Iingxaki zengxube yeRotator ziyinto eqhelekileyo yentlungu yeentlungu kunye nobunzima ngemisebenzi efuna amandla aqhelekileyo kunye nokuhamba kwamanyathelo. Enye yeengxaki zengqungquthela eziqhelekileyo zengqungquthela yinkqonkqo yethoni yekhopu yokujikeleza . Abantu abaninzi abafumanisa ukuba banokulila kwikhefu yokujikeleza bangacinga ukuba ukuhlinzwa kuyinyathelo elingenakupheka kunyango.
Ukunyaniseka kukuba, ukubhetele okanye kokubi, ukulungiswa kwebhotile yokulimala engonakaliyo akunakuyilona yonyango olungcono, kwaye kwiimeko ezininzi kunokuba kungenakho unyango.
I-Rotator Cuff Izinyembezi
Ikhuphe yokujikeleza yiqela lezihlunu ezine ezizungeze ngqo umxhelo wegxala. Ngaloo misonyo inamathele kwithambo ngokusebenzisa isakhiwo esibizwa ngokuba yi-tendon . Xa ikhefu ye-rotator ihlezi, i-tendon ixhomekeke kwithambo. Oku kunokukhokelela entlungu, kunzima ukuhambisa ihlombe kunye nobuthathaka. Ukunyangwa kwengxowa ye-rotator iinyembezi ngokuqala kuqaliswe ngamanyathelo alula kuquka ulwaphulo lomzimba, ukuguqulwa komsebenzi, imishanguzo echasayo, mhlawumbi kunye ne-cortisone injection.
Ukuba abantu abaphendulanga kwiinkqubo zonyango ezingaqhelekanga, kukho umbuzo malunga nokuba i- tendon ingayilungiswa ngethambo . Kwiimeko ezininzi, ukulungiswa kwekhafu yokujikeleza yinkqubo efanelekileyo yokonyango. Nangona kunjalo, abanye abantu abanokuqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhababa bafumanisa ukuba ukulungiswa kokucoca akukona unyango olululo
Kutheni Akukho Ulungiso?
Ukulungiswa kokupakisha kwesikhombisi sokulila kungenakwenzeka ngezizathu ezimbalwa ezahlukeneyo:
- Umonakalo wesontoni unzima kakhulu: Ukuba i-rotator cuff isala ikhulu kakhulu (i-rotator cuff tear) kwaye sele ikhona ixesha elide, kunokwenzeka ukuba ukulungiswa kokucoca akunakwenzeka. Kule meko, i-tendon ivame ukuthengwa kwaye ayikwazi ukuphinda isetyenziswe kwisimo sayo esifanelekileyo. Ukongezelela, i-muscle eyenza i-tapator ye-tape isithoni isoloko i-orrophied (iyancipha) kwaye nokuba ithenda yayikwazi ukulungiswa, i-muscle yayingeke isebenze ngokuqhelekileyo.
- Igxala liye laba yintlupheko: Kukho imeko ebizwa ngokuba yi- rotator cuff i-tearth arthropathy . Kule meko kungekhona nje ingxowa yokujikeleza ikhefu, kodwa umxhelo wegxala uye waba yi-arthritic. Le yimeko apho ukulungiswa kwenkompo yokujikeleza kungeke kulandelelanise umbandela ochaphazelekayo.
Izinyango Zonyango
Inyaniso yokuba i-rotator inkomo yokulila ingenako ukulungiswa akuthethi ukuba akukho unyango oluya kuqwalaselwa, kwaye akuthethi ukuba abantu kufuneka basombulule ukuba baphile ngokuxhatshazwa kwabo. Nangona oko kuthetha ukuba ukulungiswa kokucoca kombhobho we-rotator akunakwenzeka, ngokuqinisekileyo kukho ezinye iindlela zokonyango, zozibini zonyango kunye nezokwelapha.
Utyando lwezonyango lubandakanya i-ice, anti-inflammatory medications, i-cortisone injections, ukuguqulwa komsebenzi, kunye nokunyangwa komzimba. Kubalulekile ukuba abantu baqonde ukuba nangona imeko yombhobho omkhulu wokujikeleza, zikhona izihlunu kunye neetononi ezihlangeneyo kunye kunye nokuhlawulela i-tape ye-rotator. Ugxininiso lwaluphina unyango lufanele lubekwe kwimisebenzi yokwelapha ukubuyisela umbane oqhelekileyo ohlangeneyo.
Ingaba kukho Uphando Olunye uhlobo?
Nangona utyando lokulungisa utywala akuyiyo inkqubo yokonyango kwimeko yakho, oko akuthethi ukuba utyando alukwazi ukuqwalaselwa.
Kukho ukungenelelo ngoncedo olunokuthi luqwalaselwe kwimeko yokulila iindwangu ezingapheliyo. Ezi zikhetho zonyango zingabandakanya:
- Utyando olwenziwe ngamathambo (abrasion arthroplasty): Kule meko, ugqirha wakho ugqirha inkqubo "yokucoca" kwiphepha. Umxokelelwane wegxila uqhutyelwa njengophando lwe- arthroscopic shoulder shoulder . Udokotela wakho ugqirha usebenzisa izixhobo zokususa izicubu ezonakalisiweyo okanye ezivuthayo, izibilini ezingaqhelekanga, kunye nokuhlambulula i-cartilage okanye enye umonakalo ngaphakathi kwiphepha.
- Ukulungiswa kweekhethi yokuzikhethela: Xa i-rotator inkomo yokulila inqunywe ukuba ingadluli, utyando olwenza ukuba iincinci zenzeke. Ngethuba lokuhlinzwa xa kuqhutywe umda, enye inxalenye yesikhombi sokujikeleza ingalungiswa. Nangona oku kungenako ukulungiswa okupheleleyo kweetoni eziwonakalisiweyo, ngamanye amaxesha ukulungiswa kokungabi nxalenye kukunceda ukubuyisela umsebenzi othile kwiqela elihlangeneyo.
- Ukudluliselwa kwe-Tendon: Xa i-tape ye-rotator i-tonson iye yahlanjululwa kwaye ingenakontrakthi, kwaye ayikwazi ukulungiswa, kunokukho ukhetho lokutshintshela iithoni zamakhelwane ukuba uthathe indawo yesikhombi sokujikeleza esonakalisiweyo.
- Ukuguqula ukuguquka kwamagxa : Kwiimeko apho umxhasi wegxala liye laba ne-arthritic nelibuhlungu, kwaye i-cuff rotator yonakaliswe ngaphaya kokulungiswa, uhlobo oluthile lokutshintshwa kwefayili lungenziwa. Olu uphando olubizwa ngokuba yi-reverse shoulder replacement lwenziwa ukuze kutshintshwe i-mechanics yamacandelo ehlombe ukwenzela ukuba uvumele ukutshintshwa okusebenzayo naphezu komonakalo kwikhofu yokujikeleza.
Ukubuyiselwa nokulindela
Nangona kunokuba i-rotator ingxube yeendwangu ezingenako ukuzinza, uninzi lwabantu abanokukhangela ngokukhenkcela iinyembezi lunokufumana ukukhululeka kwintlungu kunye nokuphuculwa komsebenzi. Abantu bafanele balindele ukuba ngolawulo olufanelekileyo kwiinyanga eziliqela, kufuneka bakwazi ukufumana ukuphucula intlungu kunye nokuphucula ukwenza imisebenzi eqhelekileyo. Ingenelelo ngoncedo ngamanye amaxesha kunokuba luyimfuneko, kodwa inyaniso kukuba uninzi lwabantu luyakwazi ukuphucula unyango olungapheliyo. Ngokuqinisekileyo, unyango olungapheliyo kufuneka luzame ubuncinane kwiinyanga eziliqela, ukuba kungekudala, ngaphambi kokuqwalasela naluphina uhlobo olunyango lotyando olusakhulayo.
ILizwi
Iindwangu ze Rotator iindimbo ziyingxaki eziqhelekileyo. Ngokukodwa xa sibudala, iinyembezi ze-rotator iinyembezi ekugqibeleni ziba zifunyanwa. Njengoko abantu bangena kuma-60s kunye nama-70s, iinyembezi ze-rotator ziba yinto eqhelekileyo yokufumana kwi-MRI. Abanye abantu abanomkhungululi weemfucumfucu abayi kuba ngabaviwa abalungileyo ukulungiswa kocwangco kwalo monakalo. Kule meko, kunokukhetha ukhetho, kodwa ukulungiswa kwekhafu yokujikeleza kungabi yinto efanelekileyo.
> Imithombo:
> Kuzel BR, i-Grindel S, i-Papandrea R, i-Ziegler D. I-Fatty infiltration and rotator i-atrophy. J Am Acad Orthop Surgery . 2013 Oct; 21 (10): 613-23. i-doi: 10.5435 / JAAOS-21-10-613
> 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.