Ukulungiswa kwekhafu yerotator

Ukulungiswa kwekhafu yeRotator lutyando ukulungisa imisipha egxalabeni egxalabeni. Inkqubo inokwenziwa nge-incision enkulu (evulekileyo) okanye nge-arthroscopy yamagxa, esebenzisa iindlela ezincinci.

Isikhonkwane esijikelezayo liqela lezihlunu kunye neetoni ezenza ikhofu ngaphezulu kwelungu lamagxa. Ezi zihlunu kunye neethoni zibamba ingalo ngokudibeneyo kwaye zinceda ukudibana kwegxalaba ukuba lihambe. Iithenda zinokuqhekeka kukusetyenziswa gwenxa okanye ukwenzakala.

Uya kufumana i-anesthesia ngokubanzi ngaphambi kolu tyando. Oku kuthetha ukuba uza kulala kwaye ungakwazi kuva iintlungu. Okanye, uya kuba ne-anesthesia yengingqi. Indawo yengalo negxala lakho ziya kuba ndindisholo ukuze ungeva zintlungu. Ukuba ufumana i-anesthesia yengingqi, uya kunikwa iyeza lokukwenza ulale xa usenziwa.

Iindlela ezintathu eziqhelekileyo zisetyenziselwa ukulungisa ikhafu yerotator inyembezi:

• Ngexesha lokulungiswa okuvulekileyo, kwenziwa utyando kwaye umsipha omkhulu (i-deltoid) ususwe ngobunono kwindlela yokwenza utyando. Ukulungiswa okuvulekileyo kwenziwa kwiinyembezi ezinkulu okanye ezinzima.
• Ngexesha le-arthroscopy, i-arthroscope ifakwe nge-incision encinci. Umda uqhagamshelwe kwisohlo sevidiyo. Oku kuvumela ugqirha wotyando ukuba abone ngaphakathi kwegxalaba. Isinye ukuya kwisithathu esongeziweyo esincinci senziwe ukuvumela ezinye izixhobo ukuba zingeniswe.
• Ngexesha lokulungiswa okuvulekileyo mini, naziphi na izicwili ezonakeleyo okanye amathambo akhutshwayo ayasuswa okanye alungiswe kusetyenziswa iarthroscope. Ke ngexesha lendawo evulekileyo yotyando, i-2- ukuya kwi-3-intshi (5 ukuya kwi-7.5 yeesentimitha) yenzelwe ukulungisa ikhofu yokujikeleza.

Ukulungisa ikhafu yerotator:

• Iitoni ziqhotyoshelwe kwithambo kwakhona.
• Iirivets ezincinci (ezibizwa ngokuba yi-suture anchors) zihlala zisetyenziselwa ukunceda ukuncamathelisa ithoni kwithambo. Ii-anchor ze-suture zingenziwa ngesinyithi okanye izinto ezinyibilikayo ngokuhamba kwexesha, kwaye akufuneki zisuswe.
• Imisipha (imithungo) iqhotyoshelwe kwiiankile, ezibopha imisipha ithambo libuyele emathanjeni.

Ekupheleni kotyando, ukusikwa kuvaliwe, kunye nokunxitywa kusetyenziswa. Ukuba i-arthroscopy yenziwa, uninzi lotyando luthatha imifanekiso yenkqubo evela kumvavanyi wevidiyo ukubonisa oko bakufumeneyo kunye nokulungiswa okwenziweyo.

Izizathu zokulungiswa komkhonto wokujikeleza zinokwenziwa zibandakanya:

• Unentlungu egxalabeni xa uphumla okanye ebusuku, kwaye ayiphuculanga ngokuzilolonga ngaphezulu kweenyanga ezi-3 ukuya kwezi-4.
• Uyasebenza kwaye usebenzisa igxalaba lakho kwezemidlalo okanye emsebenzini.
• Unobuthathaka kwaye awukwazi ukwenza imisebenzi yemihla ngemihla.

Ugqirha lukhetho olufanelekileyo xa:

• Unomtya opheleleyo wokujikeleza ojikelezayo.
• Inyembezi zibangelwe kukwenzakala kutsha nje.
• Iinyanga ezininzi zonyango lomzimba kuphela azikhange ziphucule iimpawu zakho.

Inyembezi encinci ayinakufuna utyando. Endaweni yokuphumla kunye nokuzilolonga kusetyenziselwa ukunyanga igxalaba. Le ndlela ihlala ilungele abantu abangabeki bango lukhulu emagxeni abo. Ubuhlungu kunokulindelwa ukuba buphuculwe. Nangona kunjalo, iinyembezi zinokuba zikhulu ngokuhamba kwexesha.

Umngcipheko we-anesthesia kunye notyando ngokubanzi zezi:

• Ukunyanga kwamayeza kunyango
• Iingxaki zokuphefumla
• Ukopha, amahlwili egazi, usulelo

Umngcipheko wotyando lokujikeleza ikhafu zezi:

• Ukusilela kotyando ukukhulula iimpawu
• Ukwenzakala kwithenda, isitya segazi okanye imithambo-luvo

Xelela umboneleli wakho wezempilo ukuba ngawaphi amayeza owasebenzisayo. Oku kubandakanya amayeza, izongezo, okanye amayeza owathengileyo ngaphandle kommiselo.

Ngexesha leeveki ezi-2 ngaphambi kotyando lwakho:

• Unokucelwa ukuba uyeke okwethutyana ukuthoba igazi. Oku kubandakanya i-aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), kunye namanye amayeza.
• Buza umboneleli wakho ukuba ngawaphi amayeza ekufuneka uwathathe ngosuku lotyando lwakho.
• Ukuba unesifo seswekile, isifo sentliziyo, okanye ezinye iimeko zonyango, ugqirha wakho uya kukucela ukuba ubone ugqirha wakho okunyangayo kwezi meko.
• Xelela umboneleli wakho ukuba ubusele utywala kakhulu, ngaphezulu kwesiselo esi-1 okanye esi-2 ngosuku.
• Ukuba uyatshaya, zama ukuyeka. Cela uncedo kumboneleli wakho. Ukutshaya kunokunciphisa inxeba kunye nokuphilisa amathambo.
• Xelela ugqirha wakho ukuba uhlakulela ukubanda, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, okanye esinye isifo ngaphambi koqhaqho. Inkqubo inokufuna ukuba ihlehliswe.

Ngomhla wotyando:

• Landela imiyalelo yokuba uyeke nini ukutya nokusela ngaphambi kotyando.
• Thatha amayeza ugqirha wakho oxelele ukuba uthathe ngamanzi amancinci.
• Landela imiyalelo ukuba ufike nini esibhedlele. Qiniseka ukuba ufika ngexesha.

Landela nayiphi na imiyalelo yokukhutshwa kunye neyokuzinyamekela oyinikiweyo.

Uya kunxiba isilingi xa uphuma esibhedlele. Abanye abantu banxiba igxalaba lokungasebenzi. Oku kugcina igxalaba lakho lingashukumi. Kude kangakanani ukunxiba isilingi okanye i-immobilizer kuya kuxhomekeka kuhlobo lotyando onalo.

Ukubuyisela kwimeko yesiqhelo kungathatha iinyanga ezi-4 ukuya kwezi-6, kuxhomekeke kubungakanani benyembezi kunye nezinye izinto. Kuya kufuneka unxibe isilingi iiveki ezi-4 ukuya kwezi-6 emva kotyando. Iintlungu zihlala zilawulwa ngamayeza.

Unyango lomzimba lunokukunceda uphinde ufumane intshukumo kunye namandla egxalabeni lakho. Ubude bonyango buya kuxhomekeka kulungiso olwenziwe. Landela imiyalelo kuyo nayiphi na imithambo yegxalaba oxelelwe ukuba uyenze.

Ugqirha ukulungisa iqhekeza le-rotator eqhekekileyo kuhlala kuyimpumelelo ekupheliseni iintlungu egxalabeni. Inkqubo ayinakuhlala ibuyisa amandla egxalabeni. Ukulungiswa kwekhafu yeRotator kunokufuna ixesha elide lokuchacha, ngakumbi ukuba iinyembezi zazinkulu.

Xa unokubuyela emsebenzini okanye udlale imidlalo kuxhomekeke kuqhaqho olwenziwe. Lindela iinyanga ezininzi ukuqala kwakhona imisebenzi yakho yesiqhelo.

Ezinye iinyembezi zomtya ojikelezayo azinakuphilisa ngokupheleleyo. Ukuqina, ubuthathaka, kunye neentlungu ezingapheliyo zisenokuba zikhona.

Iziphumo ezihlwempuzekileyo zinokubakho xa oku kulandelayo kukho:

• Ikhofu ejikelezayo yayisele ikrazukile okanye ibuthathaka ngaphambi kokwenzakala.
• Imisipha yekhafu ejikelezayo iye yabuthathaka kakhulu ngaphambi kotyando.
• Iinyembezi ezinkulu.
• Ukuzilolonga emva kotyando kunye nemiyalelo ayilandelwa.
• Ungaphezulu kweminyaka engama-65.
• Uyatshaya.

Utyando - iruff cuff; Utyando - igxalaba - irocket cuff; Ukulungiswa kwekhafu yeRotator - evulekileyo; Ukulungiswa kwekhafu yerotator-mini-evulekileyo; Ukulungiswa kwekhafu yerotator-laparoscopic

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

• Ukulungiswa kwekhafu yerotator-uthotho

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, uDrez noMiller's Orthopedic Sports Medicine: Imigaqo kunye nokuziqhelanisa. Umhla we-5. IPhiladelphia, PA: Elsevier; 2020: isahluko 47.

UPhillips BB. IArthroscopy yesiphelo esiphezulu. Ku: Azar FM, Beaty JH, Kanale ST, ii-eds. Umsebenzi weCampbell's Orthopedics. Umhla we-13. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 52.