Isikhumba sakho se-rotator ehlombe lakho sakhiwa imisipha emine. Lezi zinhlanzi ezihlangene zihlangene ehlombe ukuze zenze "i-cuff" enamandla phezu kwalokhu kuhlangene. Isikhumba se-rotator sinomsebenzi obalulekile wokuqiniswa kwehlombe kanye nokuphakamisa nokuguqula ingalo. Imisipha ngayinye iphuma ehlombe, noma i-scapula, futhi ifaka emathanjeni esandla, noma i-humerus.
Imisipha Emine Ye-Rotator Cuff:
Imisipha emine eyenza i-rotator cuff yi-supraspinatus, i-infraspinatus, i-teres encane, ne-subscapularis. Ngokuvamile i-SITS ye-mnemon isetshenziselwa ukusiza ukukhumbula imisipha eyenza i-rotator cuff. Umswakama ngamunye we-rotator umfutho wenza umsebenzi othize futhi obalulekile ekuhlanganyeleni kwehlombe lakho.
- I-Supraspinatus: I-muscular supraspinatus ivela ngaphezu komgogodla we-scapula futhi ifaka kwi-tuberosity enkulu ye-humerus. I-supraspinatus ibamba, noma iphakamisa, ihlangene ihlombe elihlangothini. Ibuye isebenze namanye ama-muscle we-rotator ye-cuff ukuze kuqiniswe ikhanda le-humerus ekuhlanganyeleni kwe-glenohumeral, noma ekuhlanganyeleni kwehlombe.
- I-Infraspinatus: Umswakama we-infraspinatus uvela ngaphansi komgogodla we-scapula, kwi-infraspinatus fossa, futhi ufaka kwisici esingaphansi kwesifo sofuba esikhulu se-humerus. I-infraspinatus ijikeleza ngaphandle kwehlangothini lehlombe. Ibuye isebenze namanye ama-muscle we-rotator ye-cuff ukuze kuqiniswe ikhanda le-humerus ekuhlanganyeleni kwe-glenohumeral, noma ekuhlanganyeleni kwehlombe.
- I-Teres Minor: I-teres encane ye-teres isuka emngceleni we-scapula ozayo futhi ifaka engxenyeni engaphansi kwe-tuberosity enkulu ye-humerus. I-teres encane imisipha encane ijikeleza ngokuhlangene kwehlombe. Ibuye isebenze namanye ama-muscle we-rotator ye-cuff ukuze kuqiniswe ikhanda le-humerus ekuhlanganyeleni kwe-glenohumeral, noma ekuhlanganyeleni kwehlombe.
- I-Subscapularis: Imisipha ye-subscapularis ivela endaweni yangaphakathi ye-scapula, ihlezi ngqo phezu kwezimbambo, futhi ifaka kwi-tuberosity encane ye-humerus. Umzimba we-subscapularis usebenza ukucindezela ikhanda le-humerus elivumela ukuba lihambe ngokukhululekile ekuhlanganyeleni kwe-glenohumeral ngesikhathi kuphakama ingalo. Ibuye isebenze namanye ama-muscle we-rotator ye-cuff ukuze kuqiniswe ikhanda le-humerus ekuhlanganyeleni kwe-glenohumeral, noma ekuhlanganyeleni kwehlombe.
Zonke imisipha ye-rotator cuff isebenza ndawonye ukuze ihlanganise i-humer bone yakho ehlangene. Uma uphakamisa ingalo yakho, imisipha yakho ye-rotator idonsa ndawonye, igxilise ihlombe lakho.
Yini Engayiphutha?
Uma uke wabhekana nokulimala kombhede wakho we-rotator, ungase uzwe ubuhlungu noma ubuthakathaka lapho uphakamisa ingalo yakho. Ukulimala kwe-rotator yakho kungabangela ubunzima ngemisebenzi eyisisekelo efana nokuphakamisa, ukufika, noma ukulala.
Ngezinye izikhathi, ubuhlungu behlombe buya khona ngoba kungekho isizathu esicacile. Ukugqoka kanye nokukhala kwebhokisi le-Rotator nokuhlanganiswa kwehlombe kungenzeka ngenxa yokucindezeleka okuphindaphindiwe nokungahoxiswa kwangasese. Uma lokhu kwenzeka, izakhiwo ezahlukahlukene ezungeze ikhop rotator yakho zingalimala.
Ukulimala okungenzeka kanye nezinkinga nge-SITS yakho ye-rotator
imisipha ingafaka:
- I-rotator cuff idilize
- I-Rotator ikhoff tendonitis
- Ukungena okugxile
- I-shoulder bursitis
- Izinyembezi ezinamahlombe
- Ukuhlukana ngokweqile
Noma iyiphi yalezi zinkinga ezungeze ihlombe lakho zingabangela ukunyakaza okuncane nokusebenza. Kodwa okumangalisi ukuthi abanye abantu banezinyembezi ze-rotator izinyembezi ziveza kwi-MRI futhi azikho ubuhlungu, akukho ukulahlekelwa amandla, futhi akukho msebenzi olinganiselwe. Ukuba khona kwe-coaster rotator izinyembezi akusho ukuthi uzothola izinkinga ehlombe lakho.
Izingozi Zezinguquko Ze-Rotator Cuff Injury
Kuneminye imizamo kanye nemisebenzi eyenza ukwandisa amathuba okuba uhlaselwe ukulimala kwe-rotator cuff.
Lokhu kungafaka:
- Ukwenza imisebenzi ephezulu
- Ukucindezeleka okuphindaphindiwe ekuhlanganyeleni kwehlombe lakho njengemidlalo yokuphonsa kanye ne-racquet
- Ehlezi nge-shoulder rounded posture
- Ukuhluleka ukugcina imfanelo yomzimba jikelele
Ukusebenza ukugcina amalunga enempilo, ukugwema ukunqwabelana nokucindezeleka okuphindaphindiwe emahlombe akho, nokulondoloza isimo esifanele kungakusiza ukuba ugweme ukulimala kwamahlombe. Kodwa akuzona zonke ukulimala ezingagwenywa; ngezinye izikhathi ukuhlukumezeka ezemidlalo noma ngemuva kokuwa kungalulaza imisipha yakho ye-SITS futhi ikushiye ukufuna ukwelashwa kwebhokisi lakho lokujikeleza.
Inhlanzi Yezinwele: Izinyathelo Zokuqala Zokuthatha
Uma izinkinga ze-rotator ezinenkinga zibangela ubuhlungu behlombe, kufanele ucabange ukuvakashela udokotela wakho ukuze uhlole futhi uthole ukuhlonza okuqondile kwesimo sakho. Ungase uzuze emisebenzini enekhono yophiko lomzimba ukuze usize ukuthola imbangela yezinhlungu zehlombe lakho futhi usebenze ekubuyiseleni ububanzi bezinhlanzi ezihamba phambili (ROM) namandla.
I-PT yakho izokubuza imibuzo mayelana nobuhlungu behlombe lakho kanye nenkinga. Angenza izivivinyo ezikhethekile ehlombe lakho ukuze athole ukuthi yiziphi izakhiwo ezibangela ubuhlungu bakho nezinkinga zokuhamba.
Ukwelashwa kwe-Rotator Cuff Injury
Ukwelashwa kwebhokisi lakho le-rotator kungase kuhilele ukusebenzisa izindlela zokwelapha ukulawula ubuhlungu, futhi ukuphatha imithi yokwelapha cishe kuyobekwa ukuba ikusize ukubuyisela ukuhamba okuhambayo ehlombe lakho. Lezi zivivinyo zingafaka:
- Uhlu lwezinyathelo zokuhamba
- I-Scapular stabilisation exercises
- Isometric ukuqinisa ukuqina
- I-rotator ikhoff yokuqinisa ngokumelana namaqembu
I-PT yakho ingakufundisa ukuthi wenzeni manje ukuze uphathe inkinga yakho ye-rotator, futhi kufanele ikubonise indlela yokuvimbela izinkinga zesikhathi esizayo ngemisipha yakho ye-SITS.
Kumele uthintane nodokotela ngaphambi kokuqala noma yiluphi uhlelo lokuzivocavoca lwe-rotator, futhi unqume noma yikuphi ukuzivocavoca okubangela ubuhlungu noma ukuhlukumeza okukhulu ehlombe lakho.
Izwi kusuka
Ukwazi imisipha emine yesikhumba se-Rotator nendlela esebenza ngayo kuyisici esibalulekile ekuqondeni i- shoulder rehab . Hlola nge-PT yakho ukuze ufunde kabanzi mayelana nezinhlungu zakho zokuhlunga kanye nemisipha ye-rotator eyasiza ukusekela ihlombe lakho.
> Umthombo:
> Dunn, W. etal. Izimpawu Zobuhlungu Awuhambisani Ne-Rotator Cuff Inyembezi Yobunzima: Isifundo Esisiphambano Sama-393 Iziguli ezine-Symptomatic Atraumatic Full-Thickness I-Rotator Cuff Tear. I-Journal ye-Bone and Joint Surgery. 96 (10); May 2014: 793-800.