Ihlangothini lehlombe lihamba kakhulu emzimbeni womuntu. Ngokuqondene nomsebenzi wayo oqhubekayo kanye nobukhulu bokuhamba, ukulimala kungenzeka, njengokuthi, ukuhlukanisa ihlombe.
Emaphesenti angama-90%, ukususwa kwe-anterior kwehlombe kwenzeka kaningi kunokuba sivumele ukuhamba okuphansi, okuphansi noma ngaphezulu. I-dislocation yangaphambili (i-dislocation) inqunywa lapho ikhanda le-humerus "liwela" phambili, ngengalo yangaphandle noma eyeluliwe.
Ukususwa kwehlombe: izimpawu
Izimpawu ze-dislocation yehlombe zihlukahlukene. Yiqiniso, njengoba sishilo ekuqaleni kwalesi sihloko, ukhokho we-dislocation uyingozi. Zingabangelwa futhi zihlobene nokunyakaza okubukhali, nangenxa yokuwa noma yikuphi. Kunoma yikuphi, kukhona ukuqubuka kwe-capsule ehlangene futhi ngokuzithandela endaweni eyodwa, futhi, ngenxa yalokho, ukulahlekelwa yinhloko ye-humerus.
Uma ukuxoshwa kwenzeka okokuqala, khona-ke ezimweni eziningi kukhona ubuhlungu. Esikhathini sokudlulelwa okulandelayo, ngenxa yezicubu ezithambile ngaphambili, ubuhlungu bungase bungabaluleki noma abukho konke obubonakalayo.
Ezimweni eziningi, kunemikhawulo ekuhambeni. Ihlombe "imithombo" ngaphezu kokuhamba. Lokhu kungenxa yokuthi ikhanda le-humerus alikho ekuhlanganyeleni.
Kungakhathaliseki ukuthi yikuphi ukuphazamiseka - indawo engaphansi noma yangaphakathi, kunokudonswa kwe-joint shoulder. Uma umuntu engesiyimizimba enesisindo, ungase uzizwe ukufuduka kwekhanda le-humerus ngaphansi kwesikhumba.
Indlela yokuphatha ukuhlukaniswa kwehlombe?
Uma kwenzeka ukuthi une-shoulder dislocation, ukwelashwa kufanele kube okusheshayo. Okokuqala, ukunciphisa noma yikuphi ukunyakaza ngehlombe lakho, sebenzisa ukucindezela okubandayo okungenani imizuzu eyishumi, noma kunalokho iqhwa. Ukuqondiswa kwe-shoulder dislocation akuvunyelwe ngokuphelele, ngaphandle uma unemfundo ekhethekile yezokwelapha. Okungcono kakhulu ngokuhlukaniswa kwehlombe kuhlanganisa amabhande wokulungisa, okususa okwesikhashana umthwalo nokuhamba ngokuhlanganyela. Futhi ulindele ukufika kosizo lwezokwelapha, okuyinto emva kokuxilongwa izonikeza inkambo yokwelashwa edingekayo.
Ngemuva kwama-x-ray kanye nokucabangela kwamagnetic resonance, ngokuvamile ukuhlanganiswa kuholwa yi-anesthesia yendawo. Okulandelayo ukuvimbela ukuhlanganyela (kuze kube amasonto ayisithupha) ngesondo elikhethekile. Phakathi nokuvuselelwa kwesiguli, ukuvivinya umzimba okudingekayo kuyadingeka. Futhi, ngokuxoshwa kwehlombe, kusetshenziswe ukwelashwa okusebenzayo, okwenziwa ngaphansi kokuqondiswa komchwepheshe, futhi ukunyakaza okuncane, okunamandla komthwalo ohlangene kwenziwa.
Ukubuyiswa ngemuva kokuhlukaniswa kwehlombe kude isikhathi eside futhi kudinga inqubo yokuphulukisa kancane. Ukunikeza ukujoyina ukuphumula okukhulu, ukuqeqeshwa okhethekile kwenziwa emva kokuhlukaniswa kwehlombe:
- Emasontweni amabili okuqala emva kwesikhathi sokumisa imali, kwanele ukugoba futhi ukuguqula izandla kanye nomhlanganiso wesigqoko okungaphezu kweshumi. Ukuphakamisa izandla zakho ohlangothini nangaphambili, ngenkathi usiza ngesandla esinempilo, kungabuye kube yingxenye yokuzivocavoca kwakho kwansuku zonke.
- Ngemuva kokufunda kweviki ezimbili, ungakwazi ukwandisa umthwalo ngokwengeza umzimba njengokunye
ukuhoxiswa kwezingxube ze-elbow ezinhlangothini, ukushintsha ukuphakamisa nokunciphisa amahlombe. Ungazama futhi ukujikeleza ngezandla zakho bese uzidonsa ngemuva kwakho. Uma kukhona ubuhlungu obunzima, kungcono ukuhlehlisa lokhu okuyinkimbinkimbi kuze kube usuku oluzayo. - Ngosuku ngalunye lokuvuselela, uhlu lwazo umzimba luyinkimbinkimbi. Isibonelo, kulolu hlelo kuhlanganisa ukuzivocavoca okusiza ukuguqula izandla ezindizeni ezahlukene. Futhi, ukuze ushintshe, ungasebenzisa induku yokuzivocavoca.
Ngeshwa, kuma-80% wamacala ngemva kokuhlukaniswa kokuqala kukhona okuhlukile kokuphindaphinda kwawo. Ngenxa yokuthi ubuqotho behlombe seluvele buphukile, zama ukuqinisa ijoqo elihlangene nsuku zonke ukuze uzivikele ekulimaweni okuphindaphindiwe.