Mipingo yosasunthika yomwe imalowetsedwa muzitsulo Zawo
Mphepete ndi mapangidwe ovuta omwe amalola kuyenda kwina kusiyana ndi thupi lina lililonse. Chifukwa chophatikizanacho ndi champhamvu kwambiri, chingakhale ndi chizoloŵezi chokhala ndi mafoni kwambiri ndipo nthawi zambiri chimatha kusokonezeka. Anthu omwe ali ndi phewa lomwe sakhala pansi mwakachetechete amanenedwa kuti ali ndi pang'onopang'ono.
Kutha kusasunthika ndi mkhalidwe umene mpira wa phokoso ndi mpira wothandizira ukhoza kutuluka m'thuthu.
Nthawi zina mpira umachokera ku chingwe chomwe chimatchedwa " shoulder shoulder" . Nthaŵi zina, mpirawo umachokera muzitsulo, wotchedwa shoulder dislocation .
Pali mitundu iwiri yosiyana ya mapewa:
- Kusokonezeka kwachisokonezo: Kusokonezeka maganizo kumakhala kovuta pamene pali kuvulala koopsya pamapewa, monga kugwa kapena kuvulaza masewera. Paphewa limachotsedwa mwamphamvu muzitsulo zake, ndipo kawirikawiri liyenera kubwezeretsedwa ku malo ndi machitidwe apadera, nthawi zina amafuna aneshesia. Kusokonezeka kwachisokonezo nthawi zambiri kumayipitsa mitsempha yomwe imaika mpira mu chingwe ndipo imapangitsa kuti mapewa athe kuyambiranso m'tsogolomu.
- Kusamalidwa Kwambiri Kambiri: Nthawi zambiri kusasinthika (nthawi zina kumasuliridwa ngati MDI) kumachitika pamene mapepala amphwangwa ali osasunthika mkati mwa chingwe. Palibe chokhumudwitsa chomwe chimachititsa kusakhazikika, koma mmalo mwake mapewa amakhala ndi chizoloŵezi chosuntha mopitirira muyeso, kupweteka pamodzi. Kawirikawiri, anthu omwe ali ndi zizindikiro za kusakhazikika kwamtundu wambiri amadandaula za kugwedeza, kapena kusunthira, pamapewa ndi kusuntha kwapadera.
Zinthu Zitatu Zogwirizana Zilimbikitseni Zopereka kwa MDI
Pali zinthu zitatu zomwe zimathandiza kuti thupi likhale lolimba. Izi zikuphatikizapo:
- Bony Anatomy: Mafupa a mapewa amathandiza pang'ono pokhazikika ku mgwirizano uwu. Dothilo ndi losazama, ndipo popanda nyumba zina zimagwira mapewa mmalo mwake, mpira sungakhalebe pamalo. Yerekezerani izi ndi zomangiriza zam'chiuno, zomwe zili ndi tchethi lakuya kwambiri komanso kumene kuli kovuta kuchotsa mpira kuchokera pa chingwe.
- Static Stabilizers: Mitsempha yomwe imayandikana ndi palimodzi. Milamu imagwirizanitsa mafupa awiri pamodzi. Mavitamini amasinthasintha (akhoza kugwada), koma osati zotanuka (samatambasula). Anthu omwe ali ndi vuto losasunthika nthawi zambiri amawononga mitsempha ya mapewa. Anthu omwe ali ndi zovuta zowonongeka nthawi zambiri amakhala ndi zowonongeka. Ndipotu, pali zinthu zomwe zimayambitsa matenda osokoneza bongo.
- Kulimbitsa Mphamvu: Zomwe zimapangitsa kuti thupi likhale lolimba ndilo minofu ndi matumbo pambali pa phewa. Minofu imeneyi imaphatikizapo chikho cha rotator , gulu la minofu yomwe ikuzungulira mpirawo. Mphamvu zolimbitsa thupi zimatha kusintha, ndipo zimakhalanso zotsekemera. Anthu ambiri omwe ali ndi zovuta zowonongeka angathe kulimbitsa mphamvu zowonjezera kuti zikhomere zowonongeka.
Zizindikilo zamagulu osiyanasiyana zimaphatikizapo ululu ndi zovuta ndi ntchito zapamwamba. Anthu ambiri omwe ali ndi zizindikiro zokhudzana ndi kusakhazikika kwapadera kumaphatikizapo masewera omwe amaphatikizapo kuyenda, kuphatikizapo kusambira, masewera olimbitsa thupi, ndi softball. Azimayi ambiri amavutika ndi kusakhazikika kwambiri.
Chithandizo
Chithandizo cha MDI n'chosiyana ndi chithandizo chosautsika paphewa.
Kawirikawiri, anthu amatha kuchira kuchokera kuzinthu zosavuta kutsogolo ndi mankhwala osachipatala ; izi zikuphatikizapo othamanga apamwamba, othamanga.
Chithandizo chiyenera kuyang'anitsitsa kulimbitsa mphamvu zothandizira paphewa. Kuonjezera apo, anthu ambiri omwe ali ndi zovuta zowonongeka amalingalira kuti ali ndi makina osauka-makamaka, kayendedwe kawo kamene sikamayendetsedwa bwino ndi mapewa awo. Mwa kubwezeretsanso kayendetsedwe kachidziwitso, komanso kulimbitsa mphamvu zowonjezera kuphatikizapo chikho cha rotator, ntchito yothandizana ikhoza kusintha.
Kafukufuku wambiri wasonyeza kuti odwala ambiri amene ali ndi chidwi chokhazikika angathe kupulumuka kuchokera kuzinthu zosavuta kutsogolo ndi pulojekiti yothandizira anthu. Pafupifupi 85 peresenti ya odwala omwe amatsatira pulogalamu yotere adzafotokoza zotsatira zabwino. Pali anthu ena omwe amalephera kusintha ndipo potsiriza amatha kusankha opaleshoni.
Opaleshoni
Njira zopangira opaleshoni za MDI zimaganiziridwa kwa odwala omwe ali ndi zizindikiro zosalekeza za m'mapewa omwe amachokera muzitsulo, ngakhale atakhala opaleshoni yaitali. Kawirikawiri, opaleshoniyo imaphatikizapo kulimbitsa mitsempha yomwe ili pambali pake. Madokotala ena opanga opaleshoni amakonda kuchita izi, komanso ena mwa opaleshoni yochita opaleshoni .
Pasanapite nthawi yaitali, anthu ankakonda kupanga njira yotchedwa thermal shrinkage, pogwiritsira ntchito mapuloteni otentha kuti apangitse minofu yofewa paphewa kuti amange chingwe chogwirizana. Ndondomeko yotenthayi imakhala ndi zotsatira zosauka kwambiri, ndipo nthawi zambiri amafunika kuchipatala kwambiri.
Kuchita opaleshoni yabwino kwa kusokonezeka kwa mitundu yambiri ndi mawonekedwe a capsular shift kapena capsular plication, yomwe ndi njira ziwiri zomwe zimamanga kapule wamapewa. Kuphatikizanso apo, madokotala ena opaleshoni amachititsa kutseka kwa mpata wozungulira, njira yomwe imatseka kusiyana pakati pa mitsempha iwiri ya rotator.
Rehab pambuyo poti opaleshoni yokhala ndi zovuta zambiri zimakhala miyezi yambiri. Poyamba, atatha opaleshoni, mapewa amalepheretsa kuti ziwalozo zikhale zolimba, kenako ntchito yayamba kuyambanso kuyenda, kenako ikulimbikitsidwa. Othamanga ambiri amaloledwa kupitiriza ntchito yonse mkati mwa miyezi isanu ndi umodzi.
Chitsime:
Gaskill TR, et al. "Kusamalira Zochitika Zambiri za M'mphepete" J Am Acad Orthop Surger December 2011; 19: 758-767.