Ingabe ungumdlali wekhilikithi, umdlali wevolibholi, noma ungumuntu odlala umdlalo odinga ukuthi uphonse ibhola izandla zakho ziphezu? Noma ingabe unobuhlungu obuqhubekayo, ukuqina, noma "ukuchofoza" ehlombe lakho ngemva kokuwa ngokuzumayo? Ngezinye izikhathi lokhu kungabangelwa ukudabuka kwe-cartilage ngaphakathi kwehlombe lakho. Ngokwezokwelapha, lesi simo sibizwa ngokuthi i -SLAP tear . Abantu abaningi bayesaba lapho bezwa leli gama, kodwa uma siliqonda kahle, kulula kakhulu ukuliphatha.
Kuyini 'ukukhala kwe-SLAP'? Ake sikuqonde kalula
Kulungile, ake sibone ukuthi leli gama elithi `SLAP` lisho ukuthini. Lakhiwa ngokuhlanganisa izinhlamvu zokuqala zamagama amane esiNgisi: Superior Labrum , Anterior to Posterior . Manje ungase uzibuze ukuthi la magama ayini. Ungakhathazeki, ngizokuchaza kalula.
Cabanga ngejoyinti lakho lehlombe njengebhola kanye nejoyinti lesokhethi. Emaphethelweni ale sokhethi, njenge-'washer' yerabha, kukhona indandatho eqinile ye-cartilage. Le ndandatho ibamba ithambo lengalo engenhla (i-humerus) liqine endaweni yalo esokhethini. Leyo ndandatho ye-cartilage efana ne-washer ibizwa ngokuthi i-labrum .
Ku-'SLAP tear', ingxenye engenhla yale labrum idatshulwa kusukela ngaphambili (okuphezulu) kuya ngemuva (ngemuva). Yilapho i-tendon yomsipha oyinhloko engalweni yethu (i-biceps) ifika khona futhi inamathele. Ngakho-ke lapho lokhu kudabuka kwenzeka, ukuqina kwehlombe kuyancipha, ubuhlungu buyenzeka, futhi i-tendon ye-biceps nayo ingalimala.
Kukuziphi izimo lapho kudingeka khona ukuhlinzwa?
Ngokuvamile, udokotela akasithumeli ngokushesha isiguli ukuba siyohlinzwa uma sithola ukuthi sine-SLAP tear. Okokuqala bazama ukuyelapha ngemithi engeyona eyokuhlinzwa.
- Ukuphumula: Kunconywa ukuthi uhlale kude nemisebenzi ecindezelayo isikhashana.
- Imithi: Imithi inikezwa ukunciphisa ubuhlungu nokuvuvukala.
- Ukwelashwa nge-Physiotherapy: Kunikezwa izivivinyo ezikhethekile zokuqinisa imisipha ezungeze ihlombe nokubuyisela ukunyakaza kwamalunga.
Kodwa-ke, uma ubuhlungu bungapheli ngemva kwezinyanga eziningana zokwelashwa, futhi ihlombe lizizwa lingazinzile, khona-ke udokotela uzocabangela ukuhlinzwa.
Ngokuqondene,
- Uma lokhu kudabuka kwenzeke engozini (isib., ukuwa) futhi kwaba nomthelela omkhulu ekuqineni kwehlombe.
- Lesi simo sibangelwa ukusetshenziswa ngokweqile kwehlombe, njengasesikhathini sezemidlalo.
- Uma udlala umdlalo webhola njengekhilikithi, i-baseball, noma i-volleyball.
Ezimweni ezinjengalezi, ukubopha kabusha i-cartilage edabukile ngokuhlinzwa kungaba nemiphumela ephumelelayo.
Ukuhlinzwa kwenziwa kanjani? (Ukulungiswa kwe-Arthroscopic SLAP)
Manje, lokhu kuhlinzwa kuvame ukwenziwa kusetshenziswa indlela yokuhlinzwa ye-keyhole ebizwa ngokuthi i-arthroscopy . Lokhu kusho ukuthi kwenziwa ngokusika okuncane kakhulu (cishe i-1 cm) kunokwenza ukusika okukhulu ehlombe.
1. Ukufakwa kwekhamera: Ngokusika okuncane, ithuluzi elincane elifakwe ikhamera (i-'arthroscope') lifakwa esihlanganisi sehlombe. Udokotela ohlinzayo wenza ukuhlinzwa ngenkathi ebuka isithombe esivela kule khamera esikrinini esikhulu.
2. Ukuhlola umonakalo: Ukusebenzisa ikhamera, i-labrum iyadabuka futhi ubukhali bayo buhlolwa ngokunembile.
3. Ukuhlanza: Okulandelayo, unqenqema lwe-cartilage oludabukile luhlanzwa ngemishini ekhethekile bese lulungiselelwa ukunamathiselwa kabusha.
4. Ukuhlanganisa i-anchor: Okulandelayo, kufakwa imbobo encane kakhulu ethanjeni lejoyinti lapho kudingeka kuhlanganiswe khona i-cartilage edabukile, bese kufakwa idivayisi encane efana nesikulufo ebizwa ngokuthi i-suture anchor . Le-anchor inentambo eqinile enamathiselwe kuyo.
5. Ukuphinda uthunge: Njengesinyathelo sokugcina, kusetshenziswa intambo evela esikhonkwaneni, i-labrum edabukile ixhunywa kabusha ethanjeni bese ithungwa kahle.
Uma ukuhlinzwa kwenziwa ngale ndlela, i-cartilage edabukile inamathela ethanjeni futhi iqala ukuphola.
Kwenzekani ngemva kokuhlinzwa? Ake sifunde ngesikhathi sokululama
Ngemva kokuba ukuhlinzwa sekuphumelele, kuzodingeka uzibophezele kakhulu ukuze ululame ngokugcwele.
- I-Arm Sling: Kuzodingeka ugqoke i-arm sling cishe amasonto angu-4-6 ngemva kokuhlinzwa. Lokhu kwenzelwa ukuphumula ihlombe lakho nokuvumela i-cartilage esanda kufakelwa ukuthi iphole kahle.
- Ubuhlungu: Kungase kube nobuhlungu ezinsukwini ezimbalwa zokuqala. Kufanele uphuze imithi yobuhlungu enikezwe udokotela wakho. Ukusebenzisa iphakethe leqhwa kungasiza ekunciphiseni ubuhlungu nokuvuvukala.
- Ukwelashwa nge-physiotherapy: Lena yingxenye ebaluleke kakhulu yalolu hlobo lokwelashwa. Ngemva kokususwa kwengalo, ihlombe lingase liqine futhi liqine. Ukuzivocavoca kufanele kuqalwe ngokucophelela nangokucophelela, ngaphansi kokuqondiswa udokotela we-physiotherapist. Yilokhu okusiza ekubuyiseleni ukunyakaza namandla ehlombe.
- Isikhathi sokululama: Kungathatha izinyanga eziyi-6 kuya kweziyi-9, noma ngisho nonyaka, ukululama ngokuphelele nokubuyela kwezemidlalo. Isineke nokwelashwa kubaluleke kakhulu.
| Izinzuzo zokuhlinzwa kanye nezinkinga ezingaba khona | |
|---|---|
| Izinzuzo | Ubuhlungu nokungazinzi ehlombe sekuphelile, futhi ungabuyela empilweni esebenzayo. Lokhu kusebenza kahle kakhulu uma une-SLAP tear kuphela ngaphandle kwezinye izinkinga. |
| Izinkinga ezingaba khona |
|
Khumbula, ingozi yalezi zinkinga incane kakhulu. Lezi zingozi zingancishiswa ngokuba udokotela ohlinzayo onolwazi ahlinze futhi alandele imiyalelo yangemva kokuhlinzwa ngokucophelela.
Ngidinga ukubona udokotela maduze!
Uma ufika ekhaya ngemva kokuhlinzwa, naka ngokukhethekile lezi zimpawu. Uma unazo, shayela udokotela wakho ngokushesha noma uye esibhedlela lapho uthole khona ukwelashwa.
| Isibonakaliso Sesexwayiso |
|---|
| Ibhandeji elisesilondeni limanzi futhi liphuma igazi. |
| Ubuhlungu bukhulu kangangokuthi abupheli ngisho nangemva kokuthatha imithi yokubulala izinhlungu engiyinikwe udokotela. |
| Ukuvuvukala okukhulu kwesandla noma iminwe. |
| Ukuba ndikindiki noma ukulahlekelwa umuzwa eminweni. |
| Ukushintsha kombala wesandla noma iminwe (iphenduka ibe luhlaza okwesibhakabhaka/mnyama) noma ukuzizwa ubanda kakhulu uma uyithinta. |
| Ukubomvu, ukuvuvukala, ubuhlungu obandayo, noma uketshezi oluphuzi olufana nobomvu oluphuma esilondeni. |
| Umkhuhlane ongaphezu kuka-101°F (38.3°C). |
Ekugcineni, ukudabuka kwe-SLAP kuyisimo esingelapheka. Uma kungelashwa, kungaholela ebuhlungwini besikhathi eside, ukulahlekelwa ukusebenza kahle kwehlombe, kanye nezinye izinkinga ezinkulu. Ngakho-ke uma ukhathazekile ngobuhlungu behlombe lakho, qiniseka ukuthi ubona udokotela ofanelekayo ukuze akunike iseluleko.
Umlayezo Wokuya Nawe Ekhaya
- `Ukudabuka kwe-SLAP` kuwukudabuka engxenyeni engenhla yendandatho ebalulekile ye-cartilage ebizwa ngokuthi i-labrum ejoyintini lehlombe.
- Kungase kudingeke ukuhlinzwa ngenxa yokungazinzi kwehlombe okungathuthuki ngokwelashwa okuvamile.
- Lokhu kuhlinzwa kuvame ukwenziwa kusetshenziswa indlela yokuhlinzwa ye-keyhole ebizwa ngokuthi i-arthroscopic surgery.
- Kungathatha izinyanga eziningana noma ngisho nonyaka ukululama ngokuphelele ngemva kokuhlinzwa. Ukwelashwa ngokuzivocavoca umzimba kubaluleke kakhulu.
- Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile (ubuhlungu obukhulu, ukuvuvukala, umkhuhlane, ukungazweli) ngemva kokuhlinzwa, xhumana nodokotela wakho ngokushesha.
- Kubalulekile ukulandela imiyalelo yezokwelapha kanye neyokwelapha ngokomzimba ngokucophelela ngaphambi kokubuyela kulezo zenzo ukuze uvimbele ukulimala kabusha.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho