Ngaba igxalaba lakho lihlala libuhlungu? Ngaba udiniwe ziintlungu ezivela ngaphakathi kwegxalaba lakho xa uphakamisa iintsimbi, udlala imidlalo, okanye uphakamisa nje ingalo yakho? Ngaba ngamanye amaxesha uva isandi esithi "click" engalweni yakho engasentla uze ngequbuliso uzive ngathi uphoswa ngapha nangapha yintlungu ebukhali? Ezi zinokuba yingxaki nge-tendon edibanisa izihlunu zakho ze-biceps. Ngoko ke namhlanje, masithethe ngotyando olubizwa ngokuba yi-Biceps Tenodesis, olunokuba sisisombululo sale meko.
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Ngamafutshane, yintoni iBiceps Tenodesis?
I-Biceps Tenodesis yinkqubo yotyando elungisa ukukrazuka okanye umonakalo kwintloko ende ye-biceps tendon edibanisa izihlunu zakho ze-biceps egxalabeni lakho. Ngokukodwa, le tendon inamathela kwiqhekeza le-cartilage (i-labrum) ngaphakathi kwejoyinti lakho lehlombe. Xa le tendon ikrazuka okanye ivuvukala (i-biceps tendonitis), inokubangela intlungu enzima kunye nobuthathaka egxalabeni lakho nasengalweni.
Ngoko ke kolu tyando, ugqirha ukhulula umsipha owonakeleyo ngaphakathi kwegxalaba aze awunamathisele kwakhona kwithambo lengalo ephezulu (ihumerus). Oku kufana nokususa inxalenye ephukileyo yebhulorho aze ayincamathisele kwindawo entsha, enamandla.
Ngaba nam ndiza kuyidinga le tyando? Zithini iimpawu?
Jonga ukuba unazo na ezi mpawu ukuze ubone ukuba lixesha lokuba ucinge ngolu tyando.
| Uphawu | Inkcazo |
|---|---|
| Intlungu yamagxa engapheliyo | Intlungu yamagxa engapheliyo nangona uphumle, unyango lomzimba, okanye amayeza okudambisa iintlungu. |
| Intlungu ebukhali ngequbuliso kunye nengxolo | Ukuva isandi esithi "click" okanye "tuck" esinentlungu ebukhali ngequbuliso engalweni engasentla. |
| Ukugoba ingalo | Ukuqaqamba kwimisipha yengalo engasentla, ingakumbi xa uphakamisa izinto ezinzima. |
| "UPopeye Bulge" | Kubonakala inqwaba yenyama engaqhelekanga (iPopeye bulge) engalweni engasentla. Oku kubangelwa zizihlunu ze-biceps eziqokelelana phezulu xa i-tendon ikrazukile ngokupheleleyo. |
| Ukudumba kunye nokudumba | Ukudumba okanye ukudumba ukusuka engalweni engasentla ukuya engqinibeni. |
| Ukungakwazi ukujika ingalo | Ubunzima bokujikelezisa isandla ukuze isandla sijonge phezulu. |
Ukuba unenye okanye ngaphezulu kwezi mpawu, ingakumbi ukuba une "Popeye Bulge" ebonakalayo, kubaluleke kakhulu ukufuna ingcebiso kagqirha.
Kutheni le nto ikrazuka imisipha ye-biceps?
Kusenokuba nezizathu ezahlukeneyo zoku.
- Ukwaluphala: Ngokuhamba kwexesha, imisipha emizimbeni yethu iyawohloka ize ibe buthathaka. Njengoko sikhula, inokuba yingozi ngakumbi, nokuba kukho ingozi encinci.
- Imidlalo: Le meko inokwenzeka kubantu abadlala imidlalo edla ngokubandakanya iintshukumo eziphezulu (umz., ukubhowula kwi-cricket, ukudada, i-tennis, i-volleyball).
- Ezinye iingozi zamagxa: Ukuba i-labrum (isangqa se-cartilage esijikeleze ijoyinti yegxalaba) ikrazukile (ekwabizwa ngokuba yi-SLAP tear ), i-biceps tendon nayo ingakrazuka okanye ikrazuke ngaxeshanye.
Iinkqubo zotyando kunye nokulungiselela
Olu tyando lunokwenziwa ngeendlela ezimbini eziphambili: utyando oluvulelekileyo kunye notyando lwe-arthroscopic.
Amalungiselelo ngokubanzi ngaphambi kotyando
Ugqirha wakho uza kukunika imiyalelo ethile, kodwa ngokubanzi, lumka ngezi zinto.
- Musa ukutya okanye ukusela kangangeeyure ezisi-8 ngaphambi kotyando (amayeza aqhelekileyo, afana namayeza oxinzelelo lwegazi, angathathwa namanzi acociweyo).
- Ukuba uyatshaya, yeka ukutshaya ubuncinane iiveki ezimbini ngaphambi kotyando. Oku kuya kunceda kakhulu ukusebenza kwentliziyo nemiphunga yakho.
- Ukuba uthatha naziphi na izongezo zemifuno, thetha nogqirha wakho malunga nokuziyeka iveki okanye ezimbini ngaphambi kotyando.
1. Utyando Oluvulekileyo (i-Open Biceps Tenodesis)
Oku kuquka ukwenza umngxuma omncinci (malunga neesentimitha ezi-3-4) ngaphambili egxalabeni, ukukhupha umsipha owonakeleyo, ukuwususa, ukuwufaka emngxunyeni omncinci owenziwe kwithambo lengalo ephezulu, nokuwulungisa nge-ankile ekhethekileyo yokuthungela kunye nesikrufu (indlela yokulungisa isikrufu).
2. Utyando lwe-Arthroscopy (i-Arthroscopy Biceps Tenodesis)
Olu 'lutyando lwe-keyhole'. Alubandakanyi ukunqunyulwa okukhulu. Endaweni yoko, kwenziwa imingxunya emininzi emincinci ejikeleze igxalaba, apho kufakwa khona ikhamera encinci (i-arthroscope) kunye nezixhobo zotyando. Ugqirha, ejonga imifanekiso evela kwikhamera kwisikrini, ukhulula umsipha owonakeleyo aze awunamathisele kwakhona kwithambo lengalo njengangaphambili.
| Indlela yotyando | Iingenelo | Iingxaki/Iingxaki |
|---|---|---|
| Utyando oluvulekileyo (Luvuliwe) | Ngokwezinye izifundo, imidlalo inamathuba amaninzi okubuyela ekudlaleni kwangethuba. | Isilonda sikhulu kancinci. Iingxaki ezinje ngosulelo, umonakalo wemithambo-luvo, iintlungu, kunye nokuqina zinokwenzeka. |
| Utyando lwe-Arthroscopy | Iintlungu azinciphi, ixesha lokuphiliswa linokuba lifutshane, kwaye amanxeba mancinci kakhulu. | Kungathatha ixesha elide ukubuyela kwimidlalo xa kuthelekiswa notyando oluvulekileyo. Iingxaki eziqhelekileyo (iintlungu, usulelo) zinokubakho. |
Ugqirha wakho uza kukhetha eyona ndlela ifanelekileyo kuwe ngokusekelwe kwizinto ezifana nohlobo lokwenzakala kwakho, ubudala, kunye nendlela ophila ngayo.
Kwenzeka ntoni emva kotyando? Ixesha lokuchacha
Kudla ngokuthatha iinyanga ezi-4-6 ukuze uphile ngokupheleleyo. Ngeli xesha, kuya kufuneka ube nomonde.
- I-Arm Sling: Kuya kufuneka unxibe i-arm sling kangangeeveki ezi-2-6 emva kotyando. Ngeli xesha, unokufuna uncedo ngemisebenzi yemihla ngemihla kunye nokuqhuba.
- Ulungiso lwenyama:Le yinxalenye ebalulekileyo yenkqubo yokuphiliswa. Kwiiveki ezimbalwa emva kotyando, kuya kufuneka uqalise ukuzilolonga phantsi kwesikhokelo sengcali yonyango lomzimba. Oku kuya kukunceda ukuba ufumane amandla okubuyela kwinqanaba lokushukuma kunye nokuqina egxalabeni lakho.
- Ukuphinda uqalise imisebenzi: Soloko uthetha nogqirha wakho ngaphambi kokuba uqale imisebenzi efana nokuzilolonga, ezemidlalo, okanye ukuphakamisa iintsimbi. Ukuba uqala ukuzilolonga ngokukhawuleza kakhulu, unokwenzakalisa kwakhona i-tendon ephilisayo.
Ufanele ubize ugqirha nini ngoko nangoko
Ukuba kwenzeka into efana nale emva kotyando, yazisa ugqirha wakho okanye isibhedlele ngokukhawuleza.
- Ukuba inxeba liphuma igazi kangangokuba ibhandishi imanzi.
- Ukuba unentlungu enzima engenakulawuleka nokuba usebenzisa amayeza okudambisa iintlungu.
- Ukuba ukudumba esandleni sakho kuyanda.
- Ukuba une-hayindiva okanye uzive ngathi une-hayindiva kwiminwe okanye esandleni sakho.
- Ukuba isandla okanye iminwe yakho itshintsha umbala (iba mnyama) okanye ivakala ibanda xa uyichukumisa.
- Ukuba kukho ubomvu, ukudumba, intlungu, okanye ulwelo olufana nobovu oluphuma enxebeni.
- Ukuba unomkhuhlane (ngaphezulu kwe-101°F / 38.3°C).
Izinga lempumelelo yolu tyando lingaphezulu kwama-70%. Ngoko ke, ukuba ufumana uxilongo oluchanekileyo, wenze utyando lwenziwe ngugqirha ofanelekileyo, kwaye ulandele imiyalelo ngokuchanekileyo, ungasusa le ntlungu icaphukisayo yamagxa uze ubuyele ebomini bakho obuqhelekileyo.
Umyalezo Wokuya Ekhaya
- I-Biceps Tenodesis yinkqubo yotyando edibanisa kwakhona i-biceps tendon ekrazukileyo okanye eyonakeleyo emathanjeni.
- Iintlungu zamagxa ezihlala zihleli, iintlungu ezikhawulezileyo ezinesandi esithi "cofa", kunye nokudumba kwengalo okufana no "Popeye" zezona mpawu ziphambili.
- Kungathatha iinyanga ezi-4-6 ukuze umntu aphile ngokupheleleyo emva kotyando, kwaye unyango lomzimba lubalulekile ngokuqinisekileyo.
- Kubaluleke kakhulu ukulandela iingcebiso zonyango kwaye ungangxami ukwenza umsebenzi onzima okanye imidlalo ngexesha lokuchacha.
- Ukuba unamathandabuzo okanye uneempawu ezilumkiso ezikhankanyiweyo apha ngasentla, bona ugqirha wakho ngokukhawuleza.
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