Okukhethwa kukho Ukwenyuka kweeNtebe eziPhambili zeLabral zeNqabana
Uninzi lwezigulane ezinezinyembezi ze- SLAP ziya kuphendulela unyango olusisigxina. Naliphi isigulane esinenyembezi ye-SLAP siya kucetyiswa ukuba siphumule emva kokulimala ukuvumela ukuba izicubu ezinobungozi zipholise. Ithuba lokuphumla liza kuvumela ukuvuvukala ukuphazamiseka kwaye kunokunceda ukunciphisa iimpawu.
Ezinye iindlela zonyango ezisoloko zisetyenziselwa kwiimeko ze-SLAP izinyembezi ziquka:
Kwizigulane eziye zaqhubeka zibonakalisa iimpawu nangona zonyango, uphando lwe- arthroscopic yefayili lunokucetyiswa . Kukho iinkqubo ezininzi zokuphanda ezinokuthi zenziwe, kwaye kubalulekile ukuqonda ukuba iinyembezi ze-SLAP zidla ngokubambisana nezinye iingxaki zegxininiso ezifana neendwangu ze-rotator kunye ne- shoulder arthritis . Kule meko, unyango oluphambili luya kuluqwalasela le miba.
Uphando lwee-SLAP
Izinyathelo zokupasa eziphambili zeendleko ze-SLAP zi:
- Ukukhawuleza kweendlebe ze-SLAP
Xa inyembezi ye-SLAP igxininiswe, isahlulo esiqwengqileyo sebhubhisi sihlanjululwa ukuba sishiye umgca. Olu khetho lufanelekileyo kuphela kwiinyembezi ezincinci ezingabandakanyi i-biceps tendon. Ukubuyiselwa emva kwesigxina esikude kunokukhawuleza xa kulungiswa ukucoca. - Ukulungiswa kwe-SLAP
Ukulungiswa kwe-SLAP yinkqubo ye-arthroscopic esebenzisa i-sutures ukuphinda ubambe i-labrum ekhethiweyo phantsi kwiplanga lexala. Ukulungiswa kwe-SLAP kulungele izigulane ngamagxa athile enempilo afuna ukuhlala edlala. Ngethuba lokutyunjwa, ugqirha wakho uya kusebenzisa ukufakelwa okutyunjelwayo ukuze aphinde afake izicubu ze-labral ezonakalisiweyo kwithambo lesecaleni lesigxina. Isixhobo esisetyenziswa ngokuqhelekileyo sibizwa ngokuba yi-suture anchor. I-anchor ihleli kwithambo, kwaye i-sutures ihlanganiswe i-labrum kwaye iboshwe ngephambo.
- Biceps Tenodesis
I-biceps tenodesis yinkqubo eyenza i-biceps ithoni ye-biceps ukusuka apho ibambelela kwi-labrum, kwaye iyayibuyisela kwenye indawo. Iingcamango ezingemva kwe-biceps tenodesis kukuba ngokunciphisa amandla atyhola kwisithili se-SLAP, iimpawu ziya kuncitshiswa. I-biceps tenodesis isoloko iyenziwa kwizigulane ezingaphezu kweminyaka engama-40 ubudala okanye izigulane ezine- ticeps tendonitis okanye i-tendonitis . I-biceps tenodesis inokwenziwa i-arthroscopically, okanye nge-incision encinci phezu kwephepha. Ukuqulunqa indlela yokwenza ngcono i-biceps tenodesis kuxhomekeke ngokukodwa kwezinye iimeko eziphathwe ngaphakathi kwimixhelo.
Iziphumo zoBucholo
Iziphumo zovavanyo ezahlukeneyo ziye zabikwa kwiinkalo ezininzi zesayensi. Inkqubo yokuqhutyelwa ngokugqithiseleyo yindlela yokulungisa i-SLAP. Kwizigulane ezine-arthroscopic ukulungiswa kwe-SLAP zisebenzisa i-anchors zamanqwanamhlanje, bhetele ngaphezu kwezi-90% zezigulane zifumaneke ziziphumo ezilungileyo, kwaye ngaphezulu kwe-85% yezigulane ziyakwazi ukubuyela kwimidlalo yezemidlalo.
Izingozi zokunyangwa ngophando ziquka ingozi eqhelekileyo yokuhlinzwa kwe-arthroscopic shoulder shoulder . Ezi zingabandakanya ukusuleleka, ukuqina, kunye nobuthathaka beli gxalaba. Ukongezelela koko, ngaphezu kokubamba izinyembezi ze-SLAP, ezinye izigulane zifunyenwe ukuba zibe nomnye umonakalo ngaphakathi kwimixobo yegxina enokufuna unyango. Ezi ezinye iingxaki zinokuchaphazela ukubuyiswa kwamagxa ekusebenzeni.
Imithombo:
Keener JD, Brophy RH. "Iinyembezi eziphezulu zeelusi: i-pathogenesis, uvavanyo, kunye nonyango" J Am Acad Orthop Surg. 2009 Oct; 17 (10): 627-37.