Ukuhluthwa kwamagxathu - ukuguqula (ukuchithwa) kwendibano ehlangene. Ngokuqhelekileyo, kwenzeka enye yangaphambili, nangona kukho iindidi eziphezulu, ezantsi, ezantsi. Nangona uhlaziyo lwentlungu, luyakwazi ukuhamba kunye nomonakalo kwimigaments, tonson, ne-neerves kunye neempahla.
Iimbangela Zokuxhatshazwa
Ukubambisana kwengalo yelinye ngenye yezona zinto zihamba phambili, inkondlo yengozi yokuxhatshazwa kwegxala ixhaphake kakhulu. Ukufuduka kweentlobo kubangelwa ngumntwana kwaye kufumaneka. Ukutshintshwa okufunyenwe rhoqo kubakho ngexesha loqeqesho kunye nemidlalo - i-press, i-pull-ups, ibhola ibetha, kodwa izizathu ezibalulekileyo zokulimala zi:
- sisebenza kwindawo yomda;
- ewela ngesandla eseluliweyo;
- ukuphosa isandla kunye nokusetyenziswa kwamandla.
Into eyingozi kakhulu kule ngxaki, ngokutsho koogqirha, kukuba ukusetyenziswa okuncinci kwamandla kunelungelo lokususa ihlombe. Kwezinye iimeko, amathuba okulimala akwandisa amaxesha amaninzi, umzekelo, ngokuchithwa kwezidalwa, izifo ezidibeneyo. Ebudaleni, umxhelo wegxina unokuba "kwindawo evulekile" ngenxa yeempawu zobomi beli xesha. Kuzo zonke iimeko, kuyimfuneko ukuphepha iimeko eziyingozi kunye nokuthintela ukuwa kunye nezinye iziganeko.
Ukutshintshwa kweempawu zamagxa
Ukuxhatshazwa kwamagxala kubangela ukungonakali okokuba akunakwenzeka ukungawunaki umonakalo, ngokungafaniyo, umzekelo, ezinye iintlobo zeentlobo zabantu abahamba ngazo iintsuku ezimbalwa ngaphandle koonogqirha. Imiqondiso ephambili yokuchithwa kwegxalaba:
- isifo esibuhlungu kakhulu, kunye nomonakalo kwiimbilini kunye nemithambo yegazi - ukubetha, ukuphazamiseka, ukunyunyuza nokuvuvukala engalo echaphazelekayo;
- jongene kunye neempembelelo ezichaphazelekayo ezingabonakaliyo - ukuhamba, ukuwa, njl njl
Uncedo lokuqala kunye negxala elihlangeneyo
Ukunikezelwa okwaneleyo kokuncediswa kokuqala kwimeko yokuxhatshazwa kwegxalaba yinto yokuqinisekisa ukuphulukana ngokuphumelelayo ngaphandle kweengxaki. Umntu oqhelekileyo akafanele azame ukubeka i-joint joint endaweni yakhe-oku kufuna izakhono ezidityaniswe nogqirha kuphela, ngoko umntu omelekileyo kufuneka athunyelwe esibhedlele. Ngaphambi kokuthutha kuyimfuneko ukulungisa isandla ukuze igxala lingadluli. Ukuba kunokwenzeka, kucetyiswa ukuba wenze icompress ebandayo. Ukuchithwa kwempahla ngokuchithwa kwegxala (kuxhomekeke kwinkimbinkimbi) kufuneka kudlule kwiiveki ezi-1 ukuya kwii-4, ngaphandle koko ukutshintshwa kungaqhelana.
Ungayilungisa njani ihlombe?
Ulwalathiso lwegxalaba lugxothwa kwindlela ezahlukeneyo - ngexa elinye le ngxaki iqhutywe nguHippocrates, Meshkov, Janelidze kunye nabanye oogqirha ababonelela ngeendlela zabo. Ngaphambi kokuba inkqubo iqale, i-anesthesia iyimfuneko. Ngomngcipheko onzima, ongekho-narcotic analgesic kunye nevocaine okanye i-lidocaine ifakwe kwi-lesion endaweni. Xa kunesifo esiyinkimbinkimbi (kunye nokulimala kwamathambo kunye namaqhekeza), i-anesthesia jikelele isinikwa phambi kokuba isigulane sisebenze.
Enye yezinto ezinzima kunye nokusebenza ngokugqithiseleyo kukulungiswa kwegxalaba kunye neKocher. Ngale ndlela i-traumatologist yenza uchungechunge lwezenzo ezilandelelanayo:
- uthatha isandla kwisandla kunye nesithathu esezantsi kwehlombe;
- Ugoba ingalo engqongqeni kwii-angles ezilungileyo;
- uyakrhoxa isandla sakhe kunye nomxhelo wegxala kunye kunye noxinzelelo kumzimba;
- uvula isandla sakhe ukuze ijoka lakhe liguqulwe kwisisu;
- uphendulela isandla (phambili phambi kwesisu);
- iphinda ijike ukuze i-elbow isondele kwisisu.
Ungayilungisa njani ukuchithwa kwefayili ngokwakho?
Kwiimeko eziphuthumayo, kukho umbuzo onokuzilungisa ngokuzimelela. Ukuba akunakwenzeka ukuba uphendule kwi-medical aid efanelekileyo, unokuzama ukuphumeza ukunyanzeliswa okwenziwa nguHippocrates. Isigulane sifanele sibekwe embhedeni emhlane wakhe, ingalo eyalimala ibanjwe yi-brush, unyawo lwakhe-ukuphumla kwindawo yecala lexhoba. Ukutshintshwa kwefayili kulungiswa ngokukhawulela ingalo kunye nokunyanzela intloko ye-humerus ngesithende kwi-joint. Ukuchaneka kwenkqubo kulawulwa yi-radiography.
Ukutshintshwa kwonyango lwamahlombe
Ukukhanya kokukhanya, kungahambisani neentambo kunye nokulimala kwamathambo, iinqanawa, izihlunu kunye nekhumba, emva kokumiselwa kwe-humerus kwindawo yesatomical idinga kuphela ixesha lokuphumla. Ngeli xesha, i-capsule ehlangeneyo, izihlunu kunye nemigqomo ibuyele eqhelekileyo, kwaye emva kokususwa kwe-gypsum langettes akuvumeli ukuba kwenzeke ukutshintshwa kwezinto eziqhelekileyo. Ingxaki yendlela yokunyanga ukuxothwa kwegxalaba ivela kwiinkqubo ezinzima, ezindala kunye neziqhelo.
Ukukhawuleza ukuphilisa izilonda, susa i-edema uze ubuyisele ukuhamba ngokubambisana ngenxa yokuchithwa kwegxalaba ngexesha lokuchithwa kwaye emva koko, le nkqubo ingasetyenziswa:
- ukucoca umzimba;
- magnetotherapy;
- irradiation;
- Microwave, unyango lwe-UHF;
- i-electrophoresis yeziyobisi;
- izicelo zeparafini.
Ukusebenza ngokugxothwa kwamagxa
Amanyathelo okungeniswa kwamagalelo asemagxeni ayadingeka xa kwenzeka ukutshintshwa kwendawo. Ukusetyenziswa kwe-Laterzhe ngokuchithwa kwegxalaba kuqeshwe xa ithambo lichithwa, lenza umgca wesigxina se-articular. Ukungenelela okutyathwayo kukunceda ukuphepha izigulana eziphindaphindiweyo, kwaye kubandakanya ukuzalisa ubukhulu besithambo esingekho.
Imisebenzi kunye nexinzelelo ifunekayo:
- akunakwenzeka ukulungisa umdibaniso ngendlela yokulondoloza;
- kufuneka ivelise i-capsule yendibano eqhelekileyo ngenxa yokulula, iinyembezi;
- ukubonakala kwezicubu ezinokutsha, ezinobumba, ukuphuma kweminye kunye nezinye iifom;
- ukuphuka kwemiguqu, i-cartilage, i-tendon, ezifunekayo ukuthunga.
Ukwahlukana kwesiqhelo kwimiba yegulane ngaphandle kokuhlinzwa
Ukunyangwa kokutshintshwa kwegxala ngaphandle kokuhlinzwa, ukuba isifo esiyingozi siyazi kakuhle, asiyiyo. Amafutha kunye nokuxhatshazwa kwegxa, kunye nezinye iziyobisi kunye nezenzo zendawo (ama-creams, gels), kuphela ukunciphisa ubunzima beempawu. Ukwandisa ukuzinza kwegxala, qinisa i-ligaments kunye nezicubu ze-cartilage zisebenzisa amayeza alandelayo:
- Izidakamizwa ezingekho-steroid ezichasayo (Diclofenac, Ketorolac, Ketoprofen, Indomethacin, Piroxicam).
- I-Chondroprotectors (Dona, Teraflex, Alflutop, Arthra, Hondrolon, Elbona).
- I-vitamin-mineral complexes (ArtriVit, i-Orthomol Arthro kunye ne-SustaNorm, i-Collagen Ultra).
Indlela yokuphatha ukuxhatshazwa kwegxa ekhaya?
Emva kokulungisa ukuhanjiswa esibhedlele, unyango oluqhubekayo luyimfuneko ekhaya. Yintoni ongayenza xa ususa ihlombe lakho:
- Emva kokusebenzisa i-gypsum langets, kufuneka unike ingalo ngokuphumla okupheleleyo.
- Ngaphambi kokuvuvukala okanye intlungu yesifo - ukuthatha imithi echanekileyo, uye kwi-physiotherapy.
- Ukuqinisa amathambo namalungu, ukuthatha i-vitamin-mineral complexes, i-chondroprotectors.
- Emva kokususa i-gypsum - ngokucokisekileyo ukuhlakulela ingalo kunye negxalaba.
Ukutshintshiselwa kwezilwanyana zamaphepha
Amanyathelo amaninzi amachiza ngokuchithwa kwamagxala asebenzayo njengokunciphisa ukuvuvukala kunye neepilisi.
- Xa idibeneyo ivuvukile, ukuxiliswa kotywala kunceda kakhulu. Gauze ixutywe nge-vodka okanye ihlanjululwe kwisiqingatha ngotywala, isetyenziswe kwintsebenziswano kwaye ihlanganiswe ngephepha lokunciphisa kunye nethawula. Gcina i-compress imizuzu engama-30.
- Ukukhawuleza ukuphulukiswa kwamanyathelo ahlangeneyo, amachiza athile ancoma ukunyanzeliswa okwenziwe kubisi olufudumeleyo. I-cheesecloth ehlanganiswe ngamaxesha angama-4 ixutywe ngobisi olufudumele kwaye isetyenziswe kwinqaba elixhambileyo, lihlanganiswe ngophonononga ifilimu kunye nethawula phezulu. Shintsha i-compress emva kokupholisa, ukuphinda inqubo yemizuzu engama-30.
Decoction of umhlonyane (okanye i-tansy) enentlungu
Izithako:
- amaqabunga amasha emhlonyane (okanye i-tansy);
- 0.5 ilitha amanzi.
Ukulungiselela nokusetyenziswa
- Thele impahla eluhlaza ngamanzi uze ubilise malunga nemizuzu engama-20.
- I-cooled broth moisten gauze, sebenzisa icompress kwidibeneyo.
- Uluhlu olumanzi njengoko kushushu. Ubude benkqubo inemizuzu engama-20-30.
Ukufuduswa kwegxala - imiphumo
Ukungabikho kokugcinwa kweengcebiso zogqirha xa imeko yentlekele iholela kwimiphumo emibi. Kunokuba ukuchithwa kwegxalaba kuyingozi xa kungabikho unyango:
- ukuvela kwezenzo zokuhlala;
- utshintsho olwenziwe ukuguquka kwintsebenziswano;
- umonakalo kwimisipha ye-peripheral, ekhokelela ekunciphiseni ukuhamba kwesandla, ukuphazamiseka kwengqondo.
Ukuzivocavoca emva kwegxalaba
Ukuphulukana ngokukhawuleza emva kokugxothwa kwegxalaba kubandakanya ukuzilolonga umzimba, kwaye ukuhlala kwexesha elingapheliyo kuqhubeka, kubaluleke kakhulu le nqanaba lokuvuselela. Ukuzivocavoca emva kokulimala kwenxeba kuhlose ukuqinisa imisipha kunye nokunyuka kokuhamba. Ukuze ube nempembelelo engcono, kufuneka uqale ngemisebenzi elula kakhulu kunye nenani elincinci lokuphindaphinda. Emva kokuqinisa imisipha, unokongeza ukuphindaphinda kwaye ujobe umthwalo. Kwinqanaba lokuqala unokukwazi:
- bhinqa kwaye ungaguquli umlenze kunye neminwe yesandla esilimele;
- ukwenza ukunyakaza okujikelezayo nge-amplitude encinci, ukudonsa isandla ngasecaleni;
- Ukuphakamisa isandla sokugula, ukuqinisekisa ukuba unempilo.
Injongo yale miqathango ilandelayo yenze i-corset ene-muscular eqinile kwinqanaba elonakalisiweyo.
- Ukuhlala esihlalweni esinzima, faka iingalo zakho ezinqeni zakho, kwaye usasaze izibonda zakho kwiindlela ezichaseneyo. Amagxa kufuneka aphakanyiswe ngokungangoko kunokwenzeka, athobe entloko, aze ahlawule ngokunyuka.
- Ukuhlala esihlalweni, ukubuyela emva. Beka iintende kwiinqeni, nciphisa iinduli. Kancinci ukuhambisa amahlombe ukuya phambili ukuya kwizinga eliphezulu kakhulu.
Kwinqanaba elilandelayo (emva kwe-1-2-3 inyanga emva kokusilela ukuzinzileyo), kunokwenzeka ukuba uqale ukuzibandakanya okunzima ngokwengeziwe okubandakanya ukuguquka nge-amplitude ebanzi, uqeqesho ngomthwalo. Isethi yesithathu yokuzivocavoca kunceda ukuqinisa amandla kwi-deltoid muscle, i-biceps kunye ne-triceps, ebuye ibuyise ukuzinza kunye nokunciphisa amathuba okubuyela kwakhona.