Kayan gyara SLAP, wani aikin da aka yi don kulawa da hawaye na SLAP , an dauke shi ne ga marasa lafiya wanda ba su inganta bayan maganin marasa lafiya. A cikin marasa lafiya tare da hawan SLAP wanda ke haifar da ciwo, magani zai iya zama wani zaɓi.
Zaɓuɓɓuka don Gudanar da Gwanin SLAP
Rashin hawan SLAP wani nau'i ne na takalma a cikin haɗin gwiwa. SLAP hawaye suna faruwa a inda yaduwar tayi ta haɗa da labrum a saman kafa ta kafada.
Lokacin da aka yi amfani da aikin tiyata don hawaye na SLAP, akwai wasu zaɓuɓɓuka don yadda za'a magance matsalar.
- Shirye-shiryen SLAP
Kaddamar da samfurin SLAP kawai yana kawar da duk wani wuce haddi ko abin lalacewar da ke haifar da bayyanar cututtuka na kamawa da ciwo a cikin kafada. A wasu mutane, lalacewa kadan ne, kuma cire kayan tsabta zai iya zama daidai don magance matsalar. - SLAP Gyara
An gyara gyara na SLAP don gyaran gyare-gyare a cikin labrum. Yawancin lokaci, gyara SLAP yana yin amfani da sutures don sake gyara labrum lalacewa zuwa kashin kafar kafada. - Biceps Tenodesis ko Tenotomy
Za'a iya yin la'akari da ƙwayar cuta ko ƙwayar jikin mutum lokacin da hawaye na SLAP ba za a iya gyara ba, ko kuma idan tayin na biceps ya ɓata sosai.
Hanyar
Sake gyara SLAP wani aikin tiyata ne na arthroscopic ta yin amfani da sutures don sake kaddamar da labrum mai tsagewa zuwa kashin kafar kafada. A lokacin da ake fama da ƙwayar cuta , an iya gano wasu raunin da za a iya bi da su, ciki har da ƙumburi na bursal , rotator cuff hawaye , da lalacewa.
Sabili da haka, gyaran SLAP zai iya zama wani ɓangare na tiyata don gyara ƙuntatawa ta kafada. Matakan aikin gyara SLAP sune:
- 1. Hawaye na SLAP an gano kuma an cire nama mai lalacewa / lalacewa.
- 2. Ƙananan rami an rushe a cikin kashi inda labrum ya tsage daga kwasfa.
- 3. An sanya wani kafa a wannan rami; a haɗe zuwa tari shine karfi mai karfi.
- 4. An yi amfani da suture don ƙulla labrum mai tsabta a kan kashi.
- 5. Ana sanya wasu anchors da aka sanya don an tabbatar da shi ga labrum mai tsage.
SLAP Repair vs. Biceps Tenodesis
Amfani da SLAP gyara:
- Sabuntawa na SLAP ya sake dawo da yanayin al'ada na kafada ta hanyar mayar da labrum a matsayinsa na al'ada.
- Da zarar an warkar da su, gyara SLAP ya ba da damar aiki na labrum da biceps.
Abũbuwan amfãni daga biceps iri :
- Saukewa ba sau da yawa kamar yadda lamarin yake tare da gyara SLAP.
- Sakamakon aikin tiyata yawanci ya fi tsinkaya, kamar yadda warkar da gyara na SLAP bazai zama abin dogara ba.
Rehab Bayan Yin Hoto
Gyara bayan gyaran gyara na SLAP ya bambanta dangane da dalilai irin su ƙarfin gyare-gyare da kuma son likitan likita. Mafi sau da yawa, lokaci na ƙuntata motsi yana kiyaye kimanin makonni shida bayan gyara gyara SLAP. A wannan lokacin na farko na gyaran gyaran, wasu motsi ne da aka hana su hana maganin kafada. A farkon lokaci, labrum mai tsabta yana warkar da kashi a matsayin da ya dace.
Da zarar an warkar, marasa lafiya sun shiga mataki na biyu na gyarawa kuma zasu iya fara motsi a game da makonni shida. Ci gaba na jiki yana ci gaba da taimakawa wajen tafiyar da motsi da sake samun karfi daga kafada.
Hanya na uku na gyarawa ya ƙunshi ƙarfafa ƙarfin ƙarfin tsokoki da ke kewaye da haɗin gwiwa. Ƙarshe na karshe shine aka tsara don mayar da cikakken wasanni na wasanni, kuma ana tsammanin cikakken dawowa cikin watanni 4-6.
Sources:
Kim TK, et al. "Hanyoyi na asibiti na daban-daban na raunin SLAP" Journal of Brew Joint Surgery Am. 2003 Jan, 85-A (1): 66-71.
Choi NH, Kim SJ. "Avulsion na babbar labrum" Arthroscopy. 2004 Oktoba; 20 (8): 872-4.