Ukulimala kwiBhanart. Unyango lokungazinzi kwimixholwana

Ukulimala kwingxenye yangaphandle ye-humerus kuthiwa yi-Bankart yengozi. Umlomo wegxala uqhuba umsebenzi wokukhusela, ngokukhawuleza ukulungisa ithambo kwisigxina. Kwiimeko apho iphulo liphula okanye liphule, ukuzinza kwegalelo leethambo kunciphisa. Oku kwenzeka ngokusuka kwimvelaphi yokuchithwa kwaye ngokuqinisekileyo kukhokelela ekuphukeni kokuzinza kweqela elihlangeneyo ngokupheleleyo.

Izizathu zokubonakala

Kukho ezibini ezibangela umonakalo kwi-Bankart ehlangene:

• Nzakala;
• Umsebenzi omzimba ongapheliyo.

Esemngciphekweni abadlali baqhubela ukuphonsa i-nucleus okanye ithrekhi kunye nebala lezemidlalo. Abathandi beGalofu banamathuba okungena kwiindawo zamagxa. Ngokuqhelekileyo, ingozi iyancitshiswa xa uqeqesho luqhutyelwa phantsi kweso liliso labaqeqeshi abanamava.

Ukutshatyalaliswa kunye nokuphuka kunokwenzeka ngokuwa kweengalo okanye ukubethelela ngamandla kwigxalaba. Ukunyakaza okunamandla kwezandla kunye nokuphakanyiswa kwezithuthi ngokukhawuleza - oku kungenza umonakalo ku-Bankart.

Okumangalisayo kukuba, kodwa ukuhlala kwindlela yokuphila kungabangela umonakalo kwiqela elihlangeneyo. Ezinye izifo zikhokelela ekubeni umlomo we-humerus uyancipha kwaye izilonda zeBanartart zenzeka (oku kungaba yi-arthrosis, i-tendonitis okanye i-osteoporosis).

Ulwahlulo lwezifo

Umonakalo kwi-Bankart humerus ihlukaniswe zibe ziintlobo ezintathu:

1. Udidi lweklasi. Kule meko, kukho ukuhlukana okupheleleyo komlomo odibeneyo ukusuka kwisigxina se-scapula. Ngokuqhelekileyo, xa ukuphuka kuvezwa uphawu lwezophawu kwaye ngokukhawuleza kukho intlungu kunye neentlungu ezingenakuzikhusela.
2. Udidi lwesibini lubonakaliswa ngokungabikho kokuhlukana ngokubambisana. Ukuba lolu hlobo lwe-pathology aluphilwanga, lesi sifo siya kugxininiswa kwaye siholele kwimiphumo embi kakhulu.
3. Uhlobo olugqithiseleyo. Kule meko, ngaphezu kokuphuka, kukho ukuphulwa kwethambo. Kule meko, unyango olunzulu luyadingeka.

Symptomatics

Ukulimala kwintsebenziswano yeBanartart ngumonakalo wegxala ngentlungu ekhulu. Ubuhlungu bunokuba buhlungu okanye bukhulu. Konke kuxhomekeke kwinqanaba lomonakalo kunye nobunzima bokuphuka. Ukuphuka komlomo odibeneyo kungabandakanyeka okanye kugqibe.

Izimpawu eziphambili ziquka:

• Uvakalelo olubuhlungu xa isandla sinyuka;
• Isilungu, njengomyalo, siyasebenza kakuhle;
• Xa uguqa ingalo, ukukhangela kwezinto ezibonakalayo;
• Isandla silahlekelwa ngokukhawuleza amandla okusebenza.

Amanyathelo okuphilisa

Ukunyangwa kwe-Bankart ukulimala, ukuba ukuxhatshazwa ngokubambisana kunye nelophu kuncinci, kungenziwa ngokuzenzekelayo. Ngokungafani nalokhu, umzimba we-physiotherapy kunye nokulungiswa kwamacandelwana asegxeni asetyenziswa. Nangona ku funeka kukhunjulwe ukuba unyango olulondolozayo lunika isiphumo esilungileyo sokubuyisela ngokupheleleyo kuphela kwi-50% yamatyala. Kukho ukuphakama okuphezulu ukuba kwixesha elizayo kuya kuba nokungazinzi ekusebenzisaneni kwegxala elihlangeneyo.

Ukungenelela kokusebenza

Ingenelelo yokuphanda ingavulwa okanye ngoncedo lwe-arthroscopic.

Ukubuyiselwa emva kokuhlinzwa okwenziwa nge-arthroscopic kukukhawuleza, amandla angama-muscle abuyisela kwakhona. Nangona kunjalo, umngcipheko wokubuya kwakhona emva kokusebenza okunjalo kuphezulu kakhulu, xa kuthelekiswa nemisebenzi evuliwe.

Ku hlaziywa

Isiphumo sokonyango kwe-Bankart yokulimala kuncike kakhulu kwiimilinganiselo zokuvuselela, nangaphezulu kunoluhlobo lwonyango. Indima ephambili kule nto idlala ngokukhethwa kweendlela zokuvuselela. Akukho zifundo ezizodwa zokwenza unyango, inkqubo yokuvuselela ixhomekeka kwizinto ezininzi, ngokukodwa-izinga le-pathology, ukunganakwa kunye neendlela zokonyango kwesi sifo. Nangona iiprogram ezisetyenzisiweyo emva kokuhlinzwa kunye nonyango olulondolozayo zifana kakhulu.

Isigaba sokuqala sokuvuselela siquka ukungabi nciphisa ngoncedo lwe-orthosis. Isigulane kufuneka sinciphise uluhlu lweentshukumo zenxeba elimazi malunga neveki ezi-1-4. Ukulungiswa kwefayili kuvumela ukuphepha ukuthintela ihlombe. Ukuba akukho zintlungu, ukufuduka kwezinto ezivakalayo kuvunyelwe ukusukela ngomhla weshumi elinesine wokungafihli. Isigulane sinikezwa isometric exercise.

Isigaba sesibini sibandakanya ukunyuka kwenani lokunyakaza okunyanzelekileyo, ukusetyenziswa okusebenzayo kuqukwa kancane. Emva koko iprogram ibandakanya ukuzibandakanya okujoliswe ekuqiniseni ikhefu ejikelezayo yegxalaba.

Kwinqanaba lesithathu, amanyathelo okuvuselela ahlose ukubuyisela zonke iindibano ezinxulumene kunye. Ukusetyenziswa kwezidemon kusetyenziswa ukunyusa ukuxhatshazwa kwegxala.

Isigulana sifanele siqonde ukuba ukulungiswa emva kokulimala kwindebe edibeneyo yinkqubo ende, kodwa ukuthotyelwa kwazo zonke iziphakamiso ze-physiotherapist kuya kususa yonke intlungu kwaye kubuyiswe ukuhamba okupheleleyo kwesandla. Kwezinye iimeko, unyango lokulungiswa luhlala malunga neenyanga ezililishumi elinambini. Ukuphakama okukhulu emva kokuvuselelwa kunokwenzeka kuphela emva kweenyanga ezintathu.