Matenda a katemera a Rotator ndi omwe amachititsa kuti ululu wa mapewa ukhale wovuta komanso kuvutika ndi ntchito zomwe zimafuna mphamvu komanso kuyenda moyenera. Imodzi mwa mavuto omwe anthu ambiri amagwiritsa ntchito mozungulira zowonongeka ndi ntchentche ya ntchentche ya katolo . Anthu ambiri omwe amazindikira kuti ali ndi misozi m'khola angaganize kuti opaleshoni ndi njira yopewera.
Chowonadi chiri, kuti chabwino kapena choipa, kukonza kwa chikhotecho chowonongeka sikungakhale chithandizo chabwino kwambiri, ndipo nthawi zambiri izo sizikhoza ngakhale zotheka kuchiza.
Misozi ya Rotator
Chombo cha rotator ndi gulu la minofu inayi yomwe imayendetsa paphewa. Minofu iliyonse imamangirizidwa ku fupa kudzera m'kati mwake . Pamene chombo cha rotator chikagwedezeka, tchutchutayi yathawa ku fupa. Izi zingapangitse ululu, kuvutika kusuntha mapewa, ndi kufooka. Kuchiza kwa chombo cha rotator kumalira kumayambira ndi njira zosavuta kuphatikizapo mankhwala, kusinthidwa kwa ntchito, mankhwala oletsa kupweteka, komanso chojambulidwa cha cortisone.
Ngati anthu samayankha njira zothandizira odwala, pali funso loti ngati opaleshoniyo ingakonzedwe kapena ayi . Kawirikawiri, kukonzanso katemera ndi njira yabwino yothandizira. Komabe, anthu ena omwe ali ndi chombo chowombera angadabwe kumva kuti kukonza opaleshoni si mankhwala oyenera.
Bwanji Osakonza?
Kukonza opaleshoni yokhala ndi chovunda sikungatheke pa zifukwa zingapo zosiyana:
- Kuwonongeka kwa tendon ndi koopsa kwambiri: Ngati chombocho chimakhala chachikulu kwambiri (chifuwa chachikulu cha rotator) ndipo kakhalapo kwa nthawi yaitali, pali mwayi woti kukonza opaleshoni sikutheka. Muzochitika izi, tendon imagwidwa ndi mgwirizano ndipo sungayanjanenso pamtundu wake. Kuwonjezera apo, minofu yomwe imakoka pamtundu wa kansalu kawirikawiri imawombedwa (yofooketsedwa) ndipo ngakhale ngati tendon ikanatha kukonzedwa, minofu sikanakhoza kugwira ntchito bwino.
- Paphewa lakhala ndi nyamakazi: Pali vuto lomwe limatchedwa kuti rotator chikhomodzinso nyamakazi . M'njira iyi sikuti kokha kansalu ka rotator imalira misozi, koma mapewa aphatiki amatenga nyamakazi. Izi ndizo pamene kukonzanso chombo cha rotator sikungathetsere vuto loyambitsa mapepala owonongeka.
Njira Zothandizira
Kuwona kuti chophimba chogwedeza sikungathe kukonzedwa sikukutanthauza kuti palibe chithandizo chomwe chingaganizidwe, ndipo sizikutanthauza kuti anthu akuyenera kuthetsa kuti azikhala ndi mavuto awo. Ngakhale kuti zikutanthauza kuti kukonza opaleshoni ya katoloti sizingatheke, pali njira zina zothandizira, mankhwala opaleshoni komanso opaleshoni.
Mankhwala osamalidwa ndi mankhwala akuphatikizapo mazira, ma anti-inflammatory, mankhwala a cortisone, kusintha kwa ntchito, ndi mankhwala. Ndikofunika kuti anthu amvetsetse kuti ngakhale mimba yambiri yavotala imalira, palinso minofu yambiri ndi minofu yambiri pamphepete mwa mapepala ndipo ikhoza kubweza ndalama zowonongeka. Cholinga cha mankhwala aliwonse ayenera kukhala pa ntchito zothandizira kuti abwezeretse mawonekedwe omwe ali nawo pamodzi.
Kodi Pali Opaleshoni Iliyonse Chosankha?
Ngakhale opaleshoni ya opaleshoni yokonza opaleshoni si njira yothetsera vuto lanu, zomwe sizikutanthauza kuti opaleshoni silingaganizidwe.
Pali njira zopangira opaleshoni zomwe zingaganizidwe ngakhale pakakhala misonzi yosasinthika. Njira zothandizira mankhwalawa zingakhale monga:
- Kuchita opaleshoni yokhazikika (abrasion arthroplasty): Momwemonso, dokotala wanu akuchita opaleshoni "payekha" pamapewa. Mliri wa mapepala umapangidwa ngati opaleshoni ya mapewa . Dokotala wanu amagwiritsa ntchito zida kuchotsa minofu yowonongeka kapena yotentha, malo osasunthika, komanso kutayika kansalu kapena kuwonongeka kwina.
- Kukonza katemera wothandizira: Ngati chophimba chachikulu cha rotator chimafuna kukhala chopanda kukonzanso, opaleshoniyo imatha kuchepetsa kuchepa. Panthawi ya opaleshoni ikamapangidwanso, gawo lina la katolo la rotator lingakonzedwe. Ngakhale kuti izi sizingakhale zokonzedwa kwathunthu kwa tinthu towonongeka, nthawi zina kukonzanso mopanda tsankho kumathandiza kubwezeretsanso ntchito kumagulu.
- Tendon imasamutsidwa: Pamene zitsulo za rotator zakhala zikugwedezeka ndi kugwidwa, ndipo sizingatheke kukonzedwa, pakhoza kukhala njira yosamutsira matope oyandikana nawo kuti atenge chikho cha rotator choonongeka.
- Kutembenuzira kumbuyo : Pomwe paliponse pomwe paphewa lakhala ndi nyamakazi komanso lopweteka, ndipo chikhotakhotachi chawonongeka mopanda kukonzedwa, mtundu wina wa phewa ukhoza kuchitidwa. Kuchita opaleshoniyi komwe kumatchedwa kuti kutsogolo kwa mapewa kumagwiritsidwa ntchito kuti asinthe mawonekedwe a mapewa kuti athetse malo ogwira ntchito mosasamala kanthu za kuwonongeka kwa chingwe cha rotator.
Kubwezeretsa & kuyembekezera
Ngakhale kuti ali ndi chiboliboli chomwe sichikhoza kukhazikika, anthu ambiri omwe ali ndi rotator osasinthika amalira misozi akhoza kupeza mpumulo ku ululu ndi kusintha kwa ntchito. Anthu ayenera kuyembekezera kuti ngati akuyenera kuchipatala kwa miyezi yambiri, ayenera kupeza mpumulo wamtundu komanso mphamvu zowonetsera ntchito. Nthawi zina opaleshoni nthawi zina amafunika kutero, koma zoona zake ndizo kuti anthu ambiri angathe kusintha ndi mankhwala osamalidwa bwino. Ndithudi, mankhwala osamalidwa amayenera kuyesedwa kwa miyezi yambiri, ngati ayi, asanayambe kuganizira za mtundu uliwonse wa mankhwala opatsirana opaleshoni.
Mawu Ochokera
Misozi ya Rotator ndi misozi yovuta kwambiri. Makamaka ngati ife zaka, rotator chikho misonzi potsiriza kukhala kuyembekezera kupeza. Pamene anthu alowa m'ma 60s ndi 70s, misonzi ya rotator imakhala yovuta kupeza pa MRI. Anthu ena omwe ali ndi chombo cha rotator sangakhale abwino kuti apange opaleshoni. Muzochitika izi, pakhoza kukhala opaleshoni, koma kukonza katemera wa ovunda sikungakhale njira yabwino.
> Zotsatira:
> Kuzel BR, Grindel S, Papandrea R, Ziegler D. Fatty kulowa mmwamba ndi katemera wothandizira. J Am Acad Kupatula Opaleshoni . 2013 Oct; 21 (10): 613-23. lembani: 10.5435 / JAAOS-21-10-613
> Schmidt CC, Jarrett CD, Brown BT. Kulamulira kwa Rotator Cuff Misozi. Journal of Surgery . 2015; 40 (2): 399-408. lembani: 10.1016 / j.jhsa.2014.06.122.