Ukushintsha kwe-Capsular noma ukuhlukumezeka kunciphisa ihlombe
Ukungazitholi komzimba kungumgomo ongabangela ukuhlukaniswa noma ukuxoshwa kwehlangothini lwehlombe. Lokhu kwenzeka uma kunokuhamba okuningi kokuhlanganiswa kwehlombe, futhi ibhola lingaphuma ekhoneni.
Ngokuvamile, kunezigaba ezimbili zokungazinzi kwehlombe:
- Ukukhubazeka Kwamahlombe Okudabukisayo
Ukungahlali kahle kwehlombe kwenzeka ngokuvame kakhulu emidlalweni noma ukulimala, njengokuthi ukuwa noma ukushayeka kwemoto. Uma ihlombe lixoshwa ngokuqinile emzimbeni, imigudu noma izintambo zingabhidliza; Iphethini elivame kakhulu lokulimala ngemuva kokuhlukaniswa kwehlombe libizwa ngeBanartart izinyembezi. Ukungahlaliseki kwehlombe kuhlaselwa kubantu abanokuhlanganyelana okujwayelekile okugxilwe kakhulu, okwenza kube nomonakalo lapho ihlombe liphuma ngaphandle.
- Ukukhubazeka Kwama-Multidirectional (MDI)
Ukungazinzi okuhlukahlukene kwamanye amazwe kuhlukile ngoba ukuhlangana kwehlombe kukhululekile, kubangela izimpawu ngemisebenzi evamile. Ihlombe lakho lingase lihambise noma lifakwe ngaphansi (ngokuphuma ngaphandle kokujoyina) ngezinyathelo ezilula ngisho, hhayi izenzakalo ezibuhlungu. Kulezi zimo, ukungazinzi kuyinkinga engaphansi, hhayi ukuhlukunyezwa noma ukulimala.
Uma uthola ukuthi unokungazinzi okuhlukahlukene kwehlombe, ngokuvamile uzama ukuzama ukwelashwa okungahambi kahle. Ngokuvamile, lezi zindlela zokwelapha zizosiza ukuvimbela ezinye iziqephu zokungazinzile ngokuqinisa imisipha ehambisana nehlombe ukuze kuqiniswe ukuhlanganyela. Kodwa ngezinye izikhathi imizamo eminingi yokwelapha ingase ingaphumeleli. Kulezi ziguli, ukuhlinzekwa kwehlombe kunganconywa .
Ukuhlinzeka nge-Capsule Surgery
I-capsule yehlombe yi-imvilophu ehambisana nomhlanganiso wehlombe . Iqukethe izingxenye eziningana ezigxilile ezithile, noma izigxobo, ezizinzisa ihlombe.
Ngokuvamile, iziguli ezinezinkinga eziningi eziqondiswayo ezihlukahlukene zinezinkinga zemigqa kanye nekhono le-capsule. I-capsule yehlombe kulezi ziguli ichazwa njengezinkukhu.
Ukwelashwa ukulungisa ukungazinzi okungaqondakali okuningi kuhloswe ukuqinisa imigqa nokunciphisa usayizi jikelele we-capsule yehlombe.
Ngokuvamile, kunezindlela ezimbili zokuhlinzeka lokhu. Ukuhlinzekwa kwendabuko kwenzeka nge-incision phezu kwephambi kwehlombe, okuthiwa i-capsular shift. Indlela yakamuva kakhulu eyenziwa i- arthroscopically , ngokusebenzisa imibono encane ngokusiza ikhamera efakiwe kuhlangene.
Vula i-Capsular Shift
Ukushintsha kwe-capsular evulekile kuyindlela yokuhlinzwa eyendabuko eyenziwe ukuze kuqiniswe ukuhlanganiswa kwehlombe. Kule nqubo, i-incision yenziwa eceleni kwesigxobo, futhi umsila phambi kwehlombe, obizwa nge-subscapularis ( ingxenye yesikhumba se-rotator ), uvinjelwe ukuvumela udokotela ohlinzayo ukuba abone ngaphakathi ngaphakathi. I-capsule yehlombe iyabonakala futhi ihlukaniswe; ingxenye engezansi ye-capsule yehlombe ikhishwa, bese phezulu ikhishwa ukuze unciphise ivolumu yokujoyina.
Inzuzo yale nqubo ukuthi ivivinywe futhi iqinisiwe. Odokotela abahlinzayo banakho ikhono lokubona ngeso lengqondo ukuthi baqinisa kanjani ukuhlanganyela, futhi banganciphisa kakhulu umthamo we-capsule yehlombe. Ukuphazamiseka ukuthi ukutakula kuyinde, ngokwengxenye ngenxa yesigqeko sezingxenye zebhokisi le- rotator .
I-Capsular Plication
Isivivinyo se-capsular yi-opération eyenziwa i-arthroscopically.
Udokotela ohlinzayo ufaka ikhamera ehlangothini lwehlombe , futhi ngezinye izincazelo ezincane zisebenzisa ama-sutures ukuze "athathe" ingxenye ye-capsule yehlombe bese uyigcoba phezu kwayo ukuze kuqiniswe izicubu ze-capsular. Abanye odokotela abahlinzayo bazizwa ukuthi bangabona imiphumela yomsebenzi wabo kangcono ngokubukela lokhu ngokusebenzisa ikhamera, futhi bangakwazi ukubeka ngokunembile ama-sutures asetshenziselwa ukuqinisa ihlombe.
Yikuphi Ukuhlinza Okunezinwele Eziphakeme Kakhulu?
Akucaci ukuthi enye yalezi zindlela ingcono kunomunye; ukukhetha kungenzeka ngokuyinhloko kuxhomeke ekuthandweni kwakho kokuhlinza, njengoba odokotela abaningi bazozwa ukuthi bangenza enye yezinqubo ngokuthembekile.
Lokhu akusho ukuthi ukukhetha kwakhe kungcono - kusho nje ukuthi nguyena ohlinzayo ohlinzeka kahle kakhulu.
Siyazi ukuthi inqubo eyodwa, ebizwa ngokuthi i-shrinkage ye-capsular thermal - noma i-capsulorrhaphy ezishisayo - akumele yenziwe. Le nqubo, ethandwa kakhulu eminyakeni yama-1990 ngisho nase-2000s, isebenzisa isondlo sokushisa ukuze ikhuculise futhi igwebe i-capsule yehlombe. Imiphumela eminingi emibi iholele kulokhu kuvulwa, ngakho-ke ukushisa kwe-capsular ezishisayo akusetshenzisiwe.
Imithombo:
I-Gaskill TR, et al. "Ukuphathwa Kokukhubazeka Kwama-Multidirectional of the Ehlombe" J Am Acad Orthop Surg December 2011; 19: 758-767.