Ekibegabega kyo kikuba buli kiseera? Ka tuyige ku Bankart Lesion eno!

Wali ovuddeko ekibegabega kyo? Oba wali ogudde ng’ozannya emizannyo n’ofuna obulumi obw’amaanyi mu kibegabega ekikulemesa okutambuza mukono? Mpozzi naawe wandyagadde okumanya ku mbeera eyitibwa Bankart Lesion. Ka tukyogereko mu ngeri ennyangu era mu mpisa.

Kino Bankart Lesion kye ki?

Mu ngeri ennyangu, okukutuka kwa Bankart buvune ku bitundu ebiyunga ekiyamba okukwata ekibegabega kyo mu kifo, socket, ku kiyungo ky’ekibegabega kyo. Kino kibaawo ng’ekibegabega kyo kinyigirizibwa mu maaso n’ebbali okuva mu socket yaakyo, ne kyonoona ekitundu ekyo.

Katutunuulire enkula y'ekibegabega?

Ekibegabega kyo kiyungo ekikolebwa ekitundu ekyekulungirivu ekya waggulu eky’eggumba eddene mu mukono gwo ogwa waggulu (humerus) nga kiyingira mu socket mu kibegabega kyo (scapula). Socket eno yeetooloddwa empeta y’amagumba. Kino kye kiwa obuwagizi obulungi n’okutebenkera ekiwanga ky’ekibegabega.

Empeta eno ey’amagumba gye tuyita `Glenoid Labrum` . Kati teebereza, kiki ekyandibaddewo singa eggumba lyo ery’ekibegabega liva mu socket eyo ne likuba glenoid labrum eno? Olwo labrum eno eyinza okukutuka, oba n’okuva ku ggumba. Kino kye tuyita Bankart Lesion.

Omusawo asobola okuzza ekibegabega kyo ekikutuse mu kifo kyaakyo. Wabula kino tekijja kuwonya buvune bwa Bankart. Buno buvune bumala ebbanga eddene ekifuula ekinywa kyo eky’ekibegabega obutabeera kinywevu, ekitegeeza nti otera okuddamu okusengulwa ekibegabega.

Obuvune buno butera kwenkana wa?

Okuseeseetula ekibegabega buvune bwa bulijjo nnyo ku kibegabega. Kikwata ebitundu nga 1% ku bantu. Ebitundu nga 90% ku bibegabega ebikutuka biba bya mu maaso, ekitegeeza nti eggumba linyigirizibwa mu maaso nga liyita mu socket.

Wano glenoid labrum w’esinga okwonooneka ng’ekibegabega kisuuliddwa mu maaso. Mu butuufu, wakati wa 87% ne 100% ku kusuula ng’okwo kuvaamu okwonooneka kwa labrum eno. Kale, bw’oba ​​okutuse ekibegabega, osanga nnyo okukutuka kwa Bankart.

Bony Bankart Lesion kye ki?

Omusawo ayinza okugamba nti olina ‘ekiwundu kya Bankart eky’amagumba’. Kino kitegeeza nti byombi glenoid labrum yo n’eggumba eriri mu shoulder socket (the glenoid) byonoonese. Kino kitegeeza nti ekitundu ekyo kikutuse era eggumba limenyese oba akatundu akatono kavuddemu.

Ebiwundu bino eby’amagumba ebya Bankart tebitera kubeerawo okusinga ebiwundu bya Bankart eby’obuwuzi, ebyonoona labrum yokka. Wabula zirabibwa mu bitundu nga 73% eby’okusereba kw’ebibegabega eby’omu maaso.

Kiki ekivaako kino?

Okukutuka kwa Bankart oba glenoid labrum tear kwe kuba ng’eggumba eriri mu kibegabega kyo liseeseetuse n’ebitundu ebigiwagira ne bikutuka. Ekibegabega ekikutuse bwe buvune obw’ekikangabwa obubaawo ng’amaanyi amangi gateekeddwako.

Waliwo ensonga enkulu eziwerako eziviirako kino:

• Obubenje bw’emmotoka: Nga bw’otomerwa mmotoka.
• Obubenje mu mizannyo: Buyinza okutuuka ku kibegabega ng’odduka n’ogwa ng’ozannya cricket, oba ng’ozannya rugby oba volleyball.
• Okugwa: Bw’ogwa okuva ku buwanvu oba okuseerera n’ogwa, oyinza okunyiga ekibegabega.

Teebereza, wali ovuga ddigi yo omulundi gumu n’osika buleeki n’ogwa, n’okuba ekibegabega n’oyinza okugwa. Oba, watya singa weekulukuunya ku ntebe ng’okola emirimu gy’awaka n’okuba ekibegabega? Ebintu ng’ebyo bisobola okuvaako obuvune buno.

Obubonero bwe buliwa?

Oyinza okufuna obubonero nga buno ng’olina ekiwundu kya Bankart:

• Obulumi mu bibegabega: Oyinza okuwulira obulumi mu kibegabega kyo kyonna, oba oyinza okuwulira obulumi mu maaso ne wansi w’ekisenge ky’ekibegabega kyo. Laba oba obulumi buno busigala nga tebugenda ng’owummudde.
• Okutambula okutono: Entambula z’ebibegabega ezimu, gamba ng’okusitula omukono, okusuula ekintu, oba okutuuka ku kintu waggulu, kiyinza okuba ekizibu. Abantu abamu era bayinza okukaluubirirwa okwambala engoye oba okusiba emisipi gy’emmotoka.
• Obubonero bw'ebyuma: Ekinywa ky'ekibegabega bwe kitambuzibwa mu ngeri emu, wayinza okubaawo eddoboozi "eyatika" oba okuwulira ng'osika . Oluusi, eggumba liyinza okuwulira nga likwata olwo ne wabaawo obulumi.
• Obutabeera mu ntebenkevu mu bibegabega: Oyinza okuwulira ng’ekinywa ky’ekibegabega kyo kisumuluddwa, oba ng’eggumba lirabika nga litambula nnyo ng’okyusa ekibegabega kyo. Oyinza n’okukutuka ekibegabega kyo.

"Mukwano gwange yagenda okuzannya cricket n'avuga n'akutuka ekibegabega. Omusawo yazzaayo ekibegabega mu, naye okumala akaseera oluvannyuma teyasobola kukuba bbakuli wadde okusitula ekintu kyonna. Baagamba nti kyali kibegabega kyokka ekisumuluddwa. Oluvannyuma lwe nnakizuula nti buvune bwa Bankart."

Kino okitegeera otya ddala?

Omusawo ajja kusooka kukubuuza ku buvune ku kibegabega – ddi lwe bwabaawo, engeri gye bwagwawo, oba bubaddewo emabegako, n’ebirala Olwo bajja kwekenneenya ekinywa ky’ekibegabega okulaba oba waliwo obutali butebenkevu bwonna.

Olwo, okukebera ebifaananyi kukolebwa okutunuulira obuvune. Kino kitera okuzingiramu okukebera X-ray ne MRI (Magnetic Resonance Imaging) scan. Omusawo ayagala okulaba obungi bw’okwonooneka kw’ekitundu ky’omubiri ekiyitibwa glenoid labrum n’okumanya oba waliwo obuvune obulala. MRI scan esobola okulaba obulungi ekika kino eky’okwonooneka kw’ebitundu ebigonvu.

Ebiwundu bya Bankart bulijjo byetaaga okulongoosebwa?

Amaziga gonna aga glenoid labrum tegalina kulongoosebwa. Naye abamu bakikola. Amaziga ga Bankart oluusi gasobola okuwona ku bwago, naye gayinza obutawona bulungi nga bwe gayinza okuwona ng’olongooseddwa. Omusawo ayinza okukuwa amagezi okulongoosebwa singa:

• Singa glenoid labrum yo eba yeekutudde ddala ku ggumba, kijja kwetaagisa okulongoosebwa okuddamu okugikwata ku ggumba.
• Bw’oba ​​olina ekiwundu kya Bankart eky’amagumba ate ng’ekitundu ky’eggumba kivuddeko.
• Singa ekibegabega kyo tekibeera kinywevu buli kiseera olw’obuvune bwe wafuna emabegako era ng’otera okubuuka.
• Singa ekinywa ky’ekibegabega kikulu nnyo mu mirimu gyo egya bulijjo oba omulimu gw’okola (okugeza ng’omuzannyi oba omubazzi).

Kiki ekibaawo singa kirekebwa nga tekijjanjabiddwa?

Ebiwundu bya Bankart bisobola okuwona nga tebifunye bujjanjabi, naye bulijjo tebiwona bulungi. Oluusi ekinywa ky’ekibegabega kiyinza okusigala nga tekinywevu. Kino kyongera obulabe bw’okuddamu okukutuka n’okwongera okukutuka mu bitundu by’omubiri (labral tears).

Omusawo wo asobola bulungi okukubuulira oba obuvune bwo bujja kuwona bulungi ku bwabwo. Ne bw’oba ​​tolongooseddwa, olina okulabirira obulungi ekinywa ky’ekibegabega kyo okulaba nga kiwona bulungi.

Ekiwundu kino kiyinza kitya okuwona nga balongooseddwa?

Mu kiseera ky’okulongoosa Bankart okumenya, ebitundu ebifu oba ebyonooneddwa biggyibwamu era amaziga ne gaddaabirizibwa n’ebitundu ebiramu. Bwe kiba kyetaagisa, omusawo ajja kuddamu okusiba labrum yo eya glenoid ku ggumba lya glenoid.

Kino okukikola, abasawo abalongoosa basiba obukondo obutonotono ku ggumba eriri mu socket, ne batunga ekitundu kya glenoid labrum ku nnanga. Oluvannyuma, emisono ginywezebwa n’obwegendereza okusobola okutebenkeza ekiwanga. Kino oluusi kiyitibwa Bankart Repair .

Enkola y’okukebera ebinywa

Ebiseera ebisinga, abasawo abalongoosa basobola okukola okuddaabiriza kuno okwa Bankart nga bakozesa ekyuma ekikebera ebibegabega . Kino kitegeeza okusala akatundu akatono, okuyingiza akatubu akatono nga kalimu kkamera (`arthroscope`) okuyita mu kyo, n'okulongoosa okuyita mu ttanka eyo.

Enkola z’okulongoosa ezitali za maanyi nnyo nga zino zisobola okukendeeza ku biseera by’okuwona n’okwanguyira okuwona. Kyokka ku buvune obumu obw’amaanyi, kiyinza okwetaagisa okulongoosa ebibegabega ebiggule okusobola okuwona obulungi.

Enkola y’okuddaabiriza abantu eri etya?

Oba olongooseddwa oba nedda, ekibegabega kyo kijja kwetaaga okuwummula n’okuddaabirizibwa okusobola okuwona. Kino kitegeeza nti ojja kwetaaga okwambala akaguwa okulemesa ekibegabega okumala wiiki eziwera. Oluvannyuma lw’ekyo, ojja kwetaaga obujjanjabi obw’omubiri .

Omusawo ajja kukuwa dduyiro eziwerako. Bino bijja kukuyamba mpolampola okuddamu amaanyi g’ebinywa n’okutambula mu bbanga. Kino kijja kuyamba okutebenkeza ekiwanga n’okukendeeza ku bulabe bw’okuddamu okufuna obuvune.Kikulu nnyo okukola dduyiro zino ez’okujjanjaba omubiri nga bwe kiragirwa ddala.

Endowooza etya ku buvune buno?

Oyinza okwetaaga okulongoosebwa oba nedda olw’ekiwundu kya Bankart. Kyokka, endowooza etera okuba ennungi. Abantu abasinga bawona bulungi oluvannyuma lw’ekiwundu ekya Bankart. Kyokka kiyinza okutwala emyezi mukaaga okuwona mu bujjuvu.

Obulabe obusinga obunene oluvannyuma lw’okuwona kwe kuba nti obutabeera mu ntebenkevu bw’ekibegabega bujja kugenda mu maaso, ekivaako ekibegabega okuddamu okukutuka n’okukutuka kw’ekibegabega. Obulabe buno bukendeera singa olongoosebwa n’okola obulungi obujjanjabi bw’omubiri.

Njawulo ki eriwo wakati w’ekiwundu kya Bankart n’ekiwundu kya Hill-Sachs?

Ekiwundu kya Hill-Sachs n’ekiwundu kya Bankart byombi bisobola okubaawo olw’ensonga y’emu, emirundi mingi mu kiseera kye kimu. Eggumba lyo ery’ekibegabega bwe likutuka nnyo, likuba ku bbali w’ekisenge ky’ekibegabega.

Kino kiyinza okukutuka eggumba okwetoloola socket (glenoid labrum yo). Kino kiyitibwa ekiwundu kya Bankart. Obuvune buno era busobola okwonoona eggumba ly’ekibegabega lyenyini, ne livaamu ekituli. Kino kiyitibwa ekikyamu oba ekiwundu kya Hill-Sachs.

Njawulo ki eriwo wakati w’ekiwundu kya Bankart n’ekiwundu kya SLAP?

Okukutuka kwa SLAP kye kika ekirala eky’okukutuka mu glenoid labrum. Kino kibaawo mu kitundu ekya waggulu ekya labrum, okuva mu maaso okutuuka emabega. Ekigambo SLAP kiva mu kifupi Superior Labrum Anterior okutuuka ku Posterior .

Amaziga ag’ekika kino tegatera kuva ku buvune ku kibegabega. Wabula, kisinga kuva ku kutambula kw’ekibegabega n’amaanyi. Kiyinza okubaawo mu bwangu, oba kiyinza okubaawo mpolampola okumala ekiseera nga kiva ku kunyigirizibwa okuddiŋŋana. Kilowoozeeko ng’omuzannyi wa volleyball abuuka enfunda n’enfunda n’okukuba.

Obubonero n’ebizibu ebiyinza okuva mu biwundu bya Bankart n’amaziga g’okukuba bifaanagana nnyo. Zombi zisobola okuleeta ekinywa ky’ekibegabega obutabeera mu ntebenkevu, ekivaako obulumi n’obulabe obw’okusengulwa. Bombi bayinza okwetaagisa okulongoosebwa.

Bw’oba ​​tojjukira kuseeseetula kibegabega kyo, n’owulira obulumi waggulu w’ekisenge ky’ekibegabega kyo, osanga osinga kuba n’amaziga agakutte. Singa obulumi buba mu maaso ne wansi, buyinza okuba nga bwa Bankart tear.

N’ekisembayo, ebintu by’olina okujjukira

Bw’oba ​​okutuse ekibegabega kyo, kirabika n’ekibegabega kyo ekya glenoid labrum oba okutuse. Obuvune buno buyinza okuba n’ebikosa eby’ewala okusukka ku kuseeseetula ekibegabega. Mu mbeera ezimu, oyinza okwetaaga okulongoosebwa okusobola okugiddaabiriza.

Okuwona obuvune bwa Bankart kyetaagisa obudde n’amaanyi. Kiyinza okutwala emyezi mingi ng’ajjanjabwa omubiri. Kyokka, abantu bangi, wadde bannabyamizannyo, abamaliriza obulungi pulogulaamu eno baddamu okukola mu bujjuvu mu kibegabega kyabwe. N’olwekyo, tosattira era goberera bulungi ebiragiro by’omusawo wo.Nga tukwagaliza okuwona amangu!

` Okuseeseetula ebibegabega, Ekiwundu kya Bankart, Glenoid labrum, Obulumi mu bibegabega, Okulongoosebwa ebibegabega, Okujjanjaba omubiri, Obuvune mu mizannyo