Ukuchacha kwi-Triceps Tear: Yintoni omele uyilindele

Kubadlali kunye nabathandi bezemidlalo, i-triceps ekrazukileyo inokuba yingozi enkulu. Ngaba ukwazi iimpawu zabo, izizathu, izinto ezinobungozi, kunye neengxaki ezinokuthi zincede ababoneleli bezempilo baphuhlise isicwangciso sonyango esisebenzayo?

Ukwenzakala kweTriceps eziqwengiweyo

I-triceps sisihlunu esingasemva kwengalo engaphezulu esivumela ingqiniba ukuba ime nkqo. Ngethamsanqa, iinyembezi ze-triceps aziqhelekanga, kodwa zinokuba zinzulu. Ukulimala kuchaphazela amadoda ngokuphindaphindiweyo kunabasetyhini kwaye ngokuqhelekileyo kuvela kwintlungu, imidlalo, kunye / okanye imisebenzi yokuzivocavoca. Ngokuxhomekeke kubungakanani kunye nobukhulu bomonzakalo, ukwenzakala kwe-triceps ekrazukileyo kunokufuna ukuqhekeka, unyango lomzimba, kwaye mhlawumbi utyando ukuze uphinde ushukume kunye namandla. Ukuchacha emva kokukrazula i-triceps ngokuqhelekileyo kuthatha malunga neenyanga ezintandathu. (Iziko lezoNyango leYunivesithi yaseOhio State Wexner. 2021)

Anatomy

I-triceps brachii muscle, okanye i-triceps, ihamba ngasemva kwengalo engaphezulu. Ibizwa ngokuba kathathu kuba ineentloko ezintathu-intloko ende, ephakathi, kunye nesecaleni. (Sendic G. 2023) I-triceps iqala egxalabeni kwaye inamathele kwi-shoulder blade / scapula kunye nethambo lengalo ephezulu / i-humerus. Ezantsi, incamathela kwindawo yengqiniba. Eli lithambo kwicala le-pinky le-forearm, eyaziwa ngokuba yi-ulna. I-triceps ibangela intshukumo egxalabeni nakwi-elbow joint. Egxalabeni, lenza ulwandiso okanye intshukumo ngasemva yengalo kunye ne-adduction okanye ihambisa ingalo isiya emzimbeni. Umsebenzi oyintloko walo msipha ukwi-elbow, apho yenza ukwandiswa okanye ukulungiswa kwe-elbow. I-triceps isebenza ngokuchasene ne-biceps muscle ngaphambili kwengalo engaphezulu, eyenza i-flexion okanye ukugoba kwe-elbow.

Triceps Iinyembezi

Iinyembezi zinokuthi zenzeke naphi na ubude besihlunu okanye i-tendon, esi sisakhiwo esinamathelisa isihlunu emathanjeni. Iinyembezi ze-Triceps zivame ukuvela kwi-tendon edibanisa i-triceps ngasemva kwe-elbow. Iinyembezi ze-muscle kunye ne-tendon zifakwe kwi-1 ukuya kwi-3 ngokusekelwe kubunzima. (Alberto Grassi et al., 2016)

IBanga loku-1 liPhakathi

• Ezi nyembezi zincinci zibangela intlungu ebuhlungu ngokuhamba.
• Kukho ukudumba, ukugruzuka, kunye nokulahleka okuncinci komsebenzi.

IBanga lesi-2 ePhakathi

• Ezi nyembezi zinkulu kwaye zinokudumba okuphakathi kunye namanxeba.
• Iintsinga zikrazukile ngokuyinxenye kwaye zoluliwe.
• Ukuya kuthi ga kwi-50% ilahleko yomsebenzi.

IBanga lesi-3 elinzima

• Olu lolona hlobo lubi kakhulu lokukrazula, apho i-muscle okanye i-tendon ikrazuke ngokupheleleyo.
• Olu konzakala lubangela iintlungu ezinzima kunye nokukhubazeka.

iimpawu

Iinyembezi ze-Triceps zibangela intlungu ekhawulezileyo emva kwengqiniba kunye nengalo engaphezulu eyanda xa uzama ukuhambisa i-elbow. Abantu ngabanye banokuziva kunye/okanye beve ukuvela okanye ukukrazuka. Kuya kubakho ukudumba, kwaye ulusu luya kuba bomvu kunye/okanye lugruzuke. Ngokukrazula inxalenye, ingalo iya kuziva ibuthathaka. Ukuba kukho ukukrazula okupheleleyo, kuya kubakho ubuthathaka obukhulu xa ulungisa i-elbow. Abantu ngabanye banokuqaphela iqhuma elingasemva kwengalo apho izihlunu ziye zadibana kwaye zaqhina kunye.

Izizathu

Iinyembezi ze-Triceps zivame ukuvela ngexesha lokuxhatshazwa, xa i-muscle ibanjwe kwaye amandla angaphandle atyhala i-elbow kwindawo egobileyo. (UKyle Casadei et al., 2020) Omnye woonobangela abaqhelekileyo kukuwela ngengalo eyoluliweyo. Iinyembezi ze-Triceps ziyenzeka ngexesha lemidlalo efana nale:

• Ukuphosa i-baseball
• Ukuvala kumdlalo webhola
• imithambo yomzimba
• Ibhokisi
• Xa umdlali esiwa aze ahlale engalweni yakhe.
• Iinyembezi zinokuthi zenzeke xa usebenzisa izisindo ezinzima ngexesha lokuzilolonga okujoliswe kuko kwi-triceps, njenge-bench press.
• Iinyembezi zinokuthi zenzeke ngenxa yokwenzakala ngokuthe ngqo kwisihlunu, njengengozi yemoto, kodwa aziqhelekanga.

Ixesha elide

Iinyembezi ze-Triceps zinokukhula ngokuhamba kwexesha ngenxa ye-tendonitis. Le meko idla ngokuvela ngenxa yokusetyenziswa ngokuphindaphindiweyo kwemisipha ye-triceps ngexesha lemisebenzi efana nomsebenzi wezandla okanye umthambo. I-Triceps tendonitis ngamanye amaxesha ibizwa ngokuba yi-elbow ye-weightlifter. (Iziko le-Orthopedic & Spine. ND) Ukuxinezeleka kwemisipha kubangela iinyembezi ezincinci ezidla ngokuphiliswa ngumzimba. Nangona kunjalo, ukuba ubunzima obuninzi bubekwe kwi-tendon kunokuba bukwazi ukuqhubeka, iinyembezi ezincinci zinokuqala ukukhula.

Izinto zobungozi

Izinto ezinobungozi zinokunyusa umngcipheko wokukrazuka kwe-triceps. Iimeko zonyango eziphantsi zingenza buthathaka imisipha, ukwandisa umngcipheko wokulimala, kwaye kunokubandakanya: (Tony Mangano et al., 2015)

• Diabetes
• Irheumatoid arthritis
• Hyperparathyroidism
• Lupus
• Xanthoma - iidiphozithi ezinamafutha e-cholesterol phantsi kwesikhumba.
• I-hemangioendothelioma - izicubu ezinomhlaza okanye ezingenayo i-cancer ezibangelwa ukukhula okungaqhelekanga kweeseli zemithambo yegazi.
• Ukungaphumeleli kwezintso okungapheliyo
• I-tendonitis engapheliyo okanye i-bursitis kwi-elbow.
• Abantu abaye bafumana i-cortisone shots kwi-tendon.
• Abantu abasebenzisa i-anabolic steroids.

Iinyembezi ze-triceps zivame ukwenzeka rhoqo kumadoda phakathi kwama-30 kunye nama-50.Iimbumbulu zeOrtho. 2022) Oku kuvela ekuthatheni inxaxheba kwimisebenzi efana nebhola, ukuphakamisa ubunzima, ukwakha umzimba, kunye nomsebenzi wezandla, okwandisa umngcipheko wokulimala.

impatho

Unyango luxhomekeke kwiyiphi inxalenye ye-triceps echaphazelekayo kunye nobukhulu bomonakalo. Isenokufuna ukuphumla iiveki ezimbalwa kuphela, unyango lomzimba, okanye lufune utyando.

I-Nonsological

Iinyembezi eziyingxenye kwi-triceps ezibandakanya ngaphantsi kwe-50% ye-tendon zihlala ziphathwa ngaphandle kokuhlinzwa. (UMehmet Demirhan, u-Ali Ersen ngo-2016) Unyango lokuqala lubandakanya:

• Ukuqhawula ingqiniba ngokugoba kancinane kangangeeveki ezine ukuya kwezintandathu kuvumela izicubu ezonzakeleyo ukuba ziphole. (Iimbumbulu zeOrtho. 2022)
• Ngeli xesha, umkhenkce ungasetyenziswa kwindawo ye-15 ukuya kwi-20 imizuzu ngamaxesha amaninzi imihla ngemihla ukunceda ukunciphisa intlungu kunye nokuvuvukala.
• Amachiza angenayo i-steroidal anti-inflammatory / NSAIDs - i-Aleve, i-Advil, kunye ne-Bayer inokunceda ukunciphisa ukuvuvukala.
• Amanye amayeza angaphezu kwe-counter-counter afana neTylenol anokunceda ukunciphisa intlungu.
• Emva kokuba i-splint isusiwe, unyango lomzimba luya kunceda ukubuyisela ukunyakaza kunye namandla kwi-elbow.
• Ukunyakaza okupheleleyo kulindeleke ukuba kubuyele kwiiveki ze-12, kodwa amandla apheleleyo akayi kubuya kude kube ziinyanga ezintandathu ukuya kwezilithoba emva kokulimala. (UMehmet Demirhan, u-Ali Ersen ngo-2016)

Ukuhlinzwa

Iinyembezi ze-Triceps tendon ezibandakanya ngaphezu kwe-50% ye-tendon idinga ukuhlinzwa. Kwezinye iimeko, nangona kunjalo, utyando lusenokucetyiswa ngeenyembezi ezincinci kune-50% ukuba umntu unomsebenzi onzima ngokomzimba okanye uceba ukuphinda adlale imidlalo kwinqanaba eliphezulu. Iinyembezi kwisisu se-muscle okanye indawo apho isihlunu kunye ne-tendon zijoyina ziqhele ukuthungwa kunye. Ukuba ithenda ayisabotshelelwanga kwithambo, iphinde yajijwa. Ukubuyisela kunye nonyango lomzimba emva kokuhlinzwa kuxhomekeke kwiiprothokholi zogqirha othile. Ngokubanzi, umntu ngamnye uya kuchitha iiveki ezimbalwa kwizihlangu zezilima ezidityaniswe ngentsinjana/ngeplangana. Malunga neeveki ezine emva kotyando, abantu baya kukwazi ukuqalisa ukuhambisa ingqiniba kwakhona. Nangona kunjalo, abayi kukwazi ukuqalisa ukwenza umsebenzi wokuphakamisa ubunzima kangangeenyanga ezine ukuya kwezintandathu. (Iimbumbulu zeOrtho. 2022) (UMehmet Demirhan, u-Ali Ersen ngo-2016)

Iingxaki

Iingxaki zingenzeka emva kokulungiswa kwe-triceps, nokuba kukho utyando okanye cha. Ngokomzekelo, abantu basenokuba neengxaki zokuphinda bahluthe ibhokhwe ukwandiswa okanye ukolula. Bakwasemngciphekweni omkhulu wokuqhambuka kwakhona ukuba ngaba bazama ukusebenzisa ingalo phambi kokuba iphole ngokupheleleyo. (UMehmet Demirhan, u-Ali Ersen ngo-2016)

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Ukhathalelo lweChiropractic lokuPhila emva kokwenzakala

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Ucaphulo

Iziko lezoNyango leYunivesithi yaseOhio State Wexner. (2021). Ukulungiswa kwe-Distal triceps: isikhokelo sokhathalelo lweklinikhi. (Amayeza, umba. iyeza.osu.edu/-/media/files/medicine/departments/sports-medicine/medical-professionals/shoulder-and-elbow/distaltricepsrepair.pdf?

Sendic G. Kenhub. (2023). I-Triceps brachii muscle Kenhub. www.kenhub.com/en/library/anatomy/triceps-brachii-muscle

Grassi, A., Quaglia, A., Canata, GL, & Zaffagnini, S. (2016). Uhlaziyo malunga nokuhlelwa kokulimala kwemisipha: uphononongo olubalisayo olusuka kwiklinikhi ukuya kwiinkqubo ezibanzi. Amalungu, 4(1), 39–46. doi.org/10.11138/jts/2016.4.1.039

Casadei, K., Kiel, J., & Freidl, M. (2020). Triceps Tendon Ukwenzakala. Iingxelo zangoku zonyango lwezemidlalo, i-19 (9), i-367-372. doi.org/10.1249/JSR.0000000000000749

Iziko le-Orthopedic & Spine. (ND). I-Triceps tendonitis okanye i-elbow ye-weightlifter. Iziko lovimba. www.osc-ortho.com/resources/elbow-pain/triceps-tendonitis-or-weightlifters-elbow/

Mangano, T., Cerruti, P., Repetto, I., Trentini, R., Giovale, M., & Franchin, F. (2015). I-Tendonopathy engapheliyo njengeMbangela eyahlukileyo ye-Triceps engabonakaliyo yokuqhaqha iTendon kwi-(Risk Factors Free) Umakhi womzimba: Ingxelo yeNgxelo. Ijenali yeengxelo zetyala lamathambo, i-5 (1), i-58-61. doi.org/10.13107/jocr.2250-0685.257

Iimbumbulu zeOrtho. (2022). I-Triceps igqabhuka www.orthobullets.com/shoulder-and-elbow/3071/triceps-rupture

Demirhan, M., & Ersen, A. (2017). I-Distal triceps igqabhuka. EFORT vula uphononongo, 1(6), 255–259. doi.org/10.1302/2058-5241.1.000038