Ngaba ungumdlali wekhilikithi, umdlali wevolibholi, okanye umntu odlala umdlalo ofuna ukuba uphose ibhola izandla zakho ziphezu kwentloko? Okanye ngaba unentlungu engapheliyo, ukuqina, okanye "ukuklikha" egxalabeni lakho emva kokuwa ngequbuliso? Ngamanye amaxesha oku kunokubangelwa kukukrazuka kwe-cartilage ngaphakathi kwegxala lakho. Ngokwezonyango, le meko siyibiza ngokuba yi -SLAP tear . Abantu abaninzi bayoyika xa besiva eli gama, kodwa ukuba siliqonda kakuhle, kulula kakhulu ukulinyanga.
Yintoni 'inyembezi ye-SLAP'? Masiyiqonde ngokulula
Kulungile, makhe sibone ukuba eli gama elithi `SLAP` lithetha ukuthini. Lenziwa ngokuhlanganisa oonobumba bokuqala bamagama amane esiNgesi: Superior Labrum , Anterior to Posterior . Ngoku usenokuba uyazibuza ukuba la magama athini. Ungakhathazeki, ndiza kuchaza ngokulula.
Cinga ngelungu lakho legxalaba njengebhola kunye nelungu lesokhethi. Ecaleni kwale sokhethi, njenge-'washer' yerabha, kukho indandatho eqinileyo ye-cartilage. Le ndandatho ibamba ithambo lengalo ephezulu (i-humerus) ngokuqinileyo kwindawo yayo kwisokhethi. Loo ndandatho ye-cartilage efana ne-washer ibizwa ngokuba yi-labrum .
Kwi-'SLAP tear', inxalenye ephezulu yale labrum ikrazukile ukusuka ngaphambili (ngaphezulu) ukuya ngasemva (ngasemva). Kulapho i-tendon yesihlunu esiphambili engalweni yethu (ii-biceps) ifika khona ize inamathele. Ngoko ke xa oku kukrazukile kwenzeka, ukuzinza kwegxalaba kuyancipha, intlungu iyenzeka, kwaye i-tendon ye-biceps nayo inokonakala.
Kukweziphi iimeko apho kufuneka utyando?
Ngokwesiqhelo, ugqirha akasithumeleli ngoko nangoko isigulana ukuba siye kutyando xa sifumanisa ukuba sine-SLAP tear. Okokuqala bazama ukunyanga ngonyango olungelulo utyando.
- Ukuphumla: Kucetyiswa ukuba uhlale kude nemisebenzi ebangela uxinezeleko okwethutyana.
- Amayeza: Amayeza anikwa ukunciphisa iintlungu nokudumba.
- Unyango lweFiziyoloji: Kunikezelwa umthambo okhethekileyo wokuqinisa izihlunu ezijikeleze igxalaba nokubuyisela intshukumo kwilungu.
Nangona kunjalo, ukuba intlungu ayipheli emva kweenyanga ezininzi zonyango, kwaye igxalaba liziva lingazinzanga, ugqirha uya kuqwalasela utyando.
Ukuthi ngqo,
- Ukuba oku kukrazuka kwenzeke kwingozi (umz., ukuwa) kwaye kwaba nefuthe elikhulu ekuzinzeni kwegxalaba.
- Le meko ibangelwa kukusetyenziswa kakhulu kwegxalaba, njengakwimidlalo.
- Ukuba udlala umdlalo webhola ofana nekhilikithi, ibaseball, okanye ivolibholi.
Kwiimeko ezinje, ukufakelwa kwakhona i-cartilage ekrazukileyo ngotyando kunokuvelisa iziphumo eziphumelelayo.
Lwenziwa njani olu tyando? (Ukulungiswa kwe-Arthroscopic SLAP)
Ngoku, olu tyando ludla ngokwenziwa kusetyenziswa indlela yotyando lwe-keyhole ebizwa ngokuba yi -arthroscopy . Oku kuthetha ukuba lwenziwa ngokusikwa okuncinci kakhulu (malunga ne-1 cm) endaweni yokwenza isikeko esikhulu egxalabeni.
1. Ukufakwa kwekhamera: Ngokusikwa okuncinci, kufakwa isixhobo esincinci esinekhamera (i-'arthroscope') kwilungu legxalaba. Ugqirha wenza utyando ngelixa ebukele umfanekiso kule khamera kwisikrini esikhulu.
2. Ukuhlola umonakalo: Ukusebenzisa ikhamera, i-labrum iyakrazulwa kwaye ubukhali bayo buvavanywa ngokuchanekileyo.
3. Ukucoca: Okulandelayo, umphetho we-cartilage okrazukileyo uyacocwa ngezixhobo ezikhethekileyo kwaye ulungiselelwe ukunamatheliswa kwakhona.
4. Ukuncamathisela i-ankile: Okulandelayo, kuvulwa umngxuma omncinci kakhulu kwithambo lelungu apho kufuneka kufakwe khona i-cartilage ekrazukileyo, kuze kufakwe isixhobo esincinci esifana nesikrufu esibizwa ngokuba yi-suture anchor . Esi sixhobo sinomsonto oqinileyo onamathele kuso.
5. Ukuphinda uthunge: Njengenyathelo lokugqibela, kusetyenziswa umsonto osuka kwi-anchor, i-labrum ekrazukileyo ibotshelelwa kwithambo kwaye ithungwe kakuhle.
Xa utyando lwenziwa ngolu hlobo, i-cartilage ekrazukileyo inamathela kwakhona ethanjeni ize iqale ukuphola.
Kwenzeka ntoni emva kotyando? Masifunde ngexesha lokuchacha
Emva kokuba utyando luphumelele, kuya kufuneka uzibophelele ngokupheleleyo ukuze uphile ngokupheleleyo.
- I-Arm Sling: Kuya kufuneka unxibe i-arm sling kangangeeveki ezi-4-6 emva kotyando. Oku kwenzelwa ukuphumla kwegxalaba lakho nokuvumela i-cartilage esandula ukufakwa ukuba iphole ngokufanelekileyo.
- Intlungu: Kunokubakho iintlungu ezithile kwiintsuku ezimbalwa zokuqala. Ufanele uthathe amayeza okudambisa iintlungu achazwe ngugqirha wakho. Ukusebenzisa i-ice pack kunokunceda ekunciphiseni iintlungu nokudumba.
- Unyango lweFiziyoloji: Le yeyona nxalenye ibalulekileyo yolu nyango. Emva kokuba ingalo isusiwe, igxalaba linokuba lukhuni kwaye liqine. Ukuzilolonga kufuneka kuqalwe ngononophelo olukhulu kwaye kancinci kancinci, phantsi kwesikhokelo sengcali yefiziyoloji. Oku kunceda ekubuyiseleni intshukumo namandla egxalaba.
- Ixesha lokuchacha: Kungathatha iinyanga ezi-6 ukuya kwezi-9, okanye unyaka, ukuchacha ngokupheleleyo nokubuyela kwezemidlalo. Umonde nonyango zibaluleke kakhulu.
| Iingenelo zotyando kunye neengxaki ezinokubakho | |
|---|---|
| Iinzuzo | Intlungu kunye nokungazinzi egxalabeni azisekho, kwaye ungabuyela kubomi obusebenzayo. Oku kusebenza ngakumbi xa une-SLAP tear kuphela ngaphandle kwezinye iingxaki. |
| Iingxaki ezinokwenzeka |
|
Khumbula, umngcipheko wezi ngxaki mncinane kakhulu. Ezi ngozi zingancitshiswa ngokuba utyando lwenziwe ngugqirha onamava aze alandele imiyalelo emva kotyando ngononophelo.
Ndifuna ukubona ugqirha kungekudala!
Xa ufika ekhaya emva kotyando, nikela ingqalelo ekhethekileyo kwezi mpawu. Ukuba unayo nayiphi na kwezi, fowunela ugqirha wakho ngoko nangoko okanye uye esibhedlele apho ufumene khona unyango.
| Isilumkiso |
|---|
| Ibhandeji elisenxebeni limanzi kwaye liphuma igazi. |
| Intlungu inzima kangangokuba ayipheli nasemva kokusela amayeza okudambisa iintlungu endandiwanikwe ngugqirha. |
| Ukudumba okugqithisileyo kwesandla okanye iminwe. |
| Ukuba ndindisholo okanye ukuphelelwa yimvakalelo kwiminwe. |
| Ukutshintsha kombala wesandla okanye iminwe (ijika ibe luhlaza okwesibhakabhaka/mnyama) okanye ukuziva ubanda kakhulu xa uyichukumisa. |
| Ububomvu, ukudumba, iintlungu ezingakumbi, okanye ulwelo olufana nobovu olutyheli oluphuma enxebeni. |
| Umkhuhlane ongaphezulu kwe-101°F (38.3°C). |
Ekugqibeleni, ukukrazuka kwe-SLAP yimeko enokunyangeka. Ukuba ayinyangwa, inokukhokelela kwiintlungu zexesha elide, ukungasebenzi kakuhle kwamagxa, kunye nezinye iingxaki ezinzulu. Ngoko ke ukuba ukhathazekile ngeentlungu zamagxa akho, qiniseka ukuba ubona ugqirha ofanelekileyo ukuze akunike iingcebiso.
Umyalezo Wokuya Ekhaya
- I-'SLAP tear' kukukrazuka kwinxalenye ephezulu yeringi ebalulekileyo ye-cartilage ebizwa ngokuba yi-labrum kwijoyinti yamagxa.
- Kunokufuneka utyando xa igxalaba lingaqini kakuhle kodwa lingaphucuki ngonyango oluqhelekileyo.
- Olu tyando ludla ngokwenziwa kusetyenziswa indlela yotyando lwe-keyhole ebizwa ngokuba yi-arthroscopic surgery.
- Kungathatha iinyanga ezininzi okanye unyaka ukuze uphile ngokupheleleyo emva kotyando. Unyango lomzimba lubaluleke kakhulu.
- Ukuba ufumana naziphi na iimpawu ezingaqhelekanga (intlungu enzima, ukudumba, umkhuhlane, ukungaziva mnandi) emva kotyando, qhagamshelana nogqirha wakho ngoko nangoko.
- Kubalulekile ukulandela imiyalelo yezonyango kunye neyonyango lomzimba ngononophelo ngaphambi kokuba ubuyele kwezo zenzo ukuze uthintele ukwenzakala kwakhona.
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