaweni zomhlaba. Ukulimala kwenzeka kaningi ngesikhathi sezemidlalo noma ezingozini zomgwaqo. Ikakhulukazi kulabo bantu abathintekayo ku-volleyball, hockey, handball kanye nemidlalo yasebusika. Uma kwenzeka ukulimala kwehlombe, ukuxilongwa okulungile kuyadingeka.

Enye yezinhlobo ezinzima kunazo zonke zomonakalo ehlombe kuhlukaniswa ukuhlanganiswa kwehlombe. Izimbangela kanye nokwelashwa kumiswa udokotela ekuhlolisweni kwesisulu. Ukwelapha okuqhubekayo kufaka ukubuyiswa komsebenzi ohlangene nokuvimbela izinkinga.

Kungani inkinga enjalo ingenzeka?

Izimbangela ezivame kakhulu zokuxoshwa kwehlangothini lwehlombe zilimala ngesikhathi sokusebenza ngokomzimba, ziwela engxenyeni yangaphandle (eceleni) kwengalo. Isizathu senkinga singase sibe yinto eqinile. Ngezinye izikhathi ukulimala kubangelwa ukuwa kusuka ekuphakameni, isibonelo, ngenkathi usebenza endaweni yesakhiwo. Lapho umthelela kwenzeka, ikhanda lamathambo ehlombe liyaphumelela. Kuncike ekuqondeni kwawo, ukuhlukaniswa kwehlombe kungahlukaniswa ngokuthi:

1. Ukuhlukaniswa kwe-humeral yangaphakathi kwe-joint. Lolu hlobo oluvame kakhulu lokufuduka, okuvame ukuvela ngenxa yokuwela engxenyeni ehlangene noma ehlombe.
2. Ukuxoshwa kwamapayipi okuphansi kwe-joint. Ukufuduka okunjalo kungabangelwa impembelelo ngqo noma ukuguquka okubukhali kwehlombe.

Izimpawu zenkinga

Ukuhlukaniswa kwesigxobo sehlombe kungalimaza ezinye izakhiwo endaweni yehlombe. Indlela yokuhlonza inkinga nokuthi yini okufanele ukwenze ngemuva kokuxilonga "ihlombe elihlukanisiwe"? Izimpawu kanye nokwelapha (usizo lokuqala) kuxhomeke ekuqotheni kokulimala.

Izimpawu zokuxoshwa kwehlangothini lwehlombe:

1. Ngokungazelelwe, ubuhlungu obukhulu endaweni ehlombe.
2. Ukuvuvukala okukhulu noma ukulimala.
3. Ukuhamba okulinganiselwe kokujoyina.
4. Ukuphazamiseka kwengqikithi yesibambisene, kukhona ukungabi khona kwekhanda le-humerus, eliya endaweni ye-armpit.
5. Ubuhlungu buyanda uma uzama ukuhambisa ukujoyina (ngakho isiguli sigcina isandla sakhe eduze komzimba).
6. Ukuphelelwa amandla nomkhuhlane.

Izindlela zezokwelapha kanye nokuhlola

Ukulimala okubi kakhulu ukuhlukaniswa kokuhlangene kwamahlombe. Usizo lokuqala kanye nokungenelela kwezokwelapha yizinto ezidingekayo ukuze kuvuselelwe futhi kutholakale ngokushesha isiguli ngendlela ejwayelekile yokuphila. Kudingekile ukuba unesheshisa ukuhlanganiswa kwehlombe, okwenziwa ngaphansi kwe-anesthesia jikelele ukuvimbela ezinye ukulimala ngesikhathi somsebenzi kadokotela. Ukwelashwa kwenziwa ngesisekelo sezici ezithathwe indlela yokusebenza, kanye ne-radiography.

Khona-ke, ehlombe (lapho amalunga ehlombe ekhona), sebenzisa i-gypsum nge-bandage. Ukunciphisa okunjalo kwesilungu, njengombuso, kuthatha cishe amasonto amane. Ngemuva kokukhipha ukugqoka kusuka ku-gypsum nokuhlola i-radiograph, uma kungabikho ukuphindaphindwa okuphindaphindiwe kokuhlanganiswa kwehlombe, ukuvuselelwa kuba yinto ebalulekile yokubuyisela ukusebenza kwehlombe elithintekayo. Kubuye kunconywe ukuthi ubaleke umsebenzi womzimba ezinyangeni ezimbili kuya kwezintathu.

Ngezinye izikhathi, ukuze kutholakale ukuthi udokotela uyaxilongwa ngokuthi "ukukhubazeka okuvamile", ukuhlinzekwa kuyisici esibalulekile senqubo yokutakula, ngoba ezinye izinkinga zingabonakala, njenge:

• Ukuphuka kwamathambo ehlombe;
• Ukulimala kwesigqoko semisipha noma sokujoyina;
• Ukulimala kwemithambo yegazi noma izinzwa.

Njengomthetho, i-arthroscopy yenziwa. Udokotela ohlinzayo wenza ukucubungula okuncane kakhulu kwezicubu lapho ikhamera nezinsimbi zingena khona. Uma isiguli sibhekene nokulimala okuningi kwesandla kanye nokukhubazeka okuvamile kwe-shoulder joint, ukusebenza kuyinto enzima kakhulu kudokotela ohlinzayo, ngemva kwalokho isiguli kumele sigweme ukuhamba kwesigungu esiphezulu isikhathi eside (amaviki ayisithupha).

Ukuvuselelwa

Ukuvuselelwa kuyadingeka ukuze uthole ukwelashwa okuqhubekayo. Kumele udingeke ucabangele lezi zinhlayiya ezilandelayo:

1. Gwema ukunyakaza okubukhali kokuhlanganiswa kwehlombe okwesikhashana ngemva kokukhipha i-gypsum.
2. Faka isicelo sokucindezeleka okubandayo ukuze unciphise ukuvuvukala.
3. Ukwelapha ngokwemithi, okubandakanya ukuthatha izidakamizwa zokulwa nokuvuvukala. Uma ubuhlungu bukhulu, ungacela udokotela ukuba anike ama-analgesics. Isidakamizwa "I-Nurofen Plus" kumele sithathwe njalo amahora angu-6 nge-15 ml.
4. Yenza izinqubo zokwelapha. Bathuthukisa isenzo sokulwa nesibindi (cryotherapy), ukubuyiselwa kwezicubu ezithambile ezonakele (i-magnetotherapy, i-laser therapy, i-ultrasound), ukwandisa isisindo samandla kanye namandla (i-electrostimulation), ukuthuthukisa ukondla kwegazi kanye nokudla kwamathambo (i-whirlpool bath for upper leg).
5. Ukuzihlamba kwezicubu eziseduze nokuhlanganiswa, kudambisa ukucindezeleka, futhi kuthuthukisa nokunikezwa kwegazi nokudla okunomsoco.
6. Ukugqugquzela ukuhlanganiswa kwehlombe.

Ukwenza imishanguzo yezokwelapha esigabeni sokuqala sokuvuselela kungcono kakhulu ngososayensi we-psychotherapist. Kudingekile ukuthi uthathe izinyathelo ezilula ngaphandle kokulayishwa kwi-joint joint, isibonelo: izivivinyo ze-isometric nemisebenzi elula evuselela izicubu ze-neuromuscular. Ukuzivocavoca kancane kancane ukugxila, ukuqinisa amandla emisipha nokuthuthukisa ukuzinza, ukuqina kwezicubu ezithambile. Esikhathini sokugcina sokwelashwa, ukusetshenziselwa umzimba kusetshenziselwa wonke umlenze ongaphezulu, ukwandisa amandla, ukulawula ukunyakaza kanye nomsebenzi, ukuthuthukisa ukuguquguquka kokunyakaza kokuhlanganyela kwehlombe.

I-Kinesiotherapy ihlanganisa ukumboza okuhlangene nezikhwama ezikhethekile zokuqina. Zinezenzo zokuzizwa, zithuthukisa ukusebenza kwamajoyina. Ama-patches asetshenziselwa ukufaka ama-scapular anikezela ukuzinza, ukuthuthukisa izinqubo zokuphulukisa nokunciphisa ingozi yokulimala ngesikhathi sokuvivinya umzimba.

Izinkinga

Ngeshwa, ukuxilongwa ngokuthi "ukuxoshwa kwehlangothini lwehlombe" kuyingozi ngempela. Ukuvuselelwa kanye nokwelashwa ngaphandle kokutholakala okunembile kungaholela ezinkingeni eziningi. Lokhu kufaka:

• Ukukhubazeka kokujoyina;
• Ukulimala emiphakathini ye-peripheral (ukuzwakala komsindo, ukuzwela ukukhathazeka kwawo wonke umlenze ongaphezulu);
• Ukuthintelwa kwezintambo zokuhamba ngokuhlanganyela;
• Ukubuyela emuva ngisho nangemva kokulimala kwe-banal;
• Izinguquko ezishintshashintshayo ezihlangene zehlombe.

Izindlela zokwelapha ukulimala emahlombe ekhaya

Ukuphumula okuncane kuvela ekusebenziseni ukucindezela okubandayo endaweni elamelekile uma kwenzeka ukuphazamiseka kwehlombe . Ukwelashwa ekhaya ngokulimala kanzima akunakwenzeka ngaphandle kokuhlinzekwa kokwelashwa okufanelekayo. Isisulu kufanele sithathwe kudokotela ozothatha izinyathelo ezidingekayo ngemuva kokwenza i-X-ray. Ngesikhathi sokuthutha, isandla kufanele senziwe: singagwema kancane ku-elbow, sicindezelwe esifubeni futhi sihlanganiswe nge-bandage emzimbeni.

Ukuze unciphise ubuhlungu, kufanele unikeze izidakamizwa ezilwa nokuvuvukala (non-steroidal anti-inflammatory drug ("Nurofen Plus" noma "Ibuprofen" 15 ml njalo emahoreni angu-6). Ukubuyiselwa ngokuvamile kuthatha amasonto amathathu kuya kwangu-6.

Khona-ke kunconywa ukwenza imisebenzi elula yokwenza imisipha yengalo nehlombe. Ngemuva kochungechunge lwezivivinyo ezinjalo, lapho umlenze uzosebenza ngokugcwele, ungabuyela emdlalweni, kodwa kuphela ezembathweni ezikhethekile, ukuze kuthi uma kwenzeka ukuwa kugweme ukuhlukaniswa kwehlangothini. Ukwelapha ekhaya nokuvuselelwa ngemuva kokuhlukumezeka kungenzeka ngokuqaliswa okusetshenziselwa ukuvivinya umzimba, ukuze imisipha ibe yinkimbinkimbi futhi ingabi nengozi yokulimala. Uma kwenzeka umfutho we-muscle, isibonelo, emva kokuqeqesha okujulile, kungenzeka ukuthi usebenzise i-ice ehlombe.

Ukuhlukaniswa kokuhlanganiswa kwehlombe

Lokhu ukulimala okubi ngenxa yokungakwazi ukuhambisa isandla ngenxa yokuthi kwakukhona ukuhlukaniswa kwehlangothini lwehlombe. Ukwelashwa ekhaya (usizo lokuqala): uphuze imithi yokwelashwa emithini ekhonjisiwe emiyalweni, ubophe ingalo yakho emzimbeni, bese uvakashela ngokuphuthumayo isifo somzimba noma isifo sezinhlungu. Ukulimala okunjalo ukulimala okungathí sina okungaholela ekufeni kwezinzwa nemithambo yegazi.

Ukuncipha kwamathenda

Yini okufanele ngiyenze uma ngifake imigudu kanye nokuhlukaniswa kwesigxobo sehlombe? Ukwelashwa ekhaya kuhilela ukusetshenziswa komshini wokushisa (kukhishwa isigamu sehora), izidakamizwa ezinesenzo esilulekile nesinokuvuvukala (ama-gel, amafutha okugcoba). Zisetshenziswa ungqimba oluncane endaweni emelekile izikhathi eziningana ngosuku. Kubalulekile futhi ukuphumula ingalo yakho, okungukuthi, ukukhawulela ukunyakaza.

Ukuxoshwa kokuhlanganiswa kwehlombe

Njengomthetho, kwenzeka ngenxa yokuwa okubukhali, okuholela ekulimaleni kwezicubu ezithambile. Izimpawu zokulimaza: ubuhlungu obukhula kancane kancane, ukulimaza, ukuvuvukala. Kuyadingeka ukuthi usheshe ufake icebo endaweni yokulimala. Lokhu kuzokwenqabela i-hematoma nokuvuvukala kwezicubu ezithambile, ngaphandle kokuthi, nakanjani, kube nokuhlukaniswa komzimba.

Futhi ukwelashwa kwamakhemikhali abantu kule nkinga ngeke kube okungenasiphelo: izikhathi eziningana ngosuku imizuzu engu-20, sebenzisa ukupholisa ukucindezela noma amaqabunga e-ice ehlanganiswe ngesikhumba noma ehlanganiswe ngendwangu. Ukukhululwa kuletha futhi amafutha ngama-analgesic futhi aphikisayo. Zisebenza izikhathi eziningana ngosuku. Kodwa-ke, uma ubuhlungu obungapheli, kuyadingeka ukuthi uthintane nodokotela wezinzwa, ngoba ukulimala kungaba okungathí sina kunokuba ucabange.

Amakhambi omphakathi

Izindlela eziningi zasendlini zokuqeda imiphumela ehlotshaniswa nokuxilongwa "kokususwa kokuhlanganiswa." Ukwelashwa ngamakhambi omuntu kuhloswe ekunciphiseni ubuhlungu. Kunconywa ukuthi usebenzise i-compresses ebisi elishisayo: kufanele lifudumale, liboshwe ngamabhanji ngaphakathi kulo bese lisetshenziselwa ukuhlanganyela okuhlangene. U-anyanisi oqoshiwe noma "inhlama" esuka ingilazi yefulawa kanye ne-spoonful of uviniga kusiza okuningi. Kudingeka ukuthi bafakwe endaweni emelekile futhi ugcine isigamu sehora.