Ingabe ihlombe lakho libuhlungu ngaso sonke isikhathi? Ukhathele ubuhlungu obuvela ngaphakathi kwehlombe lakho uma uphakamisa izinsimbi, udlala ezemidlalo, noma umane uphakamisa ingalo yakho? Ingabe ngezinye izikhathi uzwa umsindo othi "chofoza" engalweni yakho engenhla bese uzizwa sengathi ujikijelwa ubuhlungu obukhulu? Lokhu kungaba yinkinga nge-tendon exhumanisa imisipha yakho ye-biceps. Ngakho-ke namuhla, ake sixoxe ngokuhlinzwa okubizwa ngokuthi i-Biceps Tenodesis, okungaba yisisombululo salesi simo.
Kalula nje, iyini i-Biceps Tenodesis?
I-Biceps Tenodesis inqubo yokuhlinzwa elungisa ukudabuka noma ukulimala kwekhanda elide le-biceps tendon exhumanisa imisipha yakho ye-biceps nehlombe lakho. Ngokukhethekile, le tendon inamathela engxenyeni ye-cartilage (i-labrum) ngaphakathi kwejoyinti lakho lehlombe. Uma le tendon idabuka noma ivuvukala (i-biceps tendonitis), ingabangela ubuhlungu obukhulu kanye nobuthakathaka ehlombe lakho nasengalweni.
Ngakho-ke kulokhu kuhlinzwa, udokotela ohlinzayo ukhulula umsipha owonakele ngaphakathi kwehlombe bese ewunamathisela ethanjeni lengalo elingaphezulu (i-humerus). Lokhu kufana nokususa ingxenye ephukile yebhuloho bese eyinamathisela endaweni entsha, eqinile.
Ingabe nami ngizodinga lokhu kuhlinzwa? Ziyini izimpawu?
Bheka ukuthi unazo yini lezi zimpawu ukuze ubone ukuthi sekuyisikhathi sokuthi ucabangele lokhu kuhlinzwa.
| Isibonakaliso | Incazelo |
|---|---|
| Ubuhlungu obuqhubekayo behlombe | Ubuhlungu behlombe obungapheli naphezu kokuphumula, ukwelashwa ngokomzimba, noma imithi yobuhlungu. |
| Ubuhlungu obukhulu obungazelelwe nomsindo | Ukuzwa umsindo othi "click" noma "tuck" obangela ubuhlungu obubukhali obungazelelwe engalweni engenhla. |
| Ukugoba ingalo | Ukuqaqamba kwemisipha yengalo engenhla, ikakhulukazi lapho uphakamisa izinto ezisindayo. |
| "UPopeye Bulge" | Kubonakala inqwaba yenyama ekhukhumele ngendlela engavamile (i-Popeye bulge) engalweni engenhla. Lokhu kubangelwa imisipha ye-biceps eqoqana phansi lapho i-tendon idabukile ngokuphelele. |
| Ukudumba nokuvuvukala | Ukuvuvukala noma ukudumba kusukela engalweni engenhla kuya endololwaneni. |
| Ukungakwazi ukuphendula ingalo | Ubunzima bokujikelezisa isandla ukuze isandla sibheke phezulu. |
Uma unesinye noma ngaphezulu salezi zimpawu, ikakhulukazi uma une-"Popeye Bulge" ebonakalayo, kubaluleke kakhulu ukufuna iseluleko sezokwelapha.
Kungani le misipha ye-biceps idabuka?
Kungase kube nezizathu eziningana zalokhu.
- Ukuguga: Ngokuhamba kwesikhathi, imisipha emizimbeni yethu iyawohloka futhi ibe buthaka. Njengoba sikhula, cishe izodabuka, ngisho noma kunokulimala okuncane.
- Ezemidlalo: Lesi simo singaba khona kubantu abadlala imidlalo evame ukuhilela ukunyakaza okungaphezulu (isb., ukubhowula ekhilikithi, ukubhukuda, ithenisi, nevolibholi).
- Okunye ukulimala kwamahlombe: Uma i-labrum (indandatho ye-cartilage ezungeze ijoyinti lehlombe) idabukile (ebizwa nangokuthi i-SLAP tear ), i-biceps tendon nayo ingadabuka noma idabuke ngesikhathi esifanayo.
Izinqubo zokuhlinzwa kanye nokulungiselela
Lokhu kuhlinzwa kungenziwa ngezindlela ezimbili eziyinhloko: ukuhlinzwa okuvulekile kanye nokuhlinzwa kwe-arthroscopic.
Amalungiselelo ajwayelekile ngaphambi kokuhlinzwa
Udokotela wakho uzokunikeza imiyalelo eqondile, kodwa ngokuvamile, qaphela ngalezi zinto.
- Gwema ukudla noma ukuphuza amahora angu-8 ngaphambi kokuhlinzwa (imithi ejwayelekile, njengemithi yomfutho wegazi, ingathathwa kanye namanzi).
- Uma ubhema, yeka ukubhema okungenani amasonto amabili ngaphambi kokuhlinzwa. Lokhu kuzosiza kakhulu ukusebenza kwenhliziyo namaphaphu akho.
- Uma uthatha noma yiziphi izithasiselo zamakhambi, khuluma nodokotela wakho mayelana nokuziyeka isonto noma amabili ngaphambi kokuhlinzwa.
1. Ukuhlinzwa Okuvulekile (I-Open Biceps Tenodesis)
Lokhu kuhilela ukwenza ukusika okuncane (cishe amasentimitha angu-3-4) ngaphambili kwehlombe, ukukhipha umsipha owonakele, ukuwususa, ukuwufaka emgodini omncane owenziwe ethanjeni lengalo engenhla, bese uwulungisa nge-strip ekhethekile kanye nesikulufu (indlela yokubopha isikulufu).
2. Ukuhlinzwa Kwe-Arthroscopy (i-Arthroscopy Biceps Tenodesis)
Lokhu 'ukuhlinzwa kwe-keyhole'. Akubandakanyi ukusikwa okukhulu. Kunalokho, kwenziwa imigodi emincane eminingana ezungeze ihlombe, lapho kufakwa khona ikhamera encane (i-arthroscope) kanye nezinsimbi zokuhlinza. Udokotela, ebuka izithombe ezivela kukhamera eskrinini, ukhulula umsipha owonakele bese ewunamathisela ethanjeni lengalo njengakuqala.
| Indlela yokuhlinzwa | Izinzuzo | Ububi/Izinkinga |
|---|---|---|
| Ukuhlinzwa Okuvulekile (Kuvuliwe) | Ngokwezinye izifundo, ezemidlalo cishe zizobuya zizodlala ngokushesha. | Isilonda sikhulu kancane. Izinkinga ezifana nokutheleleka, ukulimala kwemizwa, ubuhlungu, kanye nokuqina komzimba zingaba khona. |
| Ukuhlinzwa kwe-Arthroscopy | Ubuhlungu buyancipha, isikhathi sokuphulukiswa singaba sifushane, kanti izibazi zincane kakhulu. | Kungathatha isikhathi eside ukubuyela kwezemidlalo uma kuqhathaniswa nokuhlinzwa okuvulekile. Izinkinga ezivamile (ubuhlungu, ukutheleleka) zingase zibe khona. |
Udokotela wakho uzokukhetha inketho engcono kakhulu ngokusekelwe ezicini ezifana nohlobo lokulimala kwakho, ubudala, kanye nendlela yokuphila.
Kwenzekani ngemva kokuhlinzwa? Isikhathi sokululama
Ngokuvamile kuthatha izinyanga ezingu-4-6 ukululama ngokuphelele. Phakathi nalesi sikhathi, kuzodingeka ubekezele.
- I-Arm Sling: Kuzodingeka ugqoke i-arm sling cishe amasonto amabili kuya kwayisithupha ngemva kokuhlinzwa. Phakathi nalesi sikhathi, ungase udinge usizo ngemisebenzi yansuku zonke kanye nokushayela.
- Ukwelashwa Komzimba:Lena yingxenye ebalulekile nebalulekile yenqubo yokuphulukiswa. Emasontweni ambalwa ngemva kokuhlinzwa, kuzodingeka uqale ukuvivinya umzimba ngaphansi kokuqondiswa ngumelaphi wezokwelapha ngokomzimba. Lokhu kuzokusiza ukuthi uthole amandla nokunyakaza ehlombe lakho.
- Ukuqala kabusha imisebenzi: Khuluma nodokotela wakho njalo ngaphambi kokuqala imisebenzi efana nokuzivocavoca, ezemidlalo, noma ukuphakamisa izinsimbi. Uma uqala ukuzivocavoca ngokushesha kakhulu, ungalimaza futhi i-tendon ephulukisayo.
Isikhathi sokufonela udokotela ngokushesha
Uma kwenzeka into efana nale ngemva kokuhlinzwa, yazisa udokotela wakho noma isibhedlela ngokushesha.
- Uma inxeba liphuma igazi kakhulu kangangokuthi ibhandishi limanzi.
- Uma uzwa ubuhlungu obukhulu obungenakulawuleka ngisho nangemithi yobuhlungu.
- Uma ukuvuvukala esandleni sakho kukhuphuka.
- Uma unomuzwa wokuthi iminwe noma isandla sakho sinamahlwili noma sinamahlwili.
- Uma isandla noma iminwe yakho ishintsha umbala (iba mnyama) noma izwa kubanda uma uyithinta.
- Uma kukhona ukubomvu, ukuvuvukala, ubuhlungu, noma uketshezi oluphuzi olufana nobomvu oluphuma esilondeni.
- Uma unomkhuhlane (ngaphezu kuka-101°F / 38.3°C).
Izinga lempumelelo yalokhu kuhlinzwa lingaphezu kuka-70%. Ngakho-ke, uma uthola ukuxilongwa okufanele, wenze ukuhlinzwa kwenziwe udokotela oqeqeshiwe, futhi ulandele imiyalelo ngqo, ungasusa lobu buhlungu behlombe obucasulayo bese ubuyela empilweni yakho evamile.
Umlayezo Wokuya Nawe Ekhaya
- I-Biceps Tenodesis inqubo yokuhlinzwa enamathisela kabusha i-biceps tendon edabukile noma eyonakele emathanjeni.
- Ubuhlungu obuqhubekayo emahlombe, ubuhlungu obungazelelwe obunomsindo othi "chofoza", kanye nokuvuvukala kwengalo okufana nokuthi "Popeye" yizimpawu eziyinhloko.
- Kungathatha izinyanga ezingu-4-6 ukululama ngokuphelele ngemva kokuhlinzwa, futhi ukwelashwa ngokomzimba kubaluleke kakhulu.
- Kubaluleke kakhulu ukulandela iseluleko sezokwelapha futhi ungasheshi ukwenza umsebenzi onzima noma ezemidlalo ngesikhathi sokululama.
- Uma unokungabaza noma unezinye zezibonakaliso eziyisixwayiso ezishiwo ngenhla, bona udokotela wakho ngokushesha.
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