Ngaba nawe uziva iintlungu xa uphakamisa igxalaba lakho, uphakamisa ubunzima, okanye ujikelezisa ingalo yakho? Mhlawumbi isizathu sale nto yingxaki kwimisipha yakho ye-biceps. Ngoko ke, namhlanje sithetha ngovavanyo olulula kakhulu, olungenabuhlungu olunokwenziwa ngugqirha ukujonga ukuba kukho ingxaki egxalaba lakho ngexesha elinje. Oku kubizwa ngokuba luvavanyo lukaYergason.
Yintoni kanye kanye iYergason's Test?
Ngamafutshane, uvavanyo lukaYergason luvavanyo lomzimba oluqhutywa ngugqirha kuwe. Ngokuyintloko lujonga nawuphi na umonakalo kwi-tendon kwimisipha yakho ye-biceps, ingakumbi intloko ende ye-biceps tendon.
Olu vavanyo lukwanceda ekufumaneni umbono weminye imiba eliqela.
- Ngaba ukhe wakrazula i-transverse humeral ligament egxalabeni lakho?
- Ingaba kukho imeko ebizwa ngokuba yi-'SLAP tear', eyenzeka kwi-cartilage (labrum) ngaphakathi kwejoyinti yegxalaba?
- Ingaba umsipha wemisipha ye-biceps uvuvukile kwaye uvuvukile, oko kuthetha ukuba unesifo esibizwa ngokuba yi-'biceps tendonitis'?
Ngaphambi kokuba siqonde olu vavanyo, makhe sifunde kancinci ngezi ndawo.
Musa ukoyika xa usiva la magama. Ezi zizinto ezilula kakhulu. Masizijonge nganye nganye.
- Izihlunu zeBiceps: Khawuthelekelele ugoba ingalo yakho ukuze ubonise umntu "omkhulu." Emva koko kukho iqhubu lezihlunu kwinxalenye ephezulu yengalo yakho, ebizwa ngokuba yi-biceps muscle. Oku kusinceda siphakamise iintsimbi, sigobe iingqiniba zethu, size siphakamise iingalo zethu ngaphezulu.
- Imisipha yeBiceps: Imisipha yeBiceps yimizimba eqinileyo efana nebhendi edibanisa izihlunu zethu namathambo ethu. Imisipha yeBiceps inemisipha emithathu. Emibini inamathela egxalabeni, kwaye enye inamathela engqinibeni. Uvavanyo lukaYergason lujonga ikakhulu intloko ende yemisipha yeBiceps enamathela egxalabeni.
- I-Transverse humeral ligament: Le ikwayinxalenye efana nebhanti. Umsebenzi wayo kukubamba i-long biceps tendon, ekhankanyiweyo apha ngasentla, emngxunyeni ekufuneka ibe kuwo. Kufana nokuqinisa intambo nge-clip ukuze ingahambi.
- Ukukrazula kwe-SLAP: Ilungu legxalaba lakho liyibhola kunye ne-socket joint. I-labrum yindandatho ye-cartilage ejikeleze ilungu. Ukukrazula kwe-SLAP kwenzeka xa eli ndandatho likrazukile okanye lonakele. Ekubeni i-tendon ende ye-biceps inamathela kule ndandatho, nawuphi na umonakalo kuyo unokuchaphazela i-tendon.
- I-Biceps tendonitis:Oku kulula kakhulu. Oku kungenxa yokuba i-biceps tendon iyavuvukala kwaye ibe buhlungu ngenxa yokusetyenziswa kakhulu kwentshukumo efanayo.
Ngoko ke ulwenza njani olu vavanyo lukaYergason?
Olu luvavanyo olulula kakhulu. Ungahlala esitulweni okanye ume ngeenyawo.
1. Okokuqala, sondeza ingalo yakho emzimbeni wakho uze ugobe ingqiniba yakho ukuya kuma-90 degrees. Oku kuthetha ukuba ingalo yakho mayibe kwimo ka-'L' kwingqiniba. Ngeli xesha, intende yakho mayijonge phantsi.
2. Ngoku ugqirha uza kubeka iminwe embalwa yesandla esinye ngaphambili egxalabeni lakho, ukuze uve umngxuma we-bicipital apho i-biceps tendon iya khona.
3. Emva koko, ugqirha uza kubamba isandla sakho ngesinye isandla sakhe.
4. Ngoku uza kwenza izinto ezimbini. Gcina iingqiniba zakho zikufutshane nomzimba wakho uze ujikelezise ingalo yakho ngaphandle, ujike isandla sakho sibheke phezulu.
5. Njengoko usenza le ntshukumo, ugqirha uza kukunika amandla okuxhathisa ngesandla sakhe. Oku kuthetha ukuba uza kusebenzisa amandla ukuze kube nzima kuwe ukujikelezisa ingalo yakho.
6. Yenza uvavanyo olufanayo kwenye ingalo yakho, engebuhlungu, uze uthelekise ukuba kukho umahluko phakathi kweengalo ezimbini.
Yintoni isiphumo 'esihle'?
Kukho iindlela ezimbini zokuba olu vavanyo lube 'luhle'.
- Imvakalelo 'yokuklikha' okanye yokuqhawuka: Ukuba i-ligament enqamlezileyo ye-humeral ikrazukile, i-biceps tendon iya kuphuma emngxunyeni wayo xa ujikelezisa ingalo yakho. Le mvakalelo yokuqhawuka iya kuvakala ngathi 'yiklikha' okanye 'yi-thump' esandleni sikagqirha egxalabeni. Oku kuthetha ukuba i-ligament ebambe i-tendon endaweni yayo ikrazukile.
- Intlungu okanye ukuthamba: Ukuba uziva iintlungu ngaphambili kwegxalaba lakho ngexesha lovavanyo, ikwathathwa njengesiphumo 'esihle'. Le ntlungu ingabonisa imeko efana ne-'tendinopathy' (umonakalo wexesha elide kwi-tendon), 'tendinosis' (ukuqhekeka kwe-collagen kwi-tendon), okanye 'i-SLAP tear'.
Eyona nto ibalulekileyo kukuba iziphumo zovavanyo 'ezibonisa ukuba unayo' aziyonto yokugqibela ebangela ukuba ugqirha acinge ukuba kukho ingxaki.
Kwenzeka ntoni emva kolu vavanyo?
Emva kovavanyo lukaYergason, ugqirha wakho mhlawumbi uza kwenza ezinye izinto ezimbalwa.
- Ukongeza, kuza kwenziwa ezinye iimvavanyo ezilula zomzimba.
- Bacebisa ukuba wenze into efana ne-MRI scan ukuze ujonge ngaphakathi egxalabeni lakho.
Emva koku, kuya kwenziwa isicwangciso sonyango ngokusekelwe kwimeko yakho. Oku kungabandakanya:
- Ukuphumla
- Ukunyibilika komkhenkce
- Amayeza okubulala iintlungu kunye namayeza okulwa nokuvuvukala
- Iinaliti ze-steroid (iinaliti ze-Cortisone)
- Ulungiso lwenyama
- Kwezinye iimeko, utyando lunokwenziwa ukuze kususwe iindawo ezonakeleyo (`ukususwa` kwezicubu) okanye kufakwe kwakhona i-tendon (`i-biceps tenotomy` okanye `i-tenodesis`).
Ezinye iimvavanyo zentlungu yamagxa
Ukongeza kuvavanyo lukaYergason, kukho nezinye iimvavanyo ezilula ezisetyenziswa ngoogqirha ukuxilonga iingxaki zamagxa. Masizijonge ngokufutshane nezi. Jonga le theyibhile.
| Igama lovavanyo | Indlela yokwenza oku ilula. | Ungenza njani ukuba 'nesimo sengqondo esihle'? |
|---|---|---|
| Uvavanyo lukaYergason | Goba ingqiniba yakho i-90° uze ujikelezise ingalo yakho ngaphandle xa ugqirha engafuni. | Ukuva intlungu okanye isandi 'sokunqakraza' ngaphambili egxalabeni. |
| Uvavanyo lwesantya | Isandla, esijikwa phezulu size sigcinwe sithe nkqo ngaphandle kokugoba ingqiniba, siphakanyiswa ngokuchasene nokuchaswa ngugqirha. | Ukuva iintlungu egxalabeni okanye ubuthathaka xa uphakamisa ingalo. |
| Uvavanyo luka-O'Brien | Phakamisa ingalo yakho ethe tye ifikelele kwinqanaba lamagxa, uyijike kancinci ngaphakathi emzimbeni wakho, uze ukhombe ubhontsi wakho ezantsi. Njengoko ugqirha ecinezela ingalo yakho, uzama ukuyiphakamisa. | Ukuva iintlungu ngaphakathi kwegxalaba (ingakumbi xa ujika ubhontsi ujonge ezantsi). |
Zichane kangakanani ezi mvavanyo?
Uvavanyo lomzimba olufana nolu aluchanekanga ngokupheleleyo. Oko kukuthi, ngamanye amaxesha iziphumo zinokuthi 'hayi' kumntu onesifo, kwaye 'ewe' kumntu ongenaso isifo. Yiyo loo nto ugqirha engathembeli kuvavanyo olunye kuphela. Ufikelela kwisigqibo sokugqibela ngokudibanisa iimpawu ozichazayo, iziphumo zovavanyo oluninzi olunjalo, kwaye, ukuba kuyimfuneko, askeni iingxelo.
Umyalezo Wokuya Ekhaya
- Uvavanyo lukaYergason alulovavanyo lwegazi okanye iskeni. Luvavanyo olulula kakhulu oluza kwenziwa ngugqirha ngokuchukumisa umzimba wakho.
- Oku kunokukunika umbono weengxaki ikakhulu nge-biceps tendon.
- Ukuba uziva iintlungu okanye isandi sokuklikha ngexesha lovavanyo, oko kungabonisa ingxaki, kodwa akusiyo ingxaki eqinisekileyo.
- Ungaze uzixilonge ngokwakho xa uneentlungu emagxeni. Musa ukufuna ingcebiso kagqirha kwi-intanethi okanye uve ukuba abantu bathini.
- Ukuba uneentlungu emagxeni, eyona nto ingcono onokuyenza kukubona ugqirha wakho ngokukhawuleza. Uza kwenza uvavanyo olufunekayo aze akunike unyango olufanelekileyo.
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