Njira Yothetsera Mavuto Ophatikizana Ophatikizana Amodzi
Kupatsanso malo mmalo mwake kunapangidwa mwachindunji kuti pakhale vuto lotchedwa " rotator cuff" . Mphuno ya Rotator kudula nyamakazi ndi vuto limene limakhalapo pamene wodwala ali ndi nyamakazi komanso nyota yothamanga .
Chikho cha rotator ndi gulu la tendons ndi minofu yomwe imayandikana paphewa. Minofu ndi mavitoni amenewa ndi ofunika pochita ntchito (monga kukwezera dzanja lanu pamutu), ndi kusunga mpira wa phokoso ndi mpira.
Chophimba cha rotator chitang'ambika , mapewa amatha kutuluka, kutsogolo kwa nyamakazi .
Chifukwa chotsitsimutsa mmbuyo chimachokera chifukwa chakuti mchitidwe wopaleshoni wamagulu a m'magazi sagwira bwino pamene odwala ali ndi chikhotakhotakhota. Odwalawa, maimidwe onse omwe amagwiritsidwa ntchito nthawi zambiri samagwira ntchito. M'malo mwake, mpira wa pamwamba pa mkono (fupa) umalowetsedwa ndi mpira wachitsulo. Msuzi wa mapewa (scapula), umalowetsedwa ndi thumba la pulasitiki. Kwa odwala omwe ali ndi chikhomodzinso ndipo ali ndi chikhoto cha rotator, chingwe cha implant chimatha kumasula. Kusowa kwa chombo cha rotator kumapangitsa kuti mankhwalawo asunthidwe mosavuta, ndipo amachititsa mphamvu zachilendo pazitsulo.
Chotsatira Chotsatira Chotsatira
Monga tafotokozera, malo amodzi amagwiritsa ntchito chitsulo pamwamba pa mkono wa fupa, ndi thumba la pulasitiki pamphuwa.
Izi zikufanana ndi momwe thupi lathu linapangidwira ndi mapepala a mpira.
Kumbuyo kwa mapewa kumagwiritsanso ntchito palimodzi ndi mpira, koma mpira umayikidwa pamapewa, ndipo chingwe chimayikidwa pamwamba pa fupa la mkono. Izi ndizosiyana ndi umunthu wathu wachibadwa, ndipo motero amatchedwa "kutsogolo kutsogolo."
Nchifukwa chiyani Mukupanga Mbali Yobwerera?
Kupatsanso mbali kwapadera kumapangidwira odwala omwe alibe chiguduli chogwira ntchito, choncho alibe "maonekedwe" omwe ali nawo. Choncho, kutsogolo kwapadera ndi njira yabwino yosamalira vuto lovuta.
Kusintha kwake kumapangidwira kupanga minofu ya deltoid, minofu yaikulu ya pamapewa, yowonjezera bwino. Odwala omwe ali ndi rotator akung'onong'oneza nyamakazi, chophimba cha rotator sichigwira ntchito bwino, ndipo deltoid ikhoza kuthandizira kuti izi zitheke. Potsitsimutsa mpira ndi chingwe, minofu ya deltoid imatha kukweza dzanja pamwamba, ndikulipira chikho cha rotator.
Zowopsa za Kusintha Kwambiri
Zotsalira zotsitsimula zakhala zikugwiritsidwa ntchito kwa zaka zoposa khumi ku Ulaya, koma zakhala zikugwiritsidwa ntchito ku United States kuyambira 2004 pamene iwo adakhala a FDA ovomerezeka. Ngakhale pali deta yodalirika kwambiri yogwiritsira ntchito mapulaneti ameneĊµa, imakalipangidwe ngati yatsopano, ndipo kufufuza kumafunika.
Atsogoleri ochita opaleshoni amachititsa kuti pakhale njira yowonjezereka yowonjezeramo njira "yowopsa kwambiri, yopindulitsa kwambiri" njira yoti odwala omwe ali ndi chovala cha rotator azidula nyamakazi. Kafukufuku waposachedwapa apeza chiwerengero cha zopweteka cha 25 mpaka 50% chokhudzana ndi opaleshoni iyi.
Mavuto angaphatikizepo kutsekula kwa implants, kusakhazikika kapena kusokoneza mpira kuchokera pa chingwe, ndi kupweteka kosalekeza.
Kodi Ndi Njira Yabwino?
Odwala omwe amafunsidwa kumbuyo ayenera kukhala ndi nyamakazi yambiri, ndipo chibokosi chachikulu cha rotator chimalira. Odwala omwe alibe vutoli amatha kupeza njira zina zopaleshoni kuti athetse vuto lawo.
Zina mwa zinthu zomwe zimakhudza chisankho chokhazikitsa m'malo mwake zimaphatikizapo ntchito ya mankhwala osokoneza bongo (omwe ayenera kugwira bwino ntchito), msinkhu wa wodwalayo, ndi zofunikira za wodwalayo.
Kawirikawiri, m'malo amodzi omwe amachokera kumalo ena amapangidwira odwala omwe amafunika kuchita zochepa.
Odwala omwe akufuna kukhala ndi njirayi ayenera kukambirana njira zawo zonse ndi opaleshoni awo a mafupa. Mosakayika, kutsogolo kwake kumangopangidwa ngati mankhwala ophweka, osagwira ntchito alephera kuthetsa zizindikiro. Odwala ayenera kukhala dokotala wawo pa zomwe akumana nazo ndi njirayi, popeza akadakali njira yatsopano yopangira opaleshoni.
Zotsatira:
Ecklund KJ, et al. "Rotator Cuff Misozi Yamatsenga" J. Am. Acad. Ortho. Kukonza., June 2007; 15: 340 - 349.