Zicabange uphakamisa into esindayo bese ngokuzumayo uzwa umsindo othi 'chofoza' uvela engxenyeni engenhla yengalo yakho bese uzwa ubuhlungu obukhulu. Noma ngezinye izikhathi imisipha engalweni yakho ibukeka ivuvukele ngendlela exakile njengeqhubu. Lesi kungaba yisimo okungenzeka ukuthi uke wasizwa esibizwa ngokuthi i-Biceps Rupture. Abantu abaningi bayesaba lapho bezwa leli gama, kodwa uma sazi kahle ukuthi liyini, akukho okufanele sikwesabe. Ngakho-ke, namuhla sizoxoxa ngalokhu.
Kalula nje, kuyini ukuqhekeka kweBiceps?
Umsipha osengalweni yakho engenhla ophakamayo uma ugoba ingalo yakho ubizwa ngokuthi umsipha we-biceps. Lo msipha unamathele emathanjeni asehlombe lakho kanye nethambo eliseduze nengqiniba yakho ngezicubu eziqinile ezifana nentambo. Lokhu sikubiza ngokuthi i-tendon.
Kalula nje, ukuqhekeka kwe-biceps kuwukudabuka kwezicubu zemisipha eqinile. Lokhu kudabuka kungaba okuphelele noma kungaba ingxenye.
Imisipha yethu ye-biceps inamathele emathanjeni ngama-tendon amathathu ayinhloko:
- Ezimbili eduze kwehlombe (I-tendon yekhanda elide kanye ne-tendon yekhanda elifushane)
- Elinye eduze kwendololwane (i-Distal biceps tendon)
Sihlukanisa lesi simo ngokuya ngokuthi imisipha idabuke kuphi.
- Ukuqhekeka kwe-Proximal Biceps Tendon: Lokhu kwenzeka lapho i-tendon eduze kwehlombe idabuka. Lolu uhlobo oluvame kakhulu.
- Ukuqhekeka kwe-Distal Biceps Tendon: Lokhu kwenzeka lapho i-tendon eseduze nendololwane iqhuma. Lokhu akuvamile, kodwa kungaba kubi kakhulu.
Kwenzekani emsebenzini wengalo uma i-biceps idabukile?
Uma i-biceps idatshuliwe, ikhono lokusebenzisa ingalo liyathinteka. Kodwa kuya ngokuthi i-tendon idatshuliwe kuphi nokuthi idatshuliwe kangakanani.
Ngokuvamile, imisipha idabukile eduze kwehlombe, kanti eminye imisipha engalweni (njengeBrachialis neSupinator) iyasiza futhi isize ekunyakaziseni ingalo. Ngakho-ke usazokwazi ukuhambisa ingalo yakho. Kodwa-ke , ungase uzizwe ukuqina nobuthakathaka lapho uphakamisa izinsimbi noma uphendula ingalo yakho (njengokuqinisa isikulufu).
Uma umsipha uqhuma eduze kwendololwane (ukuqhumuka okude), kuba kubi kakhulu. Nakuba ungashukumisa ingalo yakho emuva naphambili, amandla engalo yakho ancishiswa kakhulu. Ikakhulukazi, njengoba ingalo ijikeleziswa ngaphansi kwendololwane, ikhono lokuphakamisa ingalo (ukuphakamisa) liyalahleka kakhulu. Lapho uphakamisa izinto, lapho ubamba ngokuqinile, ingalo izozizwa sengathi ayinawo amandla. Kubantu abadinga amandla aphelele engalweni yabo, njengabasubathi, ukuhlinzwa kuvame ukudingeka ezimweni ezinjalo.
Kungani imisipha ye-biceps idabuka kanje?
Kungaba nezizathu ezimbili eziyinhloko zalokhu: kungaba ngenxa yengozi engazelelwe, noma ngoba umsipha usuke ugugile futhi waba buthaka ngokuhamba kwesikhathi.
Ingozi ifana nokuthi “lapho ufinyelela into esindayo ngokuzumayo kunalokho okucabangayo, bese usebenzisa amandla amaningi ukuze uqondise ingalo yakho.” Ingabangelwa futhi izinto ezifana nokushayisa phansi ngengalo yakho yeluliwe lapho uwa, noma ukusonta ingalo noma ihlombe lakho ngokuzumayo.
| Izinto ezandisa ingozi yokuqhekeka kwe-biceps | |
|---|---|
| Ukudlula kwesikhathi | Ama-tendon ayancipha ngokwemvelo njengoba sikhula, futhi imisebenzi ephindaphindwayo yamahlombe (isib. ukubhukuda, i-baseball, eminye imisebenzi) ingabangela ukuthi i-tendon iguge. |
| Ezinye izinkinga zamahlombe | I-biceps tendon ingonakaliswa ezinye izimo zamahlombe, njenge-tendonitis, i-bursitis, noma ukudabuka kwe-rotator cuff. |
| Ukubhema | Ukubhema kunciphisa ukuphakelwa kwegazi emithanjeni, okwenza kube buthaka futhi kunciphise inqubo yokuphulukisa. |
| Ukuntuleka komsebenzi womzimba | Imisipha nemisipha iba buthaka uma ungazivivinyi. |
| Eminye imithi | Ukusetshenziswa isikhathi eside kwemithi efana ne-corticosteroids kungenza buthaka imisipha kanye nemisipha. |
Ziyini izimpawu zalokhu?
Uma uqhuma i-biceps, ungase ubhekane nesinye noma ngaphezulu kwalezi zimpawu:
- Ukuzwa umsindo othi 'tock' noma 'pop' ngesikhathi sengozi.
- Ubuhlungu obungazelelwe, obukhulu ehlombe noma endololwaneni (kuye ngokuthi kudabuke kuphi).
- Ukuzizwa ubuthakathaka engalweni noma ehlombe.
- Ukulimala engalweni engenhla.Ukubukeka sengathi.
- Ukuzizwa sengathi unezinhlungu emisipheni yakho uma usebenzisa isandla sakho.
- Ubunzima bokuzungezisa ingalo (ukuphendulela isihlakala phezulu naphansi).
- Isici esithi "Popeye Muscle": Lokhu kuvame ukubonakala eduze kwehlombe (ukuqhekeka kweproximal). NjengoPopeye kukhathuni, imisipha yakho ye-biceps ibukeka njengeqhubu futhi iyavuvukala. Lokhu kubizwa ngokuthi `(Popeye deformity)`.
Udokotela unquma kanjani ukuthi lokhu kuwukuqhekeka kwe-biceps?
Udokotela angakwazi ukuxilonga lokhu ngokukuhlola ngokomzimba. Uzohlola ukunyakaza kwengalo yakho namandla ayo. Ngezinye izikhathi, uma ukudabuka kungaphelele noma kungacacile, kungenziwa ukuskena okufana ne-X-ray, i-ultrasound, noma i-MRI.
Futhi kunezivivinyo ezimbili ezikhethekile zokuqinisekisa lokhu:
1. Ukuhlolwa Kwe-Hook: Ngesikhathi ugoba ingqiniba yakho futhi uphendula ingalo yakho, udokotela uzozama ukubamba i-tendon ngemuva kwengqiniba yakho ngomunwe wakhe. Uma ibambeke kahle, ungacabanga ukuthi i-tendon ayidabukile.
2. Ukuhlolwa Kokucindezela Kwe-Biceps: Udokotela uzokusekela indololwane yakho futhi acindezele kancane ingalo yakho engaphezulu. Uma ingalo yakho ingaphendukeli ngaphandle ngokuzenzakalelayo, lokhu kungaba uphawu lokuthi umsipha udabukile.
Into ebaluleke kakhulu ukubona udokotela ngokushesha okukhulu ngemva kokuba lezi zimpawu zivele. Ukwelashwa phakathi kwamasonto amathathu okuqala kulula kakhulu futhi izinkinga azivamile. Uma kushiywa sekwephuzile, umsipha ungavuvukala futhi ube nezibazi, okwenza ukwelashwa, ikakhulukazi ukuhlinzwa, kube nzima kakhulu.
Yiziphi izindlela zokwelapha lokhu?
Ukwelashwa okutholayo kuzoncika ekutheni umsipha udabuke eduze kwehlombe noma indololwane, nokuthi ukudabuka kukhulu kangakanani.
Amacala lapho ukuhlinzwa kungadingeki khona (Ukwelashwa Okungeyona Ukuhlinzwa)
Uma umsipha ungadabukile ngokuphelele (ukudabuka okuyingxenye), udokotela wakho angase ancome izindlela zokwelapha ezifana nalezi:
- Iqhwa: Faka iqhwa endaweni ebuhlungu nokuvuvukala cishe imizuzu engama-20, izikhathi eziningana ngosuku.
- Ukuphumula: Gwema ukuphakamisa izinto ezisindayo kanye nemisebenzi enzima okwesikhashana. Ungase welulekwe ukuthi usebenzise i-sling.
- Iziqeda-zinhlungu: Imithi engeyona eye-steroidal yokulwa nokuvuvukala (ama-NSAID) njenge-ibuprofen ingasiza ekunciphiseni ukuvuvukala nobuhlungu. Kodwa-ke, kufanele uhlale uhlola nodokotela wakho ukuqinisekisa ukuthi ikulungele.
- Ukwelashwa Komzimba: Ukuzivocavoca okwenziwa ngaphansi kwesiqondiso sochwepheshe wezokwelapha umzimba kungasiza ngenqubo yokuphulukisa nokuqinisa eminye imisipha esandleni.
Ukuhlinzwa
Uma umsipha udabuke ngokuphelele, ikakhulukazi eduze kwendololwane (ukuqhekeka okude), udokotela wakho cishe angancoma ukuhlinzwa. "Umsipha odabuke eduze kwendololwane ngeke uphole wodwa. Umsipha ngeke ukwazi ukusebenza kahle futhi."
Ukuhlinzwa kunganconywa nasezimweni ezinjengalezi:
- Uma ezinye izindlela zokwelapha zingabuqedi ubuhlungu.
- Uma imisipha ye-biceps iqhubeka nokuqaqamba.
- Uma ungakwazi ukwenza imisebenzi yansuku zonke ngenxa yobuhlungu behlombe kanye nobuthakathaka.
Ukuhlinzwa kuhilela ukubopha kabusha umsipha odabukile ethanjeni. Lokhu kungafaka phakathi ukusebenzisa izikhonkwane ezincane zensimbi (ama-anchor) noma izinkinobho. Ezimweni eziningi, lokhu kuhlinzwa kungenziwa ngochungechunge lwezinsika ezincane, ezibizwa ngokuthi ukuhlinzwa kwe-arthroscopic, ngosizo lwekhamera.
Ngemva kokuhlinzwa, kuzodingeka ugqoke i-splint noma i-cast isikhashana. Ngemva kwalokho, kancane kancane ungaphinde uthole amandla nokunyakaza esandleni sakho ngokwelashwa ngokomzimba.
Kuthatha isikhathi esingakanani ukululama?
Ukudabuka okuncane okungadingi ukuhlinzwa kungaphola emavikini ambalwa. Kodwa-ke, uma kwenziwa ukuhlinzwa, kungathatha izinyanga ezimbili kuya kwezintathu ukuthi imisipha ibuyele ethanjeni. Kungathatha inyanga noma ezimbili ukuthi isandla sakho siphinde sithole amandla aphelele. Kubalulekile ukubuza udokotela wakho ukuthi kufanele ulinde isikhathi esingakanani ngaphambi kokuthi uqale umsebenzi onzima noma ezemidlalo bese ulandela imiyalelo yakhe.
Umlayezo Wokuya Nawe Ekhaya
- Ukuqhekeka kwe-Biceps kuwukudabuka kwe-tendon exhumanisa imisipha ye-biceps nethambo elingalweni.
- Izimpawu eziyinhloko zingase zihlanganise ubuhlungu obungazelelwe, umsindo othi “pop”, ubuthakathaka engalweni, kanye nokuvuvuka kwemisipha (‘Popeye muscle’).
- Izinketho zokwelapha zincike ohlotsheni lokudabuka futhi zisukela ekuphumuleni kuya ekuhlinzweni.
- Into ebaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha. Bona udokotela wakho ngokushesha nje lapho uqaphela lezi zimpawu. Uma uqala ukwelashwa ngokushesha, imiphumela iba ngcono.
- Ngokwelashwa okufanele, abantu abaningi bangaphinde bathole amandla aphelele ezandleni zabo. Ngakho ungakhathazeki.
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