Okukhethwa kukho Ukwelashwa Kwezinyembezi Eziphakeme Ze-Labral ze-Ehlombe
Iningi leziguli ezinezinyembezi ze- SLAP zizobhekana nemithi yokwelashwa (okungukuthi okungezona ukuhlinzwa). Noma yisiphi isiguli esinenyembezi ye-SLAP sizokwaziswa ukuphumula ngemuva kokulimala ukuvumela izicubu ezimele zipholile phansi. Isikhathi sokuphumula sizovumela ukuvuvukala ukuphazamiseka futhi kungasiza ekunciphiseni izimpawu.
Ezinye izindlela zokwelapha ezivame ukusetshenziselwa uma kunesilwane se-SLAP zihlanganisa:
Ezigulini eziye zaqhubeka nezimpawu naphezu kwalezi zonyango , ukuhlinzeka nge-arthroscopic ehlombe kunganconywa. Kunezinqubo ezimbalwa zokuhlinzwa ezingenziwa, futhi kubalulekile ukuqonda ukuthi izinyembezi ze-SLAP zivame ukwenzeka ngokubambisana nezinye izinkinga zehlombe njengezinye izinyembezi ze-Rotator , ngisho ne- arthritis ye-shoulder . Kulezi zimo, ukwelashwa okudingekayo kuzocatshangelwa lezi zici.
Ukuhlinzwa kwe-SLAP Izinyembezi
Izinketho eziyinhloko zokuhlinza izinyembezi ze-SLAP yizi:
- Ukuphazamiseka kwenyembezi ye-SLAP
Uma izinyembezi ze-SLAP zixubile, ingxenye ehlanjululwe yesikhumba sembramu ihlutshiwe ukuze ihambe emaphethelweni abushelelezi. Lolu khetho lufanelekile kuphela izinyembezi ezincane ezingabandakanyi i-tendon biceps. Ukubuyiselwa okulandela ukuxilongwa okukude kuyashesha kunokuba lapho kudingwa ukukhanda okuhlinzekwayo. - Ukulungiswa kwe-SLAP
Ukulungiswa kwe-SLAP yinkambiso ye-arthroscopic esebenzisa i-sutures ukuze ibuyele i-labrum eboshiwe phansi kuze kube ekhoneni lehlombe. Ukulungiswa kwe-SLAP kungcono kakhulu kuneziguli ezinamahlombe enempilo efuna ukuhlala esebenza kahle. Phakathi nenqubo yokuhlinza, udokotela wakho ohlinzayo uzosebenzisa ukufakelwa okuhlinzekwa ukugcoba izicubu zomzimba we-labral ezilimele ethangeni lesokhethweni lehlombe. Idivayisi evame ukusetshenziswa kakhulu ibizwa ngokuthi i-suture anchor. Ihange lihlezi emthanjeni, futhi i-sutures ihlanganiswe i-labrum futhi iboshwe ngokuzenzekelayo ethambo.
- Biceps Tenodesis
I-biceps tenodesis yinkqubo ehlukanisa i-biceps tendon esuka lapho ibambelela khona ku-labrum, iphinde uyibuyisele kwenye indawo. Umqondo we-biceps tenodesis wukuthi ngokunciphisa amandla okudonsa esifundeni se-SLAP, izimpawu zizokwehliswa. I-biceps tenodesis ivame ukwenziwa ngeziguli ezingaphezu kweminyaka engu-40 noma iziguli ezine- tendonitis noma i-biceps ehambisanayo. I-biceps tenodesis ingahle yenziwe nge-arthroscopically, noma nge-incision encane ngaphezulu kwehlombe. Ukunquma indlela yokwenza kahle i-biceps tenodesis kuncike ngokuyinhloko kwezinye izimo eziphathekayo ngaphakathi kokuhlanganiswa kwehlombe.
Imiphumela Yokuhlinzwa
Imiphumela yezinqubo zokuhlinza ezahlukene ziye zabikwa eziningana zezifundo zesayensi. Inqubo yokuhlinzwa yokuvame kakhulu yokufunda iyona ukulungiswa kwe-SLAP. Ezigulini ezine-arthroscopic SLAP ukukhanda usebenzisa ama-suture anchors zanamuhla, kuneziguli ezingaphezu kuka-90% ezitholakalayo zibe nemiphumela emihle, futhi iziguli ezingaphezu kwama-85% ziyakwazi ukubuyela emisebenzini yezemidlalo yokuncintisana.
Izingozi zokwelapha okuhlinzekwa zihlanganisa izingozi ezivamile zokuhlinzeka nge-arthroscopic ehlombe . Lezi zingabandakanya ukutheleleka, ukuqina, nokubuthakathaka kwehlombe. Ngaphezu kwalokho, ngaphezu kokukhala izinyembezi ze-SLAP, ezinye iziguli zitholakale zibe nomunye umonakalo ngaphakathi kokuhlanganiswa kwehlombe okungase kudingeke ukwelashwa. Lezi ezinye izinkinga zingathinta ukutakula kwehlombe kusuka ekuhlinzekeni.
Imithombo:
I-Keener JD, i-Brophy RH. "Izinyembezi eziphakeme zamahlombe ezinhlanzi: i-pathogenesis, ukuhlolwa nokuphathwa" J Am Acad Orthop Surg. 2009 Okthoba; 17 (10): 627-37.