Mitundu Yosakayika - Kumeta Kwapafupi - Kupaleshoni ngati Njira Zothetsera Mavuto
Kodi Chotsegulira Magulu N'chiyani?
Kuphwanyika kumodzi ndi kuvulala kumene kumachitika pamene mpira wa mgwirizano wa mpira ndi zitsulo umachoka pamalo. Kawirikawiri, kupunduka kwa mapewa kumachitika pambuyo povulaza masewera kapena kupsinjika, monga kugwa. Kupweteka kumodzi ndi zopweteka, ndipo chithandizo cham'tsogolo ndi chofunikira. Pambuyo paphewa panthawi yoyenera, zosankha zothandizira zingaganizidwe.
Kuzindikira zoyenera kuchita kumadalira zinthu zingapo kuphatikizapo zomwe zinawonongeka pamapewa, kuchuluka kwa zinthu zomwe zachitika, zaka za wodwala, ntchito kapena masewera, ndi zina. Muyenera kukambirana ndi adokotala mankhwala oyenera kwambiri pazochitika zanu.
Kuwonetseratu za Dislocation
Kuyika mapewa pamalo abwino ndi njira yotchedwa "kuchepetsa mapewa." Pali maulendo angapo omwe angagwiritsidwe ntchito kuti asamalowetse paphewa - kawirikawiri dokotala aliyense ali ndi njira yabwino yochepetsera. Kawirikawiri, cholinga chake ndi kugwiritsira ntchito mgwirizano kuti alole mpirawo kuti ukhale m'malo popanda kuwonongeka paphewa.
Pomwe chiwonongeko chiyenera kubwerera, bwerezani X-ray ikuchitidwa kuti zitsimikizire kuti ziridi bwino, ndikuyesa kuvulala kwina monga kupasuka.
Odwala amaikidwa mu sling kuti apume phewa ndipo amatchula opaleshoni yawo ya mafupa kuti apitirize kuwongolera .
Kugwiritsira Ntchito Kumangirira Mphindi
Mankhwalawa amachititsa kuti wodwalayo asalowe m'malo mwake kuti atsegule ndi kutupa paphewa.
Pambuyo pake, machitidwe opititsa patsogolo amayamba mpaka wodwalayo athe kuyambiranso ntchito zawo zachizolowezi. Palibe pulogalamu yomwe ikuwonetsedwa pogwiritsira ntchito phokoso pa nthawi iliyonse yabwino.
Chopondereza chomwe chimagwiritsidwa ntchito kuti chisawonongeke kwambiri chimagwira mapewa mkati mwake . Izi zikutanthauza kuti mapewa amatembenuzidwa mkati, ndipo chowombera chikuchitidwa motsutsana ndi thupi. Pamene mapepalawa akugwedezeka mkati mwake, mitsempha yomwe imagwedezeka ( Bankart ntchentche ) pamene mapewa achoka, imakhala pamalo osalimba. Pamene ligament imachiritsa , imayamba kuchiritsa pamalo osayenera. Odwala ena, makamaka othamanga aang'ono, machiritso a mitsempha mwazimene angapangitse kuti abwerere kumbuyo .
Kulepheretsa kusinthika kwa kunja
Kafufuzidwe kuchokera ku Japan yafufuzira momwe chithandizo cha mapewa chimasinthira ndi mapewa omwe anagwedezeka kunja . Pamene mapepala amawonekera muzowunjika kunja, ndondomeko yotsekedwa imabweretsedwera pamalo oyenera, ndipo imachiritsa muyeso woyenera. Lingaliro la kusinthika kwina kwa kunja ndiko kuti ngati ligament imachiza pamalo abwino, ndiyeno kubwereza kusemphana kumbali kungakhale kochepa.
Kulepheretsa kusinthana kwa kunja kuli kovuta komanso kovuta kuchita. Ndikofunika kuti mazenera a kunja akonzeke bwino - mkono wapamwamba uyenera kugwira mwamphamvu kumbali, ndipo chitsimikizo chiyenera kuwonetsera kutali ndi thupi. Odwala ambiri (ndi madokotala ena) amachititsa kuti anthu asagwiritsidwe ntchito molakwika. Izi siziri zofanana, ndipo zotsatira zofanana za chithandizo siziyenera kuyembekezera. Ngakhale kuti mankhwalawa ndi okondweretsa kwambiri, odwala ambiri sagwirizana nazo, choncho mankhwalawa sagwiritsidwa ntchito nthawi zambiri.
Thandizo la Thupi
Thandizo la thupi lingathandize munthu wovulala kuti ayambenso mphamvu ndi kuyenda pambuyo pake . Pamene kusokonezeka kumachitika, kuwonongeka kungapangitse kukhala ndi chizoloŵezi chobwereza kubwereza. Mankhwalawa angagwiritsidwe ntchito kulimbitsa minofu yomwe imathandiza kuti mapewa athe kuwonongera mitsempha yowonongeka povulaza.
Kachilinso, pamene mankhwala opatsirana amagwiritsidwa ntchito, ndipo ndi othandiza kwambiri pakubwezeretsanso mphamvu ndi kuyenda, izi sizinapangidwe kuti zichepetse mpata wokhala ndi kachilombo kachiwiri. Malangizo omwe amavomereza kawirikawiri ndi kuyesa mankhwala pambuyo pa kusamba koyamba, ndipo ngati kachiwiri kumatuluka, kupitiriza opaleshoni.
Chigoba Chotsegulira Magulu
Nthaŵi zina mabracing amawoneka ngati odwala omwe amasokoneza mapewa. Chigoba chimagwiritsidwa ntchito kwambiri kwa wothamanga wa mu-nyengo yemwe amachiza chovulala ichi. Pa zochitikazi, opaleshoni yokonzekera kusokoneza mapepala kungakhale nyengo yotsiriza. Choncho, chigoba chingagwiritsidwe ntchito pofuna kuteteza kusokonezeka kwa mapewa.
Mitsempha ingathandize kuteteza mapewa kuti asalowe m'malo omwe angatuluke. Ngakhale kuti sangathe kulepheretsa mapepala onse osokoneza bongo, izi zimathandiza kuchepetsa mwayi wothamangitsidwa ndi othamanga.
Vuto lalikulu ndi kubwedeza, ndi omwe othamanga omwe amachita nawo masewera nthawi zambiri amakumana ndi zovala kuvala ndi kupikisana bwino. Nsonga zimakhala zovuta makamaka kwa othamanga omwe amatha kugwira ntchito (monga kuponyera) ndi ofunikira kwambiri. Chifukwa chake, ambiri othamanga sangathe kubwerera ku masewera awo pamene akuvala mabala a dislocation brace.
Kuchita Opaleshoni Kwa Mphindi
Nthawi zambiri opaleshoni ya opaleshoni ya opaleshoni imagwiritsidwa ntchito kwa odwala omwe amangobwereza, kapena kubwereza. Kwa odwala ena, opaleshoni ikhoza kulangizidwa pambuyo poti mapulaneti ayambe kusokonezeka. Kuchita opaleshoni ndikofala kwambiri ngati mankhwala oyamba, makamaka achinyamata othamanga omwe amachita nawo masewera olimbirana. Chifukwa othamanga awa ali ndi kusintha kwakukulu kobwereza kubwereza, opaleshoni nthawi zambiri amagwiritsidwa ntchito ngati mankhwala oyamba.
Kuchita opaleshoni kumachitidwa kuti akonze zinthu zomwe nthawi zambiri zimagwira ntchito. Zowonongeka kwambiri ndi mitsempha yomwe ili kutsogolo kwa mapewa. Kuchita opaleshoni kukonzanso izi zimatchedwa kukonza Bankart .
Zotsatira:
Itoi, E, et al. "Njira yatsopano yothetsera vutoli litatha kusokonezeka kwa paphewa: phunziro loyambirira. 2003 Sep-Oct; 12 (5): 413-5.
Owens BD, et al. "Kusamalira Zochitika Pakati Pakati pa Zaka Zakale Zomwe Zidzakhala Zovuta Kumasewera J Am Acad Surging Surgery August 2012; 20: 518-526.