25 lakh+
Iziguli Ezijabule
Abanolwazi futhi
odokotela abanekhono
17
Izikhungo Zokunakekela Ezempilo
Isikhungo Sokudluliswa Okuphezulu kakhulu
Ngokuhlinzwa Okuyinkimbinkimbi
Izinyembezi ze-Rotator cuff zithinta abantu abaningi ngesikhathi befinyelela eminyakeni engama-50. Lezi zinyembezi ziphakathi kwezizathu ezivame kakhulu zobuhlungu behlombe kanye ebuthakathakeni okwenza izinkulungwane zeziguli zikhethe ukuhlinzwa unyaka ngamunye.
Lokhu kuhlinzwa kudlala indima ebalulekile, ikakhulukazi uma ukhala izinyembezi ze-rotator cuff. Okuthuthukile izindlela ze-arthroscopic manje siza odokotela balungise ngempumelelo lezi zinyembezi ezinkulu.
Nakuba izindlela zokwelapha ezihlukahlukene zikhona, ukuhlinzwa kuseyisixazululo esingcono kakhulu ezimweni eziningi. Lesi sihloko singena kukho konke iziguli okufanele zikwazi mayelana nokuhlinzwa kokulungiswa kwe-rotator cuff-kusukela ekulungiseleleni nokuthi kwenzekani phakathi nenqubo yokubuyisela izikhathi zesikhathi nokuthi kusho ukuthini konke.
Izibhedlela ze-CARE zihamba phambili njengendawo ehamba phambili yeziguli ezidinga ukulungiswa kwe-rotator cuff e-Hyderabad. Yabo umnyango wamathambo inikeza ukwelashwa okuthuthukisiwe okubuyisela ukusebenza kwehlombe nokuhamba ngokuphumelelayo.
I-Institute of Orthopedics ezibhedlela ze-CARE isithole ukuqashelwa kulo lonke elase-Hyderabad ngokwelashwa okukhethekile kwe-arthroscopic yamahlombe. Inhlanganisela yabo eyingqayizivele yochwepheshe abanamakhono nokunakekelwa okuthengekayo kuyabahlukanisa.
Odokotela Abangcono Kakhulu Bokulungisa I-Shoulder Rotator Cuff eNdiya
Ithimba labahlinzayo le-CARE lisebenzisa amasu esimanje anciphisa isikhathi sokululama futhi athuthukise imiphumela. Izinqubo zabo ze-arthroscopic zithatha indawo yokuhlinzwa okuvulekile kwendabuko ngezimbobo ezincane eziholela ebuhlungwini obuncane kanye nokuphulukiswa ngokushesha. Iziguli eziningi zingabuyela ekhaya ngosuku olufanayo kuyilapho zithola imiphumela emihle kakhulu.
Odokotela batusa ukuhlinzwa kulezi zimo:
Izinketho zokuhlinzwa ze-CARE zivumelana nezidingo eziqondile zesiguli ngasinye:
Ukulungela ukulungiswa kwe-shoulder rotator cuff kudinga ukuhlela okuhle kanye nokuqonda okucacile kwenqubo. Lokhu kubandakanya:
Odokotela benza ukulungisa okuningi kwe-cuff ye-rotator besebenzisa amasu e-arthroscopic adinga ama-incision amancane kuphela (i-1 cm noma ngaphansi). Udokotela ohlinzayo usebenzisa ikhamera nezinsimbi ukuze abone futhi alungise ithoni eyonakele. Le ndlela yokuhlasela kancane ngokuvamile ithatha ihora elilodwa kuya kwamabili. Udokotela ohlinzayo ususa izicubu ezivuvukele futhi usebenzisa amahange ukuze anamathisele umthambo odabukile ethanjeni.
Ukuthola kwakho kwenzeka ngezigaba ezicacile:
Kwezinye izimo ezingavamile, ukuhlinzwa kungase kufike nezingozi ezingaba khona ezifana:
Lokhu kuhlinzwa kunciphisa ubuhlungu behlombe futhi kuthuthukisa ukusebenza kwamalunga kakhulu. Iziguli eziningi zibona ukuthuthuka okukhulu phakathi nezinyanga eziyisithupha ngemva kokuhlinzwa. Izindlela ze-arthroscopic zinikeza izinzuzo ezingcono njengokululama okusheshayo kanye nobuhlungu obuncane uma kuqhathaniswa nokuhlinzwa okuvulekile.
Iningi lezinhlelo zomshuwalense wezempilo zikhokhela ukulungiswa kwe-rotator cuff uma kudingekile ngokwezokwelapha. Izinkampani zomshwalense ngokuvamile zidinga:
Ukukhuluma nomunye uchwepheshe kusiza ukuqinisekisa ukukhetha kwakho ukwelashwa. Umbono wesibili ungaqinisekisa uma udinga ukuhlinzwa, ubonise ezinye izinketho, futhi unikeze imibono emisha mayelana nezindlela zokuhlinza. Ngisho noma udokotela wesibili evumelana necebo lokuqala, uzozizwa uqiniseka ngokwengeziwe ngokuqhubekela phambili.
I-rotator cuff izinyembezi ingakhawulela imisebenzi yakho yansuku zonke futhi ibangele ubuhlungu obukhulu. Izindlela zokuhlinza zanamuhla ziye zathuthukisa imiphumela yeziguli ezinenkinga evamile yehlombe. Iziguli eziningi zithola ukukhululeka okukhulu kobuhlungu futhi ziphinde zisebenze ehlombe phakathi nezinyanga eziyisithupha ngemva kokuhlinzwa.
Izibhedlela ze-CARE zihola i-Hyderabad kulezi zinqubo futhi inikeza ukwelashwa kwesimanje ngezindleko ezifanele. Ithimba lezokwelapha lisebenzisa izindlela ezingangeneleli kancane ezibangela ubuhlungu obuncane kanye nezikhathi zokululama ngokushesha ezigulini.
Ukunakekelwa okufanele nokuvuselelwa kungakusiza ubuyele emisebenzini oyithandayo. Ungakwazi ukufinyelela, uphakamise, futhi uhambe ngaphandle kobuhlungu behlombe obukubambile.
Izibhedlela Zokuhlinza I-Shoulder Rotator Cuff eNdiya
Ukudabuka kwe-rotator cuff kwenzeka lapho i-tendon eyodwa noma ngaphezulu ku-cuff ye-rotator yehlombe lakho isuka ethanjeni lengalo engenhla. Izinyembezi ziqala ngokuqhaqhazela futhi zingaqhubekela ekuqedeni ukuhlukana. Ukuphakamisa kanzima kuvame ukubangela lezi zinyembezi. Ithenda ye-supraspinatus ibona umonakalo omkhulu, kanti namanye amathoni nawo angathinteka.
Udokotela wakho angase asikisele ukuhlinzwa uma ubuhlungu buqhubeka ngemva kokuba ezinye izindlela zokwelapha zingasebenzi. Ungase udinge ukuhlinzwa uma une:
Ungase ulungele ukuhlinzwa uma ubuhlungu bakho bungabi ngcono ngokwelashwa okuvamile. Abantu abasebenza ngezandla zabo ngaphezu kwamakhanda abo noma abadlala imidlalo ephezulu bangazuza ngokuhlinzwa. Ukuhlinzwa ngeke kusize uma ihlombe lifriziwe kuze kuphele ukuqina.
Iziguli eziningi zithola amahlombe aqinile nobuhlungu obuncane ngemva kokuhlinzwa. Kodwa kunezingozi ezithile ongase ucabange ngazo:
Ubuhlungu buqala ehlombe lakho lapho uphakamisa ingalo yakho, noma bungawela engalweni yakho. Ubuhlungu buba bubi kakhulu ngokuhamba kwesikhathi futhi bungakuvusa ebusuku, ikakhulukazi uma ulele ngohlangothi olubuhlungu.
Ukuhlinzwa ngokuvamile kuthatha amahora angu-2-3. Ukuhlala kwakho esibhedlela kungase kube isikhathi eside ngenxa yesikhathi sokulungiselela nokululama.
Yebo, lokhu ukuhlinzwa okukhulu okudinga izinyanga eziyisithupha ukuze kuphole. Ukululama ngokugcwele kuthatha izinyanga ezi-4-6, kodwa ungaqala ukwenza imisebenzi evamile emasontweni ayi-12 ngemva kokuhlinzwa.
Izinkinga eziningana ezingenzeka nezingavamile zingenzeka ngokuhlinzwa, okuhlanganisa
Uzodinga izinyanga ezi-4-6 ukuze ululame ngokugcwele. Amaviki angu-6 okuqala adinga isihlilingi. Emavikini angu-6-8, ungaqala ukuzivocavoca umzimba, okulandelwa ukuqinisa okusebenzayo emavikini angu-8-12. Iziguli eziningi zithola ukululama okuphelele ngezinyanga eziyisi-6. Iziguli ezinezinyembezi ezinkulu noma ezikhulile zingadinga izinyanga ezingu-6-12 ukuze zelaphe ngokuphelele.
Odokotela bakhetha i-anesthesia ejwayelekile nge-endotracheal tube.
Iminyaka yobudala ayikhawuli izinketho zokuhlinzwa. Ukulungiswa okuphumelelayo kwenzeka ngisho nasezigulini ezingaphezu kweminyaka engama-75 ubudala. Usayizi wakho wezinyembezi, ikhwalithi yemisipha, kanye nempilo iyonke kubaluleke ngaphezu kweminyaka. Izinyembezi ezincane kuya eziphakathi zibonisa imiphumela emihle, kungakhathaliseki ukuthi uneminyaka emingaki.
Ungazama physiotherapy, imithi elwa nokuvuvukala, noma imijovo ye-corticosteroid. Izinyembezi ezincane noma ingxenye ngokuvamile zisabela kahle ezinyangeni ezimbili zokwelashwa ngokomzimba. Ukuphatha okulandelanayo kusebenza kangcono kakhulu uma unemikhawulo yokusebenza emincane.
Iziguli kufanele zibhekane nokuqina kwehlombe elifriziwe (i-adhesive capsulitis) ngaphambi kokuhlinzwa. Ukuhlinzwa kungase kungasebenzi kahle uma ukwenzile sokuqaqamba kwamalunga, ukucindezeleka, sikashukela, Isifo sikaParkinson, ukukhuluphala ngokweqile, noma ukuhlinzwa ehlombe kwangaphambilini. Ababhemayo belapheka kancane futhi babhekane namazinga aphezulu okuhluleka.