Inyathelo Lokunyangwa Kweengxaki Ezihlanganyelweyo Zihlangene
Ukuguqulwa kwamagxa okutshintshileyo kwakucwangciselwe ngokukodwa ingxaki ebizwa ngokuba yi- rotator cuff i-tearth arthropathy . Ingqungquthela ye-Rotator i-tearth arthropathy yinkinga eyenzekayo xa isigulane sinama- arthritis kunye ne- rotator cuff .
Ikhuphe yokujikeleza yiqela leetoni kunye nezihlunu ezijikeleze umxhelo. Ezi zihlunu kunye neetonthoni zibalulekile ekwenzeni imisebenzi yamagxa (njengokuphakamisa ingalo yakho phezulu), kunye nokugcina ibhola yebhola kunye ne-socket joint joint.
Xa isitya sokujikeleza siqwenguliwe , umxhasi unako ukuguga, okukhokelela ekuhlaleni i-arthritis .
Isizathu sokuthi indawo yokuguqula isalathisi esele iqhutywe yenziwa ngenxa yokuba ukhetho oluqhelekileyo lwe-arthritis yexhepha alusebenzi kakuhle xa izigulana nazo ziba ne-rotator cuff. Kulezi zigulane, ukutshintshwa kweepaliti ngokuqhelekileyo akusebenzi. Kwimveli yeendwendwe, ibhola ephezulu yesifuba lesengalo (i-humerus) ithathelwa indawo yebhola yensimbi. Isiseko sekhasi lesigxina (scapula), sithatha indawo yesikhokelo seplastiki. Kwizigulane ezithe zatshintshwa iigulane ezipheleleyo kunye ne-cooled rotator, i-socket of the implant iyakwazi ukukhulula. Ukungabikho kombhobho we-rotator kubangela ukuba ukufakelwa kuqhube ngokungavumelekanga, kwaye kubangele imikhosi engaqhelekanga kwisiseko.
Ukutshintshwa kweNtshukumo
Njengoko kubonisiwe, ukutshintshwa kweendlela zendabuko kusetyenziswa ibhola yensimbi ngaphezulu kwethambo lesengalo, kunye nesiseko seplastiki kwihlombe.
Oku kufana nendlela umzimba wethu owenzelwe ngayo ngokubambisana kwebhola kunye ne-socket.
Ukuguqulwa kwamagxa okutshintshileyo kusetyenziswa umxube webhola kunye ne-socket ngokunjalo, kodwa ibhola ifakwe kwiphepha lehlombe, kwaye isiseko sibekwe phezu kwethambo lesangqa. Le yintsholongwane ye-anatomy yethu yesiqhelo, kwaye ngoko igama elithi "ukuguqula ihlombe."
Kutheni Udala Indlebe 'Ebuyile'?
Ukuguqulwa kwamagxa okutshintshiselwayo kwenzelwe izigulane ezingenazo i-rotator cuff, kwaye ngoko-ke "awunayo" i-anatomy shoulder shoulder. Ngako oko, ukutshintshwa kwegxala eliphambeneyo kuyindlela efanelekileyo yokunyamekela le ngxaki enzima.
Ukuguqulwa kwamagxa okutshintshileyo kwenzelwe ukwenza i-deltoid muscle, isisundu esikhulu sehlombe, sisebenza kakuhle. Kwizigulane ezine-rotator cuff i-tearth arthropathy, i-rotator cuff ayisebenzi ngokuqhelekileyo, kwaye i-deltoid inokukunceda ukwenza lo bunqongophala. Ngokuguqula ibhola kunye nesiseko, i-deltoid muscle iba namandla kakhulu ukuphakamisa ingalo phezulu, kwaye ihlawulise ingxowa ejikelezayo.
Izingozi zokutshintsha kwakhona
Ukuguqulwa kwamagxa asetshenzisiweyo kusetyenziswe ngaphezu kweyhumi eYurophu, kodwa sele isetyenzisiwe e-United States ukususela ngo-2004 xa yaba yi-FDA evunyelweyo. Nangona kukho idatha ethembisayo kakhulu ekusebenziseni kwezi mpilo, isabonwa njengento entsha, kwaye uphando oluninzi lufunekayo.
Abagqirha abahamba phambili baye baqamba inkqubo yokuguqula indawo yokuguqula indawo "indawo ephezulu yengozi, ephezulu" kwizigulane ezinezigulana zokujikeleza. Uphononongo olutshanje lufumene isantya senkxalabo ye-25 ukuya kwi-50% edibeneyo nokuhlinzwa.
Iingxaki zingabandakanya ukukhululeka kwezimpembelelo, ukungazinzi okanye ukuchithwa kwebhola kwisiseko, kunye nentlungu eqhubekayo.
Ngaba Yona Inokukhetha?
Izigulane ezinomdla wokutshintshwa kwamagxa kufuneka zibe ne-arthritis enzima, kwaye i-rotator cuff ihlambe. Izigulane ezingenayo le nxu lumene neemeko zingaphantsi kwezinye iindlela zokucwangcisa ukulungisa ingxaki yazo.
Ezinye izinto ezichaphazela isigqibo sokwenza indawo yokuguqulwa kwamagxa aquka ukusetyenziswa komzimba we-deltoid (omele usebenze kakuhle), iminyaka yesigulane kunye neemfuno zomsebenzi zesigulane.
Ngokuqhelekileyo, ukutshintshwa kwamagxa okutshintshwa kwimihlaba kulungiselelwe izigulane ezineemfuno ezincinci zemisebenzi.
Izigulane ezinomdla wokuba le nkqubo ifanele ukuxubusha zonke iinketho zabo kunye nabagqirha bamazinyo. Ngokuqinisekileyo ukuguqulwa kwamagxa okutshintshwayo kufanele kwenziwe kuphela ukuba unyango olulula, olungasebenziyo luye lwahluleka ukunciphisa iimpawu. Izigulane kufuneka zibe ngugqirha wazo malunga namava akhe ngale nkqubo, njengoko kusekho ubugcisa obutsha.
Imithombo:
Ecklund KJ, et al. "I-Rotator Cuff I-Arthropathy" J. Am. Acad. IOrn. Ugqirha, ngoJuni 2007; 15: 340 - 349.