Unyango lwe- cup rotator i-tear often begins with effort in therapy. Impumelelo yeendlela ezinganyangekiyo zonyango zixhomekeke kuhlobo lwe-coatator coff tear (i-acute versus longstanding), ubungakanani beengxolo, kunye nemisebenzi yesigulane. Kwimizuzu engaphezulu kwama-50% yezigulane zengqungquthela, izinyango ezingekho ngonyango ziya kusebenza ekuphuculeni iimpawu zabo.
Kwabanye abantu, nangona kunjalo, intlungu kunye nomsebenzi ziya kuqhubeka zingagqibekanga, kwaye inkqubo yokuphanda inganconywa. Le ngenye yeendlela zokugonywa zonyango lwebhola lokujikeleza.
Ukulungiswa kweCuff Repair Open
Ngaphambi kokuphuculwa kwee- arthroscopic , zonke iinyembezi ze-rotator zalungiswa ngokujonga ngqo kwi-tendon eqhekekileyo ngokucutha malunga no-6 ukuya kwe-10 ububanzi bentimitha. Ubuncedo bokulungiswa kweekotori ezivulekileyo i-rotator cuff tendons zibonwa lula ngolu hlobo. Kuchanekile ukulungisa i-tendon phantsi kwithambo, kwaye abaninzi oogqirha bafumana ukulungiswa okukhuselekileyo. Ukuphazamiseka kukuba ukukhwabanisa kukukhulu, kwaye ukubuyiswa kunokude kube buhlungu ngakumbi. Ngokuqhelekileyo imisipha ye-deltoid, i-muscle enkulu ngaphaya kwegxalaba yonakaliswe okanye idibene nxalenye. Lo monakalo kwi-deltoid muscle inokubangela intlungu kunye nokwandisa ukubuyiswa.
I-Mini-Open Rotator Cuff Repair
Indlela evulekileyo yokulungisa isitya sokujikeleza ibandakanya inxalenye ye-arthroscopic yokuhlinzwa, kunye ne-incision esifutshane ukuze kufumaneke ukufikelela ngqo kwi-tape ye-rotator ye-rotator. Ngokusebenzisa i-arthroscope, ugqirha ungaphinda ubhekane kunye nomxhelo wokuhlanjululwa kwaso nasiphi na isisitja esonakalisiweyo okanye i-spurs bone.
Ukulungiselela ukulungiswa kwekhafu yokujikeleza kungenziwa i-arthroscopically. Xa isahlulo se-arthroscopic siphelile, ukucutha okufutshane kufakwe ukulungisa isithonti kwisithambo. Isixhobo esisetyenziselwa ukulungiswa kweekomityi evulekileyo encinci i-3 cm, kwaye ukubuyisela kungenakubuhlungu kunokuba kulungiswe ukukhutshwa komkhumbi. Njenga-rotator yokulungisa ukukhanda, kukho ukukhathazeka kwi-deltoid muscle, kodwa akukho nkunkuma, kwaye umonakalo ungabalulekanga.
I-All-Arthroscopic Rotator Cuff Repair
Ukulungiswa kwebhoyi ye-arthroscopic yenziwe ngeendlela ezincinci, kwaye ukulungiswa kwenziwa ngudokotela ogqirha ekhangele ikhamera encinane ukuze abone i-rotator ye-tape kunye nekhono lokulungiswa kumboniso we-TV. Olu luphuhliso lwakutshanje kwonyango lwezinyembezi ze-rotator, kwaye akukho zonke iintlobo zezinyembezi ezinokuphathwa ngolu hlobo. Ukongezelela, ukulungiswa kweekotori ze-arthroscopic zingabunzima kwaye zifuna amava kule ndlela yokulungisa. Akunabo bonke oogqirha abanokuqiniseka ukuba ukulungiswa okwenziwe i-arthroscopically kuyomelele njengokulungiswa okwenziwe ngokuzibandakanya okuvulekileyo. Imisipha ye-deltoid ishiywe imonakalo encinane emva kokuba yonke i-arthroscopic rotator i-cuff repairs.
Ukuguqulwa Kwamahlombe
Ngezinyembezi ezininzi ze-rotator eziye zanyanzelwa iminyaka emininzi, i-cartilage yendibano yamagxa ingagqithisa.
Iindimbe ezininzi ze-rotator zezinyembezi zibizwa ngokuba yi-rotator cuff yezinyembezi kwaye zibandakanya ubuncinane kwi-2 ye-4 ye-rotator cuff tendons. Le ngxaki ibizwa ngokuba yi- rotator cuff i-tearth arthropathy kwaye yinkathazo ebini ye- arthritis yamagxa kunye ne-rotator cup. Ngenxa yokuba isitya se-rotator asisigxina, ukutshintshwa kwesigxina ngokuqhelekileyo akusoloko kwanele. Izimpembelelo ezikhethekileyo zinceda ukufumana ukuba inkokhelo yokujikeleza ayisebenzi ngokuqhelekileyo. Esinye sezimpembelelo ezikhethekileyo kuthiwa yi- replacement shoulder shoulder substitution .
I-Rotator Cuff Repair Rehab
Ukubuyiselwa emva kokuba uqhutywe ngumbhobho we-rotator kubalulekile njengoko kulungiswa ukucoca.
Ngaphandle kokubuyiselwa okufanelekileyo, ithuba lokubuyisela ngokupheleleyo lincinci. I-Rehab emva kokuhlinzwa ngumbhobho we-rotator ngumsebenzi wokulinganisa. Ngakolunye uhlangothi, injongo kukufumana kwakhona amandla ehlombe. Ngakolunye uhlangothi, iithenda kufuneka zikhuselwe ukuba zivumele ukuphulukiswa ngokwaneleyo kweenyembezi.
Umgulane onokwazi unokukunceda wenze imisebenzi efanelekileyo, kwaye ugqirha wakho uya kukuxelela ukuba uza kuqhuba nini kwisinyathelo ngasinye sokuvuselelwa kwakho. Inkqubela ethile yokuvuselela emva kokuhlinzwa ingathembela kwizinto eziliqela, kwaye iyakwazi ukuhluke kakhulu kwisigulane ukuya kwisigulane. Ngelixa unokuva kubahlobo malunga nokuqhubela phambili kwabo, umntu ngamnye unokufumana amanqanaba ahlukeneyo entlungu kunye nokuqhubela phambili kwimisebenzi. Udokotela wakho ugqirha kufuneka akwazi ukunika ibhenkmarks yakho yokuqhubela phambili.
Umthombo:
IBurkhart SS kunye neLo IK "Ukulungiswa kweComputer ye-Arthroscopic Cuff Repair." J. Am. Acad. IOrn. Ukugula, ngoJuni 2006; 14: 333 - 346.