Utyando lwe-Rotator ye-cuff yinto eqhelekileyo yonyango ye-rotator coff. Iindlebe ezininzi ze-rotator zinyangwa ngaphandle kokuhlinzwa, kodwa kukho iimeko apho utyando luyonyango olungcono. Kwezinye iimeko, utyando luqwalaselwa ngokukhawuleza emva kokulimala, ngelixa kwezinye iimeko, utyando luseyinyathelo lokugqibela xa zonke ezinye izigulane ziye zahluleka.
Ngendlela efanelekileyo inqubo yokugada ukulungisa i-rotator cuff ngeyona ndlela iyona nto ibaluleke kakhulu kwaye ilula kakhulu yonyango, kwaye ukubuyiswa kwakhona nokubuyisela kuyona mceli mngeni.
Abantu abanomsebenzi wokuhlinzwa ngecala lokujikeleza kufuneka baqonde intlobo nganye ye-rehab njengesiphumo esihle kakhulu kuxhomekeke ekuphulukisweni nasekuvuseleleni okulandela ukuhlinzwa. Nanku umgca wamanqanaba amanyathelo emva kokutyunjwa kombhobho wokujikeleza:
Usuku Lophando
Ugqirha lwe- Rotator ukutyunjwa kwenkqubo yonyango. Ubusuku obuhlala kwisibhedlele ngokungekho mfuneko. Inkqubo yokugqirha ihlala ithatha iiyure ezimbalwa, kuxhomekeke kumlinganiselo womsebenzi ofanelekileyo wokulungisa izikhwebu eziqhekekileyo.
Emva kokuhlinzwa, ingalo yakho iya kufakwa kwisiringi. Isalathisi esibamba ingalo esecaleni kwinqanaba (isithwathwa sokubanjelwa) ngokuqhelekileyo kucetyiswa ukuba kuqhutywe i- rotator ye-cuff yokuhlinzwa , njengoko ziphethe iitoni kwindawo ekhululekile. Uya kuhlala esibhedlele de intlungu yakho ilawulwa ngokwaneleyo.
Imihla Yokuqala
Iintsuku zokuqala emva kokuba uqhutywe ngumbhobho we-rotator ugxininise ekuqinisekiseni ukuba ulawulo lwakho lweentlungu lwanele.
Ugqirha wakho uya kunika imishanguzo yokunceda. Njalo uzame ukuthintela intlungu ukuba ibe nzima ngokuthatha amancinci amayeza eentlungu kwiimpawu zokuqala ezingenakunzima, kunokuba zikhulu kakhulu xa iintlungu zinzima kakhulu. Ukuzama iintlobo ezahlukeneyo zamachiza kunokuba luncedo; Oogqirha abaninzi bancomela imishanguzo echanekileyo yonyango ngamachiza aphikisayo .
Uze ungalibali ngokukrapha ihlombe . Isicelo seqhwa sinokuba yinxalenye ebaluleke kakhulu yokulawula ubuhlungu .
Ukulala ebusuku
Ukulala emva kokuhlinzwa kwegxina kungaba ngumngeni. Kwanokuba uphazamiso olunokulinganisela emagxeni lunokuthintela ukulala ebusuku. Izigulane ezininzi zifumanisa ukuba zikhululekile ukulala kwisithuba esicacileyo sesigxina emva kokutyunjwa kwebhoyi yokujikeleza; i-recliner iphelele. Ukuba awunayo i-recliner, mane ufumane imithwalo emininzi kwaye wenze i-backrest embhedeni ukuvumela ukuba ulale kwindawo ehleliyo kunye ne-elbow ekhomba. Iyeza zonyango zokulala zinganceda njengemithi yesifo , njengokufumana ubuthongo obuhle bobusuku kunokukwenza okuninzi ukulawula ubuhlungu njengawo nawuphi na into.
Isigaba sokubuyisela Isigaba 1: Ukunyuswa kwama-Passive Motion
Isigaba sokuqala sokubuyisela sisishukumisi nje kuphela. Oku kungadlulela kwiiveki ezingama-6, ngokuxhomekeka kubukhulu bomkhumbi we-rotator ukulila kunye namandla okulungisa.
Ukunyuswa kwesantya kuthetha ukuba imisipha yamathambo kunye neetoni ayenzi naliphi na umsebenzi. Xa isivumelwano se-musculi se-rotator, ukuxhatshazwa kufakwe ekulungiseni okwenziweyo. Ukunyuswa kwesantya kuthetha ukuba ihlombe ihamba ngaphandle kokubeka ingxaki ekulungiseni.
Ukuze wenze isisombululo esincinci , ugqirha wakho uya kukuhambisa ihlombe lakho.
Umgqirha unokukuyalela nendlela yokuhambisa ihlombe lakho ngaphandle kokuthenga iishubhu zentsimbi .
ISigaba sesiFundo sesi-2: Ukuhamba okusebenzayo
Isilumkiso esisebenzayo siqaliswa xa kukho ukuphilisa okwaneleyo kweetoni ukuvumela ukuba baqale ukuhambisa ingalo, kodwa ngaphambi kokuba kukho nantoni na ukunyanzelwa. Unokuthi ukhawuleze ukunyakaza okusebenzayo kwiiveki ezili-12 ukususela ngexesha lotyando . Ukunyakaza okusebenzayo kuthetha ukuba unokuhambisa isandla sakho, kodwa kungekhona ukuchasene.
Isigaba sokubuyisela Isigaba 3: Ukuqinisa
Isigaba sokomeleza sokubaluleka kubaluleke kakhulu. Ngenxa yokulimala, ukuhlinzwa, kunye nezigaba zokuqala zokubuyisela, izihlunu zengubo yokujikeleza ziye zabuthathaka.
Xa ukulungiswa kuphuluke ngokwaneleyo, kubalulekile ukuqala ukuqinisa imisipha ukuvumela ukuba uqhubeke kwakhona nomgangatho wakho wokusebenza.
Izisipha ze-rotator zezingxowa azidingi iisindo ezinzima zokuqiniswa ngempumelelo. Umgulane onamandla unokukufundisa ngeendlela zokuhlukanisa izihlunu ezifanelekileyo ukuqiniswa okunjalo ukuba amaqela okanye ukuphakama kwamandla okukhanya amancinci angenza umsebenzi obalaseleyo.
IsiGqeba sokuPhinda sesi-4: Umsebenzi opheleleyo
Ukubuyiswa ngokupheleleyo emva kokuba utyando lwe-cup rotation ludla ngokuthatha iinyanga ezine ukuya kwezi-6 kwaye kwezinye iimeko zide. Izinto ezibalulekileyo ezibonisa ubude bokubuyiselwa bubukhulu bomkhumbi we-rotator, ukukwazi ukulungisa ngokwaneleyo i-tendon, nokuzibophezela ekuvuseleleni.
Ukwazi ukuba uza kuvela nini kwisigaba esinye sokuhlaziya ukuya kwesinye ubugcisa. Akunabo bonke abantu abaya kuhamba phambili nge-rehab ngendlela efanayo, kwaye ngamnye umntu kufuneka alandele umgaqo-nkqubo wokumisela. Xoxa nayiphi na imibuzo ethile enayo malunga ne-rehab yakho kunye nodokotela wakho ogqirha.
ILizwi
Olu luhlu olubanzi lweendlela zokuvuselela ezilandelelwano lwe-cuffler. Gcinani engqondweni, ukuba isigulane, zonke iinyembezi, kunye nokuhlinzwa zonke zihluke kakhulu. Nangona ukuhamba kwezi nyathelo kuyisikhokelo esiluncedo, isiguli ngasinye sifuna ukuxubusha inkqubela ethile kunye nodokotela wabo ogqirha. Inkqubela ingaba ihamba ngokukhawuleza okanye ihambe ngokuxhomekeke kwizinto ezininzi. Ngelixa ulingela ukuthelekisa inkqubela phambili kunye nabahlobo, amalungu omndeni, okanye abaqhelana nabo kwi-ofisi yesicropheko, ukubuyiswa kwabo akunakufana neyakho! Qinisekisa ukuba uyazi apho ungadinga ukukhuselwa kancinci okanye ixesha elongezelelweyo ukuze uphinde uphinde ubeke umxhwele kwimeko yakho.
Imithombo:
Millett PJ, et al. "Ukubuyiselwa kwe-Rotator Cuff: Indlela yokuHlola" J. Am. Acad. IOrn. Ugqirha, Oktobha 2006; 14: 599 - 609.