Imbangela yezinhlungu zehlombe emdlalweni wokugijima
Ukufakwa kwangaphakathi uhlobo oluthile lokulimala kwehlombe okubonakala ngokuyinhloko ekuphonsa abagijimi. Ukungena kwangaphakathi kuqukethe ukulimala kulezi zakhiwo ezilandelayo:
- I-labrum yangemva kwe-posterior
I-labrum esifundeni esilandelayo-esiphezulu sehlombe sivame ukuphazamiseka noma siphule kancane. Ezimweni ezimbi kakhulu, izinyembezi zingase zifinyelele phezulu ekubhekaneni nesinamathisela ye-biceps tendon , okuthiwa i- SLAP izinyembezi .
- I- rotator cuff
I-cuff rotator ihlukaniswe ingxenye engaphansi kwayo. Uhlobo lwezinyembezi lubizwa ngokuthi i- rotary cuff yezinyembezi-izinyembezi eziphelele-izinyembezi eziphelele zebhokisi le-rotator.
Inkinga ibangelwa ukuphinwa kwe-tuberosity (phezulu kwe-humerus) ngokumelene ne-labrum. Iziguli ezine-impingement yangaphakathi azifani nokushintshaniswa kwangaphakathi-ikhono lokuguqula ngokugcwele ihlombe ngaphakathi.
Izimpawu zokungena ngaphakathi
Izimpawu ezivame kakhulu kule nkinga zihlanganisa:
- Ubuhlungu lapho ukuphonsa noma imidlalo ephezulu (njenge-tennis isebenza)
- Ububele obuvamile ephambi kwehlombe (inqubo ye-pectoralis minor tendon / coracoid)
- Ubumnene obuzungeze i-scapula kanye ne-capsule ye-shoulder post
Ngokuvamile lapho lezi ziguli zihlolwa ukuhamba kwawo kwehlombe kungavamile. Ngokuvamile laba badlali banokushintshanisa okungaphandle okulindelekile (okuyinto evame ukuphonsa abagijimi) nokushintshaniswa kwangaphakathi kwehle.
Iziguli zingase ziqaphele lokhu kube nzima ukufika emuva ngemuva kokuphezulu ohlangothini lwabo oluthintekile njengohlangothi lwabo olungathintekile. Ngokuvamile lezi ziguli zinokutholwa okucashile kokungazinzi kokuhlanganyela kwehlombe. Ukungaqiniseki kwehlombe kucatshangwa ukuthi kuyisici esiyinhloko sokuthi kungani ukufakwa kwangaphakathi kuqhubeka.
Izivivinyo zingabandakanya ukuhlolwa kwe-x-ray ngokuvamile evamile. Ngokuvamile i-MRI ibonisa ukuthi i-bone ihlwitha (i-edema) ibhola lomhlanganiso webhola-ne-ekhoneni, ihlombe elincane le-rotator cuff, kanye nomonakalo ku-labrum (nakuba kungavamile ukuthi i-detachment ye-labrum).
Izinketho zokwelapha
Iningi leziguli ziqala ngezinqubo ezingenasidingo ukuze zixazulule izinkinga kuma-mechanics ehlombe. Ngakho-ke, ukugxila ekwelapheni ukubuyisela ukujikeleza kwesiguli futhi ukuthuthukisa ukuhamba kwe-scapula phakathi nokunyakaza kwehlombe. I-scapula ibalulekile kuma mechanical evamile ehlombe ngoba i-scapula iqukethe isixhumi sehlangothini lwehlombe. Uma isikhwama singashukunyanga ngendlela ehlanganisiwe nayo yonke ihlombe, lezi zimpawu zokufaka ngaphakathi zingabangela.
Izindaba ezinhle ukuthi iningi leziguli, ngisho nabagijimi bezinga eliphezulu, lingathola ukuphumula kwezibonakaliso ngale mizamo yokwelapha. Isihluthulelo sisebenza eduze nomuthi owaziyo noma umqeqeshi, oqonda umgomo wokuthuthukisa imishini yehlombe. Uma ukugxila kuwukuthi "ukuqinisa" ihlombe, ngaphandle kokugcizelela emishini yokuhlunga efanele, khona-ke imiphumela ingase ingabi kahle.
Ezigulini ezihluleka ukuthuthukisa naphezu komzamo wokugulisa, kunendima yokuhlinzwa kwe-arthroscopic ehlombe. Ngokujwayelekile, kwenziwa ukuhlinzekwa ukubhekana nanoma yimuphi umonakalo emgqonyeni we-rotator noma i-labrum, futhi futhi nokubhekana nokungazinzi kokuhlanganiswa kwehlombe okungase kube negalelo kule nkinga. Ngenhlanhla, iziguli eziningi zingakwazi ukuxazulula le nkinga ngezokwelapha, kodwa kulabo abangaphumelelanga ekwelapheni, ukuhlinzwa kungase kube okunye okuhle.
Imithombo:
I-Drakos MC, et al. Ukubanjwa Kwangaphakathi Kwamahlombe Emphakathini Wezemidlalo "I-J Bone Joint Surg Ngo-2009 Nov 01; 91 (11): 2719 -2728.