Khawuthelekelele uphakamisa into enzima uze ngequbuliso uve isandi esithi 'click' esivela kwinxalenye ephezulu yengalo yakho uze uzive uneentlungu ezibukhali. Okanye ngamanye amaxesha izihlunu ezingalweni yakho zibonakala zidumbile ngendlela engaqhelekanga njengeqhubu. Le isenokuba yimeko okhe wayiva ebizwa ngokuba yiBiceps Rupture. Abantu abaninzi bayoyika xa besiva eli gama, kodwa ukuba siyazi kakuhle ukuba liyintoni na, akukho nto yokoyika. Ngoko ke, namhlanje siza kuthetha ngale nto.
Ngamafutshane, yintoni iBiceps Rupture?
Umsipha osengalweni yakho engasentla ophakamayo xa ugoba ingalo yakho ubizwa ngokuba yi-biceps muscle. Lo msipha unamathele emathanjeni asegxalabeni lakho nakwithambo elikufutshane nengqiniba yakho sisicwili esomeleleyo esifana nentambo. Siwubiza lo msipha.
Ngamafutshane, ukukrazuka kwe-biceps kukukrazuka kwizicubu zemisipha eqinileyo. Oku kukrazuka kungaba okupheleleyo okanye kungaba yinxenye.
Izihlunu zethu ze-biceps zinamathele emathanjeni zii-tendon ezintathu eziphambili:
- Ezimbini kufutshane negxalaba (I-tendon yentloko ende kunye ne-tendon yentloko emfutshane)
- Enye kufutshane nengqiniba (i-Distal biceps tendon)
Siyihlela le meko ngokwendawo apho imisipha iqhekeka khona.
- Ukuqhekeka kweTendon yeProximal Biceps: Oku kwenzeka xa i-tendon ekufutshane negxalaba ikrazuka. Olu lolona hlobo luqhelekileyo.
- Ukuqhekeka kweTendon yeBiceps eDistal: Oku kwenzeka xa itendon ekufutshane nengqiniba ikrazuka. Oku akwenzeki rhoqo, kodwa kunokuba yingozi kakhulu.
Kwenzeka ntoni kumsebenzi wengalo xa i-biceps ikrazukile?
Xa i-biceps ikrazukile, amandla okusebenzisa ingalo ayachaphazeleka. Kodwa kuxhomekeke ekubeni i-tendon ikrazukile phi kwaye ikrazukile kangakanani.
Amaxesha amaninzi, i-tendon ikrazukile kufutshane negxalaba, kwaye ezinye izihlunu ezingalweni (ezifana neBrachialis kunye neSupinator) ziyanceda kwaye zincede ekushukumiseni ingalo. Ngoko ke uya kukwazi ukuhambisa ingalo yakho. Nangona kunjalo , ungaziva ukuqina kunye nobuthathaka xa uphakamisa iintsimbi okanye ujika ingalo yakho (njengokuqinisa isikrufu).
Ukuba umsipha uqhawuka kufutshane nengqiniba (ukuqhawuka okukude), kuba nzima ngakumbi. Nangona ungayishukumisa ingalo yakho ngasemva nangaphambili, amandla engalo yakho ancitshiswa kakhulu. Ngokukodwa, ekubeni ingalo ijikwa phantsi kwengqiniba, amandla okuphakamisa ingalo (ukuphakamisa) alahleka kakhulu. Xa uphakamisa izinto, xa ubamba ngokuqinileyo, ingalo iya kuvakala ngathi ayinamandla. Kubantu abafuna amandla apheleleyo engalweni yabo, njengabagijimi, utyando ludla ngokufuneka kwiimeko ezinjalo.
Kutheni i-biceps tendon ikrazuka ngolu hlobo?
Kunokubakho izizathu ezibini eziphambili zoku: mhlawumbi ngenxa yengozi, okanye ngenxa yokuba imisipha iye yaguga yaza yaba buthathaka ngokuhamba kwexesha.
Ingozi yinto efana "naxa ngequbuliso ufikelela kwinto enzima kunokuba ucinga, uze usebenzise amandla amaninzi ukolula ingalo yakho." Ingabangelwa zizinto ezifana nokubetheka emhlabeni ngengalo yakho yoluliwe xa usiwa, okanye ukujika ingalo okanye igxalaba lakho ngequbuliso.
| Izinto ezonyusa umngcipheko wokuqhekeka kwe-biceps | |
|---|---|
| Ukudlula kwexesha | Imisipha iyancipha ngokwendalo njengoko sikhula, kwaye imisebenzi ephindaphindwayo yamagxa (umz., ukudada, ibaseball, eminye imisebenzi) inokubangela ukuba imisipha iphelelwe ngamandla. |
| Ezinye iingxaki zamagxa | I-biceps tendon ingonakaliswa zezinye iimeko zamagxa, ezifana ne-tendonitis, i-bursitis, okanye ukukrazuka kwe-rotator cuff. |
| Ukutshaya | Ukutshaya kunciphisa ukuhanjiswa kwegazi kwimisipha, nto leyo eyenza ibe buthathaka kwaye inciphise inkqubo yokuphiliswa. |
| Ukungabikho komsebenzi womzimba | Izihlunu kunye nemisipha iba buthathaka xa ungazilolongi. |
| Amanye amayeza | Ukusetyenziswa ixesha elide kwamayeza anjenge-corticosteroids kunokwenza buthathaka izihlunu kunye nemisipha. |
Zithini iimpawu zoku?
Ukuba une-biceps rupture, unokufumana enye okanye ngaphezulu kwezi mpawu:
- Ukuva isandi esithi 'tock' okanye 'pop' ngexesha lengozi.
- Intlungu ebuhlungu ngequbuliso egxalabeni okanye engqinibeni (kuxhomekeke kwindawo yokukrazuka).
- Ukuziva ubuthathaka engalweni okanye egxalabeni.
- Ukutyumka engalweni engasentla.Ukujongeka ngathi.
- Uziva ngathi unezihlunu ezibuhlungu xa usebenzisa isandla sakho.
- Ubunzima bokujikelezisa ingalo (ukujikisa isandla phezulu nasezantsi).
- Uphawu "lwePopeye Muscle": Oku kuhlala kubonakala kufutshane negxalaba (ukuqhekeka okukufutshane). NjengoPopeye kwikhathuni, izihlunu zakho ze-biceps zibukeka njengeqhubu kwaye ziyavuthuluka. Oku kubizwa ngokuba yi-`(Popeye deformity)`.
Ugqirha ufumanisa njani ukuba oku kukuqhekeka kwe-biceps?
Ugqirha unokukuxilonga oku ngokukuxilonga ngokwasemzimbeni. Uza kujonga ukuba ingalo yakho ishukuma kangakanani kwaye inamandla kangakanani. Ngamanye amaxesha, ukuba ukukrazuka akuphelelanga okanye akucacanga, kunokwenziwa iskeni efana ne-X-ray, i-ultrasound, okanye i-MRI.
Kwaye kukho iimvavanyo ezimbini ezikhethekileyo zokuqinisekisa oku:
1. Uvavanyo lweHook: Ngelixa ugoba ingqiniba yakho kwaye ujikeleza ingalo yakho, ugqirha uza kuzama ukubamba i-tendon engasemva kwengqiniba yakho ngomnwe wakhe. Ukuba ibambeke ngokucacileyo, ungacinga ukuba i-tendon ayikrazukanga.
2. Uvavanyo lokuCinezela iBiceps: Ugqirha uza kuyixhasa ingqiniba yakho aze ayicinezele kancinci ingalo yakho engasentla. Ukuba ingalo yakho ayijiki ngokuzenzekelayo, oku kungaba luphawu lokuba imisipha ikrazukile.
Eyona nto ibalulekileyo kukubona ugqirha ngokukhawuleza emva kokuba ezi mpawu zivele. Unyango lulula kakhulu kwaye alunakwenzeka ukuba lubangele iingxaki kwiiveki ezintathu zokuqala. Ukuba luyekwa emva kwexesha elide, umsipha ungavuvukala kwaye ube namanxeba, nto leyo eyenza unyango, ingakumbi utyando, lube nzima ngakumbi.
Zithini iindlela zonyango zoku?
Unyango olufumanayo luya kuxhomekeka ekubeni umsipha ukrazukile kufutshane negxalaba okanye ingqiniba, kwaye ukuba ukukrazuka kukhulu kangakanani.
Amatyala apho utyando lungadingeki (Unyango Olungelulo Utyando)
Ukuba i-tendon ayikrazukanga ngokupheleleyo (ikrazuke kancinci), ugqirha wakho unokucebisa unyango olufana nolu:
- Umkhenkce: Faka umkhenkce kwindawo ebuhlungu nedumbileyo malunga nemizuzu engama-20, amaxesha amaninzi ngemini.
- Ukuphumla: Kuphephe ukuphakamisa izinto ezisindayo nemisebenzi enzima okwethutyana. Ungacetyiswa ukuba usebenzise isilingi.
- Iintlungu: Amayeza angengo-steroidal anti-inflammatory (NSAIDs) afana ne-ibuprofen anokunceda ekunciphiseni ukudumba kunye nentlungu. Nangona kunjalo, kufuneka uhlale ujongana nogqirha wakho ukuqinisekisa ukuba akulungele.
- Unyango Lomzimba: Ukuzilolonga okwenziwe phantsi kwesikhokelo sengcali yonyango lomzimba kunokunceda kwinkqubo yokuphiliswa nokuqinisa ezinye izihlunu ezisesandleni.
Utyando
Ukuba umsipha ukrazukile ngokupheleleyo, ingakumbi kufutshane nengqiniba (ukuqhekeka okukude), ugqirha wakho unokuthi akucebise ngotyando. "Umsipha okrazukileyo kufutshane nengqiniba awuyi kuphola ngokwawo. Umsipha awuyi kukwazi ukusebenza kakuhle kwakhona."
Utyando lunokucetyiswa nakwiimeko ezifana nezi:
- Ukuba ezinye iindlela zonyango aziyithomalalisi intlungu.
- Ukuba izihlunu ze-biceps zihlala zibuhlungu.
- Ukuba awukwazi ukwenza imisebenzi yemihla ngemihla ngenxa yentlungu yamagxa kunye nobuthathaka.
Olu tyando lubandakanya ukuncamathisela kwakhona umsipha okrazukileyo ethanjeni. Oku kunokubandakanya ukusebenzisa iiphini ezincinci zesinyithi (ii-anchors) okanye amaqhosha. Kwiimeko ezininzi, olu tyando lunokwenziwa ngothotho lwemiqamlo emincinci, ebizwa ngokuba lutyando lwe-arthroscopic, ngoncedo lwekhamera.
Emva kotyando, kuya kufuneka unxibe i-splint okanye i-cast okwethutyana. Emva koko, ungafumana amandla kunye nentshukumo esandleni sakho kancinci kancinci ngonyango lomzimba.
Kuthatha ixesha elingakanani ukuchacha?
Ukukrazuka okuncinci okungadingi utyando kunokuphola kwiiveki ezimbalwa. Nangona kunjalo, ukuba utyando lwenziwe, kungathatha iinyanga ezimbini ukuya kwezintathu ukuba umsipha ubuyele ethanjeni. Kungathatha inyanga enye okanye ezimbini ukuba isandla sakho siphinde siqine ngokupheleleyo. Kubalulekile ukubuza ugqirha wakho ukuba kufuneka ulinde ixesha elingakanani ngaphambi kokuba uqalise umsebenzi onzima okanye imidlalo kwaye ulandele imiyalelo yakhe.
Umyalezo Wokuya Ekhaya
- Ukuqhekeka kweBiceps kukukrazuka kwe-tendon edibanisa umsipha we-biceps nethambo elisengalo.
- Iimpawu eziphambili zingabandakanya intlungu ekhawulezileyo, isandi 'sokugquma', ubuthathaka engalweni, kunye nokudumba kwemisipha ('imisipha kaPopeye').
- Iindlela zonyango zixhomekeke kuhlobo lokukrazuka kwaye ziqala ekuphumleni ukuya kutyando.
- Eyona nto ibalulekileyo kukufuna ingcebiso kagqirha ngokukhawuleza. Bonana nogqirha wakho kwangoko wakuba uqaphela ezi mpawu. Okukhona uqala unyango ngokukhawuleza, kokukhona iziphumo ziba ngcono.
- Ngonyango olufanelekileyo, uninzi lwabantu lunokuphinda lusebenze ngokupheleleyo kwaye lunamandla ezandleni zabo. Ngoko ke ungakhathazeki.
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