Le ngqungquthela iyisenzo esiyinkimbinkimbi yomsebenzi wehlombe futhi isuke isengozini yokulimala
Umhlanganiso wehlombe ibhola kanye nokuxhumeka kwesikhwama, okufana ne-hip. Kodwa-ke, isikhwama sehlangothini lwehlombe siyinto ejulile futhi ngaleyo ndlela singenakwenzeka. Lokhu kusho ukuthi amathambo ehlombe awagcini kahle. Ukwesekwa okungaphezulu kuyadingeka-yilapho i-labrum ingena khona. Le ngqungquthela ibalulekile ukuze kusebenze kahle ihlombe, njengoba i-labrum ephukile ingathonya ukuhamba.
Ngenhlanhla, ukwelashwa okuningi akuyona into engavamile.
Iyini i-Labrum?
Ukukhokhela isikhwama esingajulile sehlombe, okuhlangene kunomkhuhlane we-cartilage obizwa ngokuthi i-labrum eyenza indebe yokuphela kwethambo lesandla (humerus) ukuhamba ngaphakathi. I-labrum idonsa isikhwama esingajulile sehlombe (i-glenoid) ukwenza i-socket ejulile.
Le ngxube ye-cartilage yenza inhlanganisela yehlombe igxilile futhi ivumela ukuhamba okubanzi kakhulu (empeleni, ububanzi bezintambo ihlombe lakho lingenza kakhulu kunoma iyiphi enye inhlanganisela emzimbeni).
Kungani Inyembezi Ye-Labrum?
I-labrum yenziwe ngezicubu ezinzima ezikwazi ukulimala ngengozi ehlangene. Lapho isiguli sigcina ukulimala kwehlombe , kungenzeka ukuthi isiguli sinenyembezi. I-labrum ibuye ibe yinkimbinkimbi kakhulu yobudala, futhi ingakwazi ukuphazamiseka nokuphuka njengengxenye yenqubo yokuguga.
Izindlela eziningana ezahlukene ziye zachazwa njengezimbangela zokukhala kwezinyembezi eziphakeme kakhulu ehlombe.
Ngezinye izikhathi imbangela iwukulimala okungazelelwe, njengokucindezela okunamandla noma ukudonsa ngokungazelelwe engalweni. Ngakolunye uhlangothi, ukulimala okungalahlekelwa yi-labral kubangelwa ukulimala okuphindaphindiwe ehlombe, okufana necala lemisebenzi yokuphonsa phezulu.
Ucwaningo oluningi lwenziwe futhi luye lwabona izikhundla ezithile zomjoqo wehlombe lapho i-labrum isengozini yokulimala.
Kuye ngomsebenzi kanye nesikhundla salo, udokotela wakho anganquma uhlobo olunokwenzeka kakhulu nendawo yokulimala kwe-labral.
Izimpawu Ze-Labrum Ephuliwe
Izimpawu zezinyembezi ezincibilikisiwe zixhomeke lapho izinyembezi zitholakala khona, kodwa zingabandakanya:
- Ukuzwa okunomthelela ekuhlanganyeleni kwehlombe
- Ukubamba ihlombe ngokunyakaza
- Ubuhlungu nemisebenzi ethile
Ngaphezu kwalokho, ezinye izinhlobo zezinyembezi ze-labral, ikakhulukazi i- Bankart lesion , zingandisa amathuba okuhlenga amahlombe .
Ukuhlonza izinyembezi ze-Labrum
Udokotela ngokuvamile uzothatha umlando ngokucophelela kokulimala nobuhlungu obangela izinkinga. Ekuhlolweni, ukuhlolwa okuqondile kungenziwa ukuze kutholakale izinhlobo ezahlukene zezinyembezi.
Ukuhlola ukuhlola kuvame kwenziwa ngaphandle kokuhlolwa ngokomzimba. I-x ray evamile ngokuvamile ayibonisi okungajwayelekile. I-MRI ivame ukuhlolwa okuhle kakhulu ukuthola ukulimala kwe-labral.
Uma kukhona ukukhathazeka okuqondile ngokulimala kwama-labral, i-MRI yenziwa ngokujova ukuthuthukiswa kwe-gadolinium (idayi) ekuhlanganyeleni kwehlombe. Lo mjovo ukwandisa ngokucacile ukunemba kwe-MRI ekutholeni izinyembezi.
Izinhlobo zezinyembezi ze-Labral
Amaphethini avamile kakhulu wezinyembezi ze-labral yizi:
- I-SLAP Izinyembezi : Lokhu kuvame ukubonwa kubagijimi abagijima ngokuphezulu njengabadlali be-baseball nabadlali be-tennis. Ibhulabhu eliqhekekile elibonwe ngendwangu ye-SLAP ingaphezulu kwesikhwama sehlombe lapho ithethoni ye-biceps ifinyelela ehlombe.
- Izinyembezi ze-Bankart : Izinyembezi zeBanartart yizinyembezi ezibomvu ezenzeka lapho amahlombe ehlukana . Uma ihlombe liphuma ehlangene nalo, i-labrum ihlanjululwe futhi yenza ukuba ihlombe libe lula kakhulu ekuhambeni okuzayo.
- Izinyembezi ZaseLabral Eziphansi : Izinyembezi ezingezansi ezingezansi zivamile, kepha ngezinye izikhathi zibonwa kubagijimi esimweni esibizwa ngokuthi ukungena ngaphakathi . Kule syndrome, ikhop rotator ne-labrum zikhonjiwe ndawonye ngemuva kwehlombe.
Ukwelapha i-Labrum ephuliwe
Ukuphatha i-labrum eboshiwe kuncike kunhlobo lwezinyembezi ezenzekile. Izinyembezi eziningi zezinyosi azidingi ukuhlinzwa; Kodwa-ke, ezigulini ezinezimpawu eziqhubekayo naphezu kokwelapha okuqhubekayo, kungase kudingeke ukuba kuhlinzwe ukuhlinzwa.
Ngokuvamile, izinyathelo zokuqala ziyizinyathelo ezilula zokugxila ekuvumela umzimba ukuba uphulukise ukulimala nokuvuvukala ukuphazamiseka. Ukusebenza nomuthi wezokwelapha kungasiza ekuthuthukiseni umshini wokugqoka ukuze ubeke ingcindezi kulesi sikhwama esonakele ehlombe. Ezimweni lapho ihlombe elingazinzile khona noma uma izinyathelo ezilula zokwelashwa zihluleka, ukwelashwa okungeziwe kakhulu kungacatshangwa. Uhlobo lwezokwelapha luyahlukahluka ngokususelwa kunhlobo oluthile lwezinyembezi.
Izwi elivela
Izinyembezi zeLabral ziyinto ejwayelekile ekutholeni ehlombe. Akuzona zonke izinyembezi ezinzima ezidinga ukwelashwa, kepha lokhu kulimala kungabangela ubuhlungu nobunzima ngemisebenzi ethile. Ngenkathi izinyembezi eziningi ze-labral zingathuthuka ngezokwelapha, ukukhala kwezinyembezi okuholela ekungazinzi kwehlombe kungadinga ukwelashwa okungenasisindo. Xoxa ukuthi yini ongakhetha ngayo kunodokotela wakho.
> Imithombo:
> Keener JD, u-Brophy RH. "Izinyembezi eziphakeme zamahlombe ezinhlanzi: i-pathogenesis, ukuhlolwa nokuphathwa" J Am Acad Orthop Surg. 2009 Okthoba; 17 (10): 627-37.
> Streubel PN, Krych AJ, Simone JP, Dahm DL, Jper Sperling, Steinmann SP, O'Driscoll SW, iSanchez-Sotelo J. "Ukungazinzi kwe-glenohumeral yangaphakathi: isulelo lokuhlinzeka ngezokwelapha esisekelwe esibhedlela" J Am Acad Orthop Surg. 2014 Meyi; 22 (5): 283-94.