Masifunde ngovavanyo lukaYergason lweentlungu zamagxa.

Ngaba nawe uneengxaki ezifana neentlungu zamagxa, ubunzima bokuphakamisa ingalo yakho, okanye isandi "sokucofa" esivela egxalabeni lakho? Ngamanye amaxesha oogqirha bethu benza uvavanyo oluthile lomzimba ukuze bafumane unobangela ochanekileyo wezi zinto. Olunye uvavanyo olubalulekileyo lubizwa ngokuba luvavanyo lukaYergason . Makhe sithethe ngale nto namhlanje ngendlela elula onokuyiqonda, kulungile?

Yintoni uvavanyo lukaYergason?

Ngamafutshane, uvavanyo lukaYergason luvavanyo lomzimba olukhethekileyo olwenziwa ngoogqirha bethu. Eyona njongo iphambili yoku kukubona nawuphi na umonakalo kwimisipha yethu ye-biceps, ingakumbi intloko ende ye-biceps tendon enamathela egxalabeni. Ayipheleli apho, olu vavanyo lunokunika umbono wezinye izinto ezininzi. Umzekelo:

• Ngaba ukrazukile kwi-transverse humeral ligament yakho?
• Ngaba kukho ukwenzakala okukhethekileyo egxalabeni okubizwa ngokuba yi-SLAP tear?
• Ngaba kukho imeko ebizwa ngokuba yi-biceps tendonitis?

Ngoku usenokuba ucinga ukuba la magama ayinkimbinkimbi kancinci. Ungakhathazeki, masiyigcine ilula.

Okokuqala, imisipha yethu ye-biceps ifumaneka phi?

Imisipha ye-biceps yimisipha eyaziwa ngumntu wonke ephakamayo xa usonga ingalo yakho ukuze "ubonise izihlunu zakho." Zifumaneka phezulu kwengalo yethu engasentla, i-humerus, elithambo eliqala egxalabeni ukuya engqinibeni. Izihlunu ze-biceps zisinceda kwimisebenzi emininzi, njengokuphakamisa iintsimbi, ukugoba iingqiniba zethu, kunye nokwandisa iingalo zethu ngaphezu kweentloko zethu.

Ngoko ke, iphi intloko ende ye-biceps tendon?

Imisipha yemisipha yimisipha eqinileyo edibanisa izihlunu namathambo. Imisipha yethu yemisipha yemisipha inemisipha emithathu ephambili.

• Imisipha emibini idibanisa i-biceps kunye nejoyinti yegxalaba. Intloko ende ye-biceps tendon inamathela kwi-glenoid, i-socket ephezulu yejoyinti yegxalaba.
• Omnye umsipha omfutshane (intloko emfutshane yomsipha we-biceps) unamathela kwinkqubo ye-coracoid yethambo legxalaba (i-scapula).
• I-tendon yesithathu idibanisa izihlunu ze-biceps nethambo le-radius elisesigxeni sethu, ngaphezulu nje kwengqiniba.

Uvavanyo lukaYergason luchaphazela kakhulu umsipha omde onamathela egxalabeni.

Yintoni i-transverse humeral ligament?

Le yi-ligament encinci, ebanzi, ethe tye. Iiligaments zizicubu ezidibanisa amathambo omnye komnye. Le ligament ye-humeral enqamlezileyo ikwindawo "yebhola" yethambo lethu elingaphezulu lengalo (i-humerus), ngaphezulu nje kwentloko ende ye-biceps tendon. Eyona nto ibalulekileyo eyenziwa yile ligament kukugcina intloko ende ye-biceps tendon isendaweni yayo kwindawo ebizwa ngokuba yi-bicipital groove, kwaye ingayiphumi xa sishukumisa ingalo yethu. Le tendon ibanjwe endaweni yayo njengebhanti.

Yintoni i-SLAP tear?

I-SLAP sisifinyezo segama elithi Superior Labrum Anterior ukuya kwi-Posterior tear. I -labrum yiringi ye-cartilage ejikeleze umngxuma we-glenoid, okanye "isokhethi," yejoyinti yehlombe. I-labrum inceda ukugcina ijoyinti yehlombe izinzile. Ukukrazuka kwe-SLAP kukwenzakala kwinxalenye ephezulu yale labrum, ukusuka ngaphambili ukuya ngasemva - kunokuba kukukrazuka, ukukrazuka, okanye ukukrazuka okupheleleyo. Okubalulekileyo kukuba, intloko ende ye-biceps tendon inamathela nakwinxalenye ephezulu yale labrum. Ngoko ke ukuba i-labrum yenzakele, kukho ithuba elikhulu lokuba iya kuchaphazela ne-biceps tendon.

Yintoni i-biceps tendonitis?

Oku kuthetha nje ukuba kukho ukudumba okanye ukurhawuzelelwa kwi-tendon yethu ye-biceps ephezulu, ingakumbi i-tendon ende. Le meko ibangelwa kukusetyenziswa kakhulu kwe-tendon, njengokuhamba okuphindaphindiweyo, ukuphakamisa izinto ezinzima, njl. I-tendon ye-biceps inokuvuvukala ngenxa yokuguguleka kweminyaka egxalabeni.

Uvavanyo lukaYergason lwenziwa njani?

Khawucinge ngendlela ugqirha angenza ngayo olu vavanyo xa usiya kugqirha ngenxa yeentlungu zamagxa.

1. Ufanele uhlale okanye ume nkqo. Beka iingalo zakho phantsi ngokwemvelo emacaleni akho, umva wesandla sakho ujonge phambili.

2. Okulandelayo, kufuneka ugobe ingqiniba yakho iye kwi-engile engama-90 degrees (flex). Eyona nto ibalulekileyo kukugcina ingqiniba yakho kunye nengalo engasentla kufutshane nomzimba wakho. Isandla sakho kufuneka sisajonge phantsi.

3. Ngoku ugqirha uza kubeka iminwe yesandla esinye ngobunono ngaphambili kwegxalaba lakho, apho kukho umngxuma we-bicipital (apho kukho khona i-transverse humeral ligament kunye ne-tendon ende ye-biceps). Oku kungenxa yokuba bafuna ukuva nayiphi na intshukumo apho ngexesha lovavanyo.

4. Ngesinye isandla sakhe, uza kubamba ingalo yakho. Oku kwenzelwa ukunika ukuxhathisa okuncinci xa ushukumisa ingalo yakho.

5. Emva koko, ucelwa ukuba wenze iintshukumo ezimbini ngaxeshanye:

• Ukugcina iingqiniba zakho zisondele emzimbeni wakhoUfanele ujikelezise ingalo yakho ngaphandle, iintende zijonge phezulu.
• Kwangaxeshanye, kufuneka uhambise ingalo yakho ngaphandle kancinci emzimbeni wakho.

Olu vavanyo lufanayo lwenziwa kwelinye icala lakho "elilungileyo", elingenantlungu. Thelekisa ezi zimbini ukuze ubone ukuba kukho umahluko na.

Kuthetha ukuthini ukuba uvavanyo lweYergesson "lube positive"?

Olu vavanyo luthathwa njengoluthi "lulungile" ukuba oku kulandelayo kwenzeka:

• Ukuba i-transverse humeral ligament yakho ikrazukile, iminwe kagqirha egxalabeni lakho iya kuziva ngathi "iyakrwitshwa" okanye iyakrazuka. Oku kungenxa yokuba umsipha omde we-biceps, owawubanjwe ngokukhuselekileyo yi-ligament, ngoku uyaphuma kwi-bicipital groove.
• Kwakhona, ukuba uziva iintlungu okanye ukuthamba egxalabeni lakho ngexesha lovavanyo, oko kukwaluphawu "oluhle". Olu hlobo lwentlungu lungabonisa imeko efana ne-tendinopathy (ukuphazamiseka kwexesha elide kwe-tendon), i-tendinosis (ukwaphuka kwe-protein collagen kwi-tendon), okanye ukukrazuka kwe-SLAP.

Luchane kangakanani olu vavanyo?

Kuthiwa uvavanyo lukaYergason lunobuthathaka obuyi-43% kunye nobuchule obuyi-79% bokubona iingxaki kwi-biceps tendon.

Zithini iimpawu zobuntununtunu kunye nokuchaneka kovavanyo?

Nangona la magama mabini esenokubonakala ngathi athetha ngezonyango, kulula ukuwaqonda.

• Uvakalelo lubhekisa kubuchule bovavanyo bokuchonga ngokuchanekileyo abantu abanesifo ngolu hlobo "ewe, ndinesi sifo." Okukhona uvakalelo luphezulu, kokukhona zimbalwa iimpawu ezimbi ezingezizo.
• Ukuchaneka kubhekisa kubuchule bovavanyo bokuchonga ngokuchanekileyo abantu abangenaso isifo ngokuthi "hayi, isifo asikho." Okukhona ukuchaneka kuphezulu, kokukhona kuncinci ubuxoki obuvelayo.

Okukhona ezi pesenti zimbini zisondele kwi-100%, kokukhona uvavanyo luchaneke ngakumbi ekuxilongeni isifo. Kodwa khumbula, uvavanyo olunye lodwa alunakuba yinto eqinisekileyo ngalo lonke ixesha.

Wenza ntoni emva kolu vavanyo?

Ukuba uvavanyo lukaYergason "lulungile," okanye ukuba ugqirha ucinga ukuba udinga ulwazi oluthe kratya, angenza oku kulandelayo:

• Ezinye iimvavanyo zomzimba: Ezinye iimvavanyo ezikhethekileyo, ezifana novavanyo lukaSpeed ​​okanye uvavanyo luka-O'Brien, zinokwenziwa. Makhe sizijonge ngokufutshane nazo.
• Uvavanyo lomfanekiso:Into efana ne-MRI (Magnetic Resonance Imaging) scan ingayalelwa ukuba ijonge ngaphakathi egxalabeni.
• Iingcebiso zonyango:
• Ukuphumla: Ukuphumla kwegxalaba kubaluleke kakhulu.
• Umkhenkce: Ungawufaka umkhenkce imizuzu eli-15-20 izihlandlo ezininzi ngemini ukunciphisa iintlungu nokudumba.
• Amayeza okulwa nokuvuvukala: Ugqirha unika amayeza okunciphisa iintlungu nokulawula ukudumba.
• Iinaliti zeCortisone: Ngamanye amaxesha, iyeza elibizwa ngokuba yicortisone lingafakwa ngqo kwilungu legxalaba, nto leyo enokunciphisa iintlungu kunye nokudumba ngokukhawuleza.
• Unyango lomzimba: Ngoncedo lonyango lomzimba, ungenza umthambo oqinisa izihlunu zamagxa kwaye wonyuse ukuguquguquka.
• Ukususwa kwezicubu ezikrazukileyo, ezikrazukileyo, okanye ezikhululekileyo ngaphakathi kwelungu legxalaba (ngokufuthi ngokusika okuncinci okufana ne-arthroscopy).
• Ezinye iindlela zotyando: Ngamanye amaxesha, kuxhomekeke kwisizathu, utyando olufana ne-biceps tenotomy (ukusika i-tendon) okanye i-tenodesis (ukuphinda unamathisele i-tendon kwindawo eyahlukileyo) lunokufuneka.

Uvavanyo olongezelelekileyo lokufumanisa iingxaki zamagxa

Masifunde kancinci ngovavanyo lukaYergason, kunye nezinye iimvavanyo ezimbalwa ezisetyenziswa ngoogqirha.

Uvavanyo lwesantya

Olu lolunye uvavanyo lomzimba olwenziwayo ukukhangela iingxaki nge-biceps tendon, ingakumbi iingxaki zentloko ende ye-biceps tendon, ezifana nokukrazuka kwe-SLAP okanye i-tendinopathy yegxalaba.

Indlela yokwenza (elula):

Uza kuma ngengalo yakho ecaleni kwakho, isandla sakho sijonge phambili. Ngaphandle kokugoba ingqiniba yakho, phakamisa ingalo yakho ngendlela ejikelezayo (njengokuphosa ibhola) ide ibe ngaphezulu kwegxalaba lakho (kwi-engile engama-90 degrees). Njengoko uphakamisa ingalo yakho ngale ndlela, ugqirha uza kubeka esinye sezandla zakhe kwingalo yakho aze akunike amandla okuxhathisa.

Kukwakho neendlela ezahlukeneyo zoku. Ugqirha uza kukhetha indlela efanelekileyo ngokuxhomekeke kuhlobo lwentlungu.

Ungenza njani ukuba "nesimo sengqondo esihle"?

Ukuba uziva iintlungu okanye ubuthathaka ngexesha lovavanyo, uvavanyo "luyaqinisekisa." Intlungu ingabonisa ukudumba kwe-biceps tendon (biceps tendonitis) okanye isilonda se-SLAP. Ukuba uziva ubuthathaka (oko kukuthi, awukwazi ukuphakamisa ingalo yakho), usenokuba nokukrazuka kwi-biceps tendon.

Ukuchaneka: Olu vavanyo lubonisa uvakalelo lwe-32% kunye neenkcukacha ezithile ze-75% zokufumanisa iingxaki nge-biceps tendon.

Uvavanyo luka-O'Brien

Olu lolunye uvavanyo olusetyenziselwa ukubona iingxaki ze-biceps tendon, ingakumbi ukwenzakala kwentloko ende ye-biceps tendon kunye nezilonda ze-SLAP.

Indlela yokwenza (elula):

Ngelixa umi okanye uhleli, phakamisa ingalo yakho ngqo phambi kwakho ukuya kumgangatho wegxalaba (iidigri ezingama-90). Emva koko jika ingalo yakho iye ngaphakathi kancinci emzimbeni wakho (ukunyusa iidigri ezili-10). Ngoku jika ingalo yakho ukuze ubhontsi wakho ujonge ezantsi kwaye intende yakho ijonge kude nomzimba wakho. Njengoko ugqirha efaka uxinzelelo olusezantsi phezulu kwengalo yakho, kufuneka usebenzise amandla kuyo. Okulandelayo, jika ingalo yakho ukuze intende yakho ijonge phezulu, kwaye kwakhona sebenzisa amandla nxamnye noxinzelelo olusezantsi olusetyenziswa ngugqirha.

Ungenza njani ukuba "nesimo sengqondo esihle"?

Ukuba uziva iintlungu xa usenza olu vavanyo, uvavanyo "luyaqinisekisa." Intlungu egxalabeni ingabonisa isilonda se-SLAP. Ukuba iintlungu ziyancipha xa ujika ingalo yakho, oko kongeza ubungqina bokuba une-SLAP krazukile.

Ukuchaneka: Olu vavanyo lubonisa uvakalelo lwe-38% kunye neenkcukacha ezithile ze-61% zokufumanisa izilonda ze-SLAP.

Kubalulekile: Musa ukuzama naluphi na olu vavanyo ngokwakho. Olu vavanyo kufuneka lwenziwe ngugqirha ofanelekileyo kuphela.

Okokugqibela, khumbula oku (Umyalezo Wokuya Ekhaya)

Uvavanyo lukaYergason luvavanyo olubalulekileyo lomzimba olunokuchonga ngokukhawuleza nangokulula ezinye zeengxaki ze-biceps tendon enokubangela iintlungu zamagxa. Ngokukodwa, lunokunceda ekuchongeni iimeko ezifana nokwenzakala kwe-biceps tendon entloko ende, ukukrazula kwe-humeral ligament, ukukrazula kwe-SLAP, kunye ne-biceps tendonitis.

Kodwa khumbula, uvavanyo "oluhle" olufana nolu aluthethi ukuba uza kuba nengxaki enkulu. Ugqirha wakho uza kwenza uvavanyo olongezelelekileyo aze aluthelekise neempawu zakho ukuze enze uxilongo oluchanekileyo. Emva koko, wena nogqirha wakho niza kusebenza kunye ukuphuhlisa isicwangciso sonyango esifanelekileyo kuwe. Oku kungabandakanya unyango oluhlala luhleli olufana nokuphumla, umkhenkce, iintlungu zobuhlungu, kunye nonyango lomzimba, kunye neendlela zotyando ukuba kuyimfuneko.

Ngoko ke, ukuba uneentlungu ezingapheliyo emagxeni, ungoyiki ukubona ugqirha. Uza kukunceda.

Uvavanyo lweYergason , imisipha ye-biceps, iintlungu zamagxa, ukukrazuka kwe-SLAP, i-tendinitis, uvavanyo lwamagxa, uvavanyo lomzimba