Kuchazwa I-Rotator Cuff Anatomy

-Delile

• I-Anatomy
• Ukulimala okuvamile
• Izimpawu
• Ukwelashwa
• Ukwelashwa okungasetshenziswanga
• Ukwelashwa kokuhlinzwa
• Ukubonana nodokotela nini
• Okubalulekile

Isigaxa se-rotator siyiqembu lemisipha emine ebambe ingalo yakho engaphezulu endaweni yayo ehlombe. Kukusiza ukwenza yonke iminyakazo yengalo nehlombe lakho.

Inhloko yethambo lengalo lakho elingaphezulu, elibizwa nangokuthi i-humerus, lingena esokeni lehlombe lakho lehlombe, noma i-scapula. Uma welula ingalo yakho kude nomzimba wakho, imisipha ye-rotator cuff iyigcina ingaphumi esokeni, noma i-glenoid.

Ukulimala kwenkomishi yeRotator kujwayelekile, ikakhulukazi kubantu abangaphezu kwama-40, abasubathi, kanye nabantu umsebenzi wabo ohilela ukuphakamisa izingalo zabo kaninginingi. Ukwelashwa okulondolozayo kuvame ukuphumelela.

I-Anatomy

Imisipha emine yakha isikhwama se-rotator: i-subscapularis, i-teres encane, i-supraspinatus, ne-infraspinatus. Ngokubambisana basiza ekuqiniseni ukuhlangana kwehlombe kanye nasekwenzeni ukunyakaza kwengalo okuhlukahlukene.

Imisipha emine kanye nemisipha yayo enamathiselwe yakha isikhwama se-rotator. Ngamunye wabo usiza ekunyakazeni okuthile kwehlombe lakho. Zonke zihlangene zisiza ukubamba ingalo yakho engenhla endaweni yesokhethi lehlombe.

Yonke imisipha emine isuka ehlombe lakho, kepha omunye umkhawulo womsipha uholela ezingxenyeni ezahlukahlukene zethambo lengalo lakho.

Isiqubulo SITS singakusiza ukuthi ukhumbule le misipha emine:

• I-Supraspinatus inesibopho sokusuka kude nendawo esemaphakathi yomzimba wakho (ukuthunjwa). I-supraspinatus ikhiqiza cishe ama-degree angama-15 okuhamba. Ngemuva kwalokho, imisipha yakho ye-deltoid ne-trapezius iyathatha izintambo.
• I-Infraspinatus umsipha oyinhloko obhekene nokushintshana kwengalo yakho kude nomugqa womzimba wakho. Kuyisicubu esincanyana esingunxantathu. Imboza ngemuva kwekhaba lakho lehlombe ekujuleni kwesikhumba futhi eduze kwethambo.
• UTeres omncane umsipha omncane, omncane emhlane wekhasi lehlombe lakho ngezansi nje kwe-infraspinatus. Kubuye kube nomthelela ekuzungezeni kwe-lateral (kwangaphandle) kwengalo yakho.
• I-Subscapularis umsipha omkhulu omise okonxantathu ongaphansi kwale eminye emithathu. Iyimicu eqinile, enkulu kunazo zonke, futhi esetshenziswa kakhulu kwezicubu ze-rotator cuff. Ibamba iqhaza eminyakazweni eminingi yamahlombe kepha ibaluleke kakhulu ekuzungezeni ingalo yakho ibheke emgqeni womzimba wakho (ukujikeleza okuphakathi). Ngokungafani neminye imisipha emithathu, i-subscapularis inamathela ngaphambili, hhayi emuva, yengalo yakho ephezulu.

Ngayinye yale misipha emine inamathela engxenyeni engenhla ye-humerus yakho endaweni ehlukile. Kusukela phezulu kuye phansi, i-oda labo liyefana nesifinyezo:

• Sumabhebhana
• Minanfraspinatus
• Tezincane
• Subscapularis

Ukulimala okuvamile

Abantu abaningi abavakashela udokotela onobuhlungu behlombe banenkinga nge-rotator cuff yabo.

Ukulimala kwekhafu ye-rotator kungenzeka ngokuzumayo, njengokuwela engalweni yakho eyeluliwe. Noma ingakhula kancane, ibangelwe ukunyakaza okuphindaphindwayo noma ukonakala okuhlobene nobudala.

Nazi ezinye zezinhlobo zokulimala kwekhafu ye-rotator:

• I-tendinopathy. Lokhu kubuhlungu ngaphakathi nangaphakathi kwamathenda. I-tendinitis ne-tendinosis ukuhlukahluka. I-Rotator cuff tendinitis ibhekwa njengeyona ndlela emnene yokulimala kwekhafu ye-rotator. Ingakhula kusuka ku:
  • ukonakala okuhlobene nobudala
  • ukusetshenziswa ngokweqile
  • ukunyakaza okuphindaphindwayo
  • ukuhlukumezeka
• Impingement. Lokhu kwenzeka lapho phezulu kwehlombe (i-acromion) kugudla ithenda kanye ne-bursa futhi kucasula inkomishi ye-rotator. Phakathi kwazo zonke izinhlungu zamahlombe kucatshangwa ukuthi zivela ku-subacromial impingement syndrome (i-SAIS), okuyisifo esijwayelekile kakhulu sehlombe.
• I-Bursitis. I-bursa ezungeze inkomishi ye-rotator ingagcwalisa uketshezi nokuvuvukala.
• Izinyembezi ezingaphelelewezintambo zenjoloba ze-rotator. Ithenda ilimele noma igugile kodwa ayidabuki ithambo.
• Izinyembezi ezigcwele ngokuphelele. Ithenda lidabukile ngokuphelele ethanjeni. Ukwehla okungapheli ngokuvamile kuyisizathu.
• Amathambo ayaqhuma. Lezi zingakha lapho imisipha ye-rotator ikhipha amathambo ehlombe. I-Bone spurs ayibangeli ngaso sonke isikhathi ukulimala kwekhafu ye-rotator.

Izimpawu

Izimpawu zokulimala kwekhafu ye-rotator ziyahlukahluka kumuntu ngamunye. Zingafaka:

• ubuhlungu endaweni yehlombe, okuvame ukuchazwa njengokuqaqamba okungatheni
• ubunzima bokuhambisa ingalo yakho emisebenzini yansuku zonke, njengokukama izinwele
• ubuthakathaka noma ukuqina emisipheni yakho yehlombe
• ubuhlungu obukhula ebusuku, okwenza kube nzima ukulala ohlangothini oluthintekile
• ukuqhekeka noma ukuqhuma kwemisindo lapho uhambisa ingalo

Abanye abantu abanokulimala kwekhiphu ye-rotator kungenzeka bangabuzwa ubuhlungu. Isimo singathuthuka, lapho ukonakala kwenzeka kancane. Ingxenye eyodwa kwezintathu kuphela yezinyembezi zokugoqa i-rotator ezibangela ubuhlungu, ngokusho kwe-.

Ukwelashwa

Ukwelashwa kwakho ngokulimala kwekhafu ye-rotator kuzoya ngohlobo lomonakalo. Ngokulimala okukhulu kwekhafu ye-rotator, odokotela banquma ukwelashwa okulondolozayo.

Ukwelashwa okungasetshenziswanga

Ukwelashwa okulondolozayo kubandakanya:

• ukuphumula
• icing leyo ndawo imizuzu engama-20 ngesikhathi amahlandla ambalwa ngosuku
• ukuguqulwa kwemisebenzi ehilela ukusetshenziswa kwamahlombe
• izidakamizwa ezingezona ukuvuvukala (ama-NSAID) ezinjenge-ibuprofen, noma ngabe kungaphezu kwe-counter noma i-prescription
• ukuzivocavoca ukwelula nokuqinisa ihlombe kanye neminye imisipha
• ukuzelula ngenkathi ugeza okushisayo
• imijovo ye-corticosteroid

Izinhlobo ezintsha zokwelashwa okulondolozwayo manje ezicwaningwayo zifaka:

• (umjovo wehypertonic dextrose)

Ucwaningo lulinganisela ukuthi ukwelashwa okulondolozayo kuyasebenza ezimweni zezinyembezi zokugoqa ezigcwele ukushuba. Iningi labantu liphinde libuyele ezingeni lokunyakaza namandla alo ngemuva kwezinyanga ezi-4 kuye kwezi-6.

Ukwelashwa kokuhlinzwa

Uma izimpawu ziqhubeka noma ziba zimbi, udokotela wakho angancoma ukuhlinzwa. Udokotela wakho uzophinda anikeze ukuhlinzwa kokulimala kanzima ehlombe.

Xoxa nodokotela wakho ukuthi yiluphi uhlobo lokuhlinzwa olungcono kakhulu ekulimaleni kwakho. Izinketho zifaka:

• Ukuhlinzwa okuvulekile. Lokhu okuhlasela kakhulu. Kungadingeka ekulungisweni okuyinkimbinkimbi.
• Ukuhlinzwa kwe-arthroscopic. Ikhamera encane iqondisa udokotela wakho ohlinzayo ukulungisa. Lokhu kudinga ukusikeka okuncane kuphela. Luhlobo lokuhlinzwa oluvame kakhulu.
• Ukuhlinzwa okuvulekile okuncane. Udokotela wakho ohlinzayo usebenzisa izinsimbi ezincane ukulungisa. Lokhu kudinga ukusikwa okuncane kuphela.

Izikhathi zokubuyiselwa ekuhlinzeni ziyahlukahluka kuye ngohlobo lokuhlinzwa nobukhulu bokulimala kwakho. Kwezinye izimo, ukuphulukiswa kungathatha, kepha abantu abaningi babuyela emisebenzini yabo ejwayelekile futhi balulame ngokushesha okukhulu kunalokho.

baphumelele. Khuluma nodokotela wakho ngezindlela zokwandisa umphumela omuhle. Isibonelo, uma ubhema, lokhu kuzobandakanya ukuyeka. Abantu ababhemayo kufanele babe nomphumela wokuhlinzwa ompofu.

Ukwelashwa ngokomzimba kubalulekile ekuvuseleleni ngemuva kokuhlinzwa, futhi.

Ukubonana nodokotela nini

Uma unezinhlungu ezihluphayo zamahlombe, kungcono ukubona udokotela wakho ngokuxilongwa nokwelashwa. Ukwelapha ukulimala kwekhabethe le-rotator kusenesikhathi kungakusindisa ebuhlungwini obukhulayo nokungakwazi ukusebenzisa ingalo nehlombe lakho emisebenzini yansuku zonke.

Okubalulekile

Isakhiwo sebhola nesokhethi sehlombe lakho nengalo kuyindlela eyinkimbinkimbi yemisipha, imisipha, nethambo. Ukulimala enkomishini ye-rotator kuvamile, kepha ukwelashwa kuyaphumelela.