Ukulimala ku-Labrum Yehlombe kusuka ekukhunjweni kwe-Shoulder Dislocation
I-Bankart izinyembezi ukulimala okuqondile engxenyeni yokuhlanganiswa kwehlombe okuthiwa i -labrum . Ihlangothini lehlombe ibhola kanye nehlangothini ehlangene, efana ne-hip; Kodwa-ke, isixhumi sehlangothini lwehlombe singathí sina kakhulu, ngakho-ke singenakulinganiswa. Ukungaqiniseki kusho ukuthi ihlombe likwazi ukuphuma kalula kulokho okuyikho.
Ukuze uhlawulele isokhethi esingajulile, uhlangothini lwehlombe lunomkhuhlane we-cartilage obizwa ngokuthi i-labrum eyenza isisekelo esijulile sebhola phezulu kwethambo lesandla (humerus) ukuhamba ngaphakathi.
Le ngxube ye-cartilage yenza inhlanganisela yehlombe igxilile, kodwa ivumela ukuhamba okubanzi kakhulu (empeleni, uhla lwezintambo zehlombe lakho lidlulele noma yikuphi okunye okuhlangene emzimbeni). Uma umzimba wenza isikhwama somzimba ojulile, ukujoyina kuzinzile, kodwa kunzima kakhulu. I-anatomy eyingqayizivele yehlombe ivumela inani elikhulu lokunyakaza, kodwa kunengqondo enokulinganisela okuhle.
Izimpawu zezinyembezi ze-Bankart
Lapho i-labrum yehlangothini lwehlombe idiliziwe, ukuzinza kokuhlanganiswa kwehlombe kungahle kubekwe eceleni. Uhlobo oluthile lwezinyembezi ezibizwa ngokuthi i-labral izinyembezi kuthiwa yi-Bankart izinyembezi. I-Bankart izinyembezi zivela lapho umuntu eqinisa ukuxoshwa kwehlombe . Njengoba ihlombe liphuma ngaphandle, livame ukukhala i-labrum, ikakhulukazi kwiziguli ezincane . Izinyembezi kuyingxenye yebramu ebizwa ngokuthi i-ligament engaphansi kwe-glenohumeral. Lapho i-ligament ye-glenohumeral ephansi idiliziwe, lokhu kubizwa nge-Bankart izinyembezi.
Izimpawu ezijwayelekile ze-Bankart izinyembezi zihlanganisa:
- umqondo wokungazinzi noma ukunikeza ehlombe
- phinda ukuhlukanisa, ngokuvamile kuvele kalula ngaphezu kwesikhathi
- ukubamba izinzwa ekuhlanganyeleni kwehlombe
- ukuphunga kwehlombe nengalo engenhla
Ngokuvamile iziguli zizokhalaza ukuthi ngeke zithembele emahlombe abo, esaba ukuthi zingase ziphinde zibuyele.
Isikhundla esithile esibangela ukuzwa kwengalo efuna ukuyibeka ingalo ingakwesokunene ngesandla esho phezulu phezulu kwekhanda. Lokhu kuqhutshwa kokukhishwa kanye nokujikeleza kwangaphandle kuyindawo ekhushulwa kakhulu ekuhlanganyeleni kwehlombe.
Ukuxilongwa kweNyembezi ye-Bankart
Iziguli eziningi ezincane (ezingaphansi kweminyaka engama-30) ezisekela amahlombe ehlombe zizoxhasa iBangartart izinyembezi; Ngakho-ke, kukhona ukusola okuphezulu kwalokhu ukulimala noma nini lapho isiguli esincane sichitha amahlombe. Ekuhlolweni, iziguli ziyoba nomuzwa wokuthi ihlombe labo lizoshiya uma ingalo yabo ibekwe ngemuva kwekhanda labo.
I-X-rays ngezinye izikhathi evamile, kodwa ingabonisa ukulimala ethanjeni okuthiwa i- Hill-Sachs lesion . Lena i-divot yethambo elalimala lapho kuqhuma ihlombe. I-MRI ingatholakaliswa neziguli eziye zahlukanisa ihlombe. Izinyembezi zeBanartart azibonakali njalo kwi- MRI . Uma i-MRI yenziwa nge-injection yokuxazulula isixazululo, inyembezi yeBanartart ingase ibonakale kakhulu.
Ukwelashwa Kweqhwa le-Bankart
Kunezinketho ezimbili ezijwayelekile zokwelashwa kwe-Bankart izinyembezi. Enye inketho ukuvumela ingalo ukuba iphumule, nokuvuvukala ukuphazamisa nokusetshenziswa kwe-sling.
Lokhu kuvame ukulandelwa ukwelashwa ngokomzimba ukuze uphinde uthumele umkhawulo. Okungahle kwenzeke kulolu khetho ukuthi abantu abahlukanisa ihlombe kanye kuphela banamathuba okuba baphinde baphinde baphinde baphinde baphinde baphinde baphinde baphinde baphinde baphinde baphinde baphinde baxoshe.
Enye indlela yokwenza ukuhlinzwa ukulungisa i-labrum eboshiwe . Lapho ukuhlinzeka kwenziwa, i-ligament echotshoziwe ixhunyaniswe nakwesokunene sehlombe. Imiphumela yokuhlinza ivame kakhulu, kanti iziguli ezingaphezu kwezingu-90 zibuyela emisebenzini yazo ngaphandle kokususwa okunye. Ngokuvamile lokhu kuvulwa kwenziwa nge-arthroscopically; Kodwa-ke, kuneziguli ezithile okufanele zibe nokukhishwa kweBanartart ngokusebenzisa ukuhlunga okujwayelekile.
Inkinga nge-Bankart izinyembezi yukuthi abantu abanalolu hlobo lomonakalo ehlombe banamathuba amaningi okuphindaphinda ukuxoshwa kwehlombe. Ngenxa yokuthi i-labrum ewonakele ayiphilisi esimweni esiphelele, umhlanganiso wehlombe awuzinzile. Iziguli ezincane, nalabo abathintekayo ezemidlalo engozini (njenge-ice hockey), basengozini enkulu yokuphindaphinda. Ngenxa yalesi sizathu, eziningi zalezi ziguli zeluleka ukuthi zenziwe ukuhlinzeka kunokwelashwa okungenasidingo.
Izwi elivela
Izinyembezi ze-Barkart zilimala ezihlobene nabantu abaye bahlushwa ihlombe futhi balondoloza uhlobo oluthile lokulimala kwe-cartilage ngenxa yalokho. Uma i-Bankart izinyembezi zenzeka ngaphakathi kwehlombe, ibhola kanye nehlangothini elihlangene lezintambo lihlala lizinzile, futhi ukuphindaphinda ukuxoshwa kuyinkinga enkulu. Ukuvimbela ukuphindiswa okuphindaphindiwe, abantu abaningi bakhetha ukuhlinzwa ukuze balungise izinyembezi zeBanartart.
> Imithombo:
> Streubel PN, Krych AJ, Simone JP, Dahm DL, Jper Sperling, Steinmann SP, O'Driscoll SW, iSanchez-Sotelo J. "Ukungazinzi kwe-glenohumeral yangaphakathi: isulelo lokuhlinzeka ngezokwelapha esisekelwe esibhedlela" J Am Acad Orthop Surg. 2014 Meyi; 22 (5): 283-94.