Ukulimala Kwe-rotator Cuff Kungathinta LeziMisindvo Nezintambo Ezine Ehlombe
I- rotator cuff yiqembu lama-muscle nama-tendon azungeze ukuhlanganiswa kwehlombe. I-rotator cuff ibalulekile ekuhambeni okujwayelekile kwehlombe, amandla nokusebenza. Ukulimala komkhumbi we-Rotator, kufaka phakathi izinyembezi ze- Rotator ne- Rotator , izinkinga ezivamile ezibangelwa ubuhlungu behlombe .
Ngokuvamile odokotela bazoxoxa ngezinkinga ngokubhebhetheka njengento yonke, noma bangase bachaze ukulimala kwamathenda athile kanye nemisipha yesikhumba. Ngokuvamile, iziguli zizofunda ikhophi yombhalo we- MRI ongachaza ngokuqondile ukulimala komunye noma ngaphezulu kwezingxube ze-rotator ze-cuff or tendons.
I-Rotator Cuff Muscle kanye ne-Tendons
I-muscle yiluhlobo lwezincubu ezingakwazi ukwenza isivumelwano nokuhlinzeka ukuhamba namandla. I- tendon isakhiwo esithinta umsizi kuya ethambo.
Ehlombe, ukulimala emgqonyeni we-Rotator ngokuvamile kuvame ngaphakathi kwethenda. Lezi zinhlayiya zinegazi elibhekele ezingozini, elibizwa ngokuthi i- waterhed , elingabangela ukulimala kokulimala.
Imisipha ye-Rotator ingaphazamiseka futhi, ikakhulukazi lapho kusetshenzwa khona izinyembezi ezingapheliyo lapho izinhlanzi zihlaselwa khona. Kulezi zimo, imisipha ishintsha unomphela ngenxa yokungasetshenziswa kahle. I-Atrophy yemisipha ye-rotator yamathambo ngokuvamile isho ukuthi izinyembezi zisuke zikhona isikhathi eside futhi zingeke zilungiswe.
I-Supraspinatus Muscle ne-Tendon
Imisipha ye-supraspinatus iyisisindo se-Rotator ne-tendon. I-supraspinatus itholakala ngokuqondile phezulu kwehlombe, futhi imisipha ebaluleke kakhulu ehilelekile ekuphakamiseni ingalo eceleni kwakho.
Ukulimala kwi-tendon supraspinatus ngokuvamile ebonwa kwi-MRI kuhlanganisa i-tendonitis, izinyembezi ezincane , nezinyembezi ezigcwele (izinyembezi eziphelele) ze-tendon.
I-Infraspinatus Muscle ne-Tendon
I-tendon ye-infraspinatus ingemuva kwe-supraspinatus, futhi inquma ukuqala kwethethoni eyodwa nokuphela komunye kungase kube nzima, ngokuyisisekelo kufanelana komunye nomunye.
Izinyembezi ezinkulu zomkhumbi we-rotator zivame ukubandakanya i-tendon ezingaphezu kweyodwa (okuthiwa ' izimpumputhe ezinkulu ze-rotator '), futhi izinyembezi ezivamile kakhulu zihlanganisa ama-supraspinatus kanye ne-infraspinatus tendons.
I-Subscapularis Muscle ne-Tendon
I-subscapularis yi-tendon ngaphambili kwehlombe. Le tendon ayilimale kakhulu, kodwa ingabangela izinselele ezithile eziyingqayizivele uma kulimazekile. Ukunyakaza okubizwa ngokuthi ukujikelezwa kwangaphakathi kwehlombe kuxhomeke ku-subscapularis. Ngaphezu kwalokho, i-subscapularis isiza ukunikeza ukuzinza ehlombe futhi kusiza ukugcina isikhundla esivamile se- biceps tendon .
Izinyembezi ze-subscapularis zitholakala ezinyembezini ezinkulu kakhulu zomkhumbi we-rotator, futhi nakubantu abaye bahlinzwa ngokusanda kutholakala. Ngokuvamile ukuhlinzwa kwe-shoulder kuyenziwa ngokufaka phambili kokuhlangene, ngokuvimbela ithenda ye-subscapularis. Ukulimala ngesikhathi sokuphulukisa kungaholela ekusweleni kwethemponi yokuphulukisa. Lokhu kuyinkimbinkimbi ebonakala ngemuva kokuguqulwa kwehlombe noma ukuvuleka kokuhlinzwa kwe- labral evulekile.
I-Teres Minor Muscle ne-Tendon
I-teres encane iyona yokugcina emisipha ye-rotator ne-least commonly injured. I-teres encane isemuva kwehlombe, futhi ihilelekile ekuhambeni kokuzungeza kwangaphandle kwe-joint. Ukujikeleza kwangaphandle ukuhamba ngendwangu yakho ehlangothini lwakho, futhi isandla sakho siqhubekela phambili. Ngokuvamile udokotela wakho uzohlola le misipha ngale ndlela.
Ukuqonda imibiko ye-MRI
Iningi leziguli ezicwaninga amagama emisipha namathenda ziwafunde embikweni we-MRI noma umbiko wokuhlinzwa wenqubo yabo. Ngesikhathi odokotela bekhuluma neziguli, ngokuvamile babhekisela kulezi zakhiwo njengesikhumba se rotator, kodwa ngokuqondile zimelela imisipha emine ehlukene kanye namathenda ahlangene ahlinzeka amandla amaningi nokuhamba kwehlangothini lethu lamahlombe.