Kuvulala Kwambiri Kwambiri

Chifukwa cha ululu wa mapewa mu wothamanga wothamanga

Kupanga mkati ndi mtundu wina wa kuvulala kwa mapewa komwe kumawonekera makamaka pakuponya othamanga. Kupangika mkati kumakhala kovulaza kuzinthu zotsatirazi:

• Mdima wam'mbuyo
  Bwalo lakumtunda kumalo opitirira-apamwamba kwambiri pa mapewa nthawi zambiri limafooka kapena pang'ono. Pa milandu yowopsya, misozi imatha kupitirira kumbali yothandizana ndi tchutchutchu , zomwe zimatchedwa SLAP .

• Chophimba cha rotator
  Chophimba cha rotator chimang'ambika pang'ono pazithunzi zake. Mtundu wa misozi imatchulidwa kuti pang'onopang'ono pang'onopang'ono phokoso lokhalira -osati kulira kwathunthu kwa chingwe cha rotator.

Vuto limayambitsidwa chifukwa cha kutsekemera kwa chifuwa (pamwamba pa humer) motsutsana ndi labrum. Odwala omwe ali ndi mkati mwawo amatha kusinthasintha mkati-amatha kusintha mozungulira mapewa.

Zizindikiro za Kumangika M'kati

Zizindikiro zofala kwambiri za vuto ili ndi izi:

• Kupweteka pamene kuponyera kapena masewera apamwamba (monga tennis akutumikira)
• Chikondi chimagwira patsogolo pamapewa (pectoralis minor tendon / coracoid process)
• Chikondi chozunguliridwa ndi scapula ndi kaperesi wam'thumba

Kawirikawiri pamene odwalawa akuyang'anitsitsa mapewa awo ndi ochepa. Kawirikawiri othamanga awa ali ndi zowonongeka zoposa kunja (zomwe zimakonda kuponya othamanga) ndi kutembenuzira pang'ono mkati.

Odwala angaone izi ngati zovuta kufika kumbuyo monga pamwamba pa mbali yawo yokhudzidwa ngati mbali yawo yosakhudzidwa. Kawirikawiri odwalawa amapeza zowoneka mosasinthasintha. Kusakhazikika kwa mapewa kumaganiziridwa kuti ndi chinthu chofunikira kwambiri chomwe chimapangitsa kuti munthu ayambe kukakamizidwa mkati mwake.

Mayesero angaphatikizepo mayeso a X-ray omwe nthawi zambiri amakhala oyenera. Kawirikawiri MRI imapweteketsa mafupa (edema) mpira wa phokoso ndi mthunzi, ndi kuwonongeka kwa chikhotakhotacho, komanso kuwonongeka kwa labrum (ngakhale kuti sikumangidwa kwa labrum).

Njira Zothandizira

Odwala ambiri amayamba ndi mankhwala osagwira ntchito kuti athetse mavutowa pamakina opangira. Choncho, cholinga cha chithandizo ndi kubwezeretsanso kayendedwe kake ndi kusintha kayendetsedwe ka scapula nthawi yonseyo. Mbalameyi ndi yofunika kwambiri pamakina opangidwa chifukwa chakuti scapula imakhala ndi chingwe cha paphewa. Ngati chingwecho sichiyenda molumikizana ndi mapewa ena onse, zizindikiro za kutsatiridwa mkati zingathe kuchitika.

Nkhani yabwino ndi yakuti odwala ambiri, ngakhale othamanga apamwamba, amatha kupeza mpumulo wa zizindikiro za mankhwalawa. Mfungulo ukugwira ntchito mwakhama ndi wodwala wodziwa bwino kapena wophunzitsa, yemwe amamvetsa cholinga chake chokweza makina. Ngati cholinga chiri pa "kulimbitsa" mapewa, popanda kutsindika pamagetsi oyenera, ndiye zotsatira sizingakhale bwino.

Kwa odwala omwe amalephera kusintha ngakhale atayesetsa kuchita chithandizo, pali mbali yothandizira opaleshoni yamapiko. Kawirikawiri, opaleshoni imachitidwa kuti athetse vuto lililonse ku khola la rotator kapena labrum, komanso kuthana ndi kusakhazikika kwa mapewa omwe angapangitse vutoli. Mwamwayi, odwala ambiri angathe kuthetsa vutoli ndi mankhwala osamalidwa bwino, koma kwa anthu omwe amalephera kuchiritsa, opaleshoni ingakhale njira yabwino.

_Zotsatira:

_{Drakos MC, ndi al. Kugwedeza Kunja kwa Mphepete Pamwamba Kupitiliza Kuthamanga "J Bone Opaleshoni Yophatikiza Am, 2009 Nov 01; 91 (11): 2719 -2728.}