Ukuphuma Komqondo Wentamo? Izimpawu, Izimbangela, & Ukwelashwa

Ukuphuma komqondo wentamo kwenzeka lapho ithambo lekhulu lengalo liphuma khona esokisini lomqondo. Kungelinye lamakhanda ahlukanisayo ajwayelekile, futhi nakuba kuzwakala kukhulu, abantu abaningi bayaphila ngokuphelele ngokwelashwa okufanele. Umgogodla wakho empeleni ungumqondo ohambayo kakhulu emzimbeni wakho, okwenza ube lula kakhulu ekuphumeni komqondo kunamanye amaqondo. Cabanga ngakho njengobhola legolfi oluhlala phezu kwe-tee – kukunika ububanzi obukhulu bokuhamba, kodwa leyo ndlela iza nokuhlukaniswa kokuthembela.

Ukuphuma komqondo wentamo yini?

Ukuphuma komqondo wentamo kwenzeka lapho ikhanda lethambo lekhulu lengalo (humerus) licindezelwa khona ngaphandle kwesokisi lomqondo. Umqondo wentamo uqanjwe njengobhola-nesokisi, lapho iphezulu eliqoshiwe lethambo lengalo yakho lifaneleka khona esitsheni esiqinile esikhundleni sakho sokuqeda. Uma le nxibelelwano iphazamiseka, uhlangabezana nokuphuma komqondo. Umqondo wentamo ungaphuma ngezindlela ezahlukene – phambili, emuva, noma phansi – nakuba ukuphuma komqondo phambili kuyinto ejwayelekile kakhulu, okuyisilinganiso sama-95% ezimo. Umgogodla wakho ucindezela imisipha, ama-ligaments, nama-tendons ukuze uhlale endaweni kunokuba kube yisokisi elijulile, eliqinile ozolitholwa esokisini lakho lomhlane. Lo mklamo ukunika ukuhamba okuhle kodwa wenza umgogodla ube sengozini yokulimaza.

Ziyini izimpawu zokuphuma komqondo wentamo?

Uzokwazi ukuthi kukhona okuphosakele kakhulu uma umgogodla wakho uphuma – ubuhlungu buyashesha futhi buyabulala. Abantu abaningi bayachaza njengobhlungu obukhulu, obukhulu obukhulu okwenza kube nzima ukuhambisa ingalo ngokujwayelekile. Ake sibheke izimpawu eziyinhloko ezibonisa ukuphuma komqondo wentamo:

• Ubuhlungu obukhulu, obuzuma obunyakazayo ehlombe naseengalweni eziphezulu
• Ukungenakukwazi ukuhambisa ingalo yakho noma ukuthola ubunzima obukhulu ekuyiphakamiseni
• Ukuphambuka okubonakalayo – ihlombe lakho lingase libukeke lingalungile noma “livaliwe”
• Ukukhula nokuqhuma kombala eduze kwendawo yehlombe
• Ukukhahlela noma ukungcangcazela phansi kwengalo yakho, ikakhulukazi eminweni yakho
• Ukubamba kwamasisu eduze kwehlombe
• Ukuzwa sengathi ingalo yakho “iyaphela amandla” noma ibuthakathaka ngokuphelele

Ukukhahlela noma ukungcangcazela kwenzeka ngoba izicubu zezinzwa zingase zoluleke noma zicindezelwe lapho ithambeka liphuma endaweni yalo. Lokhu akusho ukuthi kunokulimaza okungapheli, kodwa ngokuqinisekile kuyinto udokotela wakho okumele ayihlole ngokushesha. Abanye abantu nabo baye bahlangabezana nalokho okuzwakala sengathi ingalo yabo ihlukile ngakwesinye ihlangothi. Lokhu kwenzeka ngoba ithambeka le-engalo aliseli endaweni efanele esokhethini, lushintsha indlela ingalo yakho ehlala ngayo.

Imiphi imikhakha yehlombe elikhishwa endaweni yalo?

Ukukhishwa kwehlombe kuhlukaniswa ngokubhekisele endleleni ithambo lekhono eliphuma ngayo esokisini. Ukuqonda uhlobo lusiza odokotela ukuthi banqume indlela yokwelapha engcono kakhulu futhi balinganise isikhathi sokuphulukisa.

Ukukhishwa kwangaphambili kwenzeka lapho ithambo lekhono liphuma phambili phansi esokisini. Lokhu kuhilela cishe u-95% wazo zonke izimo zokukhishwa kwehlombe futhi ngokuvamile kwenzeka lapho ikhono likhishwa ngemuva ngenkathi liphezulu kunekhanda.

Ukukhishwa kwangemuva kwenzeka lapho ithambo lekhono liphuma ngemuva esokisini. Lezi zimuncane kakhulu, zenza u-4% kuphela wezimo, futhi ngokuvamile zenzeka ngesikhathi sezigameko noma ekulimaleni okuvela kukagesi.

Ukukhishwa kwangezansi yilona uhlobo oluyimfihlo, lapho ithambo lekhono liwa phansi esokisini. Kwesinye isikhathi lokhu kubizwa ngokuthi "luxatio erecta" ngoba ikhono lakho lihlala liqonde phezulu emoyeni.

Uhlobo ngalunye luza nezinselele zalo kanye nesikhathi sokuphulukisa. Ukukhishwa kwangaphambili kuvamise ukuphulukisa kahle kodwa kunesilinganiso esiphezulu sokuphinda kwenzeke, ikakhulukazi kubantu abasebancane. Ukukhishwa kwangemuva ngokuvamile kuye kuphoqwe ekuqaleni ngoba akubonakali, kuyilapho ukukhishwa kwangezansi cishe kuhlale kuhilela ukulimala okukhulu kwezicubu ezithambile.

Yini ebangela ukukhishwa kwehlombe?

Ukukhishwa kwehlombe okuningi kwenzeka lapho amandla aqinile esusa ikhono lakho ngendlela engathandeki ngenkathi liphezulu noma lilethekile. Ukuhamba okukhulu kwehlombe kwenza kube sengozini lapho amandla edlula lokho izakhiwo ezisekelayo ezingakwazi ukusikisela.

Ukukhishwa kwezemidlalo kuhilela ingxenye enkulu yokukhishwa, ikakhulukazi ezimidlalweni eziqhakambayo nemisebenzi ehilela ukunyakaza kwekhono eliphezulu. Ibhola likanobhutshwana, ibhasikithi, ukuskiya, kanye nejimunasi zibona amazinga aphezulu ngenxa yokudilika kwesikhathi esiphezulu kanye nesikhundla sekhono.

Nawa amaqhinga avamile okukhishwa kwehlombe:

• Ukuwa ngesandla esoluleke, ikakhulukazi uma uwa ngemuva
• Ukushaywa ngqo ehlombe ngesikhathi sezemidlalo noma ezingoveni
• Ukudonsa okusheshayo, okunamandla esandleni
• Ukuphambuka okukhulu kwesandla ngenkathi kuphakanyisiwe ngaphezu kwezinga lehlombe
• Izingozi zezimoto lapho isandla sibanjwe noma siqhumiswe
• Ukuhlushwa okubangela ukuqina kwamandla emisipha
• Umshayeli wobani obangela ukuqina okukhulu kwemisipha

Ngezinye izikhathi amahlombe ahlukaniswa imisebenzi emincane ngokumangalisayo uma usuvele unemisipha ephumile noma ukulimala kwangaphambili. Ungase ufinyelele into ethile eshelfini eliphezulu lapho ihlombe lakho liphuma khona. Ubudala buthatha indima futhi. Abantu abasebancane bathambekele ekuhlukaniseni amahlombe ngokulimalala okukhulu kwamandla njengokulimala kwezemidlalo, kuyilapho abadala bangase babhekane nokuhlukaniswa okuvela ekuweni okuncane ngenxa yemisipha yokusekela ebuthakathaka.

Nini kufanele ubheke udokotela ngehlombe elihlukanisiwe?

Ihlombe elihlukanisiwe liyisimo esiphuthumayo sokuphila esidinga ukwelashwa ngokushesha ngochwepheshe. Ungalokothi uzame ukuphinda ufake ihlombe lakho endaweni – ungabangela ukulimala okukhulu emithanjeni, ezinhlanzi zegazi, noma ezinhlangothini ezizungezile. Qonda egumbini lokuphuthuma ngokushesha uma ucindezela ukuhlukaniswa kwehlombe. Ngokushesha lapho uthola ukwelashwa, kulula ukuhambisa ijoyinti futhi kuncane amathuba okuthuthukisa izinkinga. Shaya u-911 noma uthole umuntu okuphatha ngokushesha uma ubhekana nalokhu:

• Ubuhlungu obukhulu behlombe ngokuguqulwa okubonakalayo
• Ukungenakwenzeka ngokuphelele ukuhambisa isandla sakho
• Ukuphefumula noma ukugqolozela okusakazwa phansi kwesandla sakho
• Ukushintsha kombala wesikhumba esandleni sakho noma eminweni
• Izimpawu zokulimala komthambo noma izingcezu zegazi

Ungalindi ukubona ukuthi ubuhlungu buyaphuka yini ngokwalo. Okubonakala sengathi kuyi-dislocation elula kungabandakanya ukweqa amathambo, ukukhubazeka kwe-ligaments, noma ukwenzakala kwama-nerve okudinga ukunakekelwa okusheshayo. Ngisho noma uke waba ne-dislocation yesinqe ngaphambili futhi ucabanga ukuthi uyazi ukuthi ungayiphatha kanjani, ukulimala ngakunye kufanele kuhlolwe yisazi sezempilo. I-dislocations yangaphambili ingenza ezingaphambili zibe nzima futhi kube nzima ukuziphatha.

Iyini imizamo yokusongela i-dislocated shoulder?

Izici eziningi zingenza kube lula ukuthi uhlangane ne-dislocation yesinqe. Ukuqonda lezi zici zokungena zingakusiza ukuthi uthathe izinyathelo zokuvikela futhi uqaphele ukubuthakathaka kwakho. Ubudala bakho kanye nesilinganiso somsebenzi kuwona umsebenzi omkhulu ekuthatheni ingozi ye-dislocation. Abagijimi abasebasha, ikakhulukazi abesilisa abaneminyaka engama-15-25, banesilinganiso esiphezulu se-dislocations yokuqala ngenxa yokubamba iqhaza kwezemidlalo kanye nokuziphatha okungathandeki. Nawa amaphuzu ayisihluthulelo andisa ingozi yakho:

• Ukuhlanganyela kwezemidlalo eziqhakambayo njengebhola, i-hockey, noma ukulwa
• Imisebenzi edinga ukunyakaza kwesandla esiphezulu njengekugeza, i-volleyball, noma i-tennis
• I-dislocation yesinqe yangaphambili noma ukulimala
• Ama-joints ahlanzekile noma izifo ze-connective tissue
• Ubuthakathaka bemisipha eduze kwesinqe
• Ukuba owesilisa futhi uneminyaka engama-15-25
• Ukuba nezifo zokuhlwitha
• Ubudala obungaphezu kweminyaka engama-65 ngenxa yama-tissues abuthakathaka nokukhula kwenkinga yokuwa

Uma uke wahlukana nesinqe sakho kanye, ngeshwa usesengozini enkulu yokuba ne-dislocations yesikhathi esizayo. Lokhu kwenzeka ngoba ukulimala kokuqala kuvame ukwelula noma ukuklebula ama-ligaments asisiza ukugcina isinqe sakho siqinile. Abantu abanezifo ze-connective tissue njenge-Ehlers-Danlos syndrome bane-joints ezihlanzekile ngokwemvelo, okwenza i-dislocations ibe lula ngisho nangokulimala okuncane. Ngokufanayo, abanye abantu bazalwa nje ngama-sockets esinqe ajulile noma ama-joint capsules ahlanzekile.

Ziyini izinhlanganisela ezingase zenzeke ze-dislocated shoulder?

Nakuba ukuhlukumezeka okuningi kwehlombe kuphulukana ngaphandle kwezinkinga ezihlala njalo, kukhona izinkinga eziningi ezingase zenzeke, ikakhulukazi uma ukwelashwa kulibaziseka noma uma uhlushwa ukuhlukumezeka okuningi ngokuhamba kwesikhathi.

Ukukhathazeka okukhulu kunazo zonke ukulimala kwamathenda negazi aseduze nomhlangano wehlombe. Uma ithambo lekhono liphuma esokisini, lingatandaza noma licindezele lezi zinto ezibalulekile, okungenzeka kube nomphumela wenzinkinga ezihlala njalo.

Nawa amaphutha okufanele uwaqaphele:

• Ukulimala kwamathenda okuholela ebuthakathakeni noma ukungabi namandla ekhoneni
• Ukulimala kwegazi okuholela ezinkingeni zokujikeleza kwegazi
• Ukuqhekeka kwamathenda ekhoneni noma esokisini lehlombe
• Ukuqhekeka kwamagxathu, amandla, noma imisipha eduze kwehlombe
• Ukungaqini njalo okuholela ekuhlukumezekeni okuphindaphindayo
• Ihlombe eliqine (adhesive capsulitis) ngenxa yokunganyeki isikhathi eside
• Ukuqala kwe-arthritis ehlanganyeleni lehlombe ngokuhamba kwesikhathi

Ukuhlukumezeka okuphindaphindayo kuba nethuba elikhulu ngemuva kokulimalayo kokuqala, ikakhulu kubantu abasebancane. Ukuhlukumezeka ngakunye okulandelayo kuya kuholela ekulimala okwengeziwe kwizakhiwo ezisekelayo, kudale izingxenyana zokungaqini.

Ukulimala kwamathenda, nakuba kukukhathaza, ngokuvamile kube yikwesikhashana. Inzwa ye-axillary iyona evame ukufunyanwa, engabangela ukungabi namandla phezu kwehlombe langaphandle nobuthakathaka emsisipha we-deltoid. Ukwenzakala okuningi kwamathenda kuphulukana emasontweni kuya ezinyangeni.

Izinkinga ezingavamile kodwa ezinzima zihlanganisa ukulimala okungapheli kwamathenda, ukuqhekeka kwegazi okudinga ukucutshungulwa, nokuqhekeka okuyinkimbinkimbi okudinga ukulungiswa ngokucutshungulwa. Lezi zinkinga ezinkulu azivamile, kodwa zikugcizelela ukuthi ukunakekelwa kwesikhathi okusheshayo kubaluleke kangakanani.

Ukuhlukumezeka kwehlombe kuhlonzwa kanjani?

Ukuxilongwa komhlane oqhekekileyo kuqala ngokuvamile ngalokho odokotela abakubona nokukuzwa ngesikhathi sokuhlolwa komzimba. Ukuhlanganiswa kwezimpawu zakho, indlela umonakalo owenzeka ngayo, kanye nokutholwa komzimba ngokuvamile kwenza ukuxilongwa kucace.

Udokotela wakho uzoqala ngokuhlola amazinga obuhlungu bakho bese ebuza ngendlela umonakalo owenzeka ngayo. Bazohlola ngokucophelela ukuma nokuma komhlane wakho, bebheka izimpawu ezibonakalayo zokuqhekeka njengokungalingani noma ukuma okungajwayelekile.

Ngesikhathi sokuhlolwa komzimba, umhlinzeki wakho wezempilo uzohlola izinto ezibalulekile eziningi:

• Ukuphambuka okubonakalayo noma ukushintsha kwendlela yomhlane
• Ukulinganiselwa kokunyakaza
• Ukuzwa nokujikeleza kwegxathu lakho nasesandleni
• Amandla emisipha nemiphumela
• Izimpawu zokulimala komthambo noma isikhutha sezitho

**Izithombe ze-X-ray ziyalelwa cishe njalo** ukuqinisekisa ukuqhekeka nokuhlola ukukhubazeka. Uchungechunge olujwayelekile lwe-X-ray lomhlane lufaka izithombe ezivela ezingxenyeni ezahlukene ukuze kubonwe ukuthi amathambo abekwe kanjani futhi uma kukhona okuphukile.

Ezimweni ezithile, udokotela wakho angase ayekele izithombe ezengeziwe. I-MRI ingabonisa ukulimala kwezicubu ezithambile njengokuphazamiseka kwamagxathu noma i-cartilage, kuyilapho i-CT scan inikeza izithombe eziningiliziwe zokulimala kwamathambo okungenzeka zingabonakali kahle ku-X-ray ejwayelekile.

**Ukuhlolwa komthambo nokujikeleza** kubalulekile ngoba izinhlanganisela ezihilela imithambo noma izitho zegazi zidinga ukunakekelwa ngokushesha. Udokotela wakho uzohlola izingcindezi, umbala wesikhumba, ubushushu, nokuzwa kulo lonke igxathu lakho.

Iyini ukwelashwa komhlane oqhekekileyo?

Ukwelapha okubaluleke kakhulu kwehlombe eliphukile ukubuyisela ithambeka endaweni yayo efanele, inqubo ebizwa ngokuthi ukunciphisa. Lokhu kufanele kwenzeke ngokushesha okukhulu, ngokukhethekile phakathi kwamahora ambalwa ngemva kokulimaza.

Udokotela wakho uzosebenzisa amasu athile ukuqondisa ithambeka lakho lesandla libuyele esokisini lehlombe. Lokhu kuvame ukwenziwa emagumbini okuphuthumayo ngemva kokuthola imithi yokunciphisa ubuhlungu kanye nemiphumela yemisipha ukuze inqubo iqhubeke ngokukhululekile.

Izinyathelo zokwelapha ngokushesha zihlanganisa:

1. Ukuphathwa kobuhlungu ngemithi
2. Ukuphumula kwemisipha ukuze kunciphise ukubamba
3. Ukuphathwa okuthambile ukuze kuhanjiswe ijoyinti
4. Izithombe ze-X-ray ukuqinisekisa ukubekwa kahle
5. Ukubopha ngesilingi noma i-brace

Ngemva kokunciphisa, ihlombe lakho lizophulwa ngesilingi amasonto ambalwa ukuze kuvumele ama-ligaments alotshwe kanye ne-capsule ukuba aphulukise. Isikhathi esiqondile siyacishe sibe ngokweminyaka yakho, ubukhulu bokulimala, nokuthi lokhu kungukukhishwa kwakho kokuqala.

Ukuphathwa komzimba kuvame ukuqala ngaphakathi kwamasonto ambalwa futhi kugxile ekubuyiseleni kancane kancane ukuhamba, bese wakha amandla emisipha eduze kwehlombe lakho. Le nqubo ibalulekile ekunqobeni ukuphuka kwesikhathi esizayo nokubuyela emisebenzini evamile.

Ukuhlinzwa kungase kunconywe uma une-dislocations eziphindaphindayo, ukukhishwa okukhulu kwama-ligaments, noma ukuphazamiseka okungaphuli kahle ngokwelashwa okuqondisiwe. Ukuhlinzwa kwe-Arthroscopic kungalungisa izicubu ezisikiwe futhi kuqinise izakhiwo eziphumule ukuthuthukisa uzinzo.

Kubantu abaningi, ukwelashwa okuqondisiwe kusebenza kahle ekukhishweni kokuqala, ikakhulu kubantu abadala. Noma kunjalo, abantu abasebasha, abasebenza ngamandla bavame ukuzuza ekuzinzeni okuhlinzwe ukuvimbela izinkinga zesikhathi esizayo.

Ungayiphatha kanjani ihlombe eliphukile ekhaya?

Ngemva kokuba ihlombe lakho libuyiswe endaweni yalo ngumchwepheshe wezokwelapha, ukunakekelwa ekhaya okucophelelayo kudlala indima ebalulekile ekuphileni kwakho. Izinsuku ezimbalwa zokuqala zibaluleke kakhulu ekuvumeleni izicubu ezonakele ukuthi zilulame kahle.

Ukuphathwa kobuhlungu nokukhuluphala kufanele kube yikho okugxile kukho ekuqaleni. Ama-ice packs afakwe imizuzu engu-15-20 njalo ngemizuzu embalwa angasiza ekuthambiseni kokubili ubuhlungu nokukhuluphala, ikakhulukazi phakathi kwamahora angu-48-72 ngemva kokulimaza.

Nawa amaqhinga okuhlanza ihlombe lakho ngesikhathi sokuphulukisa:

• Gqoka i-sling yakho njalo njengoba uqondiswe udokotela wakho
• Fakela iqhwa njalo izinsuku ezimbalwa zokuqala
• Thatha imithi ephikisana nobuhlungu njengoba kudingeka
• Gwema ukuphakamisa noma ukufinyelela ngengalo elimazekile
• Lala ngama-pillow engeziwe ukuze ugcine ihlombe lakho liphezulu
• Yenza kuphela ukuzivocavoca okuthambile okuqondiswe ngumhlengikazi wakho womzimba
• Gcina iziqondiso zokulandelela neqembu lakho lokukhathalela impilo

Ukuzivocavoca okuthambile kungaqalwa ekuqaleni ukuvimbela ubunzima, kodwa kuphela ngaphansi kokunqondiswa kwabachwepheshe. Ukunyakaza okuningi kakhulu kungalimaza kabusha ihlombe lakho, kuyilapho ukunganyeki okwanele kungabangela ihlombe eliqine.

Qaphela izimpawu zezexwayiso ezidinga ukunakekelwa kwezokwelapha ngokushesha, njengokwanda kokungaziwa, ukushintsha kombala eminweni yakho, ubuhlungu obukhulu obungaphenduli emithi, noma izimpawu zokutheleleka ezindaweni eziqondene.

Ukushintsha kwemisebenzi kuzodingeka amasonto kuya ezinyangeni. Gwema imisebenzi ephezulu, ukuphakamisa okukhulu, nemidlalo kuze kube yilapho udokotela wakho nomhlengikazi womzimba bekuvumela kule misebenzi.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho yodokotela?

Ukuba ulungile ngokwanele ngemihlangano yakho yokulandelela kungasiza ukuqinisekisa ukuthi uthola ukunakekelwa okuhle kakhulu futhi usebenzise isikhathi sakho ngokuphumelelayo nababoneleli bezempilo. **Letha imininingwane yokulimaza kwakho** kufaka phakathi ukuthi ukuhlukana kwenzeke kanjani ngqo, ukwelashwa okukuzuzile, nokuthi uzizwe unjani kusukela ekulimeni. Bhala le mininingwane ngaphambi kwesikhathi ngoba imithi yokunciphisa ubuhlungu ngezinye izikhathi ingathinta ikhono lakho lokukhumbula. Nanku okumele ukulungiselele ngaphambi komhlangano wakho:

• Uhlu lwemithi yonke oyithathayo, kufaka phakathi imithamo
• Inkulumo yezinga lakho lobuhlungu lamanje nokuthi yini eyenza libe ngcono noma libi kakhulu
• Imibuzo mayelana nesikhathi sakho sokuphulukisa nokunciphisa imisebenzi
• Ukuqaphela noma yikuphi ukungathuthuki, ubuthakathaka, noma ezinye izimpawu
• Ulwazi mayelana nemisebenzi yakho, ezemidlalo, noma izidingo zezinto ozithandayo
• Imiphumela yokuqoshwa kwangaphambili noma amarekhodi ezempilo uma ubona umhlinzeki omusha

**Lungiselela imibuzo ethile** mayelana nokuphulukisa kwakho. Buza ukuthi ungabuya nini emsebenzini, uqhube, uqeqeshe, noma uhlanganyele ezemidlalo. Ukuqonda isikhathi sakho kuzokusiza ukuhlela nokusetha amathemba angokoqobo. **Letha umuntu osekela** uma kungenzeka, ikakhulukazi emihlanganweni yokuqala lapho usengase uhlangane nobuhlungu obukhulu noma imiphumela yemithi. Bangakusiza ukuba ukhumbule ulwazi olubalulekile futhi bakusize ngokuthutha. **Gqoka ngokufanele** ngezingubo ezikuvumela ukufinyelela kalula ehlombe lakho ukuze uhlolwe. Izingubo eziqhoma phambi noma ezinemikhono ebanzi, ephumile zisebenza kangcono uma ugqoke i-sling.

Iyini into ebalulekile mayelana namahlombe ahlukene?

Ukuhlwitha kwesihloko kuyilima elibuhlungu kodwa elingaphekwa elidinga ukunakekelwa ngokushesha kwezokwelapha. Nakuba lokhu kungaba yinto ebangela ukwesaba nobuhlungu, abantu abaningi bayaphila kahle uma bethole ukunakekelwa okufanele ngokushesha.

Into ebaluleke kakhulu okumele uyikhumbule ukungalokothi uzame ukuzibuyisela isihloko sakho. Ukwelashwa kwezokwelapha kochwepheshe kuqinisekisa ukuthi ijoyinti ibekwe kahle futhi kuhlolwe izinkinga ezinjengokulimala kwama-nerve noma ukuphazamiseka okudingayo ukunakekelwa okukhethekile.

Impumelelo yakho yokubuyisela iphela kakhulu ekulandeleni uhlelo lwakho lokwelashwa. Lokhu kuhlanganisa ukugqoka i-sling yakho njengoba kuqondiswe, ukuya emihlanganweni yokwelapha komzimba, nokubuyela kancane kancane emisebenzini ngaphansi kwesiqondiso sochwepheshe. Ukubuyela ngokushesha kakhulu kuvame ukubangela ukulimala kabusha noma ukungazinzi okuqhubekayo.

Ukuvimbela kuba yinto ebalulekile uma usuke uhlwithile, ngoba ingozi yokuhwitha kwesikhathi esizayo iyanda kakhulu. Ukuqina kwemisipha, indlela efanele ezemidlalo, nokwazi imingcele yakho kungakusiza ukuvikela isihloko sakho kusukela manje.

Abantu abaningi babuyela emisebenzini yabo evamile ngaphakathi kwezinyanga ezimbalwa, nakuba abagijimi abahlanganyela ezemidlalo ezingozi kakhulu bangathatha isikhathi eside noma badinge ukulungiswa okuhlinzekwa ngokusebenza. Ikhona ukubhekana ngesineke nenqubo yokwelapha nokuxhumana okuvulekile neqembu lakho lezokunakekelwa kwezempilo mayelana nemigomo yakho nezinkathazo.

Imibuzo evamile ebuzwa ngokuhlwitha kwamahloko

Ngingazibuyisela yini isihloko sami esihwithiwe?

Cha, akumelwe uzame ukuzibuyisela isihloko sakho esihwithiwe. Nakuba ungase ubona lokhu kuma-movie noma uzwe izindaba ngabantu abakwenzayo, ukuzama ukuzibuyisela isihloko sakho kungalimaza kakhulu ama-nerve, imithambo yegazi, namalungu aseduze. Okubonakala njengokuhlwitha okulula kungase kuhlanganise ukuphazamiseka noma ezinye izinkinga ezidinga ukulingwa kochwepheshe. Hlala ufuna ukunakekelwa kwezokwelapha ngokushesha ngokuhlwitha kwesihloko.

Kuthatha isikhathi esingakanani ukuphulukisa isihloko esihwithiwe?

Isikhathi sokuphulukisa sihlukahluka kakhulu ngokususelwa ebudaleni bakho, impilo yakho jikelele, nokuthi lokhu kungukudwengula kwakho kokuqala yini. Abantu abaningi bagqoka i-sling amasonto angu-2-6, okulandela amasonto ambalwa wokwelashwa komzimba. Abantu abasebasha, abaphilile bangase babuyele emisebenzini evamile ezinyangeni ezingu-6-12, kuyilapho abadala noma labo abanemiphumela emibi bangase bathathe izinyanga eziningi. Abagijimi ababuyela emidlalweni yokuxhumana bavame ukudinga izinyanga ezingu-3-6 zokuvuselelwa ukuqinisekisa ukuthi ihlombe lizinzile ngokwanele kwemisebenzi efuna kakhulu.

Ingabe ihlombe lami lizobuya liphinde lidwengule ngemva kokokuqala?

Ngeshwa, yebo – uma usuke udwengule ihlombe lakho kanye, usesengozini enkulu yokudwengula kwesikhathi esizayo. Ingozi iphakeme kakhulu kubantu abasebasha, abasebenza kakhulu, ngamanani okuphindaphinda aphezulu njenge-80-90% kubantu abangaphansi kweminyaka engu-25 ababuyela emidlalweni. Abadala banamanani okuphindaphinda aphansi, cishe i-10-15%. Ukulandela uhlelo lwakho lokuvuselelwa ngokuphelele, kufaka phakathi ukuqina kwemisipha kanye nokuguqulwa kwemisebenzi, kunganciphisa kakhulu ingozi yokudwengula kwesikhathi esizayo.

Ingabe onke amahlombe adwengulile adinga ukuhlinzwa?

Cha, amahlombe amaningi adwengulile aphulukisa kahle ngokwelashwa okuqondile okuhlanganisa ukunciphisa, ukuvimbela, kanye nokwelashwa komzimba. Ukuhlinzwa kuvame ukucatshangelwa kulabo abanamadwengulo okuphindaphindayo, ukukhishwa okukhulu kwamagxathu, ukweqa, noma labo abadinga ukubuyela emisebenzini efuna kakhulu njengemidlalo yokuncintisana. Abagijimi abasebasha bavame ukuzuza ekuzinziseni okuhlinzwayo ngemva kokudwengula kwabo kokuqala ukuvimbela izinkinga zesikhathi esizayo, kodwa lesi sinqumo kufanele senziwe ngabanye nodokotela wakho we-orthopedic.

Yiziphi imisebenzi engingayigwema ngemva kokudwengula ihlombe?

Phakathi nesikhathi sokuphulukisa ekuqaleni, kuzodingeka ugweme ukuphakamisa, ukufinyelela ngaphezulu, nanoma yimiphi imisebenzi ecindezela ihlombe lakho. Isikhathi eside, kungase kudingeke ulungise noma ugweme imisebenzi ebeka ihlombe lakho ezindaweni ezibuthakathaka – njengokuhamba okuthile kokubhukuda, imidlalo eyenziwa ngaphezulu, noma imisebenzi yokuxhumana. Udokotela wakho wezokwelapha nomzimba uzokukhokhela ngokunciphisa okuthile ngokususelwa esimweni sakho nasenjongweni yakho. Abantu abaningi bangabuyela kuyo yonke imisebenzi yabo yangaphambili, nakuba abanye bakhetha ukulungisa imidlalo engozi enkulu ukuze bavikele amahlombe abo.