Yintoni ukungazinzi kwamagxa?
Ukungazinzi kwintlungu kuyinkathazo eyenzekayo xa izakhiwo ezijikeleze umxhelo wegxina alisebenzeli ukugcina ibhola ngokuqinileyo kwisiseko sayo. Ukuba idibeneyo ikhululekile kakhulu, ingashenxisa ngokukodwa ngaphandle kwendawo, imeko ebizwa ngokuba yi- subluxation yamagxa . Ukuba umdibaniselwano uvela ngokupheleleyo kwindawo, oku kubizwa ngokuba ngumxholongwane. Izigulane ezinokugxeka kwehlombe zihlala zikhalaza ngokungathandekiyo ukuba igalelo labo liba malunga nokufuduka kwendawo - yilokho oogqirha abambiza "ukukhathazeka."
Ukungazinzi kwamathambo kuya kuvela kumaqela amathathu abantu:
- Abaphambukeli abaPhambili
Izigulane eziye zaqhubeka nokuxhatshazwa kwamagxa zihlala zizinzileyo . Kulezi zigulane, iigaments ezixhasa ihlombe ziyaqhekeka xa kuvela ukutshatyalaliswa. Ukuba le mijelo iyaphilisa ngokungaqhelekanga, ngoko umxhelo uya kulungelelanisa ukuphinda uphuhliswe kunye neziqendu zokungazinzi. Xa izigulane ezincinci (ngaphantsi kweminyaka engama-35 ubudala) zihlala ziphazamisekile, ukungazinzi kwamagxa kuya kulandela malunga ne-80% yezigulane. - Abadlali abaselula
Abadlali abaphumelele kwimidlalo ebandakanya imisebenzi emininzi bangaba nexhepha elivulekileyo okanye ukungazinzi kwe-multi-disciplinary (MDI). Aba badlali, njengabadlali be-volleyball, abagijimi, kunye neebhola zebhola, batyula i- capsule ne-ligaments, kwaye bangase bahlakulele ukungazinzi. Nangona bengenakudityaniswa ngokupheleleyo, ukuxhalabisa, okanye ukuvakalelwa, kunokuthintela amandla abo okudlala le midlalo.
- "Izigulane ezimbini"
Izigulane ezinezinye iziphazamiso zezicubu ezinokuxhamla zingabinamaxhala omzimba. Kwizigulane ezinesimo esibangela ukuxhatshazwa ngokubambisana , okanye ukudibanisa kabini, amajoyina abo angazikhulula kuwo wonke umzimba. Oku kunokukhokelela ekuxhaseni kwamagxa kunye nokuchithwa.
Ukunyangwa koNyameko
Ukunyangwa kokungazinzi kwegxala kuxhomekeke kulolu hlobo luchazwe ngolu hlobo lukhupha igalelo . Uninzi lwezigulane ezizinzileyo ziza kuthathwa ngempumelelo ngeprogram yonyango olujoliswe emzimbeni ukuqinisa imisipha eyanceda ukubamba isigxina. Kwezinye izigulane ezine-MDI, xa unyango olude lingazange luphumelele, kukho iindlela zokugonywa ukuqinisa intloko yamagxa ukuze kuncediswe ukunciphisa inani lokuhamba kwendibano. Eli nyathelo alisoloko liyimfuneko, njengoko unyango olungcono lwaba bantu ngokuqhelekileyo lufunyanwa ngonyango. Kufuneka kuqatshelwe ukuba ukuba unyango lube lusebenza, luhlala luthatha iinyanga ezininzi zomsebenzi ezijoliswe ekusebenziseni ukuzinza kwegxina ukuphumeza umphumo ofunwayo.
Izigulane eziye zatshintshisa ukuphazamiseka kwengxowankulu zivame ukuqhawula enye yezakhiwo ezithatha igxala kwindawo efanelekileyo. Kwizigulane ezincinci (ngaphantsi kweminyaka engama-30), i- labrum yecala idla ngokuqhekeka, ebizwa ngokuba yi- Bankart inyembezi . Kule meko, i-labrum idla ngokulungiswa ngokukhawuleza, ebizwa ngokuba yi-Bankart ukulungiswa. Izigulane ezingaphezu kweminyaka engama-30 zinethuba eliphezulu lokugqwengula ikhenkethi yazo , kunokuba i-Bankart ikhwebu, xa ichitha ihlombe labo.
Kule meko, unyango lunokuqwalaselwa ngonyango lwe- coat rotator , i- rotator cuff surgery .
Izigulane ezinamaqhekeza angaqhelekanga, okubizwa ngokuba ngamaqela aphindwe kabini, aqhelekanga unyango. Ngenxa yokuba ezi gulane zikhulule ngokungaqhelekanga izicubu ezixhamlayo, utyando aluyikulungisa ingxaki. Ingxaki kwezi zi gulane zivame ukufumana ingxaki yomzimba engakwazi ukulawulwa ngokufanelekileyo ngenkqubo yokupasa. Ulwaphulo lwezonyango luyakunceda ukuphucula iimpawu, kwaye kuphela kwiimeko ezingaqhelekanga kuya kuqwalaselwa ukuhlinzwa.
> Imithombo:
> Li X1, Ma R, Nielsen NM, Gulotta LV, iDines JS, i-Owens BD. "Ukulawulwa kokungazinzi kwegulane kwisigulane esinezifo ezinzima" J Am Acad Orthop Surg. 2013 Sep; 21 (9): 529-37.