Le ngqungquthela ibalulekile kuMsebenzi kunye noKhuselwa koKhuseleko
Umxhelo wegxala ibhola kunye nexenxu ehlangene, efana neyohluma. Nangona kunjalo, isiseko soxanduva lwegxala lugxininise kakhulu kwaye ngokoqobo lungaqiniseki. Oku kuthetha ukuba amathambo ehlombe awabanjwanga ngokufanelekileyo. Inkxaso eyongezelelweyo iyadingeka-yilapho i-labrum ingena khona. Le ngqungquthela ibalulekile ekuxhaseni kakuhle, njengoko i-labrum ekhethiweyo inokuchaphazela ukunyakaza.
Ngenhlanhla, unyango oluninzi aluyilo.
Yintoni iLabrum?
Ukuhlawulela isalathisi esingenalutho, umxube unomququ we-cartilage obizwa ngokuba yi-labrum eyenza indebe ekupheleni kwesifuba sengalo (humerus) ukunyuka ngaphakathi. Isibhedlele sijikeleza isikhokelo esingenalutho (i-glenoid) ukwenza isiseko singene.
Le ngqayi ye-cartilage yenza ukuba umxhelo wegxa luzinze ngakumbi kwaye uvumela udidi oluninzi lwezinto ezihambayo (eqinisweni, uluhlu lweentshukumo lakho lugxininisa ngaphezu kweyiphi enye inxalenye yomzimba).
Kutheni iLatry Tearry?
Ibhulogi yenziwe ngamathambo anqabileyo anokubangela ukulimala ngengozi kumxhelo. Xa isigulane senza umonakalo wegxalaba , kunokwenzeka ukuba isigulane sinentlungu. Ibrum ibuye ibe yinto enobungakanani kunye nobudala, kwaye iyakwazi ukuphazamiseka nokukhawula njengenxalenye yokuguga.
Iinkqubo ezahlukeneyo ziye zachazwa njengezizathu zezinyembezi ezincinci kwi-shoulder.
Ngamanye amaxesha imbangela yokulimala ngokukhawuleza, njengokuncintisana okunamandla okanye ukukhawuleza kwengalo. Ngakolunye uhlangothi, ezinye ukulimala ngamalwelisi zibangelwa ukulimala ngokuphindaphindiweyo kwiphepha, njengokuba kunjalo nangemisebenzi yokuphonsa phezulu.
Izifundo ezininzi ziye zenziwa kwaye zifumene izikhundla ezithile zomxhelo wegxala apho i-labrum ingozi yengozi.
Ngokuxhomekeke kumsebenzi kunye nesimo sengalo, ugqirha wakho unokunquma uhlobo olunokwenzeka kunye nendawo yokulimala kwelebral.
Iimpawu zeLabhan eThuliweyo
Iimpawu zoqwengqo lweqhekeza zixhomekeke kwindawo apho iinyembezi zikhona, kodwa zibandakanya:
- Uvakalelo olukhulayo kwixhexhe
- Ukubamba ihlombe ngokunyakaza
- Ubuhlungu kunye nemisebenzi ethile
Ukongezelela, ezinye iintlobo zezinyembezi ze-labral, ngokukodwa i- Bankart lesion , inokunyusa amathuba okuxhatshazwa kwamagxa .
Ukuchonga iIebrum Tears
Ugqirha ngokuqhelekileyo uya kuthatha ingqalelo ngokugqithiseleyo kwingozi kunye nentlungu ebangela iingxaki. Kuviwo, iimvavanyo ezithile zingenziwa ukuze zibone iintlobo ezahlukeneyo zezinyembezi.
Iimvavanyo zokucinga zivame ukuqhutyelwa ukongezelela ekuhloleni ngokomzimba. I-x-ray eqhelekileyo ayibonakali ngokungaqhelekanga. I-MRI idla ngokuvakalayo ukuvavanya ukubola komonakalo.
Ukuba kukho inkxalabo ethile malunga nokulimala kwe-labral, i-MRI yenziwa ngokujoba i-gadolinium ukunyusa (idayi) kwidibanti yegxala. Le ngxube inokuphucula ngokuchanekileyo ukuchaneka kwe-MRI ekufumaneni iinyembezi.
Iintlobo zeeLabral Tears
Iipateni eziqhelekileyo zezinyembezi ezinobomi zi:
- Iindlebe ze-SLAP : Oku kubonakala ngokugqithiseleyo kubadlali abafana nabadlali be-baseball kunye nabadlali be-tennis. I-labrum eqotywekileyo ibonwe kwi-SLAP iinyembezi iphezulu kwipokothwa yecala apho i-biceps tendon ifakwa kwihlombe.
- Iindlebe zeBhanart : Inyembezi yeBhanart yinkqonkqoza yeqhekeza eyenzekayo xa igxalaba lihamba . Xa igxalaba liphuma kwimbutho yalo, i-labrum iyaqothulwa kwaye yenza ukuba igalelo lithinteke kakhulu kwixesha elizayo.
- Iindlebe zeLabral zangasemva : Iinyembezi ezingaphantsi kwezilingo aziqhelekanga, kodwa ngamanye amaxesha zibonwa kwiimbaleki kwiimeko ezibizwa ngokuba yi- impingement yangaphakathi . Kule syndrome, i-coat rotator kunye ne-labrum zikhonkxiwe ndawonye emva kwephepha.
UkuPhatha iLebhu eDliweyo
Ukuphatha i-labrum ekhethiweyo kuxhomekeke kuhlobo lweentlungu ezenzekile. Iinyembezi ezincinci azidingi ukuhlinzwa; Nangona kunjalo, kwizigulane ezinemiqondiso engapheliyo nangona unyango olungakumbi, unyango luya kufuneka.
Ngokuqhelekileyo, amanyathelo okuqala amanyathelo alula ukugxila ekuvumela umzimba ukuba uphulukise ukulimala kunye nokuvuvukala ukucima. Ukusebenza nomgulana womzimba kunokunceda ekuphuculeni umatshini wokugxotha ukuxinzelela kwi-labrum emelekileyo epaleni. Kwiimeko apho igxala elingazinzileyo okanye ukuba amanyathelo okunyanga alula apheli, unyango oluninzi olungenayo lunokuqwalaselwa. Uhlobo lonyango luyahlukahluka ngokusekelwe kwintlobo ethile yokulila.
ILizwi
Iinyembezi zeLabral zifumaneka ngokuqhelekileyo kwiphepha. Akuyiyo yonke inyembezi yeqabileyo idinga unyango, kodwa le nzakala ingaba ngumthombo wentlungu kunye nobunzima ngemisebenzi ethile. Nangona iinyembezi ezincinci zingaphuculwa ngonyango olungapheliyo, iinyembezi ezinokubangela ukungazinzi kwehlombe zingadinga unyango olongezelelweyo. Xoxa ngeyona nto inokukhetha ngayo kukugqirha wakho.
> Imithombo:
> Keener JD, Brophy RH. "Iinyembezi eziphezulu zeelusi: i-pathogenesis, uvavanyo, kunye nonyango" J Am Acad Orthop Surg. 2009 Oct; 17 (10): 627-37.
> Streubel PN, Krych AJ, Simone JP, Dahm DL, Sperling JW, uSteinmann SP, O'Driscoll SW, iSanchez-Sotelo J. "Ukungazinzi kwe-glenohumeral yangaphambili: isicwangciso socwangciso lwezobuchopho olusesikweni" J Am Acad Orthop Surg. 2014 ngoMeyi; 22 (5): 283-94.