Ukuziqhelanisa nekhafu yerotator

Isikhonkwane esijikelezayo liqela lezihlunu kunye neetoni ezenza ikhofu ngaphezulu kwelungu lamagxa. Ezi zihlunu kunye neethoni zibamba ingalo ngokudibeneyo kwaye zinceda ukudibana kwegxalaba ukuba lihambe. Iitoni zinokuqhekezwa kukusetyenziswa gwenxa, ukonzakala, okanye ukunxiba ngokuhamba kwexesha.

Ukuzivocavoca umzimba kunokunceda ukomeleza izihlunu zamanqatha kunye neetoni zokunciphisa iimpawu zakho.

Iimisipha zekhomputha yokujikeleza zidlula ngaphantsi kwendawo enamathambo kwindlela yabo yokuncamathela kumphezulu wethambo lengalo. Ezi tendon zidibanisa kunye ukwenza ikhofu ejikeleze ukudibana kwegxalaba. Oku kunceda ukugcina ukudibana kuzinzile kwaye kuvumela ithambo lengalo ukuba lihambe kwithambo lamagxa.

Ukwenzakala kwezi tendon kunokubangela:

• I-Rotator cuff tendinitis, ecaphukisayo kunye nokudumba kwezi tendon
• Isikhonkwane sokujikeleza sikrazuka, esenzeka xa enye yeetoni ikrazukile ngenxa yokusetyenziswa gwenxa okanye ukwenzakala

Oku kwenzakala kuhlala kukhokelela kwintlungu, ubuthathaka, kunye nokuqina xa usebenzisa igxalaba lakho. Inxalenye ephambili ekubuyiseni kwakho kukuzilolonga ukwenza izihlunu kunye neetoni kumalungu akho omelele kwaye abe bhetyebhetye.

Ugqirha wakho angakuthumela kwiphysical Therapist ukuze unyange ikhofu yakho yokujikeleza. Unyango lomzimba luqeqeshelwe ukunceda ukuphucula amandla akho okwenza imisebenzi oyifunayo.

Ngaphambi kokukunyanga, ugqirha okanye ingcali iya kuvavanya ubuchwephesha bomzimba wakho. Umgqirha unoku:

• Jonga ukuba igxalaba lakho lihamba njani xa usenza imisebenzi, kubandakanya igxalaba lakho kunye negxalaba lakho
• Jonga umqolo wakho kunye nokuma kwakho njengoko umi okanye uhleli
• Jonga uluhlu lwentshukumo yamagxa akho kunye nomqolo
• Vavanya izihlunu ezahlukeneyo ngobuthathaka okanye ukuqina
• Jonga ukuba zeziphi iintshukumo ezibonakala ngathi zibangela okanye zibuhlungu iintlungu zakho

Emva kokuvavanya nokuvavanya, ugqirha wakho okanye ugqirha womzimba uya kukwazi ukuba zeziphi izihlunu ezibuthathaka okanye ezixineneyo. Uya kuthi emva koko uqale inkqubo yokolula izihlunu zakho kwaye uzenze zomelele.

Injongo kukuba usebenze ngokusemandleni akho ngaphandle kwentlungu. Ukwenza oku, ugqirha wakho ngokwasemzimbeni uya:

• Nceda ukomeleze kwaye wolule izihlunu egxalabeni lakho
• Fundisa iindlela ezifanelekileyo zokuhambisa igxalaba lakho, kwimisebenzi yemihla ngemihla okanye kwimidlalo
• Fundisa ulungisa ukuma kwamagxa

Ngaphambi kokuba wenze imithambo ekhaya, cela ugqirha okanye ugqirha wakho ukuba uqiniseke ukuba ubenza ngokufanelekileyo. Ukuba uneentlungu ngexesha okanye emva kokuzilolonga, kungafuneka utshintshe indlela owenza ngayo umthambo.

Uninzi lokuzilolonga egxalabeni lwakho nokuba wolule okanye womeleze izihlunu kunye neethoni zelungu lakho.

Ukuzivocavoca ukolula igxalaba lakho kubandakanya:

• Ukolula umva wegxalaba lakho (ukolula emva)
• Nika umva wakho wolula (igxalaba langaphambili)
• Ngaphambili igxalaba - itawuli
• Ukuzivocavoca kwePendulum
• Udonga lolula

Ukuzivocavoca ukomeleza igxalaba lakho:

• Umsebenzi wokujikeleza wangaphakathi - kunye nebhendi
• Umsebenzi wokujikeleza wangaphandle - kunye nebhendi
• Ukuzivocavoca kwamagxa e-Isometric
• Ukutyhalwa kodonga
• Igxalaba legxalaba (scapular) ukurhoxisa- akukho tubing
• Igxalaba legxalaba (iscapular) ukurhoxisa - ityhubhu
• Ingalo ifikelela

Ukuzilolonga kwamagxa

• Ngaphambili igxalaba
• Ingalo ifikelela
• Ujikelezo lwangaphandle kunye nebhendi
• Ujikelezo lwangaphakathi kunye nebhanti
• I-Isometric
• Ukuzivocavoca kwePendulum
• Igxalaba lokurhoxiswa kwebala nge-tubing
• Igxalaba lokurhoxisa ibala
• Ukolula umva egxalabeni lakho
• Nyusa umva wolula
• Ukutyhalwa kodonga
• Ukolula udonga

IFinnoff JT. Intlungu ephezulu yelungu kunye nokungasebenzi. Ku: Cifu DX, ed. IBraddom's Physical Medicine kunye noVuselelo. Umhla we-5. IPhiladelphia, PA: Elsevier; 2016: isahluko 35.

URudolph GH, Moen T, Garofalo R, Krishnan SG. Ikhafu yeRotator kunye nezilonda zokufakwa ngaphakathi. Ku: Miller MD, Thompson SR, ii-eds. UDeLee kunye noDrez's Amayeza oNyango lweMidlalo: Imigaqo kunye nokuziqhelanisa. Ngomhla we-4. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 52.

I-Whittle S, Buchbinder R. Ekliniki. Isifo sekhafu seRotator. UAnn Intern Med. 2015; 162 (1): ITC1-ITC15. IINKCUKACHA: 25560729 www.ncbi.nlm.nih.gov/pubmed/25560729.

• Igxalaba elifriziwe
• Iingxaki zekhafu yerotator
• Ukulungiswa kwekhafu yerotator
• Iarthroscopy yamagxa
• I-CT ehlombe
• Iskena seMRI yamagxa
• Intlungu yamagxa

• Ikhomishini yerotator - ukuzikhathalela
• Utyando lwamagxa - ukukhutshwa
• Sebenzisa igxalaba lakho emva kotyando

• Ukonzakala kweRotator Cuff