Izinkinga ze- Rotator ye-cuff yiyona eyimbangela evamile yobuhlungu behlombe kanye nobunzima ngemisebenzi edinga amandla avamile nokuhamba kwehlanganiso lezinsizi. Enye yezinkinga zokuvotela ezivame ukuvuthwa yi -tendon ye-rotator cuff . Abantu abaningi abathola ukuthi banezinyembezi emgqonyeni we-Rotator bangase bacabange ukuthi ukuhlinzwa kuyisinyathelo esingenakugwema ekwelapheni.
Okungokoqobo ukuthi, okungcono noma okubi nakakhulu, ukulungiswa komkhumbi we-rotator owonakele kungase kungabi ukwelashwa okungcono kakhulu, futhi ezimweni eziningi kungase kungabi ngisho nokwelashwa okungenzeka.
I-Rotator Cuff Izinyembezi
I- rotator cuff yiqembu lezinhlanzi ezine ezizungezile ngokuzungezile ukujoyina ihlombe. Ngamunye walawo misipha unamathela ethanjeni ngesakhiwo esibizwa ngokuthi i-tendon . Uma i-rotator cuff ihlezi izinyembezi, i-tendon igxile emthanjeni. Lokhu kungaholela ebuhlungu, kunzima ukuhambisa ihlombe, nobuthakathaka. Ukwelashwa kwe-rotator cuff izinyembezi ngokuvamile kuqala ngezinyathelo ezilula ezihlanganisa ukwelapha ngokomzimba, ukuguqulwa komsebenzi, imithi yokulwa nokuvuvukala, futhi mhlawumbe umjovo we-cortisone.
Uma abantu bengaphenduli emitholampilo engavamile, kukhona umbuzo wokuthi ngabe izintambo zingalungiswa yini noma cha. Ezimweni eziningi, ukukhanda i-rotator ye-cuff kuyindlela yokwelapha efanele. Kodwa-ke, abanye abantu abane-rotator cuff izinyembezi bangase bamangale lapho bezwa ukuthi ukulungiswa kokuhlinzwa akuyona indlela efanele yokwelapha.
Kungani Kungalungiswa?
Ukulungiswa kokuhlinzwa kwe-rotator cuff izinyembezi angeke kwenzeke ngenxa yezizathu ezimbalwa ezihlukene:
- Umonakalo we-tendon unzima kakhulu: Uma i-rotator cuff izinyembezi inkulu kakhulu (i-rotator cuff tear) futhi ikhona isikhathi eside, kunethuba lokuthi ukulungiswa kokuhlinzwa akunakwenzeka. Kulezi zimo, i-tendon ivame ukuba nekhontrakthi futhi ayikwazi ukuphindaphindiwe endaweni yayo evamile. Ngaphezu kwalokho, imisipha ethinta isithoni se-rotator ye-cuff often i-atrophied (ifinyeleleke) futhi ngisho noma ithenda iyakwazi ukulungiswa, imisipha ayike isebenze ngokujwayelekile.
- Ihlombe liye laba i-arthritic: Kukhona isimo esibizwa ngokuthi i- rotator cuff i-tearth arthropathy . Kulesi simo akukhona nje kuphela ukuthi i-rotator cuff iyabhula, kodwa ukuhlanganiswa kwamahlombe sekuye kwaba yi-arthritic. Lesi yisimo lapho ukulungiswa kompheme wokujikeleza kungayikubhekana necala elibalulekile lehlangothini elimele elihlangene.
Izinketho zokwelapha
Ukuthi i-rotator cuff izinyembezi angeke ikwazi ukulungiswa akusho ukuthi akukho ukwelashwa okungacatshangwa, futhi akusho ukuthi abantu kudingeka baxazulule ukuba baphile ngokungahambi kahle kwabo. Nakuba kungase kusho ukuthi ukulungiswa kokuhlinzwa kombhobho we-Rotator akunakwenzeka, ngokuqinisekile kunezinye izinketho zokwelashwa, kokubili zokwelapha nezindlela zokuhlinzeka ngemithi.
Imithi yokwelashwa ihlanganisa ice, imithi elwa nokuvuvukala, umjovo we-cortisone, ukuguqulwa komsebenzi, kanye nokwelapha ngokomzimba. Kubalulekile ukuba abantu baqonde ukuthi ngisho nasesimweni sokuqhaqhazela okukhulu kwe-rotator, kunezinhlanzi eziningi nezintambo ezihlangene ezihlangothini zehlombe futhi zingakwazi ukukhokhela isithonti esonakele se-Rotator. Ukugxila kwanoma yikuphi ukwelashwa kufanele kube emisebenzini yokwelashwa ukuze kubuyiselwe imishini evamile yehlangene ehlombe.
Ingabe Kukhona Ukuhlinzwa Ongakwenza?
Ngisho noma ukuhlinzekwa kokukhanda kwe-cuffator akuyona indlela yokwelapha esimweni sakho, lokho akusho ukuthi ukuhlinzwa akukwazi ukucatshangelwa.
Kukhona ukungenelela okuhlinzekwa okungahle kuthathwe njengendlela yokubeka izinyembezi ezingenakwenzeka. Lezi zinketho zokwelashwa zingafaka:
- Ukuhlinzekwa ngokugqilaza kwegazi (abrasion arthroplasty): Kulesi simo, udokotela wakho ohlinzayo wenza inqubo "yokuhlanza" ehlombe. Ukukhathaniswa kwehlombe kuqhutshwa njengendlela yokuhlinza i- arthroscopic ehlombe . Udokotela wakho ohlinzayo usebenzisa izitsha ukususa izicubu ezonakalisiwe noma ezivuthayo, izindawo ezibushelelezi ezingenalutho, nokuhlanza uhlaka oluthile noma omunye umonakalo ngaphakathi kwehlombe.
- Ukulungiswa kwe-rotator ye-cuff: Uma i-rotator cuff yezinyembezi inqunywa ukuthi ingadluli, ukuhlinzeka ukwenza izinyembezi ezincane zingenzeke. Phakathi nokuhlinzeka lapho ukukhishwa kwesikhatshana kwenziwa, ingxenye ethile yesikhumba se-Rotator ingalungiswa. Ngenkathi lokhu kungase kungabi ukulungiswa okuphelele kwamathenda awonakele, ngezinye izikhathi ukulungiswa okuyingxenye ngisho nokuyingxenye kusiza ukubuyisela umsebenzi othile ekuhlanganyeleni kwehlombe.
- I-Tendon idluliselwa: Uma izintambo ze-rotator ze-cuff ziye zaqedwa futhi zinezinkontileka, futhi azikwazi ukulungiswa, kungase kube nokukhetha ukudlulisa amathoni amakhelwane ukuze athathe indawo yesikhumba se-rotator esonakalisiwe.
- Ukuguqula ihlombe eliguquguqukayo : Ezimweni lapho ukuhlanganiswa kwamahlombe sekuye kwaba yi-arthritic futhi ebuhlungu, futhi isitsha se-Rotator sonakaliswe ngaphandle kokulungiswa, uhlobo oluthile lwe-shoulder shoulder substitution lungenziwa. Lokhu kuhlinzekwa okubizwa ngokuthi ukuguqulwa kwehlombe okuphambene nayo kwenziwa ukuguqula umshini wokuhlanganiswa kwehlombe ukuze kuvunyelwe ukushintshwa okusebenzayo naphezu komonakalo emgqonyeni we-Rotator.
Ukubuyisela nokulindela
Naphezu kokuba ne-rotator cuff izinyembezi ezingeke zikwazi ukulungiswa, iningi labantu abanezinyembezi ezingenakulinganiswa zezinyembezi zingathola ukukhululeka ebuhlungu nasekuthuthukiseni umsebenzi. Abantu kufanele balindele ukuthi ngokuphathwa ngendlela efanele ngezinyanga ezimbalwa, kufanele bakwazi ukuthola ukuphumula kobuhlungu nokukwazi ukwenza imisebenzi evamile. Ngezinye izikhathi ukungenelela kokuhlinzwa kungadingeka, kodwa iqiniso liwukuthi iningi labantu lingathuthuka ngezokwelapha ezingekho emthethweni. Ngokuqinisekile, ukwelashwa okungenasidingo kumele kusetshenziswe okungenani izinyanga ezimbalwa, uma kungenjalo, ngaphambi kokucubungula noma yiluphi uhlobo lwezokwelapha eziphuthumayo.
Izwi elivela
Izinyembezi ze-rotator izinyembezi yizinkinga ezivame kakhulu. Ikakhulukazi njengoba sisekhulile, izinyembezi ze-rotator izinyembezi ekugcineni ziba ukuthola okulindelekile. Njengoba abantu bengena kuma-60s no-70s, izinyembezi ze-rotator izinyembezi ziba yinto ejwayelekile yokuthola i-MRI. Abanye abantu abanomkhumbi we-Rotator ngeke babe ngabakhansela abalungile bokulungisa lo monakalo. Kulezi zimo, kungase kube nezinketho zokuhlinzwa, kodwa ukulungiswa kwekhefu yokujikeleza kungase kungabi yinto enhle.
> Imithombo:
> Kuzel BR, i-Grindel S, i-Papandrea R, i-Ziegler D. i-Fatty infiltration kanye ne-rotator cuff atrophy. J Am Acad Orthop Surg . 2013 Oct; 21 (10): 613-23. doi: 10.5435 / JAAOS-21-10-613
> 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.