Ake sifunde ngokuhlolwa kukaYergason kobuhlungu behlombe.

Ingabe nawe unezinkinga ezifana nobuhlungu behlombe, ubunzima bokuphakamisa ingalo yakho, noma umsindo "wokuchofoza" ovela ehlombe lakho? Ngezinye izikhathi odokotela bethu benza izivivinyo zomzimba ezikhethekile ukuthola imbangela eqondile yalezi zinto. Olunye ukuhlolwa okubaluleke kangaka lubizwa ngokuthi i-Yergason's Test . Ake sixoxe ngalokhu namuhla ngendlela elula ongayiqonda, kulungile?

Kuyini Ukuhlolwa KukaYergason?

Kalula nje, i-Yergason's Test ukuhlolwa okukhethekile ngokomzimba okwenziwa odokotela bethu. Inhloso eyinhloko yalokhu ukuthola noma yimuphi umonakalo emisipheni yethu ye-biceps, ikakhulukazi ikhanda elide le-biceps tendon enamathela ehlombe. Akukhona lokho kuphela, lokhu kuhlolwa kunganikeza nombono wezinye izinto eziningana. Isibonelo:

• Ingabe udabukile emgogodleni wakho onqamulayo we-humeral?
• Ingabe kukhona ukulimala okukhethekile ehlombe okubizwa ngokuthi i-SLAP tear?
• Ingabe kukhona isimo esibizwa ngokuthi i-biceps tendonitis?

Manje ungase ucabange ukuthi la magama ayinkimbinkimbi kancane. Ungakhathazeki, masikwenze kube lula.

Okokuqala, imisipha yethu ye-biceps ikuphi?

Ama-biceps yimisipha wonke umuntu ayaziyo ephakamayo uma ugoba ingalo yakho ukuze "ubonise imisipha yakho." Atholakala phezulu kwengalo yethu engenhla, i-humerus, okuyithambo eliqala ehlombe liye endololwaneni. Imisipha ye-biceps isisiza ngemisebenzi eminingi, njengokuphakamisa izinsimbi, ukugoba izindololwane zethu, nokwelula izingalo zethu ngaphezu kwamakhanda ethu.

Ngakho-ke, ikhanda elide le-biceps tendon likuphi?

Ama-tendon ayizicubu eziqinile ezixhumanisa imisipha namathambo. Imisipha yethu ye-biceps inemisipha emithathu eyinhloko.

• Imisipha emibili ixhumanisa i-biceps nejoyinti lehlombe. Ikhanda elide le-biceps tendon linamathela ku-glenoid, i-socket ephezulu kwejoyinti lehlombe.
• Enye i-tendon emfushane (ikhanda elifushane le-tendon ye-biceps) inamathela enkambisweni ye-coracoid yethambo lehlombe (i-scapula).
• I-tendon yesithathu ixhumanisa imisipha ye-biceps nethambo le-radius engalweni yethu, ngaphezu nje kwendololwane.

Ukuhlolwa kukaYergason kuthinta kakhulu imisipha emide enamathela ehlombe.

Iyini i-transverse humeral ligament?

Lona umsipha omncane, obanzi, ovundlile. Ama-ligament yizicubu ezixhumanisa amathambo. Lo msipha ovundlile we-humeral utholakala ngqo "ebholeni" lethambo lethu elingaphezulu lengalo (i-humerus), ngaphezu kwekhanda elide le-biceps tendon. Into ebaluleke kakhulu eyenziwa yilo msipha ukugcina ikhanda elide le-biceps tendon endaweni yalo emseleni obizwa ngokuthi umfula ovundlile we-bicipital, nokuwugcina ungaphumi lapho sishukumisa ingalo yethu. Lo msipha ubanjwa endaweni yawo njengebhande.

Kuyini ukukhala kwe-SLAP?

I-SLAP isifinyezo se-Superior Labrum Anterior kuya ku -Posterior tear. I- labrum iyindandatho ye-cartilage ezungeze umgodi we-glenoid, noma "isokhethi," yejoyinti lehlombe. I-labrum isiza ukugcina ijoyinti lehlombe lizinzile. Ukudabuka kwe-SLAP kuwukulimala engxenyeni engenhla yale labrum, kusukela phambili kuya emuva - kungaba ukudabuka, ukudabuka, noma ukudabuka okuphelele. Okubalulekile, ikhanda elide le-biceps tendon linamathela engxenyeni engenhla yale labrum. Ngakho-ke uma i-labrum ilimele, kunethuba elikhulu lokuthi izothinta ne-biceps tendon.

Kuyini i-biceps tendonitis?

Lokhu kusho ukuthi kukhona ukuvuvukala noma ukucasuka emsipha wethu we-biceps ongenhla, ikakhulukazi umsipha omude. Lesi simo sibangelwa ukusetshenziswa ngokweqile komsipha, njengokunyakaza okuphindaphindiwe, ukuphakamisa okunzima, njll. Umsipha we-biceps ungavuvukala ngenxa yeminyaka eminingi yokuguga nokuklebhuka ehlombe.

Ukuhlolwa kukaYergason kwenziwa kanjani?

Cabanga ngendlela udokotela angenza ngayo lokhu kuhlolwa uma uya kudokotela ngenxa yobuhlungu behlombe.

1. Kufanele uhlale noma ume uqonde. Beka izingalo zakho phansi ngokwemvelo emaceleni akho, ingemuva lesandla sakho libheke phambili.

2. Okulandelayo, udinga ukugoba indololwane yakho ibe yi-engeli engama-90 degrees (flex). Into ebaluleke kakhulu ukugcina indololwane yakho nengalo engenhla eduze komzimba wakho. Isandla sakho kufanele sisabheke phansi.

3. Manje udokotela uzobeka iminwe yesandla esisodwa ngobumnene ngaphambili kwehlombe lakho, lapho kukhona khona umsele we-bicipital (lapho kutholakala khona i-transverse humeral ligament kanye ne-tendon ende ye-biceps). Lokhu kungenxa yokuthi bafuna ukuzwa noma yikuphi ukunyakaza lapho ngesikhathi sokuhlolwa.

4. Ngesinye isandla sakhe, uzobamba ingalo yakho. Lokhu kwenzelwa ukunikeza ukumelana okuncane lapho ushukumisa ingalo yakho.

5. Ngemuva kwalokho, ucelwa ukuthi wenze ukunyakaza okubili ngesikhathi esisodwa:

• Ukugcina izindololwane zakho ziseduze nomzimba wakhoUdinga ukuzungezisa ingalo yakho ngaphandle, izintende zibheke phezulu.
• Ngesikhathi esifanayo, udinga futhi ukuhambisa ingalo yakho ngaphandle kancane emzimbeni wakho.

Lokhu kuhlolwa okufanayo kwenziwa kwesinye isandla sakho "esihle", leso esingenabuhlungu. Qhathanisa lokhu okubili ukuze ubone ukuthi kukhona yini umehluko.

Kusho ukuthini ukuthi ukuhlolwa kweYergesson kube "okuhle"?

Lokhu kuhlolwa kubhekwa "njengokuqinisekile" uma okulandelayo kwenzeka:

• Uma i-ligament yakho ye-humeral enqamukile idabuke, iminwe kadokotela ehlombe lakho izozwa umuzwa "wokuchofoza" noma wokuqhekeka. Lokhu kungenxa yokuthi umsipha omude we-biceps, owawubanjwe ngokuphephile yi-ligament, manje usuphuma emseleni we-bicipital.
• Futhi, uma uzwa ubuhlungu noma ukuthamba ehlombe lakho ngesikhathi sokuhlolwa, lokho futhi kuyisibonakaliso "esihle". Lolu hlobo lobuhlungu lungabonisa isimo esifana ne-tendinopathy (ukuphazamiseka kwesikhathi eside kwe-tendon), i-tendinosis (ukuwohloka kwe-protein collagen ku-tendon), noma ukudabuka kwe-SLAP.

Kunembile kangakanani lokhu kuhlolwa?

Kuthiwa ukuhlolwa kukaYergason kunomuzwa ongu-43% kanye nokucaciswa okungu-79% ekutholeni izinkinga nge-biceps tendon.

Kuyini ukuzwela kanye nokucaciswa kokuhlolwa?

Nakuba la magama amabili engase abonakale ewusizo kwezokwelapha, kulula ukuwaqonda.

• Ukuzwela kubhekisela ekhonweni lokuhlolwa lokuhlonza ngokunembile abantu abanesifo ngempela ngokuthi "yebo, nginaso lesi sifo." Uma ukuzwela kuphakeme, kulapho kuba khona khona ukungalungi okuncane.
• Ukucacisa kubhekisela ekhonweni lokuhlolwa lokuhlonza ngokunembile abantu abangenaso isifo ngempela ngokuthi "cha, isifo asikho." Uma ukucacisa kuphakeme, kulapho kuba khona khona amaphutha ambalwa.

Uma la maphesenti amabili esondele ku-100%, kulapho ukuhlolwa kunembe khona ekuxilongeni lesi sifo. Kodwa khumbula, ukuhlolwa okukodwa kuphela akukwazi ukuba yisiphetho ngaso sonke isikhathi.

Wenzani ngemva kwalokhu kuhlolwa?

Uma ukuhlolwa kukaYergason "kukuhle," noma uma udokotela ecabanga ukuthi udinga ulwazi olwengeziwe, angenza okulandelayo:

• Ezinye izivivinyo zomzimba: Kungenziwa ezinye izivivinyo ezikhethekile, njengokuhlolwa kukaSpeed ​​noma ukuhlolwa kuka-O'Brien. Ake sizibheke kafushane nazo.
• Ukuhlolwa kwezithombe:Into efana ne-MRI (Magnetic Resonance Imaging) scan ingayalwa ukuze ibheke ngaphakathi kwehlombe.
• Izincomo zokwelapha:
• Ukuphumula: Ukuphumula ihlombe kubaluleke kakhulu.
• Iqhwa: Ungafaka iqhwa imizuzu eyi-15-20 izikhathi eziningana ngosuku ukuze unciphise ubuhlungu nokuvuvukala.
• Imithi yokulwa nokuvuvukala: Udokotela unikeza imithi yokunciphisa ubuhlungu nokulawula ukuvuvukala.
• Imijovo ye-Cortisone: Ngezinye izikhathi, umuthi obizwa ngokuthi i-cortisone ungafakwa ngqo ehlombe, okunganciphisa ubuhlungu nokuvuvukala ngokushesha.
• Ukwelashwa ngokomzimba: Ngosizo lochwepheshe bezokwelapha ngokomzimba, ungenza izivivinyo eziqinisa imisipha yamahlombe futhi zandise ukuguquguquka.
• Ukususwa kwezicubu ezidabukile, ezidabukile, noma ezikhululekile ngaphakathi kwejoyinti lehlombe (ngokuvamile ngokusikwa okuncane njenge-arthroscopy).
• Okunye ukuhlinzwa: Ngezinye izikhathi, kuye ngokuthi imbangela ikuphi, ukuhlinzwa okufana ne-biceps tenotomy (ukusika i-tendon) noma i-tenodesis (ukuhlanganisa kabusha i-tendon kwenye indawo) kungadingeka.

Ukuhlolwa okwengeziwe ukuthola izinkinga zamahlombe

Ake sifunde kancane ngokuhlolwa kukaYergason, kanye nezinye izivivinyo ezimbalwa ezisetshenziswa odokotela.

Ukuhlolwa kwesivinini

Lokhu okunye ukuhlolwa ngokomzimba okwenzelwa ukubheka izinkinga nge-biceps tendon, ikakhulukazi izinkinga zekhanda elide le-biceps tendon, njengokudabuka kwe-SLAP noma i-tendinopathy yehlombe.

Indlela yokukwenza (elula):

Uzoma nengalo yakho eceleni kwakho, intende yesandla ibheke phambili. Ngaphandle kokugoba indololwane yakho, phakamisa ingalo yakho ngokunyakaza okuyisiyingi (njengokuphonsa ibhola) kuze kube yilapho ingaphezulu kwehlombe lakho (nge-engeli engama-degree angu-90). Njengoba uphakamisa ingalo yakho ngale ndlela, udokotela uzobeka esinye sezandla zakhe engalweni yakho futhi akunike ukumelana okuthile.

Kukhona futhi izinhlobo zalokhu. Udokotela uzokhetha indlela efanele kuye ngohlobo lobuhlungu.

Ungaba kanjani "nombono omuhle"?

Uma uzwa ubuhlungu noma ubuthakathaka phakathi nalolu vivinyo, ukuhlolwa "kuqondile." Ubuhlungu bungase bubonise ukuvuvukala kwe-biceps tendon (biceps tendonitis) noma i-SLAP lesion. Uma uzizwa ubuthakathaka (okungukuthi, awukwazi ukuphakamisa ingalo yakho), ungase udabuke ku-biceps tendon.

Ukunemba: Lokhu kuhlolwa kukhombisa ukuzwela okungu-32% kanye nokucaciswa okungu-75% kokuthola izinkinga nge-biceps tendon.

Ukuhlolwa kuka-O'Brien

Lokhu okunye ukuhlolwa okusetshenziselwa ukuthola izinkinga zemisipha ye-biceps, ikakhulukazi ukulimala kwekhanda elide lemisipha ye-biceps kanye nezilonda ze-SLAP.

Indlela yokukwenza (elula):

Ngesikhathi umile noma uhleli, phakamisa ingalo yakho iqonde phambi kwakho iye ezingeni lamahlombe (ama-degree angu-90). Bese uphendulela ingalo yakho ngaphakathi kancane emzimbeni wakho (ukwengezwa kwama-degree angu-10). Manje phendulela ingalo yakho ukuze isithupha sakho sibheke phansi kanti intende yakho ibheke kude nomzimba wakho. Njengoba udokotela efaka ingcindezi eyehlayo phezulu kwengalo yakho, kufanele ufake amandla kuyo. Okulandelayo, phendulela ingalo yakho ukuze intende yakho ibheke phezulu, bese uphinda usebenzise amandla ngokumelene nengcindezi eyehlayo esetshenziswa udokotela.

Ungaba kanjani "nombono omuhle"?

Uma uzwa ubuhlungu lapho wenza lokhu kuhlolwa, ukuhlolwa "kuqondile." Ubuhlungu esihlanganyelweni sehlombe bungase bubonise isilonda se-SLAP. Uma ubuhlungu buncipha lapho uphendula ingalo yakho, lokho kwenezela ubufakazi obengeziwe bokuthi une-SLAP crim.

Ukunemba: Lokhu kuhlolwa kukhombisa ukuzwela okungu-38% kanye nokucaciswa okungu-61% kokuthola izilonda ze-SLAP.

Okubalulekile: Ungazami noma yikuphi kwalokhu kuhlolwa wena. Lokhu kuhlolwa kufanele kwenziwe udokotela oqeqeshiwe kuphela.

Okokugcina, khumbula lokhu (Umyalezo Wokuya Ekhaya)

Ukuhlolwa kukaYergason kuwukuhlolwa okubalulekile ngokomzimba okungahlonza ngokushesha nangokulula ezinye zezinkinga nge-biceps tendon engabangela ubuhlungu emahlombe. Ikakhulukazi, kungasiza ekuhlonzeni izimo ezifana nokulimala kwe-biceps tendon ekhanda elide, ukudabuka kwe-humeral ligament, ukudabuka kwe-SLAP, kanye ne-biceps tendonitis.

Kodwa khumbula, ukuhlolwa "okuqinisekile" okunjengalokhu akusho ukuthi uzothola noma yini engathi sína. Udokotela wakho uzokwenza ukuhlolwa okwengeziwe futhi akuqhathanise nezimpawu zakho ukuze enze ukuxilongwa okuqondile. Ngemuva kwalokho, wena nodokotela wakho nizosebenzisana ukuthuthukisa uhlelo lokwelashwa olufanele wena. Lokhu kungafaka phakathi ukwelashwa okulondolozayo njengokuphumula, iqhwa, iziqeda-buhlungu, kanye nokwelashwa ngokomzimba, kanye nezinketho zokuhlinzwa uma kudingeka.

Ngakho-ke, uma unesihlungu esingapheli emahlombe, ungesabi ukubona udokotela. Uzokusiza.

Ukuhlolwa kwe- Yergason, i-biceps tendon, ubuhlungu behlombe, ukudabuka kwe-SLAP, i-tendinitis, ukuhlolwa kwehlombe, ukuhlolwa komzimba