Isikhumba se-rotator yiqembu lama-tendon nemisipha ejikeleze ukuhlanganiswa kwehlombe. Kunemisipha emine yesikhumba se-Rotator esibalulekile emsebenzini nokunyakaza kokuhlangene kwehlombe. Lezi zinhlanzi zifake ithambo ngamathoni. Kuyinto engxenyeni ye-tendon ye-rotator cuff engakwazi ukulimala eyenza i-rotator cuff ikhale izinyembezi. Lapho isithoni se-rotator ye-cuff ichithwe, ukunyakaza kwamapayipi kungaba buhlungu futhi buthakathaka, futhi ukunganaki kungaphazamisa umsebenzi ngisho nokulala.
Izinyembezi ze-rotator izinyembezi ziyinkinga evamile yomuthi, futhi ngokuvamile lezi zindezi zibizwa ngokuthi izinyembezi eziyingxenye yesikhumba se-rotator. Izinyembezi ezincane ze-rotator cuff yindawo yokulimala emithonjeni ye - rotator , lapho izinyembezi zingahambi khona wonke ama-tendon. Kunalokho, ngokulimala okungenangxenye ye-rotator, i-tendon yonakalisiwe, kodwa hhayi yonke indlela. Ingxenye ephezulu ye-tendon ngezinye izikhathi yonakaliswa, ingxenye engezansi ye-tendon yonakaliswe kwezinye izikhathi, futhi kwezinye izimo, ingxenye engaphakathi ye-tendon ingonakaliswa. Izinyembezi ezithile ezingenalutho ziyizicabha kakhulu, ezinye zezinye izinyembezi ezincane, kodwa ezinye izinyembezi eziyingxenye ingaba yincinjana yamathambo kude nezinyembezi eziphelele. Ngenkathi sivame ukuqhathanisa izinyembezi zezinguquko ze-rotator njengengxenye eyodwa, iqiniso liwukuthi izinyembezi ngayinye zingahluka kancane, futhi zingase zibe nokuhlukana ekuphatheni okuhle.
Ukwelashwa Kwezinye Izinyembezi Zamafutha
Iningi lazo zonke iziguli ezinezinsizi ezincane zokubamba izinyembezi zingalashwa ngaphandle kokuhlinzwa.
Phakathi nalesi sikhathi, ezinye zokwelashwa okungenasidalwa , okubaluleke kakhulu ukuphilisa umzimba , zingazama ukuvumela i-tendon ukuphulukisa.
Ukwelashwa ngokomzimba kungasiza ekuvuseleleni nasekugcineni imizila evamile yehlombe, futhi ngokuvamile ikwazi ukubhekana nezimpawu ezibangelwa ukulimala. Ngenkathi abantu abaningi bekhuthele futhi beqinile, ukwelashwa ngokomzimba kungasasiza njengoba iziguli eziningi ezinalolu hlobo lokulimala zishintshile ukuhlanganiswa okuhlangene okungase kukhulise izimpawu.
Iziguli zingamelana nokwelapha ngokomzimba, ukucabanga umsebenzi wabo noma ukuphila okusebenzayo kungukuzivocavoca ngokwanele. Ngivame ukukhumbuza iziguli ukuthi ngisho nabadlali bezobuchwepheshe bangakwazi (futhi benze) bazuze ekuphatheni okwenyama.
Uma izimpawu ziqhubeka naphezu kwalezi zelashwa, khona-ke ukuhlinzwa kungase kubhekwe njengengxenye encane ye-rotator cuff izinyembezi. Ukunquma lapho ukuhlinzwa kudingekile ukuba i-rotator cuff izinyembezi zifana naso kokubili izinyembezi ezingapheli futhi eziphelele.
Ukuhlinzeka Ngezinyembezi Zokwethenjelwa
Kunezindlela ezimbalwa ezihlukene zokubhekana nekhefu elincane le-rotator cuff ngesikhathi sokuhlinzwa. Ngokuvamile, lezinye izinyembezi zingabhekiswa ngokuphindaphindiwe, futhi akudingeki ukuthi ukuhlinzeka ngokuvulekile (ngokuchofoza okukhulu) kuyadingeka. Izinketho zokwelashwa okuhlinzekwa zihlanganisa ukuhlanza ukuvuvukala ( ukuguqulwa kokucindezela okungahambi kahle ), ukukhathala kwezinyembezi (ukuhlanza isabelo esinqunyiwe), noma ukulungisa isikhumba se-rotator esonakele. Ngaphezu kwalokho, inhlanganisela ethile yalezi zinqubo ingenziwa.
Ukunquma ukwelashwa okufaneleko kuncike kulokho okubonwayo ngesikhatsi se- arthroscopy . Uma i-tendon engaphansi kwama-50% idiliziwe, ngokuvamile izinyembezi ngokuvamile azidingi ukulungiswa. Kulezi zimo, ukususa i-tendon eboshiwe futhi eyonakalisiwe (ukukhathala), nokususa noma yikuphi ukuvuvukala , kuzovame ukukhulula izimpawu.
Uma ngaphezulu kwe-50% ye-tendon idiliziwe, ukulungiswa kwekhanda lokujikeleza kuzokwenziwa ngokujwayelekile.
Ukulungiswa kwensimbi yokuzilibazisa i-Rotator ngokuvamile kuvame kakhulu. Uma kuqhathaniswa nezinyembezi ezigcwele ze-Rotator, lapho kukhishwa izinyembezi zokuzilibazisa, kunokucindezeleka okuncane kuthenda elilungisiwe ngoba ukuphazanyiswa kwethenda akuphelelanga. Lokhu kunenzuzo yokuphulukisa futhi kunciphisa amathuba okulungisa ukuhluleka.
Ngabe Kunesidingo Sokuhlinzwa?
Ukwazi ukuthi ukuhlinzeka kahle kunjani kungaba umbuzo onzima. Ngokungafani nezinyembezi ezigcwele ze-rotator zezinyembezi, ngokuvamile akudingeki ukuphuthuma ukwenza ukuhlinzwa ngenxa yezinyembezi ezincane ze-rotator cuff.
Uma ukuqina kweqhwa okugcwele kwenzeka, iziguli zingakwazi ukulahlekelwa amandla unomphela amandla kanye nokubuyisela amandla uma ukuhlinzwa kubambezeleka. Lokhu akuyona inkinga ngokukhala kwezinyembezi, ngakho-ke kunengqondo ukunikeza umzamo omuhle ekwelapheni okungenasisindo.
Uma izindlela zokwelapha ezingavamile zingasebenzi ukuze unciphise izimpawu zakho, khona-ke ukuhlinzwa kungase kudingeke. Ukunquma ukuthi ukulungiswa kuyadingeka yini noma kungenziwa ngokuvamile kwenziwa ngesikhathi sokuhlinzwa . Kuphela-ke ukuthi udokotela wakho ohlinzayo kufanele abe nomqondo onembile wokuthi ithethoni inqunywe kangakanani, nokuthi ngabe ukulungiswa kufanele kwenziwe noma cha.
Izwi elivela
Izinyembezi ezikhethiwe ezithinta izinyembezi yizinto ezitholakalayo, kokubili ekuhlolweni kwe-imaging nangesikhathi sokuhlinzwa kwezinkinga zehlombe. Yize lezi zingase zithole okuvamile, zingase zingadingeki ukwelashwa njalo. Eqinisweni, izinyembezi eziningi ze-rotator ezinyembezi zingabuyiselwa ngokugcwele ngezokwelapha. Ngokuvamile, ukuhlinzeka ngalolu hlobo lomonakalo kulondolozwe abantu abangenakuphulukiswa ngezokwelapha ezingenasidingo.
Imithombo:
> Pedowitz RA, et al. "Ukwenza ngcono ukuphathwa kwezinkinga ze-rotator cuff" J Am Acad Orthop Surg. 2011 Jun; 19 (6): 368-79.
> Wolff AB, Sethi P, Sutton KM, Covey AS, Magit DP, Medvecky M. "Izinyembezi zokubamba izingxenye ezihlukene" J Am Acad Orthop Surg. 2006 Dec; 14 (13): 715-25.