Iingxaki zekhafu yerotator

Isikhonkwane esijikelezayo liqela lezihlunu kunye neetoni ezinamathela emathanjeni omdibaniso wamagxa, ivumela igxalaba ukuba lihambe kwaye ligcine lizinzile.

• I-Rotator cuff tendinitis ibhekisa ekucaphukiseni kwezi tendons kunye nokudumba kwe-bursa (indawo ecekeceke ngesiqhelo) yokufaka ezi tendons.
• Isikhonkwane somjikelezo esijikelezayo senzeka xa enye yeetoni ikrazulwa kwithambo ekusebenziseni kakhulu okanye ukwenzakala.

Umdibaniso wegxalaba yibhola kunye nohlobo lwesokethi ngokudibeneyo. Inxalenye ephezulu yethambo lengalo (ihumerus) lenza indibaniselwano yegxalaba (iscapula). Ikhofu yokujikeleza ibambe intloko yehumerus kwiscapula. Ikwalawula kwakhona ukuhamba kwegxalaba.

UTENDINITIS

Iimisipha zekhomputha yokujikeleza zidlula ngaphantsi kwendawo enamathambo kwindlela yabo yokuncamathisela indawo ephezulu yethambo lengalo. Xa ezi tendon zivutha, banokutsha ngakumbi kule ndawo ngexesha lokuhamba kwamagxa. Ngamanye amaxesha, ithambo elikhuthazayo licutha indawo nangakumbi.

I-Rotator cuff tendinitis ikwabizwa ngokuba yi-impingement syndrome. Izizathu zale meko zibandakanya:

• Ukugcina ingalo ikwindawo enye ixesha elide, njengokusebenza kwekhompyuter okanye ukwenza iinwele
• Ukulala ngengalo enye busuku ngabunye
• Ukudlala imidlalo efuna ukuba ingalo ihanjiswe ngaphezulu kwentloko efana ne-tennis, i-baseball (ngakumbi ukujula), ukuqubha nokuphakamisa iintsimbi ngaphezulu
• Ukusebenza ngengalo ngaphezulu kweeyure okanye iintsuku ezininzi, njengokupeyinta kunye nokuchwela
• Ukuma kakubi kwiminyaka emininzi
• Ukwaluphala
• Ikhafu yerotator iyalila

Iinyembezi

Iinyembezi zekhomputha yeRotator zinokwenzeka ngeendlela ezimbini:

• Ukulila ngesiquphe kunokwenzeka xa usiwa engalweni ngelixa yoluliwe. Okanye, inokwenzeka emva kokukhawuleza, ukunyakaza xa uzama ukuphakamisa into enzima.
• Inyembezi engapheliyo yetyhubhu yomtya ojikelezayo yenzeka kancinci ngokuhamba kwexesha. Kungenzeka ngakumbi xa une-tendinitis engapheliyo okanye i-impingement syndrome. Ngexesha elithile, i-tendon iyanxiba kwaye iinyembezi.

Zimbini iintlobo zeenqwelo zokujikeleza ezijikelezayo:

• Ukuqhaqhaqhaqhaqhaqho kwenzeka xa iinyembezi zingazikhupheli ngokupheleleyo iziqhotyoshelweyo kwithambo.
• Ukuqengqeleka okupheleleyo, okugcweleyo kweinyembezi kuthetha ukuba iinyembezi zihamba yonke indlela ngethenda. Inokuba incinci njengepini, okanye iinyembezi zinokubandakanya yonke imisipha. Ngeenyembezi ezipheleleyo, ithenda isukile (yahlulwa) apho ibincanyathiselwe khona emathanjeni. Olu hlobo lweenyembezi alunyangi ngokwalo.

UTENDINITIS

Kwangoko, iintlungu zithambile kwaye zenzeka ngemisebenzi yentloko kunye nokuphakamisa ingalo yakho ecaleni. Imisebenzi ibandakanya ukuxubha iinwele zakho, ukufikelela kwizinto ezishelfini, okanye ukudlala umdlalo ophezulu.

Intlungu inokwenzeka ngakumbi ngaphambili kwegxalaba kwaye inokuhamba iye ecaleni kwengalo. Intlungu ihlala ime phambi kwengqiniba. Ukuba iintlungu ziyehla engalweni ziye engqinibeni nasesandleni, oku kungabonisa imithambo emuncu entanyeni.

Kunokubakho neentlungu xa ususa igxalaba kwindawo ephakanyisiweyo.

Ngokuhamba kwexesha, kunokubakho iintlungu ekuphumleni okanye ebusuku, njengaxa ulele egxalabeni elichaphazelekayo. Unokuba nobuthathaka kunye nokulahleka kokunyakaza xa uphakamisa ingalo ngaphezu kwentloko yakho. Igxalaba lakho linokuziva ngathi liqinile ngokuphakamisa okanye ukuhamba. Kunokuba nzima ngakumbi ukubeka ingalo ngasemva kwakho.

UMQEQESHI IINYEMBEZI ZE-CUFF

Intlungu enenyembezi ngokukhawuleza emva kokuwa okanye ukonzakala ihlala inamandla. Kanye emva kokulimala, uya kuba buthathaka egxalabeni nasengalweni. Kunokuba nzima ukuhambisa igxalaba lakho okanye ukuphakamisa ingalo yakho ngaphezulu kwegxalaba. Unokuziva ngathi ukhawulezile xa uzama ukuhambisa ingalo.

Ngeinyembezi ezingapheliyo, uhlala ungaboni ukuba iqale nini. Kungenxa yokuba iimpawu zentlungu, ubuthathaka, kunye nokuqina okanye ukulahleka kwesindululo ziba mandundu kancinci ekuhambeni kwexesha.

I-Rotator cuff tendon iinyembezi zihlala zibangela iintlungu ebusuku. Intlungu inokukuvusa. Ngexesha lasemini, iintlungu ziyanyamezeleka, kwaye zihlala zibuhlungu kuphela ngokuhamba okuthile, njengokuphezulu okanye ukufikelela ngasemva.

Ngokuhamba kwexesha, iimpawu ziba mandundu, kwaye azikhuthazwa ngamayeza, ukuphumla, okanye ukwenza umthambo.

Uvavanyo lomzimba lunokubonisa ukuthamba egxalabeni. Ubuhlungu bunokwenzeka xa igxalaba liphakanyisiwe ngaphezulu. Amaxesha amaninzi kukho ubuthathaka begxalaba xa libekwe kwizikhundla ezithile.

I-X-ray yegxalaba inokubonisa ithambo lokutshintsha okanye ukutshintsha kwindawo egxalabeni. Inokulawula nezinye izizathu zentlungu egxalabeni, enje ngesifo samathambo.

Umboneleli wakho wezempilo unokuyalela ezinye iimvavanyo:

• Uvavanyo lwe-ultrasound lusebenzisa amaza esandi ukwenza umfanekiso welungu lamagxa. Ingabonisa inyembezi kwikhafu ejikelezayo.
• I-MRI yegxalaba inokubonisa ukudumba okanye inyembezi kwikhafu yokujikeleza.
• Nge-x-ray edibeneyo (i-arthrogram), umboneleli ujoba izinto ezichaseneyo (idayi) kwindawo edibeneyo. Emva koko kusetyenziswa i-x-ray, i-CT scan, okanye iskena se-MRI ukuthatha umfanekiso wayo. Umahluko uhlala usetyenziswa xa umboneleli wakho ekrokrela ikhafu encinci yokujikeleza ikhefu.

Landela imiyalelo yomboneleli wakho ngendlela yokujongana nengxaki yekhafu yerotator ekhaya. Ukwenza njalo kunokunceda ukukhulula iimpawu zakho ukuze ubuyele kwimidlalo okanye kwezinye izinto.

UTENDINITIS

Umboneleli wakho uya kukucebisa ukuba uphumle igxalaba lakho kwaye uphephe imisebenzi ebangela iintlungu. Amanye amanyathelo abandakanya:

• Iipakethi zomkhenkce zigalelwe imizuzu engama-20 ngexesha, amatyeli amathathu ukuya kwayi-4 ngemini ukuya egxalabeni (khusela ulusu ngokusongela ipakethe yomkhenkce kwitawuli ecocekileyo ngaphambi kokufaka isicelo)
• Ukuthatha amayeza, afana ne-ibuprofen kunye ne-naproxen, ukunceda ukunciphisa ukudumba kunye nentlungu
• Ukuphepha okanye ukunciphisa imisebenzi ebangela okanye eyenza mandundu iimpawu zakho
• Unyango lomzimba ukolula kunye nokomeleza izihlunu zamagxa
• Iyeza (i-corticosteroid) ifakwe kwigxalaba ukunciphisa iintlungu kunye nokudumba
• Utyando (iarthroscopy) ukususa izicwili ezitshisiweyo kunye nenxalenye yethambo ngaphezulu kwekhafu yokujikeleza ukuze unciphise uxinzelelo kwiitoni

IINYEMBEZI

Ukuphumla kunye nokunyanga ngokwasemzimbeni kunokunceda ngeenyembezi ezithile ukuba awuhlali ubeke imfuno eninzi egxalabeni lakho.

Ugqirha lokulungisa ithenda lunokufuneka ukuba ikhafu yerotator ininyembezi ngokupheleleyo. Utyando lunokufuneka kwakhona ukuba iimpawu azibi bhetele ngolunye unyango. Uninzi lwexesha, utyando lwearthroscopic lunokusetyenziswa. Iinyembezi ezinkulu zinokufuna utyando oluvulekileyo (utyando ngensimbi enkulu) ukulungisa imisipha eqhekekileyo.

Nge-rotator cuff tendinitis, ukuphumla, ukuzilolonga kunye nezinye iindlela zokuzinakekela zihlala ziphucula okanye zikhupha neempawu. Oku kungathatha iiveki okanye iinyanga. Abanye abantu banokufuna ukutshintsha okanye ukunciphisa ixesha abadlala ngalo imidlalo ethile ukuze bangabi nazintlungu.

Ngeenyembezi zekhafu yokujikeleza, unyango luhlala ludambisa iimpawu. Kodwa isiphumo sixhomekeke kubungakanani benyembezi kunye nokuba sele ikho kangakanani iinyembezi, ubudala bomntu, kunye nokuba ebekhuthele kangakanani umntu phambi kokulimala.

Biza ukuqeshwa kunye nomboneleli wakho ukuba uneentlungu eziqhubekayo zamagxa. Biza kwakhona ukuba iimpawu aziphuculanga kunyango.

Gwema ukuphindaphinda okuphindaphindiweyo kokuhamba. Ukuzivocavoca ukomeleza igxalaba kunye nengalo yemisipha nako kunokunceda ekuthinteleni iingxaki zekhomputha yokujikeleza. Ziqhelanise nokuma kakuhle ukugcina iitotons zakho zeerotator kunye nezihlunu zikwindawo efanelekileyo.

Igxalaba lokuqubha; Igxalaba lomphanda; Isifo sokuthintelwa kwamagxa; Igxalaba letenisi; I-tendinitis - isikhwama sokujikeleza; Ikhafu yeteninitis yerhafu; Isigulo sokusebenzisa gwenxa isifo

• Ukuziqhelanisa nekhafu yerotator
• Ikhomishini yerotator - ukuzikhathalela
• Utyando lwamagxa - ukukhutshwa
• Sebenzisa igxalaba lakho emva kotyando olwenziwe ngokutsha
• Sebenzisa igxalaba lakho emva kotyando

• I-anatomy yesiqhelo yekhafu yokujikeleza
• Ukudumba kwamagxa ngokudibeneyo
• Ukudumba kwamathambo
• Uqhekeze ikhafu yerotator

Hsu JE, Gee AO, Lippitt SB, Matsen FA. Ikhomputha yokujikeleza. Ku: Rockwood CA, Matsen FA, Wirth MA, Lippitt SB, Fehringer EV, Sperling JW, ii-eds. I-Rockwood kunye neMatsen Igxalaba. Umhla we-5. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 14.

IMosich GM, iYamaguchi KT, iPetrigliano FA. Ikhafu yeRotator kunye nezilonda zokufakwa ngaphakathi. Ku: Miller MD, Thompson SR, ii-eds. UDeLee kunye noDrez's Amayeza oNyango lweMidlalo: Imigaqo kunye nokuziqhelanisa. Umhla we-5. IPhiladelphia, PA: Elsevier; 2020: isahluko 47.