Ingaba uneentlungu egxalabeni lakho? Isenokuba yingxaki kwi-rotator cuff yakho!

Ngaba nawe uziva intlungu okanye ukungakhululeki egxalabeni lakho? Ngamanye amaxesha xa uzama ukuphakamisa ingalo yakho okanye ukuphakamisa into enzima, le ntlungu inokwanda. Ukuba ndithetha inyani, intlungu egxalabeni yinto ecaphukisayo kakhulu. Kunzima kakhulu ukwenza imisebenzi yemihla ngemihla, akunjalo? Uninzi lwexesha, unobangela weengxaki ezinjalo zamagxa unokuba yingxaki kweli candelo lomzimba elibizwa ngokuba yi-"Rotator Cuff" esithetha ngayo namhlanje. Ngoko makhe sibone ukuba yintoni le, ibaluleke kangakanani emahlombe ethu, zeziphi iingxaki ezinokubakho kunye nento enokwenziwa ngazo.

Yintoni le rotator cuff?

Ngamafutshane, i-rotator cuff yakho yingqokelela yemisipha kunye nemisipha ejikeleze igxalaba lakho. Cinga ngayo njengentambo ejikeleze igxalaba lakho. Une-rotator cuff kwigxalaba ngalinye. Kulapho i-shoulder blade yakho (ithambo elisicaba ngasemva kwe-shoulder blade yakho) iqhagamshela khona nethambo lakho elingaphezulu lengalo (i-humerus). Xa uphakamisa ingalo yakho, xa ujikelezisa ingalo yakho phambili nangasemva, usebenzisa le rotator cuff ukwenza zonke ezi zinto.

Ukulimala kwe-rotator cuff kuxhaphake kakhulu, ingakumbi kubadlali bezemidlalo. Ngoko ke ukuba uneentlungu emagxeni, ukuqina kwengalo, ubuthathaka, okanye ukungakwazi ukuhambisa igxalaba lakho ngaphandle kwentlungu, ngokuqinisekileyo kuya kufuneka ubone ugqirha .

Kwenzeka ntoni kwi-rotator cuff? Kutheni oku kubalulekile kuthi?

I-rotator cuff yakho isebenza kakhulu ukugcina igxalaba lakho kunye nengalo engasentla izinzile kwaye ithe tye xa uzisebenzisa. Njengoko igama lisitsho, omnye wemisebenzi yayo ephambili kukukunceda "ujikeleze" igxalaba lakho.

Cinga ngelungu legxalaba njengelungu elinomgca webhola nesokhethi. Inxalenye efana nebhola yethambo lakho elingaphezulu lengalo (ihumerus) (ebizwa ngokuba yintloko yehumeral) ingena kwisokhethi encinci kwiblade yegxalaba lakho (scapula). Ifana nebhola yegalufa kwi tee. Ngoko ke, izihlunu kunye nemisipha kule cuff ye-rotator ibamba la mathambo mabini kunye, ikhusele ilungu, kwaye ikuncede ukuhambisa ingalo yakho phambili nangasemva. Ngaphandle koku, igxalaba lakho belingazinzi kakhulu, njengehinge ekhululekileyo.

Iphi le rotator cuff?

I-rotator cuff ikwindawo encinci phakathi kwethambo lengalo yakho ephezulu (i-humerus) kunye nomphezulu we-blade yehlombe lakho. Oko kuthetha ukuba ikwi-egxalabeni lakho. Ijikeleza i-egxalabeni kwaye igquma intloko yethambo lengalo yakho ephezulu (i-humerus).

Yenziwa njani i-rotator cuff? (I-Anatomy)

I-rotator cuff yenziwe ngezihlunu ezine egxalabeni kunye nemisipha ezizincamathisela emathanjeni. Ezi zihlunu zine zezi:

• I-Supraspinatus: Esi sihlunu sikunceda kakhulu ukuphakamisa ingalo yakho nokujikeleza igxalaba lakho. Siqala phezulu kwegxalaba (scapula) size sinamathele entlokweni yethambo lengalo ephezulu (humerus).
• I-Subscapularis: Le msipha ikunceda ukolula ingalo yakho phambili kwaye ikude nomzimba wakho. Iqala embindini wegxalaba ize inamathele kwicala elingaphantsi kwentloko yethambo lengalo ephezulu.
• I-Infraspinatus: Esi sisihlunu esibalulekileyo esikunceda ujikeleze ingalo yakho ngaphandle. Siqala ezantsi kwegxalaba lakho size singene kwithambo lengalo yakho engasentla emva kwe-supraspinatus.
• I-Teres minor: Le yenye imisipha enceda ukujikeleza ingalo ngaphandle. Iqala kumphetho osecaleni we-scapula ize ingene kwi-humerus engaphantsi kwe-infraspinatus.

Ezi zihlunu zinamathele emathanjeni ziizicubu eziqinileyo ezibizwa ngokuba zii-tendons . Cinga ngezi zicubu njengee-levers. Xa ucutha (ucinezela) isihlunu kwi-rotator cuff yakho, i-tendon enamathele kuyo itsala ithambo, ishukumise igxalaba lakho kunye nengalo engentla.

Ziziphi iingozi eziqhelekileyo ze-rotator cuff?

Ukulimala kwe-Rotator cuff kuxhaphake kakhulu. Sisebenzisa amahlombe ethu kangakanani imini yonke? Ezi zingozi zinokwenzeka ngequbuliso, okanye zinokukhula kancinci kancinci ngokuhamba kwexesha. Uninzi lwezi zingozi zamagxa, ingakumbi ezo zenzeka ngexesha lemidlalo, zinxulumene ne-rotator cuff.

Ukulimala okuqhelekileyo kwe-rotator cuff zezi:

• Isifo sokusebenzisa kakhulu igxalaba: Esi sisifo esenzeka ngenxa yokusebenzisa igxalaba kakhulu rhoqo. Umzekelo, ukuba ungumdlali wekhilikithi, ubeka uxinzelelo olukhulu egxalabeni lakho xa uphosa ibhola rhoqo. Okanye ukuba uhlala utsala izinto ngaphezulu ngelixa usenza imisebenzi yasekhaya, okanye ukuba ukwimeko embi ngelixa usebenza kwikhompyutha, ekuhambeni kwexesha le cuff ye-rotator inokonakala.
• Isifo sokungashukumi kwamagxa: Esi sifo sikwabizwa ngokuba yi-rotator cuff tendinitis, senzeka xa imisipha ye-rotator cuff ivuvukala ize ivaleleke phakathi kwamathambo egxalabeni. Oku kubangela intlungu xa uphakamisa ingalo yakho.
• Iinyembezi ze-Rotator cuff: Oku kukukrazuka kwi-tendon enye okanye ezingaphezulu kwi-rotator cuff. Oku kunokukrazuka kancinci ukuya kukukrazuka ngokupheleleyo.
• Ukutyumza kwamagxa: Oku kukwenzakala egxalabeni. Kule meko, umsipha uyatsalwa.
• Igxalaba lombhukudi: Ukulimala kwegxalaba okuxhaphake kakhulu kubabhukudi.

Ndingazi njani ukuba i-rotator cuff yam ikrazukile?

Ukuba une-rotator cuff crack, uphawu oluphambili ziintlungu zamagxa . Le ntlungu inokuba yintlungu ebuhlungu evela nzulu egxalabeni, okanye ingaba yintlungu ebukhali nehlabayo. Ukuba i-rotator cuff ikrazuka ngequbuliso ngenxa yokwenzakala (njengokuwa), inokubangela iintlungu ezinkulu zamagxa kunye nobuthathaka bengalo.

Ukuba uneentlungu zegxalaba ezingapheliyo emva kweentsuku ezimbalwa, qiniseka ukuba ufune uncedo lwezonyango . Ukuba iintlungu ziba nzima ngequbuliso kangangokuba awukwazi ukushukumisa igxalaba lakho, okanye ukuba zivele emva kwengozi, yiya kwigumbi likaxakeka ngokukhawuleza.

Zeziphi iimvavanyo ezisetyenziswa ngoogqirha ukuze bafumanise ezi ngxaki?

Ugqirha uza kuxilonga i-rotator cuff crack ngokwenza uvavanyo lomzimba, kwaye ukuba kuyimfuneko, uvavanyo lwemifanekiso. Ugqirha uza kuxilonga igxalaba lakho aze akubuze ngeempawu zakho. Mxelele ngqo ukuba uqale nini ukuva intlungu, uhlobo lomsebenzi owenzayo, kunye nokuba intlungu iba mandundu okanye ingcono.

Kusenokufuneka wenze iimvavanyo ezininzi ezifana nezi:

• I-X-reyi yamagxa: Oku kunokujonga naziphi na iingxaki ngamathambo.
• I-MRI scan (Magnetic resonance imaging - MRI): Oku kunokubonelela ngomfanekiso ocacileyo wezicubu ezithambileyo, ezifana nezihlunu kunye nemisipha. Oku kubaluleke kakhulu ukufumanisa ukuba kukho ukukrazuka kwe-rotator cuff.
• Iskeni ye-ultrasound: Oku kunokujonga imeko yemisipha kunye nokukrazuka kwayo.

Ziziphi iindlela eziqhelekileyo zonyango lokwenzakala kwe-rotator cuff?

Uhlobo lonyango olufunekayo luya kuxhomekeka kuhlobo kunye nobukhali bokwenzakala kwakho. Ugqirha wakho uya kukunika unyango oluya kunceda ukunciphisa iintlungu zakho kwaye luncede i-rotator cuff yakho iphile. Olu lolona nyango luqhelekileyo:

• Ukuphumla Nokuphepha Imisebenzi Eyenzakeleyo: Le yinto yokuqala neyona ibalulekileyo . Ukuthatha ikhefu kwimisebenzi nemidlalo ebangela iintlungu kubalulekile ukuze uphile.
• Ukufaka umkhenkce egxalabeni lakho: Ugqirha wakho uza kukuxelela ukuba kufuneka ufake umkhenkce kangaphi ngemini kwaye ixesha elingakanani. Musa ukufaka umkhenkce ngqo eluswini , wusonge ngelaphu elincinci. Oku kuya kunciphisa iintlungu nokudumba.
• Amayeza okubulala iintlungu kunye namayeza okulwa nokuvuvukala: Amayeza okulwa nokuvuvukala angengowe-steroidal (NSAIDs) (umz., ibuprofen, i-diclofenac) okanye i-acetaminophen (umz., iPanadol) angasetyenziselwa ukunciphisa iintlungu kunye nokudumba. Nangona kunjalo, musa ukuzisebenzisa iintsuku ezingaphezu kweshumi ngexesha ngaphandle kwengcebiso kagqirha .
• Unyango lomzimba: Olu lonyango olubaluleke kakhulu. Lunceda ukuqinisa izihlunu zegxalaba, ingakumbi emva kokwenzakala, kwaye lubuyisele umgama wokunyakaza. Ingcali yonyango lomzimba iya kukufundisa umthambo we-rotator cuff ofanelekileyo kuwe. Ukwenza oku ngokuchanekileyo nangokungaguqukiyo kubaluleke kakhulu kwinkqubo yokuphiliswa .
• Iinaliti zeCortisone (iinaliti ze-steroid):Ngamanye amaxesha, ugqirha wakho unokufaka i-corticosteroid, iyeza elinciphisa ukudumba, kwi-rotator cuff. Oku kunokunceda ukunciphisa iintlungu nokudumba ngokukhawuleza.
• Utyando: Ukuba ukwenzakala kukhulu, umzekelo, ukuba umsipha ukrazukile ngokupheleleyo, okanye ukuba ezinye iindlela zonyango azincedanga kangangeenyanga eziliqela, utyando lunokufuneka. Ugqirha wakho okanye ugqirha wakho uza kukuchazela ukuba loluphi uhlobo lotyando olufunekayo kunye noko ungakulindela.

Ungayithintela njani i-rotator cuff yokwenzakala?

“Ukuthintela kungcono kunonyango,” batsho. Ngoko ke eyona ndlela ilungileyo yokuthintela ukwenzakala kwe-rotator cuff kukuphepha ukusebenzisa amahlombe akho kakhulu kwaye uwanyamekele.

• Ukuba uziva iintlungu egxalabeni lakho ngelixa usenza umthambo okanye usenza nawuphi na omnye umsebenzi womzimba, yeka ngoko nangoko . Musa ukuqhubeka nokudlala okanye ukusebenza ukuphelisa iintlungu .
• Zifudumeze kakuhle ngaphambi kokuba wenze umthambo okanye uqeqesho, uze uzipholise emva koko.
• Sebenzisa izixhobo ezifanelekileyo xa udlala imidlalo kwaye usenza umsebenzi womzimba.
• Landela ukutya okunempilo kunye nesicwangciso sokuzilolonga esikufaneleyo. Ukuba nezihlunu ezomeleleyo kunceda ukuthintela ukwenzakala.
• Funa ingcebiso kagqirha kwangoko xa uziva iintlungu zamagxa okanye ezinye iimpawu. Kulula ukunyanga ingxaki encinci ngaphambi kokuba ibe nkulu.

Ngaba i-rotator cuff ingaziphilisa ngokwayo?

Ukuphumla nokuphepha imisebenzi ebangela iintlungu kunokunceda i-rotator cuff yakho iphile. Nangona kunjalo, kubalulekile ukuba ugqirha akuhlole ukuze afumane uxilongo olufanelekileyo . Musa ukungazinaki iimpawu ezifana nentlungu, ubuthathaka, okanye ukuncipha kokuhamba.

Ukuba uqhubeka nokusebenzisa igxalaba lakho, ubeka uxinzelelo olungakumbi kwi-rotator cuff, nokuba ukwenzakala okuncinci kunokuba kubi ngakumbi.

Khumbula, i-rotator cuff yakho ayisiyonto nje engenamsebenzi. Yi "band" ebalulekileyo yemisipha kunye nemisipha ebamba amathambo kunye, inceda igxalaba lakho kunye nengalo yakho zisebenze kakuhle.

Ukukrazula kwe-Rotator cuff kuqhelekile phakathi kwabadlali abangochwephesha. Kodwa akufuneki ube ngumdlali wekhilikithi weligi enkulu okanye inkwenkwezi yebhola ekhatywayo ebalaseleyo ukuze ube nengxaki yokwenzakala kwe-rotator cuff. Ezi zingozi zinokwenzeka ngequbuliso, okanye zinokukhula kancinci kancinci ngokuhamba kwexesha.

Okokugqibela, khumbula (Umyalezo Wokuya Ekhaya)

Ukuba iintlungu zakho zegxalaba aziphucuki emva kweentsuku ezimbalwa zokuphumla kunye nokunyamekela ekhaya, nceda ubone ugqirha.Uza kuyixilonga ingozi aze acebise iindlela zokukunceda uphilise i-rotator cuff yakho. Igxalaba lilungu elibalulekileyo kwimisebenzi yethu yemihla ngemihla. Ngoko ke, luxanduva lwakho ukulinyamekela. Sikunqwenelela ukuchacha ngokukhawuleza!

Iintlungu zamagxa , i-rotator cuff, i-Rotator Cuff, iingxaki zamagxa, izihlunu, imisipha, ukujikeleza kwamagxa, unyango lomzimba, umthambo wamagxa