Ubuhlungu Bokuhlwithwa kusuka ku-Tendonitis, Bursitis, ne-Impingement Syndrome
Abantu abaningi bafuna usizo ku-orthopedist ngenxa yobuhlungu behlombe , futhi ukuxilongwa okuvamile okunikezwa yi-'shoulder bursitis,' noma 'i-rotator cuff tendonitis.' Lawa magama asetshenziswa njalo, kodwa angabangela ukudideka kubantu abazibuza ukuthi yiyiphi yalezi zimo abangaba nazo noma uma kunjalo isimo esifanayo.
I-Tendonitis noma i-Bursitis ihlangene ku-Impingement Syndrome
I-shoulder bursitis ne-rotator cuff tendonitis yizindlela ezahlukene zokuthi kukhona ukuvuvukala kwendawo ethile ngaphakathi kokuhlanganyelwa kwehlombe okwenza isethi evamile yezimpawu.
Igama elifanele lalezi zimpawu i- impingement syndrome. Impingement syndrome kwenzeka uma kukhona ukuvuvukala kwamathoni we-rotator ne-bursa ezizungezile lezi tethe. Kukhona umehluko phakathi kwe-tendonitis ne-bursitis , kodwa kukhona inhlanganisela yalezi zinkinga ezimweni eziningi ze-impingement syndrome.
Uphi Inkinga?
Ihlombe luhlangene oluyinkimbinkimbi lapho amathambo amaningana, imisipha, kanye nemigudu ehlanganisa umkhawulo ophezulu ukuya esifubeni. Impingement syndrome kwenzeka uma kukhona ukuvuvukala phakathi kwephezulu le-humerus ( ithambo lesandla ) kanye ne-acromion (tip of blade shoulder). Phakathi kwala mathambo yizintambo zomkhombe we-rotator , kanye ne-bursa evikela lezi tethe. Ngokujwayelekile, lezi zithonta zizenzele ngokungazenzeki ngaphakathi kwalesi sikhala-esibizwa ngokuthi isikhala esiphezulu.
Izimbangela ze-Shoulder Bursitis ne-Impingement Syndrome
I-Impingement syndrome iyinkulumo echazayo ye-pinching yamathambo kanye ne-bursa we-rotator cube phakathi kwamathambo.
Kubantu abaningi abanalo le nkinga, ukuma kwamathambo abo kungukuthi banesikhala esincane kunabanye. Ngakho-ke, ukukhunjulwa okuncane kwamathenda noma i-bursa kungabangela izimpawu. Ekugcineni, lesi sikhala siba mncane kakhulu ukuze singene ezindlebeni nase-bursa, futhi njalo lapho lezi zakhiwo zihamba phakathi kwamathambo axhunyiwe.
Ngokuvamile kukhona ukulimala kokuqala okubeka inqubo yokuvuvukala . Ngemuva kwalokho, inkinga ingaba yinkimbinkimbi. Ukuvuvukala kubangela ukuqina kwama-tendon no-bursa. Ukuqina kwathatha isikhala esiningi, ngakho-ke ama-tendon kanye ne-bursa baxhunyiwe ngisho nangaphezulu. Lokhu kubangela ukuvuvukala okungaphezulu, nokuqina okukhulu kwe-tendon no-bursa, njalonjalo.
Izimpawu Ze-Shoulder Bursitis
Izimpawu ezivamile ze-shoulder bursitis zihlanganisa:
- Ubuhlungu nemisebenzi ephezulu (ingalo ngaphezulu kokuphakama kwekhanda)
- Ubuhlungu ngenkathi ulala ebusuku
- Ubuhlungu phezu kwengaphandle kwekhanda / ingalo engenhla
Ukwenza ukuxilongwa kwe-impingement syndrome kungavame ukufezwa ngokuhlolwa okuphelele ngokomzimba. Kubalulekile ukuba uhlolwe udokotela ojwayele izimbangela ezihlukahlukene zezinhlungu zehlombe, njengoba ezinye izinkinga zingenayo izimpawu ezifanayo. Ukwenza ucwaningo olunembile kuyadingeka ukuze uthole ukwelashwa okufanele. I-X-rays ivame ukuhlolwa ukuze kuhlolwe isisu se-bony ehlombe. I-MRI ingacatshangwa ukuqinisekisa ukuthi ayikho isibonakaliso sokuthi i-rotator cuff ihlezi.
Impingement syndrome kanye ne- rotator cuff izinyembezi ziyinkinga ehlukene, kanti nakuba zihlobene, ukwelashwa kuhluke. Izinyembezi ze-rotator izinyembezi zingase zidinge ukungenelela okuhlinzekwa, nakuba iqiniso liwukuthi iningi lezinyembezi ze-rotator izinyembezi nazo zingaphathwa ngezokwelapha ezingenasidingo.
Ukwelashwa kwe-Shoulder Bursitis
Iningi leziguli ezine-shoulder bursitis zingathola ukuphumula ngezinye izindlela ezilula, ezingekho zokuhlinzwa. Kuzimo ezingavamile kuphela ukuhlinzwa okudingekayo ekwelapheni kwe-shoulder bursitis. Imithi ekhethekile ingase ihluke kuye ngokuthi izintandokazi zeziguli, izilindelo zabo, kanye nempendulo yabo ekwelapheni.
Abantu abaningi bathola ukuphumula ngokuphumula emisebenzini ethile, ukwelashwa ngokomzimba , kanye nemithi elwa nokuvuvukala . Enye yezinto ezisetshenziselwa kakhulu umjovo we- cortisone ukuphathwa kwe-syndrome yokufaka impingement. Uma ufuna ukuphishekela noma iyiphi yalezi zindlela zokwelashwa kwakho, kufanelekile ukuxoxa nodokotela wakho.
Uma lezo zonyango zivivinywa okungenani izinyanga ezintathu ukuya kweziyisithupha ngaphandle kokuthuthukiswa kwezibonakaliso, inqubo yokuhlinzwa ebizwa ngokuthi ukucindezeleka okungahambi kahle ingase ibhekwe.
Ukwelashwa kokunciphisa ukuhlukumezeka
Ukunciphisa okungahambi kahle kuyindlela yokuhlinza i- arthroscopic eyenziwa ngokusebenzisa izinsimbi ezenziwe ngemibono encane. Kuncike endaweni yokuvuvukala kanye nesilinganiso somsebenzi okudingeka kwenziwe, ngokuvamile kwenziwa ukucutshungulwa kwamancane (1 cm). I-tube encane ebizwa ngokuthi i-cannula efakwe ku-incision ngayinye ukuvumela ukuhamba kalula kwezinsimbi ngaphakathi nangaphandle kwehlombe ngaphandle kokulimaza izicubu ezizungezile. Enye yezinsimbi ezifakwe ehlombe yikhamera yevidiyo mayelana nobukhulu bepensela. Enye into ebizwa ngokuthi i-shaver efakwe kwenye i-cannon. I-shaver isetshenziselwa ukususa i-bursa evuthayo. Uma i-bursa isusiwe, i-rotator cuff ihlolwe ukubheka noma yiziphi izimpawu zokukhala.
Ithefu ngaphezu komphetho we-rotator (iphuzu lehlombe) libizwa nge-acromion. Abantu abaningi abane-bursitis ehlombe banesifo se-bones esakhiweni sangaphansi kwe-acromion. Kuye ngethambo le-acromion, i-burr ingasetshenziselwa ukususa i-spur ukuze idale isikhala esiningi se-tendator yamathonti ensimbi. Inzuzo yokususa i-bone spur iyindaba yokuphikisana phakathi kwabahlinzayo bama-orthopedic. Abanye odokotela abahlinzayo bakholelwa ukuthi i-spur iyimbangela enkulu yokuvuvukala ngokuthatha isikhala nxazonke ezithandweni ze-rotator cuff, kuyilapho abanye bephikisana ngokuthi ukususa i-spur bone akukaze kuboniswe ukuthuthukisa imiphumela yeziguli ezinokuhlinzwa.
Rehab Post-Surgical
Iziguli zifakwe esikhwameni sehlombe ngemva kokunciphisa okungahambi kahle, kodwa zingaqala ukuhamba kwehlombe ngokushesha. Ngokungafani nokuhlinzekwa kwe- rotator cuff izinyembezi , asikho isidingo sesikhashana sokunyakaza okuvinjelwe ukuvumela ukuphulukiswa kwethenda. Ezimweni zokuhlukumezeka okungazimele, iziguli zingaqala ukuhamba kahle ngemva kokuhlinzwa. Ukuqiniswa kungaqala phakathi kwamasonto ambalwa, futhi imidlalo ingaqhubeka emva kokuvuvukala sekuphelile.
Ngenxa yokuthi ukucindezeleka okungahambi kahle ngokuvame ukuyingxenye yenye inqubo yokuhlinza (njengendlela yokulungisa ikhanda noma ukuhlinzwa ukulungiswa kwe-labral), ukuhlala kabusha kungase kuhluke ngaphansi kwezimo. Ngakho-ke, noma yisiphi isiguli kufanele sixoxe ngokuqhubekayo nokuvuselela kabusha kwabo nodokotela wabo ohlinzayo.
Izinkinga ze-Arthroscopy ehlangene
Izinkinga emva kokudonswa kwe-subacromial kungavamile kodwa kungenzeka. Izinkinga ezivame kakhulu ubuhlungu nokuqina okuvame ukuxazululwa ngomuthi wokwelapha kanye nesikhathi. Noma kunjalo, kunezinkinga ezinkulu ezibandakanya ukutheleleka, ukulimala kwenzwa, nokulimala kwe-cartilage, konke okungabangela izinkinga zesikhathi eside. Kubalulekile ukuthatha izinyathelo zokuvimbela lezi zinkinga ukuqinisekisa ukuthi kungcono ukuhlinzeka ngokuhlinzwa.
> Umthombo
- > Aaron DL, et al. Izinhlobo Eziningana Ezivamile Ze-Bursitis: Ukuxilongwa Nokuphathwa "J Am Acad Orthop Surg ngoJuni 2011; 19: 359-367.