Iinyembezi ze-SLAP zamagxa: Into ekufuneka uyazi

Umxholo

• Igxalaba le-SLAP likhala
• Iimpawu zokukrazula ze-SLAP
• I-SLAP iinyembezi zibangela
• Inkqubo yokuguga eqhelekileyo
• Ukwenzakala emzimbeni
• Isindululo esiphindaphindwayo
• Ukwahlulahlulwa kukonzakala
• Iindidi 1 no-2
• Iindidi 3 no 4
• Iindidi 5 no-6
• Iindidi 7 kunye 8
• Iindidi 9 kunye 10
• Ukuxilongwa kweenyembezi ze-SLAP
• Unyango lweenyembezi ze-SLAP
• Unyango lwasekhaya
• Ulungiso lwenyama
• Ugqirha
• Ukubuyiswa kwe-SLAP iinyembezi
• Yise kude

Igxalaba le-SLAP likhala

Ukukrazuka kwe-SLAP luhlobo lokulimala kwamagxa. Ichaphazela i-labrum, eyi-cartilage kwi-rim yesiseko segxalaba. I-labrum sisicubu esifana nerabha esibambe ibhola ngokudityaniswa kwegxalaba endaweni.

I-SLAP imele "i-labrum ephezulu ngaphambili nangasemva." Ukulila kwenzeka kwindawo ephezulu (ephezulu) yelabrum, apho i-biceps tendon iqhotyoshelwe khona. Ngokukodwa, iinyembezi zenzeka ngaphambili (ngaphambili) nangasemva (ngasemva) kwesinamathiselo. I-biceps tendon inokulimala, nayo.

Ukuba ukwenzakala akunzima, kunokuphilisa ngonyango olungafunekiyo olufana nomkhenkce kunye nonyango lomzimba. Ukuba ezi zonyango azisebenzi, okanye ukuba iinyembezi zinzima, uya kufuna utyando.

Nangona ixesha lokuchacha lahlukile kuye wonke umntu, kuhlala kuthatha iinyanga ezi-4 ukuya kwezi-6. Uninzi lwabantu emva koko luyakwazi ukubuyela kwimisebenzi yesiqhelo yomzimba.

Funda ukuze ufunde malunga nezizathu zeenyembezi ze-SLAP, kunye neempawu zayo kunye nokhetho lonyango.

Iimpawu zokukrazula ze-SLAP

Ukuba une-SLAP iinyembezi, uya kuba neempawu ezahlukeneyo. Uninzi lwezi luyafana nezinye iintlobo zokulimala kwamagxa.

Iimpawu zeinyembezi ze-SLAP zibandakanya:

• ukuphuma kwegxalaba, ukutshixa, okanye ukugaya
• iintlungu ngeentshukumo ezithile okanye izikhundla
• iintlungu xa uphakamisa izinto, ngakumbi ngaphezulu kwentloko yakho
• Uluhlu oluncitshisiweyo lokuhamba
• ubuthathaka begxalaba

I-SLAP iinyembezi zibangela

Oonobangela beSLAP iinyembezi zoluhlu kubukhali. Ziquka:

Inkqubo yokuguga eqhelekileyo

Uninzi lweenyembezi ze-SLAP zenzeka xa ilabhramu iphela ngokuhamba kwexesha. Ngapha koko, kubantu abangaphezulu kweminyaka engama-40 ubudala, iinyembezi ezinqabileyo zithathwa njengenxalenye yokuguga. Inxalenye ephezulu yelabrum nayo inokonakala.

Ukwenzakala emzimbeni

Ukulimala kwe-SLAP kunokubangelwa kukuxhwaleka komzimba, njengoku:

• ukuwa ngengalo eyoluliweyo
• Ukungqubana kwezithuthi
• ukususwa kwamagxa
• ukuhambisa ingalo ngokukhawuleza ngelixa ingaphezulu kwegxalaba

Isindululo esiphindaphindwayo

Ukuhamba okuphindaphindiweyo kwamagxa kungakhokelela kwiinyembezi ze-SLAP. Oku kuhlala kuchaphazela:

• iimbaleki eziphosa iibhola, njengeemiphanda
• iimbaleki ezenza intshukumo ephezulu, njengabaphakanyisi besisindo
• abo benza umsebenzi oqhelekileyo

Ukwahlulahlulwa kukonzakala

Ukulimala kwe-SLAP kuhlelwa kwiindidi ezili-10 ezahlukeneyo. Ukonzakala ngalunye kudweliswe ngokweendlela zeenyembezi.

Ekuqaleni, iinyembezi ze-SLAP zahlelwa kwiindidi 1 ukuya kwi-4. Ezinye iindidi, ezaziwa ngokuba ziinyembezi ze-SLAP ezandisiweyo, zongezwa ngokuhamba kwexesha. Iinkcazo zezi ntlobo ziyahluka kancinci.

Iindidi 1 no-2

Kuhlobo lwe-1 iinyembezi, ilabrum iyabola kodwa i-biceps tendon iqhotyoshelwe. Olu hlobo lweinyembezi luyehla kwaye luhlala lubonwa kubantu abadala.

Uhlobo lwe-2 iinyembezi lukwaquka i-labrum ekhuniweyo, kodwa i-biceps ifakwe. Uhlobo lwe-2 iinyembezi zezona nzakala zixakekileyo ze-SLAP.

Ngokuxhomekeke kwindawo yokulila, i-2 iinyembezi zihlukaniswe zibe ziindidi ezintathu:

• uhlobo 2A (ngaphambili phezulu)
• uhlobo 2B (ngasemva phezulu)
• Chwetheza 2C (zombini ngaphambili nangasemva)

Iindidi 3 no 4

Uhlobo lwe-3 iinyembezi lukuphathwa kwebhakethi. Le yinyembezi ethe nkqo apho ngaphambili nangasemva kusaqhotyoshelwe khona, kodwa iziko alikho.

Uhlobo lwe-4 lufana nohlobo 3, kodwa iinyembezi ziyaqhubeka ukuya kwii-biceps. Olu hlobo lweenyembezi ludityaniswa nokungazinzi kwamagxa.

Iindidi 5 no-6

Kuhlobo lokulimala kwe-5, iinyembezi ze-SLAP zisiya kwindawo esezantsi yelabhamu. Yaziwa ngokuba sisilonda seBhanki.

Uhlobo lwe-6 iinyembezi lukubamba ibhakethi, kodwa "i-flap" ikrazukile.

Iindidi 7 kunye 8

Imithambo ye-glenohumeral yimicu yomzimba egcina igxalaba lihlangene. Ezi ligaments zibandakanya imigangatho ephezulu, ephakathi, kunye ne-glenohumeral ligaments.

Kuhlobo lwe-7 iinyembezi, ukwenzakala kudlulela kumbindi kunye ne-glenohumeral ligaments.

Uhlobo lwe-8 luhlobo lwe-2B iinyembezi eziya kwinqanaba elingaphantsi lelebhu.

Iindidi 9 kunye 10

Uhlobo lwe-9 luhlobo lwe-2 iinyembezi ezandisa ukuya kumjikelo welebhu.

Kuhlobo lwe-10, ukwenzakala luhlobo lwesi-2 iinyembezi eziya kwi-posteroinferior labrum.

Ukuxilongwa kweenyembezi ze-SLAP

Ugqirha uya kusebenzisa iindlela ezahlukeneyo zokufumanisa ukuba wenzakele. Oku kunokubandakanya:

• Imbali yezonyango. Oku kunceda ugqirha aqonde ukuba loluphi uhlobo lomsebenzi olunokubangela ukwenzakala kwakho.
• Uvavanyo lomzimba. Ugqirha uya kujonga igxalaba lakho kunye noluhlu lwayo lokuhamba. Baza kujonga intamo kunye nentloko yakho naziphi na ezinye iingxaki.
• Ukujonga iimvavanyo. Unokufumana i-MRI okanye i-CT scan, evumela ugqirha ukuba ahlole izicwili egxalabeni lakho. Basenokucela i-X-ray ukuba bacinga ukuba amathambo enzakele.

Unyango lweenyembezi ze-SLAP

Unyango lwe-SLAP luxhomekeke kubukrakra kunye nendawo yokwenzakala kwakho. Ihlala iqala ngeendlela zobugcisa.

Unyango lwasekhaya

Uninzi lokonzakala kwe-SLAP lunyangwa okokuqala ngeendlela ezingezizo ezonyango. Ukuba iinyembezi zakho azikho nzima, oku kunokuba kwanele ukuphilisa.

Unyango lwe-Nonsurgical lubandakanya amayeza asekhaya anje ngala:

• Izidakamizwa ezichasayo ezichasayo (i-NSAID). Ii-NSAID ezinje nge-ibuprofen kunye ne-naproxen zinceda ekunciphiseni iintlungu kunye nokudumba. La machiza ayafumaneka ekhawuntareni.
• Umkhenkce. Ukufaka umkhenkce egxalabeni lakho kuya kunciphisa iintlungu. Ungasebenzisa ipakethe yomkhenkce ethengwe evenkileni okanye ingxowa yeplastiki ezaliswe ngumkhenkce.
• Phumla. Ukuphumla kuya kuvumela igxalaba lakho ukuba liphilise. Yeyona ndlela ilungileyo yokuphepha ukubuyisela egxalabeni lakho, elinokwandisa kuphela ixesha lakho lokufumana kwakhona.

Ulungiso lwenyama

Uya kuqala unyango lomzimba nje ukuba igxalaba lakho liziva ngcono. Ingcali yonyango inokukubonisa indlela yokwenza imithambo ekhethekileyo yeenyembezi ze-SLAP.

Le mithambo iya kugxila ekuphuculeni ubhetyebhetye, intshukumo, kunye namandla egxalabeni lakho.

Ugqirha

Ukuba wenzakele kakhulu, okanye ukuba unyango lwezonyango alusebenzi, kungafuneka utyando.

Eyona ndlela ixhaphakileyo yi-arthroscopy. Ngethuba lale nkqubo, ugqirha wotyando usika kancinci egxalabeni lakho. Bafaka ikhamera encinci, okanye iarthroscope, kwilungu. Ugqirha ke usebenzisa izixhobo ezincinane zotyando ukulungisa iinyembezi ze-SLAP.

Zininzi iindlela zokulungisa iinyembezi. Eyona ndlela ibalaseleyo ixhomekeke ekonzakaleni kwakho.

Imizekelo yokulungiswa kwe-SLAP ibandakanya:

• ukususa isahlulo esikrazukileyo selabrum
• ukunciphisa inyembezi
• ukudibanisa iinyembezi kunye
• ukunciphisa i-biceps tendon attachment

Ukubuyiswa kwe-SLAP iinyembezi

Ngokulungiswa ngokufanelekileyo, unokulindela ukuphinda ufumane uluhlu olupheleleyo lokuhamba emva kotyando lweSLAP.

Ukuchacha kubukeka kwahlukile kumntu ngamnye. Kuxhomekeka kwizinto ezininzi, kubandakanya ezakho:

• ubudala
• uhlobo lokulimala
• impilo iyonke
• inqanaba lomsebenzi
• ezinye iingxaki zamagxa

Ngokubanzi, nali ixesha lokubuyisela kwimeko yesiqhelo:

• Iiveki ezi-0 ukuya kwezi-4 emva kotyando. Uya kunxiba isilingi ukuze uzinze igxalaba lakho. Uyakwenza ulula kancinci kunye nonyango.
• Iiveki ezi-5 ukuya kwezi-7 emva kotyando. Njengoko igxalaba lakho liphilisa, kusenokwenzeka ukuba uziva ubuhlungu. Ungaqala ukomeleza imithambo kunye nonyango lwakho lomzimba.
• Iiveki ezi-8 ukuya kwezi-12 emva kotyando. Uya kuqhubeka nokwenza iintshukumo zokwandisa uluhlu lwakho lokuhamba kunye namandla. Unokuqala kwakhona i-biceps yokuqinisa imithambo.
• Iiveki ezili-12 ukuya kwezi-16 emva kotyando. Ngeli xesha, uluhlu lwakho lwesindululo kufuneka luphuculwe. Ukuba ungumdlali, ungaqala umsebenzi othile wezemidlalo.
• Iiveki ezili-16 ukuya kwezi-20 emva kotyando. Unokuwonyusa kancinci umsebenzi wakho womzimba. Iimbaleki ezininzi zibuyela kwimidlalo yazo emva kweenyanga ezi-6.

Ukuba usebenza umsebenzi onzima ngokwasemzimbeni, unokufuna ukuphoswa ngumsebenzi ixesha elininzi. Ngaphandle koko, unokukwazi ukubuyela emsebenzini kwisithuba seeveki ezimbalwa.

Yise kude

Ngelixa zininzi iintlobo zeenyembezi ze-SLAP, uninzi zinokunyangwa ngonyango okanye ngoqhaqho. Eyona ndlela ibalaseleyo ixhomekeke kubudala bakho, impilo iyonke, kunye nokwenzakala okuthile. Uya kudinga utyando ukuba iinyembezi zakho zinzima.

Ngexesha lenkqubo yokubuyisela kwimeko yesiqhelo, qiniseka ukuqhubeka nonyango lomzimba kwaye ulandele iingcebiso zikagqirha wakho. Oku kuya kunceda igxalaba lakho liphilise kwaye liphinde libuyele kwinqanaba eliqhelekileyo lomsebenzi.