Izinyembezi ze-rotator izinyembezi zilimala ngokuvamile ezihlangene ezihlangene. Ngenxa yokuthembela kwethu emahlombe emisebenzini eminingi, ukulimala kwe-rotator ngamakhofu ngokuvamile kuyinto ephazamisayo.
4 Izinto Okumele Uzazi Nge-Rotator Cuff
- I-rotator cuff yiqembu lama- tendon ezine nemisipha ezungeze ukuhlanganiswa kwehlombe.
Ngokuvame ukudideka ngamanye amagama (inkomishi yokujikeleza, inkomishi ye-rotator), igama elifanele elisetshenziselwa ukuchaza lezi misipha kanye namathenda yi-cuff rotator. Lapho isikhumba se-rotator silimala, yizintambo zomqubu wokujikeleza owonakele; yizintambo ezihlanganisa imisipha ye-Rotator emathanjeni. Lapho izintambo zivutha noma ziqhekekile, azikwazi ukusebenza kahle. Isikhumba se-Rotator asibalulekile kuphela ukuphakamisa kanye namandla ehlombe, kodwa imisipha kanye namathononi kubaluleke kakhulu ekuzinzeni okujwayelekile nokusebenza kwe-shoulder. Ngaphandle kombhede osebenza kahle we-rotator, ungalindela ukuthi umkhawulo othile ube nomsebenzi wokuhlunga. - Akuzona zonke izinhlungu zehlombe ezivela ekulimaweni kwe-cuff rotator.
Abantu abaningi abanezinhlungu zehlombe bangatshelwa ngumngani noma ilungu lomndeni ukuthi izimpawu zabo zizwakala njengenkinga yabo yokuqhuma i-Rotator. Nokho, kunezinye izimbangela zezinhlungu zehlombe. Ngaphandle kokuxilongwa okunembile, ukwelashwa okungase kungabhekanga kahle kahle inkinga yangempela. Uma esinye isimo-njengamahlombe afriziwe noma izinyembezi- kungabonakali, uhlelo lwezokwelapha olwenziwe lungase lungasebenzi. Ngaphambi kokuqala noma yiluphi uhlelo lwezokwelapha, qiniseka ukuthi uyaqonda umthombo wobuhlungu bakho.
- Izinyembezi ze-Rotator zivamile kakhulu , ikakhulukazi njengoba sikhula.
Ngenkathi izinyembezi ze-rotator izinyembezi zingavamile kubantu abaneminyaka yabo-20, 30, no-40, njengoba sikhula, ziba zivamile kakhulu. Eqinisweni, ngesikhathi umuntu ekhona kuma-70s noma ama-80s, izinyembezi ze-rotator izinyembezi zilindeleke ngempela. Njengoba nje ezinye izingxenye zomzimba wethu zishintsha ngobudala (cabanga izinwele ezimpunga noma imibimbi yesikhumba), isikhumba se-rotator esiphukile kumuntu oneminyaka engama-60 noma ngaphezulu akuyona into engavamile. - Cishe zonke izinyembezi ze-rotator izinyembezi zizophuthukiswa ngokuphathwa kwegazi .
Ngenkathi ukuhlinzwa kudlala indima ebalulekile futhi edingekayo ekwelapheni lokhu kulimala, iningi labantu abane-rotator cuff izinyembezi akalokothi adinge ukungenelela okuhlinzayo futhi angabuye aphile ngendlela evamile, esebenzayo. Ngenkathi kwesinye isikhathi ukuhlinzwa kudingekile, lokhu akuyona eyona yokwelashwa kokuqala kokulimala kwe-rotator.
Izimpawu ze-Rotator Cuff Injury
Iningi labantu elinompheme we-rotator eliqothileyo abaqapheli ukuthi banenkinga, njengoba iningi lingenakho ukukhathazeka nokulinganiselwa okuncane emsebenzini. Uma umuntu ezwa izibonakaliso zenkinga ye-rotator ye-cuff , cishe okungenani okumele bazwakale ubuhlungu. Lobuhlungu buvame kakhulu phezulu kwehlombe nengalo. Kwamanye abantu, ubuhlungu bungase buhlele phansi ngaphandle kwengalo yonke indlela eya ehlangothini.
Ezinye izibonakaliso ezivamile ze- rotator cuff izinyembezi zihlanganisa:
- Ukuntuleka kwehlombe: Lokhu kungabangela ubunzima ukuphakamisa ingalo phezulu noma ubunzima ngemisebenzi efana nokufinyelela, ukugqoka noma ukuthwala izinto.
- Ubungcweti engalweni: Ngezinye izikhathi, uma kukhona ukuvuvukala okuphawulekayo, kungaba khona ukucasuka kwesibindi okubangela ukuphazamiseka nokugubha phansi.
- Ukuvuvukala kwehlombe: Kulimala kanzima , ukuvuvukala noma ngisho nokulimaza eduze kwehlangothini lwehlombe kungase kwenzeke ngezinye izikhathi.
Izinketho zokwelashwa ze-Rotator Cuffs
Izinyembezi eziningi ze-Rotator zingelashwa ngaphandle kokuhlinzwa. Eqinisweni, yiyona encane yeziguli eziqeda ukuhlinzwa okwenzekayo ukuze i-rotator cuff ikhale izinyembezi. Izindlela zokwelashwa ezingasetshenziselwa ukujikeleza zingabandakanya:
- Ukwelapha ngokomzimba
- Imithi elwa nokuvuvukala
- Isicelo seqhwa
- I-Cortisone injection
Umgomo walezi zokwelapha ukunciphisa ukuvuvukala nokuqinisa imisipha ezungeza ihlombe lakho. Ukwelashwa ngokwemvelo kuvame ukusiza ekuthuthukiseni ukuhamba kanye nemikhakha yehlangothini lwehlombe ngenkathi ungafaki ukucindezeleka ngokweqile emisipha nasezintheni ezimele. Ngisho nabantu abenza imisebenzi yezemidlalo bangathola usizo olukhulu ngokusizwa ochwepheshe be-knowledgable.
I-Rotator Cuff Surgery
Kodwa-ke, kwezinye izimo, ukuhlinzekwa kungase kunconywe ukuthi kulungiswe amathononi aqhekekile. Ukunquma lapho ukuhlinzwa kungase kube khona kuncike ekutheni uhlobo lwensimbi ye-rotator yezinyembezi, izinga lakho lomsebenzi, kanye nokwelapha osetshenzisiwe kakade.
Nakuba ukuhlinzwa ngokuvamile kuvame ukwelashwa okuhle ukuzama ukubuyisela umsebenzi ojwayelekile wehlombe, kunezizathu ezithile zokuthi abantu bakhethe ukungabi nokuhlinzwa. Okokuqala, abantu abaningi abadingi umsebenzi ogcwele ukwenza yonke imisebenzi abafuna ukuyenza. Abantu abaningi bangenza imidlalo, imisebenzi yasendlini, kanye nemisebenzi yabo ngezinyembezi ze-rotator. Okwesibili, ukuvuselelwa ngemuva kokuhlinzwa kungaba isikhathi eside futhi kunzima. Iziguli eziningi zinezibonakaliso ezinyangeni eziyisithupha ngonyaka olandela ukuhlinzwa.
Kunezinketho eziningana zokwelashwa zokwelashwa kwebhola le-Rotator elikhazimulayo . Uhlobo oluqondile lohlinzekwa lungaxhomeke ezintweni ezihlanganisa ubukhulu nendawo yokukhala kwezinyembezi, okuthandwa nguwe ohlinzayo, kanye nemisebenzi ofuna ukuyibuyisela emuva kokuhlinzwa. Xoxa ukuthi yiluphi uhlobo lohlinzekwa olungase lusetshenziswe ukwelashwa kwebhola lakho lokujikeleza elidabuka nodokotela wakho.
Rehab Ngemuva kokuhlinzwa
Ukuphulukiswa emva kokuhlinzwa kwebhokisi le-rotator izinyembezi kuncike ngokugcwele ekukwazi ukuvuselela okufanele futhi ugweme imisebenzi engalimaza izintambo zokuphulukisa. I-Rehab ngemuva kokuhlinzwa kokuqhuma kwe-rotator ingahlukahluka kakhulu, kodwa kunezinye izimiso ezijwayelekile eziyiqiniso kubantu abaningi abahlinzwa ukuze baphathe isikhumba se-Rotator elalilililize.
Nakulokhu, ukuvuselelwa ngemuva kokuhlinzwa kokuqhutshwa kwe-rotator kungaba isikhathi eside futhi kunzima. Iziguli eziningi zithatha unyaka ukuze zibuyele ezivamile. Ezinye izinqubo zokuhlinzeka kancane ezingenasidingo zingasheshisa ukululama futhi zenze ubuhlungu bube bubuhlungu kakhulu, kodwa lungele ukulungiswa okungase kube isikhathi eside kunalokho okungafunayo. Izindaba ezinhle ukuthi, inani elikhulu leziguli libuyela emisebenzini egcwele ezinyangeni ezimbalwa, futhi abaningi babuyela emisebenzini yabo evamile.
Izwi elivela
Inkinga ye-rotator yenkomo, njenganoma yikuphi ukulimala, akukaze kube yimuphi umuntu owamukelayo. Ngenothi elihle, khumbula ukuthi abantu abaningi abanomuntu bayakwazi ukubuyela emisebenzini yabo evamile ngemuva kokwelashwa okufanele kwalokhu kulimala. Ngenkathi ukuhlinzwa kungaba ukwelashwa okuphumelelayo, iningi labantu lingathola imiphumela ephumelelayo ngezinketho zokwelapha ezingaphephile, okuyiyona ndlela ekhethiwe uma ungayithatha.
> Imithombo:
> Ipopou, IP, et al. "I-AAOS Imigomo Yokusetshenziswa Okufanele: Ukuthuthukisa Ukuphathwa Kwe-Rotator Cuff Izinyembezi" J Am Acad Orthop Surg. 2013 Dec; 21 (12): 772-5.
> Pedowitz RA, et al. "Ukwenza ngcono ukuphathwa kwezinkinga ze-rotator cuff" J Am Acad Orthop Surg. 2011 Jun; 19 (6): 368-79.