Iindwangu ze Rotator ziyinto eqhelekileyo yokubandezeleka kwentlungu , kodwa ngokuqinisekileyo ayikho imbangela yecala elibuhlungu. Ukuqwalasela ukuba i- rotator cuff ikhembe yimbangela yokuba intlungu ixhomekeke kwiimpawu kunye nokufunyanwa kwimeko yakho.
Ugqirha wakho uya kukhangela ezinye zezibonakaliso ezilandelayo ukuze enze isigqibo sokuba ukuxilongwa kwe-rotator cuff ikhembe yimbangela yamagqabantshwa ehlombe.
Ukuba ufuna ukuzama ukufumanisa ukuba intlungu yakho ingabangelwa ngumbhobho ojijiweyo, funda le miqondiso yale nzakalo.
Ubuhlungu
Ubunzima obuvela kwi-cookie rotator ixubile ngokuqhelekileyo kufakwe ngaphandle kwegxala kunye nengalo engaphezulu. Ubunzima ngenkathi wenza imisebenzi engaphezulu (kunye nengalo engentla phezulu kwentloko) kunye neentlungu ebusuku ziqhelekile nakubantu abanomphunga wokujikeleza. Xa i-rotator cuff isala kakhulu, intlungu ingavusa izigulane zokulala.
Akuqhelekanga ukuba intlungu yombhobho we-rotator otywebileyo uzive ngakumbi ngaphantsi kweengalo ezivela ehlombe. Abantu abaninzi bacinga ukuba banengxaki ngesifuba seengalo okanye amathambo, xa ngokuqinisekileyo iimpawu zabo zivela kwi-cuff rotator kunye kunye kunye. Isizathu sokuba intlungu ivezwe ngakumbi ngaphantsi kweengalo ihambelana nommandla weentsholongwane ezidlula kwiindawo ezinzulu zegxala.
Amandla aphantsi
Ubungqina beetekoni zetekoni ziya kuhlolwe ngugqirha wakho.
Ngokuzihlukanisa nganye iitoni zekholam yokujikeleza kunye neemvavanyo ezizodwa , ugqirha wakho unokukwazi ukubona ubungakanani beendabeduzi. Iinyembezi eziphambili zomqhubi zingathintela isigulane sokukwazi ukuphakamisa ingalo yabo phezu kwentloko. Ukungakwazi ukubamba ingalo ngqo ngaphandle komzimba kuyimpawu yenkomo yokujikeleza.
Ezinye zezi mvavanyo ziyakwenziwa ngokwakho:
Akukho nto iVavanyo
Uvavanyo olungenanto luyakwazi ukuhlola ukuma kwe-rotator ye-muscle ye-cuff ebizwa ngokuba yi-supraspinatus kwinqanaba eliphezulu lephepha lakho. Uvavanyo olulula ukwenza, kwaye isicatshulwa sifana nokulahla i-soda.
- Hlala okanye ume ngokukhululekile nomhlobo okhoyo.
- Phakamisa ingalo yakho ebuhlungu ehlangothini ngoko kuyafana nomgangatho.
- Yiza ingalo yakho phambili malunga ne-30 ukuya kwi-45 degrees.
- Phenduka isandla sakho ukuze isithupha sakho sibonakale kwisantya (njengokungathi uzama ukukhupha i-soda ye-can).
- Yiba nomngane wakho ubambe ngengalo yakho phantsi.
Ukuba ubuhlungu okanye ubuthakathaka kukuthintela ukugcina ingalo yakho "kwindawo engenanto", unokuba ne-supraspinatus. Ukuba kunjalo, qwalasela ugqirha wakho ukuqinisekisa ukuxilongwa.
Phakamisa uvavanyo lwe Off
Ukuphakanyiswa kokuvavanya ukuhlolwa kwegxina ukujonga ukuba unentlungu kwi-musculi ethile yebhokisi ebizwa ngokuba yi-subscapularis. Esi sihlunu sisekwe ngaphantsi kwegxala lakho kwaye lijongene nokujikeleza ihlombe lakho ngaphakathi. Ukuphumeza uvavanyo lokuphakamisa:
- Sukuma uphinde ubeke isandla sakho kwisandla sakho esincinci.
- Isandla sesandla sakho sifanele sijongane nxamnye nomva wakho.
- Zama ukuphakamisa isandla sakho kude nomzimba wakho.
Ukuba awukwazi ukuphakamisa isandla sakho kude nomva wakho omncinci, krokrelwa ukuba inxeba ye-cuppularis rotator ingabikho.
Uvavanyo lokuSichasa
Enye indlela elula yokuqwalasela ukuba i-rotator cuff ikhefu ingabangela ukuba intlungu yakho iphumelele ukuhlola ukuqina kwamandla akho e-rotator cuff muscle. Ukwenza oku, landela inkqubo elula:
- Hlala ukhululekile kwisihlalo.
- Gcina i-elbow 90 degrees kwaye ugcine i-elbow yakho ibe ngecala lakho.
- Yiba nomntu oshukumise isandla sakho kwisisu sakho.
- Ukuba awukwazi ukubamba esi sigxina kwaye uziva intlungu, unokuba nekotati yokulila.
Ukungakwazi ukwenza imisebenzi eqhelekileyo
Izigulane ezineenkompo zengqingili zikhalaza ngokukhawuleza ukwenza imisebenzi efana nokudibanisa iinwele zabo, ukubethela ibhokhwe emva kwendawo yabo, ukubuyela emva kwabo, okanye ukulala ehlombe elichaphazelekayo. ngokukodwa, ukungonakali kwamandla kuyafana kakhulu kunye neendwangu zokujikeleza. Abantu abaninzi baqaphela ukuba kunzima ukubeka izitya kwiikhabinethi eziphezulu, okanye ukufikelela kwisiqandisini ukuphakamisa ibhokisi leebisi. Qiniseka ukuba uxele ugqirha wakho malunga nemisebenzi ethile eyancitshiswe yintlungu yakho. Ezi zikhokelo zinokukunceda ugqirha wakho achaze umthombo wokungahambi kwakho.
Iziphumo zoVavanyo ezingavumelekanga
Ukuba kukho ukukrazula, i-test is often used to determine if there is a tear. Uvavanyo oluqhelekileyo olusetyenziselwa ukuxilonga i-rotator cuff ukuqothula i-MRI, kodwa oku akuyona indlela yodwa yokufumanisa inkomo yokujikeleza.
I-MRI iluncedo kuba inokubonisa iindwangu ezipheleleyo zokujikeleza kunye neengqungquthela zengqingili . I-MRI ingabonisa kwakhona ubungqina bebursitis kunye nezinye iingxaki zomthwalo . Ezinye iimvavanyo ezingasetyenziselwa ukuxilonga ukuba i-rotator cuff tearzi ziquka i-arthrogram kunye ne-ultrasound.
Izinketho Zonyango
Ukuba ucinga ukuba unombhobho we-rotator ukuqhaqha, ixesha lokuba ubone ugqirha wakho wamazinyo ukuba uqinisekise ukuxilongwa kwakho ukukhankanya nokucacisa isicwangciso sonyango. Iindaba ezilungileyo kukuba, akuyiyo yonke into yokujikeleza yokudabuka kweemfuno zokulila . Nangona kunjalo, xa utyando luyonyango olungcono, kudla ukuhamba phambili kungekudala kamva nje ukuba umsizi we-rotator utyhafise (i-atrophy) kwaye uphinde ubuyeke (ukutsala) emva kwexesha. Oku kungenza ukulungiswa okuncinci ngaphantsi okanye kungenakwenzeka, ngoko kulungile ukuxoxa ngeendlela zakho zokonyango kunye nodokotela wakho wamazinyo ngokukhawuleza.
Kuzo zi gulane ezikhetha ukhetho lwezonyango, kukho iindlela ezininzi zokufumana ukukhululeka kweentlungu ezenziwa ngumqhubi we-rotator. Ngokuqhelekileyo ngonyango lomzimba kunye neprogram yovavanyo olufanelekileyo, izigulana zinokuphucula umsebenzi wexanduva lwazo lwegxalaba ukukhusela intlungu evela kwi-tendon etywebileyo yesikhombi sokujikeleza.
ILizwi
Ingqungquthela yokuxuba iindiza ziqhelekileyo, ngokukodwa njengabantu abaneminyaka yobudala. Enyanisweni, iindwangu zokujikeleza kweendwangu ekugqibeleni zibafumana ukufunyanwa, nakubantu abangenayo impawu yentlungu. Kubalulekile ukuba uhlolisise kakuhle umthombo weentlungu zakho, akuzona zonke iimeko ezibangela ukungazinzi ngokubambisana kunye negalelo. Oko kwathiwa, iinyembezi ze-rotator zezinyembezi zibangele ubuhlungu bentlungu kunye nokukhubazeka, kwaye ukwenza ukuxilongwa ngokufanelekileyo kunokukunceda ukuba unyango olungcono kwiimeko zakho.
Imithombo:
> Omid R kunye noLee B. Tendon Ukutshintshwa kwe-Rotator engenakwenzeka. J Am Acad Orthop Surg Agasti 2013; 21: 492-501.
> Schmidt CC, iJarrett CD, i-Brown BT. Ulawulo lwe-Rotator Cuff Izinyembezi. I-Journal of Hand Surgery . 2015; 40 (2): 399-408. i-doi: 10.1016 / j.jhsa.2014.06.122.