Ngaba wakha waba nentlungu ebukhali egxalabeni lakho ethi ngamanye amaxesha ibe nesandi sokuklikha xa uphakamisa into enzima? Okanye ngaba ukhathazwa yintlungu yegxala engapheliyo nokuba uthatha amayeza angakanani okanye uphumle kangakanani? Isizathu soku kusenokuba kukwenzakala kwemisipha ephezulu yemisipha yakho ye-biceps. Namhlanje, siza kuthetha ngotyando olukhethekileyo olwenzelwe imeko enjalo.
Yintoni le tyando ibizwa ngokuba yiBiceps Tenodesis?
Ngamafutshane, iBiceps Tenodesis yinkqubo yotyando elungisa i-tendon edibanisa imisipha ye-biceps yakho egxalabeni lakho xa ikrazukile okanye yonakele. Lo monakalo we-tendon ngamanye amaxesha ubizwa ngokuba yi-"Biceps Tendonitis" ngoogqirha. Olu tyando lubandakanya ukukhulula i-tendon eyonakeleyo kwijoyinti yegxala kwaye uyinamathisele kwakhona kwithambo lengalo ephezulu (i-humerus). Oku kunciphisa iintlungu kwaye kubuyisele amandla engalweni.
Ngaba nam ndiza kuyidinga le tyando? Zithini iimpawu?
Kukho iimpawu ezininzi ezibonisa ukuba ungadinga olu tyando. Makhe sijonge ukuba zeziphi.
| Uphawu | Ithetha ntoni le nto? |
|---|---|
| Intlungu yamagxa engapheliyo | Intlungu engaphambili egxalabeni engapheziyo nangona uphumle, unyango lomzimba, okanye amayeza okudambisa iintlungu. |
| Ukuva isandi esithi 'click' okanye 'snap' | Ngequbuliso, uva ingxolo enkulu ehamba nentlungu ebukhali egxalabeni lakho okanye engalweni engasentla. |
| Iintlungu zesisu | Ukuziva izihlunu ezingalweni ezingentla ziqengqeleka, ingakumbi xa uphakamisa into enzima. |
| "Popeye" Bulge | Xa i-tendon ikrazukile ngokupheleleyo, izihlunu ze-biceps ziyagoba zize zibukeke njengebhola, njengakwikhathuni ethi 'Popeye'. |
| Ukudumba kunye nokudumba | Ukudumba okanye ukudumba kunokubonakala ukusuka egxalabeni ukuya engqinibeni. |
| Ukungakwazi ukujika ingalo | Kuba nzima ukujikeleza isandla ukuze isandla sijonge phezulu. |
Kutheni le nto ikrazuka imisipha ye-biceps?
Kusenokuba nezizathu ezahlukeneyo zoku.
- Ukwaluphala: Ngokuhamba kwexesha, imisipha emizimbeni yethu iyawohloka ize ibe buthathaka, nto leyo eyenza ukuba ikrazuke nokuba kukho ukwenzakala okuncinci.
- Imidlalo: Oku kwenzakala kuqhelekile kubantu abadlala imidlalo efuna ingalo ibanjwe ngaphezulu kwentloko, njengebhola ekhatywayo, itenisi, kunye nokudada. Ukunyakaza okuphindaphindiweyo kunokonakalisa umsipha.
- Ezinye iingozi zamagxa: Ngamanye amaxesha i-cartilage engaphakathi kwegxalaba iyakrazuka (i-SLAP tear). Xa oku kusenzeka, i-biceps tendon enamathele kuyo inokrazuka okanye iphume.
Iindlela ezimbini eziphambili ezenziwa ngazo utyando
Olu tyando lwenziwa ngeendlela ezimbini: utyando oluvulekileyo kunye notyando lwe-arthroscopic.
| Uphawu | Utyando Oluvulekileyo | Utyando lwe-Arthroscopy |
|---|---|---|
| Indlela yokwenza | Kwenziwa umngxuma omncinci (3-4 cm) ngaphambili egxalabeni, kususwe umngxuma owonakeleyo, kugqojozwe umngxuma omncinci kwithambo lengalo, kwaye umngxuma unamathele kuwo kwakhona. | Olu tyando lwenziwa ngokwenza imingxunya embalwa emincinci ejikeleze igxalaba, apho kufakwa khona ikhamera encinci (i-arthroscope) kunye nezixhobo. |
| Amanxeba | Kushiyeke isilonda esincinci. | Kusele amanxeba ambalwa amancinci kakhulu, angabonakaliyo kangako. |
| Intlungu kunye nokuphiliswa | Nangona iintlungu zinokwanda kancinci emva kotyando, ezinye izifundo zibonisa ukuba abadlali banokukwazi ukubuyela ekudlaleni kwangethuba. | Iintlungu aziba zininzi emva kotyando, kwaye ixesha lokuchacha linokuba lifutshane. |
| Iingxaki | Amahlwili egazi, usulelo, umonakalo wemithambo-luvo, kunye nokuqina kwawo kunokwenzeka. | Amahlwili egazi, usulelo, kunye nokuqina kwawo kunokwenzeka (umngcipheko wokonakala kwemithambo-luvo uphantsi). |
Eyona nto ibalulekileyo kukuba ugqirha wakho uya kugqiba ukuba loluphi utyando olulungele wena, ngoko thetha naye ngalo mba.
Kwenzeka ntoni emva kotyando?
Nokuba utyando luphumelele, ukuzinikela kwakho kubaluleke kakhulu ekuchacheni ngokufanelekileyo.
- Ukunxiba i-Arm Sling: Kuya kufuneka unxibe i-arm sling ukuze uphumze ingalo yakho iiveki ezi-2 ukuya kwezi-6 emva kotyando.
- Ulawulo lweentlungu: Usenokuva iintlungu ezithile kwiintsuku ezimbalwa zokuqala. Sebenzisa amayeza okudambisa iintlungu njengoko ugqirha wakho ekuyalele. Ukusebenzisa iipakethe zomkhenkce kunokunceda ukunciphisa ukudumba kunye nentlungu.
- Unyango Lomzimba: Le yinxalenye ebaluleke kakhulu yenkqubo yokuphiliswa. Emva kweeveki ezimbalwa, kuya kufuneka uqale ukuzilolonga phantsi kwesikhokelo sogqirha wezonyango, njengoko kuyalelwe ngugqirha wakho. Oku kuya kukunceda ukuba ubuyele kancinci kancinci ekushukumeni nasekuqineni egxalabeni lakho.
- Ukuchacha ngokupheleleyo: Ukuchacha ngokupheleleyo kudla ngokuthatha phakathi kweenyanga ezi-4 nezi-6, kodwa eli xesha linokwahluka kumntu nomntu.
Musa ukungxama! Ukuba uqala ukuphakamisa iintsimbi okanye ukudlala imidlalo ngaphambi kokuba iphole ngokupheleleyo, umsipha ungaphinda ukrazuke. Ngoko ke yiba nomonde de ugqirha wakho athi "Kulungile."
Ngaba ikho enye indlela?
Ewe, kukho olunye utyando olubizwa ngokuba yi-"Biceps Tenotomy". Oku kubandakanya kuphela ukusika nokukhulula i-tendon eyonakeleyo kwijoyinti yehlombe; ayibotshelelwanga kwithambo kwakhona. Nangona olu lutyando olulula, kukho ithuba elikhulu lokuba i-"Popeye" ikhule emva kotyando.
Ixesha lokubona ugqirha ngoko nangoko
Ukuba ufumana naziphi na kwezi mpawu zilandelayo emva kokuba ubuyele ekhaya emva kotyando, fowunela ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane.
- Ukuba inxeba liphuma igazi elininzi kwaye aliyeki nokuba licinezelwe.
- Intlungu inzima kangangokuba ayinakulawulwa nokuba kusetyenziswe amayeza okudambisa iintlungu.
- Ukuba ukudumba esandleni sakho kuya kusiba mandundu.
- Ukuba ndindisholo okanye ukuphelelwa yimvakalelo kwiminwe okanye esandleni.
- Ukutshintsha kombala wesandla okanye iminwe (eluhlaza okwesibhakabhaka/emnyama) okanye izandla ezibandayo ngokungaqhelekanga.
- Ububomvu, ukudumba, iintlungu ezingakumbi, okanye ulwelo olufana nobovu oluphuma kwindawo yotyando.
- Umkhuhlane (ngaphezulu kwe-101 F / 38.3 C).
Umyalezo Wokuya Ekhaya
- I-Biceps Tenodesis lutyando oluphumelele kakhulu kwiintlungu zamagxa ezibangelwa kukukrazuka kwemisipha ye-biceps. Lunezinga lempumelelo elingaphezulu kwama-70%.
- Kungathatha iinyanga ezi-4-6 ukuze umntu aphile ngokupheleleyo, kwaye kubaluleke kakhulu ukuba nomonde ngeli xesha.
- Unyango lomzimba luyinxalenye ebalulekileyo yenkqubo yokuphiliswa. Musa ukuluphosa.
- Musa ukuphinda uphakamise iintsimbi okanye udlale imidlalo ngaphandle kwengcebiso kagqirha wakho. Ukwenza njalo kunokubangela ukuphinda ukwenzakala.
- Ukuba unemibuzo malunga nemeko yakho, utyando, okanye inkqubo yokuchacha, ungoyiki ukubuza ugqirha wakho.
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