Isikhokelo sokuPhathwa kweTorn Rotator Cuff
Iindimbo ze Rotator iindima eziqhelekileyo ezidibeneyo ezihlangeneyo. Ngenxa yokuxhomekeka kwakho kwiphepha lemisebenzi emininzi, ukulimala kwebhokisi yokujikeleza kungakhathaza amava. Funda kabanzi malunga neendwangu zokujikeleza, kuquka ukuxilongwa, iimpawu, unyango kunye nokuvuselelwa.
Iingxaki Zeentlungu Zeentlungu
Iintlungu zentlungu yinkxalabo exhaphake kakhulu ebangela ezininzi. Ngenxa yokuba usebenzisa iingalo zakho kwizinto ezininzi eziqhelekileyo, intlungu yomthwalo ingabangela iingxaki ezibalulekileyo. Ukuze kubekho unyango olufanelekileyo, imbangela yengxaki kufuneka ichongwe.
Abantu abaninzi abaneentlungu zentlungu bangaxelelwa ngumhlobo okanye ilungu lentsapho ukuba iimpawu zabo zivakala njengeengxaki zengxube yokujikeleza. Nangona kunjalo, kukho ezinye iimbangela zeentlungu zentlungu, kwaye ngaphandle kokuxilongwa ngokuchanekileyo, unyango alukwazi ukujolisa ngqo ingxaki. Ngaphambi kokuba uqalise nayiphina isicwangciso sonyango, qiniseka ukuba uyayiqonda intsizi yakho.
Yintoni i Rotator Cuff?
Ikhuphe yokujikeleza yiqela leetoni ezine kunye nezihlunu ezijikeleze umxhelo wegxala. Ngokuqhelekileyo zidideke ngamanye amagama, igama elifanelekileyo elisetyenziselwa ukuchaza ezi ntlobo kunye neetonyoni ngumkhumbi wokujikeleza.
Xa i-coat rotator yalimala, yintsikelelo eyalimalayo. Ezi zithoni zidibanisa izihlunu ze-rotator kwi-bone. Xa iintambo zivutha okanye ziqhekekile, azikwazi ukusebenza ngokufanelekileyo.
Ikhuphe yokujikeleza ayibalulekanga kuphela ngokuphakamisa ukunyakaza kwegxala, kodwa izihlunu kunye neetononi zibaluleke kakhulu ukuzinza okuqhelekileyo kunye nomatshini wegxalaba. Ngaphandle kwesikhombi sokujikeleza esisebenza kakuhle, unokulindela umda othile kumsebenzi wesigxina.
I-Rotator Cuff I-Symptoms
Ubunzima buphawu oluqhelekileyo lweengxaki ze-cupator . Izigulane zihlala zikhalaza ngentlungu phezu kweplanga kunye nengalo. Kwezinye izigulane, intlungu inokuhlahla ngaphaya kwengalo yonke indlela eya elukhosini.
Ubuthakathaka obuthathakayo ngenye impawu eqhelekileyo yenkomo yokujikeleza . Ubuthathaka kubangela ubunzima ukuphakamisa ingalo phezulu okanye ubunzima ngemisebenzi efana nokufikelela, ukugqoka okanye ukuthwala izinto.
Iindwangu ze Rotator ziqhelekile ngokuqhelekileyo, ngakumbi xa uneminyaka yobudala. Ziqhelekile kangangokuba abaninzi abantu abanomphunga we-rotator bengazi ukuba banenkinga. Uninzi lwabantu abanomkhuhlane weenqabunga aluyi kuba nobuhlungu kunye nokunciphisa ubuncinane kwimisebenzi. Nangona kunjalo, ngezinye iinyembezi zingabangela iimpawu, kwaye aba bantu bafuna unyango.
I-Rotator Cuff Inyembezi yokunyanga
Izinyembezi ezininzi zokujikeleza zingaphathwa ngaphandle kokuhlinzwa. Enyanisweni, yincinci nje kuphela yezigulane eziphelisa unyango okhulayo.
I-rotator ye-cuffer cats ingabandakanya:
Ingaba Utyando Oluyimfuneko Ngaba i-Rotator Cuff Tear?
Iindlebe ezininzi zokujikeleza zingaphathwa ngononophelo. Nangona kunjalo, kwezinye izigulane, utyando lunokucetyiswa njengendlela yokwenza unyango . Ugqirha lwenziwe ukulungisa izikhwebu eziqhekekileyo. Ukuqwalasela xa utyando luya kuba lufanelekile kuxhomekeke kuhlobo lokuqhuba i-rotator, i-level level activity, kunye nonyango oluye lwazama.
Ngoxa utyando luhlala lusetyenziso olungcono kakhulu ukuzama ukubuyisela umsebenzi oqhelekileyo kwiphepha, kukho ezinye zezizathu zokuba abantu bangenakho ukuhlinzwa. Okokuqala, abaninzi abantu abadingi umsebenzi opheleleyo ukwenza yonke imisebenzi abafuna ukuyenza. Abantu abaninzi banokwenza imidlalo, imisebenzi yasekhaya, kunye nemisebenzi yabo, kunye neendwangu zokujikeleza. Okwesibini, ukuhlaziywa emva kokuhlinzwa kunokuthatha ixesha elide kwaye kunzima. Izigulane ezininzi zinempawu ezintandathu kwiinyanga emva kokuhlinzwa.
I-Rotator Cuff Inyolo yokuTyhila
Kukho iindlela ezininzi zokugonywa kwonyango lomqhubi we-rotator. Uhlobo oluchanekileyo lotyando lunokuxhomekeke kwizinto ezibandakanya ubungakanani kunye nendawo yokulila, ugqirha owenzela ugqirha, kunye nemisebenzi ofuna ukuyibuyisela emva kokuhlinzwa. Xoxa nodokotela wakho uluphi uhlobo lotyando olucebisa ukuba unyango lwe-rotator cuff lugwebe.
Rehab Emva koPilisi
Ukuphulukiswa ekusebenziseni ukuqhutyelwa kwe-rotator inkomo yokulila kuncike ngokupheleleyo kwisigulane esakwazi ukwenza ukulungiswa okufanelekileyo nokuphepha izinto ezinokulimaza i-tendon zokwelapha. I-Rehab emva kokuhlinzwa ngumbhobho we-rotator iyakwazi ukuhluka ngokubanzi, kodwa kukho imigaqo eqhelekileyo enyanisekileyo kwizigulane ezininzi ezinezonyango zokunyanga i-coat rotator.
Njengoko kukhankanywe ngaphambili, ukuhlaziywa emva kokuqhutyelwa kwebhoyi yokujikeleza kungathatha ixesha elide kwaye kunzima. Izigulane ezininzi zithatha unyaka ukuba zibuyele eziqhelekileyo. Ezinye iinkqubo zokurhoxisa ezingaphantsi kwamandla ziyakwazi ukukhawuleza ukubuyiswa, kwaye zenze i-rehab ibuhlungu kangako, kodwa lungele ulungele ukuphucula okude kunokuba kukude kunokuba ungathanda. Iindaba ezilungileyo kukuba, inani elikhulu lezigulana libuyela kwimisebenzi epheleleyo kwiinyanga eziliqela, kwaye ezininzi zibuyela kwimisebenzi yazo eqhelekileyo.
I-Massive Rotator Cuff Izinyembezi
I-rotator cuff tear is a sound just as it sounds-a big tear of cuff rotator. Abanye bathi i-rotator cuff tearing ibandakanya ubuncinane ezimbini kwiine-tape ezine- rotator . Abanye basebenzisa intsingiselo yokuba i-rotator cuff tear is a bhi centimeter ububanzi. Kukho ukhetho kubantu abanomsizi omkhulu wokulila, kwaye izigulane ezininzi zinokufumana ukuphucula intlungu kunye nomsebenzi omhle.
Unyango olungaphelelanga lweMassive Rotator Cuff Izinyembezi
Nokuba nezinyembezi ezininzi ze-rotator, iininzi zihlala zifumana iziphumo ezigqithiseleyo ngokunyanga okungekho unyango . Ezi zonyango zingabandakanya ukuphumla, imichiza, unyango lomzimba , ii-injections, okanye ezinye izibonelelo. Ukugqirha kugcinwe kwizigulana ezimbalwa ezingenakufumana uncedo ngale ndlela yokwenza unyango olulula.
Rotator Cuff Debridement
Ugqirha wakho unokuncoma nje ukucoca ukuvuvukala ngaphakathi kwegxala, okubizwa ngokuba yi- compression de subacromial . Oku kutyunjwa akusebenzi nto ukulungisa isithoni esiqhekekileyo, kodwa kunokususa ukuvuvukala okungathi kubangela intlungu. Olu hlobo luvame ukuhlanganiswa ne- biceps tenodesis ukuze kuncitshiswe imithombo ekhoyo yentlungu edibeneyo.
Ukulungiswa kweCuffator Cuff Repair
Ukulungiswa kwekhafu yokujikeleza yonyango lokunyanga ukulungisa isithonti esityhukileyo. Utyando luyenziwa phantsi kwe-anesthesia jikelele kwaye lunokwenziwa ngento eqhelekileyo okanye ukulungiswa kwe-arthroscopic . Ubunzima bokulungiswa kokucoca kwe-rotator cuff tear is that tones and muscle zonakaliswe ngaphaya kwexesha lokulungisa.
Kukho iziganeko ezimbini eziqhelekileyo zenze i-rotator cuff ihlaziye ingenakulinganiswa. Iyokuqala yintshatyalazo kunye nomonakalo kwiisisu zeeton . Kule meko, i-tendon ivame ukuba yincinci, ikhutshwe, iphindwe (ikhutshwe), kwaye ibuthathaka. I-Sutures ayikwazi ukubamba izicubu, kwaye ukunyaniseka okuqhelekileyo kwethenda kulahlekile.
Isibini sesibini si-atrophy ye-rotator cuff muscle. Nangona i-muscle ngokwayo yayingeyena ingxaki yokuqala, iindlebe zexesha elide ezijikelezayo zingakhokelela kwisistim esingasebenzi. Ukuba ithenda ithatyathwa ixesha elide, imisipha elawula ithethoni iya kuba buthathaka kwaye ihlulwe. Emva kwexesha, i-muscle eqhelekileyo ithatyathwa yinqatyisi, kwaye ezi tshintsho aziyi kubuyiselwa. Ukuba imisipha ibonakaliswe ngale ndlela, ukulungiswa akunakwenzeka ukuba kunike iziphumo ezilungileyo.
UkuTshintshela kweMisipha
Inkqubo yokudlulisa imisipha iyenziwa xa izihlunu ze-rotator kunye neethenda zithengiswa, kwaye isigulane siselula kwaye siyasebenza. Kulezi zigulane, ukutshintshwa kwegxina akunakukhetha, kodwa umsebenzi ophuculweyo wegxala ufunekayo kumsebenzi okanye umsebenzi wokuzonwabisa.
Ukudluliselwa kwemizimba ngokuqhelekileyo kwenziwa ngokusebenzisa i-latissimus okanye i- pectoralis . Iithoni zalezi zihlunu zisuswe kwi-attachment yazo eqhelekileyo kwaye zixhomekeke kwithambo elijikelezileyo. Iimisipha zisebenza ngokutsha ukubuyisela enye into elahlekileyo yomsizi womxhelo.
Ukutshintshwa kwemizimba kudlalwa yinto efanelekileyo kwizigulane eziselula ezinezinyembezi ezingenakukwazi ukulungiswa. Uphando luyinkqubo enkulu, enokuvuselelwa ixesha elide. Ukongezelela, umsebenzi wegulane emva kokuba unyango luphuculwe, kodwa aluqhelekanga. Izigulane kufuneka zibe neenxalenye eziqhelekileyo zamagxa kunye nezibonakaliso ze-arthritis.
Ukuguqulwa Kwamahlombe
Utyando olusenyakatho lwamahlandla ngokubanzi lugcinwa kwizigulane ezine- rotator cuff i-tearth arthropathy , imeko apho i-rotator cuff tear is found in the setting of arthritis .
Kule meko, ukuguqulwa komgangatho wesigxina akulona uhlobo olufanelekileyo lokufakela kwaye lukhokelela ekuphumelekeni kokuqala kokutshintshwa. Ngoko ke, izimpembelelo ezikhethekileyo, ezifana nokutshintshwa kwamagxa okutshintshileyo , zikhethwa ukonyango. Ezi zifakelo zenzelwe umxhelo wegxina ophethe isifo samathambo, kunye nokungaqiniseki kwekhopu yokujikeleza.
> 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.