Mankhwala osagwiritsa ntchito opaleshoni nthawi zambiri amatha kuchira
Kuchita opaleshoni ndizofala kawirikawiri kuti chikhomodola chimve, koma ndi chosowa chodziwika kuti chombo cha rotator chimalira kuchitidwa opaleshoni. Chowonadi nchakuti, ambiri, opitirira 99%, a misozi ya rotator samachitidwa opaleshoni. Ndipotu, anthu ambiri omwe ali ndi chovala cha rotator sangathe kukhala ndi vuto pamapewa awo. Anthu omwe ali ndi ululu wopweteka chifukwa cha chikhoto chotoola nthawi zambiri amapeza mpumulo wopanda mankhwala opaleshoni.
Misozi ya Rotator
Chophimba cha rotator ndi gulu la minofu ndi thambo zomwe zimayandikana ndi phokoso ndi mpira . Minofu inayi imapanga chikho cha rotator. Matenda a katemera a Rotator amachokera ku kutupa ndi tendonitis kuti amve misonzi, mpaka misozi yonse ya tendon.
Anthu ambiri omwe ali ndi zizindikiro kuchokera ku vuto la katemera la rotator amayamba kupweteka paphewa. Zizindikiro zina zowonjezera zimaphatikizapo kufooka kwa minofu ndi kuchepa kwapadera. Matenda a katemera a Rotator angapezeke mwa kufufuza wodwalayo. Nthawi zina mayesero kuphatikizapo x-ray , MRIs, ndi ultrasound, angagwiritsidwe ntchito kuti azindikire kuchuluka kwa kuwonongeka kwa chingwe cha rotator.
Misozi Imakhala Yofala Kwambiri
Chowonadi ndi chakuti anthu ambiri potsirizira pake adzang'amba chikhoto chawo cha rotator. Anthu akamakula , misozi imakhala yofala kwambiri, ngakhale anthu omwe alibe zizindikiro za ululu. Monga tsitsi limasanduka imvi ndi khungu makwinya, pamene anthu amakula, woyendetsa misozi amalira.
Ngakhale kuti misonzi yonse ya chombo cha rotator ikhoza kuonedwa ngati yachilendo, ambiri ndi gawo lachikulire.
Kafukufuku wambiri ayesera kuzindikira kuti ndi angati omwe ali ndi misonzi ya rotator. Zotsatira zimasiyanasiyana, koma m'magulu a akulu omwe alibe zizindikiro za kupweteka kwa m'mimba, chiwerengero cha anthu omwe ali ndi misonzi yowunjika omwe amadziwika ndi MRI kapena ultrasound ali pakati pa 5 ndi 40%.
Ziribe kanthu kuti mumasankha chiwerengero chotani, ndi anthu ambiri akuyendayenda ndi misonzi ya rotator. Kuwonjezera apo, manambalawa saphatikizanso anthu omwe ali ndi misonzi yowonongeka pang'ono , mosakayikitsa kuti izi sizikudziwika kwambiri. Nambala yotchulidwa kawirikawiri ndi 20 peresenti ya anthu ali ndi umboni wa chikwama cha rotator cholira.
Tikudziwa kuti misozi imakhala yofala kwambiri pamene anthu amakula (pafupifupi 10% a zaka 40, koma oposa 50% a zaka 80). Misozi ya Rotator imakhala yowonjezereka m'manja mwamphamvu komanso mwa anthu omwe adasokonezeka ndi mapewa.
Chombo cha rotator chomwe chimatuluka chifukwa cha ukalamba, chomwe chimatchulidwa kuti chifuwa chosasunthika cha chikhotecho, chiyenera kusiyanitsidwa ndi misozi yomwe imabwera chifukwa cha kuvulala koopsya pamapewa. Pali nkhwangwala, pomwe matenda osokoneza bongo amatha kuchotsa kufooka kwazing'ono. Choncho, mwina munthu aliyense ali ndi ziwalo zomwe zimakhala zovuta kwambiri, ndipo dokotala wanu wamatenda angathandize kudziwa chifukwa chake misozi yanu inachitikira.
Chithandizo cha Kutentha kwa Rotator
Chithandizo cha chikopa cha rotator chodula chimasiyanasiyana malinga ndi mtundu wa kuvulala ndi mtundu wa wodwala.
Popeza chikhoto cha rotator chimalira nthawi zambiri chimapezeka mwa anthu omwe alibe zizindikiro za misozi, mankhwala sayenera kuphatikizapo kukonzanso tchire. Kawirikawiri, mankhwala ovuta amayesedwa poyamba, ndipo kulingalira za kukonza opaleshoni kumangopangidwa ngati mankhwala osavutawa amalephera kupereka chithandizo.
Pali zina zosiyana, ndipo anthu ena omwe ali ndi misozi misonkho akhoza kukhala bwino ndi opaleshoni yomweyo. Izi zimaphatikizirapo odwala omwe adakhumudwa kwambiri posachedwa. Kwa anthuwa, chikhoto cha rotator si chachilendo osati makamaka chifukwa cha ukalamba.
Pamene Opaleshoni Ndi Yofunikira
Ndikofunika kuti anthu amvetsetse kuti opaleshoni ya katemera ya rotator ikhoza kukhala njira yoyenera ya ululu wopweteka chifukwa cha chifuwa cha rotator. Komabe, nkofunikanso kumvetsetsa kuti misonzi ya rotator ndi yofala kwambiri. Zowonongeka kwambiri kuti, monga anthu a msinkhu, amayembekezeredwa. Chifukwa chake, kukhala ndi chombo cha rotator sikukhalitsa si chifukwa chake mwachindunji kuchitidwa opaleshoni. Chisankho chokhudza opaleshoni yoyenera ndi chovuta ndipo chimadalira pazinthu zingapo zomwe muyenera kukambirana ndi adokotala.
Komabe, odwala ayenera kutsimikiziridwa kuti, ngakhale kuti misozi yowumitsa misozi imayambitsa kupweteka, ambiri safuna kuchitidwa opaleshoni, ndipo anthu ambiri amatha kupeza chithandizo ndi mankhwala opanda chithandizo. Odwala omwe amauzidwa kuti amafunika opaleshoni ya ovota ayenera kudziwa chifukwa cha opaleshoni. Nthawi zambiri, mankhwala osaperekedwa ayenera kuyesedwa poyamba, kupatulapo kukhala odwala ochepa omwe ali ndi misonzi ya rotator chifukwa cha kuvulala koopsa. Ngati simukudziwa kuti kufunika kochita opaleshoni ya ozungulira, lingaliro lachiwiri lingakhale lothandiza.
Zotsatira:
Tempelhof S, et al. "Kufalikira kwa mliri wa rotator kumapweteka misozi misozi" J Jambulani Elbow Surg. 1999 Jul-Aug; 8 (4): 296-9.