Ngaba iSuture Tape iNcedisa i-Rotator Cuff yakho ukuba iphile ngcono

Ewe, i-suture tape inokunceda i-rotator cuff iphilise ngcono. Abantu abaninzi banexhala malunga noqhaqho lwamagxa. Oogqirha ngoku basebenzisa izixhobo ezitsha kunye neendlela ezinceda abantu ukuba baphile ngcono. Iteyiphu ye-Suture kunye nee-ankile ezingenamaqhina zenza ukulungisa igxalaba lomelele kwaye kukhuseleke.

Izigulane kufuneka zicinge ngolu khetho. Banokubuza ugqirha wabo ukuba i-suture tape inokunceda ukulimala kwamagxa.

Izinto eziphambili zokuThatha

• I-tape ye-Suture yinto eyomeleleyo kunye nesicaba. Inceda ukulungisa imisipha ekrazukileyo egxalabeni. Oku kwenza impiliso ikhuseleke kwaye ibengcono. Ukusebenzisa iteyiphu ye-suture kutyando kunokwenza ukulungiswa komelele. Isasaza uxinzelelo ngokulinganayo. Oku kunciphisa ithuba lokukrazuka kwe-tendon kwakhona. Izigulane zihlala ziziva iintlungu ezincinci kunye tape suture . Banokuphilisa ngokukhawuleza kunokuba bafake i-sutures rhoqo. Oku kubanceda babuyele kwimisebenzi yesiqhelo ngokukhawuleza. Iiankile ezingenamaqhina zisebenza ngeteyiphu ye-suture ukubamba i-tendon. Abafuni maqhina. Oku kunokwehlisa iingxaki kwaye kwenze utyando lukhawuleze. I-tape ye-Suture inamanqaku amaninzi amahle. Izigulane kufuneka zithethe nogqirha wazo malunga nemingcipheko kwaye ukuba ilungile kubo phambi kotyando.

I-tape ye-Suture kwi-rotator cuff ukulungiswa

Yintoni i-suture tape

I-Suture tape luhlobo olukhethekileyo lwezinto ezisetyenziswa ngabagqirha ukulungisa i-tendon ezikrazukileyo egxalabeni. Ijongeka ithe tyaba kwaye ibanzi, phantse ifana neribhoni encinci, endaweni yengqukuva njengemithungo eqhelekileyo. Olu yilo lunceda ukusabalalisa amandla kwi-tendon. Iteyiphu yeSuture yenziwe ngeentsinga ezomeleleyo, eziphothiweyo. Ezi fayibha zinika ukomelela ngakumbi kunocingo lwemveli lokuthunga. Oogqirha bavame ukukhetha i-suture tape kuba inokubamba i-tendon ngokuqinileyo ngaphandle kokusika kwizicubu.

I-tape ye-Suture inika oogqirha indlela entsha yokulungisa i-rotator cuff. Inceda ukwenza ukulungiswa komelele kwaye kukhuseleke kwizigulana.

Isetyenziswa njani iteyiphu ye-suture

Oogqirha basebenzisa i-suture tape ngexesha lotyando lwe-rotator cuff ukudibanisa i-tendon ekrazukileyo emva kwethambo. Bayifakela iteyiphu kwi-tendon kwaye bayigxininise kwithambo ngokusebenzisa izixhobo ezikhethekileyo. Ezi iankile zibambe i-tape endaweni ukuze i-tendon ikwazi ukuphilisa.

Oogqirha badla ngokusebenzisa iteyiphu ye-suture eneankile ezingenamaqhina. Le ndlela iyakuphepha ukubopha amaqhina, nto leyo enokubangela iingxaki ngamanye amaxesha. Ubume obucaba be-suture tape inceda ukukhusela i-tape ekutsaleni kwi-tendon. Oku kuthetha ukuba ukulungiswa akunakwenzeka ukuba kusilela.

• I-tape ye-Suture yandisa indawo yoqhagamshelwano phakathi kwe-tendon kunye nethambo.

• Inika amandla amakhulu kunocingo oluqhelekileyo lwe-suture.

• I-tape inceda ukugcina i-tendon izinzile ngelixa iphilisa.

Uphononongo lubonisa ukuba ukulungiswa usebenzisa i-suture tape kunamathuba aphezulu okuphumelela. Uyilo lweteyiphu luvumela ukuphiliswa okungcono kunye nomngcipheko omncinci wokukrazula kwe-tendon kwakhona. Oogqirha abaninzi ngoku bakhetha i-suture tape ukulungiswa kwe-rotator cuff kuba inika ezi zibonelelo zibalulekileyo.

Iinzuzo ze-tape ye-Suture

Ukulungiswa okunamandla

I-tape ye-Suture yenza ukulungiswa kwe-rotator cuff yomelele. Ubume bayo obucaba kunye nobubanzi busasaza uxinzelelo ngaphezulu kwe-tendon. Oku kunceda ukumisa i-tape ekusikeni kwi-tissue. Oogqirha babona ukuba ukulungiswa kweteyiphu ye-suture kunokuthatha amandla amaninzi ngaphambi kokuphuka. Itheyibhile engezantsi ibonisa indlela iteyiphu ye-suture kunye ne-sutures yendabuko ethelekisa ngayo:

Metric	ITape yeSuture (n=50)	I-Traditional Sutures (n=100)
Retear Rate	16% (8/50)	17% (17/100)
Uxinzelelo loQhagamshelwano lweenyawo (MPa)	0.33 ± 0.03	0.11 ± 0.03
Ukungaphumeleli okugqibeleleyo komthwalo (N)	217 ± 28	144 ± 14

Itheyibhile kunye netshati zibonisa ukulungiswa kwe-tape ye-suture kunoxinzelelo oluphezulu loqhagamshelwano. Banokuphatha amandla amaninzi phambi kokuba baqhekeze. Oku kuthetha ukuba i-tendon ihlala inamathele kwithambo ngcono ngelixa iphilisa.

Umonakalo omncinci wezicubu

I-tape ye-Suture ibangela umonakalo omncinci kwi-tissue kune-sutures eqhelekileyo. Ukumila kwayo kusicaba kwenza umngxuma omkhulu ekuqaleni, kodwa ikhusela umthambo ekukrazukeni xa uhamba. Abaphandi bafumene izibonelelo ezithile:

• Iisutu zodidi lweteyiphu zenza imingxunya emikhulu ekuqaleni, kodwa le mingxuma ayibi nkulu kakhulu kamva.

• I-sutures rhoqo iqala ngemingxuma emincinci, kodwa le mingxunya iba nkulu ngokuhamba kwaye inokulimaza i-tendon.

• I-tape-type sutures inceda ukuyeka ukukhupha i-suture, isizathu esiqhelekileyo sokulungiswa kusilela.

I-tape ye-Suture inceda ukugcina i-tendon yomelele kwaye isempilweni ngelixa iphilisa.

Ukuphiliswa ngcono

Abantu abafumana ukulungiswa kwe-tape ye-suture bahlala bephilisa kakuhle kwaye banamahlombe aqinile. Uphononongo lubonisa ireyithi yokuhlehla ye-ankile ye-suture tape yi-11.1%. Kwii-ankile ze-suture eziqhelekileyo, yi-12.0%. Umahluko uncinci, kodwa zombini iindlela zinceda i-tendon iphilise kakuhle. Oogqirha basebenzisa i-MRI scans ukujonga ukuphilisa emva kokulungiswa kwe-suture tape. Kolunye uphononongo, kuphela i-5.56% yokulungiswa ayiphumelelanga, kwaye abaninzi abantu babenamanqaku amakhulu amagxa.

• Uninzi lwabantu abane-suture tape yokulungisa amanqaku angaphezu kwama-80 kwiimvavanyo zamagxa.

• I-MRI scan ibonisa ukuphiliswa kwe-tendon eqinile kwiimeko ezininzi.

I-tape ye-Suture inika abantu ukhetho oluhle lokulungiswa kwe-rotator cuff, kunye nokuphulukiswa okunamandla kunye nokuhamba kakuhle kwamagxa.

Iteyiphu ye-Suture vs

Ukunyangwa kunye neziphumo

Oogqirha bajonga indlela i-suture tape kunye ne-sutures eqhelekileyo inceda ngayo ukuphilisa. Zombini iindlela zinceda i-tendon ibambelele ethanjeni. Kukho umahluko phakathi kwabo. Kwiinyanga ezintandathu emva kotyando, iqela le-tape linezinga le-25% lokuhlehla. Iqela eliqhelekileyo le-suture lalinomlinganiselo we-15% wokukrazula. Abaphandi bathi la manani awafani kakhulu ( P = 0.3). Abantu kuwo omabini amaqela banethuba elifanayo lokuphiliswa kakuhle.

• Iqela le-Suture tape: i-25% yezinga lokuhlehla (i-7 kwizigulane ze-28)

• Iqela eliqhelekileyo le-suture: i-15% yezinga lokuhlehla (i-8 kwizigulane ezingama-53)

• Ukuphilisa kumalunga nokufana kuwo omabini amaqela

Oogqirha bahlala befunda ukuba yeyiphi indlela esebenza ngcono kumntu ngamnye. Ukuphilisa kuxhomekeke kwizinto ezifana nobudala, ukuba ukhuthele kangakanani, kunye nokuba mkhulu kangakanani ukukrazula.

Amava okubuyisela

Abantu bafuna ukwazi ukuba ihlombe labo liya kuziva njani emva kokuhlinzwa. Iintlungu kunye nendlela abakhawuleza ngayo ukuphilisa zibalulekile kumntu wonke. Uphononongo lubonisa abantu abanokulungiswa kwe-suture tape baziva iintlungu ezincinci kwinyanga yokuqala. Itheyibhile engezantsi ibonisa intlungu kunye nokusetyenziswa kwamayeza kwiqela ngalinye:

Abantu abanokulungiswa kweteyiphu ye-suture basebenzisa iyeza leentlungu ezincinci. Baphinde babuyele kubomi obuqhelekileyo ngokukhawuleza. Uninzi lubuyela kwimidlalo kwiinyanga ze-5.71. Abantu abane-sutures rhoqo bafuna ixesha elingakumbi kunye neyeza leentlungu.

Abantu abakhetha i-suture tape banokulimaza kancinci kwaye baphilise ngokukhawuleza emva kokuhlinzwa kwe-rotator cuff.

Iiiankile ezingenamaqhina

Zisebenza njani iiankile ezingenamaqhina

Iiankile ezingenamaqhina zivumela oogqirha baqhoboshele iteyiphu ye-suture ethanjeni. Akuyomfuneko ukuba babophe amaqhina. I-ankile ingena ngokufanelekileyo kumngxuma omncinci kwithambo. Inemingxuma emibini ye tape ye-suture. Ugqirha utsala iteyiphu kule mingxuma. Iteyiphu ingena kwitonela le-ankile. Ngaphakathi, indawo yokutshixa ityhala iteyiphu kwi-ankile. Oku kugcina iteyiphu ingahambi. Ithenda ihlala kwindawo. Ugqirha usebenzisa i-trigger ukuseta i-anchor. Emva koku, iteyiphu ihlala itshixiwe. Ibamba umthambo kwithambo.

• I-ankile ihambelana ngokuqinileyo kumngxuma wethambo.

• Imingxuma emibini ivumela iteyiphu ukuba ingene ngaphakathi kwe-ankile.

• Isitshixo esingaphakathi kwe-ankile sigcina iteyiphu iqinile.

• I-trigger inceda ukutshixa i-ankile kunye ne-tape kunye.

Izinto eziluncedo phezu kwamaqhina

Iiankile ezingenamaqhina zinamanqaku amaninzi alungileyo phezu kwamaqhina. Banceda ukunqanda iingxaki ezifana nokucudisa umthambo kakhulu. Amaqhina angacinezela i-tendon kakhulu. Oku kunokucothisa ukuhamba kwegazi kunye nokuphilisa. Uphononongo lubonisa ukulungiswa okungenamaqhina kunciphisa ithuba leengxaki ze-tendon.

Iiankile ezingenamaqhina nazo zonga ixesha ngexesha lotyando. Oogqirha bachitha ixesha elincinane bebopha amaqhina. Olunye uphononongo lubonise ukulungiswa okungenamaqhina kuthathe malunga nemizuzu engama-67. Ukulungiswa kwamaqhina kuthathe phantse imizuzu engama-76. I-ankile nganye engenamaqhina yayithabatha malunga nemizuzu engama-26. Iiankile eziqhunyiweyo zithathe malunga nemizuzu engama-31. Utyando olufutshane lunokuthetha iintlungu ezincinci kunye nokuphilisa ngokukhawuleza.

Ii-anchors ezingenamaqhina ezineteyiphu ye-suture zinceda ukukhusela i-tendon, ukugcina igazi lihamba, kunye nokwenza utyando ngokukhawuleza kwaye lukhuseleke.

Imingcipheko kunye nokuqwalaselwa

Ukwehla okunokwenzeka

I-tape ye-Suture inamanqaku amaninzi amahle, kodwa kukho imingcipheko. Oogqirha baye bafumanisa izinto ezimbalwa ezinokungahambi kakuhle xa usebenzisa i-suture tape ukulungiswa kwe-rotator cuff:

• Ukuqina : Abanye abantu baziva ukuba ihlombe labo liyaqina emva kokuhlinzwa. Ukubamba okuqinileyo kweteyiphu ye-suture kunokukwenza kube nzima ukuhamba ukuba awenzi unyango olufanelekileyo.

• Ukucaphuka : Iteyiphu okanye iiankile ngamanye amaxesha zinokukhathaza izicubu okanye ithambo. Oku kunokubangela intlungu okanye ukudumba kwindawo leyo.

• Iingxaki ze-ankile : Ngamanye amaxesha, i-ankile ebambe iteyiphu inokukhululeka okanye ihambe. Ukuba oku kuyenzeka, ukulungiswa kusenokungasebenzi.

• Iindleko : Iteyiphu ye-Suture kunye nee-ankile ezingenamaqhina zinokubiza ngaphezu kwee-sutures eziqhelekileyo. I-inshurensi isenokungahlawuleli iindleko ezongezelelweyo.

Qaphela: Abantu abaninzi abanazo iingxaki ezinkulu, kodwa wonke umntu kufuneka azi ngezi ngozi phambi kotyando.

Le theyibhile ingezantsi ibonisa ezinye iziphumo ebezingalindelekanga ezinokuthi zenzeke:

Xa ungasebenzisi iteyiphu ye-suture

Oogqirha abayisebenzisi iteyiphu ye-suture kumntu wonke. Ezinye iimeko ziyenza ibe luncedo kangako okanye ibe yingozi:

• Iinyembezi ezincinci kakhulu : Kwiinyembezi ezincinci ze-rotator cuff, i-sutures eqhelekileyo inokusebenza ngokunjalo.

• Umgangatho wethambo obuthathaka : Ithambo elibuthathaka okanye elibhityileyo lisenokungayibambi kakuhle i-ankile. Oku kunokwenza ukuba ukulungiswa kungasebenzi.

• Ukungezwani komzimba : Abanye abantu basenokungadibani nezinto ezikwiteyiphu okanye i-ankile.

• Umngcipheko wosulelo : Ukuba umntu unosulelo, oogqirha abasebenzisi naluphi na ukufakelwa, kuquka iteyiphu ye-suture.

Oogqirha bahlala bejonga iimfuno zesigulane ngasinye. Bakhetha eyona ndlela ilungileyo yokulungisa igxalaba kumntu ngamnye.

Izigulane kufuneka zithethe nogqirha wazo malunga nale mingcipheko. Ugqirha unokunceda ukugqiba ukuba i-suture tape iyona nto ingcono kakhulu.

Iteyiphu yeSuture kunye neeankile ezingenamaqhina zenza ulungiso lomelele. Zikwabangela umonakalo omncinci kwizicubu. Ukuphilisa kungcono kukulimala kwe-rotator cuff. Itheyibhile engezantsi ibonisa indlela amandla oqhagamshelwano kunye noxinzelelo oluphuculwe ngayo xa kuthelekiswa neengcingo:

Izigulane ziziva iintlungu ezincinci emva kotyando. Igxalaba labo lisebenza ngcono. Abantu abaninzi bayavuya ngeziphumo zabo. Izigulane kufuneka zithethe nogqirha wazo malunga nokukhetha. Izixhobo ezitsha kunye neendlela zihlala zibangcono. Oku kuthetha ukuba ukubuyiswa kwamagxa kuya kuhlala kuphucuka kwixesha elizayo.

FAQ

Yintoni eyenza i-suture tape yahluke kwi-sutures eqhelekileyo?

Iteyiphu yeSuture ithe tyaba kwaye ikhangeleka njengeribhoni encinci. Iisutures eziqhelekileyo zikhangeleka ngakumbi njengeentambo ezincinci. Iteyiphu isasaza uxinzelelo kwindawo enkulu. Oku kunceda ukugcina i-tendon ikhuselekile kwaye yenza ukulungiswa komelele.

Ngaba wonke umntu angasebenzisa iteyiphu ye-suture ukulungisa i-rotator cuff?

Ayizizo zonke izigulane ezinokufumana iteyiphu ye-suture. Oogqirha bajonga ukuba inkulu kangakanani inyembezi. Baphinde bajonge ukuba ithambo lomelele na kwaye unezinto ezikwaliwayo. Ugqirha ukhetha oko kukulungele umntu ngamnye.

Ngaba i-suture tape iyakukhawulezisa ukubuyiswa?

Abantu abaninzi baziva iintlungu ezincinci nge-suture tape. Bangabuyela kwimisebenzi ngokukhawuleza. Iteyiphu ibamba umthambo ngokuqinileyo. Oku kunceda igxalaba liphile ngcono.

Ngaba kukho imingcipheko ngeteyiphu ye-suture kunye neeankile ezingenamaqhina?

Abanye abantu banokuziva beqinile okanye bebuhlungu emva kotyando. Ngamanye amaxesha, i-ankile inokushukuma okanye ibuhlungu. Oogqirha bathetha ngezi ngozi phambi kotyando.