Ingqiniba ekhutshiweyo kukwenzakala okuxhaphakileyo kubantu abadala nasebantwaneni kwaye kaninzi kwenzeka ngokuhambelana nokuqhekeka kwamathambo kunye nomonakalo wemithambo-luvo kunye nezicubu. Ngaba unyango lomzimba lunokunceda ukuxhasa ukubuyiswa kunye nokuqinisekisa uluhlu lokuhamba?
Contents
Ukonzakala kweElbow esusiweyo
Ukuchithwa kwe-elbow ngokuqhelekileyo kubangelwa yi-trauma xa amathambo engqiniba engasaxhumani. Abantu abawela kwisandla esoluliweyo ngoyena nobangela uqhelekileyo wokwenzakala. (UJames Layson, uBen J. Ogqibelele ngo-2023) Ababoneleli bezempilo baya kuzama ukuhambisa i-elbow ngokusebenzisa ukunciphisa okuvaliweyo. Abantu banokufuna utyando ukuba abanako ukuhambisa i-elbow besebenzisa ukunciphisa okuvaliweyo.
Ukusetha kwakhona i-Elbow
Ingqiniba yenziwe ngehenjisi kunye nebhola kunye ne-socket joint, eyenza iintshukumo ezizodwa: (Umbutho waseMelika woTyando lweSandla. 2021)
Ihinge edibeneyo
- Umsebenzi wehinge uvumela ukugoba kunye nokulungiswa kwengalo.
Ibhola kunye nesokethi edibeneyo
- Umsebenzi webhola kunye ne-socket ikuvumela ukuba ujikeleze intende yesandla sakho ujonge phezulu okanye ujonge phantsi.
Ukulimala kwe-elbow ekhutshweyo kungonakalisa amathambo, izihlunu, iigaments kunye nezicubu. (I-American Academy ye-Orthopedic Surgeons. 2021) Ukuba ingqiniba ihlala ixesha elide ngaphandle komdibaniso, kokukhona umonakalo unokwenzeka. Ukukhutshwa kwe-elbow kunqabile ukusetwa kwakhona kumalungu abo ngokwawo kwaye kucetyiswa ukuba kuhlolwe ngumboneleli wezempilo oqeqeshiweyo ukukhusela umonakalo osisigxina kwimithambo-luvo okanye umsebenzi.
- Akukhuthazwa ukuba uzame ukusetha kwakhona i-elbow ngokwakho.
- Umboneleli wezempilo uya kusebenza ukubuyisela ukudibanisa kunye nokuqinisekisa ukulungelelaniswa okufanelekileyo.
- Ngaphambi kokusetha kwakhona, baya kwenza uviwo lomzimba ukuvavanya ukujikeleza kwegazi kunye naluphi na umonakalo we-nerve.
- Ababoneleli baya kuyalela ukuskena kwemifanekiso ukujonga ukuchithwa kunye nokuchonga amathambo aphukileyo. (I-American Academy ye-Orthopedic Surgeons. 2021)
Uhlobo lokuTyulwa
Ezi ntlobo zimbini zokususwa kwengqiniba zezi: (UJames Layson, uBen J. Ogqibelele ngo-2023)
Ukususwa Kwangemva
- Yenzeka xa kukho amandla abalulekileyo entendeni anwenwela engqinibeni.
- Ukuwa wolule izandla ukuze uzibambe, kwaye i-elbow joint ityhala ngasemva/ngasemva.
Ukukhutshwa Kwangaphambili
- Oku akuqhelekanga kwaye kubangelwa kukusetyenziswa kwamandla kwingqiniba egobileyo.
- Ukuwa phantsi xa isandla siphezulu kufuphi negxalaba.
- Kule meko, i-elbow joint iqhubela phambili / ngaphambili.
- Ii-X-reyi zisetyenziselwa ukumisela uhlobo lwe ukususwa kunye nokuchonga nawaphi na amathambo aphukileyo. (Umbutho waseMelika woTyando lweSandla. 2021)
- Ngokuxhomekeke kwingozi, umboneleli unokuyalela i-CT scan okanye i-MRI ukuqinisekisa ukuba akukho monakalo owenzekileyo kwiimbilini okanye kwiigaments. (IRadiopaedia. 2023)
Izimpawu kunye neMpawu
Ukwenzakala kwengqiniba okuxekileyo kudla ngokubangelwa kukwenzakala. (I-American Academy ye-Orthopedic Surgeons. 2021) Iimpawu eziqhelekileyo kunye neempawu ziquka: (Umbutho waseMelika woTyando lweSandla. 2021)
- Ukungakwazi ukuhambisa ingqiniba.
- Ukugruzuka kunye nokudumba okujikeleze indawo.
- Intlungu ebuhlungu kwi-elbow kunye nendawo ejikelezileyo.
- Ukukhubazeka okujikeleze i-elbow joint.
- Ubundisholo, ukubetha, okanye ubuthathaka engalweni okanye esandleni kunokubonisa umonakalo wemithambo-luvo.
Unyango Ngaphandle Kotyando
- Ababoneleli ngezempilo baqala bazama ukunyanga ingqiniba eshukumayo besebenzisa indlela yokunciphisa evaliweyo. (Umbutho waseMelika woTyando lweSandla. 2021)
- Ukunciphisa okuvaliweyo kuthetha ukuba i-elbow ingafuduswa ngaphandle kokuhlinzwa.
- Ngaphambi kokunciphisa okuvaliweyo, umboneleli wezempilo uya kulawula amayeza ukunceda ukukhulula umntu kunye nokujongana neentlungu. (Medline Plus. 2022)
- Emva kokuba uhanjiswe kwindawo echanekileyo, umboneleli wezempilo usebenzisa i-splint (ngokuqhelekileyo kwi-angle ye-90-degree of flexion) ukugcina i-elbow endaweni. (UJames Layson, uBen J. Ogqibelele ngo-2023)
- Injongo kukuthintela ukwandiswa kwengqiniba, nto leyo enokubangela ukushukuma kwakhona.
- Iqhina lihlala likhona iveki enye ukuya kwezintathu. (I-American Academy ye-Orthopedic Surgeons. 2021)
- Ugqirha womzimba uya kuvavanya ukunyakaza kwaye amisele ukuzivocavoca ukukhusela i-elbow range of motion loss.
Unyango ngoTyando
- Ngokuxhomekeke kubunzima be-dislocation kunye nempumelelo yokunciphisa okuvaliweyo, utyando lusenokufuneka. (UJames Layson, uBen J. Ogqibelele ngo-2023)
- Ukuba kukho naziphi na ezi zilandelayo zifunyanwa ngumntu, umboneleli wezempilo unokucebisa utyando: (I-American Academy ye-Orthopedic Surgeons. 2021)
- Ingqiniba ihlala ingazinzanga kunye nokwandiswa okuncinci.
- Amathambo awahambelani ngokuchanekileyo.
- I-ligaments idinga ukulungiswa ngakumbi emva kokunciphisa okuvaliweyo.
- I-complex elbow dislocations inokwenza kube nzima ukugcina ulungelelwaniso oluhlangeneyo.
- Isixhobo esincedisayo, njengehenjisi yangaphandle, sinokucetyiswa ukuba sincede ukuthintela ukuphinda ukhuphe ingqiniba.
- Ugqirha wotyando uya kuncoma unyango lomzimba emva kokuhlinzwa ukuze ancede ngeendlela zokuzivocavoca ukuze kulungiswe kwaye kukhawuleze ukubuyiswa.
ukuchacha
- Amaxesha okubuyisela anokwahluka njengoko yonke inzakalo yahlukile. (Umbutho waseMelika woTyando lweSandla. 2021)
- Ixesha lokubuyisela lixhomekeke ekuzinzeni kwe-elbow emva kokunciphisa okuvaliweyo okanye utyando.
- Ababoneleli ngezempilo baya kuqalisa umthambo wokushukuma osebenzayo. (Umbutho waseMelika woTyando lweSandla. 2021)
- Ukunciphisa ixesha elingakanani i-joint immobilised iya kuthintela ukuqina, ukukhwabanisa, kunye nokunyakaza okuvinjelwe.
- Ababoneleli bezempilo abacebisi ukukhutshwa ngaphezu kweeveki ezimbalwa.
Ukuqalisa kwakhona Imisebenzi eqhelekileyo
Ukuqalisa kwakhona umsebenzi oqhelekileyo kaninzi kuxhomekeke kuhlobo lonyango lokususwa kwengqiniba: (Iimbumbulu zeOrtho. 2023)
UkuNcitshiswa okuvaliweyo
- Ingqiniba iqhawuke iintsuku ezintlanu ukuya kwezilishumi.
- Abantu banokubandakanyeka kunyango lomzimba umsebenzi wokunyakaza kwangoko ukunceda ukuthintela ukulahleka koluhlu lwentshukumo.
- Abantu ngabanye bayacetyiswa ukuba benze imithambo elula kwiiveki ezimbini emva kokwenzakala.
Ukunciphisa utyando
- Ingqiniba inokufakwa kwiplace evumela ukunyuka kancinci kancinci kwentshukumo.
- Kubalulekile ukugcina intshukumo elawulwayo ukuthintela ukulahleka kwentshukumo.
- Ingqiniba ingakhula ngokupheleleyo kwisithuba seeveki ezintandathu ukuya kwezisibhozo, nangona ingathatha ukuya kwiinyanga ezintlanu ukubuyisela ngokupheleleyo.
- Umboneleli wezempilo uya kugqiba xa kukhuselekile ukuphinda aqalise umsebenzi oqhelekileyo.
Indlela yokuPhilisa ukwenzakala komntu
Ucaphulo
ULayson J, oyena BJ. Ukususwa kweElbow. [Ihlaziywe 2023 Jul 4]. Ku: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Ifumaneka kwi: www.ncbi.nlm.nih.gov/books/NBK549817/
Umbutho waseMelika woTyando lweSandla. (2021). Ukukhutshwa kwengqiniba.
I-American Academy ye-Orthopedic Surgeons. (2023). Ukukhutshwa kwengqiniba.
Jones J, Carroll D, El-Feky M, et al. (2023). Ukukhutshwa kwengqiniba. Inqaku lereferensi, Radiopaedia.org doi.org/10.53347/rID-10501
I-Medline kunye. (Ngo-2022). Ukucuthwa okuvaliweyo kwethambo eliqhekekileyo.
Iimbumbulu zeOrtho. (2023). Ukukhutshwa kwengqiniba.
Umgangatho wobuchule wokuSebenza *
Ulwazi olulapha ku "I-Elbow ekhutshweyo: oonobangela kunye noKhetho loNyango"Akujoliswanga ukuthatha indawo yobudlelwane obubodwa kunye nomntu oqeqeshiweyo wezempilo okanye ugqirha onelayisensi kwaye akusiyo isiluleko sonyango. Sikhuthaza ukuba wenze izigqibo zezempilo ngokusekelwe kuphando lwakho kunye nentsebenziswano kunye nochwepheshe bezempilo abaqeqeshiweyo.
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Umda wethu wolwazi ilinganiselwe kwiChiropractic, i-musculoskeletal, amayeza omzimba, impilo, igalelo le-etiological ukuphazamiseka kwe-viscerosomatic ngaphakathi kweentetho zeklinikhi, ezinxulumene ne-somatovisceral reflex clinical dynamics, i-subluxation complexes, imiba yezempilo ebuthathaka, kunye / okanye amanqaku amayeza asebenzayo, izihloko kunye neengxoxo.
Sibonelela kwaye sibonise intsebenziswano yeklinikhi neengcaphephe kumacandelo ahlukeneyo. Ingcali nganye ilawulwa ngumsebenzi wabo wobugcisa kunye negunya labo lokufumana iphepha-mvume. Sisebenzisa iiprothokholi ezisebenzayo zempilo kunye nempilo entle ukunyanga nokuxhasa ukhathalelo lokwenzakala okanye ukuphazamiseka kwenkqubo ye-musculoskeletal.
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Iintsikelelo
UDkt Alex Jimenez D.C., I-MSACP, RN*, I-CCST, IFMCP*, I-CIFM*, I-ATN*
email: qeqeshi@elpasofunctionalmedicine.com
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UGqr. Alex Jimenez DC, MSACP, RN* CIFM*, IFMCP*, ATN*, CCST
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