Yintoni iRotator Cuff Syndrome kunye nendlela yokuyinyanga

Umxholo

• Iimpawu eziphambili
• Uqinisekisa njani
• Zintoni izizathu
• Unyango lwenziwa njani

Isifo se-Rotator cuff syndrome, esaziwa njenge-shoulder impingement syndrome, senzeka xa kukho ukwenzakala kwizakhiwo ezinceda ukuzinzisa lo mmandla, zibangela iimpawu ezinje ngegxalaba, ukongeza kubunzima okanye ubuthathaka ekuphakamiseni ingalo, kwaye kunokubangelwa I-tendonitis okanye ngenxa yokuqhekeka kwenxalenye okanye okupheleleyo kweethoni kwingingqi.

Isikhonkwane se-rotator senziwa siseti yezihlunu ezine ezinoxanduva lokuhamba kunye nokubonelela ngozinzo egxalabeni, eziyi-infraspinatus, supraspinatus, i-teres encinci kunye ne-subscapularis, kunye neethoni zayo kunye nemisipha. Ukulimala kulo mmandla kuhlala kwenzeka ngenxa yokuvuvukala okubangelwa kukunxiba, ukucaphuka okanye ifuthe ngenxa yokusetyenziswa ngokudibeneyo kwendibaniselwano, exhaphake kakhulu kwiimbaleki okanye kubantu abasebenza bephethe ubunzima ngeengalo zabo.

Ukunyanga esi sifo, ukuphumla, umkhenkce kunye nokunyanga ngokwasemzimbeni kubonisiwe, kwaye ugqirha wamathambo angabonisa nokusetyenziswa kweziyobisi ezichasayo, njenge ketoprofen, ukuthomalalisa iintlungu okanye, kwimeko apho kungekho phuculo, kunganyangwa iyimfuneko.

Iimpawu eziphambili

Iimpawu ezikhoyo kwi-rotator cuff syndrome zibandakanya:

• Intlungu egxalabeni, ezinokuthi ngequbuliso xa uphakamisa ingalo okanye uzingise nokuba uphumle, ihlala ngaphambili okanye ecaleni kwegxalaba;
• Ukwehla kwamandla kwigxalaba elichaphazelekayo;
• Kunzima ukubeka ingalo yakho emva komzimba wakho, ukunxiba okanye ukudibanisa iinwele zakho, umzekelo.
• Kunokubakho ukudumba kwigxalaba elichaphazelekayo.

Iimpawu zinokuba nzima ebusuku okanye nanini na xa kusenziwa iinzame kwaye, ukongeza, kwezona meko zinzima kwaye zinganyangwa, kunokwenzeka ukuba kude kube nakho ukungahambisi gxalaba.

Uqinisekisa njani

Ukuchonga isifo se-rotator cuff syndrome, ugqirha wamathambo okanye ugqirha womzimba ovavanya iimpawu kwaye enze uvavanyo lomzimba egxalabeni ukuze abone utshintsho.

Ugqirha unokucela iimvavanyo ezongeziweyo ezinje nge-radiografi, i-ultrasound okanye imaging resonance imaging egxalabeni, zombini ukunceda ukuqinisekisa ukuxilongwa, kunye nokujonga inqanaba lokwenzakala okanye ukuba kukho ezinye iintlobo zengozi ezinxulumene noko egxalabeni, iscapula okanye ingalo, enokubangela okanye yomeleze iimpawu. Funda ukwahlula ukuba zeziphi izizathu eziphambili zentlungu kunye nokuba wenzeni kwimeko nganye.

Zintoni izizathu

Ukwenzakala kumjikelo wokujikeleza kunokuba nezizathu ezininzi, ukusukela ekunxibeni ngokuqhubekayo kwendibaniselwano, ukugxekwa kwegxalaba ngenxa yokubonakala kwesiporho kwithambo okanye ukonakala kwethenda ngexesha lokuphindaphinda okanye ukuphakamisa ubunzima ixesha elide. Abona bantu basemngciphekweni wale syndrome zezi:

• Iingcali zomsebenzi womzimba, ngakumbi abo bahlala bephinda-phinda iintshukumo zeengalo, ezinje ngabadlali bethenisi, oonozinti, abadadayo kunye nabadlali bebhasikithi;
• Abasebenzi benza ukuphinda-phinda ukuhamba kweengalo, njengalezo zisebenza kwicandelo lokwakha, ukuchwela okanye ukupeyinta, umzekelo;
• Abantu abangaphezu kweminyaka engama-40 ubudala, kuba ukwaluphala kukonyusa umngcipheko wokunxiba kunye nokubonakala kwezilonda eziwohlokayo.

Ukongeza, kukholelwa ukuba kunokubakho into ebandakanyekayo kwesi sifo, kuba ixhaphake kakhulu kumalungu osapho olunye.

Unyango lwenziwa njani

Unyango lwe-rotator cuff syndrome lubonakalisiwe ukunciphisa ukudumba kwendibaniselwano kunye nokunceda ekuhlaziyweni kwakhona, kunye negxalaba lonke, ukusetyenziswa komkhenkce kunye nonyango lomzimba, olubaluleke kakhulu ukunceda ukubuyisela uzinzo namandla egxalabeni elichaphazelekayo. Jonga ukuzivocavoca umzimba okwenzayo ekhaya okunceda ukubuyela egxalabeni.

Ugqirha wamathambo unokuphinda acebise ukusetyenziswa kwamachiza e-analgesic okanye anti-inflammatory, anje ngeDipyrone, iDiclofenac okanye iKetoprofen, umzekelo, ukunciphisa iintlungu kunye nokwenza lula ukubuyela kwimeko yesiqhelo. Kwezinye iimeko zentlungu eqhubekayo, iinaliti ze-corticosteroids kwilungu zinokuba yimfuneko.

Unyango lunokuhlala ukusuka kwiiveki ezi-2 ukuya kwiinyanga ezininzi, nangona kunjalo, kwiimeko apho iintlungu zingenakupholiswa, ugqirha wamathambo angabonisa ukusebenza kotyando apho ugqirha azokuchonga kwaye alungise umonzakalo. Olu tyando lungenziwa ngokuvulwa kolusu okanye kusetyenziswe ikhamera encinci kunye nezixhobo ezizodwa, ubuchule obubizwa ngokuba yiarthroscopy. Fumanisa ukuba kwenziwa njani kwakhona kwi-arthroscopy yamagxa.