Ukulimala kwe-Rotator Cuff kunokuchaphazela le mihlathi emine kunye neeTendons kwiNgxowenu
Ingqayi yokujikeleza yiqela leemisipha kunye neetoni ezijikeleze umxhelo wegxala. Ikhuphe yokujikeleza ibalulekile ukuhamba ngokuqhelekileyo kwamagxa, amandla kunye nomsebenzi. Ukulimala kumkhumbi we-rotator, kubandakanya i- rotator cuff tendonitis kunye neendwangu ze- rotator , iimeko eziqhelekileyo ezibangela intlungu .
Ngokuqhelekileyo oogqirha baya kuxubusha iingxaki ngokubhekiselele kwikhobho yokujikeleza ngokubanzi, okanye bangachaza ukulimala kwiitoni ezithile kunye nezihlunu zekhopu. Ngokuqhelekileyo, izigulane ziya kufunda ikopi ye- MRI ingxelo engachaza ngokukodwa ukulimala komnye okanye ngaphezulu kweengxube zesikhombisi.
Rotator Cuff Muscle kunye neTendons
Umsizi luhlobo lweetyhubhu ezinokubambisana kunye nokunika amandla. I- tendon isakhiwo esidibanisa i-muscle kuya kwithambo.
Kwiphepha, ukulimala kwikhopu yokujikeleza ngokuqhelekileyo kufakwe kwi-tendon. Ezi ziphathekayo zinegazi elijongene nengozi, elibizwa ngokuba yi- waterhed , engakhokelela ekukhuseleni.
Iimfudu ze Rotator zingonakaliswa ngokunjalo, ngokukodwa ekusetyenzisweni kweengxube zengxube ezingapheliyo xa iisundu zinyuka . Kule meko, i-muscle iyatshintsha ngokusisigxina ngenxa yokungasetyenziswanga kakuhle. I-Atrophy yezihlunu zengqungquthela yokujikeleza isoloko ithetha ukusila kwi-tendon sele ibekho ixesha elide kwaye akunakho ukulungiswa.
Supraspinatus Muscle kunye neTendon
I-mustafa ye-supraspinatus yintsimi ye-rotator ne-tendon. I-supraspinatus ifumane ngqo kwi-shoulder, kunye neyona nto ibalulekileyo imisipha echaphazelekayo ekuphakamiseni ingalo kude yakho.
Ukulimala kwi-tendra ye-supraspinatus edlalwa kwi-MRI ibandakanya i-tendonitis, iinyembezi ezincinci kunye neenyembezi ezipheleleyo (iinyembezi ezipheleleyo) ze-tendon.
I-Infraspinatus I-Muscle kunye neTendon
Ithemponatus ye-infraspinatus iphela emva kwe-supraspinatus, kwaye ukugqiba ukuqala kwetoni enye kunye nokuphela kwesinye kunokuba nzima, baxhamla.
Iinyembezi ezikhulu zentsimbi yokujikeleza ngokuqhelekileyo zibandakanya i-tendon ezingaphezu kweyodwa (okubizwa ngokuba ' iindwangu zokujikeleza ezinkulu '), kunye neenyembezi ezinkulu eziqhelekileyo ziquka i-supraspinatus kunye ne-infraspinatus tendon.
I-Subscapularis iMiscle kunye neTendon
I-subscapularis iyintoni ephambi kwehlombe. Le toni ayinakonzakala kakhulu, kodwa inokubangela imingeni ekhethekileyo xa ikhatywe. Isiphakamiso esibizwa ngokujikelezwa kwangaphakathi kwegxala kuxhomekeke kwi-subscapularis. Ukongeza, i-subscapularis inceda ukubonelela ukuzinza kwiphepha kwaye kunceda ukugcina indawo eqhelekileyo ye- biceps tendon .
Iinyembezi ze-subscapularis zifumaneka kwiinyembezi ezinkulu ze-cuff rotator, kunye nakwizigulane eziye zahlinzwa ngokutsha. Ngokuqhelekileyo utyando lwamaxholongwane lwenziwa ngokungena phambi kwendibano, ngokucima i-tendon ye-subscapularis. Ukulimala ngexesha lokuphulukana kunokukhokelela ekugqobeni i-tendon yokuphilisa. Le ngxaki ebonwayo emva kokutshintshwa kwegxala okanye ukuvulelwa kwe-labral ukuhlinzwa.
Teres Minor Muscle kunye neTendon
I-teres encinci yinto yokugqibela yezihlunu ze-rotator kunye neyona nto inokulimala kakhulu. I-teres encinci isemva kwegxala, kwaye ibandakanyeka nokuhamba kokujikeleza kwangaphandle kwendibano. Ukujikeleza kwangaphandle yintembeko kunye ne-elbow yakho egcinwe ecaleni lakho, kwaye isandla sakho siphuma ngaphandle. Ngokuqhelekileyo ugqirha wakho uza kuhlola le misipha ngolu hlobo.
Ukuqonda iingxelo zeMRI
Uninzi lwezigulane ezenza uphando ngamagama ezihlunu kunye neetoni zibafunde kwi ingxelo ze-MRI okanye ingxelo yokuhlinzwa yenkqubo yabo. Xa oogqirha bexoxa nezigulane, ngokubanzi babhekisela kulezi zakhiwo njengombhobho wokujikeleza, kodwa ngokuchanekileyo zimelela iimisipha ezine kunye neentoni ezihlangeneyo zinika amandla amaninzi kunye nokuhamba kwamagxa ethu.