Mawendo Amodzi kuchokera ku Tendonitis, Bursitis, ndi Impingement Syndrome
Anthu ambiri amafufuza thandizo kwa odwala mankhwala a mafupa , ndipo matenda omwe amagwiritsidwa ntchito ndi 'shoulder bursitis' kapena 'tetonitis'. Mawu awa nthawi zambiri amagwiritsidwa ntchito mosiyana, koma akhoza kusokoneza anthu omwe amadabwa kuti ndi zinthu ziti zomwe angakhale nazo kapena ngati zili zofanana.
Tendonitis kapena Bursitis Zimagwirizanitsidwa mu Impingement Syndrome
Kutupa bursitis ndi rotator chifuwa cha tetonitis ndi njira zosiyana zonena kuti pali kutupa kwa dera linalake m'magulu a mapewa omwe akuyambitsa zizindikiro zofanana.
Mawu omveka bwino a zizindikirozi ndi matenda a impingement. Matenda othamangitsidwa amapezeka pamene pali kutukusira kwa timatope tomwe timayendetsa timene timayendera. Pali kusiyana pakati pa tendonitis ndi bursitis , koma pali kuphatikiza kwa mavutowa nthawi zambiri.
Kodi Vuto Lili Kuti?
Mapewa ndi ophatikizana omwe mafupa, minofu, ndi mitsempha yambiri imagwirizanitsa kumtunda kwa chifuwa. Matenda opatsirana amapezeka pamene pali kutupa pakati pa pamwamba pa manyowa ( mkono wa fupa ) ndi acromion (nsonga ya mapewa). Pakati pa mafupa amenewa ndi mitsempha ya chikhomodzinso , ndi bursa yomwe imateteza mavitoniwa. Kawirikawiri, ma tendon amawongolera mosavuta mkati mwa malo otchedwa subacromial space.
Zifukwa za Bursitis ndi Kuthamangira Syndrome
Impingment syndrome ndilo mawu ofotokozera kuti phokoso likhale lopangidwira pakati pa mafupa.
Kwa anthu ambiri omwe ali ndi vutoli, mawonekedwe a mafupa awo ndi oti ali ndi malo ochepa kuposa ena. Choncho, tizilombo tating'onoting'ono timene timayambitsa matendawa timatha kuyambitsa zizindikiro. Potsirizira pake, malowa amakhala ochepa kwambiri kuti asagwirizane ndi ma tendon ndi bursa, ndipo nthawi iliyonse izi zimayenda pakati pa mafupa omwe amapanikizidwa.
Kawirikawiri pali vuto loyamba lomwe limachotsa njira yotupa . Pambuyo pake, vuto likhoza kukhala lolemetsa. Kutupa kumayambitsa kuphulika kwa tendons ndi bursa. Kutentha kumatengera malo ambiri, choncho matope ndi bursa zimakhala zowonjezereka kwambiri. Izi zimayambitsa kutupa kwambiri, ndi kuwonjezereka kwa tendons ndi bursa, ndi zina zotero.
Zizindikiro za Bursitis Yamapiko
Zizindikiro zowoneka bwino za shoulder bursitis zikuphatikizapo:
- Ululu ndi ntchito zapamwamba (mkono pamwamba pa msinkhu wamutu)
- Ululu wokhala usiku
- Kupweteka kwa kunja kwa phawa / kumtunda
Kupanga matenda a impingement syndrome kawirikawiri kumachitika ndi kufufuza kwathunthu. Ndikofunika kufufuzidwa ndi dokotala wodziwa zovuta zosiyanasiyana za ululu, monga mavuto ena akhoza kukhala ndi zizindikiro zofanana. Kufufuza bwinobwino ndi kofunika kuti mupeze mankhwala oyenera. X-ray imayesedwa kawirikawiri kuti ione ngati mankhwalawa ali ndi mapewa. MRI ikhoza kuganiziridwa kuti zitsimikizirani kuti palibe chizindikiro cha chikhotakhota cholira.
Matenda osokoneza bongo ndi zovunda zimakhala zosiyana, ndipo ngakhale zili zogwirizana, mankhwalawa ndi osiyana. Misozi ya Rotator imakhala yovuta kuti munthu athandize opaleshoni, ngakhale kuti zowona kuti misozi yambiri imatha kusamalidwa, imatha kusamalidwa.
Kuchiza kwa Mafupa Bursitis
Odwala ambiri okhala ndi shoulder bursitis amatha kupeza chithandizo ndi njira zosavuta, zopanda opaleshoni. Pokhapokha pali zovuta kuti opaleshoni ndizofunika kuti azitsatira phesi la bursitis. Mankhwalawa amasiyana malinga ndi zosankha za odwala, zoyembekeza zawo, ndi mayankho awo kuchipatala.
Anthu ambiri amapeza mpumulo popuma pazinthu zinazake, mankhwala opatsirana , ndi mankhwala odana ndi kutupa . Chinthu chimodzi chomwe chimagwiritsidwa ntchito kwambiri ndi jekeseni ya cortisone ndizochiza matenda osokoneza bongo. Ngati mukufuna kutsata njira iliyonse yothandizira matendawa, ndi bwino kukambirana ndi dokotala wanu.
Ngati mankhwalawa ayesedwa kwa miyezi itatu kapena isanu ndi umodzi popanda kusintha, zizindikiro za opaleshoni zomwe zimatchulidwa kuti ndizopweteka.
Opaleshoni Yoperewera Kugonjetsa
Kugonjetsedwa kwachidziwitso ndi opaleshoni yamakono yomwe imagwiritsidwa ntchito pogwiritsira ntchito zipangizo zomwe zimapangidwira kupyolera muzing'onozing'ono. Malinga ndi malo omwe kutupa ndi kukula kwa ntchito zomwe zimafunika kuchitika, kawirikawiri zimakhala zochitika ziwiri kapena zinayi (1 centimeter). Kapepala kakang'ono kamene kamatchedwa cannula kamalowetsedwa m'zinthu zonse kuti zilowetse zida zosavuta komanso zochokera paphewa popanda kuwononga ziwalozo. Chimodzi mwa zida zoikidwa pamapewa ndi kanema ya kanema pafupi kukula kwa pensulo. Chida china chotchedwa shaver chimalowetsedwa kudzera mumtsinje wina. Wothira nsalu amagwiritsidwa ntchito kuchotsa bursa yotentha. Kamodzi kokha kamachotsedwa, chikhomodola chikuyang'anitsitsa kuyang'ana zizindikiro zirizonse za misozi.
Pfupa pamwamba pa chingwe cha rotator (mfundo ya pamapewa) amatchedwa acromion. Anthu ambiri omwe ali ndi bursitis pa mapewa amakhala ndi fupa la fupa lomwe limapangidwira pazithunzi za acromion. Malinga ndi fupa la acromion, burr ingagwiritsidwe ntchito kuchotsa mphukira kuti ipange malo ochulukirapo a zitsulo zamagetsi. Phindu lochotsa fupa la fupa ndilo kutsutsana pakati pa opaleshoni zamatenda. Ochita opaleshoni ena amakhulupilira kuti spur ndi chifukwa chachikulu cha kutupa mwa kutenga malo ozungulira makatani a zitsulo, pamene ena akutsutsa kuti kuchotsa fupa la fupa silinayambe lasonyezedwa kuti lipititse patsogolo zotsatira za odwala omwe ali opaleshoni iyi.
Rehab yopangira opaleshoni
Odwala amaikidwa pamphepete mwa mapewa akutsatiridwa, koma akhoza kuyamba mwamsanga msangamsanga. Mosiyana ndi opaleshoni kuti chiguduli chimang'amba , palibe chifukwa chokhalira ndikuloledwa kuti mulole machiritso. Panthawi yachisokonezo chokhachokha, odwala angayambe kuyenda mofulumira atatha opaleshoni. Kulimbikitsa kungayambike mkati mwa masabata angapo, ndipo masewera angayambirenso pambuyo poti kutupa kwatsika.
Chifukwa chakuti kusokoneza maganizo nthawi zambiri kumakhala mbali ya njira ina yopaleshoni (monga kukonzetsa katatu kapena opaleshoni ya kukonza), rehab ikhoza kukhala yosiyana kwambiri ndi izi. Choncho, wodwala aliyense ayenera kukambirana zachipatala chawo ndi dokotala wawo opaleshoni.
Zovuta Zomwe Zili M'gulu Lanyama
Mavuto pambuyo poletsa kugonana ndizosazolowereka koma zimachitika. Mavuto ambiri amamva kupweteka ndi kuuma kumene kumatsimikiza ndi mankhwala ndi nthawi. Komabe, pali mavuto akuluakulu kuphatikizapo matenda, kuvulala kwa mitsempha, ndi kuwonongeka kwa karoti, zonse zomwe zingayambitse mavuto a nthawi yaitali. Ndikofunika kutengapo njira zotetezera zovuta izi kuti zitsimikizire zotsatira zabwino za opaleshoni.
> Chitsime
- > Aaron DL, ndi al. Mitundu Inaiyi ya Bursitis: Kuzindikira ndi Kulamulira "J Am Acad Orthop Surgery June 2011; 19: 359-367.