Unyango olungaphelelanga lusebenza ngokuphindaphindiweyo ukuze kulungiswe
Ugqirha luyonyango oluqhelekileyo lokuba i-rotator cuff ilambe, kodwa yinto engavumelekanga ukuba i-rotator cuff ilambe idinga ukuhlinzwa. Inyaniso kukuba, ininzi, ngaphezu kwe-99%, iindwangu zokujikeleza azikhatyathwa ngokuhlinzwa. Enyanisweni, uninzi lwabantu abanomkhunga we-rotator iindizi abaze babe neengxaki kwiigxala zabo. Abo bantu abaneentlungu zentlungu ezibangelwa ngumbhobho we-rotator otywebileyo banokufumana uncedo ngaphandle kokunyangwa ngonyango.
I-Rotator Cuff Izinyembezi
Ingqayi yokujikeleza iqela lezihlunu kunye neetoni ezijikeleza umxhelo webhola kunye neenqwelo . Iimisipha ezine zenza ikhuni yokujikeleza. Iingxaki zengxube ye Rotator zivela ekuvukeleni kunye ne-tendonitis ukuya kwiinyembezi ezithile, kwiinyembezi ezipheleleyo ze-tendon.
Uninzi lwabantu abaneempawu ezivela kwinkinga yokujikeleza i-rotator ziba nobuhlungu phakathi kwephepha. Ezinye iimpawu eziqhelekileyo ziquka ubuthathaka bemisipha kunye nokuhamba ngokukhawuleza kokubambisana. Iingxaki zengxowa ye Rotator zifumaneka ngokuhlola isigulane. Ngamanye amaxesha iimvavanyo eziquka ii-ray-ray , i-MRIs, kunye ne-ultrasound, zingasetyenziselwa ukucacisa ubungakanani bomonakalo kwi-cuff rotator.
Iinyembezi Ziqhelekile Ukuba Ziqhelekile
Inyaniso kukuba abantu abaninzi baya kugqithisa inkompo yabo yokujikeleza. Njengabantu abaneminyaka yobudala, iinyembezi zokujikeleza ziba zixhaphakile, nakubantu abangenayo impawu yentlungu. Njengokuba iinwele zigugu kunye nekhanda, zikhupha, njengokuba abantu bekhula, i-rotator cuffs ishawula.
Ngelixa zonke iinyembezi zentsimbi yokujikeleza ingaqwalaselwa ngokuqhelekileyo, ezininzi ziyinxalenye evakalayo yokuguga.
Izifundo ezininzi ziye zazama ukufumanisa ukuba bangaphi abantu abanokulila iinyembezi. Iziphumo ziyahluka, kodwa kumaqela abantu abadala abangenazo iimpawu zentlungu, isibalo sabantu abaneemfesane zokujikeleza eziboniswe yi-MRI okanye i-ultrasound liphakathi kwama-5 no-40%.
Kungakhathaliseki ukuba yiyiphi inombolo oyikhethayo, baninzi abantu abahamba ngeenxa yokulila. Ngaphezulu, ezi manani azibandakanyi abantu abanezinyembezi zengqungquthela yokujikeleza , okufumanisa ukuba akukho nto inokungaqhelekanga. Inombolo ekhankanywe ngokuqhelekileyo i-20% yabemi inobungqina bokuba i-rotator cuff isala.
Siyazi ukuba iinyembezi zokujikeleza zivame ukuba zixhaphake njengabantu abaneminyaka yobudala (malunga ne-10% yabantwana abaneminyaka engama-40 ubudala, kodwa ngaphezulu kwama-50% wabantwana abaneminyaka engama-80 ubudala). Iindwangu ze Rotator ziye zixhaphake kakhulu kwingalo ephezulu kunye nabantu abaye baxhasa uhlobo oluthile loxinzelelo kwixhoba.
Ingqungquthela yokujikeleza eyisiphumo sokuguga, ebizwa ngokuba yinkqonkqozo ephazamisayo yesikhumba sokujikeleza, kufuneka ibonakale kwiintlungu ezibangelwa yingozi yokulimala ehlombe. Kukho i-crossover, apho ukukhubazeka okungapheliyo kwintsimbi yokuguqula ukuguga kwexesha elidala kukukhokelela ekukhunjuleni kwiintlungu ezincinci. Ngako oko, ngamnye umntu unokuthi unamalungu omabini ahlaselekileyo kunye nexinzelelo oluchaphazela kwingxaki yabo, kwaye ugqirha wakho wamazinyo unokuncedisa ukuba kutheni iinyembezi zakho zenzeka.
I-Rotator Cuff Inyembezi yokuTywala
Ukunyangwa kwebhotile yokutsala i-rotator kuxhomekeka kuxhomekeke kuhlobo lokulimala kunye nohlobo lwesigulane.
Ekubeni i-rotator cuff igaxa ihlala ikhona kubantu abangenazo iimpawu, ukunyanga akudingeki ukuba kubandakanye ukulungiswa kwetoni etyumbayo. Uninzi lwamaxesha amaninzi, unyango olulula luzama kuqala, kwaye ukuqwalasela ukulungiswa kocwangco kwenziwa kuphela ukuba ezi zonyango zilula ukuphucula.
Kukho ezinye izinto, kwaye abanye abantu abanezinyembezi zokubamba iindlebe bangaba ngcono xa behlinzwa ngokukhawuleza. Ezi zivame ukubandakanya izigulane ezincinci eziye zatshatyalaliswa ngokukhawuleza kwiphepha labo. Kula bantu, i-cookie ye-rotator ikhefu ayiqhelekanga kwaye ingekona kubangelwa yinkqubo yokuguga.
Xa Kufuneka Unyango
Kubalulekile ukuba abantu baqonde ukuba utyando lwebhobho lokujikeleza lunokuba lukhetho olufanelekileyo kwiintlungu zentlungu ezibangelwa ngumbhobho wokujikeleza. Nangona kunjalo, kubalulekile ukuba uqonde ukuba iinyembezi zokujikeleza zihamba ngokuqhelekileyo. Ngokuqhelekileyo ukuba, njengabantu abadala, kulindeleke. Ngako oko, ukuba ne-rotator cuff tear is not a reason in and itself to have a surgery. Isigqibo malunga nokuba utyando olufanelekileyo luyinkimbinkimbi kwaye kuxhomekeka kwizinto ezininzi ofuna ukuxoxa ngazo nodokotela wakho.
Ngakolunye uhlangothi, izigulane zifanele ziqinisekiswe ukuba ngelixa ezinye iinyembezi zokujikeleza zenza intlungu, uninzi lwabantu aluyi kufuna ukuhlinzwa, kwaye abantu abaninzi banokufumana uncedo ngokunyanga. Izigulane ezixelelwa ukuba zidinga ukuqhutyelwa kwebhoyi yokujikeleza kufuneka ziqonde isizathu sokuhlinzwa. Kwiimeko ezininzi, unyango olungaphelelanga lufanele luzame okokuqala, ngaphandle kokuba izigulane ezincinci zinezikhalazi zokujikeleza ezibangelwa ukulimala kabuhlungu. Ukuba awuqinisekanga ngokubaluleka kokuqhutyelwa kwebhobho yokujikeleza, umbono wesibini unokuba luncedo.
Imithombo:
Tempelhof S, et al. "Ukuxhaphaka kwexesha elixhomekeke kwixesha lokujikeleza kweebhokhwe ezinqabeni ezinamahlombe asymptomatic" J Shoulder Elbow Surg. 1999 Julayi-Aug; 8 (4): 296-9.