Izinkinga ze-Rotator cuff

Isigaxa se-rotator siyiqembu lezicubu nemisipha enamathela emathanjeni ehlanganiso lehlombe, okuvumela ihlombe ukuthi lihambe futhi ligcine lizinzile.

• I-Rotator cuff tendinitis ibhekisa ekucasukeni kwalezi zimisipha nokuvuvukala kwe-bursa (ungqimba olujwayelekile olubushelelezi) olubeka la mathenda.
• Isigaxa se-rotator sikhala lapho kwenzeka omunye wemisipha edwengulwa ethanjeni kusuka ekusebenziseni ngokweqile noma ekulimaleni.

Ilunga lehlombe liyibhola nohlobo lwesokhethi elihlangene. Ingxenye ephezulu yethambo lengalo (i-humerus) yakha ukuhlangana nensimbi yehlombe (i-scapula). Ikhokho ye-rotator ibamba ikhanda le-humerus ku-scapula. Iphinde ilawule ukunyakaza kwehlanganisela yehlombe.

UTENDINITIS

Imisipha yensimbi ye-rotator idlula ngaphansi kwendawo enamathambo lapho isiya kokunamathisela ingxenye ephezulu yethambo lengalo. Lapho lezi zintambo zivutha, zingavutha kakhulu kule ndawo ngesikhathi sokuhamba kwamahlombe. Kwesinye isikhathi, ithambo liyasinciphisa isikhala nakakhulu.

I-Rotator cuff tendinitis ibizwa nangokuthi i-impingement syndrome. Izimbangela zalesi simo zifaka:

• Ukugcina ingalo isendaweni efanayo isikhathi eside, njengokwenza umsebenzi wekhompyutha noma ukwenza izinwele
• Ukulala engalweni efanayo ubusuku ngabunye
• Ukudlala imidlalo edinga ukuthi ingalo inyakaziswe phezulu kaninginingi njengethenisi, i-baseball (ikakhulukazi ukugxusha), ukubhukuda nokuphakamisa izinsimbi ngaphezulu
• Ukusebenza ngengalo ngaphezulu kwamahora noma izinsuku eziningi, njengokupenda nokubaza
• Ukuma kabi eminyakeni eminingi
• Ukuguga
• Izinyembezi zenqola yeRotator

IZINYEMBEZI

Izinyembezi zamakhokho e-Rotator zingavela ngezindlela ezimbili:

• Ukukhala okungazelelwe okungazelelwe kungenzeka uma uwa engalweni yakho ngenkathi yeluliwe. Noma, kungenzeka ngemuva kokunyakaza okungazelelwe, okujeqayo lapho uzama ukuphakamisa okuthile okusindayo.
• Izinyembezi ezingapheli zet roton cuff tendon zenzeka kancane ngokuhamba kwesikhathi. Kungenzeka kakhulu uma une-tendinitis engapheli noma i-impingement syndrome. Ngesinye isikhathi, i-tendon iyaphela futhi iyakhala.

Kunezinhlobo ezimbili zezinyembezi zekhafu ye-rotator:

• Ukudabuka okuyingxenye kwenzeka lapho ukudabuka kungazihlukanisi ngokuphelele okunamathiselwe ethanjeni.
• Ukwehla okuphelele, ukugcwala okugcwele kusho ukuthi izinyembezi zihamba yonke indlela ngethenda. Kungaba kuncane njengokukhomba, noma ukudabuka kungabandakanya yonke imisipha. Ngezinyembezi eziphelele, umsipha usukile (uhlukanisiwe) lapho ubuxhunywe khona ethanjeni. Lolu hlobo lwezinyembezi alizelaphi ngokwalo.

UTENDINITIS

Ekuqaleni, ubuhlungu bumnene futhi buvela ngemisebenzi ephezulu nokuphakamisa ingalo yakho ohlangothini. Imisebenzi ifaka phakathi ukuxubha izinwele zakho, ukufinyelela izinto emashalofini, noma ukudlala umdlalo ophezulu.

Ubuhlungu buningi ngaphambili kwehlombe futhi bungahamba ohlangothini lwengalo. Ubuhlungu buhlala bume ngaphambi kwendololwane. Uma izinhlungu zehla ngengalo ziye endololwaneni nasesandleni, lokhu kungakhombisa inzwa encinzelwe entanyeni.

Kungase kube khona nobuhlungu lapho wehlisa ihlombe endaweni ephakeme.

Ngokuhamba kwesikhathi, kungaba khona ubuhlungu ekuphumuleni noma ebusuku, njengalapho ulele ehlombe elithintekile. Ungaba nobuthakathaka nokulahleka kokunyakaza lapho uphakamisa ingalo ngaphezu kwekhanda lakho. Ihlombe lakho lingazizwa lilukhuni ngokuphakamisa noma ukunyakaza. Kungaba nzima ukubeka ingalo ngemuva kwakho.

IZINYEMBEZI ZE-ROTATOR CUFF

Ubuhlungu ngokudabuka okungazelelwe ngemuva kokuwa noma ukulimala kuvame ukuba bukhulu. Ngemuva nje kokulimala, uzoba nobuthakathaka behlombe nengalo. Kungaba nzima ukuhambisa ihlombe lakho noma ukuphakamisa ingalo yakho ngaphezu kwehlombe. Ungase futhi uzizwe uqhuma lapho uzama ukunyakazisa ingalo.

Ngokukhala okungapheli, imvamisa awuboni ukuthi yaqala nini. Lokhu kungenxa yokuthi izimpawu zobuhlungu, ubuthakathaka, nokuqina noma ukulahleka kokunyakaza kuya ngokuya kuhamba kancane ngokuhamba kwesikhathi.

Izinyembezi zethenda yethenda yezinyembezi zivame ukudala ubuhlungu ebusuku. Ubuhlungu bungase bukuvuse. Phakathi nosuku, izinhlungu ziyabekezeleleka, futhi imvamisa zibuhlungu kuphela ngokunyakaza okuthile, njengaphezulu noma ukufinyelela emuva.

Ngokuhamba kwesikhathi, izimpawu ziba zimbi kakhulu, futhi azikhululwa yimithi, ukuphumula, noma ukuzivocavoca umzimba.

Ukuhlolwa komzimba kungaveza ubumnene ehlombe. Ubuhlungu bungavela lapho ihlombe liphakanyiswa ngaphezulu. Kuvame ukuba nobuthakathaka behlombe lapho libekwa ezikhundleni ezithile.

Ama-X-ray ehlombe angabonisa ukuqhuma kwethambo noma aguquke esimeni sehlombe. Kungakhipha nezinye izimbangela zobuhlungu behlombe, njenge-arthritis.

Umhlinzeki wakho wezokunakekelwa kwempilo anga-oda ezinye izivivinyo:

• Ukuhlolwa kwe-ultrasound kusebenzisa amaza omsindo ukudala isithombe sejoyini lehlombe. Ingakhombisa izinyembezi esigaxeni se-rotator.
• I-MRI yehlombe ingakhombisa ukuvuvukala noma ukudabuka enkombeni ye-rotator.
• Nge-x-ray ehlangene (i-arthrogram), umhlinzeki ufaka izinto zokuqhathanisa (udayi) esihlangwini sehlombe. Ngemuva kwalokho kusetshenziswa i-x-ray, i-CT scan, noma i-MRI scan ukuthatha isithombe sayo. Umehluko uvame ukusetshenziswa lapho umhlinzeki wakho esola ukuthi ikhaladi elincane le-rotator likhala.

Landela imiyalo yomhlinzeki wakho yokuthi ungayinakekela kanjani inkinga yakho ye-rotator cuff ekhaya. Ukwenza kanjalo kungasiza ekunciphiseni izimpawu zakho ukuze ubuyele kwezemidlalo noma kweminye imisebenzi.

UTENDINITIS

Umhlinzeki wakho cishe uzokweluleka ukuthi uphumule ihlombe lakho futhi uvikele imisebenzi ebangela ubuhlungu. Ezinye izinyathelo zifaka:

• Amaphakethe e-Ice afakwa imizuzu engama-20 ngasikhathi, kathathu kuya kathathu ngosuku ehlombe (vikela isikhumba ngokugoqa iphakethe leqhwa ngethawula elihlanzekile ngaphambi kokufaka isicelo)
• Ukuthatha imithi, efana ne-ibuprofen ne-naproxen, ukusiza ukunciphisa ukuvuvukala nobuhlungu
• Ukugwema noma ukunciphisa imisebenzi edala noma eyenza izimpawu zakho zibe zimbi kakhulu
• Ukwelashwa ngokomzimba ukwelula nokuqinisa imisipha yehlombe
• Imithi (i-corticosteroid) ijojowe ehlombe ukunciphisa izinhlungu nokuvuvukala
• Ukuhlinzwa (i-arthroscopy) ukususa izicubu ezivuthayo nengxenye yethambo ngaphezulu kwekhafula le-rotator ukukhulula ingcindezi ezintendeni

IZINYEMBEZI

Ukuphumula nokwelashwa ngokomzimba kungasiza ngokukhala okuncane uma ungavami ukubeka isidingo esiningi ehlombe lakho.

Ukuhlinzwa ukulungisa i-tendon kungadingeka uma ikhafu ye-rotator ikhala ngokuphelele. Ukuhlinzwa kungadingeka futhi uma izimpawu zingabi ngcono nolunye ukwelashwa. Isikhathi esiningi, ukuhlinzwa kwe-arthroscopic kungasetshenziswa. Izinyembezi ezinkulu zingadinga ukuhlinzwa okuvulekile (ukuhlinzwa ngensipho enkulu) ukulungisa imisipha edabukile.

Nge-rotator cuff tendinitis, ukuphumula, ukuzivocavoca nezinye izindlela zokuzinakekela kuvame ukuthuthukisa noma kukhulule nezimpawu. Lokhu kungathatha amasonto noma izinyanga. Abanye abantu bangadinga ukushintsha noma ukunciphisa isikhathi abadlala ngaso imidlalo ethile ukuze bangabi nezinhlungu.

Ngezinyembezi zekhafu ye-rotator, ukwelashwa kuvame ukuqeda izimpawu. Kodwa umphumela uncike kubukhulu benyembezi nokuthi isililo sesibe khona isikhathi esingakanani, iminyaka yomuntu, nokuthi ubekhuthele kangakanani umuntu ngaphambi kokulimala.

Shayela i-aphoyintimenti nomhlinzeki wakho uma unezinhlungu eziqhubekayo zehlombe. Fonela futhi uma izimpawu zingathuthuki ngokwelashwa.

Gwema ukunyakaza okuphindaphindiwe okuphezulu. Ukuzivocavoca ukuqinisa imisipha yehlombe neyengalo nakho kungasiza ekuvikeleni izinkinga zenkinobho ye-rotator. Zijwayeze ukuma kahle ukugcina imisipha yakho ye-rotator cuff kanye nemisipha ezindaweni zayo ezifanele.

Ihlombe lokubhukuda; Ihlombe likaPitcher; Ihlombe impingement syndrome; Ihlombe lethenisi; I-tendinitis - ikhekhe lokujikeleza; I-Rotator cuff tendinitis; Isifo sokusebenzisa ngokweqile ihlombe

• Ukuzivocavoca kwekhafu yeRotator
• Ikhafu yeRotator - ukuzinakekela
• Ukuhlinzwa ihlombe - ukukhishwa
• Usebenzisa ihlombe lakho ngemuva kokuhlinzwa kabusha
• Usebenzisa ihlombe lakho ngemuva kokuhlinzwa

• I-anatomy yekhafu ejwayelekile ye-rotator
• Ukuvuvukala okuhlangene kwehlombe
• Ukuvuvukala kwamathenda ehlombe
• Ikhefu le-rotator elidabukile

Hsu JE, Gee AO, Lippitt SB, Matsen FA. Injobo ye-Rotator. Ku: Rockwood CA, Matsen FA, Wirth MA, Lippitt SB, Fehringer EV, Sperling JW, ama-eds. I-Rockwood neMatsen’s The Shoulder. Umhlaka 5. IPhiladelphia, PA: Elsevier; I-2017: isahluko 14.

IMosich GM, iYamaguchi KT, iPetrigliano FA. Ikhafu yeRotator nezilonda zokufakwa ngaphakathi. Ku: Miller MD, Thompson SR, ama-eds. UDeLee noDrez's Orthopedic Sports Medicine: Izimiso kanye Nokuzijwayeza. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2020: isahluko 47.