I-biceps muscle ngumsizi omkhulu ngaphambi kweengalo ezivela kwinqanaba elihlangeneyo. Imisipha ye-biceps ibaluleke ngokubini ngokubhinqa i-elbow, kwaye ibuye iguqulwe i-forearm ibe nesundu esibheke phezulu. Le ntshukumo, ebizwa ngokuba yi-supination, ingabonakali ibaluleke kakhulu, kodwa xa iya kuvula umquba okanye xa ujika isikhusekiso, ukubaluleka kuyacaca!
I-Biceps Tendon
I-biceps muscle ifakwe kwizinto eziphezulu kunye nezantsi ezithambo ngokusebenzisa izakhiwo ezibizwa ngokuthi i- tendon . I-muscle ngokwayo iyinyani, izicubu ezinesivumelwano ezivumela umzimba ukuba udonsa ngamandla. Ithenda, ngakwelinye icala, zinamandla kakhulu, kodwa izakhiwo ezincinci ezingenanto zengxubevange ezidibanisa i-muscle kunye namathambo. Kukho iintambo kwi-biceps muscle kunye nezantsi kwe-biceps muscle. Iithoni kwiphezulu ye-biceps muscle zibizwa ngokuba yi- biceps incendo ns , kwaye kukho ezimbini kwezi. Iithoni eziphantsi kweemisipha zibizwa ngokuthi i-distal biceps tendon, kwaye kukho enye yilezi. I-tendon ye-biceps ye-distice itholakala ekugqibeni kwe-elbow kwaye inokuthi ibonakale, kwaye ibonakala ibonwa, xa ikhupha i-forearm kwizinto ezinzima. Iinyembezi zinokuthi zenzeke kwi- tendon ye-biceps okanye i-distal biceps tendon , kwaye unyango luyahlukahluka kakhulu kuxhomekeke kukubi.
Iintsimbi zeBiceps zeTendon Iinyembezi
Ukulimala kwi-tendal biceps tendon akuqhelekanga. Ininzi idla ngokuqhubekayo kumadoda aphakathi kwamadala, le nzakala ihlala ikhutshwa xa iphakamisa izinto ezinzima. Amaphesenti angaphezu kwama-90 e-distal biceps iifomsi zezinyembezi zivela kumadoda. Zixhaphake kakhulu kwingalo ephezulu kunye neepesenti ezingama-80 zenxeba ezenzeka kwicala eliphambili.
Nangona iimbono kukuba le nxeba idla ngokubandakanya kwimisebenzi yezemidlalo okanye imisebenzi ephakamileyo yemfuno yemisebenzi, inyaniso kukuba ngokuqhelekileyo ivela ngokungalindelekanga ngexesha lomsebenzi ophakamileyo ophakamileyo.
Indlela eyenziwa ngayo ikhefu ibizwa ngokuba yintlukwano. Oku kuthetha ukuba i-biceps muscle yayingenayo isivumelwano, njengokuzama ukuphakamisa into enzima, kodwa amandla asebenzayo kwisisipha ayesondeza.
Njengoko kubonisiwe, iindlebe zee-biceps ze-distal biceps tendon zenzeka phantse kumadoda kuphela. Nangona kukho iingxelo zeengxelo kwizonyango zonyango lwale nzalo kwabasetyhini, ininzi inzeka kubantu. Ukongezelela, abantu abasebenzisa iimveliso zecuba bafumana ithuba eliphezulu kakhulu lokugcina i-distal biceps ithonti yezinyembezi. Enyanisweni, amathuba okugcina iinyembezi zingaphezu kwamaxesha angama-7 awangabikho.
Iimpawu zeBiceps eziqhekekileyo
Inkcazo eqhelekileyo enikezwa ngabantu abaqhekeza i-biceps tendon kwi-elbow kukuba bakuva "izwi" elikhulu njengoko bephakamisa into enzima. Iimpawu eziqhelekileyo zeebiceps eziqhekekileyo ziquka:
- Ubunzima obujikeleze ukugqithwa kwe-elbow
- Ukuvuvukala kwendawo yokulala
- Ukuqhaqhazela phezu komgca kunye nephambili
- Ukuguqulwa kwe-biceps muscle
Umhloli oqeqeshiweyo uyakwazi ukuziva i-tendon ye-biceps, kwaye kufuneka akwazi ukufumanisa ukuba kukho ukuphuka kwethenda kwi-examination. Kukho uvavanyo oluthiwa "uvavanyo lwee hook" apho umhloli ezama ukuloba umnxeba wakhe kumnxeba we-biceps njengemisipha. Ukuba ithenda iyaphuliwe, ayiyi kukwazi ukunqanda umnwe phezu kwethenda. Olu vavanyo luye lwazimisela ukuba luchaneke ngokugqithiseleyo ekufumaneni i-tendon ye-biceps.
Nangona iifundo zokucinga zingenakudingeka kuzo zonke iimeko, zihlala zisetyenziselwa ukukhuphela ezinye izizathu ezinokubangela ubuhlungu be-elbow , nokuqinisekisa ukuxilongwa.
I-x-ray luvavanyo oluncedo ukuqinisekisa ukuba akukho bungqina bokuba ulwaphulo olujikeleze umxube we-elbow, kunye nokuba amathambo afakwe ngokuqhelekileyo. I-biceps tendon izinyembezi aziyi kuvela kwi-x-ray vavanyo, kodwa ingasetyenziselwa ukukhuphela ezinye izizathu ezinokubangela ukungonakali.
I-MRI yolu vavanyo oluqhelekileyo olusetyenziselwa ukuchonga i-biceps tonnon. Ukuba kukho umbuzo malunga nokuxilongwa, i-MRI ingaba luncedo. Ukongezelela, i-MRIs inokukunceda ukuchonga ezinye izilwanyana ezinobungozi. Abanye ababonelela ngamathambo baya kuba banamakhono abaneendlela zokusebenzisa i-ultrasound ukwenzela ukuba baqinisekise ngokukhawuleza olu hlobo lokuxilongwa. Ugqirha wakho wezinzwa angakhetha ukuba athole i-ultrasound ukuqinisekisa ukuxilongwa kwabo.
Ngokuqhelekileyo, ukulimala kwi-distal biceps tendon yizinyembezi ezipheleleyo. Ngokuqhelekileyo, iinyembezi zesithonsi ngokuthe ngqo kwithambo elingaphambili. Ukuqhathaniswa kwamanzi kuqhubela phambili i-tendon yinto engavamile kodwa inokwenzeka xa kukho ukulimala ngokuthe ngqo kwi-tendon efana nentambo yommese. Ukulimala okhethekileyo kwi-biceps itheon attachment kungenzeka. Kule meko i-tendon iya kuziva ihambile, kodwa intlungu ayinakuyicombulula ngeyeza ezilula. Kubantu abanezinyembezi ezincinane, ukuba amanyathelo angonyango alula awanciphise iimpawu zokungahambi kakuhle, utyando lunokucingelwa ukuba luyifumane ngokupheleleyo itekoni kwaye luyibuyisele kwisithambo ngokuqinile.
Izinketho Zonyango
Unyango olululo lwezonyango luyindlela yokwenza ulawulo lwe-distal biceps tendon rupture. Ngelixa abantu abaninzi, kuquka abagqirha, banombono wokuthi yonke i-biceps ye-tendon rupture ifuna unyango, okokuba kukuba abanye abantu benza kakuhle kakhulu unyango olungenalo unyango. Oku kunjalo ngokukodwa kwizigulane ezineemfuno ezingaphantsi, ezifana nabantu abadala. Ukongezelela, xa ukulimala kwenzeka kwintonga engaphelelanga, abantu bayayinyamezela i-biceps ye-biceps engapheliyo.
Kukho uphando olunzulu kwiingxaki ezifunyenwe ngabantu abane-tendon biceps. Kukho ngokuphindaphindiweyo kwezinto ezintathu ezisebenzayo:
- Amandla angaphantsi kwe-flexion: Amandla e-elbow to flex will diminish by a third to a biceps tendon.
- Amandla okunciphisa amancinci: Amandla omngxuma we-forearm ukuba abe yindawo yesundu, njengokuvula i-cookie okanye ukuguqula i-screwdriver, siya kuncipha malunga nesiqingatha.
- Ukunyamezela ngokunyamezelayo: Ukunyamezela komgca kuthatha ukunciphisa ukwenza imisebenzi ephindaphindiweyo nzima.
Ukongezelela kwezi nguqulelo, abantu abane-tapeps tendon ephahliweyo engapheliyo ngokuqhelekileyo baqaphela isimo esingaqhelekanga se-biceps muscle. Kwamanye abantu oku kunokukhokelela ekuvezeni ukuvakala okanye ukuxhamla imisipha, nangona le mpawu iyancipha ngokuhamba kwexesha.
Izinketho zokuphanda
Kwabaninzi abantu abagcina ukulimala kwe-tendon ye-distal biceps, utyando luya kuxutyushwa njengendlela yokonyango. Kukho uninzi lwezonyango kunye neendlela ezingasetyenziselwa ukulungisa i-tendal biceps tendon. Ukutshintsha okuqhelekileyo kwindlela yokugqirha kungenziwa ukwenza ukucocwa ngokucwangciswa komnye, okanye ukukhangela ezimbini. Amagqirha ahlukeneyo ayenokhetho oluhlukeneyo malunga nendlela yokwenza ngcono ukulungiswa komonakalo we-biceps tendon.
Ukongezelela, abanye oogqirha bahlola amathuba okuqhuba inkqubo yokugqirha ngokusebenzisa indlela yokuphela, nangona oku kuphantsi kakhulu. Kukho izifundo ezininzi zokufumanisa ukuba zeziphi izicwangciso ezifanelekileyo, kwaye ubuchule nganye buya kuba neenzuzo kunye nokungahambi kakuhle, kwaye akukho buchule obucacileyo "obuhle kakhulu."
Kukho nenani leendlela ezahlukeneyo zokufakela itononi eyonakaliswe kwisithambo. I-tendon iphantse ikhale ikhefu ngqo. Iintlobo ezahlukeneyo zezikhonkwane kunye nezixhobo zingasetyenziselwa ukufakela itethethini eqhekekileyo ukuya kwithambo, okanye iyakulungiswa kwiimingxuma ezincinci ezithwini. Umgqirha ngamnye unomsebenzi okhethiweyo ukwenzela ukulungisa isithoni esonakalisiweyo. Ingcebiso yam engcono kukuba uxoxe ngale ndlela kunye nodokotela wakho ogqirha, kodwa wenze ukuba benze indlela yabo efanelekileyo.
Ukubuyiswa kwakhona kunye neengxaki
Iinkqubo zokuvuselela ukulandela unyango ogqithisileyo ziyahluka kakhulu phakathi kwabagqirha ngabanye. Ngokuqhelekileyo, abaninzi oogqirha baya kuncomela ukungabi nciphisa kwiintlupheko emva kokuvulwa kweeveki ezimbalwa ukuvumela ukuvuvukala nokuvuvukala kuhleli. Uluhlu oluncinane lwezululo luya kuqala, kodwa ukuqiniswa kufuneka kugwenywe kwiiveki zokuqala eziyi-6-8. Ukubuyela kwimisebenzi eqinileyo yamandla ayivunyelwe ukuba kube yincinci yeenyanga ezintathu kwaye ngamanye amaxesha.
Iingxaki zonyango oluvakalayo aluqhelekanga, kodwa ziyakwenzeka. Inkxalabo eqhelekileyo iyayicaphukisa okanye imonakalo kwimisipha yongxowankulu. Le ntsho, ebizwa ngokuba yimisipha yesikhumba esinqumlekileyo, inika i-sensation phambi kwe-forearm. Xa le nzwa yalimala ngexesha lotyando, abantu banokuziva bendiza okanye bebetha ngaphaya kwephambili. Unobungozi obuninzi obunobungozi bunokwenzeka, kodwa kunzima kakhulu.
Enye inkcenkcesha eyahlukileyo yokugqithisa i-biceps ye-tendon ukuhlinzwa yinto ebizwa ngokuthi i- heterotopic bone formation . Oku kuthetha ukuba ithambo lingahlakulela kwiithambo ezinothileyo phakathi kwamathambo angaphambili. Le ngxaki engavamile inganciphisa ukuhamba kwe-forearm. Usulelo lwamaxesha onke luyinkxalabo enokunyangwa ngonyango. Izifo eziqhelekileyo zinokuthintelwa ngamanyathelo athatywayo ngexesha lotyando, kunye nokunyamekela okufanelekileyo ukugqitywa kokugqitywa ngexesha lokusebenza emva kwexesha.
Ukuhlinzwa kulunge ngexesha elithile emva kweeveki ezimbalwa emva kokulimala kokuqala okwabangela ukuba i-biceps itheon idilize. Ukulimala kwe-biceps ye-biceps okungapheliyo okanye engakhange ilandelwe inyanga kunokuba nzima ngakumbi ukulungisa. Kwezinye iimeko, iinyembezi ezingapheli zingadinga ukusetyenziswa kwe-tendon graft ukuze ubuyisele ubude obuqhelekileyo be-biceps tendon. Xa ukulimala kokuqala kwenzeka, i-tendon ye-biceps ikhutshwe kwi-attachment yayo eqhelekileyo. Ngokuhamba kwexesha, i-tendon ne-muscle iya kulahlekelwa ukuqina kunye nokukhawuleza, okwenza kube nzima ukukhupha ubude obuqhelekileyo. Ukuba ubude abuvumelekanga ukuvumela ukuba uqhotyoshelweyo, ukufakelwa kwetoni kungabalulekile ukuze udibanise i-gap. Oku kunokwandisa ixesha elifunekayo lokuvuselela nokunciphisa ukubuyiswa komsebenzi olindelekileyo.
ILizwi
Ukulimala kwe-biceps ye-bisonps yinto enokubangela intlungu ebuthathaka kunye nobuthathaka. Nangona ukuxilongwa kwezi nxeba kudla ngokucacileyo, isigqibo sonyango singenzima kwabanye abantu. Uphando luya kuba yindlela ekhuselekileyo kwaye efanelekileyo yokuqinisekisa ukubuyiswa komsebenzi, kodwa kukho iingozi zokuhlinzwa. Ukuthatha isigqibo sokona unyango olungcono kuncike kwiimeko eziliqela kubandakanyeka kangakanani ixesha elide ukusuka kwenzakalo yakho, ngokugqithiseleyo ngokubhekisele kumgama ongapheliyo, kunye nokulindela ekusebenziseni umgca. Ukuthetha nogqirha wakhe kunokukunceda uqinisekise ukuba wenze isigqibo esona sikhulu kwiimeko zakho.
> Imithombo:
> Bain GI, uJohnson LJ, i-PC Turner. "Unyango lwee-distal biceps zeeton tears" I-Med Med Arthrosc. 2008 Sep; 16 (3): 154-61.
> Sutton KM, SD Dodds, Ahmad CS, Sethi PM. "Unyango olusandulweyo lwe-distal biceps luphuka" J Am Acad Orthop Surg. 2010 Mar; 18 (3): 139-48.