Jiyya na tsaunin rotator ya fara sau da yawa tare da kyakkyawan ƙoƙari a magungunan ra'ayin mazan jiya. Nasarar dabarun marasa magani shine ya dogara da irin rotator cuff hawaye (muni da tsawon lokaci), girman hawaye, da ayyukan masu haƙuri. A cikin fiye da kashi 50 cikin dari na marasa lafiya tare da hawaye na rotator, marasa lafiya marasa lafiya za su kasance da tasiri a wajen kawar da alamun su.
A wasu mutane, duk da haka, ciwo da aiki za su ci gaba da iyakancewa, kuma za'a iya bada shawarar yin aiki mai mahimmanci. Waɗannan su ne wasu daga cikin zaɓuɓɓuka na zafin jiki don jiyya na rotator cuff hawaye.
Bude Open Rotator Cikin Gyara
Kafin ci gaba da tiyata na arthroscopic , an gyara dukkanin motsi na rotator cuff ta hanyar kallon kai tsaye a zane mai tsabta ta hanyar tayin kusan 6 zuwa 10 centimeters a tsawon. Amfani da budewa na rotator cuff shine gyaran gyare-gyare na rotator cuff da aka gane ta hanyar wannan hanya. Yana da sauƙi don gyara tendons zuwa kashi, kuma likitoci masu yawa suna ganin wannan an gyara shi sosai. Rashin baya shi ne cewa incision babban, da kuma dawowa zai iya zama ya fi tsayi kuma ya fi zafi. Sau da yawa ƙwayar tsohuwar ƙwayar jiki, babban tsoka a waje na kafada ya lalace ko kuma a rabu da shi. Wannan lalacewar muscle deltoid zai iya haifar da zafi da tsawanta da dawowa.
Mini-Open Rotator Cuff gyara
Hanyar karamin hanyar gyarawa ta rotator cuff ya ƙunshi wani ɓangaren arthroscopic na tiyata, da kuma ɗan gajeren gajere don samun damar kai tsaye zuwa tayin mai juyawa mai tsabta. Ta amfani da magungunan arthroscope, likitan likita zai iya duba cikin kwakwalwar kwakwalwa don tsaftace duk wani abu mai lalacewa ko ƙashi.
Shirye-shiryen don gyara rotator cuff za'a iya yin arthroscopically. Da zarar sashe na arthroscopic ya cika, an sanya raguwa mai sauki don gyaran gyaran baya zuwa kashi. Tsarin da aka yi amfani dashi a madaidaicin gyare-gyare na rotator cuff shine kimanin 3 cm, kuma maidawa zai iya zama mai raɗaɗi fiye da yadda aka bude cuff. Kamar yadda aka bude madaurin gyaran gyare-gyaren gyare-gyare, akwai wasu damuwa ga tsoka mai kamala, amma ba mai da hankali ba, kuma lalacewar ba ta da muhimmanci.
All-Arthroscopic Rotator Cuff gyara
Ana yin gyaran gyare-gyare na rotator cuff a cikin ƙananan ƙwayoyin cuta, kuma an gyara shi tare da likita mai kulawa ta hanyar karamin kyamara don ganin magunguna masu rarraba da kuma gyaran su a kallon talabijin. Wannan shi ne cigaban cigaba da kwanan nan a jiyya na hawaye na rotator cuff, kuma ba dukkanin hawaye ba za a iya bi da su ta hanyar wannan hanya. Bugu da ƙari, gyaran gyaran gyare-gyare na rotator na arthroscopic zai iya zama da wuya sosai kuma yana buƙatar kwarewa a wannan hanyar gyara. Ba duka likitocin likitoci sun yarda da gyaran gyare-gyaren da aka yi ba a matsayin mai karfi kamar yadda aka gyara ta hanyar budewa. Ƙunƙircin ƙwayar jikin yana da ƙananan lalacewa bayan duk gyaran gyare-gyare na rotator cuff arthroscopic.
Hanya Sauya Tiyata
A cikin manyan hawaye na rotator cuff da aka manta da su na shekaru masu yawa, ƙwayar wucin gadi na haɗin gwiwa zai iya ƙarewa.
Wadannan hawaye masu juyayi mai suna rotator cuff suna kira ne a matsayin mai juyawa rotator cuff hawaye kuma ya ƙunshi aƙalla 2 daga cikin 4 rotator cuff tendons. Wannan matsala ce da ake kira rotator cuff hawaye arthropathy kuma shine matsala biyu na ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa da kuma babban mai juyayi. Saboda rotator cuff ba shi da cikakke, daidaitattun daidaito na kafada yawanci bai isa ba. Musamman magunguna suna taimakawa wajen zamawa don gaskiyar cewa rotator cuff ba ya aiki kullum. Ɗaya daga cikin waɗannan kayan aikin na musamman shine ake kira maye gurbin baya .
Rotator Cuff gyara Rehab
Gyarawa bayan aikin motsa jiki mai mahimmanci yana da mahimmanci kamar gyaran gyare-gyare.
Idan ba tare da ya dace ba, haɗin samun cikakken dawowa ƙananan ne. Rahab bayan daftarin motsa jiki yana aiki daidai. A wani bangaren, makasudin shine sake dawowa da ƙarfin kafar. A gefe guda kuma, dole ne a kiyaye ƙuƙwallan don kare lafiyar tsage.
Kwararren likita na iya taimake ka kayi ayyuka masu dacewa, kuma likitanka zai sanar da kai lokacin da za a cigaba da kowane mataki na gyaranka. Sakamakon ci gaba na rehab bayan yin aikin tiyata zai iya dogara ne akan wasu dalilai, kuma zai iya bambanta da haƙuri da haƙuri. Duk da yake kuna jin daga abokai game da ci gaba da hawan su, kowane mutum zai iya samun matakan daban daban na ciwo da kuma ci gaba zuwa aiki. Kwararren likita zai iya ba da alamomi don ci gaba.
Source:
Burkhart SS da kuma IK "Arthur na Rotator Cuff Gyara." J. Am. Acad. Ortho. Surg., Yuni 2006; 14: 333 - 346.