Ngaba nawe uva iintlungu eziqatha xa uphakamisa igxalaba lakho okanye uhambisa ingalo yakho ngasemva? Ngaba ngamanye amaxesha uva isandi esithi 'click' ngaphakathi egxalaba lakho, okanye uziva ngathi siyajika? Sihlala sizityeshela ezi zinto njengesiqhelo. Nangona kunjalo, ngamanye amaxesha oku kungaba luphawu lokwenzakala okukhulu ngaphakathi kwegxalaba. Namhlanje sithetha ngokwenzakala egxalaba okwenzeka kwimeko enjalo, eyaziwa kwisayensi yezonyango njenge -SLAP Tear .
Ngamafutshane, yintoni i-SLAP Tear?
Eli gama lisenokuvakala liyinkimbinkimbi kancinci, kodwa masiligcine lilula. Ilungu lethu legxalaba lifana nebhola kunye nelungu lesokhethi. Inxalenye ephezulu yethambo lengalo ephezulu (ibhola) ingena kwisokhethi encinci (indebe) kwithambo legxalaba. Ejikeleze eli sokhethi, kukho isangqa esomeleleyo se-cartilage esinceda ukuyiqinisa nokugcina ibhola iqinile endaweni yayo. Oku sikubiza ngokuba yi-labrum . Ngamanye amazwi, isebenza njenge-gasket kwaye inceda ukugcina ilungu lizinzile.
I-SLAP imele i- Superior Labrum , ukusuka ngaphambili ukuya emva . NgesiSinhala, oku kukukrazuka kwinxalenye ephezulu ye-labrum, ukusuka ngaphambili (Anterior) ukuya ngasemva (Posterior) . Inxalenye ephezulu yale labrum kulapho i-tendon edibanisa nezihlunu zethu ze-biceps inamathela khona. Ngoko ke xa oku kukrazuka kwe-SLAP kwenzeka, i-labrum, efana nomqamelo egxalabeni, yonakele, kwaye i-biceps tendon nayo inokuchaphazeleka. Yiyo loo nto igxala libuhlungu kwaye lingazinzile, kwaye livakala ngathi "liyashukuma".
Zithini izizathu eziphambili zokukrazuka kwe-SLAP?
Akukho sizathu sinye sale meko, kodwa zininzi izinto ezinokubangela loo nto. Makhe sijonge ezona zizathu ziphambili.
| Unobangela | Inkcazo |
|---|---|
| Ukulimala kwamagxa okungapheliyo | Le yeyona nto ixhaphakileyo. I-labrum inokonakala kancinci kancinci ngenxa yemisebenzi ephindaphindwayo yamagxa ephindaphindwayo. Umzekelo, oku kunokwenzeka xa umdlali wekhilikithi ebhowula rhoqo, umntu obhukudayo edada rhoqo, okanye umntu ophakamisa iintsimbi ebeka ubunzima egxalabeni lakhe rhoqo. |
| Ukulimala Okubukhali | Oku kukrazuka kunokubakho ngenxa yengozi ekhawulezileyo. Lo monakalo unokubakho ngenxa yezinto ezifana nokuwa nokubeka ingalo yakho yolulwe, ngequbuliso uzama ukuphakamisa into enzima (umz. isilinda segesi), okanye ingozi yemoto. |
| Kwenzeka ntoni xa ukhula (Ukwaluphala) | Njengamanye amalungu omzimba wethu, i-labrum inokonakala kwaye ibuthathaka ngokuhamba kwexesha. Ezi inyembezi zihlala zibonwa kubantu abangaphezu kweminyaka engama-40 ubudala, nokuba abakho sengozini enkulu. |
Ingaba ndine-SLAP krazukile egxalabeni lam? Zithini iimpawu?
Ukuba unenye okanye ngaphezulu kwezi mpawu, kufuneka ukhathazeke.
- Intlungu yamagxa: Oku kungaba yintlungu engapheliyo, okanye kungaba yintlungu ebukhali, ekhawulezileyo nehlabayo.
- Intlungu ngexesha leendawo ezithile: Intlungu inokwanda xa uphakamisa ingalo ngaphezu kwentloko, ubeka ingalo ngasemva komqolo, okanye wenza iintshukumo ezifana nokuphosa ibhola.
- Isandi 'sokuklikha' okanye imvakalelo yokusila: Ukuba uva isandi sokuklikha sivela ngaphakathi kwilungu xa ushukumisa igxalaba lakho, okanye ukuba uziva ngathi amathambo amabini ayasila kunye, oko kusenokuba luphawu lwesi sifo.
- Imvakalelo yokuqhawuka kwegxalaba: Igxalaba alixhaswanga kakuhle, kwaye kukho imvakalelo engaguqukiyo ngokungathi "liya kuqhawuka" nangaliphi na ixesha.
- Ukuziva ubuthathaka egxalabeni nasengalweni.
Eyona nto ibalulekileyo kukubona ugqirha ngokukhawuleza ukuba unezinye zezi mpawu, endaweni yokuzityeshela. Ukuba azinyangwa, iintlungu zingaba mandundu kwaye ungade ulahlekelwe nakukukwazi ukusebenzisa igxalaba lakho.
Uyifumana njani le nto, Gqirha?
Xa usiya kugqirha, uza kuqala akubuze ngentlungu, ukuba yaqala njani, kunye nento oyenzayo. Emva koko, uza kwenza uvavanyo lomzimba.
1. Uvavanyo lomzimba: Ugqirha uza kujika aze aphakamise ingalo yakho kwiindlela ezahlukeneyo. Oku kuya kunceda ekuqinisekiseni ukuba igxalaba lakho lihamba kangakanani, amandla emisipha, kunye nokuba zeziphi iintlobo zeentshukumo ezibangela intlungu.
2. I-MRI scan: I-MRI (Magnetic Resonance Imaging) yeyona ndlela ilungileyo yokujonga ngokuchanekileyo izicubu ezithambileyo ngaphakathi egxalabeni, njenge-labrum kunye ne-tendon.Iskeni. Ngamanye amaxesha, ugqirha wakho unokucebisa i- MRI arthrogram , equka ukufaka idayi ekhethekileyo kwilungu ukuze ubone ngokucacileyo ukukrazuka kwayo.
Zithini iindlela zonyango zoku?
Unyango luxhomekeke kuhlobo lokukrazuka, ubudala bakho, kunye nenqanaba lomsebenzi wakho. Ayizizo zonke iinyembezi ze-SLAP ezifuna utyando.
Unyango Olungelulo Utyando
Okokuqala, ugqirha uzama ukunyanga oku ngaphandle kotyando.
- Ukuphumla: Ukuzigcina kude nemisebenzi ebangela iintlungu zamagxa okwethutyana.
- Iintlungu: Amayeza okulwa nokuvuvukala anikwe ngugqirha wakho ukunciphisa ukudumba kunye nentlungu.
- Iinaliti zeCortisone: Inaliti ekhethekileyo efakwa ngqo kwilungu ukuze kuncitshiswe iintlungu nokudumba ngokukhawuleza.
- Unyango Lomzimba: Olu lunyango olubaluleke kakhulu . Phantsi kwesikhokelo sengcali yonyango lomzimba, imithambo eqinisa izihlunu ezijikeleze igxalaba inokunceda ukuzinzisa amalungu kunye nokunciphisa iintlungu.
Unyango lotyando
Ukuba intlungu ayipheli emva kweenyanga ezi-3-4 zonyango olungasentla, okanye ukuba ukukrazuka kukhulu kakhulu, ugqirha wakho unokucebisa utyando. Olu tyando ludla ngokwenziwa nge-arthroscopically . Oku kuthetha ukuba ikhamera kunye nezixhobo ezithambileyo zifakwa ngokusebenzisa imingxunya embalwa emincinci egxalabeni ukuze kulungiswe i-labrum ekrazukileyo.
- Ukulungiswa kweLabral: Ukubopha kwakhona ilabram ekrazukileyo kwithambo.
- I-Biceps Tenodesis: Ngamanye amaxesha, ukuba i-biceps tendon yonakele, iyasuswa ize inamathele kwindawo ekhuselekileyo egxalabeni.
Kuthatha ixesha elingakanani ukuphiliswa?
Le yingxaki abantu abaninzi abanayo. Ukuchacha emva kokulila kwe-SLAP akuyonto eyenzeka ngobusuku obunye, kodwa yimarathon ethatha ixesha.
Umonde nokuzinikela kubaluleke kakhulu. Nokuba ngaphandle kotyando, kungathatha iinyanga ezi-3-4 ukuba intlungu iphele kwaye isigulana sibuyele esiqhelweni. Ukuba utyando lwenziwe, kungathatha iinyanga ezi-6 ukuya kunyaka ukuze uphile ngokupheleleyo kwaye ubuyele kwimisebenzi efana nemidlalo. Emva kotyando, kuya kufuneka unxibe isilingi sengalo iiveki ezimbalwa. Kwakhona, ukwenza umthambo ochazwe yingcali yezonyango kubalulekile ukuze uphile ngokukhawuleza.
Singayithintela njani le meko ukuba ingaphindi yenzeke?
Ewe, kukho umngcipheko wokwenzakala kwakhona, ingakumbi ukuba uqala ukudlala imidlalo okanye ukwenza umsebenzi oza kukubeka uxinzelelo olukhulu egxalabeni lakho kwakhona. Ngoko ke ziqaphele ezi zinto:
- Zifudumeze kakuhle ngaphambi kokuba uzilolonge: Zifudumeze kakuhle izihlunu zamagxa akho ngaphambi kokuba udlale imidlalo.
- Mamela umzimba wakho: Ukuba uziva iintlungu okanye ubunzima egxalabeni lakho, musa ukuzityeshela uze uphumle.
- Sebenzisa ubuchule obufanelekileyo: Sebenzisa indlela efanelekileyo xa uphakamisa iintsimbi naxa udlala imidlalo. Musa ukuphakamisa iintsimbi ngokuzishukumisa ngequbuliso.
- Bona ugqirha: Ukuba intlungu iyaqhubeka okanye kukho ukwenzakala okutsha, funa ingcebiso kagqirha.
Umyalezo Wokuya Ekhaya
- Intlungu yegxalaba, ingakumbi xa ihamba nesandi 'sokuklikha', isenokuba luphawu lokukrazula kwe-SLAP.
- Oku kunokubangelwa kukusetyenziswa rhoqo kwamagxa, ingozi, okanye ukwaluphala.
- Musa ukuyityeshela intlungu yegxalaba, bonana nogqirha ngokukhawuleza uze ufumane ukuxilongwa ngokuchanekileyo.
- Utyando alunyanzelekanga xa kunyangwa. Unyango lomzimba kunye nokuphumla kubaluleke kakhulu.
- Kuthatha ixesha ukuba uphile, ngoko ke yiba nomonde kwaye ulandele imiyalelo oyinikwe ngugqirha wakho kunye nogqirha wezonyango.
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