Izimbangela zihlanganisa ukuphindaphinda okuphindaphindiwe, ukuhlukumezeka, kanye nezinqubo ezimbi zokuthutha
Abantu abavamile ukuhlanganisa igalofu nokulimala kwezemidlalo kunikezwe isimo semvelo esincane. Kodwa ngokusho kwesifundo esivela ku-Centre for Injury Research and Policy kuColumbus, Ohio, kunokulimala okungaphezu kuka-30 000 kwegalufu okuphathwayo emakamelo okuphuthumayo aseMelika njalo ngonyaka.
Ngokumangalisa, ukulimala kwavame ukubonakala emaqenjini amabili: i-golfers phakathi kweminyaka engu-7 no-17 (amaphesenti angu-22,1) nalawo angama-55 nangaphezulu (amaphesenti angu-21,8).
Ngokwezibalo zokuhlala esibhedlela, ama-golfu asekhulile ayefana nokuphindwa kabili ngokuphindaphindiwe uma kuqhathaniswa ne-golfers encane. Nakuba okuningi kwalokhu kulimale kwakuhlobene nokulimala okubuhlungu (njengokushaya ibhola noma ukushaywa igalofu), cishe ingxenye yesithathu (amaphesenti angu-30,6) ahlobene nokuhlukunyezwa, ukucindezeleka noma ukucindezeleka.
Lezi zinombolo azibonakali ukulimala okungesizo okuphuthumayo okuvame ukuhlobene nokulimala okuphindaphindiwe (ukuphuza ngokweqile) noma ukuqhubeka okunamandla ukubeka emuva, izinwele, izintambo, namadolo ngethuluzi lokungahambi kahle.
Nakuba ukulimala kwegalofu kungathinta noma yiliphi ingxenye yomzimba, okuvame kakhulu kuhlotshaniswa ne-back back and spine, shoulder, elbow, nangesandla.
Ukulimala Okuphansi Nezinsipho
Ukulimala okuncane kakhulu nangemva kokugwinya okwenzeka emgodini kuhlobene nenkinga ekhona. Igalofu ivame ukwandisa inkinga lapho okulandelayo kwenzeka:
- Ukuhlukunyezwa kwe-muscle kuvame ukuhlotshaniswa nokuqhuma okunamandla noma okunamandla (njengokungenzeka lapho umuntu "eqhubezela" ukuguqula) noma ukushintsha ngokungazelelwe esimweni somzimba ngesikhathi sokuhlaselwa.
- Ama-disks ase-Herniated ahlukumezeka yizinto ezingavamile ku-swing igalofu.
- Umkhuhlane we-Lumbar (emuva) uvame ukuvela kuma-greyers agunyazwe kahle noma uma umdlali egijima ngenkathi emile nge-angle acute (njengenqenqemeni yengozi yamanzi noma isicupho esesihlabathini).
Njengoba okuningi kwalokhu kulimala kunzima, ukuphumula kwezinsuku eziningana nge-compress ebandayo kanye nezidakamizwa ezingelapheki (NSAID) kungase kusize.
Uma ubuhlungu bukhulu noma buphikelela, bheka udokotela wakho ngokushesha.
Ukulimala Okunene
Ukulimala ngamapulangwe kungahluka ngokuthi ngabe kwenzeka ehlombe eliholayo (ihlombe libheke phambili ekugxileni) noma ihlombe elingelona eliholayo. Ukulimala kungabangelwa ukunyakaza okuphindaphindiwe, ukuguqulwa okungavamile, noma ushintsho olusheshayo ngokunyakaza ekuhambeni (njengokushaya idwala ekudumeni okuphansi).
- Ukulimala okunamandla ehlombe elihola phambili kufaka ukufaka impumuzo yokuzibulala, izinyembezi ze-Rotator, ne-acromioclavicular sprain / separation joint.
- Ukulimala okunzima kwihlombe elingelona eliholayo kufaka i-SLAP (i-cartilage) izinyembezi kanye nezinyembezi zokufaka izinyembezi kanye nezinyembezi ze-rotator.
- Ukulimala okuphindaphindiweko kuhlanganisa i-tendinitis ye-shoulder, i-bursitis, ne-adhesive capsulitis (ihlombe elifriziwe).
Kungakhathaliseki ukuthi i-acute noma engavamile, ukulimala ehlombe ngokuvamile kudinga ukwelashwa. Kwamanye amacala, kungase kudingeke ukuthi i-shoulder brace noma ibhontshisi idingeke ukuvimbela ukunyakaza. Ukudabuka okukhulu noma ukuhlukaniswa okuhlangene kungahle kudingeke ukuba kwenziwe ukuhlinzwa okulandelwa ukwelashwa okujulile.
Ukulimala kwe-Elbow
Njengoba kukhonjiswe umlenze, ukulimala okuvame kakhulu kuyi-epicondylitis engaphakathi (igoli lika-golfer's aka). Igolide likaGolfer yisimo esibangela ubuhlungu lapho izintambo zesiphambano sakho zihlangana khona ne-bony protrusion kwi-elbow yangaphakathi.
Ubuhlungu buzovame ukukhanya ngaphakathi kwesibindi kanye nesandla.
Nakuba igoli le-golfer lingabangelwa ukusetshenziswa ngokweqile, lingabuye lenyuke ngokuphindaphindiwe ngokuphindaphindiwe noma isibindi esiphezulu ngokweqile. Igoli likaGolfer libhekwa kakhulu emgqeni ongenawo oholayo.
Igolide likaGolfer lifana ne-lateral epicondylitis (i-tennis elbow) eqala phezu kwe-elbow yangaphandle. Nakuba engavamile igalofu, igoli le-tennis livame ukubonakala ku-elbow ehola phambili.
Njengokulimala okuphindaphindiwe, zonke izimo zivame ukuhambisana ne-bbowitis ye-elbow. Ukwelapha ngokuvamile kuhilela ukuphumula, ama-NSAID, ukucacisa indawo ethintekile nokusebenzisa i-elbow brace ukuvimbela ukunyakaza.
Ukulimala kwamandla
Ukulimala kwamandla ngokuvamile kubangelwa ukuboshwa okungalungile, izinkinga ezimbi zokuzulazula, umthelela weqembu ngenkathi kuhlaselwa (njengesixhumi somuthi), noma ukusebenzisa ngokweqile. Phakathi kwamanye ukulimala okuvamile kwesibindi:
- I-tendinitis yesibindi ivame ukuqhubekela phambili ehamba phambili okumele iguqe phambili emuva futhi ibuyele emuva emuva ekupheleni.
- I-Hamate bone i-bone fractures iyenzeka lapho iqembu lihlasela phansi ngendlela engavamile futhi liphoqa isibambo ngokumelene nezingodo ze-bony ekupheleni kwamathambo amancane (isifuba).
- Izindwangu zesikhumba zingenzeka uma iqembu lishaya into futhi lihlanekezela isici ngokungavamile.
- U-Ulnar umhubhe we-syndrome umonakalo wesikhumba esiwusini esibangelwa ukuqhutshwa okuphindaphindiwe kwesibambo senkampani ngokumelene nesundu. Lokhu kungabangela ubuhlungu, ukuvuvukala, nokuzibulala futhi kuvame ukuhlotshaniswa nokungalungile noma ukulahlekelwa.
Njengoba kunikezwe uhlobo lwalokhu kulimala, kufanele kuqashwe ukunakekelwa kwezokwelapha ukuze i-X-ray ibe yimuphi umonakalo futhi imise isikhunta ngokufanele.
> Umthombo:
> Walsh, B ;; I-Chounthirath, i-T .; UFriedenberg L. et al. "Ukulimala okuhlobene negalofu kuphethwe eminyangweni ephuthumayo yase-United States." Am J Emerg Med. 2017; 35 (11): 1666-71. I-DOI: 10.1016 / j.ajem.2017.05.035.