Chombo cha Rotator Chimeta Chifuwa Chakumidzi

Chikhomodzinso chimatulutsa mitsempha ya nyamakazi ndi matenda omwe amapezeka pamene ali ndi nyamakazi yambiri pampando waukulu wokhotakhota . Kuti muwone ngati chombo cha rotator chiwonong'oneza nyamakazi, pali zinthu zitatu zomwe zikupezekapo:

1. Ntchito yosakwanira ya katemera (nthawi zambiri misozi)
2. Matenda a nyamakazi ya golosi ndi-socket (glenohumeral)

1. Kusinthana kwa malo oyenera a mpira mkati mwa chingwe (kuthamanga kwakukulu)

Ntchito ya Rotator Cuff

Chophimba cha rotator ndi gulu la minofu ndi matope anayi omwe amayang'anizana ndi mpira. Minofu imeneyi imagwira ntchito zambiri zofunika monga kuyenda ndi mphamvu pa mapewa. Ntchito ina yovuta ya khalala yowonjezera ndi kupereka mphamvu yogonjetsa yomwe imagwira mpira mkati mwa phokoso la mapewa.

Pamene khola la rotator silikugwira ntchito bwino, makina opangira mapepala angasinthidwe. Mofanana ndi kukhala ndi magudumu a magalimoto anu osagwirizana kungayambitse kuvala matayala osasintha, kukhala ndi chikhotakhotacho kuwonongeka kungachititse kuti mpira ndi zitsulo za pamapewa zisinthe. Pomwe mgwirizanowo wasinthidwa (mutu wotsitsimula, kapena mpira wa chophatikizira ndi mpira, umasunthira mmwamba), mapewawa amatha kukhala osagwirizana. Izi zitachokera ku kanyumba zimapangitsa kuti awonongeke.

Zomwe zimapangitsa kuti munthu azikhala ndi vutoli zimayamba zaka zambiri. Kawirikawiri, anthu ali ndi chikhoto cha rotator osalira popanda kudziwa. M'kupita kwa nthawi, zotsatira zake zogwidwa ndi ozungulira zimasintha makina a mapewa, zomwe zimayambitsa matenda a nyamakazi. Chombo cha rotator chimalira chiwonongeko sichikuchitika mwadzidzidzi.

Zizindikiro za Mpweya wa Rotator Kuwombera Amatsenga

Zizindikiro za matendawa ndi ofanana ndi matenda a nyamakazi, koma nthawi zambiri zimakhala zofooka kwambiri. Zizindikiro zikuphatikizapo:

• Kumva ululu
• Kutaya kwa kuyenda
• Kufooka kwa mapewa pamodzi
• Kutupa pozungulira paphewa
• Atrophy wa minofu kuzungulira phewa

Kuchiza kwa Cuff Kuwotchera Kwambiri

Chikhomodola chimbudzi chimatha kupanga vuto lalikulu. Ngakhale kuti malo olowa m'malo ndi mankhwala othandizira odwala nyamakazi, zizindikirozo zimadalira chophimba cha rotator kuti chigwire bwino. Monga momwe chiwalo chonse chimadalira kugwira ntchito bwino kwa chikhomodzinso, mawonekedwe amatsitsimodzinso amadalira ntchitoyi ya chikhomodola. Chophimba cha rotator sichitha kugwira ntchito, ndipo malo ogwiritsidwa ntchito amathandizidwa, mgwirizanowo umagwirizanitsa mwachilendo, ndipo mbali yowonjezeredwa yowonjezera imatha kumasula ndi kutha msanga.

Pamene chombo cha ozungulira chimatha kugwedeza nyamakazi paliponse, kupatsa kwapadera kumagwiritsidwa ntchito pochiritsira. Mtundu wina wopangidwa ndi rotator wodula mitsempha yamatenda umatchedwanso mmalo mwake . Kuyika kotereku kumapangidwira kukwera mpira m'thumba la mapewa, ndipo amapanga thumba latsopano pamwamba pa mkono wa fupa (humer).

Chojambulachi chimasintha makina opangira mapepala, kotero kuti sikoyenera kukhala ndi chikho chogwira ntchito.

Mawu Ochokera

Sikuti aliyense wogwiritsa ntchito zowonongeka akufanana, ndipo pali zinthu zina zomwe ziyenera kuthandizidwa mosiyana. Chimodzi mwa zinthuzi ndi chikhotakhotacho chokhalira nyamakazi. Chifukwa cha kukhazikika kwa nyamakazi pamtundu wothandizana ndi chikhomodola, mankhwala ayenera kuganizira zonsezi. Kulephera kuzindikira kuti chombo cha rotator chimalira chiwonongeko chingayambitse kupweteka kwapweteka kwanu.

_Zotsatira

_{Ecklund KJ, Lee TQ, Tibone J, Gupta R. "Chombo cha Rotator Chakudya Chakuda Kwambiri" J Am Acad Orthop Surg. 2007 Jun; 15 (6): 340-9.}