Ukulungiswa kwekhafu ye-Rotator

Ukulungiswa kwekhafu yeRotator ukuhlinzwa ukulungisa imisipha edabukile ehlombe. Inqubo ingenziwa ngokusika okukhulu (okuvulekile) noma nge-arthroscopy yamahlombe, esebenzisa ukusikeka okuncane.

Isigaxa se-rotator siyiqembu lemisipha namathambo akha ikhafu phezu kwejoyini lehlombe. Le misipha nemisipha ibamba ingalo ehlangothini lwayo futhi isize ukuhlangana kwehlombe ukunyakaza. Imisipha ingadabulwa ekusetshenzisweni ngokweqile noma ekulimaleni.

Ngokuqinisekile uzothola i-anesthesia ejwayelekile ngaphambi kwalokhu kuhlinzwa. Lokhu kusho ukuthi uzobe ulele futhi ungakwazi ukuzwa ubuhlungu. Noma, uzoba ne-anesthesia yesifunda. Ingalo nehlombe lakho lizobanjwa izinzwa ukuze ungezwa buhlungu. Uma uthola i-anesthesia yesifunda, uzophinde unikezwe umuthi ozokukwenza uzele kakhulu ngesikhathi sokuhlinzwa.

Kusetshenziswa amasu amathathu ajwayelekile ukulungisa ikhala le-rotator izinyembezi:

• Ngesikhathi sokulungiswa okuvulekile, kwenziwa imbobo yokuhlinza futhi isicubu esikhulu (i-deltoid) sikhishwa ngobumnene senziwe indlela yokuhlinzwa. Ukulungiswa okuvulekile kwenzelwa izinyembezi ezinkulu noma eziyinkimbinkimbi.
• Ngesikhathi se-arthroscopy, i-arthroscope ifakwa ngokusika okuncane. Ububanzi buxhunywe kumqapha wevidiyo. Lokhu kuvumela udokotela ohlinzayo ukuthi abuke ingaphakathi lehlombe. Kuklanywa okuncane okukodwa kokuthathu okwenziwe ukuvumela ezinye izinsimbi ukuthi zifakwe.
• Ngesikhathi sokulungiswa okuvulekile okuncane, noma yiziphi izicubu ezilimele noma ama-bone spurs ayasuswa noma alungiswe kusetshenziswa i-arthroscope. Bese kuthi engxenyeni evulekile yokuhlinzwa, kwenziwe imbobo yamasentimitha ama-2 kuye kwayi-3 (amasentimitha ama-5 kuye kwayi-7.5) ukulungisa ikhafula le-rotator.

Ukulungisa ikhekhe le-rotator:

• Ama-tendon aphinde anamathiselwe ethanjeni.
• Ama-rivets amancane (abizwa ngokuthi ama-suture anchors) ajwayele ukusetshenziselwa ukusiza ukunamathisela umsipha ethanjeni. Ama-anchor suture angenziwa ngensimbi noma okokusebenza okuncibilika ngokuhamba kwesikhathi, futhi akudingeki ukuthi kususwe.
• Ama-Sutures (imithungo) anamathiselwe kuma-anchor, abopha ithoni emuva ethanjeni.

Ekupheleni kokuhlinzwa, ukusikeka kuvaliwe, futhi kufakwa okokugqoka. Uma kwenziwa i-arthroscopy, odokotela abahlinzayo abaningi bathatha izithombe zenqubo kusuka kumqapha wevidiyo ukukhombisa abakutholile nokulungiswa okwenziwe.

Izizathu zokulungisa izinkomishi ze-rotator zingenziwa zifaka:

• Unezinhlungu zasemahlombe lapho uphumula noma ebusuku, futhi akukathuthuki ngokuzivocavoca ngaphezu kwezinyanga ezintathu kuya kwezi-4.
• Uyasebenza futhi usebenzisa ihlombe lakho kwezemidlalo noma emsebenzini.
• Unobuthakathaka futhi awukwazi ukwenza imisebenzi yansuku zonke.

Ukuhlinzwa kuyisinqumo esihle lapho:

• Unesikhala esiphelele se-rotator esikhalayo.
• Isinyembezi sidalwe ukulimala muva nje.
• Izinyanga ezimbalwa zokwelashwa ngokomzimba kuphela akuzange kuthuthukise izimpawu zakho.

Ukudabuka okuncane kungadinga ukuhlinzwa. Esikhundleni salokho, ukuphumula nokuzivocavoca umzimba kusetshenziselwa ukwelapha ihlombe. Le ndlela ivame kakhulu kubantu abangabeki izidingo eziningi emahlombe abo. Ubuhlungu bungalindeleka bube ngcono. Noma kunjalo, izinyembezi zingaba zikhulu ngokuhamba kwesikhathi.

Izingozi ze-anesthesia nokuhlinzwa ngokujwayelekile yilezi:

• Ukungezwani komzimba nemithi
• Izinkinga ukuphefumula
• Ukopha, amahlule egazi, ukutheleleka

Izingozi zokuhlinzwa kwekhafu ye-rotator yilezi:

• Ukwehluleka ukuhlinzwa ukukhulula izimpawu
• Ukulimala kwethenda, isitsha segazi noma imizwa

Tshela umhlinzeki wakho wezempilo ukuthi yimiphi imithi oyiphuzayo. Lokhu kufaka phakathi imithi, izithasiselo, noma amakhambi owathengile ngaphandle kwemithi kadokotela.

Phakathi namasonto ama-2 ngaphambi kokuhlinzwa kwakho:

• Ungacelwa ukuthi uyeke ukuthatha okwesikhashana izinciphisi zegazi. Lokhu kufaka phakathi i-aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), kanye neminye imithi.
• Buza umhlinzeki wakho ukuthi imiphi imithi okufanele uyithathe ngosuku lokuhlinzwa kwakho.
• Uma unesifo sikashukela, isifo senhliziyo, noma ezinye izimo zezokwelapha, udokotela wakho ohlinzayo uzokucela ukuthi ubone udokotela wakho okuphatha ngalezi zimo.
• Tshela umhlinzeki wakho uma uphuze kakhulu utshwala, ngaphezu kweziphuzo ezi-1 noma ezi-2 ngosuku.
• Uma ubhema, zama ukuyeka. Cela usizo kumhlinzeki wakho. Ukubhema kunganciphisa ukuphulukiswa kwamanxeba namathambo.
• Tshela udokotela wakho ohlinzayo uma uba nomkhuhlane, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, noma esinye isifo ngaphambi kokuhlinzwa kwakho. Inqubo ingadinga ukuhlehliswa.

Ngosuku lokuhlinzwa:

• Landela imiyalelo yokuthi uyeke nini ukudla nokuphuza ngaphambi kokuhlinzwa.
• Thatha imithi udokotela wakho ohlinzayo akutshele ukuthi uyiphuze ngesiphuzo esincane samanzi.
• Landela imiyalo yokuthi uzofika nini esibhedlela. Qiniseka ukuthi ufika ngesikhathi.

Landela noma imiphi imiyalo yokukhipha nokunakekela onikezwa yona.

Uzobe ugqoke isihlilingi lapho uphuma esibhedlela. Abanye abantu futhi bafaka i-immobilizer ehlombe. Lokhu kugcina ihlombe lakho linganyakazi. Isikhathi esingakanani ogqoka indwayimane noma i-immobilizer kuzoya ngohlobo lokuhlinzwa obukade unalo.

Ukululama kungathatha izinyanga ezi-4 kuye kwezi-6, kuya ngosayizi wezinyembezi nezinye izinto. Kungadingeka ukuthi ugqoke isihlibhi amasonto amane kuya kwayisithupha ngemuva kokuhlinzwa. Ubuhlungu buvame ukuphathwa ngemithi.

Ukwelashwa ngokomzimba kungakusiza ukuthi uphinde uthole ukunyakaza namandla wehlombe lakho. Ubude bokwelashwa buzoncika ekulungisweni okwenziwe. Landela imiyalo yanoma yikuphi ukuzivocavoca kwamahlombe otshelwa ukuthi ukwenze.

Ukuhlinzwa ukulungisa inkomishi ye-rotator edabukile kuvame ukuphumelela ekuqedeni ubuhlungu ehlombe. Inqubo ingahle ingabuyisi amandla njalo ehlombe. Ukulungiswa kwekhafu yeRotator kungadinga isikhathi eside sokululama, ikakhulukazi uma isililo besisikhulu.

Lapho ungabuyela emsebenzini noma udlale imidlalo kuya ngokuhlinzwa okwenziwe. Lindela izinyanga ezimbalwa ukuqala kabusha imisebenzi yakho ejwayelekile.

Ezinye izinyembezi zesikhwama se-rotator kungenzeka zingapholi ngokuphelele. Ukuqina, ubuthakathaka, nobuhlungu obungapheli kusengaba khona.

Imiphumela empofu kakhulu ingenzeka uma okulandelayo kukhona:

• Ikhokho ye-rotator yayivele idabukile noma ibuthakathaka ngaphambi kokulimala.
• Imisipha yekhafu ye-rotator ibuthakathaka kakhulu ngaphambi kokuhlinzwa.
• Izinyembezi ezinkulu.
• Ukuzivocavoca ngemuva kokuhlinzwa kanye nemiyalelo ayilandelwa.
• Uneminyaka engaphezu kwengu-65.
• Uyabhema.

Ukuhlinzwa - ikhafu ye-rotator; Ukuhlinzwa - ihlombe - ikhekhe lokujikeleza; Ukulungiswa kwekhafu ye-Rotator - vula; Ukulungiswa kwekhafu ye-Rotator - kuvulwe okuncane; Ukulungiswa kwe-Rotator cuff - laparoscopic

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

• Ukulungiswa kwekhafu yerotator - uchungechunge

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, uDrez & Miller's Orthopedic Sports Medicine: Izimiso kanye Nokuzijwayeza. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2020: isahluko 47.

UPhillips BB. I-arthroscopy yomkhawulo ophezulu. Ku: Azar FM, Beaty JH, Kanale ST, ama-eds. I-Operational Orthopedics yaseCampbell. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2017: isahluko 52.