Paphewa (mgwirizano wa glenohumeral) ndi wodabwitsa kwambiri mu lingaliro lomwe limaloleza kufunika kwakukulu ndi kuyenda kwakukulu. Chifukwa cha ufulu umenewu, timatha fastball komanso kusambira mofulumira m'madzi. Kupita mofulumira kumapangitsa mgwirizano kukhala wosakhazikika, ngakhale.
Anatomy Payekha ndi Kuvulala
Mafupa atatu omwe amapanga mapepala amapewa amatetezedwa mmalo mwa mitsempha yambiri, kuphatikizapo mitsempha yofunika kwambiri ya rotator .
Chophimba chozungulira chimakhala ndi minofu inayi yomwe imagwirizanitsa paphewa kuti ikhale ndi "chikho" chakuda pa memphati. Chophimba cha rotator chili ndi ntchito yofunika yolimbitsa phawa komanso kukweza ndi kutembenuza mkono. Minofu iliyonse imachokera pamapewa (scapula) ndipo imayika pa fupa la mkono (humerus).
Bwalo ndi chingwe chazitali ndi chifukwa chake mapewa ndi chimodzi mwa ziwalo zosinthasintha kwambiri m'thupi. Chifukwa cha ufulu umenewu, mapewa ndiwo malo omwe anthu ambiri amavulala. Kupititsa patsogolo pamutu kumapangitsa kuti minofu ndi mapepala a paphewa akhale ovuta. Choncho, kuvulala kwambiri kumaphatikizapo anthu omwe ali ndi ntchito zomwe zimafuna kugwira ntchito. Ambiri amavulala amapewa amatha kuchiritsidwa mosamala ndi kupumula, ayezi, kukakamiza, ndi mankhwala. Komabe, kuvulala kwina kumaphatikizapo kupaleshoni.
Matenda Odziwika Amodzi
- Mphetete Mwachangu: Mphepete yofiira, kapena kumatira kacsulitis, ndi matenda omwe amachititsa ululu wopitirira komanso kutaya kuyenda paphewa. Chifukwa chenicheni cha mapewa osadziwika sichidziwika, koma ndi chofala kwambiri kwa akazi kusiyana ndi amuna. Msuzi wonyezimira umachokera ku kuphulika ndi kuchepetsedwa kwa capsule yomwe ili pamphepete mwa mapewa.
- Mphuno ya Tice : Tinthu timene timatulutsa minofu mumtundu waukulu womwe umagwiranso ntchito kuti ugulire utawu komanso kukweza mapewa. Minofuyi imagwirizanitsidwa ndi mafupa pamwamba ndi pansi pa mkono ndi tinthu lamphamvu. Mankhwalawa amachititsa ululu wopweteka pamutu wamtunduwu umene umapezeka ndi kuyenda kwa mkono.
- Kugawanika Pamodzi : Kulekanitsa kupweteka kumafuna kusokoneza mgwirizano wa acromioclavicular (AC). Chomwe chimayambitsa kulekanitsa mapewa, kapena kusokonezeka kwa mgwirizano wa AC, ndi kugwera molunjika pamapewa. Izi zikuvulaza tendon zomwe zimapereka bata ku mgwirizano.
- Bicep Tendon Kukwera : Pamwamba pa nthendayi imapezeka pamene tchuthi imayamba kugwedezeka pansi pa mapewa. Izi zimachitika pamene tendon imayikidwa pansi pakangokhalira kuthamanga kwa mkono. Zisonyezero za misozi yambiri ya mitsempha zimapweteketsa mwadzidzidzi, komanso zimakhala zowawa kumadera akumtunda.
Thoracic Outlet Syndrome: Matenda a Thoracic amachokera pamene pamakhala phokoso la mitsempha yomwe ili m'khosi. Zizindikiro za matenda a thoracic zimatengera mapewa kapena kupweteka kwa manja, kupweteka kapena kupweteka (paresthesias), ndi kufooka kwa minofu yosiyanasiyana.
Paphewa ndi Rotator Chophimba Zochita
- Zochita Zojambula Zogwira Ntchito : Ntchito yoyenera yochita masewera olimbitsa thupi ndizofunika kuti munthu athe kuchira pambuyo pa opaleshoni ya m'mapewa. Kufooka kwa minofu ndi kuuma kwa mapewa amapepala chifukwa cha kuchepetsa kukhazikitsa pulogalamu ya kukonzanso. Chotsatira chake, ndikofunikira kuyika dokotala / ovomerezedwa ndi odwala opaleshoni komanso ochita maseĊµera olimbitsa thupi mwamsanga pakatha opaleshoni. Kupanga izi kukhala patsogolo kudzakuthandizani kuti mupulumuke, ndipo muyenera kuyesetsa kutsatira mwatsatanetsatane ndondomeko yomwe mukukonzekera kuti mukhale ndi chikhalidwe chanu.
- Mitsempha ya Pectoral: Zolimba minofu ya pectoral ikhoza kukhala chifukwa cha kusauka kochepa, kukweza zolemera, kapena zochitika zina za tsiku ndi tsiku. Phunzirani kumasula minofu imeneyi.
- Zochita za Rotator : Mafupa amenewa amatha kutupa ndi misonzi pazochitika zam'tsogolo. Njira yofunika yochepetsera misozi poyamba ndiyo kulimbitsa minofu imeneyi.
- Zochita Pambuyo Pachifuwa Akatswiri Ambiri : Kukonzekera pambuyo paphewa kugwiritsira ntchito nyamakazi ndi imodzi mwa njira zabwino kwambiri zopezera kupuma kwathunthu. Phunzirani zochitika zina zosavuta kuti muthandizenso kugwira ntchito pambuyo pa opaleshoni yamapewa.
- Zochita Zowonongeka Pamodzi : Zochita izi ndizokwanira kuti zitsitsimutse kuyenda kwa paphewa lanu ngati muli ndi zomatira za capsulitis.
Ngati muli ndi ululu uliwonse, muyenera kukaonana ndi dokotala ndikubwera kuchipatala kuti mudziwe zomwe zimayambitsa kupweteka kwa mapewa ndikuyamba kuchipatala nthawi yomweyo.
Zotsatira:
American Physical Therapy Magazini, "Kusamalira Mphete Yanu." Buku Lopereka Malangizo Oleza Mtima. Jan. 20, 2008
David M. Quillen, MD, Mark Wucher, MD, ndi Robert L. Hatch, MD, MPH "Kuvulala Kwambiri." American Family Physician. Vol. 70 / No. 10, Nov. 15, 2004.