Ubuhlungu beentlungu ezivela kwiTendonitis, Bursitis, kunye ne-Impingement Syndrome
Abantu abaninzi bafuna uncedo kwi-orthopedist kwiintlungu zentlungu , kwaye ukuxilongwa okuqhelekileyo kunikwe 'i-shoulder bursitis' okanye 'i-rotator cuff tendonitis.' La magama ahlala esetyenziswa ngokungafaniyo, kodwa angabangela ukudideka kubantu abazibuza ukuba zeziphi iimeko ezinokuba nazo okanye ukuba ziyinto efanayo.
I-Tendonitis okanye i-Bursitis iyahlanganiswa kwi-Impingement Syndrome
I-bursitis ye-shoulder and rotator ye-tendonitis ziindlela ezahlukeneyo zokuthi kukho ukutshaya kwendawo ethile ngaphakathi kwimixobo yegxalabangela ebangela impawu ezifanayo.
Isigama esilungileyo kulezi zimpawu ukuphazamiseka kwe-syndrome. I-impingement syndrome iyenzeka xa kukho ukuvuvukala kweetoni ze-rotator kunye ne-bursa ejikeleze le tethe. Kukho umahluko phakathi kwe-tendonitis kunye ne-bursitis , kodwa kukho ukudibanisa kwezi ngxaki kwiimeko ezininzi zokungena kwe-syndrome.
Kuphi Ingxaki?
Umxube unxulumene oludibeneyo apho amathambo amaninzi, izihlunu kunye neendandumane zidibanisa umgca ophezulu ukuya esifubeni. I-impingement syndrome ivela xa kukho ukuvuvukala phakathi kwephezulu ye-humerus ( isifuba lesangalo ) kunye ne-acromion (intonga yecala lehlombe). Phakathi kwala mathambo yintlambo yesikhombi sokujikeleza , kunye ne-bursa ekhusela le tethe. Ngokuqhelekileyo, ezi ntsimbi ziyi- slide ngokukhawuleza ngaphakathi kwesi sikhala-esibizwa ngokuba yindawo engabonakaliyo.
Iimbangela ze-Shoulder Bursitis kunye ne-Impingement Syndrome
I-Impingement syndrome yinto echazayo yokuxubusha kweetoni kunye ne-bursa yomkhumbi ojikelezayo phakathi kwamathambo.
Kwabantu abaninzi abanengxaki, ukuma kwamathambo abo kukuba banendawo encinane kunezinye. Ngako oko, ukukhupha okuncinci kweetonyoni okanye i-bursa kungabangela iimpawu. Ekugqibeleni, esi sikhala sibe sincinci kakhulu ukuba singene kwiitonyoni kunye ne-bursa, kwaye ngasinye sihlandlo sihamba phakathi kwamathambo axhonyiwe.
Ngokuqhelekileyo kukho ukulimala kokuqala okucwangcisa inkqubo yokuvuvukala . Emva koko, ingxaki ingaba nzima. Ukuvuvukala kubangela ukunyuka kwama-tendon kunye ne-bursa. Ukuxinwa kwangoko kuthatha indawo engaphezulu, kwaye ngoko ke i-tendon kunye ne-bursa zityinwe ngakumbi. Oku kubangela ukuvutha okukhulu, kunye nokunyuka kwamathambo kunye ne-bursa, njalo njalo.
Iimpawu zeBlue Bursitis
Izimpawu eziqhelekileyo zebursitis zefayibha zibandakanya:
- Ubuhlungu kunye nemisebenzi engaphezulu (ingalo engaphezulu kwentloko yokuphakama)
- Ubuhlungu xa ulala ebusuku
- Ubuhlungu ngaphaya kwegxala / ingalo engaphezulu
Ukwenza ukuxilongwa kwe-impingement syndrome kunokwenziwa ngokuhlolwa ngokusemgangathweni. Kubalulekile ukuba uhlolwe ngugqirha eyaziwayo ngezizathu ezahlukeneyo zentlungu, kuba ezinye iingxaki zinokuba nezimpawu ezifanayo. Ukwenza uvavanyo oluchanekileyo luyimfuneko ukuze unyango olufanelekileyo. I-ray-ray idlalwa rhoqo ukuvavanya i-bony anatomy ehlombe. I-MRI ingacingwa ukuba iqinisekise ukuba akukho mqondiso wenkomo yokujikeleza.
I-impingement syndrome kunye ne- rotator cuff izinyembezi ziinkalo ezahlukeneyo, kwaye nangona zixhamle, unyango luhluke. Iindwangu ze Rotator ziyakuthi zifune ukungenelela ngonyango, nangona inyaniso kukuba uninzi lwezindebe zokujikeleza nazo zinokulawulwa ngononophelo olungapheliyo.
Unyango lwe-shoulder shoulder bursitis
Uninzi lwezigulane ezine-shoulder bursitis ziyakwazi ukufumana uncedo ngezinye iindlela ezilula, ezingekho ngonyango. Kuphela kwimiba engavumelekanga ukuba utyando luyimfuneko kunyango lwebursitis. Iinkatho ezithile zonyango ziyahlukahluka ngokuxhomekeka kwizikhetho zezigulane, izilindele zabo, kunye nempendulo yabo kunyango.
Abantu abaninzi bafumana uxolo ngokuphumla kwimisebenzi ethile, unyango lomzimba , kunye neyeza ezichasayo . Enye yeendlela eziqhelekileyo zokusetyenziswa kwe- cortisone injini yonyango lwe-impingement syndrome. Ukuba ufuna ukuphishekela nayiphi na le yonyango yakho ye-impingement syndrome, kuyafaneleka ukuthetha nodokotela wakho.
Ukuba unyango luye lwavalelwa ubuncinane ubuncinane kwiinyanga ezintathu ukuya ezintandathu ngaphandle kokuphucula impawu, inqubo yokuhlinzwa ebizwa ngokuba yi-compression debacromial ingabonwa.
Ukuguqulwa kweNtsholongwane yokuXhatshazwa
Ukugqithisa ngokungahambi kakuhle kukuhlinzwa okwenziwe nge- arthroscopic esebenzisa izixhobo ezifakwe kwizinto ezincinci. Ngokuxhomekeka kwindawo yokuvuvukala kunye nomlinganiselo womsebenzi omele ukwenziwa, ngokuqhelekileyo kwenziwe ukuboniswa kwezinto ezimbini okanye ezine (1 cm). Ibhulophu encinci ebizwa ngokuba yi-cannula ifakwe kwisicatshulwa ngasinye ukuvumela ukuhamba kwezinto ezilula kunye nokuphuma kwiphepha ngaphandle kokulimaza izicubu ezijikelezayo. Enye yezixhobo ezifakwe kwifayili yikhamera yevidiyo malunga nobukhulu bepensela. Esinye isixhobo esibizwa ngokuba yi-shaver sifakwe kwenye indawo. I-shaver isetyenziselwa ukususa i-bursa evuthayo. Xa i-bursa isuswe, i-cuff rotator ihlolwe ukuba ikhangele nayiphi na impawu yeentlungu.
Ithefu ngaphezu kwenkompo yokujikeleza (iphuzu lehlombe) libizwa ngokuba yi-acromion. Abantu abaninzi abane-bursitis ehlombe banesifo seethambo ezifomini kwi-acromion. Ngokuxhomekeka kwithambo le-acromion, i-burr ingasetyenziselwa ukususa i-spur ukuze yenze indawo engaphezulu yeetoni ze-cupator. Inzuzo yokususa i-bone spur iyisifundo seengxoxo phakathi kwabagqirha bamazinyo. Abanye oogqirha bakholelwa ukuba i-spur yimbangela enkulu yokuvuvukala ngokuthatha indawo ngokujikeleza i-tapator cuff tendons, ngelixa abanye bephikisa ukuba ukususa i-bone spur akuzange kuboniswe ukuba kuphuculwe iziphumo zezigulane ezinokuhlinzwa.
Rehab-Post-Surgical Rehab
Izigulane zifakwe kwisigxina sehlombe emva kokunciphisa ukungathandabuzeki, kodwa baqala ukuhamba ngesantya. Ngokungafani nokuhlinzwa ngumbhobho wokujikeleza , akukho mfuneko yesikhalazo esivumelekileyo sokuvumela ukunyanga kwetonyon. Kwiimeko zoxinzelelo oluzimeleyo, izigulana ziqala ukunyakaza ngokukhawuleza emva kokuhlinzwa. Ukuqiniswa kungaqala kwiiveki ezimbalwa, kwaye imidlalo ingaqhubeka kwakhona emva kokuvuvukala.
Ngenxa yokuba ukuxilwa komzimba ngokuqhelekileyo kuyinxalenye yenkqubo enye yokuhlinzwa (njengokwenza i-rotator cuff repair) okanye i-labral yokulungisa ukuhlinzwa), i-rehab ingahluke kakhulu phantsi kwezi meko. Ngoko ke, nasiphi na isigulane kufuneka sixoxe ngokuqhubela phambili kwabo kwi-rehab kunye noogqirha wabo.
Iingxaki ze-Arulderroscopy
Iingxaki emva kokugqithisa okungaqhelekiyo kungavamile kodwa kungenzeka. Iingxaki eziqhelekileyo ziintlungu kunye nokuqina okuqhelekileyo kusombulula ngonyango kunye nesikhathi. Nangona kunjalo, kukho iingxaki ezinzulu ezibandakanya ukusuleleka, ukulimala kwentsholongwane, kunye nomonakalo we-cartilage, zonke ezo zinto zingabangela iingxaki zexesha elide. Kubalulekile ukuthatha amanyathelo okukhusela ezi ngxaki ukuze kuqinisekiswe umphumo ophezulu wokuhlinzwa.
> Umthombo
- > Aaron DL, et al. Iintlobo ezine eziqhelekileyo zeBursitis: Ukuxilongwa kunye noLawulo "J Am Acad Orthop Surg ngoJuni 2011; 19: 359-367.