Kodi kusasunthika kuli bwanji?
Kutha kusasunthika ndi vuto limene limapezeka pamene zipangizo zomwe zili pambali paphewa sizigwira ntchito kuti zitsatse mpira mwamphamvu. Ngati mgwirizano uli wolekerera, ukhoza kusunthira mbali, malo otchedwa shoulder subluxation . Ngati mgwirizano umachokera kunja, izi zimatchedwa kupatuka kwa mapewa . Odwala omwe ali ndi phazi losasunthika nthawi zambiri amadandaula chifukwa chokhumudwa kuti mapewa awo asatulukire malo - izi ndi zomwe madokotala amachitcha "mantha."
Kutha kusakhazikika kumakhalako kumachitika m'magulu atatu a anthu:
- Pambuyo Pagulu Kusokoneza
Odwala omwe asungunuka m'maso mwawo amayamba kukhala osasinthasintha . Odwalawa, mitsempha yothandizira paphewa imang'ambika pamene kusokonezeka kumachitika. Ngati izi zimapangitsa kuti munthu azichira mwakachetechete, ndiye kuti mapepala amatha kubwereza kusinthasintha. Pamene odwala achichepere (osakwana zaka makumi atatu ndi zisanu ndi zitatu) akuthandizani kusokoneza maganizo, phokoso lidzatsata odwala pafupifupi 80%. - Achinyamata Achichepere
Ochita masewera omwe amapikisana nawo pamasewera omwe amaphatikizapo ntchito zapamwamba angakhale ndi vuto lotayirira (MDI). Ochita maseŵera ameneŵa, monga othamanga a volleyball, osambira, ndi masikiti a baseball, amachotsa kapu ndi mapepala, ndipo amatha kukhala osasinthasintha. Ngakhale kuti sangathe kusokoneza mgwirizanowu, mantha, kapena kumverera kuti ali pafupi kuchoka, akhoza kulepheretsa kuti azitha kusewera masewerawa.
- "Odwala Awiri" Odwala
Odwala omwe ali ndi vuto linalake lokhala ndi minofu akhoza kukhala ndi ziwalo zomasuka. Odwala omwe ali ndi vuto lomwe limayambitsa zowonjezera , kapena ziwalo ziwiri, ziwalo zawo zingakhale zomasuka m'thupi lawo lonse. Izi zingapangitse kukhala osasinthasintha komanso kusokonezeka.
Mphwayi Wopanda Chithandizo Kuchiza
Chithandizo cha kusakhazikika kwa m'mapewa chimadalira pa zomwe zatchulidwa kale zikuchititsa kuti mapewa asatuluke. Odwala ambiri omwe ali ndi zovuta zowonongeka amathandizidwa bwino ndi pulojekiti yowunikira kuti thupi likhale lolimba. Kwa odwala ena omwe ali ndi MDI, pamene mankhwala opitirira nthawi yayitali sakhala opambana, pali njira zothandizira opaleshoni kuti muzitsitsimutsa kapule wamapewa kuti muthe kuchepetsa kuchuluka kwa mgwirizano. Gawo ili silofunika, monga mankhwala abwino kwa anthuwa amapezeka ndi mankhwala. Tiyenera kukumbukira kuti kuti mankhwalawa akhale othandiza, nthawi zambiri amatenga miyezi yambiri ya ntchito yogwiritsidwa ntchito pazitsulo kuti athe kukwaniritsa zotsatira.
Odwala omwe asokonezeka kwambiri paphewa nthawi zambiri amadula nsalu imodzi yomwe imagwira mapewa pamalo abwino. Kwa odwala achichepere (osakwana zaka 30), khate la pamapewa nthaŵi zambiri limang'ambika, lotchedwa Bankart kuwomba . Pazifukwa izi, labrum imakonzedwa opaleshoni, yotchedwa Bankart kukonza. Odwala opitirira zaka makumi atatu ndi atatu amatha kupukuta chikho cha rotator , osati Bankart misozi, pamene amachoka pamapewa awo.
Pazifukwa izi, chithandizochi chikhoza kuganiziridwa ngati chithandizo cha opaleshoni ya rotator .
Odwala omwe ali ndi ziwalo zosavomerezeka, zomwe zimatchedwa ziphatikizi ziwiri, samachiritsidwa kawirikawiri ndi opaleshoni. Chifukwa chakuti odwalawa ali ndi ziwalo zosakanikirana, opaleshoni sizimawongolera vutoli. Vuto la odwalawa nthawi zambiri limakhala ndi matenda omwe sangathe kuyendetsedwa bwino ndi opaleshoni. Mankhwala othandizira thupi angathandize kusintha zizindikiro, ndipo nthawi zina zosachitika zingachitidwe opaleshoni.
> Zotsatira:
> Li X1, Ma R, Nielsen NM, Gulotta LV, Dines JS, Owens BD. "Kusamalira msampha wodwala m'mimba mwa odwala wodwalayo" J Am Acad Orthop Surg. 2013 Sep; 21 (9): 529-37.