Nthawi zambiri Tendon amalira kapena kuvulaza. Kawirikawiri zimachitika m'zaka zapakatikati, kuvulala kumeneku kungachitenso kwa achinyamata ndi achikulire. Kuvulala kofala kwambiri kumachitika pamene akukweza kapena kukokera chinthu cholemera, makamaka pamene chinachake chimangoyamba kapena chimayamba kugwa. Kaŵirikaŵiri, chiwombankhanga kapena mapopu onse amamva ndikumva, ndipo ululu umachitika paphewa kapena mmphepete, malingana ndi gawo lomwe la biceps tendon lang'ambika.
Kupangitsa kuti matendawa asagwiritsidwe bwino, nthawi zambiri zimakhala zosavuta, komabe chisankho cha momwe mungachitire bwino zovulazidwazi zingakhale zovuta kwambiri. Kusankha ngati opaleshoni ndi yofunikira, kapena yothandiza, ikhoza kukhala yovuta, ndipo mankhwala abwino sangakhale ofanana kwa aliyense.
Biceps Tendon ndi Muscle
The biceps tendon ndi kapangidwe kamene kamagwirizanitsa biceps minofu mpaka fupa. Biceps minofu imathandizira kugubuduza gululi, koma limakhalanso ndi ntchito zina. Ndikofunikira pa kayendetsedwe kake kotchedwa supination of forearm. Iyi ndi njira yowotcha pamwamba pa kanjedza monga kutsegula kanyumba kazitsulo kapena kutsekemera. Biceps tendon ndiyenso ndiwothandiza popereka bata.
Pali mitundu iwiri yokhala ndi timadzi ta tizilombo tomwe timaphatikizana pamapewa, komanso tinthu tomwe timapanga tizilombo tomwe timakhala tomwe timapanga. Chifukwa chake amatchedwa biceps ('bi,' amatanthawuza awiri) ndikuti pali mbali ziwiri zazikulu za minofu.
Mimba iliyonse ya mimba ya minofu imakhala yokhazikika pamwamba pake ndi mapewa, ndipo mbali ziwirizi zimakhala zokhazikika pamtambo.
Chimodzi mwa mavitoni omwe ali pamapewa (omwe amadziwika kwambiri ndi biceps) amatchedwa mutu wautali wa biceps ndipo winayo amatchedwa mutu waifupi wa biceps.
Mutu wautali wa biceps nthawi zambiri ndi gawo lomwe lavulazidwa pangozi yoyipa ya biceps. Mutu wautali wa mapiritsiwo umalowetsa mkati mwa mapewa, pamtunda wazitsulo . Mutu wafupipafupi wa biceps wodalirika umagwirizanitsa ndi fupa lamphongo kutsogolo kwa phewa lomwe limatchedwa ndondomeko ya coracoid.
Biceps Tendon Ruptures
Kupwetekedwa kwa mitsempha yam'mimba ndi kuvulaza komwe kumapezeka pamtundu wambiri wa mafupa omwe amachititsa kuti thambo likhale losiyana ndi fupa. Chizoloŵezi chachilendo chotchedwa biceps tendon chikugwirizana kwambiri ndi fupa. Pamene mabala a biceps akuphulika, tendon iyi imachotsedwa. Pambuyo pothyoka phokoso, minofu sungakhoze kukopa pfupa, ndipo kayendedwe kena kamakhala kofooka komanso kosautsa.
Pali mitundu iwiri ya mapuloteni othamanga:
- Mipukutu Yoyendetsera Tendon Ruptures
Kupwetekedwa kwa phokoso kumapweteka ndi kuvulaza biceps tendon pamapewa. Mtundu uwu wovulaza ndi mtundu wowopsa kwambiri wa biceps tendon kuvulala. Ambiri mwa odwala oposa zaka 60 ndipo nthawi zambiri zimayambitsa zizindikiro zochepa. Monga tafotokozera pamwambapa, kuvulala koopsa kwa biceps nthawi zambiri kumachitika pamutu wautali wa biceps tendon. Kuvulala kwa mutu wamfupi wa biceps kumakhala kosamvetsetseka.
- Bicep Distal Tendon Ruptures
Mbali yotchedwa distal biceps tendon yavulala pamphindi. Izi nthawi zambiri zimakhala zovulaza zomwe zimachitika ndi kukweza katundu kapena masewera pakati pa amuna akuluakulu. Odwala ambiri omwe ali ndi tizilombo toyambitsa matenda amatha kuchitidwa opaleshoni kuti akonze tchuthi yowonongeka.
Njira Zothandizira
Kusankha ngati kukhala ndi biceps tendon kukonza kumadalira zinthu zingapo kuphatikizapo zaka za wodwalayo, ntchito ya wodwalayo, zomwe zimalimbitsa choipa (chachikulu kapena chosadziwika), ndi chiyembekezo cha m'tsogolo. Ndithudi, kuchepa, kuchitapo kanthu, kuvulaza kwambiri kumapeto kwake kawirikawiri kumakonzedwa.
Komabe, zotsatira za chithandizo chopanda opaleshoni si zoipa monga momwe anthu ambiri amaganizira. Nthawi zambiri pamakhala zofooka ku mawonekedwe a minofu, koma kawirikawiri, kutayika kwa mphamvu ndizochepa kuposa momwe anthu ambiri amayembekezera. Nthawi zambiri chithandizo chamankhwala ndi chithandizo. Muyenera kukambirana njirazi ndi mankhwala anu opaleshoni omwe angakuthandizeni kudziwa momwe mungakhalire.
Zotsatira:
> Sutton KM, Dodds SD, Ahmad CS, Sethi PM. "Kupanga opaleshoni ya magetsi osiyana siyana" J Am Acad Orthop Surg. 2010 Mar 18 (3): 139-48.
Salvo J. "Biceps Tenon Rupture" Ndasintha: Aug 22, 2012.