Ukwelashwa kwebhola le- Rotator ukukhala ngokuvamile kuvame ngomzamo omuhle ekwelapheni okulondolozayo. Ukuphumelela kwezinketho zokwelapha okungezona okuhlinzekwa kuxhomeke kuhlobo lwe-rotator cuff tear (acute versus longstanding), ubukhulu bezinyembezi, nemisebenzi yesiguli. Ezigulini ezingaphezu kuka-50% ezine-rotator cuff izinyembezi, izinsizakalo ezingekho zokuhlinzwa zizophumelela ekuqedeni izimpawu zabo.
Kwamanye abantu, kepha ubuhlungu nokusebenza kuzoqhubeka nokulinganiselwe, futhi inqubo yokuhlinzekwa inganconywa. Lezi ezinye zezinketho zokuhlinzwa zokwelapha i-rotator cuff izinyembezi.
Ukulungiswa Kwamafutha Okuvula Okuvula Okuvulekile
Ngaphambi kokuthuthukiswa kokuhlinzwa kwe- arthroscopic , zonke izinyembezi ze-rotator izinyembezi zazilungiswa ngokubheke ngqo ku-tendon ehlanjululwe ngokusebenzisa ukucubungula ngamasentimitha angu-6 kuya kwangu-10 ubude. Inzuzo yokulungiswa kwe-rotator ye-cuff yi-rotator cuff tendons ibonakala kalula ngale ndlela. Kuyinto eqondile ukulungisa ama-tendon kuze kube emthanjeni, futhi odokotela abaningi abahlinzayo bakuthola lokhu ukulungiswa okuphephile nakakhulu. Ukukhathazeka ukuthi ukushaywa komzimba kukhulu, futhi ukutakula kungase kube buhlungu futhi bubuhlungu kakhulu. Ngokuvamile isisindo se-deltoid, isisindo esikhulu ngaphezu kwehlombe sonakalisiwe noma sishiywa kancane. Lo monakalo emisipha ye-deltoid ingabangela ubuhlungu futhi ikhulise ukutakula.
I-Mini-Open Rotator Cuff Repair
Indlela evulekile yokulungisa i-rotator cuff ihilela ingxenye ye-arthroscopic yokuhlinzwa, kanye nokufakwa okufushane ukuze uthole ukufinyelela okuqondile kumathononi we-rotator we-cuff. Ngokusebenzisa i-arthroscope, udokotela ohlinzayo angabheka futhi ekuhlanganyeleni kwehlombe ukuhlanza noma yiziphi izicubu ezonakalisiwe noma amathambo we-bone.
Ukulungiselela ukukhanda kwe-cuffator kungenziwa nge-arthroscopically. Uma isigaba se-arthroscopic sesiqedile, kwenziwa ukucubungula okufushane ukulungisa isithoni emuva kwethambo. Ukushiswa okusetshenziselwa ukukhishwa kwe-mini-open rotator yokukhanda kungaba ngu-3 cm, futhi ukubuyiswa kungase kube buhlungu kakhulu kunokwakhiwa kwe-cuff evulekile. Njenge-rotator cuff ukukhanda, kukhona okunye ukuhlukumezeka kuya muscle deltoid, kodwa akukho namasosha, futhi umonakalo kubaluleke kakhulu.
Ukulungiswa Kokukhishwa Kwama-Rotator Konke-Arthroscopic
Ukukhishwa kwe-cuffler e-arthroscopic kwenziwa ngezinkomba ezincane, futhi ukulungiswa kwenziwa nodokotela ohlinzayo ebheka ikhamera encane ukubona amathoni aphethwe yi-Rotator kanye nokukhanda kwabo kumsakazo wethelevishini. Lokhu kukuthuthukiswa kwamuva kokwelashwa kwezinyembezi ze-Rotator, futhi akuzona zonke izinhlobo zezinyembezi ezingelashwa ngale ndlela. Ngaphezu kwalokho, ukulungiswa kwamakhekhe e-rotat arthroscopic kungaba nzima kakhulu futhi kudinga ulwazi kulolu hlelo lokulungisa. Akuwona wonke odokotela abahlinzayo abaqinisekisile ukuthi ukulungiswa okwenziwe i-arthroscopically kunamandla njengokulungiswa okwenziwe ngokucubungula okuvulekile. Umswakama we-deltoid ushiywe umonakalo omncane emva kokulungisa konke ukulungiswa kwamakhekhe we-arthroscopic.
Ukuhlinzwa Kwamahlombe Okuthintekayo
Ezingxenyeni ezinkulu ze-Rotator eziye zazinakwa iminyaka eminingana, i-cartilage yenhlanganisela yamahlombe ingase igcine iphelile.
Lezi zinyembezi ezinkulu ze-Rotator zivame ukubizwa ngokuthi i-rotator cuff yezinyembezi futhi zibandakanya okungenani 2 kwezingu-4 ze-rotator cuff tendons. Lena inkinga ebizwa ngokuthi i- rotator cuff i-arthropathy yezinyembezi futhi iyinkinga emibili ye- arthritis ye- shoulder kanye ne-rotator cuff yezinyembezi. Ngenxa yokuthi isitsha se-rotator asisanyakali, ukushintshwa kwefayili evamile akuvami ngokwanele. Izimila ezikhethekile zisiza ukufakazela ukuthi ikhanda lokujikeleza alisebenzi ngendlela evamile. Enye yalezi zimila ezikhethekile zibizwa ngokuthi i- backverse shoulder shoulder substitution .
I-Rotator Cuff Repair Rehab
Ukuvuselelwa emva kokuhlinzwa kokubheja kubalulekile njengokwakhiwa kokuhlinzwa.
Ngaphandle kokubuyiselwa okufanele, ithuba lokuthola ngokugcwele lincane. I-Rehab ngemuva kokuhlinzwa kokubheja kwe-rotator kuyisenzo sokulinganisela. Ngakolunye uhlangothi, umgomo ukuphinda uthole amandla ehlombe. Ngakolunye uhlangothi, izintambo kufanele zivikelwe ukuze zivumele ukuphulukiswa okwanele kwezinyembezi.
Uchwepheshe wezobuchwepheshe angakusiza wenze imisebenzi efanele, kanti udokotela wakho uzokutshela ukuthi uzoqhubeka nini nesinyathelo ngasinye sokuvuselelwa kwakho. Ukuqhubeka ngokuqondile kokuvuselela ukuhlinzwa emva kokuhlinzwa kungaxhomeke eziningana zezici, futhi kungahluka kakhulu nesineke kuya kwesineke. Ngenkathi ungase uzwe kusuka kubangani mayelana nokuqhubekela phambili kwawo kabusha, umuntu ngamunye angaba namazinga ahlukene kakhulu obuhlungu nokuqhubekayo emsebenzini. Udokotela wakho ohlinzayo kufanele akwazi ukunikeza izilinganiso zokuqhubeka kwakho.
Umthombo:
I-Burkhart SS ne-Lo IK "Ukulungiswa Kwamafutha E-Rotator Arthroscopic." J. Am. I-Acad. I-Ortho. Ngo-Okthoba 2006; 14: 333 - 346.