Mphepete mwa mgwirizano ndilo kusiyana pakati pa chifuwa ndi chapamwamba . Mapepala awiri ali pamapewa. Mgwirizano wa glenohumeral ndi mpangidwe wa mpira ndi zitsulo pamwamba pa mkono wa fupa, ndi chingwe cha mapewa. Mphindi wachiwiri pamapewa ndi mapangidwe a fupa la pakhosi ndi mapewa, omwe amatchedwa gulu la acromioclavicular.
Mitundu yambiri imapangika pamagulu a glenohumeral, koma kuti ayende bwino, mgwirizano wa acromioclavicular uyenera kugwira ntchito moyenera.
Mitsempha Kuzungulira Paphewa
Mafupa atatu a paphewa ndi fupa la mkono (humerus), mapewa (scapula), ndi collarbone (clavicle). Mbalameyi ili ndi gawo limodzi lomwe limapanga chitsulo chophatikizana ndi mpira. izi zimatchedwa glenoid. The glenoid ili ndi losalala cartilage . Kumene pamwamba pa mkono wa fupa (humerus) kumayambira pamapewa amatchedwa glenohumeral joint.
Mphindi wachiwiri pamwamba pa mapewa ndi pamene mbali yosiyana ya mapewa, acromion, imagwirizana ndi collarbone. Izi zimatchedwa mgwirizano wa acromioclavicular.
Rotator Cuff
Chombo cha rotator ndi gulu la minofu ndi tinthu zinai zomwe zimayendetsa palimodzi pa glenohumeral. Minofu imagwirizana kuti asunthe mafupa; tendons ndizogwirizanitsa minofu mpaka fupa.
Minofu ya rotator ndi yofunikira pa kayendetsedwe kake.
Khola la rotator ndi lofunika pazinthu zambiri zowonongeka, ndipo zikavulazidwa zimapweteka kwambiri. Pamene chikhomodola chikuwotcha kapena chakukwiyitsa, izi zimatchulidwa ngati chikhoto cha rotator kapena shoulder bursitis .
Pamene tchutchutchu ya chombo cha rotator yatang'ambika , izi zimatchedwa " rotator" .
Chipewa Chakumapeto
Kapupala wamapewa imayendayenda mbali ya mpira ndi zowonjezera. Kapsule amalekanitsa mgwirizano ndi thupi lonse ndipo ali ndi madzi ophatikizana. Mitsempha yambiri imapanga zigawo za mthunzi wokhudzana nawo, ndipo mitsempha imeneyi ndi yofunikira poika mbali pamapewa. Pamene mapewa amachoka, mitsempha ya paphesi yamapewa ikhoza kuthyoledwa.
Kuthamanga kwa kapupa wamapewa n'kofunika. Ngati capsuleyo ndi yotayika kwambiri, vutoli limatchedwa kusamvetseka kwa mitundu yosiyanasiyana . Pamene msupa wamapewa ndi wolimba kwambiri, chikhalidwecho chimatchedwa phewa lachisanu .
The Labulder Labrum
Labamu ndi nthiti ya kadoti yomwe imayandikana ndi chingwe cha mapewa. Khola la ayenerayo liyenera kugwirizana, ndipo labrum limapereka zowonjezera mozama, ndipo motero umakhala wokhazikika. Labamu imatumizanso monga chigwirizano cha tendon yaikulu pamapewa, ndi biceps tendon .
Labral amalira pamapewa amatha kupweteka, kusakhazikika kwa mgwirizano, kapena onse awiri. Misozi ya Labral kawirikawiri imasankhidwa malinga ndi malo awo. Misozi yowonjezereka kwambiri ndi yomwe imagwirizanitsidwa ndi mapepala , omwe amatchedwa " Bankart" .
Minofu ya Mphepete
Ngakhale anthu ambiri amaganiza za chikhomodzinso pamene akuganiza za minofu yomwe imayandikana ndi mapewa, izi ndizing'ono 4 mwa minofu 17 yomwe imadutsa paphewa. Zina mwa minofu imeneyi ndizovuta kwambiri.
Imodzi mwa magulu a miseri omwe amapezeka mwa anthu omwe ali ndi vuto limodzi ndi mapepala a periscapular. Minofu imeneyi imathandiza kuchepetsa mapulaneti (scapula), ndipo kayendetsedwe kameneka ndi kofunika kwambiri. Chombo cha mapewa ndi gawo la scapula, ndipo ngati kayendedwe kamene sikakhala yachibadwa, ndiye kuti ntchito yamphwayi si yachibadwa.
Anthu ambiri omwe ali ndi ululu wa m'mapewa, kufooka, ndi kusakhazikika nthawi zambiri amafunika kuganizira za momwe ntchito yawo ikuyendera kuti athandizire mapangidwe awo.