Onetsetsani kuti zifukwa zomwe zimayambitsa zozizwitsa sizingakhale zovuta nkomwe. Anthu ambiri amatha kupanga zala zawo, nthawi zambiri zimatchedwa kuti ziboda zawo . Phokoso limene mumamva limaganiziridwa kuti limayambitsidwa ndi mpweya wa mpweya womwe umayenda mumadzi ozizungulira. Ngati palibe kupweteka komwe kumayambitsidwa ndi chala, nthawi zambiri sikumakhala kovuta komanso kopanda phindu.
Izi zikunenedwa, ngati ziwalo zanu za phokoso zimakhudzidwa ndi ululu kapena kutupa, ndibwino kuti muwone dokotala wanu kuti ayese.
Tendon Akuyambitsa
Tendon akuwombera kawirikawiri ndi zotsatira za chala choyambitsa. Mitambo ya m'manja yanu ili ngati zingwe zomwe zimagwirizanitsa kumapeto kwa zala zanu. Pamene mgwirizano wanu wa minofu umakhala, mgwirizano umakokera zala. Mitunduyi imayendetsa mbali imodzi mwa njira yotchedwa flexor tendon sheath. Kwa odwala omwe ali ndi chigoba choyendetsa, njira imeneyi ya kayendetsedwe ka tendon mkati mwa chimake si yosalala.
Chimake chaching'ono chaching'onoting'ono chaching'ono chimakhala chodutswa chochepa chomwe chimayambira pakati pa mgwalangwa kupita kumapeto kwa chala. Chimake chimalimbikitsidwa m'malo ambiri; izi zinalimbikitsanso mbali ya chimake chotchedwa pulley. Mapira oyambirira pamtambo wa tendon (wotchedwa A1 pulley) ndi malo pomwe chilakolako chaching'ono chimapachikidwa. Kwa odwala omwe ali ndi chotupa, apa ndi malo omwe amamva kupweteka pamene akukankhidwa m'manja.
Choyambitsa chala chachitsulo chimakhala chosawoneka bwino, ndipo chimatha kuwonekera kuchokera kulikonse. Zitha kuchitika chimodzi kapena zingapo, ndipo zikhoza kuchitika nthawi zosiyanasiyana m'malo osiyanasiyana. Chotsani zotsatira zazitsulo kuchokera ku kusiyana kwa kukula kwa tendon ndi kukula kwa khomo la mkondo wa tendon.
Kusiyanitsa uku kungakhale chifukwa cha kutupa kwapafupi kapena kuvomereza kwa nodular pa tendon yokha.
Pamene kusiyana kwakukulu pakati pa tendon ndi mkaka wa thonje kumafika pamsinkhu wovuta, tendon ikhoza kutsutsana ndi thotho la tendon. Poyambirira, izi zimamveka ngati kukwapula kwachitsulo pamene mukutsitsimula nkhonya. Ngati matendawa akufalikira, chotupa chaching'onoting'ono chingadayesedwe kupweteka kwala zala zina kuti ziwongolere, kapena zisamayende bwino.
Mankhwalawa amachititsa kuti amayi azikhala oposa 6 nthawi zambiri kuposa amuna, komanso ambiri omwe ali ndi matenda a shuga kapena nyamakazi. Pakhala pali lingaliro lakuti zinthu zina monga chibadwa chogwiritsira ntchito ndi ntchito yogwira ntchito zingapangitse mwayi wopanga chala.
Mankhwala opangira mankhwala amatha kukhala ndi njira zosavuta, jekeseni, kapena opaleshoni. Kawirikawiri anthu amayamba ndi chinthu chosavuta, ndipo ngati zizindikiro zikupitirira kapena kubwerera, chithandizo chosavuta kwambiri chingapangidwe. Zina mwa mankhwala ophweka kwambiri ndi kuphatikiza kwa chiwerengero chokhudzidwa, chithandizo chamankhwala, ndi kupatsa vuto nthawi kuti aone ngati zizindikirozo zithetsa.
Kuvulala kwa Ligament
Mavitamini amagwirizanitsa pamodzi ndipo nthawi zambiri amaonongeka ngati chala chimatulutsidwa kapena chimachotsedwa.
Mitsemphayi ikhoza kukhala yochepa kapena yosweka. Zizindikiro zofala za kuvulala kwa ligament zimapweteka pambali pa mgwirizano pambuyo povulazidwa, ndi kutupa kwa mgwirizano. Ngati ligament imachiritsa molakwika, mgwirizanowo ukhoza kuwuluka kapena kuwomba pamene ukugwedezeka.
Osteoarthritis
Mankhwala a mano amatha kuvula zovala zapakhungu zosafunika. Pamene nyamakazi ikufalikira , kayendedwe ka mgwirizano kamatha kukhala kochepa komanso kosautsa. Mankhwala a nyamakazi pamadzinso nthawi zambiri amachititsa kutupa, "kukuwombera".
Matenda a nyamakazi angayambitse ndikuwombera chifukwa cha pang'onopang'ono mafupa ozungulira mafupa a nyamakazi .
Mapulogalamu angapangire kapena kuswa chifukwa cha zinthu zosagwirizana kapena zofanana. Odwala angaone pang'ono pang'ono pamphuno ya nyamakazi yotchedwa mucous cyst .
N'zochititsa chidwi kuti matenda a osteoarthritis a dzanja amapezeka kwambiri kwa amayi opitirira zaka makumi asanu ndi awiri, ndipo palinso kachilombo koyambitsa matenda kamene kamagwirizana nawo. Izi zikutanthauza kuti kukhala ndi kholo la osteoarthritis la dzanja (makamaka yemwe ali ndi chikhalidwe chimodzimodzi ndi inu) kumawoneka kuti kuwonjezera chiopsezo chanu chochikulitsa.
Zinthu zina zomwe zimapangitsa munthu kukhala ndi nyamakazi m'manja mwake zimaphatikizapo mbiri ya ntchito yamanja kapena kubwereza dzanja. Kusuta ndi kudzipereka kungathandizenso, koma sikumveka bwino.
Mawu Ochokera
Kuwombera mano, kuuluka, ndi kudumpha sikunasonyezedwe kuti ndi chifukwa cha nyamakazi, ngakhale zomwe mwatchulidwa-malingaliro olakwika. Komabe, izi sizikutanthauza kuti kuwongolera chala sikungakhale vuto.
Chizindikiro chofala kwambiri cha vuto chomwe chikugwirizana ndi kuwombera kapena kudumpha ululu wokhudzana ndi phokoso. Kotero ngati muli ndi chokopa kapena chingwe mu chala chanu, ndipo zimapweteka pamene chowonekera kapena chingwe chikuchitika, ndibwino kuti dokotala ayang'ane ndi chala. Nthawi zina pali njira zowonongeka za mavutowa ndi ena omwe angafunike mankhwala ovuta kwambiri.
> Zotsatira:
> Deweber K, ndi al. Kuthamanga kwachitsulo ndi manja a osteoarthritis. J Am Board Fam Med . 2011 Mar-Apr; 24 (2): 169-74.
> Kalichman L, Hernández-Molina G. Mankhwala odwala nyamakazi: matenda opatsirana pogonana. Semin Arthritis Rheum . 2010 Jun; 39 (6): 465-76.