Umhlahlandlela wokuPhathiswa kweTorn Rotator Cuff
Izinyembezi ze-rotator izinyembezi zilimala ngokuvamile ezihlangene ezihlangene. Ngenxa yokuthembela kwakho ehlombe kwemisebenzi eminingi, ukulimala kwe-rotator ngamakhofu kungaba yinto ephazamisayo. Funda kabanzi mayelana nezinyembezi ze-rotator, okufaka ukuxilongwa, izimpawu, ukwelashwa nokuvuselelwa.
Izimbangela Zezinzwa Ezibuhlungu
Ubuhlungu behlombe kuyisikhalazo esivame kakhulu esinezimbangela eziningi. Ngenxa yokuthi usebenzisa izingalo zakho ngemisebenzi eminingi evamile, ubuhlungu behlombe kungabangela izinkinga ezibalulekile. Ukuze ukwelashwa okufanele, imbangela yenkinga kufanele ibonakale.
Abantu abaningi abanezinhlungu zehlombe bangatshelwa ngumngani noma ilungu lomndeni ukuthi izimpawu zabo zizwakala njengenkinga ye-rotator cuff. Kodwa-ke, kunezinye izimbangela zezinhlungu zehlombe, futhi ngaphandle kokuhlonza okuqondile, ukwelashwa kungase kungabhekanga kahle kahle inkinga yangempela. Ngaphambi kokuqala noma yiluphi uhlelo lwezokwelapha, qiniseka ukuthi uyaqonda umthombo wobuhlungu bakho.
Iyini i-Rotator Cuff?
I- rotator cuff yiqembu lama- tendon ezine nemisipha ezungeze ukuhlanganiswa kwehlombe. Ngokuvame ukudideka ngamanye amagama, igama elifanele elisetshenziselwa ukuchaza lezi misipha kanye namathononi yi-cuff rotator.
Lapho isikhumba se rotator silimala, yizintambo ezimele. Lezi zithoni zihlanganisa imisipha ye-rotator emathanjeni. Lapho izintambo zivutha noma ziqhekekile, azikwazi ukusebenza kahle.
I-rotator cuff ayibalulekile kuphela ngokuphakamisa ukunyakaza kwehlombe, kodwa imisipha kanye namathononi kubaluleke kakhulu ekuzinzeni okujwayelekile nokusebenza kwe-shoulder. Ngaphandle kombhede osebenza kahle we-Rotator, ungalindela imingcele ethile ekusebenzeni okujwayelekile kwehlombe.
I-Rotator Cuff Izinyembezi Zokuphuza
Ubuhlungu yilona uphawu oluvame kakhulu lenkinga ye-rotator cuff . Iziguli ngokuvamile zikhononda ngobuhlungu ngaphezu kwehlombe nengalo. Kwezinye iziguli, ubuhlungu bungase buhlele phansi ngaphandle kwengalo yonke indlela eya ehlangothini.
Ubuthakathaka bokuhlwithwa yisinye isibonakaliso esivamile se- rotator cuff yezinyembezi . Ubuthakathaka bubangela ubunzima ukuphakamisa ingalo phezulu noma ubunzima ngemisebenzi efana nokufinyelela, ukugqoka noma ukuthwala izinto.
Izinyembezi ze-Rotator zivamile kakhulu, ikakhulukazi njengoba ukhula. Zivamile kangangokuthi abantu abaningi abanomkhuhlane we-rotator abaqaphele abazi ukuthi banenkinga. Iningi labantu elinomfutho we-rotator izinyembezi alinabuhlungu nokulinganiselwa okuncane emsebenzini. Kodwa-ke, ngezinye izikhathi izinyembezi zingabangela izimpawu, futhi laba bantu bangadinga ukwelashwa.
I-Rotator Cuff Izinyembezi Zokuphuza
Izinyembezi eziningi ze-Rotator zingelashwa ngaphandle kokuhlinzwa. Eqinisweni, kuphela izimbalwa ezincane zeziguli eziphethwe ukwelashwa okuhlinzekwa ukukhipha izinyembezi.
Izindlela zokwelapha ezingekho ngaphansi kwe-rotator zingabandakanya:
Ingabe Ukuhlinzwa Kudingekile Ukugcoba I-Rotator Cuff?
Izinyembezi eziningi ze-Rotator zingaphathwa ngaphandle kokuhlinzwa. Nokho, kwezinye iziguli, ukuhlinzwa kunganconywa njengendlela yokwelapha . Ukuhlinzwa kwenziwa ukuze kulungiswe ama-tendon aqhekekile. Ukunquma ukuthi ukuhlinzwa kungase kuhambisane kanjani kuncike ekutheni izinkomba ze-Rotator ziqhekeze, izinga lomsebenzi wesiguli, kanye nezindlela eziye zazanywa.
Nakuba ukuhlinzwa ngokuvamile kuvame ukwelashwa okuhle ukuzama ukubuyisela umsebenzi ojwayelekile ehlombe, kunezizathu ezithile abantu abangakhetha ukuhlinzwa. Okokuqala, abantu abaningi abadingi umsebenzi ogcwele ukwenza yonke imisebenzi abafuna ukuyenza. Abantu abaningi bangenza imidlalo, imisebenzi yasendlini, nemisebenzi yabo, ngezinyembezi zokuqhuma. Okwesibili, ukuvuselelwa ngemuva kokuhlinzwa kungaba isikhathi eside futhi kunzima. Iziguli eziningi zinezibonakaliso ezinyangeni eziyisithupha ngonyaka olandela ukuhlinzwa.
Ukuhlinzwa Kwezinyosi Ze-Rotator Cuff
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 nodokotela wakho ukuthi yiluphi uhlobo lokuhlinzekwa ukuthi uyaphakamisa ukuthi ukwelashwa kwe-rotator cuff izinyembezi.
Rehab Ngemuva kokuhlinzwa
Ukuphulukiswa ekuhlinzekeni kwe-rotator cuff izinyembezi kuncike ngokuphelele ekubeni isiguli sikwazi ukulungisa kahle futhi sigweme imisebenzi engalimaza izintambo zokuphulukisa. I-Rehab ngemuva kokuhlinzwa kokubheja kwe-rotator ingahlukahluka kakhulu, kodwa kunezinye izimiso ezijwayelekile eziyiziguli eziningi ezenziwa ukuhlinzwa ukwelashwa kwe-rotator cuff izinyembezi.
Njengoba kushiwo ngaphambili, ukuvuselelwa ngemuva kokuhlinzwa ukuqhutshwa kwe-rotator kungaba isikhathi eside futhi kunzima. Iziguli eziningi zithatha unyaka ukuze zibuyele ezivamile. Ezinye izinqubo zokuhlinzeka kancane ezingenasisindo zingasheshe zilulame, futhi zenze ubuhlungu obukhulu kakhulu, kodwa lungele ukulungiswa okungase kube isikhathi eside kunalokho ongakufuna. Izindaba ezinhle ukuthi, inani elikhulu leziguli libuyela emisebenzini egcwele ezinyangeni ezimbalwa, futhi abaningi babuyela emisebenzini yabo evamile.
Ama-Massive Rotator Cuff Izinyembezi
I-rotator cuff tear is a fair as it sounds-a big tear of the rotator cuff. Abanye bathi i-rotator cuff tear ishicilela okungenani ama-four of four rotator cuff tendons . Abanye basebenzisa incazelo yokuthi inqwaba ye-rotator cray tear is okungenani amasentimitha angu-5 ububanzi. Kukhona izinketho zabantu abanozinyembezi ezinkulu ze-Rotator, futhi iziguli eziningi zingathola kokubili ukuphumula ubuhlungu kanye nomsebenzi omuhle.
Ukwelapha Okungahlosiwe Kwezinyembezi ZaseMassive Rotator
Ngisho nezinyembezi ezinkulu ze-rotator izinyembezi, ngokuvamile abantu bathola imiphumela emihle ngezokwelapha okungezona ukuhlinzwa . Lezi zokwelashwa zingase zihlanganise ukuphumula, imithi, ukwelashwa ngokomzimba , ukujola, noma ezinye izifo. Ukwelashwa kugcinwe iziguli ezimbalwa ezingatholi ukukhululeka ngalezi zindlela zokwelapha ezilula.
I-Rotator Cuff Debridement
Udokotela wakho ohlinzayo angase ancoma nje ngokuhlanza ukuvuvukala ngaphakathi kwehlombe, okubizwa ngokuthi ukucindezeleka okungahambi kahle . Lokhu kuhlinza akusebenzi lutho ukulungisa isithonti esiphukile, kodwa kungasusa ukuvuvukala okungase kube umthombo wobuhlungu. Lokhu kuvulwa kuvame ukuhlanganiswa ne- biceps tenodesis ukuze kunciphise imithombo engaba khona yobuhlungu ekuhlanganyeleni.
Ukulungiswa Kwamafutha E-Rotator
Ukulungiswa kwekhanda lokujikeleza kuyindlela yokwelapha yokulungisa isithoni esonakele. Ukuhlinzekwa kwenziwa ngaphansi kwe-anesthesia jikelele futhi kungenziwa ngokwenziwa okujwayelekile noma njengokwenziwa kwe- arthroscopic . Ubunzima obunokulungiswa kokuhlinzwa kwe-rotator cuff izinyembezi ukuthi izintambo nemisipha kungenzeka zonakaliswe ngaphesheya kokulungiswa.
Kunezimo ezimbili ezivame ukwenza inqwaba ye-Rotator yezinyembezi zingenakwenzeka. Owokuqala ukuwohloka nokulimala kwezicubu ze-tendon . Kulezi zimo, i-tendon ivame ukuba yincani, iphoqelekile, ihoxiswe (ibuyiselwe emuva), futhi ibuthakathaka. Ama-sutures angeke abambe izicubu, futhi ukuqina okujwayelekile kwethenda kulahlekile.
Isimo sesibili si-atrophy se-rotator cuff muscle. Ngenkathi isisindo ngokwazo kwakungeyena inkinga yokuqala, izinyembezi ezide zemizila yokuqhuma zingase ziholele emsimbeni ongasebenzi. Uma i-tendon igxotshiwe isikhathi eside, imisipha elawula ithemponi iba buthakathaka futhi ihlaselwe. Ngokuhamba kwesikhathi, imisipha evamile isuswa ngamanoni, futhi lezi zinguquko aziguquki. Uma imisipha ibonakaliswe ngale ndlela, ukulungiswa akunakwenzeka ukunikeza noma yimiphi imiphumela emihle.
Ama-Transfer Transfers
Inqubo yokudlulisa imisipha yenziwa lapho imisipha ye-rotator ne-tendon ingakulungiswa, kanti isiguli sisencane futhi siyasebenza. Kulezi ziguli, ukushintshwa kwehlombe kungase kungabi yindlela, kodwa umsebenzi othuthukisiwe wehlombe udinga umsebenzi noma umsebenzi wokuzilibazisa.
Ukudluliselwa kwe-muscle kuvame ukusetshenziswa ngokusetshenziswa kwemisipha ye- latissimus noma ye- pectoralis . I-tendon yalezi zinhlanzi zisuswa ekunamathiselwe kwayo okujwayelekile futhi ixhunyaniswe nasetheni elizungeze ihlombe. Imisipha yabe isebenza ukubuyisela omunye umsebenzi olahlekile we-muscle wenhlanganisela yamahlombe.
Ukudluliselwa kwe-muscle kuvame ukuba yindlela enhle ezigulini ezincane ezinezinyembezi ezinkulu ze-Rotator ezingeke zilungiswe ngokuhlinzwa. Ukwelashwa kuyinkambiso enkulu, enokuvuselelwa isikhathi eside. Ngaphezu kwalokho, umsebenzi wehlombe ngemva kokuhlinzwa kungathuthukiswa, kodwa akuyona into evamile. Iziguli kufanele zibe nokuhlanganyela okujwayelekile kwehlombe ngaphandle kwezibonakaliso ze-arthritis.
Ukuhlinzwa Kwamahlombe Okuthintekayo
Ukuhlinzwa ngokuphindaphindiwe ngokujwayelekile kubhekwe iziguli ezine- rotator cuff i-tearth arthropathy , isimo lapho izinyembezi ezinkulu ze-rotator zikhazimulayo zitholakala esimweni se- arthritis yehlombe .
Kulezi zimo, ukuguqulwa kwesigxobo esimisiwe akuyona uhlobo oluhle lokufakelwa futhi kungaholela ekuhlulekeni kokuqala kokushintshwa. Ngakho-ke, izimpande ezikhethekile, ezifana nokuguqulwa kwehlombe , zikhethwa ukwelashwa okuhlinzekwayo. Lezi zimila zenzelwe ukuhlanganiswa kwehlombe elinesifo samathambo, nokungaqiniseki kwekhanda lokujikeleza.
> 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.