Ukulungiswa kwe-SLAP, inqubo yokuhlinzwa eyenziwa ukwelashwa kwe- SLAP izinyembezi , kubhekwa iziguli ezingathuthuki ukwelashwa okungahambi kahle. Ezigulini ezinezinyembezi ze-SLAP ezibangela ubuhlungu, ukwelashwa okuhlinzekwayo kungaba yindlela yokukhetha.
Izinketho ze-SLAP Tear Treatment
Izinyembezi ze-SLAP wuhlobo oluthile lwezinyembezi ezingenalutho ngaphakathi kwehlangothini lwehlombe. Izinyembezi ze-SLAP zenzeka lapho i-biceps tendon ihlangana khona ne-labrum phezulu kwesikhwama sehlombe.
Lapho ukuhlinzwa kubhekwa njengendlala ye-SLAP, kunezinketho eziningana zokubhekana nendlela.
- I-SLAP Debridement
Ukudonswa kwe-SLAP kususa kalula noma yisiphi isisindo esibi noma esilimazayo esibangela izimpawu zokubamba nobuhlungu ehlombe. Kwabanye abantu, umonakalo awukuncane, futhi ukususa izicubu eziqhekekile kungenele ukuxazulula imbangela yobuhlungu. - Ukulungiswa kwe-SLAP
Ukulungiswa kwe-SLAP kwenziwa ukuvuselela izinyembezi ngaphakathi kwebhubhisi. Ngokujwayelekile, ukulungiswa kwe-SLAP kwenziwa ngokusebenzisa ama-sutures ukufaka kabusha i-labrum eyonakalisiwe ethangeni lesokhethweni lehlombe. - I-Biceps Tenodesis noma i-Tenotomy
I-biceps tenodesis noma i-tenotomy ingacatshangwa lapho izinyembezi ze-SLAP zingeke zilungiswe, noma uma i-tendon biceps ingonakaliswa kakhulu.
Inqubo
Ukulungiswa kwe-SLAP yi- arthroscopic surgery ekusebenziseni i-sutures ukufaka kabusha i-labrum eboshiwe emuva emthanjeni wesokhethweni wehlombe. Ngesikhathi i-arthroscopy ehlombe, kunezinye izingozi ezingase zitholwe ukuthi zingaphathwa futhi, kuhlanganise nokuvuvukala kwesibhamu , izinyembezi ze- Rotator kanye nokulimala kwe-cartilage.
Ngakho-ke, ukulungiswa kwe-SLAP kungase kube yingxenye yocwaningo lokulungisa ubuhlungu behlombe. Izinyathelo zokulungiswa kwe-SLAP yizo:
- 1. Izinyembezi ze-SLAP zikhonjisiwe futhi izicubu ezingaphezulu / ezilimele zisusiwe.
- 2. Umgodi omncane uboshwe emthanjeni lapho i-labrum isuswe khona.
- 3. Ihange lifakwa kulo mgodi; okunamathiselwe ku-ancho isisindo esiqinile.
- 4. I-suture isetshenziselwa ukubopha i-labrum snuggly ngokumelene nethambo.
- 5. Izinsimbi ezengeziwe zibekwa njengoba kudingeka ukuze zivikeleke ku-labrum eboshiwe.
Ukulungiswa kwe-SLAP vs. Biceps Tenodesis
Izinzuzo zokulungiswa kwe-SLAP:
- Ukulungiswa kwe-SLAP kuvuselela i-anatomy evamile yehlombe ngokuphindaphinda kabusha i-labrum endaweni yayo evamile.
- Uma usuphulukisiwe, ukulungiswa kwe-SLAP kuvumela umsebenzi ojwayelekile we-labrum eyonakalisiwe ngaphambili nokunamathiselwe kwe-biceps.
Izinzuzo ze- biceps tenodesis :
- Ukuvuselelwa kaningi akuyona into eqondile njengoba kunjalo nokulungiswa kwe-SLAP.
- Imiphumela yokuhlinza ivame ukubikezelwa, njengoba ukuphulukiswa kokulungiswa kwe-SLAP kungase kungabi nakwethenjelwa.
Rehab Ngemuva kokuhlinzwa
Ukuvuselelwa emva kokulungiswa kwe-SLAP kuyahlukahluka kuye ngokuthi izici ezifana namandla okulungisa nokuthandwa komhlinzeki ohlinzayo. Ngokuvamile, isikhathi sokunyakaza okuvinjelwe sigcinwa cishe amasonto ayisithupha ngemuva kokulungiswa kwe-SLAP. Phakathi nalesi sigaba sokuqala sokuvuselelwa, ezinye izinyathelo ezihamba phambili zivunyelwe ukuvimbela ukuqina kobuhlombe. Esigabeni sokuqala, ibhulabhu eliqhekekile liphulukisa ithambo endaweni yalo efanele.
Uma usuphulukisiwe, iziguli zingena esigabeni sesibili sokuvuselelwa futhi zingaqala ukunyakaza okwengeziwe cishe emavikini ayisithupha. Ukwelashwa ngokwemvelo kuyaqhubeka ukusiza ukugcina ukunyakaza futhi uphinde uthole amandla ehlombe.
Isigaba sesithathu sokuvuselelwa sihilela ukuqinisa okunamandla kwemisipha ejikeleze ukuhlanganiswa kwehlombe. Isigaba sokugcina senzelwe ukubuyiselwa kwemisebenzi egcwele yezemidlalo, futhi ukuvuselelwa okuphelele kulindelwe ezinyangeni ezingu-4-6.
Imithombo:
Kim TK, et al. "Izici zomtholampilo ezinhlobonhlobo zezilonda ze-SLAP" Journal of Bone Joint Surgery Am. 2003 Jan; 85-A (1): 66-71.
Choi NH, Kim SJ. "Ukuxoshwa kwebrus eliphakeme" I-Arthroscopy. 2004 Oct; 20 (8): 872-4.