Iyiphi inyembezi ye-SLAP?
Inyembezi ye-SLAP kukulimala kwinxalenye yentambo yegxina ebizwa ngokuba yi -labrum . Umxhelo wegxala ibhola kunye nomxube onxande, ofana ne-joint hip. Nangona kunjalo, ngokungafani nendibaniselwano ye-hip, isiseko soxanduva lwegxala lugxininise kakhulu, kwaye ngoko ke lungaqinisekanga. Oku kuthetha ukuba igxalaba lilungele ukutshintshwa , kunye nokulimala okwenzekayo xa ibhola iphuma kwisiseko.
Ukuhlawulela isalathisi esingenalutho, umxube wegxina unesigxina se-cartilage ebizwa ngokuba yi-labrum eyenza indebe ekupheleni kwethambo lesangalo (humerus) ukuba lingene ngaphakathi. Okubalulekileyo i-labrum yegxininisa igxininisa isiseko segxala.
Uhlobo oluthile lokulimala kwi-labrum, okanye i-labral tear, luthiwa yi-SLAP . I-SLAP imele i- S engaphezulu kwi- L ibhudu ukususela kwi- A yangaphakathi ukuya kwi- P osterior. Inyembezi ye-SLAP ivela kwindawo apho i- tendon ye-bicep muscle ifakwa kwi-labrum.
Izizathu eziqhelekileyo zokulila i-SLAP ziquka:
- Yehla kwisandla eseluliweyo
- Izenzo eziphindaphindiweyo (ukuphosa)
- Ukuphakamisa into enzima
Ummandla webhubri apho i-SLAP izinyembezi ivela khona iyakwazi ukulimala ngenxa yokuba iyindawo engamahlwempu. Ezinye iindawo zesibhedlele zihlala ziphilisa ngokulula kuba igazi linikezela amandla okuphulukisa kwindawo yokulila. Kwiindawo ze-SLAP iinyembezi akunjalo, ubuhlungu obungapheliyo buya kubangela.
I-SLAP yeeMpawu zoTywala
Iimpawu eziphawulekayo zeendumiso ze-SLAP ziquka ukuvakalelwa kunye nentlungu kunye nokunyuka kwamagxa, ngokuqhelekileyo imisebenzi efana nokuphosa. Izigulane zihlala zikhalaza iintlungu ezinzulu ngaphakathi kwegxalaba okanye ngasemva kwegxala. Ngokusoloko kunzima ukuphawula iimpawu, ngaphandle kokuba i-ticep tendon ikwabandakanyeka.
Kwiimeko ze-SLAP izinyembezi kunye ne-biceps tendonitis echaphazelekayo, izigulana zinokukhalaza intlungu phambi kweplanga, indawo ye-biceps tendon. Kwiimbaleki zokhuphiswano ezineendlebe ze-SLAP, iimpawu zingabonakali, kodwa zibalulekileyo. Abadlali beBhola bangabona i-zip encinane kwibhola xa bephosa okanye umdlali we-volleyball unokufumana ixesha elinzima ukukhonza ibhola.
Ukuxilongwa kwe-SLAP Tear
Kukho iimvavanyo eziliqela umhloli onobuchule angenzayo ukufumana iinyembezi ze-SLAP. Ezi mvavanyo ziyinxalenye yecala lokuhlola ngokomzimba. Ukongezelela, ukubuza imibuzo ngokugqithisileyo kwesigulane kunokunceda umhloli ukuba abone iimpawu ezihambelana neendlebe ze SLAP.
Ukuxilongwa kweendlebe ze-SLAP kunzima, kuba le nzakala ingabonakali kakuhle kwi- MRI . Iinyembezi ze-SLAP zibonakala zibhetele ngakumbi kwi-MRI xa isifundo senziwa nge- injection eyahlukileyo . Uluhlu lweMRI luqhutyelwa ngokujoba umbane obizwa ngokuba yi-gadolinium ehlombe; i-gadolinium inceda ukugqamisa iinyembezi zezakhiwo eziqhelekileyo, kubandakanywa iinyembezi ze-SLAP. Ububele be-MRI, okubhekisela kwipesenti yexesha lovavanyo liza kubonisa ukulila, likhuphuke ngokuphawulekayo xa i-gadolinium eyahlukileyo ifakwe kwisigxina phambi kwe-MRI.
Ayikho yonke inyembezi ye-SLAP ingabonwa kwi-test test, kwaye ngamanye amaxesha ukuxilongwa kweendlebe ze-SLAP kwenziwa ngexesha lotyando .
Unyango lwee-SLAP
Ngokuqhelekileyo unyango lweenyembezi ze-SLAP luqala ngamanyathelo alula ukunciphisa intlungu kwaye uphinde uphume amandla. Izigulane zonyango zivame ukucetyiswa ubuncinane kwiinyanga ezi-3, ezininzi izigulana ziyakwazi ukubuyela kwimisebenzi epheleleyo yezemidlalo kunye nolawulo olungasebenziyo. Kwizigulane ezingaphumeleli ukufumana, kukho iindlela zokonyango ezichongiweyo ezinokuthi ziqwalaselwe, eziqhelekileyo zazo ezibizwa ngokuthi ukulungiswa kwe-SLAP. Kwezinye iimeko apho inyembezi ye-SLAP ibangela ukulimala kwentsholongwane kunye nobuthakathaka bexinzelelo, ukuhlinzwa ngokukhawuleza kunokucetyiswa.
Imithombo:
Keener JD, Brophy RH. "Iinyembezi eziphezulu zeelusi: i-pathogenesis, uvavanyo, kunye nonyango" J Am Acad Orthop Surg. 2009 Oct; 17 (10): 627-37.