Ingabe ihlombe lakho liyaqhuma njalo? Ake sifunde ngale Bankart Lesion!

Wake wakhumuka ihlombe lakho? Noma wake wawa ngesikhathi udlala imidlalo futhi waba nobuhlungu obukhulu ehlombe lakho okwenze kwaba nzima ukuhambisa ingalo yakho? Mhlawumbe nawe ungathanda ukwazi ngesimo esibizwa ngokuthi i-Bankart Lesion. Ake sixoxe ngakho kalula nangendlela enenhlonipho.

Iyini le Bankart Lesion?

Kalula nje, ukudabuka kwe-Bankart kuwukulimala kwezicubu ezixhumeneyo okusiza ukubamba ihlombe lakho endaweni yalo, isokhethi, endaweni yalo. Lokhu kwenzeka lapho ihlombe lakho lisunduzelwa phambili futhi liphuma eceleni kwesokhethi yalo, kulimaze leso zicubu.

Ake sibheke ukuma kwehlombe?

Ihlombe lakho liyilunga elakhiwe yingxenye engenhla eyindilinga yethambo elikhulu engalweni yakho engenhla (i-humerus) efakwa kusokhethi ehlombe lakho (i-scapula). Lesi sokhethi sizungezwe yindandatho ye-cartilage. Yilokhu okunikeza ukwesekwa okuhle kanye nokuqina kwelunga lehlombe.

Le ndandatho ye-cartilage yilokho esikubiza ngokuthi i-'Glenoid Labrum' . Ake ucabange nje, bekuzokwenzekani uma ithambo lakho lehlombe liphuma kuleyo socket bese lishaya le glenoid labrum? Khona-ke le labrum ingadabuka, noma ingaphuma ngisho nasethanjeni. Yilokhu esikubiza ngokuthi i-Bankart Lesion.

Udokotela angabuyisela ihlombe lakho eliphumile endaweni yalo. Kodwa-ke, lokhu ngeke kuphulukise ukulimala kwe-Bankart. Lokhu ukulimala kwesikhathi eside okwenza ihlombe lakho lingazinzile, okusho ukuthi kungenzeka ukuthi ihlombe lakho liphuke futhi.

Kuvame kangakanani lokhu kulimala?

Ukuhlukana kwehlombe kuwukulimala kwehlombe okuvamile kakhulu. Kuthinta cishe u-1% wabantu. Cishe u-90% wokuhlukana kwehlombe ukuhlukana kwangaphambili, okusho ukuthi ithambo lisunduzelwa phambili ngesokhethi.

Yilapho i-glenoid labrum ingase yonakale khona kakhulu lapho ihlombe liphonswa phambili. Eqinisweni, phakathi kuka-87% no-100% walokho kuphonswa kuholela ekulimaleni kwaleli hlombe. Ngakho-ke, uma uphumile ehlombe lakho, kungenzeka kakhulu ukuthi ukhale i-Bankart.

Iyini iBony Bankart Lesion?

Udokotela wakho angase athi 'unesilonda se-Bankart'. Lokhu kusho ukuthi i-glenoid labrum yakho kanye nethambo elisesokhethini lehlombe (i-glenoid) lonakele. Lokhu kusho ukuthi izicubu ziklebhukile futhi ithambo liphukile noma ingxenye encane iphumile.

Lezi zilonda ze-osseous Bankart azivamile kakhulu kunezilonda ze-fiber Bankart, ezilimaza i-labrum kuphela. Kodwa-ke, zibonakala cishe kuma-73% ezimo zokukhumuka kwamahlombe angaphambili.

Yini ebangela lokhu?

Ukwenyuka kwehlombe noma i-glenoid labrum kwenzeka lapho ithambo elisehlombe lakho lihlukana futhi izicubu ezisekelayo ezizungezile zidabuka. Ihlombe eliphukile liwukulimala okubuhlungu okubangelwa amandla amaningi.

Kunezizathu eziningana eziyinhloko zalokhu:

• Izingozi zemoto: Njengalapho ushayiswa yimoto.
• Izingozi zemidlalo: Kungenzeka ehlombe uma ucwila futhi uwa ngenkathi udlala ikhilikithi, noma uma udlala i-rugby noma i-volleyball.
• Ukuwa: Uma uwa usuka endaweni ephakeme noma ushelela bese uwa, ungakhubeka ihlombe lakho.

Cabanga nje, ubugibele ibhayisikili lakho bese ngokuzumayo ubhuleka bese uwela, ushaye ihlombe lakho bese ungawa. Noma, kuthiwani uma ukhubeka esihlalweni ngenkathi wenza imisebenzi yasekhaya bese ushaya ihlombe lakho? Izinto ezinjalo zingabangela lokhu kulimala.

Ziyini izimpawu?

Ungase ube nezimpawu ezifana nalezi nge-Bankart lesion:

• Ubuhlungu behlombe: Ungase uzwe ubuhlungu kulo lonke ihlombe lakho, noma ungase uzwe ubuhlungu ngaphambili nangaphansi kwe-socket yehlombe lakho. Bheka ukuthi lobu buhlungu buyaqhubeka yini futhi abupheli ngokuphumula.
• Ukunyakaza okulinganiselwe: Ukunyakaza kwamahlombe, njengokuphakamisa ingalo yakho, ukuphonsa okuthile, noma ukufinyelela okuthile phezulu, kungaba nzima. Abanye abantu bangase babe nobunzima bokugqoka izingubo noma ukubopha amabhande abo esihlalo emotweni.
• Izimpawu zomshini: Uma ihlombe lishukunyiswa ngendlela ethile, kungase kube nomsindo "wokuqhekeka" noma umuzwa wokugaya . Ngezinye izikhathi, ithambo lingase lizizwe sengathi liyabanjwa bese kuba nobuhlungu.
• Ukungazinzi kwamahlombe: Ungase uzizwe sengathi ihlombe lakho likhululekile, noma ithambo libonakala linyakaza kakhulu uma ujikeleza ihlombe lakho. Ungase ukhumule ngisho nehlombe lakho.

"Umngane wami waya kodlala ikhilikithi washayela wakhumula ihlombe lakhe. Udokotela walibuyisela ihlombe, kodwa okwesikhashana ngemva kwalokho akakwazanga ukuphonsa ibhola noma ukuphakamisa lutho. Bathi kwakuyihlombe elikhululekile nje. Kungemva kwesikhathi lapho ngathola khona ukuthi kwakuwukulimala kweBankart."

Ukubona kanjani lokhu ngqo?

Udokotela uzoqala akubuze ngokulimala kwehlombe – ukuthi kwenzeke nini, kwenzeke kanjani , ukuthi kwake kwenzeka yini ngaphambili, njll. Ngemuva kwalokho bazohlola ijoyinti lehlombe ukuze babone ukuthi kukhona yini ukungazinzile.

Ngemuva kwalokho, kwenziwa izivivinyo zokuthwebula izithombe ukuze kubhekwe ukulimala. Lokhu kuvame ukufaka phakathi i-X-ray kanye ne-MRI (Magnetic Resonance Imaging). Udokotela ufuna ukubona ukuthi umonakalo ongakanani owenzekile ku-glenoid labrum nokuthi ngabe kukhona yini okunye ukulimala. I-MRI scan ingabona ngokucacile lolu hlobo lomonakalo wezicubu ezithambile.

Ingabe izilonda ze-Bankart zihlala zidinga ukuhlinzwa?

Akuzona zonke izinyembezi ze-glenoid labrum ezidinga ukuhlinzwa. Kodwa ezinye ziyakwenza lokho. Izinyembezi ze-Bankart ngezinye izikhathi zingaphola zodwa, kodwa zingase zingapholi kahle njengoba zingaphola ngokuhlinzwa. Udokotela wakho angase akuncome ukuhlinzwa uma:

• Uma i-glenoid labrum yakho ihlukane ngokuphelele nethambo, kuzodingeka ukuhlinzwa ukuze ixhunywe kabusha ethanjeni.
• Uma unethambo le-Bankart futhi ingxenye yethambo isiphumile.
• Uma ihlombe lakho lihlala lingazinzile ngenxa yokulimala kwangaphambilini futhi uvame ukugxuma.
• Uma ihlombe libaluleke kakhulu emisebenzini yakho yansuku zonke noma emsebenzini owenzayo (isibonelo, njengomsubathi noma umbazi).

Kwenzekani uma ingelashwa?

Izilonda ze-Bankart zingaphola ngaphandle kokwelashwa, kodwa azipholi kahle ngaso sonke isikhathi. Ngezinye izikhathi ihlombe lingahlala lingazinzile. Lokhu kwandisa ingozi yokuphinda liqhume futhi kudabuke kakhulu.

Udokotela wakho angakutshela kangcono ukuthi ukulimala kwakho kuzophola kahle ngokwako. Ngisho noma ungahlinzwanga, udinga ukunakekela kahle ihlombe lakho ukuze uqinisekise ukuthi liphola kahle.

Leli nxeba lingaphulukiswa kanjani ngokuhlinzwa?

Ngesikhathi sokuhlinzwa kokuphuka kwe-Bankart, izicubu ezifile noma ezonakele ziyasuswa bese ukudabuka kulungiswa ngezicubu ezinempilo. Uma kudingeka, udokotela ohlinzayo uzophinde anamathisele i-glenoid labrum yakho ethanjeni le-glenoid.

Ukuze benze lokhu, odokotela abahlinzayo banamathisela izikhonkwane ezincane ethanjeni elisesokhethini, bese bethunga izicubu ze-glenoid labrum ezikhonkwaneni. Bese, izikhonkwane ziqiniswa ngokucophelela ukuze kuqiniswe ilunga. Lokhu ngezinye izikhathi kubizwa ngokuthi i-Bankart Repair .

Indlela ye-Arthroscopy

Ngokuvamile, odokotela abahlinzayo bangenza lokhu kulungiswa kwe-Bankart besebenzisa i-arthroscopy yamahlombe . Lokhu kusho ukwenza ukusika okuncane, ukufaka ithubhu elincane elinekhamera (i-`arthroscope`) ngalo, bese benza ukuhlinzwa ngalolo thubhu.

Izindlela zokuhlinzwa ezingangenisi kakhulu njengalezi zinganciphisa izikhathi zokululama futhi zenze ukululama kube lula. Kodwa-ke, kwezinye izingozi ezinkulu, ukuhlinzwa kwehlombe elivulekile kungadingeka ukuze kuphole kahle.

Injani inqubo yokuvuselelwa?

Kungakhathaliseki ukuthi uhlinzwe noma cha, ihlombe lakho lizodinga kokubili ukuphumula kanye nokuvuselelwa ukuze lilulame. Lokhu kusho ukuthi kuzodingeka ugqoke i-sling ukuze uvimbele ihlombe lakho amasonto amaningana. Ngemva kwalokho, uzodinga ukwelashwa ngokomzimba .

Udokotela wezokwelapha uzokunikeza uchungechunge lwezivivinyo. Lokhu kuzokusiza kancane kancane ukuthi ubuyisele amandla emisipha kanye nobubanzi bokunyakaza. Lokhu kuzosiza ekuqiniseni ilunga futhi kunciphise ingozi yokulimala kabusha.Kubaluleke kakhulu ukwenza lezi zivivinyo zokwelapha ngokomzimba njengoba nje kuyalelwe.

Iyini inhloso yalokhu kulimala?

Ungase udinge ukuhlinzwa noma ungadingi ukuhlinzwa ngenxa yesilonda saseBankart. Kodwa-ke, umbono uvame ukuba muhle. Iningi labantu liyalulama kahle ngenxa yesilonda saseBankart. Kodwa-ke, kungathatha izinyanga eziyisithupha ukululama ngokuphelele.

Ingozi enkulu ngemva kokululama ukuthi ukungazinzile kwehlombe kuzoqhubeka, okubangela ukuthi ihlombe liphinde liqhume futhi i-labrum idabuke. Le ngozi iyancipha uma uhlinzwa futhi wenza ukwelashwa ngokomzimba ngendlela efanele.

Uyini umehluko phakathi kwesilonda saseBankart nesilonda saseHill-Sachs?

Isilonda saseHill-Sachs kanye nesilonda saseBankart zombili zingenzeka ngesizathu esifanayo, ngokuvamile ngesikhathi esisodwa. Uma ithambo lakho lehlombe liqhuma kakhulu, lishaya unqenqema lwesokhethi lehlombe.

Lokhu kungadabula i-cartilage ezungeze isokhethi (i-glenoid labrum yakho). Lokhu kubizwa ngokuthi i-Bankart lesion. Lokhu kulimala kungalimaza nethambo lehlombe ngokwalo, kubangele ukubhoboka kulo. Lokhu kubizwa ngokuthi i-Hill-Sachs defect noma i-lesion.

Uyini umehluko phakathi kwesilonda se-Bankart kanye nokwenyuka kwe-SLAP?

Ukukhala kwe-SLAP kungolunye uhlobo lokudabuka ku-glenoid labrum. Lokhu kwenzeka engxenyeni engenhla ye-labrum, kusukela phambili kuya emuva. Igama elithi SLAP livela esifinyezweni esithi Superior Labrum Anterior kuya ku -Posterior .

Lolu hlobo lokudabuka aluvamile ukubangelwa ukulimala kwehlombe. Kunalokho, luvame ukubangelwa ukunyakaza okunamandla kwehlombe. Lungenzeka ngokuzumayo, noma lungenzeka kancane kancane ngokuhamba kwesikhathi ngenxa yokucindezeleka okuphindaphindiwe. Cabanga ngakho njengomdlali we-volleyball ogxuma futhi eshaya ngokuphindaphindiwe.

Izimpawu kanye nezinkinga ezingaba khona zezilonda zeBankart kanye ne-slap tears zifana kakhulu. Zombili zingabangela ukungazinzile kwejoyinti lehlombe, okubangela ubuhlungu kanye nengozi eyengeziwe yokuphuma kwejoyinti. Zombili zingadinga ukuhlinzwa.

Uma ungakhumbuli ukukhumuka kwehlombe lakho, futhi uzwa ubuhlungu ngaphezu kwesokhethi lakho lehlombe, cishe une-slap tear. Uma ubuhlungu busengaphambili nangaphansi, kungaba ukukhumuka kwe-Bankart.

Okokugcina, izinto okufanele uzikhumbule

Uma uqhuzuka ehlombe lakho, kungenzeka ukuthi uqhuzukile ne-glenoid labrum yakho. Lokhu kulimala kungaba nemiphumela ebanzi ngale kokuqhuzuka ehlombe. Kwezinye izimo, kungadingeka ukuhlinzwa ukuze kulungiswe.

Ukwelashwa ekulimaleni kwe-Bankart kudinga isikhathi nomzamo. Kungathatha izinyanga zokwelapha ngokomzimba. Kodwa-ke, abantu abaningi, ngisho nabadlali bezemidlalo, abaqeda lolu hlelo baphinde bathole ukusebenza okugcwele ehlombe labo. Ngakho-ke, ungesabi futhi ulandele imiyalelo kadokotela wakho ngokucophelela.Ngikufisela ukululama okusheshayo!

Ukuqhekeka kwehlombe , i-Bankart lesion, i-Glenoid labrum, Ubuhlungu behlombe, Ukuhlinzwa kwehlombe, Ukwelashwa ngokomzimba, Ukulimala kwezemidlalo