I-Rotator Cuff Anatomy ichaziwe

Umxholo

• Umzimba
• Ukulimala okuqhelekileyo
• Iimpawu
• Unyango
• Unyango olungenasiphelo
• Unyango lotyando
• Nini ukubona ugqirha
• Umgca wezantsi

Ikhofu yokujikeleza liqela lezihlunu ezine ezibambe ingalo yakho engaphezulu endaweni yegxalaba lakho. Inceda wena ukuba wenze zonke iintshukumo zengalo negxalaba lakho.

Intloko yethambo lengalo yakho ephezulu, ekwabizwa ngokuba yihumerus, ingena kwisokethi segxalaba lakho, okanye iscapula. Xa usolula ingalo yakho kude nomzimba wakho, izihlunu zekhonteyina ezijikelezayo ziyigcina ingaphumi kwisokethi, okanye i-glenoid.

Ukulimala kwekhafu yeRotator kuqhelekile, ngakumbi kubantu abangaphezulu kwama-40, iimbaleki, kunye nabantu abanomsebenzi obandakanya ukuphakamisa iingalo zabo ngaphezulu. Unyango olulondolozayo luhlala luphumelela.

Umzimba

Imisipha emine yenza ikhomputha yokujikeleza: i-subscapularis, teres encinci, supraspinatus, kunye ne-infraspinatus. Ngokudibeneyo bayanceda ukuzinzisa ukudibana kwegxalaba kunye nokwenza iintshukumo ezahlukeneyo zengalo.

Izihlunu ezine kunye neetoni zazo eziqhotyoshelweyo zenza ikhafu ejikelezayo. Ngamnye wabo unceda kwisindululo esithile segxalaba lakho. Zonke kunye ziyanceda ukubamba ingalo yakho engaphezulu endaweni yayo kwisokethi segxalaba.

Zonke izihlunu ezine zivela egxalabeni lakho, kodwa elinye icala lesisipha likhokelela kwiindawo ezahlukeneyo zethambo lengalo yakho ephezulu.

Isichazi esithi SITS sinokukunceda ukhumbule ezi zihlunu zine:

• Supraspinatus Unoxanduva lokuhamba kude nendawo ephambili yomzimba wakho (ukuthimba). I-supraspinatus ivelisa malunga needigri zokuqala ezili-15 zokuhamba. Emva koko, izihlunu zakho ze-deltoid kunye ne-trapezius zithatha indawo.
• I-infraspinatus sisona sihlunu siphambili esinoxanduva lokujikeleza ngokuthe ngcembe kwengalo yakho kude kumbindi womzimba wakho. Yimisipha engqindilili engunxantathu. Igquma umva wegxalaba lakho nzulu ezantsi kolusu kwaye usondele ethanjeni.
• Teres omncinci sisihlunu esincinci, esincinci ngasemva kwegxalaba lakho ngezantsi nje kwe-infraspinatus. Ikwanika negalelo ekujikelezeni kwengalo (yangaphandle).
• Subscapularis yimisipha emile emide engunxantathu elele ezantsi kwezinye. Yeyona yomeleleyo, inkulu, kwaye isetyenziswa kakhulu kwezi zihlunu zine zijikeleza ikhafu. Ithatha inxaxheba kwizindululo ezininzi zamagxa kodwa ibaluleke ngokukodwa kukujikeleza kwengalo yakho ijikeleze umgca womzimba wakho (ujikelezo oluphakathi). Ngokungafaniyo nezinye izihlunu ezintathu, i-subscapularis incamathele ngaphambili, hayi ngasemva, kwengalo yakho ephezulu.

Ngasinye kwezi zihlunu zine zinamathela kwinxalenye ephezulu yehumerus yakho kwindawo eyahlukileyo. Ukusuka phezulu kuye ezantsi, iodolo yabo iyafana nesifinyezo:

• Suphuspinatus
• Mnanfraspinatus
• Tamancinci amancinci
• Subscapularis

Ukulimala okuqhelekileyo

Abantu abaninzi abatyelela ugqirha abaneentlungu zamagxa banengxaki yokujikeleza ikhafu.

Ukulimala kwekhafu yerotator kunokwenzeka ngesiquphe, njengokuwela kwingalo yakho eyoluliweyo. Okanye inokukhula kancinci, ibangelwe kukuphindaphindeka kwesindululo okanye ukonakala okunxulumene nobudala.

Nazi ezinye zeentlobo zokulimala kwekhafu ye-rotator:

• UTendinopathy. Le ntlungu ngaphakathi nangapha kweetoni. I-tendinitis kunye ne-tendinosis ziintlukwano. I-Rotator cuff tendinitis ithathwa njengeyona ndlela inobulali yokulimala kwekhafu. Ingakhula ukusuka:
  • ukonakala okunxulumene nobudala
  • ukusebenzisa kakhulu
  • Isindululo esiphindaphindwayo
  • umothuko
• Ukunyanzelwa. Oku kwenzeka xa umphezulu wamagxa (i-acromion) ugalela ithenda kunye ne-bursa kwaye icaphukise ikhafu ejikelezayo. Phakathi kwazo zonke iintlungu zamagxa kucingelwa ukuba zivela kwi-subacromial impingement syndrome (i-SAIS), esisifo esixhaphakileyo samagxa.
• Isifo seBursitis. I-bursa ejikeleze ikhafu yerotator inokugcwalisa ngamanzi kunye nokudumba.
• Iinyembezi ezithileyeetoni zemijikelezo yekhafu. Ithenda yonakele okanye ikrunekile kodwa ayikrazulwa ithambo.
• Iinyembezi ezizeleyo. Ithenda ikrazuke ngokupheleleyo ithambo. Ukonakala okungapheliyo kuhlala kusisizathu.
• Amathambo akhupha. Ezi zinokubakho xa iiruff cuff tendons zihlikihla emathanjeni egxalaba. I-Bone spurs ayisoloko ibangela ukwenzakala kwekhafu yokujikeleza.

Iimpawu

Iimpawu zokulimala kwekhafu yerotator ziyahluka ngokwabantu. Banokubandakanya:

• iintlungu kwindawo egxalabeni, zihlala zichazwa njengendawo ebuthathaka
• ubunzima bokuhambisa ingalo yakho kwimisebenzi yemihla ngemihla, njengokukama iinwele
• ubuthathaka okanye ukuqina kwimisipha yakho yamagxa
• iintlungu ezonyukayo ebusuku, zisenza ukuba kube nzima ukulala kwicala elichaphazelekayo
• ukuqhekeka okanye ukuphuma kwezandi xa uhambisa ingalo

Abanye abantu abanokulimala kwenqanawa ye-rotator abanokuva zintlungu. Imeko inokuthi iqhubeke, kunye nokonakala okwenzeka kancinci. Isinye kwisithathu kuphela seerotter cuff iinyembezi ezibangela iintlungu, ngokuka.

Unyango

Unyango lwakho lokulimala kwenqanawa yokujikeleza luya kuxhomekeka kuhlobo lomonakalo. Ngokona kwenzakala kakhulu kwekhafu yerotator, oogqirha bamisela unyango olulondolozayo.

Unyango olungenasiphelo

Unyango olulondolozayo lubandakanya:

• phumla
• icing indawo kangangemizuzu engama-20 ngexesha amaxesha ambalwa ngemini
• ukuguqulwa kwemisebenzi ebandakanya ukusetyenziswa kwamagxa
• iziyobisi ezichasayo ezingasebenziyo (ii-NSAID) ezinje nge-ibuprofen, nokuba ikhawuntareni okanye iyeza
• ukuzilolonga ukolula kunye nokomeleza igxalaba kunye nezinye izihlunu
• ukuzolula ngelixa uthatha ishawa eshushu
• Inaliti yecorticosteroid

Iindidi ezintsha zonyango olulondolozayo ngoku ziphantsi kokufunda zibandakanya:

• (Inaliti yehypertonic dextrose)

Uphando luqikelela ukuba unyango olulondolozayo luyasebenza kwimeko ye-rotator-cuff egcweleyo iinyembezi. Uninzi lwabantu lubuyela kuluhlu lokuhamba kunye namandla emva kweenyanga ezi-4 ukuya kwezi-6.

Unyango lotyando

Ukuba iimpawu ziyaqhubeka okanye zisiba mbi, ugqirha wakho unokucebisa utyando. Ugqirha wakho uya kukuyalela ukuba utyando lwenzakele kakhulu egxalabeni.

Xoxa nogqirha wakho ukuba loluphi uhlobo lotyando olulungele ukulimala kwakho. Izinketho zibandakanya:

• Utyando oluvulekileyo. Olu lolona hlaselo lukhulu. Isenokufuneka kulungiso oluntsonkothileyo.
• Utyando lwearthroscopic. Ikhamera encinci ikhokela ugqirha wakho ukuba ayilungise. Oku kufuna ukusikwa okuncinci kuphela. Luhlobo oluqhelekileyo lotyando.
• Utyando oluvulekileyo oluncinci. Ugqirha wakho usebenzisa izixhobo ezincinci ukulungisa. Oku kufuna kuphela ukusikwa okuncinci.

Amaxesha okubuyisela kwimeko yoqhaqho ayahluka ngokuxhomekeka kuhlobo lotyando kunye nobungakanani bokwenzakala kwakho. Ngamanye amaxesha, unyango lunokuthatha, kodwa uninzi lwabantu lubuyela kwimisebenzi yabo yesiqhelo kwaye bachacha kwakamsinya kunoko.

baphumelele. Thetha nogqirha wakho malunga neendlela zokwandisa iziphumo ezilungileyo. Umzekelo, ukuba uyatshaya, oku kuya kubandakanya ukuyeka. Abantu abatshayayo kufuneka babe neziphumo ezibi zokuhlinzwa.

Unyango lomzimba lubalulekile ekuvuseleleni emva kotyando, nako.

Nini ukubona ugqirha

Ukuba unentlungu egxalabeni, kungcono ubone ugqirha wakho ukuxilongwa kunye nokunyangwa. Ukunyanga ukwenzakala kwekhafu yerotator kwangethuba kunokukuhlangula kwintlungu ekhulayo kunye nokungakwazi ukusebenzisa ingalo negxalaba lakho kwimisebenzi yemihla ngemihla.

Umgca wezantsi

Ubume bebhola kunye nesiseko segxalaba lakho kunye nengalo lilungiselelo eliyinkimbinkimbi lemisipha, imisipha kunye nethambo. Ukonzakala kuxhaphakile, kodwa unyango luhlala luphumelela.