Wake waba nobuhlungu obubukhali ehlombe lakho obuvame ukwenza umsindo wokuchofoza lapho uphakamisa into esindayo? Noma ingabe uhlushwa ubuhlungu behlombe obungapheli kungakhathaliseki ukuthi uthatha umuthi ongakanani noma ukuthi uphumula kangakanani? Imbangela yalokhu kungaba ukulimala kwemisipha ephezulu yemisipha yakho ye-biceps. Namuhla, sizokhuluma ngokuhlinzwa okukhethekile okwenzelwe isimo esinjalo.
Iyini le nqubo yokuhlinzwa ebizwa ngokuthi i-Biceps Tenodesis?
Kalula nje, i-Biceps Tenodesis inqubo yokuhlinzwa elungisa i-tendon exhumanisa imisipha ye-biceps yakho nehlombe lakho uma idabukile noma yonakele. Lo monakalo we-tendon ngezinye izikhathi ubizwa ngokuthi "i-Biceps Tendonitis" ngodokotela. Lokhu kuhlinzwa kuhilela ukukhulula i-tendon eyonakele ejoyintini lehlombe bese uyinamathisela kabusha ethanjeni lengalo engenhla (i-humerus). Lokhu kunciphisa ubuhlungu futhi kubuyisele amandla engalweni.
Ingabe nami ngizodinga lokhu kuhlinzwa? Ziyini izimpawu?
Kunezimpawu eziningana ezibonisa ukuthi ungase udinge lokhu kuhlinzwa. Ake sibheke ukuthi ziyini.
| Isibonakaliso | Kusho ukuthini lokhu? |
|---|---|
| Ubuhlungu obuqhubekayo behlombe | Ubuhlungu obungaphambili kwehlombe obungapheli naphezu kokuphumula, ukwelashwa ngokomzimba, noma imithi yobuhlungu. |
| Ukuzwa umsindo othi 'click' noma 'snap' | Kungazelelwe, uzwa umsindo omkhulu ohambisana nobuhlungu obukhulu ehlombe lakho noma engalweni yakho engaphezulu. |
| Ama-Cramps | Umuzwa wemisipha engalweni engenhla igoqana, ikakhulukazi lapho uphakamisa into esindayo. |
| "Popeye" Bulge | Uma i-tendon idabukile ngokuphelele, imisipha ye-biceps iyagoba bese ibukeka njengebhola, njengaku-cartoon ethi 'Popeye'. |
| Ukudumba nokuvuvukala | Ukulimala noma ukuvuvukala kungabonakala kusukela ehlombe kuya endololwaneni. |
| Ukungakwazi ukuphendula ingalo | Kuba nzima ukujikisa isandla ukuze isandla sibheke phezulu. |
Kungani le misipha ye-biceps idabuka?
Kungase kube nezizathu eziningana zalokhu.
- Ukuguga: Ngokuhamba kwesikhathi, imisipha emizimbeni yethu iyawohloka futhi ibe buthaka, okwenza kube lula ukuthi idabuke ngisho noma kunokulimala okuncane.
- Ezemidlalo: Lokhu kulimala kuvamile kubantu abadlala imidlalo edinga ingalo ukuba ibanjwe ngaphezu kwekhanda, njenge-baseball, ithenisi, nokubhukuda. Ukunyakaza okuphindaphindiwe kungalimaza umsipha.
- Okunye ukulimala kwamahlombe: Ngezinye izikhathi i-cartilage ngaphakathi kwejoyinti lehlombe iyadabuka (ukudabuka kwe-SLAP). Uma lokhu kwenzeka, i-biceps tendon enamathele kuyo nayo ingadabuka noma ihlukane.
Izindlela ezimbili eziyinhloko okwenziwa ngazo ukuhlinzwa
Lokhu kuhlinzwa kwenziwa ngezindlela ezimbili: ukuhlinzwa okuvulekile kanye nokuhlinzwa kwe-arthroscopic.
| Isici | Ukuhlinzwa Okuvulekile | Ukuhlinzwa kwe-Arthroscopy |
|---|---|---|
| Indlela yokwenza | Kwenziwa ukusika okuncane (3-4 cm) ngaphambili kwehlombe, kususwe umsipha owonakele, kubhobozwe imbobo encane ethanjeni lengalo, bese umsipha unamathiselwa kuwo kabusha. | Ukuhlinzwa kwenziwa ngokwenza izimbobo eziningana ezincane kakhulu ehlombe, lapho kufakwa khona ikhamera encane (i-arthroscope) kanye nezinsimbi. |
| Izibazi | Kusele isilonda esincane. | Kusele izibazi ezimbalwa ezincane kakhulu, ezingasabonakali kahle. |
| Ubuhlungu nokuphulukiswa | Nakuba ubuhlungu bungase bukhuphuke kancane ngemva kokuhlinzwa, ezinye izifundo zisikisela ukuthi abadlali bangase bakwazi ukubuyela ekudlaleni ngokushesha. | Ubuhlungu buyancipha ngemva kokuhlinzwa, futhi isikhathi sokululama singase sibe sifushane. |
| Izinkinga | Kungaba namahlule egazi, izifo, ukulimala kwemizwa, kanye nokuqina. | Kungaba namahlule egazi, izifo, kanye nokuqina (ingozi yokulimala kwemizwa iphansi). |
Into ebaluleke kakhulu ukuthi udokotela wakho uzonquma ukuthi iyiphi inqubo yokuhlinzwa engcono kakhulu kuwe, ngakho khuluma naye ngayo.
Kwenzekani ngemva kokuhlinzwa?
Ngisho noma ukuhlinzwa kuphumelele, ukuzinikela kwakho kubaluleke kakhulu ukuze ululame kahle.
- Ukugqoka I-Arm Sling: Kuzodingeka ugqoke i-arm sling ukuze uphumuze ingalo yakho amasonto amabili kuya kwayisithupha ngemva kokuhlinzwa.
- Ukulawulwa Kobuhlungu: Ungase uzwe ubuhlungu ezinsukwini ezimbalwa zokuqala. Sebenzisa imithi yobuhlungu njengoba udokotela wakho ekuyalele. Ukusebenzisa ama-ice packs kungasiza ekunciphiseni ukuvuvukala nobuhlungu.
- Ukwelashwa Komzimba: Lena yingxenye ebaluleke kakhulu yenqubo yokuphulukiswa. Ngemva kwamasonto ambalwa, kufanele uqale ukuvivinya umzimba ngaphansi kokuqondiswa ngudokotela wezokwelapha ngokomzimba, njengoba kuqondiswe udokotela wakho. Lokhu kuzokusiza ukuthi kancane kancane uthole amandla nokunyakaza ehlombe lakho.
- Ukululama okuphelele: Ukululama okuphelele kuvame ukuthatha phakathi kwezinyanga ezi-4 nezi-6, kodwa lesi sikhathi singahluka kumuntu nomuntu.
Ungasheshi! Uma uqala ukuphakamisa izinsimbi noma ukudlala imidlalo ngaphambi kokuba iphole ngokuphelele, imisipha ingaphinde idabuke. Ngakho-ke bekezela kuze kube yilapho udokotela wakho ethi "Kulungile."
Ingabe ikhona enye indlela?
Yebo, kukhona okunye ukuhlinzwa okubizwa ngokuthi "i-Biceps Tenotomy". Lokhu kuhilela kuphela ukusika nokukhulula i-tendon eyonakele esihlangwini sehlombe; ayinamathele ethanjeni. Nakuba lokhu kuyindlela elula yokuhlinzwa, kunethuba elikhulu lokuthi i-"Popeye" iqhubu likhule ngemva kokuhlinzwa.
Isikhathi sokubona udokotela ngokushesha
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemva kokuya ekhaya ngemva kokuhlinzwa, shayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Uma isilonda siphuma igazi kakhulu futhi singayeki ngisho noma sicindezelwe.
- Ubuhlungu bukhulu kangangokuthi abukwazi ukulawulwa ngisho nangemithi yobuhlungu.
- Uma ukuvuvukala esandleni sakho kuya kuba kubi kakhulu.
- Ukuba ndikindiki noma ukulahlekelwa umuzwa eminweni noma esandleni.
- Ukushintsha kombala wesandla noma iminwe (eluhlaza okwesibhakabhaka/emnyama) noma izandla ezibandayo ngokungavamile.
- Ukubomvu, ukuvuvukala, ubuhlungu obandayo, noma uketshezi olufana nobovu oluphuma endaweni yokuhlinzwa.
- Umkhuhlane (ngaphezu kuka-101 F / 38.3 C).
Umlayezo Wokuya Nawe Ekhaya
- I-Biceps Tenodesis iyindlela yokuhlinzwa ephumelela kakhulu yokwelapha ubuhlungu behlombe obubangelwa ukudabuka kwemisipha ye-biceps. Inezinga lempumelelo elingaphezu kuka-70%.
- Kungathatha izinyanga ezingu-4-6 ukululama ngokuphelele, futhi kubaluleke kakhulu ukuba nesineke phakathi nalesi sikhathi.
- Ukwelashwa ngokomzimba kuyingxenye ebalulekile yenqubo yokuphulukiswa. Ungakweqi.
- Ungaqhubeki nokuphakamisa izinsimbi noma ukudlala imidlalo ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungabangela ukuphinda ukulimala.
- Uma unemibuzo mayelana nesimo sakho, ukuhlinzwa, noma inqubo yokululama, ungesabi ukubuza udokotela wakho.
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