Yonke Imisipha Yase-Pec Ephuliwe
Umswakama omkhulu we-pectoralis, noma ngokuvamile isithoni sayo esifake esitokisini lesandla, singaphula. Abagijimi bavame ukubiza ukuthi i-pec iphukile noma i-pec ephukile, kodwa ichazwa ngokunembile ngokuthi i-pectoralis enkulu ye-muscle rupture. Ukuphuka okukhulu kwe-Pectoralis ukulimala okungavamile okwenzeka cishe kubantu besilisa abaneminyaka engama-20 kuya ku-50. Nakuba izinyembezi eziyingxenye zingase zenzeke, lezi zingavamile, futhi ngokuvamile ukuqubuka okuphelele kwesinamathisela okwenziwe isisu kumathambo kwenzeka.
Umsizi omkhulu we-pectoralis yi-muscle omkhulu nje phambi kwodonga lwesifuba. Kunezingxenye ezimbili zomzimba we-pectoralis, i-pectoralis enkulu, ne-pectoralis encane. I-pectoralis enkulu yiyona enkulu kunazo zonke futhi isebenza ukuphoqa izingalo phambi komzimba, njengokusebenza komshini wokunyathelisa.
Ukuphuka kwemisipha enkulu ye-pectoralis kwenzeka kanjani?
Lezi zingozi zivame ukuqhubeka phakathi nemisebenzi eqinile. Cishe isigamu sawo wonke ama-pectoralis ahlukumezeka kakhulu okwenzeka phakathi nokukhipha isisindo, ikakhulukazi ngesikhathi sokunyakaza komshini. Ezinye izimbangela zokuqubuka okukhulu kwe-pectoralis zihlanganisa ibhola (ukuvinjelwa), ukulwa, i-rugby, nokunye ukulimala okulimazayo.
Kuyaziwa ukuthi ukusebenzisa i-steroid kunganciphisa i-tendon, futhi lokhu kucatshangwa ukuthi kuyingxenye ebumnyameni obuningi be-pectoralis. Kodwa-ke, lokhu kulimala kungenzeka ngeziguli ezingakaze zisebenzise i-steroids.
Ziyini izimpawu zokuphuka kwamasipha omzimba we-pectoralis?
Iziguli ezithola ukuphuka okukhulu kwe-pectoralis zizwa ubuhlungu ngokungazelelwe, futhi ngokuvamile zizwa ukuzwa okufayo esifubeni sabo.
Izimpawu zihlanganisa:
- Ubuhlungu esifubeni nasengalo elingaphezulu
- Ukungabi namandla ekuxosheni izingalo phambi komzimba
- Ukugquma kwesifuba nengalo
- I-dimpling, noma iphaketheni, eyakhiwe ngenhla nje kwe-armpit lapho kuqubuka khona
Ukwelashwa kwe-Pectoralis Muscle Rupture
Ukwelashwa kuvame ukuphakanyiswa izinyembezi eziphelele ze-pectoralis muscle tendon.
Iziguli ezinezinyembezi ezincane , izinyembezi ngaphakathi kwezidumbu, noma iziguli ezikhulile nezidinga usizo, zingakwazi ukugwema ukwelashwa okuhlinzekwayo.
Ngokulungisa i-tendon ephukile, iziguli zinethuba elihle lokubuyela ezemidlalo eziphezulu kanye nemisebenzi. Okuhle, ukulungiswa kwenziwa esikhathini sokuqala emva kokulimala. Ngokwenza ukulungiswa ngaphakathi kwamasonto ambalwa okulimala, izicubu ezibomvu kanye ne-muscle atrophy kuncishisiwe. Ukulungiswa kwenziwa ngokufaka ama-sutures amakhulu kuthempini eliqhekekile bese uthola lezi sutures esitokisini lesandla ngamasongo emathini noma amahange afakwa ethambo.
Ingabe inkinga ingalungiswa uma ingasetshenziswanga ngokushesha?
Yebo, abanye ababhali baye babonisa imiphumela emihle ngezinyanga zokulungisa, noma ngisho neminyaka, emva kokulimala. Futhi ukulungiswa kuhle kakhulu kwenziwa ngesikhathi esifanele, kodwa kunezifundo ezibonisa ukuthi iziguli ezinokulungisa okwesikhashana zingathola i-Cosmesis ephakeme (ukubukeka kwesifuba), amandla, nokwaneliseka jikelele.
Ngingakuvimbela kanjani ukulimala okukhulu kwepectoralis?
Izindleko zokugqoka kufanele zifundiswe ngendlela efanele yokunyathelisa ibhentshi. Ukubaluleka okubaluleke kakhulu ukukhawulela ibanga ibha yehliswa futhi kunciphise ukumbamba kwezandla kwibha.
Ukunciphisa ibha kuze kufike esifubeni, noma ukwandisa ukubamba ibha, kwandisa ukucindezeleka emisipha futhi kwandisa amathuba okulimala kwe-pectoralis.
Imithombo:
I-Petilon, J, et al. "I-Pectoralis Inqwaba Yama-Muscle: Ukuhlola Nokuphathwa" J Am Acad Orthop Surg, Vol 13, No 1, Januwari / Februwari 2005, 59-68.
> Schepsis AA, et al. "Ngaphandle kwe-Pectoralis Major Muscle: Ukulungiswa Ngemuva Kokuvuselela Kokulimala Okumangalisayo Nezifo Eziphuthumayo." Am J Sports Med 2000; 28: 9-15.