A rotator cuff ne rukuni na tendons da tsokoki da ke kewaye da haɗin gwiwa. Akwai tsokoki huɗu na rotator cuff wadanda suke da muhimmanci a cikin aiki da motsi na haɗin gwiwa. Wadannan tsokoki sun haɗa kai zuwa kashi ta hanyar jiji. Wannan sashin tendon ne na rotator cuff wanda zai iya zama lalacewa wanda zai haifar dashi. Lokacin da mai juya rotator ya yi tsage, ƙunƙun kafa na iya zama mai raɗaɗi da rauni, kuma rashin jin daɗi na iya tsoma baki tare da aiki har ma barci.
Rotator cuff hawaye ne matsala na yau da kullum, kuma sau da yawa wadannan hawaye suna da ake kira hawaye hawaye na rotator cuff. Rashin hawaye na rotator cuff wani yanki ne na lalacewa na rotor cuff , inda hawaye ba ya tafi ta hanyar tendons. Maimakon haka, a cikin rauni na rotator cuff, tayin ya lalace, amma ba duk hanyar ba. Sashe mafi ɓangaren tendon a wani lokaci lalacewa, ɓangaren ƙasa na tendon ya lalace wasu lokuta, kuma a wasu lokuta, ɓangaren yatsun zai iya lalacewa. Wasu hawaye hawaye suna da dabara, kawai wasu sunyi wani ɓangare na tendon, yayin da sauran hawaye hawaye na iya zama kawai ƙananan nau'in nama daga cikin hawaye. Yayin da muke kwatanta sau da yawa na rotator cuff hawaye kamar ɗayan mahaɗi, hakikanin gaskiya cewa kowane hawaye yana iya zama ɗan bambanci, kuma yana da bambanci a magani mai kyau.
Jiyya na Ƙananan Sakamakon Cuff
Yawancin marasa lafiya marasa lafiya mai nauyin rotator cuff zai iya farawa ba tare da tiyata ba.
A wannan lokaci, wasu magunguna marasa magungunan , mafi mahimmanci farfadowa na jiki , za a iya ƙoƙarin ƙyale yatsun warkar.
Jiki na jiki zai iya taimakawa wajen mayarwa da kula da kwakwalwa na al'ada na al'ada, kuma sau da yawa yakan magance cututtuka da cutar ta haifar. Duk da yake mutane da yawa suna aiki da karfi, farfadowa na jiki zai iya taimakawa yayin da yawancin marasa lafiya da irin wannan rauni sun canza ma'anan haɗin gwiwa wanda zai iya haifar da bayyanar cututtuka.
Marasa lafiya na iya tsayayya da farfadowa na jiki, tunanin aikin su ko rayuwa mai dadi yana da cikakkiyar motsa jiki. Sau da yawa ina tunatar da marasa lafiya cewa har ma 'yan wasa masu sana'a na iya (kuma su) su amfana daga farfadowa na jiki.
Idan bayyanar cututtuka ta ci gaba ba tare da waɗannan jiyya ba, to ana iya ɗaukar tiyata don takaici rotator cuff hawaye. Tabbatar da lokacin da ake tilastawa wajibi ne don mai juyayi rotator ya zama daidai ga duka hawaye da kuma cikakke rotator cuff .
Hoto don Ƙarƙashin Ƙaƙwalwar Ƙaƙƙwalwa
Akwai wasu hanyoyi daban-daban don magance mintuna rotator cuff hawaye a lokacin tiyata. Mafi sau da yawa, wadannan hawaye suna iya yin maganin arthroscopically, kuma ba zai yiwu ba a fara aikin tiyata (tare da girma). Zaɓuɓɓuka don maganin ƙwayar magani sun haɗa da tsaftace ƙananan ƙananan ƙananan ( rikice-rikice subacromical ), gyare-gyare na hawaye (tsaftace tsaran tsararren), ko gyaran tsararren mai juyayi. Bugu da ƙari, wasu haɗin waɗannan hanyoyin za a iya yi.
Tabbatar da magani mai dacewa ya dogara da abin da aka gani a lokacin arthroscopy . Idan ƙasa da 50% na tendon ya tsage, to, hawaye ba sa bukatar gyara. A cikin wadannan lokuta, kawar da kashin da aka lalata da kuma lalacewa (debridement), da kuma cire duk wani kumburi , zai taimaka sau da yawa wajen bayyanar cututtuka.
Idan fiye da kashi 50 cikin dari na tendon ya tsage, mai gyaran gyare-gyaren gyare-gyaren gyare-gyare zai kasance da yawa.
Gyara gyare-gyaren rotator cuff hawaye yana da karfi sosai. Idan aka kwatanta da cikakken hawaye na rotator cuff, a gyara wani mai juyawa mai juyayi, akwai ƙananan damuwa a kan gyaran gyare-gyare saboda rashin rushewar kashin baya bai cika ba. Wannan yana da kyau don warkewa kuma ya rage yiwuwar gyarawa kasawa.
Yaushe ne Wajibi Nema?
Sanin lokacin da aikin da yake daidai zai iya zama tambaya mai ƙalubale. Ba kamar cikakken ƙarfin rotator cuff hawaye, yawanci ba gaggawa don yin tiyata don hawaye mai hawaye na rotator cuff.
Lokacin da cikakken haushi ya auku, marasa lafiya zasu iya rasa ƙarfi da har abada idan sun yi jinkiri. Wannan ba shi batu bane don hawaye, saboda haka yana da mahimmanci don yin ƙoƙari mai kyau wajen yin nazari.
Idan mafi yawan magunguna masu mahimmanci ba su aiki don taimakawa bayyanar cututtuka, to, tiyata zai dace. Tabbatar ko gyaran gyare-gyaren da ake bukata dole ne a yi a lokacin tiyata . Sai kawai likitan likitanku na da cikakken tunani game da yadda yatsa ya tsage, kuma ya kamata a yi gyare-gyaren ko a'a.
Kalma Daga
Sakamakon rotator cuff hawaye shine abubuwan da aka gano, duka biyu a kan gwaje-gwaje na hoto da kuma lokacin da ake magance matsalolin kafada. Duk da yake waɗannan na iya kasancewa abubuwan da aka sani, bazai buƙaci yin magani ba koyaushe. A gaskiya ma, yawanci masu juyayi na rotator cuff zai iya farfadowa tare da maganin rashin daidaituwa. Yawanci, tiyata don irin wannan lalacewar an adana ga mutanen da ba za su iya farfadowa tare da marasa lafiya.
Sources:
> Pedowitz RA, et al. "Gudanar da gudanarwa na matsalolin rotator cuff" J Am Acad Orthop Surg. 2011 Jun; 19 (6): 368-79.
> Wolff AB, Sethi P, Sutton KM, Covey AS, Magit DP, Medvecky M. "Hannun-mai haske rotator cuff hawaye" J Am Acad Orthop Surg. 2006 Dec, 14 (13): 715-25.