Ikhetho Lokunakekelwa Kwezinkinga Ezihlangene Ezihlangene Eziyinkimbinkimbi
Ukuguqulwa kwehlombe okuphambene nakho kwaklanyelwe ngqo inkinga ebizwa ngokuthi i- rotator cuff i-arthropathy yezinyembezi . I-Rotator isifo se-arthropathy esiyinkimbinkimbi kuyinkinga eyenzeka lapho isiguli sinesifo samathambo e-shoulder kanye ne- rotator cuff izinyembezi .
I-rotator cuff yiqembu lama-tendon nemisipha ejikeleze ukuhlanganiswa kwehlombe. Lezi zinhlanzi nama-tendon zibalulekile ekwenzeni imisebenzi yehlombe (njengokuphakamisa ingalo yakho phezulu), nokugcina ibhola lomhlanganiso webhola ne-ekhanda eligxile.
Lapho isikhumba se - Rotator siqothukile , ihlombe lingaphelelwa yisikhathi, eliholela e- arthritis ehlombe .
Isizathu sokuthi ukuguqulwa kwamaphethelo okuhlanekezela kuthuthukiswe ngenxa yokuthi ukukhethwa kwendabuko yokugula i-arthritis yehlombe akusebenzi kahle uma iziguli zinezinkomba zokuvuthwa. Kulezi ziguli, ukuphindaphindiwe kwamahlombe ngokuvamile akusebenzi. Esikhathini sendawo yendabuko esikhundleni, ibhola elingaphezulu kwethambo lesandla (i-humerus) lifakwa esikhundleni sensimbi yensimbi. Ingxenyeni ye-shoulder blade (scapula), ishintshwe nge-plastic socket. Ezigulini ezinezindleko eziphelele zehlombe futhi futhi zinekhamera yokuvotela, i-socket of the implant iyakwazi ukukhulula. Ukungabikho kwebhokisi le-rotator kubangela ukuthi ukufakelwa kuhambe ngokungavamile, futhi kubangele amabutho angavamile kulesi sikhwama.
Ukuguqulwa Kwamahlombe Okuphindaphindiwe
Njengoba kukhonjisiwe, ukushintshwa kwendabuko yendabuko isebenzisa ibhola lensimbi phezulu kwethambo lesandla, kanye nesokhethi seplastiki ehlombe lehlombe.
Lokhu kufana nokuthi umzimba wethu wenzelwe kanjani ukujoyina ihlombe nebhokisi.
Ukuguqulwa kwamapulangwe okuphindaphindiwe kusebentisa i-ball-and-socket joint, kodwa ibhola libekwe ehlombe lehlombe, futhi isikhwama sibekwa phezulu kwethambo lesandla. Lokhu kuyindlela ejwayelekile ye-anatomy yethu evamile, futhi ngaleyo ndlela igama elithi "ukuguqula ihlombe lokuguqula."
Kungani Udala I-'App Back '?
Ukuguqulwa kwamahlombe okuphambene nakho kuklanyelwe iziguli ezingenayo inkomishi ye-Rotator esebenzayo, ngakho-ke ayinayo "i-anatomy" yamahlombe ejwayelekile. Ngakho-ke, ukuguqulwa kwamahlombe okuphambene nakho kuyindlela enhle yokunakekela le nkinga eyinkimbinkimbi.
Ukuguqulwa kwamahlombe okuphambene nakho kuklanyelwe ukwenza imisipha ye-deltoid, imisipha enkulu yehlombe, iphumelele ngokwengeziwe. Ezigulini ezine-rotator i-breakthrough i-tearth arthropathy, i-rotator cuff ayisebenzi ngendlela evamile, kanti i-deltoid ingasiza ekwenzeni lokhu okuntulekayo. Ngokuguqula ibhola kanye nesokhethi, imisipha ye-deltoid ikwazi ukuphakamisa ingalo phezulu, futhi ibuyisele isikhwele se-Rotator ephukile.
Izingozi zokuguqula kabusha
Ukuguqulwa kwamahlombe okuguquguqukayo asetshenziswe iminyaka engaphezu kweyishumi eYurophu, kepha sekusetshenziselwa kuphela e-United States kusukela ngo-2004 lapho beba yi-FDA evunyelwe. Ngenkathi kunesidingo esithembisayo kakhulu ekusetshenzisweni kwalezi zimila, kusabhekwa njengento ehlelekile, futhi kuphinde kudingeke uphenyo olungaphezulu.
Abahlinzeki abahlinzayo ababhekene nabahlinzayo baye bathi inqubo yokuguqula i-reverse ye-shoulder "indlela eyingozi kakhulu, ephezulu" yokukhetha iziguli ezine-rotator cuff i-arthropathy yezinyembezi. Ucwaningo lwamuva luthole izinga lokuncintisana lama-25 kuya kwangu-50% elihlobene nalokhu kuhlinzeka.
Izinkinga zingabandakanya ukukhululeka kwezimpembelelo, ukungabi namandla noma ukuhlukaniswa kwebhola kusukela ekhoneni, nobuhlungu obuphikelela.
Ingabe Yona Indlela Efanele?
Iziguli ezinentshisekelo yokuguqulwa kwehlombe kufanele zibe ne-arthritis enamandla, futhi i-rotator cuff ikhale izinyembezi. Iziguli ezingenayo le nhlanganisela yezimo zingase zenze ezinye izinqubo zokuhlinza ukuxazulula inkinga yabo.
Ezinye izici ezithonya isinqumo sokwenza i-reverse shoulder substlacement zihlanganisa umsebenzi we-muscle deltoid (okumelwe ukuthi usebenze kahle), iminyaka yesiguli, kanye nezidingo zomsebenzi zesiguli.
Ngokuvamile, ukuguqulwa kwamahlombe okuphendulela kulungiselelwe iziguli ezinezimfuno zomsebenzi ezinqunyelwe.
Iziguli ezinentshisekelo yokwenza le nqubo kufanele zixoxisane nazo zonke izinketho zabo kanye nabahlinzeki babo bamazinyo. Ngokuqinisekile ukushintshwa kwehlombe okumele kulandelwe kufanele kwenziwe kuphela uma ukwelashwa okulula, okungezona okusebenzayo kuhlulekile ukunciphisa izimpawu. Iziguli kufanele zibe ngudokotela wazo mayelana nokuhlangenwe nakho kwakhe ngale nqubo, njengoba kusengumsebenzi omusha wokuhlinzwa.
Imithombo:
U-Ecklund KJ, et al. "I-Rotator Cuff Inyembezi Yokudla Kwegazi" J. Am. I-Acad. I-Ortho. Ngo-June 2007; 15: 340 - 349.