Ukulimala Komuntu
Ithimba le-Back Clinic Personal Injury Chiropractic. Ukulimala kwengozi akukwazi nje ukukudala ukulimala ngokomzimba kuwe noma kothandekayo, ukubandakanyeka ecaleni lokulimala komuntu ngokuvamile kungaba isimo esiyinkimbinkimbi nesicindezelayo okufanele usisingathwe. Lezi zinhlobo zezimo ngeshwa zivamile futhi lapho umuntu ebhekene nobuhlungu nokungakhululeki ngenxa yokulimala engozini noma isimo esiye sabhebhethekiswa ukulimala, ukuthola ukwelashwa okufanele kwenkinga yabo ethile kungaba enye inselele. ngokwalo.
Ukuhlanganiswa kukaDkt Alex Jimenez kwezihloko zokulimala komuntu siqu kuqokomisa izinhlobonhlobo zamacala okulimala komuntu siqu, okuhlanganisa izingozi zezimoto eziholela ku-whiplash, kuyilapho kufingqa izindlela zokwelapha ezihlukahlukene eziphumelelayo, njengokunakekelwa kwe-chiropractic. Ukuze uthole ulwazi olwengeziwe, sicela ukhululeke ukuxhumana nathi ku-(915) 850-0900 noma umbhalo ukuze ushayele uDkt Jimenez mathupha ku-(915) 540-8444.
by UDkt Alex Jimenez I-Neck Pain Treatments , Whiplash
Labo abazwa ubuhlungu bentamo, ukuqina, ikhanda elibuhlungu, ihlombe kanye nobuhlungu beqolo bangase bahlupheke ngenxa yokulimala kwe-whiplash. Ingabe ukwazi izimpawu nezimpawu ze-whiplash kungasiza abantu ukuthi babone ukulimala futhi kusize abahlinzeki bezempilo ukuba bakhe uhlelo lokwelapha olusebenzayo?
Izimpawu ze-Whiplash kanye nezimpawu
I-Whiplash ukulimala kwentamo okuvame ukwenzeka ngemva kokushayisana kwemoto noma ingozi kodwa kungenzeka nganoma yikuphi ukulimala okushaya intamo ngokushesha nangemuva. Kuwukulimala okuncane kuya kokulinganisela kwemisipha yentamo. Izimpawu nezimpawu ezijwayelekile ze-whiplash zihlanganisa:
ubuhlungu Neck
Ukuqina kwentamo
bekhanda
isiyezi
ubuhlungu ehlombe
Ukuhlungu obusemhlane
Ukuluma kwentamo noma phansi ezingalweni. (Johns Hopkins Medicine. 2024 )
Abanye abantu bangaba nobuhlungu obungapheli kanye nekhanda elibuhlungu.
Izimpawu nokwelashwa kuncike ebukhulu bokulimala. Ukwelashwa kungafaka phakathi imithi yezinhlungu etholakala ngaphandle kwekhawunta, ukwelashwa kweqhwa nokushisa, i-chiropractic, ukwelapha ngokomzimba, nokuzivocavoca ukuzelula.
Izimpawu Nezimpawu Ezivamile
Ukunyakaza okungazelelwe kokushaywa kwekhanda kungathinta izakhiwo eziningana ngaphakathi kwentamo. Lezi zakhiwo zihlanganisa:
imisipha
Bones
Amalunga
Tendons
Amagagasi
Ama-disc intervertebral
Imithambo yegazi
Izinzwa.
Noma yikuphi noma konke lokhu kungathinteka ngokulimala kwe-whiplash. (I-MedlinePlus, 2017 )
Izibalo
I-Whiplash i-neck sprain eyenzeka ngokunyakaza okusheshayo kwe-neck-jerking. Izingozi ze-Whiplash zingaphezu kwengxenye yokulimala kokushayisana kwezimoto. (UMichele Sterling, 2014 ) Ngisho nokulimala okuncane, izimpawu ezivame kakhulu zihlanganisa: (Nobuhiro Tanaka et al., 2018 )
ubuhlungu Neck
Ukuqina okulandelayo
Ubumnene bentamo
Ibanga elilinganiselwe lokunyakaza kwentamo
Abantu ngabanye bangahlakulela ukungakhululeki kwentamo nobuhlungu ngemva nje kokulimala; Nokho, ubuhlungu obukhulu nokuqina ngokuvamile akwenzeki ngemva kokulimala. Izimpawu zivame ukuba zimbi kakhulu ngosuku olulandelayo noma amahora angu-24 kamuva. (Nobuhiro Tanaka et al., 2018 )
Izimpawu Zokuqala
Abacwaningi bathole ukuthi cishe ngaphezu kwesigamu sabantu abane-whiplash bahlakulela izimpawu phakathi namahora ayisithupha okulimala. Cishe u-90% uba nezimpawu emahoreni angama-24, futhi u-100% uba nezimpawu emahoreni angama-72. (Nobuhiro Tanaka et al., 2018 )
I-Whiplash vs. I-Traumatic Cervical Spine Injury
I-Whiplash ichaza ukulimala kwentamo okuncane kuya kokulinganisela ngaphandle kwezimpawu ezibalulekile zamathambo noma izinzwa. Ukulimala kwentamo okuphawulekayo kungaholela ekuqhekekeni nasekuhlakazweni komgogodla okungathinta izinzwa kanye nomgogodla. Uma umuntu eqala izinkinga zezinzwa ezihambisana nokulimala kwentamo, ukuxilongwa kushintsha kusuka ku-whiplash kuya ekulimazeni okubuhlungu komgogodla wesibeletho. Lo mehluko ungadida njengoba ukwi-spectrum efanayo. Ukuze uqonde kangcono ubunzima be-neck sprain, uhlelo lwe-Quebec classification luhlukanisa ukulimala kwentamo kumabanga alandelayo (Nobuhiro Tanaka et al., 2018 )
Ibanga 0
Lokhu kusho ukuthi azikho izimpawu zentamo noma izimpawu zokuhlolwa ngokomzimba.
Ibanga 1
Kunobuhlungu bentamo nokuqina.
Okumbalwa kakhulu okutholakele ekuhlolweni komzimba.
Ibanga 2
Ibonisa ubuhlungu bentamo nokuqina
Ubumnene bentamo
Ukuncipha kokuhamba noma ububanzi bentamo ekuhlolweni komzimba.
Ibanga 3
Kubandakanya ubuhlungu bemisipha nokuqina.
Izimpawu ze-Neurologic zihlanganisa:
Ubumbulu
Ukulinganisa
Ubuthakathaka ezingalweni
Ukuncipha kokukhalipha
Ibanga 4
Kubandakanya ukuphuka noma ukugudluka kwamathambo ekholomu yomgogodla.
Ezinye Izimpawu
Ezinye izimpawu ze-whiplash nezimpawu ezingase zihlotshaniswe nokulimala kodwa ezingavamile noma zenzeke kuphela ngokulimala okukhulu zihlanganisa (Nobuhiro Tanaka et al., 2018 )
Ukukhanda ikhanda
Ubuhlungu obukhulu
Izinkinga zokulala
Ikhanda le-Migraine
Ukubunzima ukugxila
Ubunzima bokufunda
Umbono ophundlekile
isiyezi
Izinkinga zokushayela
Izimpawu Ezingavamile
Abantu abalimele kakhulu bangase babe nezimpawu ezingavamile ezivame ukukhombisa ukulimala komgogodla wesibeletho futhi zihlanganisa: (Nobuhiro Tanaka et al., 2018 )
Amnesia
eliqhaqhazelayo
Izinguquko zezwi
I-Torticollis - imisipha ebuhlungu egcina ikhanda libheke ohlangothini olulodwa.
Ukopha ebuchosheni
Izinkinga
Abantu abaningi ngokuvamile bayalulama ezimpawini zabo emasontweni ambalwa kuya ezinyangeni ezimbalwa. (UMichele Sterling, 2014 ) Kodwa-ke, izinkinga ze-whiplash zingenzeka, ikakhulukazi ngokulimala okukhulu kwebanga lesi-3 noma ibanga lesi-4. Izinkinga ezivame kakhulu zokulimala kwe-whiplash zihlanganisa ubuhlungu obungapheli / besikhathi eside kanye nekhanda elibuhlungu. (UMichele Sterling, 2014 ) Ukulimala komgogodla womlomo wesibeletho okubuhlungu kungathinta umgogodla futhi kuhlotshaniswe nezinkinga ezingapheli zezinzwa, kuhlanganise nokuba ndikindiki, ubuthakathaka, nobunzima bokuhamba. (U-Luc van Den Hauwe et al., 2020 )
Ukwelashwa
Ubuhlungu ngokuvamile bukhulu kakhulu ngosuku olulandelayo kunangemva kokulimala. Ukwelashwa kokulimala kwe-Whiplash musculoskeletal kuncike ekutheni kuyingozi yini noma umuntu uthuthukise ubuhlungu obungapheli bentamo nokuqina.
Ubuhlungu obukhulu bungalashwa ngemithi etholakala ngaphandle kwe-counter efana ne-Tylenol ne-Advil, ephatha kahle ubuhlungu.
I-Advil iyi-anti-inflammatory nonsteroidal engathathwa nge-Tylenol yokunciphisa ubuhlungu, esebenza ngezindlela ezahlukene.
Insika yokwelashwa ukukhuthaza umsebenzi ojwayelekile ngokuzelula nokuzivocavoca. (UMichele Sterling, 2014 )
Ukwelashwa ngokomzimba kusebenzisa ukuqeqeshwa okuhlukahlukene kokunyakaza ukuqinisa imisipha yentamo nokukhulula ubuhlungu.
Ukulungiswa kwe-Chiropractic kanye ne-decompression engeyona yokuhlinzwa kungasiza ukubuyisela futhi ukondle umgogodla.
I-acupuncture kungabangela umzimba ukuba ukhulule ama-hormone emvelo anikeza ukukhululeka kobuhlungu, ukusiza ukukhulula izicubu ezithambile, ukwandisa ukujikeleza, nokunciphisa ukuvuvukala. Umgogodla womlomo wesibeletho ungabuyela ekuhambisaneni lapho izicubu ezithambile zingasavuvukali futhi ziminyene. (Tae-Woong Moon et al., 2014 )
Ukulimala Entanyeni
VIDEO
Okubhekwayo
Imithi, JH (2024). Ukulimala Kwe-Whiplash. www.hopkinsmedicine.org/health/conditions-and-diseases/whiplash-injury
I-MedlinePlus. (2017). Ukulimala Entanyeni Nokuphazamiseka. Kubuyiswe kusuka medlineplus.gov/neckinjuriesanddisorders.html#cat_95
Sterling M. (2014). Ukuphathwa kwe-Physiotherapy ye-whiplash-associated disorders (WAD). Ijenali ye-physiotherapy, i-60 (1), i-5-12. doi.org/10.1016/j.jphys.2013.12.004
Tanaka, N., Atesok, K., Nakanishi, K., Kamei, N., Nakamae, T., Kotaka, S., & Adachi, N. (2018). I-Pathology kanye nokwelashwa kwe-Traumatic Cervical Spine Syndrome: Ukulimala kwe-Whiplash. Intuthuko ku-orthopedics, 2018, 4765050. doi.org/10.1155/2018/4765050
van Den Hauwe L, Sundgren PC, Flanders AE. (2020). I-Spinal Trauma kanye ne-Spinal Cord Injury (SCI). Ku: Hodler J, Kubik-Huch RA, von Schulthess GK, abahleli. Izifo Zobuchopho, Ikhanda Nentamo, Umgogodla 2020-2023: I-Diagnostic Imaging [Inthanethi]. U-Cham (CH): Springer; 2020. Isahluko 19. Itholakala ku: www.ncbi.nlm.nih.gov/books/NBK554330/ doi: 10.1007/978-3-030-38490-6_19
Inyanga, TW, Posadzki, P., Choi, TY, Park, TY, Kim, HJ, Lee, MS, & Ernst, E. (2014). I-acupuncture yokwelapha isifo esihlobene ne-whiplash: ukubuyekezwa okuhlelekile kwezivivinyo zomtholampilo ezingahleliwe. Umuthi ohambisanayo osuselwe ebufakazini nohlukile : eCAM, 2014, 870271. doi.org/10.1155/2014/870271
by UDkt Alex Jimenez Ubuhlungu Emuva Emuva , Ukulimala Komuntu
Kubantu ababhekene nobuhlungu obuphansi emuva bangakwazi ukuqonda i-anatomy kanye nomsebenzi we-multifidus muscle ukusiza ekuvimbeleni ukulimala nasekuthuthukiseni uhlelo lokwelapha oluphumelela kakhulu?
Imisipha ye-Multifidus
Imisipha ye-multifidus yinde futhi imincane nhlangothi zombili zekholomu yomgogodla, esiza ukuzinzisa isifunda esingezansi somgogodla noma i-lumbar spine. (UMaryse Fortin, uLuciana Gazzi Macedo 2013 ) Ukuhlala kakhulu, ukujwayela ukuhamba okungenampilo, nokuntuleka kokunyakaza kungathuthukela ku-multifidus muscle buthakathaka noma i-atrophy, engabangela ukungazinzi komgogodla, ukucindezelwa kwe-vertebral, nobuhlungu be-back. (U-Paul W. Hodges, uLieven Danneels 2019 )
Anatomy
Okwaziwa ngokuthi ungqimba olujulile, ungqimba olungaphakathi impela lwezingqimba ezintathu zemisipha yangemuva futhi lulawula ukunyakaza komgogodla. Ezinye izingqimba ezimbili, ezaziwa ngokuthi i-intrinsic kanye ne-surficial, zinesibopho sekheji ye-thoracic / imbambo kanye nokunyakaza kwehlombe. (U-Anouk Agten et al., 2020 ) I-multifidus inamaphuzu okunamathiselwe kokuthi:
Umgogodla wethoracic weqolo eliphakathi.
I-lumbar spine yomgogodla ophansi.
Umgogodla we-iliac - isisekelo sethambo le-iliac elimise okwephiko le-pelvis.
I-Sacrum - uchungechunge lwamathambo angaphansi komgogodla oxhunywe ku-tailbone.
Uma umile noma uhamba, imisipha ye-multifidus isebenza ne-transversus abdominus kanye nemisipha ye-pelvic floor ukuze kuqiniswe umgogodla we-lumbar. (U-Christine Lynders 2019 )
Umsebenzi Wemisipha
Umsebenzi oyinhloko ukuzinzisa umgogodla ophansi, kodwa futhi kusiza ukunweba umgogodla ophansi noma nini lapho ufinyelela noma welula. (UJennifer Padwal et al., 2020 ) Ngenxa yokuthi i-muscle inamaphuzu amaningi okunamathiselwe futhi isetshenziswa igatsha elithile lezinzwa ezibizwa ngokuthi i-ramior posterior, ivumela i-vertebra ngayinye ukuthi isebenze ngabanye futhi ngokuphumelelayo.
Lokhu kuvikela ukuwohloka komgogodla kanye nokuthuthukiswa kwe-arthritis. (UJeffrey J Hebert et al., 2015 )
I-multifidus muscle isebenza namanye amaqembu amabili emisipha ejulile ukuze azinze futhi anyakaze umgogodla. (UJeffrey J Hebert et al., 2015 )
Imisipha ye-rotatores yenza ukujikeleza okuhlangene, ukuphenduka ukusuka kolunye uhlangothi kuya kolunye, nokunwetshwa kwamazwe amabili noma ukugoba emuva naphambili.
Imisipha ye-semispinalis ngaphezu kwe-multifidus ivumela ukunwetshwa nokujikeleza kwekhanda, intamo, kanye nomhlane ongaphezulu.
I-multifidus muscle iqinisekisa amandla omgogodla ngoba inamaphuzu amaningi okunamathiselwe emgogodleni kunezinye izendlalelo, okunciphisa ukuguquguquka komgogodla nokujikeleza kodwa kwandisa amandla nokuzinza. (U-Anouk Agten et al., 2020 )
Ubuhlungu Emuva Emuva
Imisipha ebuthakathaka ye-multifidus iphazamisa umgogodla futhi inikeza ukusekelwa okuncane ku-vertebra. Lokhu kwenezela ingcindezi emisipha kanye nezicubu ezixhumene phakathi naseduze kwekholomu yomgogodla, okwandisa ingozi yezimpawu zobuhlungu obuphansi emuva. (U-Paul W. Hodges, uLieven Danneels 2019 ) Ukulahlekelwa amandla emisipha nokuzinza kungabangela i-atrophy noma ukuwohloka. Lokhu kungabangela ukucindezelwa nezinye izinkinga zeqolo. (U-Paul W. Hodges et al., 2015 ) Izinkinga zangemuva ezihlobene nokuwohloka kwemisipha ye-multifidus zihlanganisa (U-Paul W. Hodges, uLieven Danneels 2019 )
Ama-discs e-Herniated - nawo aqhumayo noma ashelelezi.
I-nerve entrapment noma i-compression pinched nerve.
Sciatica
Ubuhlungu obudluliselwe - ubuhlungu bezinzwa obusuka emgogodleni obuzwakala kwezinye izindawo.
I-Osteoarthritis - i-arthritis egugayo
Ama-osteophyte omgogodla - ama-bone spurs
Izicubu ezibuthakathaka zesisu noma i-pelvic floor zingalimaza umgogodla, okwandisa ingozi yobuhlungu obungapheli obuphansi nokulimala.
Abantu ngabanye banconywa ukuthi babonane nomelaphi womzimba kanye ne-chiropractor abangasiza ukuthuthukisa okufanele ukwelashwa , uhlelo lokuvuselela, nokuqinisa olususelwe eminyakeni yobudala, ukulimala, izimo ezikhona, kanye namakhono angokomzimba.
Ingabe I-Core Exercises Ingasiza Ngezinhlungu Emhlane?
VIDEO
Okubhekwayo
I-Fortin, M., & Macedo, LG (2013). I-Multifidus kanye neqembu le-paraspinal muscle cross-sectional izindawo zeziguli ezinezinhlungu eziphansi emuva nokulawula iziguli: ukubuyekezwa okuhlelekile okugxile ekuphuphutheni. Ukwelashwa ngokomzimba, 93(7), 873-888. doi.org/10.2522/ptj.20120457
Hodges, PW, & Danneels, L. (2019). Izinguquko Ekwakhekeni nasekusebenzeni Kwemisipha Yasemuva Ezinhlungwini Eziphansi Emuva: Amaphuzu Esikhathi Ahlukene, Ukubuka, Nezinqubo. Ijenali yokwelashwa kwamathambo nezemidlalo, 49(6), 464-476. doi.org/10.2519/jospt.2019.8827
U-Agten, A., Stevens, S., Verbrughe, J., Eijnde, BO, Timmermans, A., & Vandenabeele, F. (2020). I-lumbar multifidus ibonakala ngohlobo olukhulu lwe-muscle fibers I uma kuqhathaniswa ne-erector spinae. I-Anatomy & cell biology, 53(2), 143–150. doi.org/10.5115/acb.20.009
Lynders C. (2019). Iqhaza Elibalulekile Lokuthuthukiswa Kwe-Transversus Abdominis Ekuvimbeleni Nokwelashwa Kwezinhlungu Eziphansi Emhlane. Ijenali ye-HSS : iphephabhuku le-musculoskeletal of Hospital for Special Surgery, 15(3), 214–220. doi.org/10.1007/s11420-019-09717-8
U-Padwal, J., Berry, DB, Hubbard, JC, Zlomislic, V., Allen, RT, Garfin, SR, Ward, SR, & Shahidi, B. (2020). Umehluko wesifunda phakathi kwe-lumbar multifidus ejulile futhi ejulile ezigulini ezine-chronic lumbar spine pathology. Izinkinga ze-BMC musculoskeletal, 21(1), 764. doi.org/10.1186/s12891-020-03791-4
U-Hebert, JJ, Koppenhaver, SL, Teyhen, DS, Walker, BF, & Fritz, JM (2015). Ukuhlolwa komsebenzi we-lumbar multifidus muscle nge-palpation: ukwethembeka nokufaneleka kokuhlolwa okusha komtholampilo. Ijenali yomgogodla: iphephabhuku elisemthethweni leNorth American Spine Society, 15 (6), 1196-1202. doi.org/10.1016/j.spinee.2013.08.056
Hodges, PW, James, G., Blomster, L., Hall, L., Schmid, A., Shu, C., Little, C., & Melrose, J. (2015). Izinguquko ze-Muscle Multifidus Ngemva Kokulimala Emuva Zibonakala Ngokulungiswa Kwesakhiwo Semisipha, i-Adipose ne-Connective Tissue, kodwa hhayi i-Muscle Atrophy: Ubufakazi be-Molecular and Morphological. Umgogodla, 40(14), 1057–1071. doi.org/10.1097/BRS.0000000000000972
by UDkt Alex Jimenez Ukulimala Komuntu , Ukulimala Okuhlobene Nasemsebenzini
Ngesikhathi sokuwa abantu bavame ukwelula izandla zabo ngokuzenzekelayo ukuze basize ekuweni, okungase kushayeke phansi kubangele ukuwela esandleni eseluliwe noma ukulimala kwe-FOOSH. Ingabe abantu kufanele bahlolwe umhlinzeki wezempilo uma bekholelwa ukuthi akukho kulimala?
FOOSH Ukulimala
Ukuwa ngokuvamile kubangela ukulimala okuncane. Ukulimala kweFOOSH kwenzeka lapho uwa phansi futhi uzama ukuphula ukuwa ngokufinyelela ngesandla/ngezandla. Lokhu kungaholela ekulimaleni komkhawulo ongaphezulu njenge-sprain noma ukuphuka. Kodwa ngezinye izikhathi, ukuwela ezandleni kungaholela ekulimaleni okubi kakhulu kanye/noma kudale izinkinga zesikhathi esizayo ze-musculoskeletal. Abantu abawile noma abalimala nge-FOOSH kufanele babonane nomhlinzeki wabo wezokunakekelwa kwempilo bese kuba ngumelaphi womzimba noma i-chiropractor ukuze bakhe uhlelo lokwelapha ngokuphepha lokubuyisela, ukuqinisa, nokusheshisa ukululama.
Ngemva Kokulimala
Kubantu abawe phansi futhi bawela esandleni, isihlakala, noma ingalo, nazi izinto ezimbalwa zokuqinisekisa ukunakekelwa okufanele kokulimala, okuhlanganisa:
Landela iphrothokholi ye-RICE yokulimala kabi
Vakashela umhlinzeki wezempilo noma umtholampilo wendawo wezimo eziphuthumayo
Xhumana nomelaphi womzimba
Ukulimala kweFOOSH kungase kube kubi kakhulu, ngakho-ke ukuze ugweme ukuvumela izinkinga ezincane zibe izinkinga ezinkulu, hlolwa uchwepheshe we-musculoskeletal. Umhlinzeki wokunakekelwa kwezempilo uzothola ukuskena kwesithombe kwabalimele kanye nezindawo ezizungezile. Bazokwenza ukuhlolwa ngokomzimba ukuze banqume uhlobo lokulimala, njengokuhlubuka noma ukuhlukumezeka kwemisipha. Ukungatholi ukwelashwa okufanele ngemva kokuwa kungase kubangele ubuhlungu obungapheli nokulahlekelwa umsebenzi. (J. Chiu, SN Robinovitch. 1998 )
Ukulimala Okuvamile
Ukulimala kweFOOSH kungalimaza izindawo ezahlukene. Lokhu kuvame ukubandakanya isihlakala nesandla, kodwa indololwane noma ihlombe nakho kungalimala. Ukulimala okuvamile kuhlanganisa:
Ukuphuka kukaColles
Ukuphuka kwesihlakala lapho isiphetho sethambo lengalo sisuswa siye emuva.
Ukuphuka kukaSmith
Ukuphuka kwesihlakala, okufana nokuphuka kwama-Colles, yilapho ithambo lengalo lisuswa khona libheke phambili kwesihlakala.
Ukuphuka kwe-Boxer
Ukuphuka kwamathambo amancane esandleni.
Ngokuvamile, kwenzeka ngemva kokushaya okuthile, kodwa kungenzeka ngokuwa ngesibhakela eseluliwe.
Ukukhishwa kwendololwane noma ukuphuka
Indololwane ingaphuma ejoyintini noma iphule ithambo endololwaneni.
Ukuphuka kwe-collarbone
Amandla asuka ekuweni kwezandla nezingalo zeluliwe angakhuphukela kukholomu, abangele ukuphuka.
I-Proximal humeral fracture
Ukuwela phezu kokulimala kwesandla okweluliwe kungabangela ithambo lengalo ukuthi liboshwe ehlombe, kubangele ukuphuka kwe-humeral okuseduze.
Ukuhlukaniswa kwamahlombe
Ihlombe lingaphuma ekuhlanganyeleni.
Lokhu kungabangela ukukhala kwe-rotator cuff noma ukulimala kwe-labrum.
Ngaphandle kokulimala, abantu kufanele bavakashele umhlinzeki wezempilo ukuze ahlole umonakalo. Uma ukulimala kukubi, udokotela angenza ukuxilongwa okunembile noma okuhlukile futhi enze uhlelo lokwelapha. (UWilliam R. VanWye et al., 2016 )
Ukwelashwa Kwemvelo
Abantu bangazuza ekwelapheni ngokomzimba ukuze basize balulame futhi babuyele ezingeni labo langaphambili lomsebenzi. Ukwelashwa ngokomzimba kuyehluka kuye ngokulimala okuthile, kodwa ngokuvamile, umelaphi womzimba angasiza abantu ukuba babuyele emsebenzini ngemva kokuwa kwesandla eseluliwe. (UWilliam R. VanWye et al., 2016 ) Ukwelashwa okujwayelekile kungabandakanya:
Izindlela zokwelapha kanye nezindlela zokunciphisa ubuhlungu, ukuvuvukala nokuvuvukala.
Isiyalo sendlela yokugqoka kahle isihlilingi sengalo.
Ukuzivocavoca nokwelula ukuthuthukisa ububanzi bokunyakaza, amandla, nokuhamba kokusebenza.
Balance umzimba.
Ukuphathwa kwezicubu ezibomvu uma bekudingekile ukuhlinzwa.
Ithimba lezokwelapha lizoqinisekisa ukuthi ukwelashwa okufanele isetshenziselwa ukubuyela ngokushesha nangokuphephile emisebenzini evamile.
Ukunakekelwa Kwe-Chiropractic Ukuphulukisa Ngemva Kokulimala
VIDEO
Okubhekwayo
U-Chiu, J., noRobinovitch, SN (1998). Ukubikezela kwamandla omthelela womkhawulo ongaphezulu ngesikhathi sokuwa esandleni eseluliwe. Ijenali ye-biomechanics, 31(12), 1169-1176. doi.org/10.1016/s0021-9290(98)00137-7
VanWye, WR, Hoover, DL, & Willgruber, S. (2016). Ukuhlolwa kwe-Physical Therapist kanye nokuxilongwa okuhlukile kobuhlungu be-elbow be-traumatic-start: umbiko wecala. Ithiyori yePhysiotherapy nokusebenza, 32(7), 556-565. doi.org/10.1080/09593985.2016.1219798
by UDkt Alex Jimenez Ukulimala Kwengozi Yezimoto , Ukulimala Komuntu , Ukulimala Okuhlobene Nasemsebenzini
Abantu bangase bangaboni ukuthi ubambo luqhekekile kuze kube yilapho izimpawu ezinjengobuhlungu lapho uphefumula kakhulu ziqala ukubonakala. Ingabe ukwazi izimpawu nezimbangela zezimbambo eziqhekekile noma eziphukile kungasiza ekuxilongeni nasekwelapheni?
Ubambo Oluqhekekile
Umbambo ophukile/ophukile uchaza noma yikuphi ukuphuka kwethambo. Ubambo oluqhekekile wuhlobo lokuphuka kwezimbambo futhi luyincazelo engaphezu kokuxilonga ubambo oluphukile kancane. Noma imuphi umthelela obuthuntu esifubeni noma emhlane ungabangela ubambo oluqhekekile, okuhlanganisa:
Ukuwa
Ukushayisana kwemoto
Ukulimala kwezemidlalo
Ukukhwehlela okunodlame
Uphawu oluyinhloko ubuhlungu lapho uhogela.
Ukulimala kuvame ukuphola emasontweni ayisithupha.
Izimpawu
Izimbambo eziqhekekile ngokuvamile zibangelwa ukuwa, ukuhlukumezeka esifubeni, noma ukukhwehlela okunamandla. Izimpawu zihlanganisa:
Ukuvuvukala noma ukuzwela endaweni elimele.
Ubuhlungu besifuba lapho uphefumula/uhogela, uthimula, uhleka, noma ukhwehlela.
Ubuhlungu besifuba ngokunyakaza noma lapho ulele phansi ezindaweni ezithile.
Ukulimala okungenzeka.
Nakuba kungavamile, ubambo oluqhekekile lungabangela izinkinga ezifana nenyumoniya.
Bonana nomhlinzeki wezempilo ngokushesha uma unenkinga yokuphefumula, ubuhlungu besifuba obunzima, noma ukukhwehlela okungapheli okunamafinyila, umkhuhlane ophezulu, kanye/noma amakhaza.
izinhlobo
Ezimweni eziningi, ubambo luvame ukuphuka endaweni eyodwa, kubangele ukuphuka okungaphelele, okusho ukuqhekeka noma ukuphuka okungadluli ethanjeni. Ezinye izinhlobo ze-rib fractures zihlanganisa:
Ukuqhekeka Kwabaxoshiwe kanye Nabangenamakhaya
Izimbambo eziphuke ngokuphelele zingase zisuke endaweni noma zingashintshi.
Uma ubambo lunyakaza, lokhu kwaziwa ngokuthi a ukuphuka kwezimbambo futhi kungenzeka ukuthi abhoboze amaphaphu noma alimaze ezinye izicubu nezitho zomzimba. (Yale Medicine. 2024 )
Ubambo oluhlala endaweni ngokuvamile lusho ukuthi ubambo aluphukanga ngokuphelele phakathi futhi lwaziwa ngokuthi a ukuphuka kwezimbambo okungashintshiwe .
Isifuba Esivulekile
Ingxenye ye-ribcage ingahlukana nethambo nemisipha ezungezile, nakuba lokhu kuyivelakancane.
Uma lokhu kwenzeka, i-ribcage izolahlekelwa ukuzinza, futhi ithambo lizohamba ngokukhululekile njengoba umuntu ephefumula noma ephuma.
Le ngxenye ye-ribcage ephukile ibizwa ngokuthi i-flail segment.
Lokhu kuyingozi njengoba kungabhoboza amaphaphu futhi kubangele ezinye izinkinga ezinkulu, njengenyumoniya.
Izimbangela
Izimbangela ezivamile zezimbambo eziqhekekile zihlanganisa:
Ukushayisana kwezimoto
Izingozi zabahamba ngezinyawo
Falls
Ukulimala okunomthelela kwezemidlalo
Ukusebenzisa ngokweqile/Ingcindezi ephindaphindayo elethwa umsebenzi noma imidlalo
Ukukhwehlela okukhulu
Abantu asebekhulile bangathola ukuphuka ngenxa yokulimala okuncane ngenxa yokulahlekelwa okuqhubekayo kwamaminerali amathambo. (U-Christian Liebsch et al., 2019 )
I-Commonality of Rib Fractures
Ukuphuka kwezimbambo kuwuhlobo oluvame kakhulu lokuphuka kwamathambo.
Zibalelwa ku-10% kuya ku-20% wakho konke ukulimala okubuhlungu okubonwa emagumbini aphuthumayo.
Ezimweni lapho umuntu efuna ukunakekelwa ngenxa yokulimala kabi esifubeni, u-60% kuya ku-80% uhilela ubambo oluphukile. (U-Christian Liebsch et al., 2019 )
Sifo
Ubambo oluqhekekile lutholwa ngokuhlolwa komzimba nokuhlolwa kwezithombe. Ngesikhathi sokuhlolwa, umhlinzeki wezempilo uzolalela amaphaphu, acindezele kancane ezimbanjeni, futhi abuke njengoba izimbambo zinyakaza. Izinketho zokuhlola izithombe zihlanganisa: (U-Sarah Majercik, u-Fredric M. Pieracci 2017 )
X-ray – Lezi ngezokubona izimbambo ezisanda kuqhekeka noma eziphukile.I-CT Scan - Lokhu kuhlolwa kwezithombe kuhlanganisa ama-X-ray amaningi futhi kungathola imifantu emincane.I-MRI – Lokhu kuhlolwa kwezithombe okwezicubu ezithambile futhi ngokuvamile kungakwazi ukubona ukuphuka okuncane noma ukulimala koqwanga.I-Bone Scan - Lokhu kuhlolwa kwe-imaging kusebenzisa i-tracer enemisebe ukuze ubone ngeso lengqondo ukwakheka kwamathambo futhi kungabonisa ukuphuka kokucindezeleka okuncane.
Ukwelashwa
Esikhathini esedlule, ukwelashwa kwakuhilela ukusonga isifuba ngebhande elaziwa ngokuthi ibhande lezimbambo. Lezi azivamile ukusetshenziswa namuhla njengoba zingakhawulela ukuphefumula, zandise ingozi yenyumoniya noma ukuwa kwephaphu kancane. (L. May, C. Hillermann, S. Patil 2016 ). Ubambo oluqhekekile ukuphuka okulula okudinga okulandelayo:
Ukuphumula
Imithi etholakala ngaphandle kwekhawunta noma kadokotela ingasiza ekulawuleni izimpawu zobuhlungu.
Izidakamizwa ezingezona ukuvuvukala - ama-NSAID afana ne-ibuprofen noma i-naproxen ayanconywa.
Uma ikhefu libanzi, abantu banganikezwa imithi yezinhlungu enamandla kuye ngobunzima nezimo ezikhona.
Ukwelashwa ngokomzimba kungasheshisa inqubo yokuphulukisa futhi kusize ukugcina ububanzi bokunyakaza kodonga lwesifuba.
Ezigulini ezibuthaka kanye nabantu asebekhulile, ukwelashwa ngokomzimba kungasiza isiguli sihambe futhi senze imisebenzi ethile evamile.
Umelaphi womzimba angaqeqesha umuntu ukuba adlulise phakathi kombhede nezihlalo ngokuphepha kuyilapho eqaphela noma yikuphi ukunyakaza noma ukuma okwenza ubuhlungu bube bubi nakakhulu.
Umelaphi womzimba uzosho umzimba ukugcina umzimba uqinile futhi ube nesitho ngangokunokwenzeka.
Isibonelo, ukusonteka kwe-lateral kungasiza ekuthuthukiseni ububanzi bokunyakaza emgodleni we-thoracic.
Ezigabeni zokuqala zokululama, kunconywa ukuthi ulale endaweni eqondile.
Ukulala phansi kungase kwengeze ukucindezeleka, kubangele ubuhlungu futhi ngokunokwenzeka kubangele ukulimala.
Sebenzisa imicamelo namabolster ukusiza ukusekela ukuhlala embhedeni.
Okunye wukulala esihlalweni esihlezi.
Ukuphulukisa kuthatha okungenani amasonto ayisithupha. (L. May, C. Hillermann, S. Patil 2016 )
Ezinye izimo
Okungase kuzwakale sengathi ubambo oluqhekekile kungase kube isimo esifanayo, yingakho kubalulekile ukuthi uhlolwe. Ezinye izimbangela zezimpawu ezingaba khona zingabandakanya:
Emergency
Inkinga evame kakhulu ukungakwazi ukudonsa umoya ngenxa yobuhlungu. Lapho amaphaphu engakwazi ukuphefumula ajule ngokwanele, amafinyila kanye nomswakama kunganqwabelana futhi kubangele izifo ezifana nenyumoniya. (L. May, C. Hillermann, S. Patil 2016 ). Ukuphuka kwezimbambo ezisusiwe kungalimaza nezinye izicubu noma izitho, okwandisa ingozi yokuwa kwephaphu/i-pneumothorax noma ukopha kwangaphakathi. Kunconywa ukuthi ufune usizo lwezokwelapha ngokushesha uma kuvela izimpawu ezifana nalezi:
Ukuphelelwa umoya
Ukuphefumula kanzima
Umbala wesikhumba oluhlaza okwesibhakabhaka obangelwa ukuntuleka komoyampilo
Ukukhwehlela okungapheli okunamafinyila
Ubuhlungu besifuba lapho uphefumula ngaphakathi nangaphandle
Umkhuhlane, ukujuluka, nokugodola
Ukushaya kwenhliziyo okusheshayo
Amandla Okunakekelwa Kwe-Chiropractic Ekuvuseleleni Ukulimala
VIDEO
Okubhekwayo
Yale Medicine. (2024). Ukuphuka kwezimbambo (ubambo oluphukile) .
U-Liebsch, C., Seiffert, T., Vlcek, M., Beer, M., Huber-Lang, M., & Wilke, H. J. (2019). Amaphethini wokuphuka kwezimbambo ezilandelanayo ngemva kokulimala kwesifuba okufiphele: Ukuhlaziywa kwamacala angu-380. I-PloS eyodwa, 14(12), e0224105. doi.org/10.1371/journal.pone.0224105
May L, Hillermann C, Patil S. (2016). Ukuphathwa kokuphuka kwezimbambo. Imfundo ye-BJA. Umqulu 16, Ukukhishwa 1. Amakhasi 26-32, ISSN 2058-5349. doi:10.1093/bjaceaccp/mkv011
Majercik, S., & Pieracci, F. M. (2017). I-Chest Wall Trauma. Imitholampilo yokuhlinza isifuba, 27(2), 113–121. doi.org/10.1016/j.thorsurg.2017.01.004
by UDkt Alex Jimenez Ukulimala Komuntu , Ukulimala kwezemidlalo
Kubantu abangenela ezemidlalo, abathanda ukuqina, nalabo abenza imisebenzi yomzimba, ukulimala kwemisipha namathambo kuvamile. Ingabe ukusebenzisa i-ice tape kungasiza ngesikhathi sesigaba sokuqala noma esibi kakhulu sokulimala kunciphisa ukuvuvukala nokuvuvukala ukuze kusheshiswe ukululama nokubuyela emisebenzini ngokushesha?
Ngemva kokulimala kwe-musculoskeletal, abantu ngabanye batuswa ukuba balandele i-R.I.C.E. indlela yokusiza ukunciphisa ukuvuvukala nokuvuvukala. R.I.C.E. isifinyezo se-Rest, Ice, Compression, and Elevation. (I-Michigan Medicine. Inyuvesi yaseMichigan. 2023 ) Amakhaza asiza ekwehliseni izinhlungu, ehlise izinga lokushisa kwezicubu, futhi ehlise ukuvuvukala endaweni yokulimala. Ngokulawula ukuvuvukala ngeqhwa nokucindezelwa kusenesikhathi ngemuva kokulimala, abantu bangagcina uhla olufanele lokunyakaza nokuhamba eduze kwengxenye yomzimba elimele. (Jon E. Block. 2010 ) Kunezindlela ezahlukene zokusebenzisa iqhwa ekulimaleni.
Izikhwama zeqhwa ezithengwa esitolo namaphakethe abandayo.
Ukucwilisa ingxenye yomzimba elimele ku-whirlpool ebandayo noma kubhavu.
Ukwenza amaphakethe eqhwa angasebenziseka kabusha.
Ibhande lokucindezela lingasetshenziswa kanye neqhwa.
I-Ice Tape iyibhandeshi elicindezelayo elinikeza ukwelashwa okubandayo ngesikhathi esisodwa. Ngemuva kokulimala, ukukusebenzisa kungasiza ukunciphisa ubuhlungu nokuvuvukala ngesikhathi sokuvuvukala okunamandla kokuphulukisa. (Matthew J. Kraeutler et al., 2015 )
Indlela I-Tape Esebenza Ngayo
I-tape iyi-bandage eguquguqukayo efakwe ngejeli yokupholisa yokwelapha. Uma isetshenziswa esithweni somzimba esilimele futhi ichayeke emoyeni, ijeli iyasebenza, ikhiqize ukuzwa okubandayo endaweni. Umphumela wokwelapha ungathatha amahora amahlanu kuya kwayisithupha. Ihlanganiswe ne-bandage eguquguqukayo, inikeza ukwelashwa kweqhwa nokucindezelwa. I-ice tape ingasetshenziswa ngokuqondile ngaphandle kwephakheji kodwa ingabuye igcinwe esiqandisini ukwandisa umphumela obandayo. Kuye ngeziqondiso zomenzi, itheyiphu akufanele igcinwe efrijini ngoba lokhu kungenza kube nzima kakhulu ukugoqa indawo elimele.
Izinzuzo
Izinzuzo zihlanganisa okulandelayo:
Kulula Sebenzisa
Umkhiqizo kulula ukuyisebenzisa.
Khipha itheyiphu, bese uqala ukuyisonga engxenyeni yomzimba elimele.
Ama-Fasteners Akudingekile
Ukugoqa kunamathela ngokwayo, ngakho-ke itheyiphu ihlala endaweni ngaphandle kokusebenzisa iziqeshana noma izixhumi.
Kulula Ukusika
Iroli elijwayelekile lingamayintshi angu-48 ubude namayintshi angu-2 ububanzi.
Ukulimala okuningi kudinga ngokwanele ukugoqa indawo elimele.
Isikelo sisika inani eliqondile elidingekayo, bese sigcina esisele esikhwameni esivalekayo.
Kuyenzeka futhi
Ngemuva kwemizuzu eyi-15 kuya kwengama-20 yokusetshenziswa, umkhiqizo ungasuswa kalula, usongwe, ugcinwe esikhwameni, bese usetshenziswa futhi.
I-tape ingasetshenziswa izikhathi eziningi.
I-tape iqala ukulahlekelwa ikhwalithi yayo yokupholisa ngemva kokusetshenziswa okuningi.
Portable
I-tape ayidingi ukufakwa endaweni epholile uma uhamba.
Iphatheka kalula futhi ilungele iqhwa elisheshayo kanye nesicelo sokucindezela ngokushesha ngemva kokulimala.
Kunganciphisa ubuhlungu nokuvuvukala futhi kugcinwe endaweni yokusebenza.
Okumbi
Okumbalwa okungalungile kuhlanganisa okulandelayo:
Iphunga lamakhemikhali
Ijeli ekugoqweni okuguquguqukayo ingaba nephunga lomuthi.
Ayinaphunga elinamandla njengamakhilimu ezinhlungu, kodwa iphunga lamakhemikhali lingabakhathaza abanye abantu.
Kungase Kungabandi Ngokwanele
Itheyiphu isebenzela ukudambisa izinhlungu ngokushesha kanye nokuvuvukala, kodwa ingase ingabandi ngokwanele kumsebenzisi uma isetshenziswa kusukela kuphakeji ekamelweni lokushisa.
Kodwa-ke, ingafakwa esiqandisini ukuze kwandiswe ukubanda futhi ingase inikeze umphumela wokupholisa okwelaphayo, ikakhulukazi kulabo ababhekene ne-tendinitis noma i-bursitis.
Ukunamathela Kungase Kuphazamise
Itheyiphu ingase inamathele kancane kwabanye.
Lokhu okunamathelayo kungase kube ukucasula okuncane.
Kodwa-ke, kuzwakala kunamathela uma isetshenziswa.
Ama-fleck ambalwa ejeli angase asale ngemuva lapho esuswa.
I-ice tape nayo inganamathela ezingutsheni.
Kubantu abafuna ukwelashwa okupholisa ngokushesha, osendleleni kwezingxenye zomzimba ezilimele noma ezibuhlungu, iqhwa tape kungaba inketho. Kungaba kuhle ukuba khona ukuze unikeze ukucindezelwa kokupholisa uma kwenzeka ukulimala okuncane ngenkathi ubamba iqhaza ku-athletics noma imisebenzi yomzimba kanye nokukhululeka ekusebenziseni ngokweqile noma ukulimala okuphindaphindayo.
Ukwelapha I-Ankle Sprains
VIDEO
Okubhekwayo
I-Michigan Medicine. Inyuvesi yaseMichigan. Ukuphumula, Ice, Ukuminyanisa, nokuphakama (RICE) .
Vimbela J. E. (2010). Ukubanda nokucindezelwa ekuphathweni kokulimala kwe-musculoskeletal kanye nezinqubo ze-orthopedic operative: ukubuyekezwa okulandisayo. Vula ijenali yemithi yezemidlalo, 1, 105–113. doi.org/10.2147/oajsm.s11102
UKraeutler, M. J., Reynolds, K. A., Long, C., & McCarty, E. C. (2015). I-Cryotherapy ecindezelayo ngokumelene neqhwa-isifundo esilindelekile, esingahleliwe mayelana nobuhlungu be-postoperative ezigulini ezibhekene nokulungiswa kwe-arthroscopic rotator cuff noma ukuchithwa kwe-subacromial. Ijenali yokuhlinzwa kwehlombe nendololwane, 24(6), 854–859. doi.org/10.1016/j.jse.2015.02.004
by UDkt Alex Jimenez Ukulimala Komuntu , Ukulimala Okuhlobene Nasemsebenzini
Indololwane eqhephukile ukulimala okuvamile kubantu abadala nasezinganeni futhi kuvame ukwenzeka ngokuhambisana nokuphuka kwamathambo nokulimala kwemizwa nezicubu. Ingabe ukwelashwa ngokomzimba kungasiza ukusekela ukululama nokuqinisekisa uhla lokunyakaza?
Ukulimala Kwendololwane Esusiwe
Ukugudluka kwendololwane kuvame ukubangelwa ukuhlukumezeka lapho amathambo endololwane engasaxhumani. Abantu abawela esandleni eseluliwe bayimbangela evame kakhulu yokulimala. (U-James Layson, u-Ben J. Okuhle kakhulu kwango-2023 ) Abahlinzeki bezempilo bazozama ukususa indololwane besebenzisa ukuncishiswa okuvaliwe. Abantu bangadinga ukuhlinzwa uma bengakwazi ukususa indololwane besebenzisa ukuncishiswa okuvaliwe.
Isetha kabusha Indololwane
Indololwane yakhiwe ngehinge kanye ne-ball-and-socket joint, okwenza umnyakazo oyingqayizivele: (I-American Society for Surgery of the Hand. 2021 )
I-hinge ehlangene
Umsebenzi wehinge uvumela ukugoba nokuqondisa kwengalo.
I-ball-and-socket joint
Umsebenzi webhola nesokhethi ikuvumela ukuthi uzungezise intende yesandla sakho sibheke phezulu noma sibheke phansi.
Ukulimala kwendololwane okuchezukile kungalimaza amathambo, imisipha, imisipha, nezicubu. (I-American Academy of Orthopedic Surgeons. 2021 ) Uma indololwane ihlala isikhathi eside ngaphandle kwelunga, kungavela umonakalo omkhulu. Ukugudluka kwendololwane akuvamisile ukusetha kabusha amalunga awo ngokwawo futhi kunconywa ukuthi kuhlolwe umhlinzeki wezempilo oqeqeshiwe ukuze kuvinjwe ukulimala okungapheli ezinzwa noma ukusebenza.
Akunconywa ukuzama ukusetha kabusha indololwane ngokwakho.
Umhlinzeki wokunakekelwa kwezempilo uzosebenza ukuze abuyisele ilunga futhi aqinisekise ukuqondana okufanele.
Ngaphambi kokusetha kabusha, bazokwenza ukuhlolwa ngokomzimba ukuze bahlole ukujikeleza kwegazi nanoma yikuphi ukulimala kwezinzwa.
Abahlinzeki bazo-oda ukuskena kwesithombe ukuze kuhlolwe ukugudluka nokukhomba amathambo aphukile. (I-American Academy of Orthopedic Surgeons. 2021 )
Uhlobo Lokususwa
Izinhlobo ezimbili zokususwa kwendololwane yilezi: (U-James Layson, u-Ben J. Okuhle kakhulu kwango-2023 )
Ukususwa Kwangemuva
Kuvela uma kukhona amandla abalulekile entendeni asakazekela ngasendololwaneni.
Ukuwa welule izandla ukuze uzibambe, bese indololwane iphushela emuva/ngemuva.
I-Anterior Dislocation
Lokhu akuvamile futhi kubangelwa amandla asetshenziswa endololwaneni egobile.
Ukuwa phansi lapho isandla siphezulu eduze kwehlombe.
Kulesi simo, i-elbow joint iphushela phambili / ngaphambili.
Ama-X-ray asetshenziselwa ukunquma uhlobo lwe ukuhlukaniswa kanye nokukhomba noma yimaphi amathambo aphukile. (I-American Society for Surgery of the Hand. 2021 )
Kuye ngokulimala, umhlinzeki angase alawule i-CT scan noma i-MRI ukuze aqinisekise ukuthi akukho monakalo owenzekile emithanjeni noma emithanjeni. (I-Radiopaedia. 2023 )
Izimpawu Nezibonakaliso
Ukulimala kwendololwane okugudluke kuvame ukubangelwa ukuhlukumezeka. (I-American Academy of Orthopedic Surgeons. 2021 ) Izimpawu nezimpawu ezijwayelekile zihlanganisa: (I-American Society for Surgery of the Hand. 2021 )
Ukungakwazi ukunyakazisa indololwane.
Ukulimala nokuvuvukala endaweni.
Ubuhlungu obukhulu endololwaneni nasezindaweni ezizungezile.
Ukukhubazeka eduze kwelunga lendololwane.
Ukuba ndikindiki, ukuluma, noma ukuba buthakathaka engalweni noma esandleni kungabonisa ukulimala kwezinzwa.
Ukwelashwa Ngaphandle Kokuhlinzwa
Abahlinzeki bezempilo baqale bazame ukwelapha indololwane egudlukile besebenzisa indlela yokunciphisa evaliwe. (I-American Society for Surgery of the Hand. 2021 )
Ukuncishiswa okuvaliwe kusho ukuthi indololwane ingasuswa ngaphandle kokuhlinzwa.
Ngaphambi kokunciphisa okuvaliwe, umhlinzeki wezempilo uzonikeza imithi ukusiza ukukhulula umuntu futhi abhekane nobuhlungu. (I-Medline Plus. 2022 )
Uma usuthuthelwe endaweni efanele, umhlinzeki wezempilo usebenzisa i-splint (imvamisa i-angle engu-90-degree of flexion) ukugcina indololwane isendaweni. (U-James Layson, u-Ben J. Okuhle kakhulu kwango-2023 )
Inhloso ukuvimbela ukunwetshwa kwendololwane, okungase kubangele ukugudluka kabusha.
I-splint ihlala endaweni isonto elilodwa kuya kwamathathu. (I-American Academy of Orthopedic Surgeons. 2021 )
Umelaphi womzimba uzohlola ukunyakaza futhi anikeze izivivinyo ukuvimbela uhla lwendololwane lokulahlekelwa ukunyakaza.
Ukwelashwa Ngokuhlinza
Indololwane ihlala ingazinzile ngesandiso esincane.
Amathambo awahambelani kahle.
Imigqa idinga ukulungiswa okwengeziwe ngemva kokwehliswa okuvaliwe.
Ukususwa kwendololwane okuyinkimbinkimbi kungenza kube nzima ukugcina ukuqondana kwamalunga.
Isisetshenziswa esisizayo, njengehinge yangaphandle, singase sinconywe ukuze sisize ukuvimbela ukuhlehla kwendololwane.
Udokotela ohlinzayo uzoncoma ukwelashwa ngokomzimba ngemva kokuhlinzwa ukusiza ngokuzivocavoca okuhlukahlukene kokunyakaza ukuze kuthuthukiswe futhi kusheshiswe ukululama.
Lokubuyisela
Izikhathi zokululama zingahluka njengoba konke ukulimala kuhlukile. (I-American Society for Surgery of the Hand. 2021 )
Isikhathi sokuphumula sincike ekuzinzeni kwendololwane ngemva kokunciphisa okuvaliwe noma ukuhlinzwa.
Abahlinzeki bezempilo bazoqalisa izivivinyo zokunyakaza ezisebenzayo. (I-American Society for Surgery of the Hand. 2021 )
Ukukhawulela ukuthi ilunga linganyakazi isikhathi esingakanani kuzovimbela ukuqina, izibazi, nokunyakaza okuvinjelwe.
Abahlinzeki bezokunakekelwa kwempilo abancomi ukungasebenzi isikhathi esingaphezu kwamaviki ambalwa.
Iqalisa kabusha Imisebenzi Ejwayelekile
Ukuqalisa kabusha umsebenzi ojwayelekile kuvame ukuncika ohlotsheni lokwelashwa kokugudluka kwendololwane: (Ortho Bullets. 2023 )
Ukuncishiswa okuvaliwe
Indololwane ihlukana izinsuku ezinhlanu kuya kweziyishumi.
Abantu ngabanye bangase bahlanganyele ekwelapheni ngokomzimba umsebenzi wokunyakaza kwangaphambi kwesikhathi ukuze basize ukuvimbela ukulahlekelwa uhla lokunyakaza.
Abantu ngabanye batuswa ukuba benze izivivinyo ezilula emasontweni amabili ngemva kokulimala.
Ukuncishiswa Kokuhlinzwa
Indololwane ingase ifakwe ku-brace evumela ukwanda kancane kancane kokunyakaza.
Kubalulekile ukugcina ukunyakaza okulawulwayo ukuvimbela ukulahleka kokunyakaza.
Indololwane inganwebeka ngokugcwele phakathi kwamaviki ayisithupha kuya kwayisishiyagalombili, nakuba kungathatha izinyanga ezinhlanu ukuze ibuyiselwe ngokuphelele.
Umhlinzeki wokunakekelwa kwezempilo uzonquma ukuthi kuphephile nini ukuqhubeka nomsebenzi ojwayelekile.
Indlela Yokuphulukisa Ukulimala Komuntu Siqu
VIDEO
Okubhekwayo
U-Layson J, Best BJ. Ukukhipha Indololwane. [Kubuyekezwe 2023 Jul 4]. Ku: StatPearls [I-inthanethi]. I-Treasure Island (FL): I-StatPearls Publishing; 2023 Jan-. Itholakala ku: www.ncbi.nlm.nih.gov/books/NBK549817/
I-American Society for Surgery of the Hand. (2021). Ukukhishwa kwendololwane .
I-American Academy of Orthopedic Surgeons. (2023). Ukukhishwa kwendololwane .
Jones J, Carroll D, El-Feky M, et al. (2023). Ukukhishwa kwendololwane . Isihloko esiyisethenjwa, Radiopaedia.org doi.org/10.53347/rID-10501
I-Medline Plus. (2022). Ukuncishiswa okuvaliwe kwethambo eliphukile .
Ortho Bullets. (2023). Ukukhishwa kwendololwane .
by UDkt Alex Jimenez Ukunakekelwa kokulimala , Ukulimala Komuntu
Inqubekelaphambili ingaba yinselele kubantu abathile ekuhlinzweni kokushintshwa kweqakala. Ukwelashwa ngokomzimba kungasiza kanjani ekubuyiseleni nasekubuyiseleni ukusebenza komlenze?
Ukwelashwa Okuphelele Kokubuyiselwa Kwe-Ankle Ngemva Kokuhlinzwa
Ukuhlinzwa okuphelele kokushintshwa kweqakala kuyinqubo enkulu ethatha isikhathi ukululama. Ukuhlinzwa okuphelele kokushintshwa kweqakala noma i-arthroplasty kungazuzisa abantu ubuhlungu beqakala obungapheli noma ukukhubazeka . Le nqubo ingathuthukisa kakhulu ubuhlungu obuphelele bomuntu kanye nokusebenza ngokuhamba kwesikhathi. Ukwelashwa ngokomzimba kubalulekile ukuze kubuyiselwe ukunyakaza eqakaleni nokubuyisela ukuhamba okugcwele. Umhlinzeki womzimba uzosebenza nomuntu ukulawula ubuhlungu nokuvuvukala, ukubuyisela uhla lokunyakaza kwe-ankle, isitimela ekuhambeni kokuhamba nokulinganisela, nokuvuselela amandla emlenzeni. Lokhu kuzosiza ukwandisa amathuba okuba nomphumela ophumelelayo ngemva kokuhlinzwa.
Ukushintshwa Kweqakala Kuphelele
I-ankle joint ingxenye yomlenze ongezansi lapho i-shinbone/tibia ihlangana nethambo le-talus phezulu onyaweni. Okungenzeka uqwanga olushelelayo/uqwanga olumboza amaphethelo alawa mathambo luqala ukuba mncane noma luwohloke. Njengoba ukuwohloka kuqhubeka, kungase kubangele ubuhlungu obukhulu, ukukhubazeka, nobunzima bokuhamba. (Umtholampilo waseCleveland. 2021 ) Yilapho uchwepheshe angase ancome ukushintshwa kweqakala ngokuphelele ukuze kube nemiphumela engcono kakhulu. Izimo ezihlukahlukene zingasizwa yile nqubo, okuhlanganisa:
Ukulimala kwamalunga okubangwa yi-gout
I-post-traumatic arthritis
rheumatoid arthritis
I-osteoarthritis ethuthukisiwe
Osteonecrosis
I-arthritis ye-Septic (U-Cort D. Lawton et al., 2017 )
Phakathi nenqubo yokushintsha iqakala, udokotela ohlinzayo wamathambo ususa iziphetho ezilimele ze-tibia ne-talus amathambo futhi azifakele isembozo sokwenziwa. Ingxenye ye-polyethylene nayo ivikelekile phakathi kwezakhiwo ezimbili ukusekela ukunyakaza okushelelayo kweziphetho ezintsha ezihlangene. (Massachusetts General Hospital. ND ) Ngokulandela inqubo, abantu ngokuvamile bafakwa ebhuthini evikelayo noma ekuphingeni. Umhlinzeki wezempilo uzoncoma ukuthi ungahlali emlenzeni amaviki angu-4 kuya kwangu-8 ukuze uvumele ukuphulukiswa.
Ukwelashwa Kwemvelo
Ukwelashwa ngokomzimba kwesiguli esingaphandle kuvame ukuqaliswa emasontweni ambalwa ngemva kokuhlinzwa kweqakala. (I-UW Health Orthopedics kanye Nokuvuselela. 2018 ) Ukwelashwa ngokomzimba kungathatha izinyanga ezinhlanu noma ngaphezulu, kuye ngobunzima besimo nokulimala. Umhlinzeki womzimba uzogxila ezindaweni ezahlukene ukuze athole imiphumela engcono kakhulu. (U-Cort D. Lawton et al., 2017 )
Ukulawula Ubuhlungu Nokuvuvukala
Ubuhlungu obungemuva kokuhlinzwa nokuvuvukala kuvamile ngemva kokushintshwa kweqakala ngokuphelele. Akuvamile ukuthi iqakala livuvuke ngisho izinyanga eziyisithupha kuya kweziyi-12 ngemva kokuhlinzwa. (I-UW Health Orthopedics kanye Nokuvuselela. 2018 ) Udokotela ohlinzayo ngokuvamile uzonikeza imithi ukusiza ukuphatha ukungakhululeki kusenesikhathi, futhi ukwelapha ngokomzimba nakho kunendima ebalulekile ekubhekaneni nezimpawu. Ukwelashwa okusetshenzisiwe kungabandakanya:
Ukuvuselela ugesi - ama-pulses kagesi athambile asetshenziswa emisipha.
Ice
Ukucindezela kwe-Vasopneumatic, lapho umkhono ophefumulayo usetshenziselwa ukudala ingcindezi endaweni, ngokuvamile usetshenziswa ekuqaleni kokwelashwa ngokomzimba ukuze kuncishiswe ubuhlungu noma ukuvuvukala.
Ezinye izindlela, ezifana nokuzivocavoca umzimba okuqondisiwe, kuhlanganiswe nezinye izindlela zokwelapha.
Ibanga Lokunyakaza
Ekuqaleni kwenqubo, i-ankle izoba nzima kakhulu futhi iqine. Lokhu kungenxa yezici eziningana, okuhlanganisa ukuvuvukala nokuvuvukala ngemva kokuhlinzwa kanye nesikhathi esichithwa singanyakazi ebhuthini.
Umelaphi womzimba uzosebenzisa amasu ahlukahlukene ukuze athuthukise uhla lokunyakaza kwe-ankle ukuze lijikeleze futhi liguquguquke.
Umelaphi womzimba angase asebenzise ukwelula okwenziwa amandla angaphandle njengomelaphi noma ibhande lokumelana) ukusiza ukuthuthukisa ukuhamba.
Amasu okwenziwa ngesandla afana nokubhucungwa kwezicubu ezithambile kanye nokuhlanganisa ngokuhlanganyela kuyasetshenziswa. (Massachusetts General Hospital. ND )
Umelaphi uzothuthukisa uhlelo lokuvuselela ikhaya oluhlanganisa amasu okuzelula nokunyakaza okuthambile.
I-Gait and Balance Training
Ngemva kwamasonto okuhlala eqakaleni elithintekile, udokotela ohlinzayo uzosusa isiguli ukuze siqale ukuqeqeshwa kokuhamba.
Umelaphi womzimba uzosebenza ukuthuthukisa iphethini ye-gait jikelele futhi anciphise ukuxhuga.
Bazosiza futhi ukuguquka kusuka ekusebenziseni izinduku noma umuntu ohamba ngezinyawo ukuya ekuhambeni ngokuzimela. (I-UW Health Orthopedics kanye Nokuvuselela. 2018 )
Ngemva kwamasonto amaningi okunyakaza okuncishisiwe kanye nokuntuleka kokuthwala noma yisiphi isisindo eqakaleni, imisipha ezungeze iqakala ngokuvamile i-atrophied/ubuthakathaka, okungaba nomthelela olinganiselayo.
Lapho umuntu engaqala ukubeka isisindo emlenzeni, umelaphi uzosebenzisa i-proprioceptive / umuzwa wokuqeqeshwa kwesikhundla somzimba ukuze athuthukise ukuzinza okuphelele. (I-UW Health Orthopedics kanye Nokuvuselela. 2018 )
Izivivinyo zokulinganisela zizokwengezwa ohlelweni lwasekhaya futhi zizoqhubeka isonto nesonto.
Amandla
Imisipha emlenzeni, eqakaleni, nasenyaweni iba buthakathaka ngenxa yokuhlinzwa kanye nesikhathi esichithwa ku-splint noma ebhuthini. Lezi zakhiwo zinendima ebalulekile ekulinganiseni, ikhono lokuma, ukuhamba, nokwenyuka noma ukwehla ezitebhisini.
Ukubuyisela amandla namandla ale misipha kuwumgomo obalulekile wokuvuselela.
Emasontweni okuqala, umeluleki womzimba uzogxila ekuzilolongeni okumnene kokuqinisa.
I-Isometrics yenza imisipha isebenze kancane kodwa igweme ukucasula indawo yokuhlinzwa.
Njengoba isikhathi sihamba futhi ukuthwala isisindo kuvunyelwa, le mnyakazo emnene ithathelwa indawo inselele kakhulu, njengamabhendi okumelana nokuma, ukusheshisa ukuzuza kwamandla.
Ukwelapha I-Ankle Sprains Ngokunakekelwa Kwe-Chiropractic
VIDEO
Okubhekwayo
Umtholampilo waseCleveland. (2021). Isamba sokushintshwa kweqakala .
Lawton, C. D., Butler, B. A., Dekker, R. G., 2nd, Prescott, A., & Kadakia, A. R. (2017). Isamba se-ankle arthroplasty ngokumelene ne-ankle arthrodesis-ukuqhathaniswa kwemiphumela kule minyaka eyishumi edlule. Ijenali yokuhlinzwa kwamathambo nocwaningo, 12(1), 76. doi.org/10.1186/s13018-017-0576-1
Massachusetts General Hospital. (ND). Imihlahlandlela yokwelapha ngokomzimba ye-ankle arthroplasty ephelele .
I-UW Health Orthopedics kanye Nokuvuselela. (2018). Imihlahlandlela yokuvuselela elandela i-ankle arthroplasty ephelele .
