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Ingaba igxalaba lakho libuhlungu? Kusenokuba kukukrazuka kwe-rotator cuff!

Ingaba igxalaba lakho libuhlungu? Kusenokuba kukukrazuka kwe-rotator cuff!

Ngaba nawe unengxaki yokuphakamisa okanye ukujikelezisa igxalaba lakho? Ngaba kuyabuhlungu xa ulala? Ngamanye amaxesha xa ulele ebusuku, ngaba uziva iintlungu ezininzi kangangokuba awukwazi nokubeka ubunzima egxalabeni lakho? Okanye uziva ngathi kukho into 'efakwe' ngaphakathi egxalabeni lakho, okanye iyabambeka? Eli bali liza kuba libaluleke kakhulu kuwe. Namhlanje siza kuthetha ngengxaki yamagxa abantu abaninzi abanayo, kodwa abangayiqondi kakuhle. Oko kukukrazuka kwinxalenye yegxalaba ebizwa ngokuba yi-rotator cuff .

Yintoni i-rotator cuff yegxalaba? Ikrazuka njani?

Ngamafutshane, i-rotator cuff yingqokelela yezihlunu ezine kunye nemisipha yazo egxalabeni lakho ezenza 'i-cuff' encinci okanye isongo esijikeleze ijoyinti yegxala.

Umsebenzi wayo ophambili kukukunceda uphakamise, wehlise, kwaye ujikelezise ingalo yakho ngaphakathi nangaphandle . Ikwanceda ukugcina inxalenye efana nebhola yethambo lakho elingaphezulu lengalo (esiyibiza ngokuba yi-humerus ngokwezonyango) kwisokhethi yayo kwi-blade yehlombe. Yicinge njengebhola yegalufa kwi-tee yegalufa. Yindlela esebenza ngayo i-shoulder joint yethu. I-rotator cuff inceda ukuthintela ibhola ukuba ingatsibi kwi-tee.

Ngoko ke, ukukrazuka kwe-rotator cuff kuxa enye okanye ezingaphezulu kwezo misipha zisuka ngokupheleleyo okanye kancinci kwithambo lengalo ephezulu (ihumerus). Oku kungenzeka ngequbuliso (njengokuwa), okanye kunokwenzeka ngokuhamba kwexesha njengoko imisipha iphela ngokuhamba kwexesha.

Ngaba kukho naluphi na uhlobo lwezi nyembezi?

Ewe, kukho iintlobo ezimbini eziphambili:

1. Ukukrazula Okuncinci: Oku kuxa i-tendon ingasuki ngokupheleleyo ethanjeni. Oku kuthetha ukuba i-tendon isanamathele ethanjeni ukuya kwinqanaba elithile. Kodwa ikrazukile kancinci kwaye ibuthathaka. Ifana nelaphu elikrazuke kancinci ngaphandle kokukrazuka ngokupheleleyo.

2. Ukukrazuka Okupheleleyo okanye Ukukrazuka Okupheleleyo: Kulapho i-tendon ihlukana ngokupheleleyo nethambo. Ngokukodwa, i-tendon ibonakala inemingxuma kuyo, okanye iqhekeka kubini ngokupheleleyo.

Ixhaphake kangakanani le meko?

Iinyembezi ze-rotator cuff zixhaphake kakhulu kunokuba unokucinga. Zixhaphake kakhulu kubantu abadala . Ngokwezibalo ezithile, izigidi zabantu kwihlabathi liphela zihlushwa yile ngxaki ye-rotator cuff minyaka le.

Khawucinge nje, abanye abantu banale nyembezi kodwa abanazo iimpawu, ngoko abazi nokuba banayo! Ingangathi cwaka ngamanye amaxesha.

Zithini iimpawu? Uziva njani ngale nto?

Iimpawu zokukrazuka kwe-rotator cuff zingahluka ukusuka kumntu ukuya komnye, kodwa kukho ezinye iimpawu eziqhelekileyo:

  • Kunzima, kubuhlungu, kwaye kuvakala ngathi akukho mandla engalweni xa uyiphakamisa, uyihlisa, okanye uyijikelezisa.Le ntlungu inokwenzeka xa ukhama iinwele zakho, ukrwela umqolo wakho, okanye ulula isandla sakho ukuze uchole into ethile.
  • Xa ndishukumisa ingalo yam ngendlela ethile , ndiva isandi esithi 'tick-tock' okanye 'chiri-chiri' sivela ngaphakathi egxalabeni lam, okanye ndiziva ngathi kukho into ejijekayo okanye ebambekayo ngaphakathi.
  • Iintlungu zamagxa zidla ngokuba mandundu ebusuku. Iintlungu zinokuba nzima ngakumbi xa ulele ngecala elilimeleyo. Abanye abantu baziva iintlungu nangona bephumza ingalo yabo ngecala.
  • Amagxa akho abuthathaka, nto leyo eyenza kube nzima ukuphakamisa izinto, ukuvula iingcango, njl. Usenokukufumanisa kunzima ukwenza izinto ezazilula ngaphambili.

Injani kanye kanye le ntlungu?

Oku kwahlukile kumntu ngamnye. Abanye banokuziva iintlungu ezibuhlungu nezingapheliyo ezivakala ngathi kukho into ebambeke egxalabeni, enobunzima . Abanye banokuva iintlungu ezibukhali nezihlabayo .

  • Ukuba ukukrazuka kwenzeka ngengozi ekhawulezileyo (ukukrazuka okukhulu) , njengokuwa, ngoko unokufumana iintlungu zegxalaba ezinganyamezelekiyo kunye nokuphelelwa ngamandla kwengalo ngokupheleleyo.
  • Kwintlungu ewohlokayo , intlungu isenokuba ncinci ekuqaleni. Ingathomalaliswa zizithomalalisi zentlungu ezithengiswa ngaphandle kwemvume kagqirha (iithomalalisi zentlungu ze-OTC). Nangona kunjalo, ngokuhamba kwexesha, intlungu inokuba qatha ngakumbi kwaye isenokungathomalaliswa ngamayeza.
  • Into ebalulekileyo kukuba ayinguye wonke umntu oza kuva iintlungu, kodwa uninzi lwabantu ngokuqinisekileyo luya kuziva lubuthathaka kwiingalo nasemagxeni abo.

Kutheni oku kusenzeka? Zithini izizathu zoku?

Kukho izizathu ezininzi ezinokubangela ukukrazuka kwe-rotator cuff.

1. Ukwenzakala Okubukhali:

Imisipha ingakrazuka ngenxa yokuwa, ukubetheka nzima egxalabeni, okanye ukuxinwa ngequbuliso egxalabeni xa uphakamisa into enzima. Ngamanye amaxesha, i-rotator cuff inokonakala xa igxala likhutshiwe okanye i-collarbone yaphukile.

2. Iinyembezi eziwohlokayo:

Le yeyona nto ixhaphakileyo. Le ngozi iphezulu kakhulu kubantu abaneminyaka engaphezu kwama-40 ubudala. Kukho izizathu ezahlukeneyo zokuba oku kwenzeke:

  • Ukuqhawuka kwamathambo: Abanye abantu bakhula amaqhawuka amancinci ethambo (`(Bone spurs)`) phezulu kwethambo labo lamagxa, apho ithambo lidlula khona. Xa siphakamisa ingalo yethu, la maqhawuka amathambo ayakhuhlana kwithambo. Oku kubizwa ngokuba yi-"Shoulder Impingement". Xa oku kuqhubeka nokukhuhlana, njengentambo ekhuhlana elityeni, ithambo linokuba buthathaka kwaye likrazuke.
  • Ukuncipha Kokuhamba Kwegazi:Njengoko sikhula, ukunikezelwa kwegazi kwimisipha ye-rotator cuff kuyehla. Xa naliphi na ilungu lomzimba wethu lenzakele, ukunikezelwa kwegazi elifanelekileyo kubalulekile ukuze liphile. Ngoko ke, xa ukunikezelwa kwegazi kunganelanga, imisipha iba buthathaka, kwaye nokuba kwenzakele okuncinci akuphili lula, kwaye inokukhula kancinci kancinci ibe kukukrazuka okukhulu.
  • Intshukumo Yokusebenzisa Ngokugqithisileyo NeeNgxaki Eziphindaphindwayo:

Nokuba kukudlala imidlalo okanye ukwenza umsebenzi wakho wemihla ngemihla, xa usebenzisa igxalaba lakho ngendlela efanayo, kubeka uxinzelelo olukhulu kwimisipha kunye nemisipha. Oku kunokwenza buthathaka imisipha kwaye kuyikrazule. Cinga ngomntu ohlala ejonga phezulu ngelixa epeyinta, umntu owenza umsebenzi wobuchweli, okanye umntu ohlala ephosa ibhola ngokukhawuleza ngelixa edlala ikhilikithi okanye i-volleyball. Basengozini enkulu.

Ngubani onokuba nethuba elingcono lokuphuhlisa oku? (Izinto Ezinobungozi)

Enyanisweni, nabani na unokufumana i-rotator cuff tear. Nangona kunjalo, abanye abantu basengozini enkulu kancinci. Jonga ukuba ezi nyaniso ziyasebenza na kuwe:

  • Ubudala: Abantu abangaphezu kweminyaka engama-40 basengozini enkulu kuba amandla emisipha kunye nokuguquguquka kwayo kuyancipha ngokuhamba kweminyaka.
  • Imbali yosapho: Ukuba umntu kusapho lwakho (umama, utata, abantakwenu) ukhe waba neengxaki zamagxa, ezifana nokukrazuka kwe-rotator cuff, usenokuba sengozini enkulu kancinci.
  • Ukutshaya: Abantu abatshayayo banezinga lokuphiliswa kwemisipha kancinci kwaye banokwenza buthathaka imisipha yabo.
  • Ukuma okungekuhle: Abantu abasebenza kwikhompyutha, abasebenzisa iifowuni zabo, okanye abagobe amahlombe abo phambili xa bemi okanye behleli banokubeka uxinzelelo olungeyomfuneko kwilungu lehlombe.
  • Imisebenzi ethile kunye nemidlalo: Njengoko bekutshiwo ngaphambili, abantu abenza iintshukumo zamagxa eziphindaphindayo banamathuba amaninzi okufumana ezi inyembezi eziwohlokayo. Umzekelo:
  • Abachweli
  • Abapeyinti
  • Iingcali zezithuthi
  • Abantu abenza imisebenzi yokuphakamisa izinto ezinzima
  • Abadlali bezemidlalo: Ingakumbi abo badlala imidlalo efana nebaseball, isoftball, itennis, ukudada, ukurhola. Abantu abadlala imidlalo efana nekriketi (ingakumbi abadlali bebhola), i-volleyball, kunye ne-badminton, ezidumileyo kwilizwe lethu, nabo basengozini.

Kuza kwenzeka ntoni ukuba unyango alunikwa? (Iingxaki)

Lo ngumbuzo abantu abaninzi abawubuzayo. Akulunganga ukucinga, "Kulungile ukuba ibuhlungu kancinci, iza kulunga yodwa ." Kuba, ukuba ayinyangwa, le ntlungu ye-rotator cuff inokuba mandundu.

  • Nokuba kukukrazuka okuncinci okuncinci kunokukhula kube kukukrazuka okupheleleyo xa uqhubeka nokusebenzisa igxalaba.
  • Ukuba kukho ukukrazuka okupheleleyo, kunokukhokelela kwinqanaba apho ungakwaziyo ukushukuma okanye ukuphakamisa ingalo yakho.
  • >Ukuba awunyangwa ixesha elide, unokuba neentlungu ezingapheliyo emagxeni, ube buthathaka kangangokuba awukwazi ukusebenzisa ingalo eyonzakeleyo kwimisebenzi yemihla ngemihla, kwaye ube nezinye iingxaki, ezifana ne-arthritis kwijoyinti yehlombe.

Uyixilonga njani le nto kanye kanye?

Ukuba uneentlungu zegxalaba okanye ungonwabanga, into yokuqala omawuyenze kukubona ugqirha. Uza kukubuza imibuzo aze akuhlole.

1. Uvavanyo Lomzimba: Ugqirha uza kuyiva igxalaba lakho aze ajonge ukuba lithambile na kwaye lidumbile na. Emva koko uza kukucela ukuba ushukumise ingalo yakho kwiindlela ezahlukeneyo (uluhlu lwentshukumo) aze ajonge amandla engalo yakho. Ezi mvavanyo zinokukunika umbono ocacileyo wokuba unengxaki ye-rotator cuff.

2. Uvavanyo olukhethekileyo (Uvavanyo lomfanekiso): Ukuqinisekisa ukuxilongwa, kunokwenziwa olu vavanyo lulandelayo:

  • I-X-reyi: Oku akunakubonisa ngokuthe ngqo i-tendon ekrazukileyo. Nangona kunjalo, inokujonga izinto ezifana ne-bone spurs, i-arthritis, kunye nezinye iingxaki zamathambo.
  • I-MRI (iMagnetic Resonance Imaging): Olu lolona vavanyo lubalaseleyo lokujonga ukukrazuka kwe-rotator cuff. Lungabonisa ngokucacileyo ukuba ingakanani i-tendon ekrazukileyo kunye nohlobo lokukrazuka kwayo (inxalenye okanye epheleleyo).
  • I-Ultrasound Scan: Oku kungasetyenziselwa ukujonga izinto ezifana nokukrazuka kwemisipha kunye nokudumba. Luvavanyo olunokwenziwa ngokukhawuleza nangexabiso eliphantsi kune-MRI.

Luluphi unyango lwale nto?

Iindaba ezimnandi zezokuba kukho iindlela ezininzi zonyango zokukrazula kwe-rotator cuff. Ugqirha wakho uya kukumisela unyango olungcono ngokusekelwe kwizinto ezifana nohlobo lokukrazula kwakho, ubudala bakho, kunye nenqanaba lomsebenzi wakho.

Iindlela zonyango zinokwahlulwa zibe ziindidi ezimbini eziphambili:

1. Iindlela Ezingasetyenziswanga Ngotyando

Oku kubalulekile kubantu abaninzi: Iinyembezi ze-Rotator cuff azipholi ngokupheleleyo (ukunamathela kwemisipha) ngaphandle kotyando. Nangona kunjalo, abantu abaninzi (ingakumbi abo baneziqabu ezingaphelelanga okanye abo sele bekhulile) banokunciphisa iintlungu, baphucule ukusebenza kwamagxa, baze babuyele kwinqanaba apho banokwenza imisebenzi yemihla ngemihla ngaphandle kotyando.

Enyanisweni, uphando lubonise ukuba malunga nesibhozo kwishumi labantu abakhala kancinci banokuphila kakuhle ngonyango olungenalo utyando . Nangona kunjalo, kungathatha iinyanga, kwaneminyaka, ukuba le meko iphucuke. Kufuneka ube nomonde ngonyango.

Ziziphi ezi ndlela zonyango ezingasebenzisi utyando?

  • Utshintsho lokuphumla kunye nomsebenzi:Kubaluleke kakhulu ukuphumza igxalaba lakho. Kusenokufuneka uyeke okanye unciphise imisebenzi okanye imidlalo ebangela iintlungu okwethutyana. Ugqirha wakho angacebisa ukuba unxibe i-arm sling kangangeentsuku ezimbalwa.
  • Izithomalalisi zentlungu: Ugqirha wakho unokucebisa amayeza avela kwiqela lee-pain relievers ezibizwa ngokuba yi-"NSAIDs - Nonsteroidal anti-inflammatory drugs" (umz., i-Ibuprofen, i-Diclofenac) ukunciphisa iintlungu nokudumba.
  • Unyango Lomzimba: Le yeyona nxalenye ibalulekileyo yonyango olungenalo utyando. Ingcali yonyango lomzimba efanelekileyo iya kukufundisa imithambo yokuqinisa izihlunu zamagxa akho kunye nemithambo yokuzolula ukuze kwandiswe umgama weenyawo zakho. Ukwenza le mithambo ngokuchanekileyo kunokunceda ukunciphisa iintlungu kunye nokuphucula ukusebenza kwamagxa akho.
  • Iinaliti zeSteroid: Ukuba intlungu kunye nokudumba kukhulu, ugqirha wakho unokugqiba ekubeni akunike inaliti yesteroid (umz., inaliti ye-cortisone) kwilungu lakho lamagxa. Nangona oku kusenokukunika isiqabu ngokukhawuleza, sisisombululo sexeshana nje. Akuyongcinga ilungileyo ukuqhubeka uthatha ezi naliti.

2. Iindlela Zotyando

Utyando luyadingeka kwiimeko ezilandelayo:

  • Ukuba unenyembezi epheleleyo (ingakumbi ukuba yinyembezi enkulu).
  • Nokuba kukukrazuka okungaphelelanga, akukho phuculo emva kweenyanga ezi-6-12 zonyango olungelulo utyando.
  • Ukuba uselula, ukhuthele, okanye ukuba umsebenzi wakho okanye imidlalo yakho ixhomekeke kakhulu emagxeni akho.
  • Ukuba kukho ukukrazuka okukhulu ngenxa yokwenzakala okukhawulezileyo.

Uninzi lotyando lwe-rotator cuff ngoku lwenziwa nge-arthroscopically . Oku kuthetha ukuba ikhamera encinci (i-arthroscope) kunye nezixhobo zotyando zifakwa ngokusebenzisa imingxunya emininzi emincinci egxalabeni. Le nkqubo ibandakanya iintlungu ezincinci kunye nokuphiliswa ngokukhawuleza kuba ayibandakanyi umngxunya omkhulu. Nangona kunjalo, ngamanye amaxesha, ukuba ukukrazuka kukhulu kakhulu okanye kuyinkimbinkimbi, ugqirha otyandayo angenza utyando oluvulekileyo (inkqubo ebandakanya umngxunya omkhulu kancinci).

Injongo ephambili yotyando kukuphinda unamathele umsipha okrazukileyo ethanjeni. Ngamanye amaxesha, ukuba kukho i-bone spurs, nayo iyasuswa.

  • Kwimeko yokukrazuka okungaphelelanga , ugqirha wotyando unokufuna kuphela ukusika ezinye zeziqwenga ezigugileyo zethambo elikrazukileyo ezifana nomsonto. Oku kubizwa ngokuba yi -debridement .
  • Ezinye iinyembezi zinokuba ziinyembezi ezingenakulungiswa ngenxa yobukhulu bazo, ixesha elide eliqhekekileyo likhona, kunye nemeko ye-tendon. Kwiimeko ezinjalo, utyando olungezinye lunokufuneka luqwalaselwe. Umzekelo, "Ukutshintshwa kwegxalaba elingasemva" (utyando olukhethekileyo lokutshintsha ijoyinti yegxalaba) okanye "Ukudluliselwa kwe-tendon" (i-tendon ephilileyo iziswa ivela kwenye indawo ize ilungiswe).

Olu tyando ludla ngokwenziwa ngosuku olunye okanye ngosuku olulandelayo ('inkqubo yokulaliswa ngaphandle' okanye ukuhlala ixesha elifutshane). Nangona kunjalo, kuthatha ixesha elide ukuchacha ngokupheleleyo kolu tyando, mhlawumbi unyaka okanye ngaphezulu.

Kuthatha ixesha elingakanani ukuchacha? (Ixesha lokuchacha)

Le yinto abantu abaninzi abayibuzayo bexhalabile.

  • Ngaphandle kotyando, kungathatha iinyanga ezininzi ukuba intlungu inciphe kwaye umsebenzi wayo ukhule ngonyango lomzimba kunye nolunye unyango.
  • Ukuba utyando,
  • Emva kotyando, kuya kufuneka unxibe isilingi kangangeeveki ezi-4 ukuya kwezi-6 ukuthintela ukushukuma kwengalo yakho. Kubalulekile ukuba uphumze igxalaba lakho ngeli xesha.
  • Emva koko kufuneka uqale unyango lomzimba . Oku ngokuqinisekileyo yinto ekufuneka yenziwe. Uqala ngokushukumisa amagxa kancinci kancinci, uze uqhubekele kwimithambo yokuqinisa umzimba.
  • Uninzi lwabantu lufumana amandla aqhelekileyo egxalabeni kwiinyanga ezi-4 ukuya kwezi-6 emva kotyando kwaye bayakwazi ukwenza imisebenzi yemihla ngemihla.
  • Nangona kunjalo, kungathatha iinyanga ezili-9, ezili-12, okanye ezili-18 ukuba umntu aphile ngokupheleleyo aze abuyele kwimisebenzi efana nemidlalo. Kuxhomekeke kubungakanani bokukrazuka, uhlobo lotyando, ubudala bakho, kunye nokuba wenza kakuhle kangakanani ngonyango lomzimba.

Kuza kwenzeka ntoni emva kokuchacha? (Ingqikelelo/Imbono)

Uninzi lwabantu luyakwazi ukuchacha kakuhle emva kokukrazuka kwe-rotator cuff.

  • Abantu abaninzi baziva iintlungu zinciphile kwaye imeko yabo yokusebenza iphucukile ngonyango olungenalo utyando .
  • Ngotyando, ingakumbi ngeendlela zanamhlanje ezifana ne-arthroscopy, abantu abaninzi banokuphinda basebenze kakuhle emagxeni.
  • Nangona kunjalo, kukho ithuba elincinci lokuba umsipha ofanayo ukrazuke kwakhona. Le ngozi iphezulu kakhulu ukuba ukukrazuka kokuqala bekukukhulu kakhulu, okanye ukuba umdala okanye utshaya. Ukuba kukrazuka kwakhona kwaye kubangela iintlungu ezinzima okanye ukungasebenzi kakuhle, unokufuna ukuphinda ucinge ngotyando.

Ngaba oku kungathintelwa ukuba kungenzeki kwakhona? (Ukuthintela)

Nangona oku kungenakuthintelwa ngokupheleleyo, kukho izinto onokuzenza ukunciphisa umngcipheko wokuba ne-rotator cuff tear eneempawu:

  • Gcina izihlunu zakho zamagxa ziqinile kwaye ziguquguquka. Yenza umthambo wokuzolula amagxa rhoqo kunye nokuqinisa umzimba. Cela iingcebiso kugqirha wakho okanye kugqirha wezonyango ngale nto.
  • Gcina ukuma okufanelekileyo xa usebenza okanye udlala imidlalo.
  • Ukuba wenza iintshukumo ezifanayo ngokuphindaphindiweyo, thatha ikhefu phakathi kwazo. Musa ukuzibhokoxa kakhulu emagxeni akho.
  • Xa uphakamisa umthwalo, wuphakamise kakuhle. Musa ukuwutsala wonke ngaxeshanye, kodwa phakamisa nje ngamagxa akho.
  • Ukuba uyatshaya, yeka.

Umele Ufowunele Nini Umboneleli Wakho Wezempilo?

Ukuba unayo nayiphi na kwezi mpawu, ngokuqinisekileyo kuya kufuneka ubone ugqirha ukuze akunike iingcebiso:

  • Intlungu yegxalaba kunye/okanye yengalo ebikho kangangeeveki eziliqela.
  • Ukuba intlungu iba mandundu ebusuku kwaye iphazamisane nokulala.
  • Ukuba kukho ukubomvu, ukudumba, okanye intlungu eqatha xa ichukunyiswa kwilungu legxalaba.
  • Ukuba ufumana ubuthathaka ngequbuliso egxalabeni okanye engalweni yakho , ingakumbi emva kwengozi.
  • Ukuba iintlungu zamagxa kunye nokungonwabi zichaphazela imisebenzi yakho yemihla ngemihla kangangokuba awukwazi ukwenza imisebenzi yakho yemihla ngemihla .

Yeyiphi imibuzo omele uyibuze ugqirha?

Xa usiya kugqirha, ungathandabuzi ukubuza imibuzo efana nale:

  • Ndiyifumene njani le rotator cuff crack? Yintoni eyona nto ibangela ukuba ndibe nexhala?
  • Luhlobo luni lwenyembezi endinayo (engaphelelanga, epheleleyo)? Ingakanani?
  • Yeyiphi indlela engcono yonyango kum? Ngaba kufuneka ndityandwe?
  • Ingakanani inkqubela endinokuyilindela kunyango olungelulo utyando?
  • Ukuba ndityandwa, zithini iingozi? Kuza kuthatha ixesha elingakanani ukuba ndiphile?
  • Ndingenza ntoni ukuthintela olu hlobo lokukrazula ukuba lungaphindi lwenzeke?
  • Zeziphi izinto ekufuneka ndiziphephe? Zeziphi izinto endinokuzenza?
  • Ngaba kufuneka ndiqaphele iingxaki? Zithini iimpawu zezo ngxaki?

Ukuba usebenza kakhulu okanye ungumdlali wezemidlalo, ukukrazuka kwe-rotator cuff kunokukususa emsebenzini okanye kwimidlalo okwethutyana. Nangona kunjalo, akufuneki ukuba kube sisiphelo somsebenzi wakho okanye umsebenzi wakho wezemidlalo. Thetha nogqirha wakho malunga nonyango olungcono kuwe - nokuba alungotyando okanye lutyando. Nokuba igxalaba lakho libuhlungu kwaye libuthathaka okwethutyana, linokuphiliswa ngokuhamba kwexesha, unyango olufanelekileyo, kunye nemizamo yakho. Umonde kunye nokulandela imiyalelo kagqirha wakho yeyona nto ibalulekileyo.

Umyalezo Wokuya Ekhaya

Ukukrazuka kwe-rotator cuff yimeko eqhelekileyo, kodwa enokuba yingozi, enokubangela iintlungu kunye nobuthathaka emagxeni.

  • Izizathu: Iingozi, ukuguguleka kokwaluphala, ukusetyenziswa kakhulu kwegxalaba, kunye nokukhula kwemisipha yamathambo.
  • Iimpawu: Iintlungu zamagxa (ingakumbi ebusuku naxa uphakamisa ingalo), ubunzima bokuphakamisa ingalo, ubuthathaka, isandi 'sokunqakraza' esivela egxalabeni.
  • Uvavanyo: Uvavanyo lomzimba, i-X-ray, i-MRI okanye i-Ultrasound scan.
  • Unyango: Ukuphumla, amayeza okudambisa iintlungu (ii-NSAID), unyango lomzimba, inaliti ze-steroid, kunye notyando (njengotyando lwe-arthroscopic) ukuba kuyimfuneko.
  • Eyona nto ibalulekileyo: Ukuba uneentlungu zegxalaba ezingapheliyo okanye ukungakhululeki , bona ugqirha. Okukhona uqaphela ngokukhawuleza kwaye uqala unyango, kokukhona amathuba akho okuchacha aphezulu. Musa ukuzama ukuzinyanga! Igxalaba lakho lifanelekile.

👩🏽‍⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)

💬 Yintoni iRotator Cuff Tear?

Igxalaba lethu lenziwe yingqokelela yemisipha kunye nemisipha emi-4. Oku kubizwa ngokuba yi-'Rotator Cuff'. Xa siphakamisa iintsimbi, sidlala imidlalo, okanye siguga, le misipha iyaguga kwaye 'ikrazuke', nto leyo ebangela imeko ebuhlungu kakhulu apho singakwaziyo ukuphakamisa igxalaba lethu ngokupheleleyo.

💬 Uyazi njani ukuba oku kukrazukile umthambo/imisipha?

Uphawu oluphambili olufunyanwa sisigulana 'yintlungu enganyamezelekiyo egxalabeni' xa sizama ukuphakamisa ingalo yaso phambili okanye ecaleni. Kwakhona, xa silala ebusuku, asinakulala ingalo ijikelwe ecaleni ngenxa yentlungu enzima. Ayipheleli nje ekubeni ingalo ibonakale ingenabomi, kodwa xa siphakamisa ingalo yaso, sinokuva isandi esingaqhelekanga 'sokucofa' sivela ngaphakathi egxalabeni.

💬 Ngaba oku kuthetha ukuba wonke umntu kufuneka enze utyando olukhulu lwegxalaba?

Asinguye wonke umntu odinga utyando! Ukukrazuka okungaphelelanga kunokuphiliswa ngokupheleleyo ngeenyanga ze-physiotherapy, ukuphumla, kunye ne-painkillers (NSAIDs). Nangona kunjalo, ukuba i-tendon ikrazukile ngokupheleleyo kwaye yonakele kakhulu (i-Complete tear), ngokuqinisekileyo kuya kufuneka ithungwe kwakhona kusetyenziswa utyando oluncinci lwe-keyhole (utyando lwe-Arthroscopy) kusetyenziswa ikhamera.


Iintlungu zegxalaba , i-rotator cuff, ukukrazuka kwemisipha, ukwenzakala kwegxalaba, unyango lomzimba, utyando lwegxalaba, ukukrazuka kwe-rotator cuff

Frequently Asked Questions (FAQ)

Ngaba kukho naluphi na uhlobo lwezi nyembezi?

Ewe, kukho iintlobo ezimbini eziphambili:

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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Ingaba igxalaba lakho libuhlungu? Kusenokuba kukukrazuka kwe-rotator cuff!

Ingaba igxalaba lakho libuhlungu? Kusenokuba kukukrazuka kwe-rotator cuff!

Ngaba nawe unengxaki yokuphakamisa okanye ukujikelezisa igxalaba lakho? Ngaba kuyabuhlungu xa ulala? Ngamanye amaxesha xa ulele ebusuku, ngaba uziva iintlungu ezininzi kangangokuba awukwazi nokubeka ubunzima egxalabeni lakho? Okanye uziva ngathi kukho into 'efakwe' ngaphakathi egxalabeni lakho, okanye iyabambeka? Eli bali liza kuba libaluleke kakhulu kuwe. Namhlanje siza kuthetha ngengxaki yamagxa abantu abaninzi abanayo, kodwa abangayiqondi kakuhle. Oko kukukrazuka kwinxalenye yegxalaba ebizwa ngokuba yi-rotator cuff .

Yintoni i-rotator cuff yegxalaba? Ikrazuka njani?

Ngamafutshane, i-rotator cuff yingqokelela yezihlunu ezine kunye nemisipha yazo egxalabeni lakho ezenza 'i-cuff' encinci okanye isongo esijikeleze ijoyinti yegxala.

Umsebenzi wayo ophambili kukukunceda uphakamise, wehlise, kwaye ujikelezise ingalo yakho ngaphakathi nangaphandle . Ikwanceda ukugcina inxalenye efana nebhola yethambo lakho elingaphezulu lengalo (esiyibiza ngokuba yi-humerus ngokwezonyango) kwisokhethi yayo kwi-blade yehlombe. Yicinge njengebhola yegalufa kwi-tee yegalufa. Yindlela esebenza ngayo i-shoulder joint yethu. I-rotator cuff inceda ukuthintela ibhola ukuba ingatsibi kwi-tee.

Ngoko ke, ukukrazuka kwe-rotator cuff kuxa enye okanye ezingaphezulu kwezo misipha zisuka ngokupheleleyo okanye kancinci kwithambo lengalo ephezulu (ihumerus). Oku kungenzeka ngequbuliso (njengokuwa), okanye kunokwenzeka ngokuhamba kwexesha njengoko imisipha iphela ngokuhamba kwexesha.

Ngaba kukho naluphi na uhlobo lwezi nyembezi?

Ewe, kukho iintlobo ezimbini eziphambili:

1. Ukukrazula Okuncinci: Oku kuxa i-tendon ingasuki ngokupheleleyo ethanjeni. Oku kuthetha ukuba i-tendon isanamathele ethanjeni ukuya kwinqanaba elithile. Kodwa ikrazukile kancinci kwaye ibuthathaka. Ifana nelaphu elikrazuke kancinci ngaphandle kokukrazuka ngokupheleleyo.

2. Ukukrazuka Okupheleleyo okanye Ukukrazuka Okupheleleyo: Kulapho i-tendon ihlukana ngokupheleleyo nethambo. Ngokukodwa, i-tendon ibonakala inemingxuma kuyo, okanye iqhekeka kubini ngokupheleleyo.

Ixhaphake kangakanani le meko?

Iinyembezi ze-rotator cuff zixhaphake kakhulu kunokuba unokucinga. Zixhaphake kakhulu kubantu abadala . Ngokwezibalo ezithile, izigidi zabantu kwihlabathi liphela zihlushwa yile ngxaki ye-rotator cuff minyaka le.

Khawucinge nje, abanye abantu banale nyembezi kodwa abanazo iimpawu, ngoko abazi nokuba banayo! Ingangathi cwaka ngamanye amaxesha.

Zithini iimpawu? Uziva njani ngale nto?

Iimpawu zokukrazuka kwe-rotator cuff zingahluka ukusuka kumntu ukuya komnye, kodwa kukho ezinye iimpawu eziqhelekileyo:

  • Kunzima, kubuhlungu, kwaye kuvakala ngathi akukho mandla engalweni xa uyiphakamisa, uyihlisa, okanye uyijikelezisa.Le ntlungu inokwenzeka xa ukhama iinwele zakho, ukrwela umqolo wakho, okanye ulula isandla sakho ukuze uchole into ethile.
  • Xa ndishukumisa ingalo yam ngendlela ethile , ndiva isandi esithi 'tick-tock' okanye 'chiri-chiri' sivela ngaphakathi egxalabeni lam, okanye ndiziva ngathi kukho into ejijekayo okanye ebambekayo ngaphakathi.
  • Iintlungu zamagxa zidla ngokuba mandundu ebusuku. Iintlungu zinokuba nzima ngakumbi xa ulele ngecala elilimeleyo. Abanye abantu baziva iintlungu nangona bephumza ingalo yabo ngecala.
  • Amagxa akho abuthathaka, nto leyo eyenza kube nzima ukuphakamisa izinto, ukuvula iingcango, njl. Usenokukufumanisa kunzima ukwenza izinto ezazilula ngaphambili.

Injani kanye kanye le ntlungu?

Oku kwahlukile kumntu ngamnye. Abanye banokuziva iintlungu ezibuhlungu nezingapheliyo ezivakala ngathi kukho into ebambeke egxalabeni, enobunzima . Abanye banokuva iintlungu ezibukhali nezihlabayo .

  • Ukuba ukukrazuka kwenzeka ngengozi ekhawulezileyo (ukukrazuka okukhulu) , njengokuwa, ngoko unokufumana iintlungu zegxalaba ezinganyamezelekiyo kunye nokuphelelwa ngamandla kwengalo ngokupheleleyo.
  • Kwintlungu ewohlokayo , intlungu isenokuba ncinci ekuqaleni. Ingathomalaliswa zizithomalalisi zentlungu ezithengiswa ngaphandle kwemvume kagqirha (iithomalalisi zentlungu ze-OTC). Nangona kunjalo, ngokuhamba kwexesha, intlungu inokuba qatha ngakumbi kwaye isenokungathomalaliswa ngamayeza.
  • Into ebalulekileyo kukuba ayinguye wonke umntu oza kuva iintlungu, kodwa uninzi lwabantu ngokuqinisekileyo luya kuziva lubuthathaka kwiingalo nasemagxeni abo.

Kutheni oku kusenzeka? Zithini izizathu zoku?

Kukho izizathu ezininzi ezinokubangela ukukrazuka kwe-rotator cuff.

1. Ukwenzakala Okubukhali:

Imisipha ingakrazuka ngenxa yokuwa, ukubetheka nzima egxalabeni, okanye ukuxinwa ngequbuliso egxalabeni xa uphakamisa into enzima. Ngamanye amaxesha, i-rotator cuff inokonakala xa igxala likhutshiwe okanye i-collarbone yaphukile.

2. Iinyembezi eziwohlokayo:

Le yeyona nto ixhaphakileyo. Le ngozi iphezulu kakhulu kubantu abaneminyaka engaphezu kwama-40 ubudala. Kukho izizathu ezahlukeneyo zokuba oku kwenzeke:

  • Ukuqhawuka kwamathambo: Abanye abantu bakhula amaqhawuka amancinci ethambo (`(Bone spurs)`) phezulu kwethambo labo lamagxa, apho ithambo lidlula khona. Xa siphakamisa ingalo yethu, la maqhawuka amathambo ayakhuhlana kwithambo. Oku kubizwa ngokuba yi-"Shoulder Impingement". Xa oku kuqhubeka nokukhuhlana, njengentambo ekhuhlana elityeni, ithambo linokuba buthathaka kwaye likrazuke.
  • Ukuncipha Kokuhamba Kwegazi:Njengoko sikhula, ukunikezelwa kwegazi kwimisipha ye-rotator cuff kuyehla. Xa naliphi na ilungu lomzimba wethu lenzakele, ukunikezelwa kwegazi elifanelekileyo kubalulekile ukuze liphile. Ngoko ke, xa ukunikezelwa kwegazi kunganelanga, imisipha iba buthathaka, kwaye nokuba kwenzakele okuncinci akuphili lula, kwaye inokukhula kancinci kancinci ibe kukukrazuka okukhulu.
  • Intshukumo Yokusebenzisa Ngokugqithisileyo NeeNgxaki Eziphindaphindwayo:

Nokuba kukudlala imidlalo okanye ukwenza umsebenzi wakho wemihla ngemihla, xa usebenzisa igxalaba lakho ngendlela efanayo, kubeka uxinzelelo olukhulu kwimisipha kunye nemisipha. Oku kunokwenza buthathaka imisipha kwaye kuyikrazule. Cinga ngomntu ohlala ejonga phezulu ngelixa epeyinta, umntu owenza umsebenzi wobuchweli, okanye umntu ohlala ephosa ibhola ngokukhawuleza ngelixa edlala ikhilikithi okanye i-volleyball. Basengozini enkulu.

Ngubani onokuba nethuba elingcono lokuphuhlisa oku? (Izinto Ezinobungozi)

Enyanisweni, nabani na unokufumana i-rotator cuff tear. Nangona kunjalo, abanye abantu basengozini enkulu kancinci. Jonga ukuba ezi nyaniso ziyasebenza na kuwe:

  • Ubudala: Abantu abangaphezu kweminyaka engama-40 basengozini enkulu kuba amandla emisipha kunye nokuguquguquka kwayo kuyancipha ngokuhamba kweminyaka.
  • Imbali yosapho: Ukuba umntu kusapho lwakho (umama, utata, abantakwenu) ukhe waba neengxaki zamagxa, ezifana nokukrazuka kwe-rotator cuff, usenokuba sengozini enkulu kancinci.
  • Ukutshaya: Abantu abatshayayo banezinga lokuphiliswa kwemisipha kancinci kwaye banokwenza buthathaka imisipha yabo.
  • Ukuma okungekuhle: Abantu abasebenza kwikhompyutha, abasebenzisa iifowuni zabo, okanye abagobe amahlombe abo phambili xa bemi okanye behleli banokubeka uxinzelelo olungeyomfuneko kwilungu lehlombe.
  • Imisebenzi ethile kunye nemidlalo: Njengoko bekutshiwo ngaphambili, abantu abenza iintshukumo zamagxa eziphindaphindayo banamathuba amaninzi okufumana ezi inyembezi eziwohlokayo. Umzekelo:
  • Abachweli
  • Abapeyinti
  • Iingcali zezithuthi
  • Abantu abenza imisebenzi yokuphakamisa izinto ezinzima
  • Abadlali bezemidlalo: Ingakumbi abo badlala imidlalo efana nebaseball, isoftball, itennis, ukudada, ukurhola. Abantu abadlala imidlalo efana nekriketi (ingakumbi abadlali bebhola), i-volleyball, kunye ne-badminton, ezidumileyo kwilizwe lethu, nabo basengozini.

Kuza kwenzeka ntoni ukuba unyango alunikwa? (Iingxaki)

Lo ngumbuzo abantu abaninzi abawubuzayo. Akulunganga ukucinga, "Kulungile ukuba ibuhlungu kancinci, iza kulunga yodwa ." Kuba, ukuba ayinyangwa, le ntlungu ye-rotator cuff inokuba mandundu.

  • Nokuba kukukrazuka okuncinci okuncinci kunokukhula kube kukukrazuka okupheleleyo xa uqhubeka nokusebenzisa igxalaba.
  • Ukuba kukho ukukrazuka okupheleleyo, kunokukhokelela kwinqanaba apho ungakwaziyo ukushukuma okanye ukuphakamisa ingalo yakho.
  • >Ukuba awunyangwa ixesha elide, unokuba neentlungu ezingapheliyo emagxeni, ube buthathaka kangangokuba awukwazi ukusebenzisa ingalo eyonzakeleyo kwimisebenzi yemihla ngemihla, kwaye ube nezinye iingxaki, ezifana ne-arthritis kwijoyinti yehlombe.

Uyixilonga njani le nto kanye kanye?

Ukuba uneentlungu zegxalaba okanye ungonwabanga, into yokuqala omawuyenze kukubona ugqirha. Uza kukubuza imibuzo aze akuhlole.

1. Uvavanyo Lomzimba: Ugqirha uza kuyiva igxalaba lakho aze ajonge ukuba lithambile na kwaye lidumbile na. Emva koko uza kukucela ukuba ushukumise ingalo yakho kwiindlela ezahlukeneyo (uluhlu lwentshukumo) aze ajonge amandla engalo yakho. Ezi mvavanyo zinokukunika umbono ocacileyo wokuba unengxaki ye-rotator cuff.

2. Uvavanyo olukhethekileyo (Uvavanyo lomfanekiso): Ukuqinisekisa ukuxilongwa, kunokwenziwa olu vavanyo lulandelayo:

  • I-X-reyi: Oku akunakubonisa ngokuthe ngqo i-tendon ekrazukileyo. Nangona kunjalo, inokujonga izinto ezifana ne-bone spurs, i-arthritis, kunye nezinye iingxaki zamathambo.
  • I-MRI (iMagnetic Resonance Imaging): Olu lolona vavanyo lubalaseleyo lokujonga ukukrazuka kwe-rotator cuff. Lungabonisa ngokucacileyo ukuba ingakanani i-tendon ekrazukileyo kunye nohlobo lokukrazuka kwayo (inxalenye okanye epheleleyo).
  • I-Ultrasound Scan: Oku kungasetyenziselwa ukujonga izinto ezifana nokukrazuka kwemisipha kunye nokudumba. Luvavanyo olunokwenziwa ngokukhawuleza nangexabiso eliphantsi kune-MRI.

Luluphi unyango lwale nto?

Iindaba ezimnandi zezokuba kukho iindlela ezininzi zonyango zokukrazula kwe-rotator cuff. Ugqirha wakho uya kukumisela unyango olungcono ngokusekelwe kwizinto ezifana nohlobo lokukrazula kwakho, ubudala bakho, kunye nenqanaba lomsebenzi wakho.

Iindlela zonyango zinokwahlulwa zibe ziindidi ezimbini eziphambili:

1. Iindlela Ezingasetyenziswanga Ngotyando

Oku kubalulekile kubantu abaninzi: Iinyembezi ze-Rotator cuff azipholi ngokupheleleyo (ukunamathela kwemisipha) ngaphandle kotyando. Nangona kunjalo, abantu abaninzi (ingakumbi abo baneziqabu ezingaphelelanga okanye abo sele bekhulile) banokunciphisa iintlungu, baphucule ukusebenza kwamagxa, baze babuyele kwinqanaba apho banokwenza imisebenzi yemihla ngemihla ngaphandle kotyando.

Enyanisweni, uphando lubonise ukuba malunga nesibhozo kwishumi labantu abakhala kancinci banokuphila kakuhle ngonyango olungenalo utyando . Nangona kunjalo, kungathatha iinyanga, kwaneminyaka, ukuba le meko iphucuke. Kufuneka ube nomonde ngonyango.

Ziziphi ezi ndlela zonyango ezingasebenzisi utyando?

  • Utshintsho lokuphumla kunye nomsebenzi:Kubaluleke kakhulu ukuphumza igxalaba lakho. Kusenokufuneka uyeke okanye unciphise imisebenzi okanye imidlalo ebangela iintlungu okwethutyana. Ugqirha wakho angacebisa ukuba unxibe i-arm sling kangangeentsuku ezimbalwa.
  • Izithomalalisi zentlungu: Ugqirha wakho unokucebisa amayeza avela kwiqela lee-pain relievers ezibizwa ngokuba yi-"NSAIDs - Nonsteroidal anti-inflammatory drugs" (umz., i-Ibuprofen, i-Diclofenac) ukunciphisa iintlungu nokudumba.
  • Unyango Lomzimba: Le yeyona nxalenye ibalulekileyo yonyango olungenalo utyando. Ingcali yonyango lomzimba efanelekileyo iya kukufundisa imithambo yokuqinisa izihlunu zamagxa akho kunye nemithambo yokuzolula ukuze kwandiswe umgama weenyawo zakho. Ukwenza le mithambo ngokuchanekileyo kunokunceda ukunciphisa iintlungu kunye nokuphucula ukusebenza kwamagxa akho.
  • Iinaliti zeSteroid: Ukuba intlungu kunye nokudumba kukhulu, ugqirha wakho unokugqiba ekubeni akunike inaliti yesteroid (umz., inaliti ye-cortisone) kwilungu lakho lamagxa. Nangona oku kusenokukunika isiqabu ngokukhawuleza, sisisombululo sexeshana nje. Akuyongcinga ilungileyo ukuqhubeka uthatha ezi naliti.

2. Iindlela Zotyando

Utyando luyadingeka kwiimeko ezilandelayo:

  • Ukuba unenyembezi epheleleyo (ingakumbi ukuba yinyembezi enkulu).
  • Nokuba kukukrazuka okungaphelelanga, akukho phuculo emva kweenyanga ezi-6-12 zonyango olungelulo utyando.
  • Ukuba uselula, ukhuthele, okanye ukuba umsebenzi wakho okanye imidlalo yakho ixhomekeke kakhulu emagxeni akho.
  • Ukuba kukho ukukrazuka okukhulu ngenxa yokwenzakala okukhawulezileyo.

Uninzi lotyando lwe-rotator cuff ngoku lwenziwa nge-arthroscopically . Oku kuthetha ukuba ikhamera encinci (i-arthroscope) kunye nezixhobo zotyando zifakwa ngokusebenzisa imingxunya emininzi emincinci egxalabeni. Le nkqubo ibandakanya iintlungu ezincinci kunye nokuphiliswa ngokukhawuleza kuba ayibandakanyi umngxunya omkhulu. Nangona kunjalo, ngamanye amaxesha, ukuba ukukrazuka kukhulu kakhulu okanye kuyinkimbinkimbi, ugqirha otyandayo angenza utyando oluvulekileyo (inkqubo ebandakanya umngxunya omkhulu kancinci).

Injongo ephambili yotyando kukuphinda unamathele umsipha okrazukileyo ethanjeni. Ngamanye amaxesha, ukuba kukho i-bone spurs, nayo iyasuswa.

  • Kwimeko yokukrazuka okungaphelelanga , ugqirha wotyando unokufuna kuphela ukusika ezinye zeziqwenga ezigugileyo zethambo elikrazukileyo ezifana nomsonto. Oku kubizwa ngokuba yi -debridement .
  • Ezinye iinyembezi zinokuba ziinyembezi ezingenakulungiswa ngenxa yobukhulu bazo, ixesha elide eliqhekekileyo likhona, kunye nemeko ye-tendon. Kwiimeko ezinjalo, utyando olungezinye lunokufuneka luqwalaselwe. Umzekelo, "Ukutshintshwa kwegxalaba elingasemva" (utyando olukhethekileyo lokutshintsha ijoyinti yegxalaba) okanye "Ukudluliselwa kwe-tendon" (i-tendon ephilileyo iziswa ivela kwenye indawo ize ilungiswe).

Olu tyando ludla ngokwenziwa ngosuku olunye okanye ngosuku olulandelayo ('inkqubo yokulaliswa ngaphandle' okanye ukuhlala ixesha elifutshane). Nangona kunjalo, kuthatha ixesha elide ukuchacha ngokupheleleyo kolu tyando, mhlawumbi unyaka okanye ngaphezulu.

Kuthatha ixesha elingakanani ukuchacha? (Ixesha lokuchacha)

Le yinto abantu abaninzi abayibuzayo bexhalabile.

  • Ngaphandle kotyando, kungathatha iinyanga ezininzi ukuba intlungu inciphe kwaye umsebenzi wayo ukhule ngonyango lomzimba kunye nolunye unyango.
  • Ukuba utyando,
  • Emva kotyando, kuya kufuneka unxibe isilingi kangangeeveki ezi-4 ukuya kwezi-6 ukuthintela ukushukuma kwengalo yakho. Kubalulekile ukuba uphumze igxalaba lakho ngeli xesha.
  • Emva koko kufuneka uqale unyango lomzimba . Oku ngokuqinisekileyo yinto ekufuneka yenziwe. Uqala ngokushukumisa amagxa kancinci kancinci, uze uqhubekele kwimithambo yokuqinisa umzimba.
  • Uninzi lwabantu lufumana amandla aqhelekileyo egxalabeni kwiinyanga ezi-4 ukuya kwezi-6 emva kotyando kwaye bayakwazi ukwenza imisebenzi yemihla ngemihla.
  • Nangona kunjalo, kungathatha iinyanga ezili-9, ezili-12, okanye ezili-18 ukuba umntu aphile ngokupheleleyo aze abuyele kwimisebenzi efana nemidlalo. Kuxhomekeke kubungakanani bokukrazuka, uhlobo lotyando, ubudala bakho, kunye nokuba wenza kakuhle kangakanani ngonyango lomzimba.

Kuza kwenzeka ntoni emva kokuchacha? (Ingqikelelo/Imbono)

Uninzi lwabantu luyakwazi ukuchacha kakuhle emva kokukrazuka kwe-rotator cuff.

  • Abantu abaninzi baziva iintlungu zinciphile kwaye imeko yabo yokusebenza iphucukile ngonyango olungenalo utyando .
  • Ngotyando, ingakumbi ngeendlela zanamhlanje ezifana ne-arthroscopy, abantu abaninzi banokuphinda basebenze kakuhle emagxeni.
  • Nangona kunjalo, kukho ithuba elincinci lokuba umsipha ofanayo ukrazuke kwakhona. Le ngozi iphezulu kakhulu ukuba ukukrazuka kokuqala bekukukhulu kakhulu, okanye ukuba umdala okanye utshaya. Ukuba kukrazuka kwakhona kwaye kubangela iintlungu ezinzima okanye ukungasebenzi kakuhle, unokufuna ukuphinda ucinge ngotyando.

Ngaba oku kungathintelwa ukuba kungenzeki kwakhona? (Ukuthintela)

Nangona oku kungenakuthintelwa ngokupheleleyo, kukho izinto onokuzenza ukunciphisa umngcipheko wokuba ne-rotator cuff tear eneempawu:

  • Gcina izihlunu zakho zamagxa ziqinile kwaye ziguquguquka. Yenza umthambo wokuzolula amagxa rhoqo kunye nokuqinisa umzimba. Cela iingcebiso kugqirha wakho okanye kugqirha wezonyango ngale nto.
  • Gcina ukuma okufanelekileyo xa usebenza okanye udlala imidlalo.
  • Ukuba wenza iintshukumo ezifanayo ngokuphindaphindiweyo, thatha ikhefu phakathi kwazo. Musa ukuzibhokoxa kakhulu emagxeni akho.
  • Xa uphakamisa umthwalo, wuphakamise kakuhle. Musa ukuwutsala wonke ngaxeshanye, kodwa phakamisa nje ngamagxa akho.
  • Ukuba uyatshaya, yeka.

Umele Ufowunele Nini Umboneleli Wakho Wezempilo?

Ukuba unayo nayiphi na kwezi mpawu, ngokuqinisekileyo kuya kufuneka ubone ugqirha ukuze akunike iingcebiso:

  • Intlungu yegxalaba kunye/okanye yengalo ebikho kangangeeveki eziliqela.
  • Ukuba intlungu iba mandundu ebusuku kwaye iphazamisane nokulala.
  • Ukuba kukho ukubomvu, ukudumba, okanye intlungu eqatha xa ichukunyiswa kwilungu legxalaba.
  • Ukuba ufumana ubuthathaka ngequbuliso egxalabeni okanye engalweni yakho , ingakumbi emva kwengozi.
  • Ukuba iintlungu zamagxa kunye nokungonwabi zichaphazela imisebenzi yakho yemihla ngemihla kangangokuba awukwazi ukwenza imisebenzi yakho yemihla ngemihla .

Yeyiphi imibuzo omele uyibuze ugqirha?

Xa usiya kugqirha, ungathandabuzi ukubuza imibuzo efana nale:

  • Ndiyifumene njani le rotator cuff crack? Yintoni eyona nto ibangela ukuba ndibe nexhala?
  • Luhlobo luni lwenyembezi endinayo (engaphelelanga, epheleleyo)? Ingakanani?
  • Yeyiphi indlela engcono yonyango kum? Ngaba kufuneka ndityandwe?
  • Ingakanani inkqubela endinokuyilindela kunyango olungelulo utyando?
  • Ukuba ndityandwa, zithini iingozi? Kuza kuthatha ixesha elingakanani ukuba ndiphile?
  • Ndingenza ntoni ukuthintela olu hlobo lokukrazula ukuba lungaphindi lwenzeke?
  • Zeziphi izinto ekufuneka ndiziphephe? Zeziphi izinto endinokuzenza?
  • Ngaba kufuneka ndiqaphele iingxaki? Zithini iimpawu zezo ngxaki?

Ukuba usebenza kakhulu okanye ungumdlali wezemidlalo, ukukrazuka kwe-rotator cuff kunokukususa emsebenzini okanye kwimidlalo okwethutyana. Nangona kunjalo, akufuneki ukuba kube sisiphelo somsebenzi wakho okanye umsebenzi wakho wezemidlalo. Thetha nogqirha wakho malunga nonyango olungcono kuwe - nokuba alungotyando okanye lutyando. Nokuba igxalaba lakho libuhlungu kwaye libuthathaka okwethutyana, linokuphiliswa ngokuhamba kwexesha, unyango olufanelekileyo, kunye nemizamo yakho. Umonde kunye nokulandela imiyalelo kagqirha wakho yeyona nto ibalulekileyo.

Umyalezo Wokuya Ekhaya

Ukukrazuka kwe-rotator cuff yimeko eqhelekileyo, kodwa enokuba yingozi, enokubangela iintlungu kunye nobuthathaka emagxeni.

  • Izizathu: Iingozi, ukuguguleka kokwaluphala, ukusetyenziswa kakhulu kwegxalaba, kunye nokukhula kwemisipha yamathambo.
  • Iimpawu: Iintlungu zamagxa (ingakumbi ebusuku naxa uphakamisa ingalo), ubunzima bokuphakamisa ingalo, ubuthathaka, isandi 'sokunqakraza' esivela egxalabeni.
  • Uvavanyo: Uvavanyo lomzimba, i-X-ray, i-MRI okanye i-Ultrasound scan.
  • Unyango: Ukuphumla, amayeza okudambisa iintlungu (ii-NSAID), unyango lomzimba, inaliti ze-steroid, kunye notyando (njengotyando lwe-arthroscopic) ukuba kuyimfuneko.
  • Eyona nto ibalulekileyo: Ukuba uneentlungu zegxalaba ezingapheliyo okanye ukungakhululeki , bona ugqirha. Okukhona uqaphela ngokukhawuleza kwaye uqala unyango, kokukhona amathuba akho okuchacha aphezulu. Musa ukuzama ukuzinyanga! Igxalaba lakho lifanelekile.

👩🏽‍⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)

💬 Yintoni iRotator Cuff Tear?

Igxalaba lethu lenziwe yingqokelela yemisipha kunye nemisipha emi-4. Oku kubizwa ngokuba yi-'Rotator Cuff'. Xa siphakamisa iintsimbi, sidlala imidlalo, okanye siguga, le misipha iyaguga kwaye 'ikrazuke', nto leyo ebangela imeko ebuhlungu kakhulu apho singakwaziyo ukuphakamisa igxalaba lethu ngokupheleleyo.

💬 Uyazi njani ukuba oku kukrazukile umthambo/imisipha?

Uphawu oluphambili olufunyanwa sisigulana 'yintlungu enganyamezelekiyo egxalabeni' xa sizama ukuphakamisa ingalo yaso phambili okanye ecaleni. Kwakhona, xa silala ebusuku, asinakulala ingalo ijikelwe ecaleni ngenxa yentlungu enzima. Ayipheleli nje ekubeni ingalo ibonakale ingenabomi, kodwa xa siphakamisa ingalo yaso, sinokuva isandi esingaqhelekanga 'sokucofa' sivela ngaphakathi egxalabeni.

💬 Ngaba oku kuthetha ukuba wonke umntu kufuneka enze utyando olukhulu lwegxalaba?

Asinguye wonke umntu odinga utyando! Ukukrazuka okungaphelelanga kunokuphiliswa ngokupheleleyo ngeenyanga ze-physiotherapy, ukuphumla, kunye ne-painkillers (NSAIDs). Nangona kunjalo, ukuba i-tendon ikrazukile ngokupheleleyo kwaye yonakele kakhulu (i-Complete tear), ngokuqinisekileyo kuya kufuneka ithungwe kwakhona kusetyenziswa utyando oluncinci lwe-keyhole (utyando lwe-Arthroscopy) kusetyenziswa ikhamera.


Iintlungu zegxalaba , i-rotator cuff, ukukrazuka kwemisipha, ukwenzakala kwegxalaba, unyango lomzimba, utyando lwegxalaba, ukukrazuka kwe-rotator cuff

Frequently Asked Questions (FAQ)

Ngaba kukho naluphi na uhlobo lwezi nyembezi?

Ewe, kukho iintlobo ezimbini eziphambili:

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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