Ucwaningo luye lwabonisa ukuthi uma unompheme we- Rotator uqhakazile , ukwelashwa ngelashwa ngokomzimba kungase kusebenze ngendlela ephumelelayo njengokuhlinzwa.
Uma unamahlombe ehlombe, ungase uzuze ezinsizakalweni zobuchwepheshe zophiko lomzimba ukuze sikusize uphinde uthole ububanzi bendabuko ye-motion (ROM) , amandla, nomsebenzi. I-PT yakho izoba nokuhlola kokuqala futhi yenza izivivinyo ezikhethekile ehlombe lakho ukucacisa imbangela yobuhlungu bakho futhi ikuqalise ekwelapheni okulungile.
Kunezimbangela eziningi ezehlukene zobuhlungu behlombe . Lokhu kungafaka:
- I-arthritis
- Izinyembezi ze-Labrum
- I-Tendonitis
- I-Bursitis
- I-rotator cuff idilize
Ukuvakashela kudokotela wakho kungase kulungiswe uma ubuhlungu bakho behlombe buqhubeka njalo ukuze uthole ukuhlonza okunembile kwesimo sakho.
Uma une-co-rotator izinyembezi ezidutshulwa udokotela wakho ezibangela ubuhlungu behlombe, angase akhombise ukwelashwa okuhlukahlukene. Ezinye iziguli ezine-rotator cuff imizamo yokuqeda izinyembezi - ukwelashwa ngokomzimba - kanti abanye benza inqubo yokuhlinzwa ebizwa ngokuthi i- rotator cuff ukukhanda ukuze baphathe isimo sabo.
Ngakho-ke uma une-rotator cuff izinyembezi, kungcono ukhethe ukuhlinzwa noma ukwelapha inkinga yakho ngomuthi wokwelapha?
Uyini Ucwaningo Lokubonisa?
Abacwaningi baseFinland bacwaninga abantu abangu-173 abaneminyaka engama-55 nangaphezulu ngokukhala kwezinyembezi ezingenabhubhane. Umhlanganyeli ngamunye owaziwayo wayehanjiswe ngezikhathi ezithile eqenjini lomuthi wokwelapha ehlombe noma ukuhlinzwa kanye ne-PT yesimo sabo.
Bathola ukuthi inani elibalulekile labantu abanezinyembezi ze-rotator ekhishwa baphathwa ngempumelelo ngezinyathelo zokuzivikela, kuhlanganise nokwelapha ngokomzimba. Kwakungekho umehluko phakathi kwamaqembu ezinyangeni ezingu-12 ngemuva kokungenela. Baphetha ngokuthi "ukwelashwa okulindelekile kufanele kuthathwe njengendlela eyinhloko yokwelashwa kwalesi simo."
Enye ye-caveat ebalulekile mayelana nokucwaninga ukuthi ihlanganisa iziguli ezinezinhlobo ezithile ze-rotator cuff ezikhazimulayo emisipha ye-supraspinatus, engenye yezingxube ezine ze-rotator cuff . Ingabe lokho kusho ukuthi uma unomfutho ehlathini oluhlukile ukuthi awufanele uzame ukwelashwa ngokomzimba? Cha. Kusho nje ukuthi imiphumela yalolu cwaningo ingase ingasebenzi esimweni sakho esithile. Udokotela wakho kufanele ahlole ihlombe lakho futhi anqume ukulahlekelwa okusebenzayo okungadinga ukungenelela okuhlinzekwa ukulungisa. Ukuzama i-PT ehlombe lakho ngokuvamile kuyisimo esihle ngaphambi kokucubungula ukuhlinzwa.
Ngakho lokhu kusho ukuthini kuwe? Ukuze uqale, uma unamahlombe ehlombe ngenxa yesikhukhula se-Rotator, kufanele ucabange ukuvakashela umuthi wakho wezokwelapha ukuze uphathe kahle. (Uma udokotela wakho engakutsheleli ukwelashwa ngokomzimba, ungakwazi ukuya khona ngokufinyelela okuqondile .)
Iyini i-Rotator Cuff?
I-rotator cuff yiqembu lemisipha emi-4 ephuma ehlombe lakho bese ugoqa ingalo yakho engaphezulu. Uma uphakamisa ingalo yakho, inkontileka yemisipha ukusiza ukuzinzisa ingalo yakho emathangeni akho ehlombe. Ungacabanga ngemisipha yakho ye-rotator njengama-stabilizers ashukumisayo asekela ihlombe lakho.
Kwenzekani Uma I-rotator Cuff Yakho Idliwe?
Uma uhlushwa i-rotator cuff, izinyembezi ezilodwa noma eziningi ezisekela ihlombe lakho zingase zingasebenzi kahle.
Lokhu kungabangela izimpawu ezifana:
- Ubuhlungu behlombe
- Ukulahlekelwa kweROM
- Ukunciphisa amandla nokuhamba eduze kwehlombe lakho
- Ukwehlisa ukuqina lapho uphakamisa ingalo yakho ngaphezulu.
Nakhu umqashi kodwa: akuwona wonke umuntu onomqhubi we-rotator osizibuhlungu ubuhlungu noma ukulahlekelwa kwesimiso namandla. Futhi akuwona wonke umuntu onamahlombe ehlombe onomkhuhlane we-rotator wezinyembezi. Ngakho ukuxilongwa kwe-rotator cuff izinyembezi kungumtholampilo ongasetshenziselwa ukubikezela isidingo sokuhlinzwa noma cha. Ngakho-ke, uma unamahlombe ehlombe ngenxa yesikhukhula se-Rotator, ukuhlola nge-PT yakho kungenzeka ukuthi uthole umbono wokuthi ihlombe lakho lihamba kanjani futhi lisebenza kanjani.
Ukwelashwa Kwemvelo Ye-Rotator Cuff Izinyembezi
Uma uvakashela umuthi wezokwelapha ukwelashwa kwe-rotator cuff izinyembezi, ungalindela ukuba uhlanganyele emisebenzini esebenzayo eyenzelwe ukusiza ukuthuthukisa indlela ihlombe lakho elihamba ngayo nemisebenzi. Ukuzivocavoca kungafaka:
- Izindlela zokuhamba ezihamba phambili
- Izitolimende zokuqinisa izithuthukisi zika Rotator
- Amahlombe wezintambo ezizinzile
Udokotela wakho angase akhethe ukusebenzisa izindlela ezihlukahlukene zokwelapha ukusiza ukunciphisa ubuhlungu bakho futhi uthuthukise indlela ikotishi yakho yokujikeleza isebenza ngayo. Lokhu kungafaka:
- Ukushisa noma iqhwa
- I-Ultrasound
- Ukuvuselela kagesi okubizwa nge-NMES
- TENS
- I-Kinesiology icubungula
Ukusebenza kanzima ekwelapheni komzimba kubalulekile; ihlombe lakho ngeke liqine ubusuku bonke. Uma usebenza ngokuqhubekayo ukugcina ihlombe lakho lihamba futhi ukugcina ikhanda lakho lokujikeleza liqinile, ungase unqobe inkomishi ye-rotator izinyembezi futhi ubuyele emsebenzini wakho ojwayelekile.
Kukkonen, J. etal. Ukwelashwa kwezinyembezi ezingapheliyo zokuqhuma izimpumputhe: Isivivinyo esilawulwa ngokungahleliwe nemiphumela yemitholampilo yonyaka owodwa. I-Bone Joint J. 96 (B1). Jan, 2014. (Abstract etholakalayo ku-intanethi.)