Muzu Wopweteka Kwambiri
Paphewa ndi dongosolo lovuta. Chifukwa chakuti ndi zovuta kwambiri, ndi malo omwe zinthu zambiri zingawonongeke. Phunzirani za zinthu zitatu zomwe zimapwetekedwa ndi mapewa komanso momwe mungapezere chitonthozo.
Kumvetsetsa Mphepete Yanu
Mapewa amapangidwa ndi mafupa atatu: humer (mkono wapamwamba umodzi), scapula (mapewa) ndi clavicle ( collarbone ). Kumakhalanso ndi khola la rotator , lomwe limaphatikizapo minofu ndi matope omwe amagwirizanitsa fupa lakumtunda wa dzanja kumbali ya phewa.
Bhala , lomwe ndi thumba laling'ono, lodzaza madzi, liri pakati pa chikhomo cha rotator ndi acromion , kapena fupa pamwamba pa mapewa. Mbalameyi imalola kuti chombo cha rotator chiziyenda bwino pa kayendetsedwe ka manja mwa kuchepetsa kukangana ndi kupereka chithandizo.
Zinthu Zopweteka
Ndizosiyana ndi zochitika zambiri ndi ntchito, sizosadabwitsa kuti kupweteka m'mapapo ndi chimodzi mwa zodandaula zambiri. Mtundu uliwonse wa ululu pamapewa ukhoza kugwirizanitsidwa ndi:
- Tendinitis: Chifuwa cha m'mimba chimapezeka pamene chikhomo chakotayira chimakhala choyaka komanso chakukwiyitsa. Kupweteka kumeneku kumakhala chifukwa chokhazikika pamagulu oyandikana nawo. Kupweteka kwa m'mimba kumaphatikizapo kufera mpaka kukulu.
- Kukhomerera: Kuchuluka kwa malo pakati pa acromion (pamwamba pa mapewa) ndi chikho cha rotator chimachepa, kuchititsa kuti acromion isakanike kapena "impinge" pa tendon ndi bursa, kuwapweteka. Kupopera uku kwa mitsempha ya rotator kumatchedwa syndrome yamapiko komanso kumathamanga.
- Bursitis: Tendinitis ndi matenda opatsirana nthawi zambiri amatsagana ndi shoulder bursitis, yomwe imachitika pamene kukanika, kukangana-kuchepetsa kutsekedwa kumayambira.
Pamene minofu, tendon, ndi / kapena bursae zimavulazidwa, zimakhala zotupa komanso zotupa. Chifukwa dera limakhala lopanda malire, kupweteka kumapangitsa kuti minofu ndi mafinoni azifalikira pakati pa mafupa omwe ali pamphepete mwake: humer ndi acromion.
Kuvala ndi kugwedeza kumamangirira pakapita nthawi ndipo kungakwiyitse matenda , minofu, ndi minofu yozungulira.
Zizindikiro za Chikwama Chapafupi ndi cha Rotator Zinthu
Kumva ululu kumapweteka kungabwere chifukwa cha kuvulala kapena kumaoneka ngati palibe. Matendawa amapezeka kwambiri pakati pa achinyamata othamanga ndi okalamba. Kawirikawiri, zimakhudzana ndi mtundu uliwonse wobwerezabwereza kapena ntchito zapamwamba zomwe zimakhudza mkono, monga kusewera mpira kapena tenisi, kugwira ntchito yomanga, kujambula, kusambira, ndi zina zotero.
Zizindikiro za kuvulala pamapepala ndi izi:
- Kuchepa kwapang'onopang'ono kumapiko ndi kumtunda
- Ululu, kutupa, ndi kukoma mtima pamapewa (kupweteka kwa mphuno ya rotator nthawi zambiri ili patsogolo pa phewa)
- Ululu ndi kuuma pamene mukukweza ndi kutsika mkono
- Ululu pa nthawi zonse zochitika ndi kupumula
- Kuvuta kugona pamapewa
Kuzindikira ndi Chithandizo cha Kuvulala Kwambiri
Tendinitis, bursitis, ndi impingement amatha kupezeka ndi kuyeza thupi komanso mbiri yachipatala. Dokotala angagwiritsenso ntchito chiyeso chojambula, monga kuyerekezera kwa MRI, kuti atsimikizidwe kuti ali ndi matenda.
Chithandizo cha kuvulala kwa mitundu iyi kumasiyanasiyana. Nthaŵi zambiri, madokotala amapereka mankhwala otsitsimula, ayezi, ndi anti-inflammatory. Dokotala wanu angakulimbikitseni chithandizo chamankhwala kapena ayambe kuyendetsa pakhomo pang'onopang'ono ndi kulimbikitsa zochitika zolimbitsa thupi kuti athetse ululu ndikupangitsanso kusintha.
Ngati kupuma ndi mankhwala sizothandiza, jekeseni wa steroid ingathandizenso kuchepetsa ululu.
Ngati palibe chizindikiro cha kusintha pakapita miyezi isanu ndi umodzi kapena 12, opaleshoni ikhoza kukhala sitepe yotsatira. Kuchita opaleshoni yamakono ndi opaleshoni yotsegula amagwiritsidwa ntchito pokonzanso mapewa amodzi. Dokotala wanu adzapereka pulojekiti yowonongetsa ndi yodalirika malinga ndi zosowa zanu. Nthawi zambiri amatenga pafupifupi miyezi iwiri kapena inayi kuti asamve ululu pambuyo pa opaleshoni ya m'mapewa, koma kwa ena, ikhoza kutenga chaka chimodzi.
> Zotsatira:
Kuthamanga Kwambiri / Rotator Cuff Tendinitis. American Academy of Orthopedic Surgeons. https://orthoinfo.aaos.org/en/diseases-conditions/shoulder-impingementrotator-cuff-tendinitis.