Ukuhlinzwa kwe-cuffator yokubheja kuyindlela yokwelapha evamile yesikhumba se-rotator ephukile. Izinyembezi eziningi ze-rotator ziphathwa ngaphandle kokuhlinzwa, kodwa kungase kube khona izimo lapho ukuhlinzwa kungcono ukwelashwa. Kwezinye izimo, ukuhlinzwa kubhekwa ngokushesha ngemuva kokulimala, kuyilapho kwezinye izimo, ukuhlinzwa kungesinyathelo sokugcina lapho zonke ezinye izifo zihlulekile.
Inqubo yokuhlinza ukulungisa inkomishi ye-rotator ephukile ngezinye izikhathi iyindlela elula futhi elula kakhulu yokwelashwa, futhi ukubuyiswa kabusha nokubuyiselwa kuyinselele kakhulu.
Abantu abanokuhlinzwa ukuqhutshwa kwe-rotator kufanele baqonde isinyathelo ngasinye se-rehab njengomphumela omuhle kuncike kakhulu ekuphulukisweni nasekuvuseleleni okulandela ukuhlinzwa. Nasi umugqa wesikhathi wezinyathelo ezinkulu ngemuva kokuhlinzwa kokuqhutshwa kwe-rotator:
Usuku Lokuhlinzwa
Ukuhlinzwa kwe- cuffator ye-cuff kuyinkqubo yokuphulukisa iziguli . Ukulala ebusuku esibhedlela ngokuvamile akudingekile. Inqubo yokuhlinzeka ngokuvamile ithatha amahora ambalwa, kuye ngokuthi izinga lomsebenzi liyadingeka yini ukulungisa ama-tendon aqhekekile.
Ngemuva kokuhlinzwa, ingalo yakho izofakwa endaweni yokulinganisa. Isinamathisi esithinta ingalo kancane eceleni (eceleni kwesigxobo sokubamba) ngokuvamile sinconywa ukuba kuhlinzekwe ukulungisa ukubhebhelwa kwe- rotator , njengoba kubamba ama-tendon endaweni ekhululekile. Uzohlala esibhedlela kuze kube yilapho ubuhlungu bakho bulawulwa ngokwanele.
Izinsuku Zokuqala
Izinsuku zokuqala emva kokuhlinzwa kwe-rotator yokubheja kugxile ekuqinisekiseni ukuthi ukulawula kwakho ubuhlungu kuyanele.
Udokotela wakho uzokunikeza imithi yokusiza ngokungathandeki. Zama njalo ukuvimbela ubuhlungu ukuba bukhuni ngokuthatha imithi encane yemithi yobuhlungu lapho kuqala khona ukungahambi kahle, kunokuba ukhululeke kakhulu uma ubuhlungu bukhulu kakhulu. Ukuzama izinhlobo ezahlukene zemithi kungasiza futhi; odokotela abaningi bancoma imishanguzo ye-narcotic enqunyiwe ngemithi elwa nokuvuvukala .
Futhi ungakhohlwa ngokugcoba ihlombe . Isicelo seqhwa singase sibe yingxenye ebaluleke kakhulu yokulawula ubuhlungu .
Ukulala ebusuku
Ukulala emva kokuhlinzwa kwe-shoulder kungaba yinselele. Ngisho nokuphunga okulinganiselwe ehlombe kungavimbela ukulala okuhle ebusuku. Iziguli eziningi zithola ukuthi zikhululekile kakhulu ukulala ngesimo esiphakathi kwesokudla emva kokuhlinzwa kokuqhuma kwe-rotator; i-recliner iphelele. Uma ungenayo i-recliner, thola imithwalo eminingi bese udala i-backrest embhedeni ukuze ikuvumele ukuba ulale endaweni ehlezi ne-elbow ekhomba phansi. Imithi yokusiza ukulala ingase ibe usizo njengemithi yobuhlungu , njengokulala ubusuku obuhle kungenza okuningi ekulawuleni ubuhlungu njenganoma yini enye.
Isigaba soku-1 sokuvuselela: Ukuhamba okungahambi kahle
Isigaba sokuqala sokuvuselela yisisindo sokuhamba kuphela. Lokhu kungadlulela emavikini angu-6, kuye ngokuthi ubukhulu be-rotator cuff yezinyembezi kanye namandla okulungisa.
Ukunyakaza okusheshayo kusho ukuthi imisipha ye-rotator ne-tendon ayikwenzi umsebenzi. Lapho inkontileka yemisipha ye-Rotator, ingcindezi ifakwa ekulungiseni okwenziwe. Ukuhamba kancane kusho ukuthi ihlombe lihamba ngaphandle kokubeka ukucindezeleka ekulungiseni.
Ukuze wenze ukunyakaza okungahambi kahle , udokotela wakho uzokuhambisa ihlombe lakho.
Udokotela angakufundisa futhi ukuthi ungasusa kanjani ihlombe lakho ngaphandle kokuthola izixuku ze-rotator.
Isigaba sesibili sokuvuselela: Ukunyakaza okusebenzayo
Ukunyakaza okusebenzayo kuqaliswa uma kukhona ukuphulukiswa okwanele kwamathenda ukuwavumela ukuba aqale ukuhambisa ingalo, kodwa ngaphambi kokuba kusetshenziswe ukuphikiswa okwengeziwe. Ungase ukhawulelwe ukunyakaza okusebenzayo kwamasonto angu-12 kusukela ngesikhathi sokuhlinzwa . Ukunyakaza okusebenzayo kusho ukuthi ungakwazi ukuhambisa ingalo yakho, kodwa hhayi ngokumelene nokumelana.
Isigaba 3 sokuvuselela: Ukuqinisa
Isigaba sokuqinisa isimo sokuqinisa siwubaluleke kakhulu. Ngenxa yokulimala, ukuhlinza, nezinyathelo zokuqala zokuthola, imisipha yombhobho we-rotator iye yaba buthakathaka.
Uma ukulungiswa sekuphulukisiwe ngokwanele, kubalulekile ukuqala ukuqinisa imisipha ukuvumela ukuthi uqale kabusha izinga lakho lomsebenzi ojwayelekile.
Imisipha ye-rotator ayidingi izisindo ezinzima zokuqinisa ngokuphumelelayo. Ochwepheshe abanekhono bangabafundisa ngezindlela zokuhlukanisa imisipha efanele yokuqinisa njengokuthi amaqembu kuphela noma izinsimbi ezikwazi ukukhanyisa zingaba nomsebenzi omuhle kakhulu.
Isigaba 4 sokuvuselela: Umsebenzi ogcwele
Ukubuyiselwa okugcwele emva kokuhlinzwa kwebhokisi le-rotator kuthatha izinyanga ezingu-4 kuya kwezingu-6 futhi kwezinye izimo isikhathi eside. Izici ezibucayi ezinquma ukuthi ubude bokubuyiselwa buyini ubukhulu bezinkomba ze-Rotator, ukukwazi ukulungisa ngokwanele amathenda, nokuzibophezela ekuvuseleleni.
Ukwazi ukuthi uzoqhubeka nini kusukela kwesinye isigaba se-rehab kuya kwesinye is art. Akubona bonke abantu abazoqhubeka ngenqubo ye-rehab ngendlela efanayo, futhi umuntu ngamunye kufanele alandelele ekulandiseni kwawo okubekiwe. Xoxa ngemibuzo ethize onayo mayelana ne-rehab yakho nodokotela wakho ohlinzayo.
Izwi elivela
Lokhu kuyinkomba ebanzi yezinyathelo zokuvuselela ezilandela ukuhlinzwa kwebhokisi lokujikeleza. Gcina engqondweni, ukuthi zonke iziguli, zonke izinyembezi, kanye nokuhlinzwa zonke zihlukile kancane. Nakuba lezi zinyathelo ziyisiqondiso esiwusizo, isiguli ngasinye sidinga ukuxoxa ngenqubekela phambili ethile kanye nodokotela wabo ohlinzayo. Intuthuko ingase isheshe noma ijubane kuye ngokuthi kunezici eziningana. Nakuba kuyilingo ukuqhathanisa inqubekela phambili nabangani, amalungu omndeni, noma abajwayelene nabo kusukela ehhovisi lezokwelapha, ukutakula kwabo akufanele kube okufanayo neyakho! Qinisekisa ukuthi uyazi lapho ungase udingeke khona ukuvikeleka okuncane noma isikhathi esengeziwe ukuze uphinde ubeke ihlombe lakho esimweni sokuphakama.
Imithombo:
Millett PJ, et al. "Ukuvuselelwa kweRotator Cuff: Indlela Yokuhlola-Isekelwe" J. Am. I-Acad. I-Ortho. Ngo-Okthoba 2006; 14: 599 - 609.