I-rotator cuff i-arthropathy i-tearth arthropathy yisimo esenzeka lapho kune- arthritis enamandla ehlombe lapho kusetshenzwa i- rotator cuff yezinyembezi . Ukuze kubhekwe njengendlela yokuvuthwa kwe-rotator ye-tear arthropathy, kunezinto ezintathu ezitholakalayo emitholampilo ezikhona:
- Umsebenzi okwanele wesikhumba se-Rotator (ngokuvamile izinyembezi ezinkulu)
- I-arthritis ye-ball-and-socket (glenohumeral) ngokuhlanganyela
- Ukushintshwa kwesimo esijwayelekile sebhola ngaphakathi kwesikhwama (ukufuduka okuphakeme)
Umsebenzi we-Rotator Cuff
I-rotator cuff yiqembu lezintuthwane ezine namathononi azungeze ukujoyina ibhola nekhanda. Lezi zinhlanzi zisebenza imisebenzi eminingana ebalulekile njengokuhamba nokuqina kwehlombe. Omunye umsebenzi obaluleke kakhulu we-rotator cuff ukuhlinzeka ngamandla okucindezelayo athatha ibhola ngaphakathi kwesikhwama sehlombe.
Lapho isikhumba se-rotator singasebenzi ngendlela efanele, i-mechanics ye-joint joint ingashintshwa. Njengokuthi amasondo akho emoto aphuma ekuvumelaneni angabangela ukugqoka okungavamile kwamathayi, ukubhebhetheka komkhombe we-Rotator kungabangela ibhola-ne-isikhwama sehlombe ukuba liguqule ukulungiswa. Uma ukulungiswa kushintshiwe (ikhanda elikhukhumezayo, noma ibhola lomhlanganiso webhola nosiketshezi, lishintsha phezulu), ihlangothini lehlombe livame ukugqoka ngokungalingani. Lokhu kugqoke ku-cartilage kuholela ekulahlekelweni kwezinto ezijwayelekile ezibushelelezi ze-cartilage.
Isimo se-rotator cuff i-arthropathy yezinyembezi sikhula iminyaka eminingi. Ngokujwayelekile, abantu bane-coatator yokuqhaqha izinyembezi ngaphandle kokukwazi. Ngokuhamba kwesikhathi, umphumela we-rotator cuff wezinyembezi uguqula umshini wokuhlanganiswa kwehlombe, okuholela ekuthuthukiseni i-arthritis. I-rotator cuff i-arthropathy yezinyembezi ayiyona isimo esiphuthumayo.
Izimpawu ze-Rotator Cuff Izinyembezi zokugcoba
Izimpawu zalesi simo zifana ne-arthritis ejwayelekile yehlombe, kodwa kunesifo esiningi kakhulu sehlombe. Izimpawu zihlanganisa:
- Ubuhlungu behlombe
- Ukulahlekelwa kokuhamba
- Ubuthakathaka obuhlangene behlombe
- Ukuvuvukala eduze kwehlombe
- I-Atrophy ye-musculature ezungeze ehlombe
Ukwelapha I-Cuff Inyembezi Yokudla Kwe-Arthropathy
I-rotator cuff i-arthropathy yezinyembezi ingakha inkinga yokwelapha inselele. Ngenkathi ukuguqulwa kwamahlombe kuyindlela yokwelashwa ephumelelayo ye-arthritis ye-shoulder, izimpande ezijwayelekile zixhomeke emgqonyeni we-rotator ukuze usebenze kahle. Njengoba nje ihlombe elijwayelekile lixhomeke ekusebenzeni kahle kompheme we-rotator, ukuguqulwa kwesigcawu esifanayo kubuye kuxhomeke kulo msebenzi wekholi yokujikeleza. Uma isikhombi se-rotator singasebenzi, futhi kusetshenziselwa indawo ejwayelekile yehlombe, ukuhlanganiswa kuvumelaniswe ngendlela engavamile, futhi ingxenye engxenyeni yokubuyisela ibuye ikhulule futhi iphume ngokushesha.
Uma i-rotator ikhoff i-tearth arthropathy ikhona, uhlobo oluthile lokufakelwa ngokuvamile lusetshenziselwa ukwelashwa. Uhlobo oluthile lokufakelwa kwe-rotator cuff i-arthropathy lubizwa ngokuthi i- reverse shoulder replacement . Lolu hlobo lokufakelwa lwaklanyelwe ukubeka ibhola ngaphakathi kwesikhwama sehlombe, futhi lufake isikhwama esisha phezulu kwethambo lesandla (i-humerus).
Lo mklamo ushintsha umshini wokuhlanganiswa kwehlombe, kangangokuthi akudingekile ukuba ube nekhompiyutha esebenzayo.
Izwi elivela
Akuzona zonke izinkomba zokuzilibazisa ezifanayo, futhi kunezimo ezithile okudingeka zibhekiswe ngokuhlukile. Enye yalezi zimo i-rotator cuff i-tearth arthropathy. Ngenxa yokuhlala kwe-arthritis ekuhlanganyeleni kwehlombe ne-rotator cuff izinyembezi, ukwelashwa kufanele kucabangele kokubili le mibandela. Ukwehluleka ukubona ukuthi i-rotator cuff ye-arthropathy yezinyembezi ingabangela ukuphulukiswa okungenakusebenza kwezinhlungu zehlombe.
Imithombo
U-Ecklund KJ, Lee TQ, Tibone J, Gupta R. "I-Rotator Cuff I-Arthropathy" I-Am Acad Orthop Surg. 2007 Jun; 15 (6): 340-9.