Izinyembezi ze-rotator izinyembezi ziyimbangela evamile yobuhlungu behlombe , kodwa ngokuqinisekile akuyona nje imbangela yehlombe elibuhlungu. Ukunquma ukuthi i- rotator cuff izinyembezi yimbangela yobuhlungu buxhomeke ezimpawu kanye nokuthola isimo sakho.
Udokotela wakho uzobheka ezinye zezibonakaliso ezilandelayo ukuze enze ukuzimisela uma ukuxilongwa kwe-rotator cuff izinyembezi kuyimbangela yezimpawu zobuhlungu behlombe lakho.
Uma ufuna ukuzama ukuthola ukuthi ubuhlungu bakho bungabangelwa yini inkomishi ye-Rotator ephukile, funda lezi zibonakaliso zalokhu ukulimala.
Ubuhlungu
Ubuhlungu obuvela ku-rotator cuff izinyembezi zivame ukuhlala ngaphandle kwehlombe nengalo engaphezulu. Ubuhlungu ngenkathi wenza imisebenzi ephezulu (ngengalo engaphezulu kwekhanda ukuphakama) nobuhlungu ebusuku nakho kuvamile kubantu abane-rotator cuff izinyembezi. Lapho i-rotator cuff ikhuphuka kakhulu, ubuhlungu bungase buvusa iziguli ekulele.
Kuyinto engavamile ukuthi ubuhlungu bomkhumbi we-rotator oboshiwe buzwakale phambili ngaphansi kwengalo ehlombe. Abantu abaningi bacabanga ukuthi banenkinga ngomfutho wezingalo noma amathambo, uma ngokoqobo izimpawu zabo zivela emgqonyeni we-Rotator kanye nokuhlanganyelana kwehlombe. Isizathu sokuthi ubuhlungu buzwakala ngaphezulu ngaphansi kwengalo kuhlobene nendawo yezinzwa ezidlula izingxenye ezijulile zehlombe.
Amandla anciphisa
Amandla amathoni angama-rotator ahlolwe ngudokotela wakho.
Ngokuzihlukanisa zonke izintambo zesikhumba se-Rotator ngezivivinyo ezikhethekile , udokotela wakho anganquma ukukala kwezinyembezi. Izinyembezi eziphambili ze-Rotator zingathinta ikhono lesiguli lokuphakamisa ingalo phezu kwekhanda labo. Ukuhluleka ukubamba ingalo ngokuqondile emzimbeni kuyisibonakaliso sokuthi i-rotator cuff ikhale izinyembezi.
Ezinye zalezi zivivinyo zingenziwa ngokwakho:
Okungenalutho Ungahlola
Ukuhlola okungenalutho kungasetshenziselwa ukuhlola isimo se-rotator ye-stiff muscle ebizwa nge-supraspinatus engxenyeni engenhla yehlombe lakho. Kuyinto elula ukuhlolwa ukwenza, futhi ukunyakaza ukulinganisa ukuthi ukulahla ngaphandle soda can.
- Hlala noma ume ngokunethezeka nomngani okhona.
- Phakamisa ingalo yakho ebuhlungu ehlangothini ngakho kufana nephansi.
- Letha ingalo yakho phambili ngamaphesenti angu-30 kuya kwangu-45.
- Vula isandla sakho phezulu ukuze isithupha sakho sibonakale phansi (njengokungathi uzama ukukhipha into ye-soda).
- Ngabe umngane wakho uphendule ngobumnene isandla sakho.
Uma ubuhlungu noma ubuthakathaka kukuvimbela ukuthi ungalondolozi ingalo yakho "isikhundla esingenalutho", ungaba nezinyembezi ezingaphezulu. Uma kunjalo, hlola nodokotela wakho ukuze uqinisekise ukuxilongwa.
Phakamisa ukuhlolwa kokuphuma
Ukuphakama ukuhlolwa kuyisivivinyo sehlombe ukucacisa ukuthi unezinyembezi emsimbeni othize we-Rotator obizwa nge-subscapularis. Le misipha ikhona engaphansi kwehlombe lakho futhi inesibopho sokujikeleza ihlombe lakho ngaphakathi. Ukwenza ukuhlolwa kokuphakamisa:
- Sukuma bese ubeka emuva kwesandla sakho encane yomhlane wakho.
- Isandla sesandla sakho kufanele sibheke kude ngemuva kwakho.
- Zama ukuphakamisa isandla sakho kude nomzimba wakho.
Uma ungeke ukwazi ukuphakamisa isandla sakho kude nendawo yakho ephansi, kusolakala ukuthi ukulimala kwe-subscapularis rotator kungaba khona.
Ukuzama ukuphikiswa
Enye indlela elula yokunquma ukuthi izinyembezi ze-rotator izinyembezi zingase zidale ubuhlungu behlombe lakho ukwenza ukuhlolwa kwamandla amabhuku emisipha yakho ye-rotator. Ukuze wenze lokhu, landela inqubo elula:
- Hlala ukhululekile esihlalweni.
- Bend i-elbow yakho ama-degree angu-90 futhi ugcine i-elbow yakho ihlangene ohlangothini lwakho.
- Umunye umuntu uphakamise isandla sakho esivumelwaneni sakho.
- Uma ungakwazi ukubamba lesi simo futhi uzwe ubuhlungu, ungase ube ne-rotator cuff izinyembezi.
Ukungakwazi ukwenza imisebenzi evamile
Iziguli ezine-rotator cuff zikhala njalo zikhononda ngobunzima ukwenza imisebenzi efana nokuboya izinwele zabo, ukufaka ubhiya ngemuva, ukubuyela emuva, noma ukulala ehlombe elikhuthele. ikakhulukazi, ukwehluleka kwamandla kuvamile kakhulu ngezinyembezi ze-Rotator. Abantu abaningi baqaphela ukuthi kunzima ukubeka izitsha emakhandini angaphezulu, noma bafinyelele esiqandisini ukuba baphakamise ibhokisi lokubisi. Qinisekisa ukuthi utshele udokotela wakho ngemisebenzi ethize elinganiselwe ubuhlungu bakho behlombe. Lezi zikhombisi zingasiza udokotela wakho ukuthi abone ukuthi umthombo wakho awunjani.
Imiphumela yokuhlolwa engavamile
Uma kucatshangwa ukuthi izinyembezi ze-Rotator zivame ukuhlolwa, ukuhlolwa kuvame ukusetshenziselwa ukuthola ukuthi kukhona izinyembezi. Isivivinyo esivame ukusetshenziselwa ukuxilonga i-rotator cuff izinyembezi yi-MRI, kodwa lena akuyona yodwa indlela yokuthola ukuthi i-rotator cuff ikhale izinyembezi.
I-MRI iyasiza ngoba ingabonisa kokubili izinyembezi ezigcwele ze-Rotator kanye nezinyembezi ezincane ze-Rotator . I-MRI ingabuye ibonise ubufakazi be- shoulder bursitis kanye nezinye izinkinga ezivamile zezinhlanzi. Ezinye izivivinyo ezingase zisetshenziselwe ukuhlonza i-rotator cuff izinyembezi zihlanganisa i-arthrogram ne-ultrasound.
Izinketho zakho zokwelapha
Uma ucabanga ukuthi une-rotator cuff yezinyembezi, sekuyisikhathi sokubona udokotela ohlinzayo wama-orthopedic ukuqinisekisa ukuthi uphenyo lwakho olusolakala ukuthi uphethwe futhi ukhethe uhlelo lokulashwa. Izindaba ezinhle, akuzona zonke izinkinobho ze-rotator ezidinga ukuhlinzwa . Kodwa-ke, lapho ukuhlinzwa kungcono ukwelashwa okungcono kakhulu, kungcono ukuthi uqhubeke ngokushesha kunokuhamba kwesikhathi njengoba umsizi we-rotator we-cuff ungenza buthakathaka (i-atrophy) uphinde uhoxise (buyisela emuva) ngokuhamba kwesikhathi. Lokhu kungenza ukulungisa kungaphumelelanga kangako noma kungenakwenzeka, ngakho-ke kuhle ukuxoxa ngezinketho zakho zokwelashwa nomhlinzeki wakho wamazinyo ngokushesha.
Kulezi ziguli ezikhetha ukwelashwa okungenasidakamizwa, kunezindlela eziningi zokuthola ukukhululeka kwezinhlungu zehlombe ezibangelwa ukuqhuma kwe-Rotator. Ngokuvame ukwelashwa ngokomzimba kanye nohlelo olufanele lokuzivocavoca, iziguli zingathuthukisa umsebenzi wezinhlanganiso zawo zehlombe ukuvimbela ubuhlungu obuvela ethempini eboshiwe yesikhumba se-rotator.
Izwi elivela
I-rotator cuff izinyembezi yinto evamile, ikakhulukazi njengoba abantu bekhulile Empeleni, izinyembezi ze-rotator izinyembezi ekugcineni ziba ukuthola okulindelekile, ngisho nakubantu abangenayo izimpawu zobuhlungu behlombe. Kubalulekile ukuba uhlolwe kahle umthombo wezinhlungu zakho zehlombe, akuzona zonke izimo ezibangela ukungahambi kahle emzimbeni wehlombe kungumphumela wenkinga ye-rotator cuff. Lokho kusho ukuthi izinyembezi ze-rotator izinyembezi zibangelwa ubuhlungu be-shoulder kanye nokukhubazeka, futhi ukwenza ukuxilongwa okufanele kungakusiza ekuholeni kangcono isimo sakho.
Imithombo:
> Omid R no-Lee B. Tendon Ukudluliselwa kwezinguquko ezingenakwenzeka. J Am Acad Orthop Surg Ngo-Agasti 2013; 21: 492-501.
> Schmidt CC, Jarrett CD, Brown BT. Ukuphathwa kwe-Rotator Cuff Izinyembezi. I Journal of Hand Surgery . 2015; 40 (2): 399-408. doi: 10.1016 / j.jhsa.2014.06.122.