Ingaba igxalaba lakho liyaqhuma rhoqo? Masifunde ngale Bankart Lesion!

Ngaba wakha wakhubeka igxalaba lakho? Okanye wakha wawa ngelixa udlala imidlalo waza waba nentlungu ebuhlungu egxalabeni lakho eyabangela ukuba kube nzima ukushukumisa ingalo yakho? Mhlawumbi nawe ungathanda ukwazi ngemeko ebizwa ngokuba yiBankart Lesion. Makhe sithethe ngayo ngokulula nangendlela ehloniphekileyo.

Yintoni le Bankart Lesion?

Ngamafutshane, ukukrazuka kweBankart kukwenzakala kwezicubu ezidityanisiweyo ezinceda ukubamba igxalaba lakho endaweni yalo, i-socket, kwindawo edibeneyo yegxalaba lakho. Oku kwenzeka xa igxalaba lakho lityhalelwa phambili lize liphume ecaleni kwi-socket yalo, nto leyo eyonakalisa ezo zicubu.

Makhe sijonge indlela elime ngayo igxalaba?

Igxalaba lakho lilungu elenziwe yinxalenye ejikelezileyo yethambo elikhulu engalweni yakho engasentla (ihumerus) ehambelana nesokhethi ekwicala legxalaba lakho (i-scapula). Eli lungu lijikelezwe yiringi ye-cartilage. Yile nto inika inkxaso elungileyo kunye nozinzo kwilungu legxalaba.

Le ring ye-cartilage yileyo siyibiza ngokuba yi-'Glenoid Labrum' . Khawucinge nje, bekuya kwenzeka ntoni ukuba ithambo lakho legxalaba liphuma kuloo socket lize libethe le glenoid labrum? Emva koko le labrum ingakrazuka, okanye ingaphuma ethanjeni. Le yinto esiyibiza ngokuba yiBankart Lesion.

Ugqirha angabuyisela igxalaba lakho eliphumileyo endaweni yalo. Nangona kunjalo, oku akuyi kuyiphilisa inxeba leBankart. Le yinxeba yexesha elide elenza igxalaba lakho lingaqini, nto leyo ethetha ukuba kunokwenzeka ukuba uphinde uphuke igxalaba lakho.

Ixhaphake kangakanani le ngozi?

Ukukhubeka kwegxalaba kukwenzakala okuxhaphakileyo egxalaba. Kuchaphazela malunga ne-1% yabantu. Malunga ne-90% yokukhubeka kwegxalaba kukukhubeka kwangaphambili, oko kuthetha ukuba ithambo lityhalelwa phambili ngesokhethi.

Kulapho i-glenoid labrum inokonakala khona xa igxalaba liphoswa phambili. Enyanisweni, phakathi kwe-87% kunye ne-100% yokuphoswa okunjalo kubangela umonakalo kule labrum. Ngoko ke, ukuba uphumile igxalaba lakho, kusenokwenzeka ukuba ukrazuke yiBankart.

Yintoni iBony Bankart Lesion?

Ugqirha wakho usenokuthi 'unesilonda seBony Bankart'. Oku kuthetha ukuba zombini i-glenoid labrum yakho kunye nethambo elikwisokhethi yamagxa (i-glenoid) zonakele. Oku kuthetha ukuba izicubu zikrazukile kwaye ithambo liqhekekile okanye iqhekeza elincinci liphumile.

Ezi zilonda zeBankart ezinamathambo azixhaphakanga kangako kunezilonda zeBankart ezinemicu, eziyonakalisa kuphela i-labrum. Nangona kunjalo, zibonakala malunga ne-73% yamatyala okukhubeka kwamagxa angaphambili.

Yintoni ebangela oku?

I-Bankart tear okanye i-glenoid labrum tear iyenzeka xa ithambo elisegxalabeni lakho liphuma kwaye izicubu ezixhasayo ziphuma. Igxala eliphumayo liyenzakala kakhulu ngenxa yamandla amaninzi.

Kukho izizathu ezininzi eziphambili zoku:

• Iingozi zeemoto: Njengaxa utshayiswa yimoto.
• Iingozi zemidlalo: Inokwenzeka egxalabeni xa untywila uze uwe ngelixa udlala ikhilikithi, okanye xa udlala iragbi okanye ivolibholi.
• Ukuwa: Ukuba uwa usuka kwindawo ephakamileyo okanye utyibilika uze uwe, ungatyhafa igxalaba lakho.

Khawucinge nje, ubukhwele ibhayisekile yakho uze ngequbuliso ubhuleke uze uwe, ubetheke egxalabeni lakho uze uwe. Okanye, kuthekani ukuba ukhubeke esitulweni ngelixa usenza imisebenzi yasekhaya uze ubetheke egxalabeni lakho? Izinto ezinjalo zinokubangela oku kwenzakala.

Zithini iimpawu?

Unokufumana iimpawu ezifana nezi xa une-Bankart lesion:

• Intlungu yamagxa: Usenokuziva iintlungu kulo lonke igxalaba lakho, okanye usenokuziva iintlungu ngaphambili nasezantsi kwesokisi yegxalaba lakho. Jonga ukuba le ntlungu iyaqhubeka na kwaye ayipheli xa uphumle.
• Umgama omncinci wokunyakaza: Ezinye iintshukumo zamagxa, ezinje ngokuphakamisa ingalo yakho, ukuphosa into ethile, okanye ukolula isandla ukuze ufumane into ethile ngaphezulu, zinokuba nzima. Abanye abantu banokuba nobunzima bokunxiba impahla okanye ukubopha amabhanti abo ezihlalo emotweni.
• Iimpawu zendlela yokusebenza: Xa ilungu legxalaba lishukunyiswa ngendlela ethile, kunokubakho isandi "esiqhekekayo" okanye imvakalelo yokusila . Ngamanye amaxesha, ithambo lisenokuvakala ngathi liyabanjwa kuze kubekho intlungu.
• Ukungazinzi kwamagxa: Usenokuziva ngathi igxalaba lakho likhululekile, okanye ithambo libonakala lishukuma kakhulu xa ujikeleza igxalaba lakho. Usenokude ukhuphe igxalaba lakho.

"Umhlobo wam uye waya kudlala ikhilikithi waza waqhuba waza wakhupha igxalaba lakhe. Ugqirha walibuyisela igxalaba, kodwa okwethutyana emva koko akakwazanga ukuphosa ibhola okanye ukuphakamisa nantoni na. Bathi yayiligxalaba nje elikhululekileyo. Kusemva kwexesha apho ndafumanisa ukuba yayilinxeba leBankart."

Uyibona njani le nto kanye kanye?

Ugqirha uza kuqala akubuze ngokulimala kwegxalaba – ukuba kwenzeke nini, kwenzeke njani , nokuba kwenzeke ngaphambili, njl. Emva koko baza kuhlola ilungu legxalaba ukuze babone ukuba akukho kungazinzi na.

Emva koko, kwenziwa uvavanyo lokujonga umonakalo. Oku kudla ngokubandakanya i-X-ray kunye ne-MRI (Magnetic Resonance Imaging). Ugqirha ufuna ukubona ukuba umonakalo owenziweyo kwi-glenoid labrum ungakanani na kwaye nokuba kukho ezinye iingozi. I-MRI scan inokuyibona ngokucacileyo le ndlela yomonakalo kwizicubu ezithambileyo.

Ngaba izilonda zaseBankart zihlala zifuna utyando?

Ayizizo zonke iinyembezi ze-glenoid labrum ezifuna utyando. Kodwa ezinye ziyazenza. Iinyembezi zeBankart ngamanye amaxesha zinokuphola zodwa, kodwa zisenokungaphili kakuhle njengoko bezinokwenza ngotyando. Ugqirha wakho unokucebisa utyando ukuba:

• Ukuba i-glenoid labrum yakho ihlukane ngokupheleleyo nethambo, kuya kufuneka utyando ukuze ixhunywe kwakhona kwithambo.
• Ukuba unethambo leBankart kwaye inxalenye yethambo iphumile.
• Ukuba igxalaba lakho lihlala lingazinzanga ngenxa yokwenzakala kwangaphambili kwaye uhlala utsiba.
• Ukuba igxalaba libaluleke kakhulu kwimisebenzi yakho yemihla ngemihla okanye emsebenzini owenzayo (umzekelo, njengomdlali wezemidlalo okanye umchweli).

Kuza kwenzeka ntoni ukuba ayinyangwa?

Izilonda zeBankart zinokuphola ngaphandle konyango, kodwa aziphili kakuhle rhoqo. Ngamanye amaxesha igxalaba linokuhlala lingazinzile. Oku kwandisa umngcipheko wokuphinda liphume kwaye kukrazuke ngakumbi.

Ugqirha wakho angakuxelela ngcono ukuba ukwenzakala kwakho kuza kuphola kakuhle ngokwako na. Nokuba awutyandwanga, kufuneka unakekele kakuhle igxalaba lakho ukuqinisekisa ukuba liphola kakuhle.

Eli nxeba lingapholiswa njani ngotyando?

Ngexesha lotyando lweBankart lokwaphuka kwamathambo, izicubu ezifileyo okanye ezonakeleyo ziyasuswa kwaye ukukrazuka kuyalungiswa ngezicubu eziphilileyo. Ukuba kuyimfuneko, ugqirha uza kuphinda afake i-glenoid labrum yakho kwithambo le-glenoid.

Ukuze benze oku, oogqirha bancamathisela ii-anchors ezincinci kwithambo elikwisokhethi, baze bathunge i-glenoid labrum tissue kwii-anchors. Emva koko, ii-sutures ziqiniswa ngononophelo ukuze kuzinziswe ijoyinti. Oku ngamanye amaxesha kubizwa ngokuba yi-Bankart Repair .

Indlela ye-Arthroscopy

Amaxesha amaninzi, oogqirha botyando banokwenza olu lungiso lweBankart besebenzisa i-arthroscopy yamagxa . Oku kuthetha ukwenza umsikelo omncinci, ukufaka ityhubhu encinci enekhamera (i-`arthroscope`) ngayo, baze benze utyando ngaloo tyhubhu.

Iindlela zotyando ezingangenisi kakhulu ezinje ngezi zinokunciphisa amaxesha okuchacha kwaye zenze kube lula ukuchacha. Nangona kunjalo, kwezinye iingozi ezinkulu, utyando oluvulekileyo lwegxalaba lunokufuneka ukuze kuphole kakuhle.

Injani inkqubo yokubuyisela kwimeko yesiqhelo?

Nokuba utyando okanye akunjalo, igxalaba lakho liza kufuna ukuphumla kunye nokuvuselelwa ukuze liphile. Oku kuthetha ukuba kuya kufuneka unxibe isling ukuze uthintele igxalaba lakho kangangeeveki ezimbalwa. Emva koko, kuya kufuneka unyango lomzimba .

Ingcali yezonyango iza kukunika uthotho lwemithambo. Oku kuya kukunceda kancinci kancinci ukuba ubuyisele amandla ezihlunu kunye nomgama wokunyakaza. Oku kuya kunceda ukuzinzisa amalungu kwaye kunciphise umngcipheko wokwenzakala kwakhona.Kubaluleke kakhulu ukwenza ezi mithambo yonyango lomzimba njengoko kuyalelwe.

Injani imeko ngale ngozi?

Usenokufuna okanye ungadingi utyando ngenxa yesilonda saseBankart. Nangona kunjalo, imeko idla ngokuba ntle. Uninzi lwabantu luyachacha kakuhle kwisilonda saseBankart. Nangona kunjalo, kungathatha iinyanga ezintandathu ukuze luphile ngokupheleleyo.

Umngcipheko omkhulu emva kokuphola kukuba ukungazinzi kwegxalaba kuya kuqhubeka, nto leyo ebangela ukuba igxalaba liphinde liqhekeke kwaye i-labrum ikrazuke. Lo mngcipheko uyancitshiswa ukuba utyando kwaye wenza unyango lomzimba ngokufanelekileyo.

Yintoni umahluko phakathi kwesilonda saseBankart nesilonda saseHill-Sachs?

Isilonda saseHill-Sachs kunye nesilonda saseBankart zombini zinokwenzeka ngesizathu esinye, rhoqo ngaxeshanye. Xa ithambo lakho legxalaba liqhawuka ngamandla, libetha udini lwesokhethi yegxalaba.

Oku kunokukrazula i-cartilage ejikeleze i-socket (i-glenoid labrum yakho). Oku kubizwa ngokuba yi-Bankart lesion. Oku kwenzakala kungonakalisa nethambo legxalaba ngokwalo, kubangele ukuqhekeka kulo. Oku kubizwa ngokuba yi-Hill-Sachs defect okanye i-lesion.

Yintoni umahluko phakathi kwesilonda seBankart kunye nenyembezi ye-SLAP?

Inyembezi ye-SLAP lolunye uhlobo lwenyembezi kwi-glenoid labrum. Oku kwenzeka kwinxalenye ephezulu ye-labrum, ukusuka phambili ukuya ngasemva. Igama elithi SLAP livela kwisifinyezo esithi Superior Labrum Anterior ukuya kwi-Posterior .

Olu hlobo lokukrazuka alunakubangelwa kukwenzakala egxalabeni. Endaweni yoko, ludla ngokubangelwa kukushukuma ngamandla kwegxala. Lunokwenzeka ngequbuliso, okanye lunokwenzeka kancinci kancinci ngokuhamba kwexesha ngenxa yokuxinezeleka okuphindaphindwayo. Cinga ngako njengomdlali wevolibholi otsiba aze abethe ngokuphindaphindiweyo.

Iimpawu kunye neengxaki ezinokubakho zezilonda zeBankart kunye neentlungu ze-slap tears ziyafana kakhulu. Zombini zinokubangela ukungazinzi kwegxalaba, okubangela iintlungu kunye nomngcipheko ophezulu wokukhubeka. Zombini zinokufuna utyando.

Ukuba awukhumbuli ukukrazula igxalaba lakho, kwaye uziva iintlungu ngaphezulu kwesokhethi yegxalaba lakho, kusenokwenzeka ukuba une-slap torment. Ukuba iintlungu zingaphambili nasezantsi, isenokuba yi-Bankart torment.

Okokugqibela, izinto ekufuneka uzikhumbule

Ukuba ukrazukile igxalaba lakho, kusenokwenzeka ukuba ukrazukile ne-glenoid labrum yakho. Le ngozi inokuba nemiphumo ebanzi ngaphaya kokukrazukela kwegxalaba. Kwezinye iimeko, unokufuna utyando ukuze uyilungise.

Ukuphiliswa kwingozi yaseBankart kuthatha ixesha nomgudu. Kungathatha iinyanga zonyango lomzimba. Nangona kunjalo, abantu abaninzi, kwanabadlali bezemidlalo, abagqiba le nkqubo baphumelela ekubuyiseleni ukusebenza ngokupheleleyo emagxeni abo. Ngoko ke, musani ukoyika kwaye landela imiyalelo kagqirha wakho ngononophelo.Ndikunqwenelela ukuchacha ngokukhawuleza!

Ukukhubeka kwegxalaba , isilonda saseBankart, i-Glenoid labrum, iintlungu zegxalaba, utyando lwegxalaba, unyango lomzimba, ukwenzakala kwezemidlalo