Imisipha ye-biceps iyisisindo esikhulu phezu kwengalo yangaphambili yesandla esukela ehlangothini kuya ekuhlanganyeleni kwehlombe. Imisipha ye-biceps ibaluleke kakhulu kokubili ngokuguqa i-elbow, futhi ibuye iphendulele phambili ukuze isundu sibheke phezulu. Lokhu kuhamba, okubizwa ngokuthi ukuphakanyiswa, kungase kungabonakali kubaluleke kakhulu, kepha uma uvula umnyango womnyango noma uma uvula isikrini, ukubaluleka kuyacaca!
I-Biceps Tendon
I-biceps muscle ihlanganiswe kokubili phezulu futhi phansi emathanjeni ngokusebenzisa izakhiwo ezibizwa ngokuthi i- tendon . I-muscle ngokwayo ilukhuni, izicubu ezinesivumelwano ezivumela umzimba ukuba udonse ngamandla. Amathenda, ngakolunye uhlangothi, anamandla kakhulu, kodwa izakhiwo ezincane nezingezona izisebenzi ezingxenyeni imisipha kuya ethambo. Kunezintambo phezulu kwe-biceps muscle nangaphansi kwe-biceps muscle. Ama-tendon phezulu kwe-biceps muscle abizwa ngokuthi yi -biceps tendo nsuku zonke , futhi kukhona ezimbili zazo. I-tendon ngaphansi kwe-muscle ibizwa ngokuthi i-distal biceps tendon, futhi kukhona eyodwa kuphela yalezi zinto. I-tendal biceps tendon isendaweni ye-elbow futhi ingabonakala, futhi ngokuvamile ibonakala, lapho idonsela phambili into enzima. Izinyembezi zingenzeka noma yi -tendon noma i-distal biceps tendon , futhi ukwelashwa kungase kuhluke kakhulu kuncike kokulimala okwenzekile.
I-Distal Biceps I-Tendon Izinyembezi
Ukulimala ku-tendon ye-biceps ye-distal akuvamile. Ngokuvame ukwenzeka emadodeni asekhulile, lokhu kulimala kuvame ukuvela lapho uphakamisa izinto ezinzima. Amaphesenti angaphezu kwamaphesenti angama-90 we-distal biceps tendon izinyembezi ezenzeka emadodeni. Ziyinto evamile ngokwengeziwe engxenyeni ephezulu enezinsizakalo ezingaphezu kuka-80 zokulimala ezenzeka ohlangothini oluvelele.
Ngenkathi ukubona ukuthi lezi zingozi zivame ukuhlotshaniswa nemisebenzi yezemidlalo noma imisebenzi yemisebenzi ephezulu kakhulu yokufunwa, iqiniso liwukuthi ngokuvamile kuvame ukungalindelekile ngesikhathi somsebenzi wokuphakamisa obonakala sengathi ujwayelekile.
Indlela okwenziwe ngayo izinyembezi ibizwa ngokuthi ukuchithwa kwe-eccentric. Lokhu kusho ukuthi imisipha ye-biceps yayinezinkontileka, njengokuzama ukuphakamisa into enzima, kodwa amandla asebenza kumisipha ayedonsa ngakwehlukile.
Njengoba kushiwo, i-biceps izinyembezi ze-distal biceps tendon zenzeka cishe kubantu kuphela. Ngenkathi kunemibiko yezokwelapha ezincwadini zezokwelapha zalezi zilima kwabesifazane, iningi likhona emadodeni. Ngaphezu kwalokho, abantu ababhema imikhiqizo kagwayi banethuba eliphakeme kakhulu lokusekela i-distal biceps tendon izinyembezi. Eqinisweni, amathuba okulondoloza izinyembezi angaphezu kwezikhathi ezingu-7 ezingabonisi.
Izimpawu ze-Biceps eboshiwe
Incazelo ejwayelekile kunazo zonke ezinikezwa abantu abadabula i-biceps tendon emgqeni ukuthi yizwa "pop" enkulu njengoba bephakamisa into enzima. Izimpawu ezijwayelekile ze-biceps eziboshiwe zihlanganisa:
- Ubuhlungu obuzungeze ukugoba kwe-elbow
- Ukuvuvukala kwesifunda se-elbow
- Ukuqhaqhazela phezu kwendwangu kanye nengaphambili
- Ukukhubazeka kwemisipha ye-biceps
Umhloli onekhono uyakwazi ukuzwa i-tendon biceps, futhi kufanele akwazi ukubona ukuthi kukhona ukuphuka kwethenda ekuhlolweni. Kukhona ngempela ukuhlolwa okubizwa ngokuthi "i-hook test" lapho umhloli ezama ukugoba inkomba yakhe yomunwe phezu kwethenda ye-biceps njengoba imisipha ikhonjisiwe. Uma i-tendon iphukile, ngeke ikwazi ukumboza umunwe phezu kwethenda. Le vivinyo inqunyelwe ukuthi ibe nenembile kakhulu ekutholeni ithoni ye-biceps ephukile.
Nakuba izifundo zokucabanga zingase zingadingekile kuzo zonke izimo, zivame ukusetshenziselwa ukukhipha ezinye izimbangela ezingabangela ubuhlungu be-elbow , nokuqinisekisa ukuxilongwa okusolakala ukuthi kukhona.
I-x-ray iyisivivinyo esiwusizo ukuqinisekisa ukuthi abukho ubufakazi bokuphuka okuzungeze umhlanganiso we-elbow, nokuthi amathambo ahlanganiswe ngokujwayelekile. I-biceps tendon izinyembezi ngeke ziboniswe ekuhlolweni kwe-x-ray, kodwa ingasetshenziselwa ukukhipha ezinye izimbangela ezingenakwenzeka.
I-MRI yilona uvivinyo oluvame ukusetshenziselwa ukukhomba i-ticeps tendon ephukile. Uma kukhona umbuzo mayelana nokuxilongwa, i-MRI ingaba usizo. Ngaphezu kwalokho, i-MRIs ingasiza ekutholeni ezinye ukulimala kwezicubu. Abanye abahlinzeki bama-orthopedic baya ngokuya banamakhono abanokusetshenziswa kwe-ultrasound ukuze baqinisekise ngokushesha lolu hlobo lokuxilongwa. Udokotela ohlinzayo wezinyosi angakhetha ukuthola i-ultrasound ukuqinisekisa ukuxilongwa kwabo okusolakala ukuthi uyasifaka.
Ngokuvamile, ukulimala kwi-tendon biceps tendon yizinyembezi eziphelele. Ngokuvamile, i-tendon izinyembezi ngokuqondile kwethambo elingaphambili. Ama-laseration aqhubeka phezulu ne-tendon ayengavamile kodwa angenzeka uma kukhona ukulimala okuqondile ku-tendon efana nomlenze wommese. Ukulimala okuyingxenye ye-biceps tendon okunamathiselwe kungase kwenzeke futhi. Kulezi zimo ithemponi izozizwa ihambile, kodwa ubuhlungu bungase bungayixazululanga ngezokwelapha ezilula. Kulabo abanezinyembezi ezingenalutho, uma izinyathelo ezilula zokwelashwa zinganciphisi izimpawu zokungahambi kahle, ukuhlinzwa kungacatshangwa ukuthi kutholakale ngokuphelele ithoni bese kuwubuyisela emathanjeni ngokuqinile.
Izinketho zokwelashwa ezingasetshenziswa
Imithi yokwelapha iyindlela yokuphathwa kwe-distal biceps tendon rupture. Nakuba abantu abaningi, kuhlanganise nabahlinzayo, banombono wokuthi zonke iziphuphutheka ze-tendon biceps zidinga ukwelashwa, iqiniso liwukuthi abanye abantu benza kahle kakhulu ngezokwelapha. Lokhu kuyiqiniso ikakhulukazi ezigulini ezinesidingo esincane, njengabantu abadala. Ngaphezu kwalokho, lapho ukulimala kwenzeka engxenyeni engekho, abantu bayabekezelela kangcono kangcono kakhulu i-biceps tendon engavamile.
Kuye kwaba nokucwaninga okubanzi kulokho okwenziwe abantu abanethononi ekhishwe ngamaphutha. Ngokuvamile kunezinkinga ezintathu zokusebenza ezenzekayo:
- Ukunciphisa amandla e-flexion: Amandla we-elbow ukuguquguquka ayokwehla cishe ingxenye yesithathu nge-tendon biceps ehlanjululwe njalo.
- Ukunciphisa amandla okugcoba: Amandla esihlokweni sokuthi angene endaweni yesundu, njengokuvula i-doorknob noma ukuvula isikrini, sizokwehlisa cishe cishe isigamu.
- Ukukhuthazela okunciphise: Ukukhuthazela komkhawulo kunciphisa ukunciphisa ukwenza imisebenzi ephindaphindiwe kunzima kakhulu.
Ngaphandle kwalezi zinguquko, abantu abane-tendon disted biceps tendon ephazamisekile ngokuvamile baqaphela isimo esingavamile se-biceps muscle. Kwabanye abantu lokhu kungabangela ukucindezeleka kwemizwa noma ubuhlungu be-muscle, nakuba lezi zimpawu ngokuvamile ziyancipha ngokuhamba kwesikhathi.
Izinketho zokuhlinza
Kubantu abaningi abasebenzisa ukulimala kwe-tendon distal biceps, ukuhlinzwa kuzoxoxwa njengendlela yokwelashwa. Kunezinhlobo eziningi zokwelashwa nezindlela zokuhlinzeka ezingasetshenziswa ukulungisa i-tendon distal bisonps. Ukuhluka okuvamile kwindlela yokuhlinzeka kungenziwa ukwenza ukukhanda okuhlinzekwa ngokukhipha okukodwa, noma inqubo yokucubungula kabili. Odokotela abahlinzayo abahlukahlukene banokuthandwa okuhlukile ngokuqondene nendlela yokulungisa kangcono umonakalo we-tendon biceps.
Ngaphezu kwalokho, abanye odokotela abahlinzayo bahlola amathuba okwenza inqubo yokuhlinzwa ngendlela yokugcina, nakuba lokhu kungavamile kakhulu. Kunezifundo eziningi zokubheka ukuthi yiziphi zalezi zindlela ezihamba kahle, futhi inqubo ngayinye izoba nezinzuzo zayo kanye nezinkinga zayo, futhi akukho mboni ecacile "engcono kakhulu."
Kukhona nezindlela eziningana zokunamathisela ithemponi ewonakele emuva kwethambo. I-tendon cishe ihlale ilahla ngokuqondile ithambo. Izinhlobo ezahlukene zamahange nezinsimbi zingasetshenziswa ukunamathisela i-tendon eboshiwe emuva kwethambo, noma ingalungiswa emigodini encane yokudoba emathanjeni. Udokotela ohlinzayo ngamunye unamasu akhethwayo ukuze alungise isithononi esonakele. Iseluleko sami esihle ukuxoxa ngalezi zindlela ngodokotela wakho ohlinzayo, kodwa ubenze benze indlela yabo elula kakhulu.
Ukuvuselelwa Nokunciphisa
Izinqubo zokuvuselela izidakamizwa ezilandela ukwelapha okuhlinzekwayo ziyahlukahluka kakhulu phakathi kwabahlinzayo abahlinzayo. Ngokuvamile, odokotela abaningi abahlinzayo bayasikhuthaza ukungabi nalutho ngokukhazimula ngemva kokuhlinzwa amasonto ambalwa ukuvumela ukuvuvukala nokuvuvukala kube phansi. Uhla oluphansi lwe-motion luzoqala, kodwa ukuqinisa kufanele kugwenywe emavikini wokuqala 6-8. Ukubuyela emisebenzini yamandla egcwele ngokuvamile akuvunyelwe kuze kufike ezinyangeni ezingu-3 futhi ngezinye izikhathi isikhathi eside.
Izinkinga zokuthola ukwelashwa azivamile, kodwa kungenzeka. Ukuhlukumeza okuvame kakhulu ukucasula noma ukulimaza izinzwa ezithintekayo ze-forearm. Le nerve, ebizwa ngokuthi i-lateral antebrachial nerve nerve, inikeza inzwa phambi kwe-forearm. Lapho le nzwa ikalé ngesikhathi sokuhlinzwa, abantu bangakwazi ukuzwa ama-numbness noma ukugubha phezu kwe-forearm. Ukulimala okunamandla kakhulu kunokwenzeka, kodwa akuvamile kakhulu.
Enye ingcindezi ehlukile ekuhlinzekeni kwe-biceps ye-biceps iyindlela yokuthuthukisa into okuthiwa i- heterotopic bone form formation . Lokhu kusho ukuthi amathambo angathuthuka ezintanjeni ezithambile phakathi kwamathambo angaphambili. Lokhu kunzima okungavamile kunganciphisa ukuhamba kwe-forearm. Ukutheleleka kuhlale kuyinkimbinkimbi yokuhlinzwa okwelapha. Ukutheleleka ngokujwayelekile kungavinjelwa ngezinyathelo ezithathwe ngesikhathi sokuhlinzwa, nokunakekelwa okufanele kokunciphisa okuhlinzekwa ngesikhathi se-postoperative.
Ukuhlinzwa kuhle kakhulu ngesikhathi esithile ngemva kwamasonto ambalwa emva kokulimala kokuqala okwenze ukuthi i-biceps tendon idilize. Ukulimala kwamathambo okungapheli okungahambi kahle noma okungaphathwa kabi izinyanga kungase kube nzima ukulungisa ngokuhlinzwa. Kwezinye izimo, lezi zinyembezi ezingapheli zingadinga ukusetshenziswa kwe-tendon graft ukuze kubuyiselwe ubude obujwayelekile bethonti ye-biceps. Lapho ukulimala kokuqala kwenzeka, i-tendon biceps isuswa kude nokunamathiselwe kwayo okujwayelekile. Ngokuhamba kwesikhathi, i-tendon ne-muscle zizolahlekelwa ukuqina nokuqina, okwenza kube nzima ukuletha ubude obujwayelekile. Uma ubude bunganele ngokwanele ukuvumela okunamathiselwe, kufakwa isithwathwa se-tetheon ukuze kubhubhe igebe. Lokhu kungakwandisa isikhathi esidingekayo sokuvuselelwa futhi kunciphise ukubuyiswa komsebenzi okulindelekile.
Izwi elivela
Ukulimala kwe-tendon ye-biceps ye-biceps kungumthombo ongabangela ubuhlungu obukhulu nobubuthakathaka obuphezulu. Nakuba ukuxilongwa kwalokhu kulimala kuvame ukucaca, isinqumo sokwelashwa singase sibe nzima kwabanye abantu. Ukwelashwa kuvame ukuba indlela ephephile futhi ephumelelayo yokuqinisekisa ukuvuselelwa komsebenzi, kodwa kunezingozi ezingenzeka zokuhlinzwa. Ukunquma ukwelashwa okungcono kuncike ezintweni eziningana okubandakanya ukuthi sekuyisikhathi eside kangakanani ukulimala kwakho, okuphezu kokuqhathaniswa okungapheli, nokulindelwe kokusetshenziswa komkhawulo. Ukukhuluma nodokotela wakhe kungasiza ukuqinisekisa ukuthi wenze isinqumo esingcono kakhulu sesimo sakho.
> Imithombo:
> Bain GI, Johnson LJ, PC Turner. "Ukwelashwa kwezinyembezi ze-distal biceps ze-tendon izinyembezi" I-Sports Med Arthrosc. 2008 Sep; 16 (3): 154-61.
> Sutton KM, SD Dodds, Ahmad CS, Sethi PM. "Ukwelapha okuhlinzekwa kwe-distal biceps ukuphuka" J Am Acad Orthop Surg. 2010 Mar; 18 (3): 139-48.