Kutheni Igxalaba Lam Libuhlungu?

Umxholo

• Yintoni ebangela iintlungu zamagxa?
• Ufunyaniswa njani unobangela wentlungu?
• Ndingalufumana nini uncedo lwezonyango?
• Zithini iindlela zokhetho zonyango lweentlungu?
• Ndingazithintela njani iintlungu zamagxa?

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

Ushwankathelo

Igxalaba linoluhlu olubanzi nolwahlukileyo lokuhamba. Xa kukho into engahambanga kakuhle egxalabeni, kuthintela amandla akho okuhamba ngokukhululekileyo kwaye kunokubangela iintlungu kunye nokungonwabi.

Igxala yindawo yokudityaniswa kwebhola kunye nesokethi enamathambo amathathu aphambili: ihumerus (ithambo lengalo ende), i-clavicle (ikhola yomqala), kunye ne-scapula (ekwabizwa ngokuba likhaba).

La mathambo aqokelelwe ngumaleko wentlala. Kukho amalungu amabini aphambili. Umdibaniso we-acromioclavicular uphakathi kwelona candelo liphezulu le-scapula kunye ne-clavicle.

Umdibaniso we-glenohumeral wenziwe ngenxalenye ephezulu, emile ngebhola yethambo lehumerus kunye nomda ongaphandle wescapula. Eli lungu likwaziwa njengelinye igxalaba.

Umdibaniso wegxalaba lelona lungu lihambahambayo emzimbeni. Ihambisa igxalaba phambili nangasemva. Ikwavumela ingalo ukuba ihambe ngokujikeleza okujikelezayo kwaye inyuke inyuke emzimbeni.

Amagxa afumana uluhlu lwazo lokuhamba ukusuka kwikhafu yerotator.

Ikhofu yokujikeleza yenziwe ziithoni ezine. Iitendon zizicubu ezidibanisa izihlunu kunye nethambo. Kungaba buhlungu okanye kube nzima ukuphakamisa ingalo yakho phezu kwentloko yakho ukuba imisipha okanye amathambo ajikeleze umtya weerotator onakele okanye adumbile.

Ungalimaza igxalaba lakho ngokwenza umsebenzi wezandla, ukudlala imidlalo, okanye nangokuphindaphinda intshukumo. Izifo ezithile zinokuzisa iintlungu ezihamba egxalabeni. Oku kubandakanya izifo zomqolo wesibeleko (intamo), kunye nesibindi, intliziyo, okanye isifo se-gallbladder.

Kusenokwenzeka ukuba ube nengxaki egxalabeni lakho njengoko ukhula, ngakumbi emva kweminyaka engama-60. Oku kungenxa yokuba izicwili ezithambileyo ezijikeleze igxalaba zihlala zisiba buthathaka ngeminyaka.

Kwiimeko ezininzi, unokunyanga iintlungu zamagxa ekhaya. Nangona kunjalo, unyango lomzimba, amayeza, okanye utyando lunokuba yimfuneko.

Nantsi into ekufuneka uyazi malunga neentlungu zamagxa, kubandakanya izizathu, ukuxilongwa, unyango kunye nothintelo.

Yintoni ebangela iintlungu zamagxa?

Izinto ezininzi kunye neemeko zinokuba negalelo kwintlungu yamahlombe. Esona sizathu sixhaphakileyo yi-rotator cuff tendinitis.

Le yimeko ebonakaliswa kukudumba kwemisipha. Esinye isizathu esiqhelekileyo sentlungu yegxalaba sisifo sempingement apho ikhomputha ejikelezayo ibanjwa khona phakathi kwe-acromium (inxenye yescapula egubungela ibhola) kunye nentloko ye-humeral (isahlulo sebhola sehumerus).

Ngamanye amaxesha iintlungu zamagxa zisisiphumo sokwenzakala kwenye indawo emzimbeni wakho, zihlala ziyintamo okanye ii-biceps. Oku kwaziwa njengentlungu ekubhekiswa kuyo. Intlungu ebhekisiweyo ngokubanzi ayibi mbi xa uhambisa igxalaba lakho.

Ezinye izinto ezibangela iintlungu zamagxa zibandakanya:

• isifo samathambo
• iqhekeza eliqwengiweyo
• ikhafu yerotator eqhekekileyo
• i-bursa sacs okanye iitoni
• i-bone spurs (uqikelelo lwebony olukhula ecaleni kwamathambo)
• uxinaniswe yimithambo entanyeni okanye egxalabeni
• igxalaba elaphukileyo okanye ithambo lengalo
• igxalaba elinomkhenkce
• igxalaba elisuswe
• ukwenzakala ngenxa yokusetyenziswa gwenxa okanye ukusetyenziswa okuphindayo
• ukulimala kwethambo lomqolo
• ukuhlaselwa yintliziyo

Ufunyaniswa njani unobangela wentlungu?

Ugqirha wakho uya kufuna ukufumana unobangela wentlungu yakho. Baza kucela imbali yakho yezonyango kwaye benze uvavanyo lomzimba.

Baya kuziva bethambile kwaye bedumbile kwaye baya kuvavanya uluhlu lwentshukumo kunye nozinzo ngokudibeneyo. Ukujonga iimvavanyo, ezinje nge-X-ray okanye i-MRI, kunokuvelisa imifanekiso enegxalaba lakho ukunceda ukuxilonga.

Ugqirha wakho usenokubuza imibuzo ukuze aqonde unobangela. Imibuzo inokubandakanya:

• Ngaba iintlungu zikhona egxalabeni elinye okanye zombini?
• Ngaba le ntlungu yaqala ngequbuliso? Ukuba kunjalo, ubusenza ntoni?
• Ngaba iintlungu zihambela kwezinye iindawo zomzimba wakho?
• Ngaba unokuyikhomba indawo yentlungu?
• Ngaba kubuhlungu xa ungahambi?
• Ngaba kubuhlungu ngakumbi xa ushukuma ngeendlela ezithile?
• Ngaba yintlungu ebukhali okanye kukuqaqamba?
• Ngaba indawo yeentlungu ibomvu, ishushu, okanye idumbile?
• Ngaba iintlungu zikugcina uphapheme ebusuku?
• Yintoni eyenza mandundu kwaye yintoni eyenza ibengcono?
• Ngaba kuye kwafuneka uthintele imisebenzi yakho ngenxa yentlungu yakho?

Ndingalufumana nini uncedo lwezonyango?

Kuya kufuneka unxibelelane nogqirha wakho ukuba unefiva, ukungakwazi ukuhambisa igxalaba lakho, ukugruzuka okungapheliyo, ubushushu kunye nokuthamba ujikeleze ilunga, okanye iintlungu eziqhubeka ngaphezulu kweeveki ezimbalwa zonyango lwasekhaya.

Ukuba iintlungu zamahlombe akho ngesiquphe kwaye azihambelani nokwenzakala, tsalela umnxeba ku-911 kwangoko. Ingaba ngumqondiso wokuhlaselwa kwentliziyo. Ezinye iimpawu zesifo sentliziyo zibandakanya:

• ingxaki yokuphefumla
• ukuqina kwesifuba
• isiyezi
• ukubila okugqithisileyo
• intlungu entanyeni okanye emhlathini

Kwakhona fowunela i-911 okanye uye kwigumbi likaxakeka ngokukhawuleza ukuba wenzakele igxalaba lakho kwaye wopha, uvuvukile, okanye ungabona izicwili ezibonakalisiweyo.

Zithini iindlela zokhetho zonyango lweentlungu?

Unyango luya kuxhomekeka kwisizathu kunye nobukrakra beentlungu. Olunye ukhetho lonyango lubandakanya unyango lomzimba okanye lomsebenzi, isilingi okanye igxalaba elingasebenziyo, okanye utyando.

Ugqirha wakho unokumisela amayeza anje ngeyeza le-nonsteroidal anti-inflammatory (NSAIDs) okanye i-corticosteroids. Iicorticosteroids zinamachiza anamandla okuthintela ukudumba anokuthathwa ngomlomo okanye ugqirha wakho angakujova egxalabeni lakho.

Ukuba uye wenziwa utyando egxalabeni, landela imiyalelo yasemva kokukhathalela ngononophelo.

Ezinye iintlungu ezincinci zinganyangwa ekhaya. Ukubeka igxalaba kwimizuzu eyi-15 ukuya kwengama-20 kathathu okanye kane ngemini kangangeentsuku ezininzi kunokunceda ukunciphisa iintlungu. Sebenzisa ingxowa yomkhenkce okanye urhangqe umkhenkce kwitawuli kuba ukubeka umkhenkce ngqo kulusu lwakho kunokubangela iqabaka kwaye kutshise ulusu.

Ukuphumla egxalabeni iintsuku ezininzi ngaphambi kokuba ubuyele kwimisebenzi yesiqhelo kwaye uphephe nayiphi na intshukumo enokubangela iintlungu kunokuba luncedo. Nciphisa umsebenzi ongaphezulu okanye imisebenzi.

Olunye unyango lwasekhaya lubandakanya ukusebenzisa amayeza angasebenziyo okulwa nonsteroidal ukunceda ukunciphisa iintlungu kunye nokudumba kunye nokucinezela indawo ngebhandeji elisikiweyo lokunciphisa ukudumba.

Ndingazithintela njani iintlungu zamagxa?

Ukuzilolonga kwamagxa ngokulula kunokunceda ukolula kunye nokomeleza izihlunu kunye neetoni zekhomputha ezijikelezayo. Ingcali yezomzimba okanye ingcali kwezomsebenzi ingakubonisa ukuba uzenze njani ngokufanelekileyo.

Ukuba ukhe wanemicimbi yegxalaba elidlulileyo, sebenzisa umkhenkce kangangemizuzu eli-15 emva kokuzilolonga ukuthintela ukwenzakala okuzayo.

Emva kokuba ne-bursitis okanye i-tendinitis, ukwenza uqeqesho olulula lokuhamba yonke imihla kunokukugcina ungafumani gxalaba.