Mphepete Yamphongo Wochokera ku Arthritis wa Mgwirizano wa Acromioclavicular
Mphepete mwake imapangidwa pamagulu atatu a mafupa: khungu lamphuno (phokoso), tsamba la mapewa (scapula), ndi fupa la mkono (humerus). Nkhono ndi zouma zimapanga chingwe cha olowa, ndipo humer ali ndi mutu wozungulira womwe umakhala mkati mwa chingwechi. Mapeto a scapula amatchedwa acromion, ndipo chophatikizana pakati pa gawo ili la scapula ndi chiwombankhanga chimatchedwa mgwirizano wa acromio-clavicular , kapena AC mgwirizano.
Pamene mgwirizanowu umakhala wochepa thupi, umatchedwa nyamakazi ya acromioclavicular (kapena AC).
Kodi Ichi N'chimodzimodzinso ndi Matenda a Arthritis?
Ayi. Madokotala kaŵirikaŵiri amatchula nyamakazi ya glenohumeral monga ' nyamakazi ya m'magazi '. Monga tafotokozera pamwambapa, mapewawa ali pambali ya mafupa atatu osiyana-siyana: chinyontho, scapula, ndi humer. Kwa odwala omwe ali ndi matenda a nyamakazi, magulu a chiguduli ndi acromion amavala zochepa. M'maso a nyamakazi, nyamakazi (fupa la mkono), ndipo chivundikiro chake chimachoka pamtanda wa paphewa. Kuvulala sikungokhala kosiyana ndi mawu a anatomic, koma zofunikira pa chithandizo, kuchira, ndi zovuta zimakhalanso zosiyana.
N'chifukwa Chiyani Matenda a Amagetsi Amayamba?
Matenda a khungu amayamba chifukwa cha kayendedwe kafupipafupi kamene kamachotsa kanyumba kakang'ono kamene kamapezeka pamagulu a acromioclavicular. Chifukwa chakuti mapewa amagwiritsidwa ntchito mofala kwambiri, n'zosadabwitsa kuti patatha zaka zambiri ntchito yogwiritsira ntchito ingakhale yoonda.
Kuvulaza, monga kupatukana , kumaganiziridwa kuti kumathandizira kukula kwa nyamakazi ya AC.
Kodi zizindikiro za AC Arthritis ndi ziti?
Odwala omwe ali ndi matenda a nyamakazi amayamba kudandaula za ululu wogwirizana ndi mapewa . Kusuntha kwapadera kumawonjezera zizindikiro. Chiyeso chofala chomwe dokotala wanu anachita ndi kubweretsa mkono wokhudzidwa pachifuwa chanu.
Kusunthika uku kumaphatikizira mgwirizano wa AC ndipo nthawi zambiri amabwerezanso zizindikiro za ululu. Dokotala wanu akhoza kulumikiza mgwirizano wa AC ndi anesthetic kapena steroid yakuderako kuti awone ngati zizindikiro zanu zikupita patsogolo.
Kodi Arthritis Kawirikawiri Amachitiridwa Bwanji?
Kuchiza kwa nyamakazi ya AC kumadalira kukula kwake kwa zizindikiro ndi kupezeka kwa mavuto ena amphwa kuphatikizapo matenda a impingement ndi nyamakazi ya glenohumeral. Ngati zizindikiro za nyamakazi ya AC ndi yofewa pang'ono, mankhwala odana ndi yotupa ndi mankhwala opatsirana ndiwo njira zowonongeka kwambiri.
Ngati zizindikiro sizikugwirizana ndi mankhwala ochiritsira, kapena ngati ululu uli woopsa, ndiye kuti opaleshoni ikhoza kukhala yofunikira. Njira yopaleshoni imaphatikizapo kuchotsa mapeto a phokosolo ndi kulola kuti mgwirizano wa AC ukhale ndi minofu yambiri . Izi zimathandiza kuti gulu la AC likhale loyenda bwino (lomwe liri laling'ono ngakhale pamapewa oyenera) koma limachotsa kuphatikiza pamodzi.
Kuchita opaleshoniyo kungapangidwe kupyolera pang'onoting'ono kakang'ono mwachindunji. Zingathekanso kupyolera mu nyamakazi pogwiritsa ntchito zipangizo zing'onozing'ono kuti athetse mapeto a fupa. Kawirikawiri, osachepera masentimita imodzi ya fupa amachotsedwa pofuna kuchepetsa ululu wa nyamakazi ya AC.
Nthawi yobwezeretsa imadalira kwambiri njira zina (mwachitsanzo, kukonzanso katemera ) zomwe zingatheke panthawi ya opaleshoni. Kwa kagawo kamodzi kogwirizanitsa resection, kawirikawiri mankhwala amatha pafupifupi masabata asanu ndi atatu ndipo nthawi zambiri amafunika kugwira ntchito ndi wodwalayo.