Iyini inyembezi ye-SLAP?
Izinyembezi ze-SLAP ukulimala engxenyeni yehlangothini yehlombe okuthiwa i -labrum . Ihlangothini lehlombe ibhola kanye nehlangothini ehlangothini, efana ne-hip joint. Kodwa-ke, ngokungafani nokuhlanganiswa kwe-hip, isisekelo sohlangothini lwamahlombe asijulile kakhulu, ngakho-ke singenakulinganiswa. Lokhu kusho ukuthi ihlombe liyakwazi ukuxoshwa , nokulimala okwenzeka lapho ibhola liphuma esikhwameni.
Ukukhokhela isikhwama esingajulile, ukuhlanganiswa kwamahlombe kunomjikelezo we-cartilage obizwa ngokuthi i-labrum eyenza indebe yokuphela kwethambo lesandla (humerus) ukuze lingene ngaphakathi. Ngokuyinhloko i-labrum yehlombe igxilisa isikhwama sehlombe.
Uhlobo oluthile lokulimala ku-labrum, noma i-labral tear, libizwa ngokuthi i-SLAP izinyembezi . I-SLAP ibhekisela ekujuleni kwe- S okuphezulu kusuka ku- A engaphakathi kuya ku- P osterior. Izinyembezi ze-SLAP zenzeka lapho i- tendon ye-biceps muscle ifaka khona ku-labrum.
Izizathu ezijwayelekile zezinyembezi ze-SLAP zihlanganisa:
- Iya phezu kwesandla eseluliwe
- Izenzo zokuphindaphindiwe eziphindaphindiwe (ukuphonsa)
- Ukuphakamisa into enzima
Indawo yesikhumba lapho inyembezi ye-SLAP yenzeka khona ukulimala ngoba yindawo yokunciphisa umzimba. Ezinye izingxenye zebramu zivame ukuphulukisa kalula ngoba ukunikezwa kwegazi kuhlinzeka amandla okuphulukisa endaweni yezinyembezi. Endaweni ye-SLAP izinyembezi akunjalo, futhi ubuhlungu obungapheliyo buyophumela .
I-SLAP Izimpawu Zokuphuza
Izimpawu ezijwayelekile zezinyembezi ze-SLAP zihlanganisa ukuzwa okubuhlungu nobuhlungu ngokunyakaza kwehlombe, imisebenzi ejwayelekile kaningi njengokuphonsa. Iziguli ngokuvamile zikhononda ngobuhlungu obuphakathi kwehlombe noma ngemuva kwehlangothini lwehlombe. Ngokuvamile kunzima ukukhomba izimpawu, ngaphandle uma i-biceps tendon ihilelekile.
Uma kwenzeka izinyembezi ze-SLAP ne-biceps tendonitis ehambisanayo, iziguli zingase zikhononde ubuhlungu ngaphezu kwehlombe, indawo ye-biceps tendon. Kumathikithi okuncintisana anezinyembezi ze-SLAP, izimpawu zingase zibe ezicashile, kodwa zibalulekile. Abadlali be-Baseball bangaqaphela i-zip encane ebhodini uma bephonsa noma umdlali we-volleyball angase abe nesikhathi esinzima ukukhonza ibhola.
Ukuxilongwa kwe-SLAP Tear
Kunezivivinyo eziningana umhloli onolwazi ongenza ukuze abone izinyembezi ze-SLAP. Lezi zivivinyo ziyingxenye yokuhlolwa ngokomzimba. Ngaphezu kwalokho, ukubuza imibuzo ngokucophelela kwesiguli kungasiza umhloli ukuthi abone izimpawu ezihambisana nenyembezi ye-SLAP.
Ukuthola izinyembezi ze-SLAP izinyembezi kungaba nzima, njengoba lokhu kulimala kungabonakali kahle kwi- MRI . Izinyembezi ze-SLAP zivame ukubonakala kahle kwi-MRI lapho isifundo senziwa ngomjovo wokuphambene . I-MRI ehlukile iyenziwa ngokujova umshini obizwa ngokuthi i-gadolinium ehlombe; i-gadolinium isiza ukugqamisa izinyembezi zezakhiwo ezijwayelekile, kufaka phakathi izinyembezi ze-SLAP. Ukuzwela kwe-MRI, okusho ukuthi iphesenti yezikhathi zokuhlolwa kuzobonisa izinyembezi, zikhuphuka ngokuphawulekayo uma ukungafani kwe-gadolinium kujojowe emahlombe ngaphambi kwe-MRI.
Akuzona zonke izinyembezi ze-SLAP ezingabonakala ekuhlolweni kwe-imaging, futhi ngezinye izikhathi ukuxilongwa kwe-SLAP izinyembezi kwenziwa ngesikhathi sokuhlinzwa .
Ukwelashwa kwe-SLAP Tear
Ngokuvamile ukwelashwa kwezinyembezi ze-SLAP kuqala ngezinyathelo ezilula zokunciphisa ubuhlungu futhi uphinde uthole amandla ehlombe. Imithi yokwelashwa ivame ukuphakanyiswa okungenani izinyanga ezintathu, njengoba iziguli eziningi zingabuyela emisebenzini egcwele yezemidlalo kanye nokuphathwa okungasebenzi. Ezigulini ezihluleka ukululama, kunezinketho zokwelapha zokwelashwa ezingacatshangwa, okuvame kakhulu okubizwa ngokuthi ukulungiswa kwe-SLAP. Kwezinye izimo lapho inyembezi ye-SLAP ibangela ukulimala kwesibindi kanye nobuthakathaka behlombe, ukuhlinzwa okusheshayo kungase kuphakanyiswe.
Imithombo:
I-Keener JD, i-Brophy RH. "Izinyembezi eziphakeme zamahlombe ezinhlanzi: i-pathogenesis, ukuhlolwa nokuphathwa" J Am Acad Orthop Surg. 2009 Okthoba; 17 (10): 627-37.