Ngaphandle kokukhulumisana kwe-acromioclavicular: izimpawu, ukwelashwa, ukungenelela okuhlinzayo, ukuvuselelwa

Wonke umuntu uyazi isikhathi eside ukuthi imidlalo iyinempilo. Noma kunjalo, abagijimi abakwazi ukubeka ingozi yokulimala ehlombe, isibonelo: uma bewa. Kulolu cala, kungase kube nokuhlukana kokujoyina kwe-acromioclavicular.

Ulwazi olujwayelekile mayelana nokujoyina

Ixhuma i-clavicle nengxenye engenhla ye-scapula. Okusho ukuthi lokhu kuhlangene kufaka isandla ngengalo. It igcinwa ngokusebenzisa imigqa: clavicular-acromial and clavicular-umqhele.

Lokhu kuhlangene kuyiselula kakhulu, ngakho-ke kubungozi bokulimala. Ukuqhekeka kokuhlanganiswa kwe-acromioclavicular ngokuvamile kubangelwa umonakalo obangela ukuhlukaniswa kwalezi zici ezimbili. Ngokwemvelo, kuhambisana nobuhlungu obuningi, ikakhulukazi njengoba isandla sokuhamba sisuke singakhululekile kakhulu.

Uma ungaqali ukwelapha lesi sifo ngokuhamba kwesikhathi, i-collarbone ingashintsha isikhundla sayo bese isuka phezulu. I-shoulder blade izobe isila phansi phansi kanye nebhande lonke lehlombe . Ngokuvamile, ukusebenza kwezandla kuphulwa kakhulu. Ukulimala kudinga ucingo oluphuthumayo kudokotela kanye nokwelashwa okufanele.

Izimbangela ze-pathology

Ngakho-ke, ukuqhuma kombuthano we-acromial-clavicular kungatholakala ngenxa yezizathu ezinjalo:

• Ukuwa ngokushesha ehlombe.
• Iphupho elinamandla endaweni ehlombe.
• Ukuwa okubukhali esandleni eseluliwe.

Ikakhulukazi ekwazi ukulwa nalokhu okuhlangene yilabo bantu abahlanganyela emidlalweni yokuxhumana. Ukulimala okunjalo kubonakala kubantu abasha abaneminyaka engu-15-25, kanye nasezikhulile asebekhulile ngemuva kweminyaka engama-55.

Kuziphi izimo ingozi iyanda?

Ukuqhekeka kokuhlanganiswa kwe-acromioclavicular kwenzeka njalo ngenxa yethonya lalezi zici:

1. Amakilasi kwezinye zezemidlalo abayala: ihockey, ibhola, ukulinganisa.
2. Ukulimala, okungatholakala lapho uqhuba ukuvocavoca, lapho wehla ebhayisikili, skis.
3. Abantu asebekhulile, lapho amathambo eba buthakathaka kakhulu, futhi izigxobo nemisipha ayisekho kakhulu.

I-Symptomatology of pathology

Ngakho-ke, ukuqhuma kombuthano we-acromial-clavicular, isithombe se-lesion singacatshangwa kulesi sihloko, sihambisana nezibonakaliso ezinjalo:

• Ubuhlungu obukhulu noma ukuzwa kwendawo ethintekile.
• Ukuchofoza okuthulile kuhlangene lapho kuhamba.
• Ukuzikhukhumeza kwendawo emelekile.

Kulesi simo, isiguli sibhekene nokuhamba ngokweqile kwe-pathological of the joint.

Ukuhlukaniswa kwe-pathology

Ngakho-ke, ngokusho kwamandla amakhulu, lesi sifo singahlukaniswa ngalezi zinhlobo ezilandelayo:

• Ngiphayipha. Kulesi simo, ihlangene ithola umonakalo omncane, okuholela ekutheni i-ligrom acocioclavicular ihlukaniswe futhi i-capsule ehlangene. Okusho ukuthi, ukujoyina kuhlala endaweni ezinzile.
• Uhlobo lwesibili. Lapha amandla okuba nomthelela akhulunywa kakhulu. Nakuba isisindo kulokhu kungase singaphuli ngokuphelele. Noma kunjalo, ukujoyina ngokwawo kulahlekelwa ukuzinza kwayo. Kunezibonakaliso zokuqhekeka okuyingxenye kokujoyina kwe-acromioclavicular. Ku-X-ray, isazi singakwazi ukubona kakade ukuphakama kokuphela kwesiphetho se-lateral phezu kwenqubo ye-acromial. Noma kunjalo, leli banga akulona elikhulu.
• Uhlobo lwe-III. Lapha amandla okuhlukumeza anamandla kakhulu. Lokhu kungukuthi, i-ligament iphukile ngokuphelele, okuholela ekuhambeni komzimba we-joint.

Esikhathini esithile esidlule lesi sigaba sisekelwe ngamaphuzu ambalwa:

• Uhlobo lwe-IV. Uma lesi sigulane siphula, ukuphela kwe-lateral ye-clavicle kudingeke ukuba ibuyele emuva emthini we- trapezius.
• Uhlobo lwe-V. Ngaphezu kwalokho, kulokhu, i-ligament ngokwayo iqhekekile, ngakho-ke insimu yesisipha esivela kumasayithi okunamathiselwe kwenzeka. Okusho ukuthi, i-clavicle isuke ihlukaniswe ngokuphelele nenqubo ye-acromial.
• Uhlobo lwe-VI luhlobo oluyinkimbinkimbi kakhulu lokulimala, lapho ukwelashwa okulindelekile akusizi ngalutho.

Hlunga umonakalo kungaba kanye nesikhathi sokulimala:

1. Ukusha (uma kungadluli kwezinsuku ezintathu kusukela ukuwa noma isiteleka).
2. I-Stale (isikhathi esiphakathi kokulimala nokuya kudokotela sisuka ezinsukwini ezintathu kuya kwezinsuku ezingu-21).
3. Ikhulile. Umonakalo onjalo kubhekwa uma kwenzeka ngemuva kokusebenza kabuhlungu ehlombe sekuphele amasonto amathathu.

Ukuxilongwa kwesifo

Uma umuntu esolwa ukuphulwa kokuhlanganiswa kwe-acromioclavicular, ukwelashwa kufanele kuqalwe kuphela ngemva kokuhlolwa okuphelele kwesifo se-traumatologist, okuhlanganisa:

1. Ukulungisa izikhalazo zesiguli ngencazelo yokuthi walimala kanjani.
2. Ukuhlola ibanga lokuhlanganyela elihlangene.
3. Ucwaningo lwamazwi.
4. I-Ultrasound ne-MRI. Lezi zifundo zinganquma isimo semisipha eyonakalisiwe futhi ibonise isithombe esiphezulu somonakalo.

Kodwa-ke, uma umuntu enokuhlukana okusolakala kokuhlanganiswa kwe-acromioclavicular, izimpawu ze-radiographic zibaluleke kakhulu. Ngokuyinhloko, uhlobo lwe-pathology kanye nokuqina kwalo lugxilile ibanga phakathi kwenqubo ye-acromial kanye nokuphela kwe-clapular clapperular. Ukuhlukanisa lezi zimpawu kungaba kanje:

• Ngiphayipha. Kulesi simo, ibanga alidluli 2 mm.
• Uhlobo lwesibili. Lapha igebe elihlangene landa. Naphezu kokuthi ukuxhumana phakathi kwalezi zici ezimbili kugcinwe, ibanga eliphakathi kwazo likhulu kakhulu, nakuba lingeqi i-½ ye-diaphysis ye-clavicle.
• Uhlobo lwe-III. Esithombeni, umuntu angabona ukuhamba okuqinile kwe-scapula phansi.

Izici zokwelashwa kwe-pathology

Uma isiguli sinombono oqondile wokuthi "ukuhlukana kokuhlanganiswa kwe-acromioclavicular", ukwelashwa ngaphandle kokuhlinzeka kungenziwa kuphela uma icala elithile lihlelwa njengelinye lezinhlobo ezintathu zokuqala zezilonda.

Ukwelapha okulondolozwayo kuhlinzekela ukuvimbela ukuhlanganiswa kokuhlanganiswa okwenziwe phansi. Ukwelashwa ngale ndlela kuzoba namaviki angu-1-2. Ngokwemvelo, isiguli siyobekwa umuthi wemithi yobuhlungu noma enye yokwelashwa okuyisimangaliso. Ngemuva kokwelashwa okulindelekile, isiguli sigunyazwe ukwelashwa kokusebenza ngokuthuthukiswa okuhlangene. Njengama-anesthetic, ama-novocaine angasetshenziswa.

Ukungenelela kokusebenza kanye nokuvuselelwa okulandelayo

Kwezinye izimo, ukuphulukana nokuqhekeka kokuhlanganiswa kwe-acromioclavicular, ukusebenza kubhekwa njengendlela kuphela yokubuyisela ukusebenza kwezandla. Kulesi simo, ukhetho lokungenela okuhlinzekwa ngukuhlinzekwa kunqunywa udokotela. Kungaba lokhu:

1. Ukulungiswa kwe-Transosseous kokujoyina ngosizo lwabakhulumeli, okudlula ku-clavicle kanye nenqubo ye-acromial. Noma kunjalo, ukungenelela okunjalo kunamathuba amaningi: i-intraarticular disc inakele, ukukhuluma kungashintsha izinguquko ezishintshayo, izilungiswa ziyakwazi ukufuduka.
2. Ukulungiswa okwesikhashana kwe-clavicle besebenzisa isikhunta esikhethekile.
3. Ukulungiswa nokugcizelela i-clavicle endaweni efunwa ngayo ngokusebenzisa i-loop eyenziwe ngezinto ezibonakalayo. Kulesi simo, awukwazi ukwenza umsebenzi wesibili ukususa izakhiwo zokuqinisa.

Uma isiguli sitholiwe ukuhlinzwa ukukhipha ukuhlanganiswa kokuhlanganiswa kwe-acromioclavicular, ukuvuselelwa kuyisigaba esibalulekile esizokwazi ukubuyisela ukusebenza okujwayelekile kokujoyina. Emva kokungenelela, kubalulekile ukuqala izifundo zokuqeqeshwa ngokomzimba ezinsukwini ezimbalwa. Uma ukuhlinzekwa kabusha kuhlinzekwa ekuqedeni izakhiwo zensimbi, kuqhutshwa amasonto ayisithupha kuya ku-6 emva kokufakwa.

Isibikezelo, izinkinga ezikhona kanye nokuvimbela lesi sifo

Ngokusebenzisa ukwelapha okulondolozayo kwezinhlobo ezintathu zokuqala zezilonda, ukutakula kwenzeka ngokushesha. Ngemuva kokuhlinzwa, isikhathi sokuvuselela sihlala isikhathi eside, kodwa amathuba okuthola ngokugcwele isiguli aphezulu kakhulu. Nakuba ingozi yokucindezeleka ifinyelela ku-20%. Ngaphezu kwalokho, umthwalo oqinile ekuhlanganyeleni okuphulukisiwe kungaholela ekuqhekekeni okuphindaphindiwe.

Ngokuphathelene nezinkinga, zingaba kanje: ossification yeligamentula ne-sphenoid ligament; Izinguquko eziguqukayo ezihlangene ngokwazo; Ukuthuthukiswa kwe-arthrosis, ehambisana nobuhlungu obukhulu; Ukwenziwa kocingo lwe- keloid ngenxa yokuqhekeka kwe-fixator noma ukufuduka kwayo.

Ukuze ungayitholi umonakalo, kubalulekile ukugcina ezinye izixwayiso:

• Kufanele sizame ukugwema ukulimala ebhande lehlombe.
• Kuyinto efiselekayo ukuqinisa imisipha futhi uthuthukise ukuguquguquka kwabo ngokusizwa umzimba.
• Phakathi nemisebenzi yezemidlalo, imishini yokuvikela kufanele isetshenziswe.
• Kumele uqaphele ikakhulukazi uma kunezintambo eziningi ekamelweni noma kunezansi ezithambileyo.
• Udinga ukuhamba ngezinkampu ezikhanyisiwe, futhi ungabambelela kangcono ekuthukeni.
• Ukudla okunempilo nokwanele kuzokusiza ukuqinisa amathambo nokugcina amalunga ephilile isikhathi eside.

Yizo zonke izici zokwelashwa kwe-pathology ezethuliwe. Kungokwemvelo, kungcono ukulandela izinyathelo zokuvimbela ngenhla. Emva kwakho konke, ngokuhamba kwesikhathi, amalunga awonakele azizwa azizwa lapho eqala ukubhekana nezinguquko zesimo sezulu noma ingcindezi yomkhathi. Yiba nempilo!