Kutheni Igxalaba Lam Lindindisholo?

Umxholo

• Ubumdaka buhla buye kwimithambo-luvo
• Iimpawu ezingakumbi kunokuba ndindisholo
• Oonobangela bokuba ndindisholo
• Intlungu entanyeni okanye emqolo
• Cofa ngasemva
• Umonakalo wenqanawa yeRotator
• I-bursae evuthayo
• Ukudumba kwamathambo
• Igxalaba lisuswe
• Amathambo akhupha
• Iimeko ezinzima, ezingapheliyo kunye neemeko ezingxamisekileyo
• Ukuqhekeka kwethambo
• Seswekile
• Ukuhlaselwa yintliziyo
• Ukukhulelwa
• Ukubetha
• Ubunzima
• Ixesha kunye nokunyanga unobangela
• Kwiofisi kagqirha wakho
• Zingisa kwaye ufune ukhathalelo

Sibandakanya iimveliso esicinga ukuba ziluncedo kubafundi bethu. Ukuba uthenga amakhonkco kweli phepha, sinokufumana ikhomishini encinci. Nantsi inkqubo yethu.

Ubumdaka buhla buye kwimithambo-luvo

Ukuba igxalaba lakho lindindisholo, imithambo-luvo egxalabeni lakho idibeneyo mhlawumbi iyabandakanyeka. Imithambo-luvo ithumela imiyalezo iye emzimbeni nasengqondweni. Oku kukuvumela ukuba uve iimvakalelo ezahlukeneyo, kubandakanya iintlungu kunye notshintsho lobushushu.

Ukuhamba kwemithambo ukusuka entanyeni nasemva (umqolo) ukuya egxalabeni. Zibaleka egxalabeni nasengalweni ephezulu ukuya kufikelela eminweni yakho. Ukonakala kwamathambo egxalabeni kunokubangela iimpawu esandleni sakho nakwezinye iindawo.

Iimpawu ezingakumbi kunokuba ndindisholo

Ukonakaliswa kwegxalaba lidibaniselwano kunokubangela ukuba ube ndindisholo ngokurhawuzelela, njengaxa unyawo lwakho lulala. Unokufumana ukulahleka okupheleleyo kwemvakalelo kwindawo egxalabeni.

Unokuba nezinye iimpawu egxalabeni, ingalo, isandla, okanye iminwe ngokunjalo. Ezinye iimpawu zingabandakanya:

• ukugruzuka
• kubanda okanye kushushu kule ndawo
• ubunzima
• ubuthathaka bemisipha
• ukuba ndindisholo okanye ukurhawuzelela
• iintlungu, iintlungu, okanye ukuthamba
• ukudumba

Iimpawu zamagxa zinokubonisa oku:

• intamo
• umva ongasemva
• igxalaba
• indawo yekhola

Oonobangela bokuba ndindisholo

Umonakalo wemithambo unokwenzeka ngezizathu ezininzi. Oku kubandakanya ukunxiba okuqhelekileyo kunye neinyembezi kunye nokwenzakala egxalabeni.

I-nerve eqinisiweyo yenzeka xa i-nerve inexinzelelo oluninzi kuyo. Oku kunokuvela:

• umsipha, imisipha, okanye amathambo anyanzelisa imithambo-luvo
• ukudumba okanye ukudumba macala luvo
• ubunzima okanye ukusetyenziswa gwenxa kwazo naziphi na izicwili ezijikelezileyo

Uxinzelelo ekugqibeleni lunokukhokelela kumonakalo wemithambo-luvo. Oku kumisa imithambo-luvo ekusebenzeni ngesiqhelo. I-nerve e-pinched ingabangela intlungu, ubuthathaka, ukubetha, okanye ukuphazamiseka.

Intlungu entanyeni okanye emqolo

Amagxa akho egazi avela kumqolo. Umonakalo wemithambo apha unokuqaqamba egxalabeni. Oku kunokubangela igxalaba elindindisholo.

I-radiculopathy yomlomo wesibeleko ihlala ibizwa ngokuba yi-pinched nerve apha entanyeni okanye ngasemva. Ngaphezulu kobundindisholo, inokubangela iintlungu kunye nobuthathaka.

Ukulala kwindawo engathandekiyo kunokucofa imithambo-luvo. Ukuma kakubi okanye ukuhlala kwindawo e-slouched ixesha elide kunokonakalisa imithambo entanyeni yakho, ngasemva, okanye emagxeni. Nantsi eminye imiqondiso yentsimbi exineneyo egxalabeni kunye nendlela yokuyinyanga.

Cofa ngasemva

Unokuyicofa imithambo-luvo kumqolo ongaphezulu ukuba wenzakele umqolo wakho. Ukuma ngeenyawo zakho kunye nokusebenza kwindawo ezingela okanye ezingathandekiyo kunokubangela oko. Kungenxa yokuba ukungahambi kakuhle emzimbeni kunokukhokelela kulungelelwaniso oluncinci ngasemva. I-nerve eqinisiweyo inokubangelwa nakwezona zinto zibuhlungu ngokwasemzimbeni.

Olunye ukonzakala okungasemva okunokuthi kubangele ukungabinamdla kwamagxa kubandakanya ukulimala kwintambo yomqolo kunye nokuqhekeka komqolo.

I-disc ye-herniated okanye ityibilika emqolo nayo inokuyiphina imbilini.

Umonakalo wenqanawa yeRotator

Ikhofu ejikelezayo sisangqa seetoni ezijikeleze igxalaba. Isebenza njengebhanti enkulu e-elastic ukubamba ithambo lengalo ephezulu kwisiseko segxalaba. Ukunxiba okuqhelekileyo kunye nokuqhekeka okanye ukwenzakala kunokucinezela ikhofi yokujikeleza.

Ukusetyenziswa gxalaba kungonakalisa ikhofu yokujikeleza. Oku kunokwenzeka ngokuhamba okuphindaphindayo ngexesha lomsebenzi okanye umthambo. Umzekelo, ukufikelela ngaphezulu okanye ukuphakamisa iintsimbi ngaphandle kwefom efanelekileyo kunokwenzakalisa ikhafu yerotator.

Kwelinye icala, ukungasebenzi kunokunyusa amathuba okucinezela imithambo-luvo ejikeleze ikhafu yerotator.

I-bursae evuthayo

I-Bursae zincinci, zizele ziingxowa ngaphakathi kwegxalaba lakho kunye namanye amalungu. Benza njengeebheringi zebhola, ukunyusa intshukumo phakathi kwamathambo. Oku kunceda ukunciphisa ukungqubana.

I-Bursitis kuxa i-bursae idumbile kwaye idumbile. Ukudumba kuyayicaphukisa imithambo-luvo, kubangele iintlungu nokuba ndindisholo. Inokwenzeka egxalabeni ukuba uyayisebenzisa kakhulu okanye uyenzakalise. Ukulimala kwekhafu yeRotator kubangela i-bursitis rhoqo, nayo.

Ukudumba kwamathambo

I-arthritis ehlombe ibangelwa ukunxiba kunye nokukrazula kwi-cartilage ngaphakathi kwamalungu akho. Oku kubizwa ngokuba yi-osteoarthritis (OA).

I-rheumatoid arthritis (RA) yenzeka xa ukudumba emzimbeni wakho konakalisa amalungu. Usulelo lunokukhokelela kwisifo samathambo.

Zombini ezi ntlobo zesifo samathambo zingonakalisa iintlungu egxalabeni lakho. Oku kunokukunika igxalaba elibuhlungu, eliqinileyo, okanye elindindisholo.

Ngaba awucingi ukuba unayo i-OA okanye i-RA? Nazi ezinye iintlobo ezintathu zamathambo ezichaphazela igxalaba.

Igxalaba lisuswe

Igxalaba lakho lenziwe ngamathambo aliqela:

• iscapula (igxalaba)
• ihumerus (ithambo lengalo ephezulu)
• i-clavicle (ikhola)

Xa kususwa igxalaba, ihumerus ngokuyinxenye okanye iphuma ngokupheleleyo egxalabeni.

Ukusasazeka kunokubangela ukwenzakala kwekhafu yerotator kunye nokonakalisa izihlunu, imisipha kunye neethambo. Oku kunokukhokelela ekubeni ube ndindisholo.

Ukuba ulisusile igxalaba lakho kube kanye, oku kwandisa amathuba okususa igxalaba lakho kwakhona.

Amathambo akhupha

I-Spurs yindawo ejijekileyo yethambo engaqhelekanga ibuhlungu. Banokuphuhlisa emva kokonzakala kumalungu. Ngamanye amaxesha bakhula ngokuhamba kwexesha ngaphandle kwesizathu.

I-Bone spurs inokuzinciphisa izithuba zemithambo-luvo, icinezele okanye icaphukise. Oku kunokwenza igxalaba lakho liqine, libe buhlungu, okanye libe ndindisholo.

Iimeko ezinzima, ezingapheliyo kunye neemeko ezingxamisekileyo

Ezinye iimeko ezinokubangela ukuba ubuthathaka egxalabeni lakho zibandakanya:

Ukuqhekeka kwethambo

Ukophuka okanye ukwaphuka kulo naliphi na ithambo lamagxa kungonakalisa imithambo-luvo. Oku kubandakanya ukwaphuka kwegxalaba (nangona oku kunqabile) kunye nengalo ephezulu. Ezinye iimpawu ezinokubakho zibandakanya:

• intlungu
• ukugruzuka
• ukudumba

Seswekile

Abantu abanesifo seswekile basemngciphekweni omkhulu wokonzakala kwemithambo-luvo. Oku kwenza ukuba ubuxhaxha begxalaba kunye nezinye iingxaki zemithambo-luvo zibekho.

Ukuhlaselwa yintliziyo

Ngamanye amaxesha, ingalo ebuthathaka iluphawu lokuhlaselwa sisifo sentliziyo. Abanye abantu banokuziva ukuba bumdaka kwindawo egxalabeni. Ezinye iimpawu zibandakanya:

• iintlungu zesifuba
• ukuqhawukelwa ngumphefumlo
• isicaphucaphu
• isiyezi

Ukukhulelwa

Ubunzima kunye nokufumana amanzi ngexesha lokukhulelwa kunokubeka abasetyhini emngciphekweni omkhulu we-nerve pinched.

Ukubetha

Ukubetha kuchaphazela ukuhamba kwegazi ukuya kwingqondo. Oku kungonakalisa imithambo-luvo. Iimpawu zibandakanya ukuba ndindisholo ngokwelinye icala lomzimba.

Ubunzima

Ukutyeba kakhulu okanye ukutyeba kakhulu kunokubeka uxinzelelo ngakumbi kwinkqubo yokujikeleza kwegazi nakwimithambo-luvo. Oku kunokukhokelela ekonakaleni kwemithambo-luvo kunye nemisipha.

Ixesha kunye nokunyanga unobangela

Kwiimeko ezininzi, ukonakala kwenzwa okwethutyana. Igxalaba elingenantambo liya kumka yakuba imithambo iphilise. Oku kungathatha iintsuku ezininzi ukuya kwiinyanga.

Unyango luxhomekeke kwisizathu. I-nerve e-pinched ihlala iphathwa ngamayeza eentlungu kunye ne-anti-inflammatories ukunceda ukukhulula iimpawu ngelixa uphilisa umzimba.

Unyango lwasekhaya lubandakanya:

• ukuthatha i-nonsteroidal anti-inflammatory drugs (i-NSAID), ezinje nge-aspirin, ibuprofen (Advil, Motrin), okanye naproxen (Aleve)
• ukubeka uxinzelelo olufudumeleyo egxalabeni, ngasemva, okanye entanyeni
• wolula intamo yakho rhoqo, amagxa, kunye nomqolo

Thenga ii-NSAID ezingaphezulu kwe-intanethi.

Ugqirha wakho unokucebisa unyango olufana:

• ulungiso lwenyama
• amayeza okuphelisa iintlungu
• izihlangu zezilima ezidityaniswe ngentsinjana / ngeplangana okanye isilingi egxalabeni okanye kwingalo yakho
• ikhola entanyeni ethambileyo
• iziyobisi ze-steroid
• Inaliti ye-steroid edibeneyo okanye emqolo
• utyando

Ingcali yezomzimba inokunceda ngokukukhokela ngokuhamba, ukuzilolonga, kunye nokuzolula okwenzelwe ukwenzakala kwakho.

Iintshukumo ezinje ngokunyusa ingalo zinokunciphisa uxinzelelo lwe-luvo. Ukuzivocavoca umzimba okuqinisa nokwolula intamo, umqolo, kunye nezihlunu zamagxa kunokuba luncedo. Oku kunceda ukuphucula impilo ye-nerve egxalabeni.

Umonakalo owenzakeleyo egxalabeni, njengokugxothwa kwegxalaba, ukwaphuka, okanye iinyembezi ezinamandla, kunokufuna utyando okanye olunye unyango.

Ukonakala kwamathambo ngenxa yesifo seswekile okanye ezinye iimeko nako kufuna ulawulo. Oku kunokwenziwa ngamayeza, ukutya, umsebenzi kunye nenkxaso.

Funda ngakumbi iingcebiso ngokunyanga iintlungu zeswekile.

Kwiofisi kagqirha wakho

Ugqirha wakho uya kuqala ngovavanyo lomzimba egxalabeni, iintshukumo, kunye novakalelo. Baza kuphinda bakubuze malunga nembali yakho yezonyango, umsebenzi wakutshanje, kunye nempilo iyonke.

Ukubanceda ukuba bafumane isifo, ugqirha wakho unokusebenzisa uvavanyo lokucinga. Oku kunokubandakanya:

• X-reyi
• Ukuskena i-CT
• IMRI

Ugqirha wakho unokusebenzisa i-electromyography (EMG). Olu vavanyo lujonga impilo yentliziyo. Ilinganisa indlela esebenza ngayo imithambo-luvo yakho ekuphumleni nasekuhambeni.

Olu vavanyo kunye nabanye banokukunceda ugqirha wakho ukuba afumanise ukuba ngaba umonakalo we-nerve ubangelwa yimithambo ye-pinched okanye ngumonakalo wemithambo-luvo ngenxa yemeko esezantsi.

Zingisa kwaye ufune ukhathalelo

Nangona ukulimala kwamagxa kuqhelekile, kubalulekile ukuba ufumane unyango olufanelekileyo ngokukhawuleza. Kwiimeko ezininzi, iimbilini zakho ziya kuphilisa kwaye zinciphise zonke iimpawu.

Gqibezela lonke unyango lomzimba kunye nolunye unyango nokuba awusenazo iimpawu. Oku kuyakuthintela igxalaba elindindayo ekubeni liphinde lenzeke.

Musa ukungahoyi iimpawu zakho. Jonga ugqirha wakho ukuba unegxa elingenalusini okanye naziphi na ezinye iimpawu entanyeni yakho, ngasemva phezulu, igxalaba, ingalo, okanye isandla.