Ukwelapha okungahlinzekiwe kuvame ukuphumelela ekubuyiseleni
Ukwelashwa kuyindlela yokwelapha evamile yesikhumba se-Rotator esiqhakazile, kodwa kungavamile ukuthi i-rotator cuff izinyembezi idinga ukuhlinzwa. Iqiniso liwukuthi, iningi labantu abangaphezu kwamaphesenti angu-99, izinyembezi ze-Rotator azizange ziphathwe ngokuhlinzwa. Eqinisweni, iningi labantu abanokuqhaqhazela izinyembezi abazange babe nenkinga ehlombe labo. Labo bantu abanamahlombe ehlombe okubangelwa umkhombe we-rotator ophukile bangase bathole usizo ngaphandle kokuhlinzwa okwelashwa.
I-Rotator Cuff Izinyembezi
I- rotator cuff yiqembu lama-muscle nama-tendon azungeze ukujoyina ibhola nekhanda . Imisipha emine yakha isikhumba se - Rotator. Izinkinga ze-Rotator ze-cuff zivela ekuvuvukala nase-tendonitis ukuya ezinyembezini ezithile, kuya ezinyembezini ezigcwele ze-tendon.
Iningi labantu abanezibonakaliso ezivela enkingeni ye-coat rotator zithuthukisa ubuhlungu nxazonke. Ezinye izimpawu ezivamile zifaka ubuthakathaka bemisipha nokuhamba okulinganiselwe kokujoyina. Izinkinga ze-Rotator ye-cuff zingatholakala ngokuhlola isiguli. Ngezinye izikhathi ukuhlolwa kufaka phakathi ama- x-rays , i-MRIs, ne-ultrasound, ingasetshenziswa ukucacisa ubuningi bomonakalo emgqonyeni we-rotator.
Izinyembezi Zivamile Ukuba Zivamile
Iqiniso liwukuthi iningi labantu ekugcineni lizokhipha i-rotator cuff. Njengoba abantu bekhula, izinyembezi ze- Rotator ziba zivame kakhulu, ngisho nabantu abangenayo izimpawu zobuhlungu behlombe. Njengoba nje izinwele ziphenduka imfucumfucu nesikhumba, njengoba abantu bekhulile, i-rotator igubha izinyembezi.
Nakuba kungenjalo zonke izinyembezi zomkhumbi we-Rotator zingabhekwa njengokujwayelekile, iningi liyingxenye evamile yokuguga.
Ucwaningo oluningi luye lwazama ukubona ukuthi bangaki abantu abanezinyembezi zokubhoboza izinsimbi. Imiphumela iyashintsha, kodwa ngamaqembu abantu abadala abangenazo izimpawu zobuhlungu behlombe, inani labantu abanezinyembezi eziqhutshwa yi-MRI noma i-ultrasound liphakathi kuka-5 no-40%.
Kungakhathaliseki ukuthi uyiphi inombolo oyikhethayo, yilapho abantu abaningi behamba bezungeza izinyembezi ze-rotator. Ngaphezu kwalokho, lezi zinamba azifaki ngisho nabantu abanezinyembezi ezincane zokubhukuda , okutholakala ukuthi akungabazeki ukuthi kuvame kakhulu. Inombolo ejwayelekile kakhulu ekhonjiwe yi-20% yabantu inebufakazi bokuqhafaza okugcwele kwe-Rotator.
Siyazi ukuthi izinyembezi ze-rotator izinyembezi zivame ukuvame kakhulu njengoba abantu bekhula (abangaba ngu-10% abaneminyaka engama-40 ubudala, kodwa abangaphezu kuka-50% abaneminyaka engu-80 ubudala). Izinyembezi ze-rotator izinyembezi nazo zivame kakhulu engxenyeni ephezulu nakubantu abaye balondoloza uhlobo oluthile lwengozi ehlombe.
I-rotator cuff izinyembezi eziwumphumela wokuguga, okubizwa ngokuthi izinyembezi ezidabukisayo zesikhumba se-rotator, kumele zihlukaniswe nezinyembezi eziwumphumela wokulimala okulimazayo ehlombe. Kukhona i-crossover, lapho ukukhubazeka okungapheli komkhuhlane we-Rotator kusuka ekugugeni ukuguga kuyaholela ekwenzeni ukukhwabanisa ekuqotheni ukuhlukunyezwa okuncane. Ngakho-ke, kungenzeka ukuthi umuntu ngamunye unezici zombili kokuhlukumezeka nokuhlukunyezwa okubangela inkinga yabo, futhi udokotela wakho wezinyosi angasiza ekunqumeni ukuthi kungani izinyembezi zakho zenzeka.
I-Rotator Cuff Izinyembezi Zokuphuza
Ukwelashwa kwesithuthuthu se-rotator echotshiwe kuyahlukahluka kuye ngokuthi hlobo luni lokulimala kanye nohlobo lwesiguli.
Njengoba i-rotator cuff ikhale izinyembezi ngokuvamile ikhona kubantu abangenazo izimpawu zokukhala, ukwelashwa akudingeki ukuthi kufake ukulungisa isithononi esonakele. Ngokuvamile, izilingo ezilula zihlolwa kuqala, futhi ukucubungula ukulungisa okuhlinzekwayo kwenziwa kuphela uma lezi zokwelapha ezilula zihluleka ukunikeza usizo.
Kukhona okunye okwehlukile, futhi abanye abantu abanezinyembezi ze-rotator izinyembezi bangase babe ngcono nokuhlinzwa okusheshayo. Lezi zivame ukubandakanya iziguli ezincane eziye zalimala kakhudlwana emahlombe abo. Kulaba bantu, izinyembezi zokuzilibazisa azivamile futhi hhayi ngokuyinhloko umphumela wokuguga.
Lapho Kuhlinzwa Kunesidingo
Kubalulekile ukuthi abantu baqonde ukuthi ukuhlinzwa kwe-cuffator kungaba yindlela efanele yokuhlunguphazwa kwamahlombe okubangelwa yi-rotator cuff izinyembezi. Kodwa-ke, kubalulekile futhi ukuqonda ukuthi izinyembezi zokuqhuma izinsimbi zivamile kakhulu. Kuvamile ukuthi, njengoba abantu bekhula, kulindeleke. Ngakho-ke, ukuba ne-rotator cuff izinyembezi akuyona isizathu futhi kuqobo ukuhlinzwa. Isinqumo mayelana nokuthi ukuhlinzeka kufanelekile siyinkimbinkimbi futhi sincike eziningana zezici odinga ukuxoxa nodokotela wakho.
Ngakolunye uhlangothi, iziguli kufanele ziqinisekiswe ukuthi ngenkathi ezinye izinyembezi zokuqhuma izinsimbi zibangelwa ubuhlungu, iningi labo ngeke lidinge ukuhlinzwa, futhi abantu abaningi bangathola usizo ngemithi engahambi kahle. Iziguli ezitshelwe ukuthi zidinga ukuhlinzwa ngokubheja kufanele ziqonde isizathu sokuhlinzwa. Ezikhathini eziningi, ukwelashwa okungeyona okuhlinzekwa kufanele kuqale ukuzama, okuhlukile kuba iziguli ezincane ezinezinyembezi zokubhoboza okubangelwa ukulimala okubuhlungu. Uma ungaqiniseki ngokubaluleka kokuhlinzwa kokubheja, umqondo wesibili ungasiza.
Imithombo:
I-Tempelhof S, et al. "Ukukhula okuhlobene nobudala be-rotator cuff kuyakhala ezinxenyeni ezingafani" J Shoulder Elbow Surg. 1999 Jul-Aug; 8 (4): 296-9.