I-Rotator Cuff Tear - Izimpawu Akufanele Uzizibe

Esinye sezizathu eziyinhloko zokuthi kungani abantu bezwa ubuhlungu behlombe njalo ukukhala kwe-rotator cuff. Okubangelwa ukuguga okuvamile, ukulimala kwe-rotator cuff kuthinta i-rotator cuff (iqembu lama-tendon azungeze ihlombe) futhi kubangela ubuhlungu obuqhubekayo obuhlabayo ehlombe. Ubuhlungu buyaqina lapho ijoyinti yehlombe isengozini. Lokhu kungenzeka ngezindlela ezihlukahlukene. Isibonelo, uma ulele ohlangothini lwehlombe elimele, ubuhlungu bungase buqine kakhulu. Usizo lwezokwelapha luyadingeka ezimeni ezinjalo. Ochwepheshe bezokwelapha e- izibhedlela ezihamba phambili zokuhlinzwa kwehlombe emhlabeni wonke basikisela abantu abahlushwa i-rotator cuff izinyembezi ukuze bathole iseluleko sezokwelapha ngokushesha ngangokunokwenzeka. Ngamanye amazwi, ukwelashwa kwe-rotator cuff izinyembezi akufanele kubambezeleke nganoma yiziphi izindleko.

Abantu abahlale behileleka emisebenzini edinga ukunyakaza okungaphezulu okuqhubekayo basengozini enkulu yokuthola ukulimala kwe-rotator cuff. Eminye yale misebenzi ukupenda, ukubaza, kanye nemidlalo. Ekuqaleni, ukwelashwa ngokomzimba kunconywa ezigulini ezinezinyembezi ze-rotator cuff. Ithuthukisa izimpawu kakhulu. Uma kwenzeka, i-physiotherapy ayisizi, ezinye izinyathelo ziyenziwa.

Iyini i-Rotator Cuff Tear?

Zivame kangakanani Izinyembezi ze-Rotator Cuff?

Iziguli ezingaphansi kweminyaka engu-35 ngezinye izikhathi zingase zithole ukulimala kwe-cuff ye-rotator. Lezi zinyembezi zingase zidalwe ukulimala. Izinyembezi ze-Rotator cuff zivamile phakathi kwabadlali bezemidlalo, njengama-baseball pitchers. Ukulimala okuyingxenye ye-rotator cuff kubasubathi abaqhudelanayo kuphathwa ngendlela efanayo nezinyembezi eziyingxenye kubantu abadala.

Izinhlobo ze-Rotator Cuff Tear

Okulandelayo yizinhlobo eziyisisekelo zokukhala kwe-rotator cuff:

• Izinyembezi ingxenye: Eyaziwa nangokuthi izinyembezi ezingaphelele, ilimaza kancane i-tendon.

• Izinyembezi ezigcwele: Eyaziwa nangokuthi izinyembezi eziphelele, ukudabuka okugcwele kwe-rotator cuff kubangela ukuhlukana kwe-tendon ngokuphelele.

I-Rotator Cuff Tear - Izimpawu Akufanele Uzizibe

Hlola izimpawu ezilandelayo kanye nezimpawu zokudabula kwe-rotator cuff ukuze uqinisekise ukuthi uhlushwa ukukhala kwe-rotator cuff: 

• Uma ihlombe lakho lesokunxele lilimele futhi ulala ohlangothini olufanayo (ngomkhuba noma iphutha), ubuhlungu obubuhlungu behlombe buzophinde buvuke okungenzeka kube ngenxa yokukhala kwe-rotator cuff.
• Uma uzwa ubuhlungu ehlombe lakho ngenkathi uphakamisa izinsimbi ezisindayo noma wenza ukunyakaza okuthile, kungenzeka ukuthi uhlushwa izinyembezi ze-rotator cuff.
• Uma uzizwa ubuthakathaka ezingalweni zakho ngenkathi uhambisa amahlombe akho, ukukhala kwe-rotator cuff kungenzeka kwenzeke.
• Uma uzabalaza ngenkathi wenza imisebenzi yakho yokuphila kwansuku zonke njengokukama izinwele zakho nanoma yini enye edinga ukunyakaza kwamahlombe nezingalo zakho, ukukhala kwe-rotator cuff kungase kube into engenzeka.

Yini Ebangela Izinyembezi Ze-Rotator Cuff?

Ingozi, njengokuwa, ingaholela ku-collarbone ephukile noma ihlombe elihlakazekile elingabangela ukudabuka kwe-rotator cuff yakho.

Ngokuvamile, izinyembezi ze-rotator cuff zikhula kancane kancane ngokuhamba kwesikhathi ngenxa yokuguga nokuguga (izinyembezi eziwohlokayo). Abantu abangaphezu kweminyaka engama-40 basengozini enkulu.

Izimbangela zezinyembezi eziwohlokayo zihlanganisa:

• I-Bone Spurs: Ukukhula kwethambo kungakha phezulu kwethambo lakho lehlombe. Lawa ma-spurs angagudla i-tendon yakho lapho uphakamisa ingalo yakho. Lokhu kuhlikihla kudala ukungqubuzana phakathi kwethambo lakho ne-tendon, okungase kuholele ekudabukeni okuyingxenye noma okuphelele.
• Ukugeleza Kwegazi Okuncishisiwe: Njengoba ukhula, ukugeleza kwegazi ku-cuff yakho ye-rotator kuncipha. Imisipha yakho kanye nemisipha yakho incike ekunikezeni igazi elinempilo ukuze izilungise. Uma imisipha yakho ingenakho ukondliwa okufanele okuvela egazini, ijwayele ukudabuka.
• Ukusebenzisa ngokweqile: Ukunyakaza kwehlombe okuphindaphindiwe okuvela kwezemidlalo noma imisebenzi ehlobene nomsebenzi kungabeka ingcindezi emisipha nemisipha yakho, okwandisa ingozi yokukhala.

Ukuxilongwa kwe-Rotator Cuff Tear

• Umlando Wezokwelapha: Udokotela wakho uzoqala ngokuxoxa ngezimpawu zakho kanye nomlando wezokwelapha, kuhlanganise nanoma yikuphi ukulimala ehlombe kwangaphambili.
• Ukuhlolwa Komzimba: Ukuhlolwa okuphelele ngokomzimba kuhilela ukuhlola ububanzi behlombe lakho lokunyakaza, amandla, nanoma yiziphi izimpawu zokuthamba noma ukuvuvukala.
• Ukuhlolwa Kwezithombe: Ukuze uqinisekise ukuxilongwa nokuhlola usayizi wendawo yezinyembezi, udokotela wakho angase ancome ukuhlolwa kwesithombe okufana nalokhu:
• Ama-X-ray: Ukukhipha ezinye izinkinga zehlombe njenge-arthritis.
• I-Ultrasound: Indlela yokucabanga eguquguqukayo engabonisa isimo se-cuff ngesikhathi sokunyakaza.
• I-MRI (i-Magnetic Resonance Imaging): Inikeza izithombe ezinemininingwane yezicubu ezithambile, ezisiza ukubona ngeso lengqondo izinyembezi.
• I-arthroscopy: Kwezinye izimo, kungase kudingeke inqubo ye-arthroscopic. Kuhilela ukufaka ikhamera encane ngokusebenzisa i-incision encane ukuze ubuke futhi ulungise ukukhala.

Izinzuzo nezingozi ze-Rotator Cuff Tear

buhle:

• Ukutholwa Kusenesikhathi: Ukuhlonza ikhabethe le-rotator ukudabuka kusenesikhathi kungaholela ekungeneleleni ngokushesha kwezokwelapha, okungase kuvimbele ukukhala ukuthi kungabi kubi kakhulu.
• Izinketho Zokwelapha: Ngokuya ngosayizi nobukhulu bezinyembezi, kukhona kokubili izindlela zokwelapha ezilondolozayo kanye nezokuhlinza ezitholakalayo, ezivumela ukunakekelwa okuhambisanayo.
• Ukwelapha ngokomzimba: Ukwelapha ngokomzimba, okuvame ukutuswa ngezinyembezi ze-rotator cuff, kungathuthukisa amandla ehlombe kanye nobubanzi bokunyakaza, okuholela empilweni engcono kakhulu yehlombe.
• Indlela Yokuphila Ethuthukisiwe: Ukwelashwa okuphumelelayo kungaholela ekunciphiseni ubuhlungu nokusebenza okuthuthukisiwe kwamahlombe, okuvumela abantu ukuba baphinde baqale imisebenzi yabo yansuku zonke futhi bajabulele izinga lempilo elingcono.

bawo:

• Ubuhlungu nokungaphatheki kahle: Izinyembezi ze-Rotator cuff zingabangela ubuhlungu obukhulu nokungakhululeki, okwenza imisebenzi yansuku zonke ibe inselele futhi ithinte izinga lempilo yomuntu.
• Umsebenzi Onomkhawulo: Ngokuya ngobunzima bempumelelo yezinyembezi kanye nokwelashwa, abantu ngabanye bangase babe nomsebenzi olinganiselwe wamahlombe kanye nokuncipha kohlobo lokunyakaza.
• Isikhathi Sokubuyisela: Ukululama kusuka ku-rotator cuff izinyembezi, ikakhulukazi ngemva kokuhlinzwa, kungaba inqubo ende, edinga isineke nokuzinikela ekubuyiseleni isimo.
• Izinkinga ezingenzeka: Ukuhlinzwa kunezingozi, okuhlanganisa ukutheleleka, ukulimala kwezinzwa, noma ukuphulukiswa okungaphelele. Kukhona futhi ithuba lokuphinda uklebhule i-cuff.
• Izindleko Zezezimali: Ukwelashwa, okuhlanganisa ukuhlinzwa nokwelashwa ngokomzimba, kungase kubize, futhi ukuhlinzekwa komshwalense kungase kuhluke.
• Umthelela Ekuphileni Kwansuku Zonke: Ukudabula kwe-rotator cuff kungaphazamisa izinqubo zansuku zonke, kuthinte umsebenzi, futhi kukhawulele ukuhlanganyela kwezemidlalo noma ukuzilibazisa.

Ukwelashwa Kwe-Rotator Cuff Tear kungase Kubandakanye Izindlela Ezingezona Zokuhlinza kanye Nezokuhlinza

Izinketho Zokwelapha Ngokuhlinzwa:

Ukuhlinzwa kungase kunconywe ukuze kudabuke ngokuphelele noma uma izindlela ezingahlinzeki zinganikezi ukukhululeka. Kungase futhi kucatshangelwe uma izinyembezi zilimaza kakhulu imisebenzi yansuku zonke noma ukuzibandakanya kwezemidlalo. Iningi lokuhlinzwa kwe-rotator cuff yizinqubo ze-arthroscopic outpatient ezidinga okungenani unyaka wesikhathi sokululama. Ngesikhathi sokuhlinzwa, umhlinzeki wezempilo uzofaka i-arthroscope ngokusebenzisa i-incision encane yehlombe.

• Ukuhlinzwa kuqondiswa izithombe ezitholwe nge-arthroscope.
• Isebenzisa amathuluzi amancane ngokusebenzisa izimbobo ezincane ukuze isuse ama-bone spurs futhi ibuyisele ithenda ethanjeni lengalo engenhla.

Ezinyembezini ezingaphelele, ukwelashwa kokukhishwa kwe-debridement kungasetshenziswa ukusika izingxenye ze-tendon ezidabulayo ukugwema ukudabuka esikhathini esizayo. Izinyembezi ezingalungiseki zingase zidinge izinqubo ezinjengokushintshanisa ihlombe elihlanekezelwe, ukudluliswa kwe-tendon, noma ukususwa kwezicubu ezibomvu ngaphandle kokulungiswa.

Ukulimala kwe-Rotator cuff kungase kungelapheki ngokwazo, kodwa iziguli eziningi zingathuthukisa ukusebenza futhi zidambise ubuhlungu ngokwelashwa okungahlinzeki njengokuqinisa imisipha yehlombe. Akuwona wonke umuntu onezinyembezi odinga ukuhlinzwa; cishe abantu abayisi-8 kwabangu-10 abanezinyembezi eziyingxenye bayahlomula ekwelashweni ngaphandle kokuhlinzwa. Ukubuyisela kungathatha unyaka ongu-1. Izindlela zokwelapha ezingahlinzeki zihlanganisa: 

• Ukusebenzisa isihlilingi sengalo nokubeka ihlombe ukuze ululame.
• Imithi elwa nokuvuvukala (ama-NSAID) isetshenziselwa ukudambisa izinhlungu nokuvuvukala.
• Ukwelashwa ngokomzimba okuhlanganisa imisebenzi yokuqinisa nokwelula.
• Imijovo ye-steroid yokunciphisa ukungakhululeki nokuvuvukala.

Nazi izindlela zokwelapha ezivamile, okuhlanganisa ukwelashwa, imijovo, nezinketho ezingahlinzeki:

1. Imijovo yeCorticosteroid: Nikeza ukukhululeka kwesikhashana ngokunciphisa ukuvuvukala nobuhlungu. Lezi ziqondiswa ngqo ekuhlanganyeleni kwehlombe.
2. Ukuphumula Neqhwa: Gcoba iqhwa ehlombe elithintekile futhi uvumele ukuphumula okwanele. Inciphisa ubuhlungu nokuvuvukala.
3. Imithi Yokwelapha Yebhayoloji: Khuthaza ukuphulukiswa usebenzisa izici zokukhula noma i-plasma ecebile ngeplatelet (PRP). Imijovo ye-PRP ingase ibhekwe njengokukhuthaza ukulungiswa kwezicubu.
4. I-Ultrasound Therapy: Khuthaza ukuphulukiswa nokunciphisa ukuvuvukala. Isebenzisa amaza omsindo ukuvuselela ukugeleza kwegazi nokwenza lula ukulungiswa kwezicubu.

Kubalulekile ukukhumbula ukuthi izinga lokuqhekeka kwe-rotator cuff lingathinta indlela ukwelashwa okusebenza kahle ngayo. Izinyembezi ezinzima noma izimo lapho ukwelashwa okungahlinzeki kwehluleka kungase kudinge ukungenelela kokuhlinzwa, njengokulungisa i-arthroscopic noma ukuhlinzwa okuvulekile. Iseluleko esiqondene nomuntu ngamunye kufanele siqondiswe nomsebenzi wezempilo, ngokuvamile onguchwepheshe wamathambo, ukuze kutholwe inkambo engcono kakhulu yesenzo kuye ngezimo eziyingqayizivele zokudabuka kwe-rotator cuff.

Umehluko Phakathi Kwezinyembezi Eziyingxenye Negcwele Ye-Rotator Cuff

Ngesikhathi sokubona udokotela

Phakathi nezigaba zokuqala zokulimala kwe-rotator cuff, uzwa ubuhlungu obuncane futhi lapho wenza ukunyakaza okuthile kwengalo/ihlombe. Lobu buhlungu obuncane bungadanjiswa ngokusebenzisa amaphilisi ezinhlungu afana ne-aspirin ne-ibuprofen. Uma izinhlungu ziqala ukuba ziba zimbi, kufanele ubhukhe isikhathi sokubonana nochwepheshe kwesinye sesibhedlela esingcono kakhulu sokuhlinzwa ehlombe e-Hyderabad noma kuphi lapho uhlala khona.

FAQ sika

1. Itholakala kanjani izinyembezi ze-rotator cuff?

Ukuxilongwa kuhilela ukuhlolwa ngokomzimba, ukuhlolwa kwezithombe njenge-MRI noma i-ultrasound, futhi ngezinye izikhathi i-arthroscopy (inqubo engavamile kakhulu) ukubuka ngokuqondile izinyembezi.

2. Singakanani isikhathi sokubuyisela ngemva kokuhlinzwa kwe-rotator cuff?

Ukululama kungathatha izinyanga ezimbalwa, okuhlanganisa ukwelapha ngokomzimba futhi kancane kancane kubuyele emisebenzini evamile. Umugqa wesikhathi othize uyahluka ngokuya ngobunzima benyembezi nezici ngazinye.

3. Ngingakwazi yini ukuvimbela ukukhala kwe-rotator cuff?

Ungayinciphisa ingozi ngokwenza izivivinyo ezifanele zokuqinisa amahlombe, ukugcina ukuma okuhle, nokugwema ukusebenzisa ngokweqile noma ukunyakaza okuphindaphindayo. Ukufudumala ngaphambi kokusebenza ngokomzimba nakho kubalulekile.

4. Kunini lapho akufanele uzibe ubuhlungu behlombe?

Ungabuzibi ubuhlungu behlombe uma bukhulu, buhlala isikhathi eside, noma bufika ngemva kokulimala, njengoba kungase kube uphawu lwenkinga enkulu.

5. Ingabe kufanele ngisebenzise i-cuff yami ye-rotator uma ibuhlungu?

Cha, gwema ukusebenzisa i-rotator cuff ebuhlungu. Phumula futhi uthintane nochwepheshe bezokunakekelwa kwempilo ukuze uthole ukuhlolwa nokuqondiswa ukuze ugweme ukwenza ukulimala kube kubi.