Kuvulaza kwa Labulder Yamphongo Kuchokera Mkwendo Wophulika
Kulira kwa Bankart ndiko kuvulaza kwa mbali ya mapewa omwe amatchedwa labrum . Mphepete ndi mpira ndi chophatikizira, mofanana ndi mchiuno; Komabe, chingwe cha paphewa ndi chopanda pake, ndipo motere sichikhazikika. Kusakhazikika kumatanthauza kuti mapewa amatha kuchoka mosavuta.
Pofuna kubwezeretsa chingwe chosazama, mapewawa ali ndi chikho cha cartilage chotchedwa labrum chomwe chimapanga chingwe chozama cha mpira pamwamba pa mkono wa fupa (humerus) kupita mkati.
Nkhumba ya cartilage imapangitsa kuti mapewa akhale olimba kwambiri, komabe amalola kuyenda mosiyanasiyana (makamaka, kutuluka kwa paphewa lanu kumaposa chiwalo china chirichonse mu thupi). Thupi likamapanga thumba lakuya, mafupawo ndi otetezeka, koma ndi owopsa kwambiri. Mtundu wapadera wa mapewa umapangitsa kuchuluka kwa kayendetsedwe kake, koma kumakhala kosavuta.
Zizindikiro za Kulira kwa Bankart
Pamene bedi la mapewa atang'ambika, bata la paphewa likhoza kusokonezeka. Mtundu wina wodula misozi umatchedwa Bankart misozi. Msoti wa Bankart umachitika pamene munthu akuthandizira kusokoneza mapewa . Pamene mapewa amachoka, amalira misozi, makamaka kwa odwala . Kukhalitsa kuli mbali ya lamba lotchedwa low-glenohumeral ligament. Pamene mbola yotsika yotchedwa glenohumeral igwedezeka, izi zimatchedwa Bankart kudula.
Zisonyezo za Bankart ntchentche zikuphatikizapo:
- lingaliro la kusakhazikika kapena kupatsa kuchokera pamapewa
- kubwereza kusokoneza, nthawi zambiri kumachitika mosavuta pakapita nthawi
- kukumva chisoni m'maganizo
- kupuma kwa phewa ndi kumtunda
Kawirikawiri odwala amadandaula kuti sangakhulupirire mapewa awo, poopa kuti akhoza kuchoka.
Udindo wapadera umene umayambitsa mphamvu ya dzanja limene ukufuna kutulutsa ndi dzanja kumbali ndi dzanja likulozera mmwamba pamwamba pa mutu. Kuyendayenda uku ndi kuzungulira kunja ndiko malo osatetezeka kwambiri.
Kuzindikira kwa Misozi ya Bankart
Odwala ambiri (omwe ali ndi zaka zoposa 30) omwe amasunga mapepala awo amathandiza kuti Bankart iwonongeke; Choncho, pali kukayikira kwakukulu kwa chovulala ichi pamene anyamata akuthawa. Pakuyezetsa, odwala nthawi zambiri amakhala ndi lingaliro lomwe mapewa awo ali pafupi kuwamasula ngati mkono wawo uikidwa pamutu pawo.
Nthawi zina ma X-ray amakhala oyenera, koma amatha kuvulaza fupa la Hill-Sachs lesion . Ichi ndi divot ya mafupa omwe anavulazidwa pamene mapepala atasokonezeka. MRI ingapezedwenso kwa odwala omwe asokoneza mapewa awo. Misozi ya Bankart sizimawoneka bwino pa MRI . MRI ikachitidwa ndi jekeseni wa njira yothetsera vutoli, Bankart misozi imatha kuwonekera kwambiri.
Kuchiza kwa Misozi ya Bankart
Pali zinthu ziwiri zomwe mungachite kuti mugwirizane ndi Bankart. Njira imodzi ndiyo kulola mkono kuti upumule, ndi kutupa kuti kugonjetse ndi kugwiritsa ntchito sling.
Izi kawirikawiri zimatsatiridwa ndi chithandizo chamankhwala kuti ayambirenso kumapeto. Zomwe zingasokoneze njirayi ndikuti anthu omwe amasiya mapewa kamodzi amatha kuchoka pamapewa.
Njira ina ndiyo kuchita opaleshoni kukonzanso lamba losweka . Pamene opaleshoni ikuchitidwa, ligamentu yong'ambika imagwirizananso ku chingwe cha mapewa. Zotsatira za opaleshoni nthawi zambiri zimakhala zabwino kwambiri, ndipo odwala oposa 90% amabwerera kuntchito zawo popanda kupititsa patsogolo. Nthawi zambiri opaleshoniyi ikuchitidwa opaleshoni; Komabe, pali odwala ena omwe ayenera kukhala ndi banki yokonza Bankart yomwe imapangidwa kudzera muyezo wa incision.
Vuto ndi Bankart kudula ndikuti anthu omwe ali ndi vutoli pamapapu amakhala ochuluka kwambiri kubwereza kusuntha pamapewa. Chifukwa khanda lowonongeka silitha kuchiza bwino, mapewawa sakhala olimba. Odwala achichepere, komanso omwe amachita nawo masewera otetezeka kwambiri (monga ayezi hockey), ali pangozi yaikulu ya kubwereza. Pachifukwa ichi, ambiri mwa odwalawa akulangizidwa kuti achitidwe opaleshoni m'malo mochipatala.
Mawu Ochokera
Misozi ya Barkart ndi zovulazidwa zomwe zimagwirizanitsidwa ndi anthu omwe adasokoneza mapewa ndi kusunga mtundu wina wa kuvulala kwa khungu. Pamene kugwa kwa Bankart kumachitika pamapewa, mpira ndi phokoso lazitsulo zimakhala zosakhazikika, ndipo kubwereza kusokonezeka ndizofunika kwambiri. Pofuna kupewa kubwezeretsa anthu, anthu ambiri amasankha kuchita opaleshoni kukonza banki ya Bankart.
> Zotsatira:
> Streubel PN, Krych AJ, Simone JP, Dahm DL, Jper Sperling, Steinmann SP, O'Driscoll SW, Sanchez-Sotelo J. "Kusagwirizana kwapangidwe ka glenohumeral: Njira yothandizira odwala opaleshoni" J Am Acad Orthop Surg. 2014 May; 22 (5): 283-94.