Yini i-Rotator Cuff Syndrome nokuthi ungayelapha kanjani

-Delile

• Izimpawu eziyinhloko
• Ungaqinisekisa kanjani
• Ziyini izimbangela
• Yelashwa kanjani

I-Rotator cuff syndrome, eyaziwa nangokuthi yi-shoulder impingement syndrome, yenzeka lapho kukhona ukulimala ezakhiweni ezisiza ukuzinzisa lesi sifunda, okudala izimpawu ezifana nobuhlungu behlombe, ngaphezu kobunzima noma ubuthakathaka ekukhuliseni ingalo, futhi kungabangelwa i-tendonitis noma ngenxa yokuqhekeka ngokwengxenye noma okuphelele kwamathenda esifundeni.

Isigaxa se-rotator sakhiwa iqoqo lezicubu ezine ezibhekele ukunyakazisa nokuhlinzeka ngozinzo ehlombe, okuyi-infraspinatus, i-supraspinatus, i-teres minor ne-subscapularis, kanye nemisipha yayo kanye nemisipha yayo. Ukulimala kule ndawo kuvame ukwenzeka ngenxa yokuvuvukala okubangelwa ukugqoka, ukucasuka noma umthelela ngenxa yokusebenzisa ngokweqile ilunga, okuvame kakhulu kubasubathi noma kubantu abasebenza bephethe isisindo ngezandla zabo.

Ukwelapha lesi sifo, ukuphumula, iqhwa nokwelashwa ngokomzimba kuyakhonjiswa, kanti nodokotela wamathambo angakhombisa nokusetshenziswa kwezidakamizwa ezilwa nokuvuvukala, njenge ketoprofen, ukudambisa izinhlungu noma, ezimweni lapho kungekho ngcono khona, kungalashwa kudingekile.

Izimpawu eziyinhloko

Izimpawu ezikhona ku-rotator cuff syndrome zifaka:

• Ubuhlungu ehlombe, okungaba okungazelelwe lapho uphakamisa ingalo noma ukuphikelela noma uphumule, imvamisa ngaphambili noma ohlangothini lwehlombe;
• Ukwehla kwamandla ehlombe elithintekile;
• Kunzima ukubeka ingalo yakho ngemuva komzimba wakho, ukugqoka noma ukuhlanganisa izinwele zakho, isibonelo.
• Kungenzeka kube nokuvuvukala ehlombe elithintekile.

Izimpawu zingase zibe nzima ebusuku noma noma kunini lapho kwenziwa imizamo futhi, ngaphezu kwalokho, ezimweni ezinzima kakhulu futhi ezingaphathwa, kungenzeka ukuthi zize zize zingakwazi ukuhambisa ihlombe.

Ungaqinisekisa kanjani

Ukuthola isifo se-rotator cuff syndrome, udokotela wamathambo noma we-physiotherapist uhlola izimpawu bese enza ukuhlolwa ngokomzimba kwehlombe ukuthola ushintsho.

Udokotela futhi angacela ukuhlolwa okwengeziwe okufana ne-radiography, i-ultrasound noma i-magnetic resonance imaging yehlombe, zombili ukusiza ukuqinisekisa ukuxilongwa, kanye nokubona izinga lokulimala noma uma kukhona ezinye izinhlobo zokulimala okuhambisana nehlombe, i-scapula noma ingalo, engadala noma iqinise izimpawu. Funda ukuhlukanisa ukuthi yiziphi izimbangela eziyinhloko zobuhlungu behlombe nokuthi wenzeni esimweni ngasinye.

Ziyini izimbangela

Ukulimala enkomishini ye-rotator kungaba nezimbangela eziningana, kusuka ekugqokeni okuqhubekayo kokujoyina, ukucasuka kwehlombe ngenxa yokuvela kwama-spurs ethanjeni noma ukulimala kwethenda ngesikhathi semisebenzi ephindaphindwayo noma ukuphakamisa isisindo isikhathi eside. Abantu abasengozini enkulu yalesi sifo yibo:

• Abasebenza ngokomzimba, ikakhulukazi labo abenza ukunyakaza kwengalo okuphindaphindwayo, njengabadlali bethenisi, onozinti, ababhukudi nabadlali be-basketball;
• Abasebenzi benza ukunyakaza kwengalo okuphindaphindwayo, njengalabo abasebenza emkhakheni wezokwakha, ukubaza noma ukudweba, isibonelo;
• Abantu abangaphezu kweminyaka engama-40 ubudala, ngoba ukuguga kwandisa ingozi yokugqoka nokuvela kwezilonda eziwohlokayo.

Ngaphezu kwalokho, kukholelwa ukuthi kungahle kube nengxenye yezakhi zofuzo ethintekayo kulesi sifo, ngoba kuvame kakhulu kumalungu omndeni owodwa.

Yelashwa kanjani

Ukwelashwa kwe-rotator cuff syndrome kukhonjisiwe ukunciphisa ukuvuvukala kwenhlanganisela futhi kusize ukuvuselelwa kwayo, ngehlombe lonke, ukusetshenziswa kweqhwa nokwelashwa ngokomzimba, okubaluleke kakhulu ukusiza ukubuyisela ukuzinza namandla ehlombe elithintekile. Bheka izivivinyo ze-physiotherapy ongazenza ekhaya ezisiza ngokululama kwehlombe.

Udokotela wamathambo futhi angancoma ukusetshenziswa kwezidakamizwa ze-analgesic noma ezilwa nokuvuvukala, njenge-Dipyrone, i-Diclofenac noma i-Ketoprofen, isibonelo, ukudambisa izinhlungu nokwenza lula ukululama. Kwezinye izimo zobuhlungu obuqhubekayo, imijovo ye-corticosteroids kujoyini ingadingeka.

Ukwelashwa kungahlala kusuka emavikini ama-2 kuye ezinyangeni ezimbalwa, noma kunjalo, ezimweni lapho izinhlungu zingenakudanjiswa, udokotela wamathambo angakhombisa ukusebenza kokuhlinzwa lapho udokotela ezokhomba futhi alungise ukulimala. Ukuhlinzwa kungaba ngokuvulwa kwesikhumba noma ngokusebenzisa i-microcamera kanye nezinsimbi ezikhethekile, inqubo ebizwa nge-arthroscopy. Thola ukuthi ukwelashwa kwenziwa kanjani kusuka ku-arthroscopy yehlombe.