Ingaba i-rotator cuff yimbangela yentlungu yamagxa? Masifumanise ngokuqinisekileyo!

Ngaba ngamanye amaxesha uziva intlungu ebukhali egxalabeni lakho xa uvuka kusasa? Okanye uziva intlungu ebukhali xa uphakamisa ingalo yakho uze uzame ukuchola into ethile eshelufini? Iintlungu zegxala ezinje ngale yingxaki eqhelekileyo kubantu abaninzi kwilizwe lethu. Uninzi lwexesha, unobangela woku kukuphazamiseka kwenxalenye yegxala lethu ebizwa ngokuba yi-'Rotator Cuff'. Ngoko ke, masithethe ngale nto ngqo nangokulula namhlanje.

Kalula nje, yintoni le Rotator Cuff?

I-rotator cuff yingqokelela yemisipha emine kunye nemisipha ejikeleze ijoyinti yakho yehlombe. Njenge-cuff yesleeve yehempe, le misipha kunye nemisipha yenza isheya yokukhusela ejikeleze ijoyinti yehlombe. Sineenkqubo ezimbini ze-rotator cuff kwijoyinti nganye yamagxa ethu.

Umsebenzi wayo ophambili kukudibanisa nokuzinzisa ithambo legxalaba lakho, i-scapula, kunye nethambo lengalo ephezulu, i-humerus. I-rotator cuff ikunceda uphakamise ingalo yakho, ujikelezise ingalo yakho, kwaye ugobe ingalo yakho ngasemva.

Cinga ngesihlanganisi sethu segxalaba njengebhola yegalufa, eno-'T' omncinci phezulu. 'Ibhola' apha yintloko yethambo lengalo ephezulu (ihumerus). 'T' ngumngxuma omncinci kwi-blade yegxalaba. Ngoko ke into eyenziwa yile Rotator Cuff kukugcina loo bhola izinzile kwi-T. Ngaphandle koko iya kujika nje, akunjalo?

Zeziphi izihlunu ezenza i-rotator cuff?

Njengoko benditshilo ngaphambili, yenziwe ngezihlunu ezine eziphambili kunye nemisipha ehambelana nazo. Imisipha yimisonto eqinileyo edibanisa izihlunu namathambo. Makhe sijonge ezi zihlunu zine kunye nemisebenzi yazo ephambili.

Kutheni iRotator Cuff isoloko isenzakala?

Ngenxa yokuba sisebenzisa amahlombe ethu kwimisebenzi emininzi imini yonke, le ndawo inokuba yingozi. Ezinye iingozi zinokubangelwa kukwenzakala ngequbuliso. Ezinye zinokukhula kancinci kancinci ngokuhamba kwexesha. Ezi zingozi zixhaphake kakhulu kubadlali bezemidlalo.

Nazi ezinye zeengxaki eziqhelekileyo:

• Isifo sokusebenzisa kakhulu: Le meko inokwenzeka xa uqhubeka nokwenza uhlobo olufanayo lokunyakaza (umz., ukupeyinta isilingi sendlu, okanye umdlali wekhilikithi eqhubeka ebhowula).
• Isifo sokungashukumi kwamagxa: Esaziwa ngokuba yi-"rotator cuff tendinitis", oku kwenzeka xa isithuba esiphakathi kwamathambo egxalaba sincipha, nto leyo ebangela ukuba imisipha ye-rotator cuff ibambeke kwaye icinezelwe. Oku kubangela ukudumba kunye nentlungu.
• Iinyembezi ze-Rotator cuff: Oku kungaba kukukrazuka okungaphelelanga okanye ukukrazuka okupheleleyo. Kunokwenzeka ngequbuliso (njengasekwindla) okanye kancinci kancinci ngokuhamba kwexesha.
• Ukutyumza kwamagxa.

Ndingazi njani ukuba iRotator Cuff yam ikrazukile?

Ukukrazuka kwe-rotator cuff kudla ngokuhamba nentlungu egxalabeni . Le ntlungu inokuba yintlungu ebuhlungu ephuma ngaphakathi egxalabeni, okanye ingaba yintlungu ebukhali nehlabayo.

Ukuba uneentlungu zegxalaba ezingapheliyo kwiintsuku ezimbalwa, ngokuqinisekileyo bonana nogqirha. Ingakumbi ukuba awukwazi ukushukumisa igxalaba lakho kwaphela okanye ukuba ufumene ingozi, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngoko nangoko.

Ugqirha uyifumanisa njani le nto kanye kanye?

Xa ubona ugqirha, uza kuqala akuhlole aze akubuze ngeempawu zakho. Qiniseka ukuba umxelele ngqo ukuba intlungu iqale nini, uhlobo lwemisebenzi eyenza ibe mandundu okanye ibe ngcono, njl.

Emva koko, kunokwenziwa iimvavanyo ezininzi ukuqinisekisa ukuxilongwa, ezinje ngezi:

• I-X-reyi:Oku kunokunceda ekuqinisekiseni ukuba kukho ingxaki ngamathambo, njenge-bone spur.
• I-MRI scan: Le yeyona ndlela ilungileyo yokubona ngokucacileyo imeko yezicubu ezithambileyo, oko kukuthi, izihlunu kunye nemisipha. Ingabonisa ngokuchanekileyo ukuba kukho ukukrazuka kwaye bukhulu kangakanani.
• Iskeni ye-ultrasound: Oku kunokujonga imeko yezihlunu kunye nemisipha ngexesha langempela.

Zithini iindlela zonyango zoku?

Uhlobo lonyango olufunekayo luya kuxhomekeka kuhlobo kunye nobukhali bokwenzakala kwakho. Ugqirha wakho unokucebisa unyango olufana nolu ukunceda ukunciphisa iintlungu kunye nokunceda i-rotator cuff yakho iphile:

• Ukuphumla: Into yokuqala omawuyenze kukunika igxalaba lakho ukuphumla kakuhle ngokuphepha imisebenzi ebangele intlungu.
• Umkhenkce: Umkhenkce unceda kakhulu ekunciphiseni iintlungu nokudumba. Kodwa ungaze uwubeke ngqo eluswini umkhenkce. Wusonge ngetawuli encinci uze uwushiye malunga nemizuzu eli-15-20. Ungakwenza oku izihlandlo ezininzi ngemini.
• Iipilisi zokunciphisa iintlungu: Ugqirha wakho unokukunika amayeza afana neziyobisi ezichasene nokuvuvukala (ii-NSAID) ukunciphisa iintlungu kunye nokudumba. Nangona kunjalo, ukuba usebenzisa ezi iintsuku ezingaphezu kwe-10, ngokuqinisekileyo kuya kufuneka uthethe nogqirha wakho.
• Unyango lomzimba: Unyango lomzimba lubalulekile ukuqinisa izihlunu zegxalaba nokubuyisela ukuhamba kwamagxa. Ingcali yonyango lomzimba iya kukufundisa imithambo efanelekileyo kuwe.
• Iinaliti zeCortisone: Ukuba intlungu kunye nokuvuvukala kukhulu kakhulu, ugqirha wakho unokukunika inaliti yeesteroids (corticosteroids) ngqo egxalabeni lakho.
• Utyando: Ukuba imeko imbi kakhulu, okanye ukuba ezinye iindlela zonyango azizange zincede kangangeenyanga eziliqela, utyando lunokufuneka. Ugqirha wakho uza kukuchazela oku.

Ungaziphepha njani iingxaki ezinjalo?

Eyona ndlela ilungileyo yokuthintela ukwenzakala kwe-rotator cuff kukusebenzisa igxalaba lakho ngononophelo kwaye ungalithwali ubunzima obukhulu.

• Phulaphula iintlungu: Ukuba ufumana iintlungu emagxeni, nokuba kukwixesha lokuzilolonga okanye eminye imisebenzi, musa ukuzityeshela. Ungaze "udlale ngentlungu." Yeka ukusebenza uze uphumle.
• Ukuzifudumeza Nokuzipholisa: Zifudumeze kakuhle ngaphambi kokuba uqale naluphi na umthambo okanye umsebenzi womzimba. Kwakhona, ungalibali ukuzola emva kokuba ugqibile.
• Sebenzisa izixhobo ezifanelekileyo: Sebenzisa izixhobo ezifanelekileyo nezikhuselekileyo xa udlala imidlalo okanye usenza umsebenzi onzima.
• Funa ingcebiso kagqirha ngoko nangoko:Bonana nogqirha kwangoko xa uziva iintlungu okanye ezinye iimpawu. Ukufumana unyango kwangethuba kunokunceda ekuthinteleni ingxaki ukuba ingabi mandundu.

Ngoko ke, iRotator Cuff yinxalenye ebaluleke kakhulu yegxalaba lethu ebalulekileyo ekushukumeni nasekuzinzeni. Ke ngoko, luxanduva lwethu ukuyinyamekela. Ukuba ufumana iintlungu zegxalaba, musa ukuzityeshela. Phumla kwaye, ukuba kuyimfuneko, bona ugqirha kwaye ufumane unyango olufanelekileyo.