Chikhalidwe Chowawa ndi Cholepheretsa
Paphewa ndi limodzi mwa ziwalo zomwe zingakhudzidwe ndi nyamakazi . Ali ndi nyamakazi, karoti kamene kali pamapeto a mafupa a mgwirizano amawonongeka chifukwa cha kutupa , kuvala, ndi kuvulaza. Mapaziwa ali ndi mafupa atatu - msuzi (pamwambapa fupa), scapula (mapewa), ndi clavicle (collarbone). Mutu wa manyowa umalowa m'dothi la scapula.
Mzerewu umatchedwa kuti glenoid. Chombo cha rotator, chomwe ndi gulu la minofu ndi matope, sungani fupa la mkono pambali pa chingwe.
Mankhwala awiri, mgwirizano wa acromioclavicular ndi glenohumeral yogwirizana, amapanga mapewa. Mgwirizano wa acromioclavicular umapezeka pamene chingwechi chimabwera pamodzi ndi ndondomeko ya bony kumapeto kwa mapewa (acromion). Gulu la glenohumeral lili pomwe malo am'madzi amatha kulowa mu scapula.
Mitundu Yamagulu Amodzi
Matenda a nyamakazi amapezeka chifukwa cha mbiri yanu yachipatala, kuunika kwa thupi, ndi ma x-ray kapena maphunziro ena ojambula zithunzi. Kuphatikizidwa pamodzi ndi synovial madzimadzi kuyesa kungaperekenso mfundo zamtengo wapatali. Pali mitundu yambiri ya nyamakazi yomwe ingakhudze mapewa:
- Matenda a nyamakazi ndi amadzimadzi omwe amachititsa kuti thupi liziyenda .
- Matenda othamanga pambuyo pake amatha kukhala ndi vuto lopweteketsa matenda omwe amachititsa kuti awonongeke (pamutu uno, pamapewa).
- Nyamakazi ya Septic kapena matenda odwala matenda a nyamakazi ndi nyamakazi yokhala ndi matenda ophatikizana. Matenda a nyamakazi amafunika kuthandizidwa mwamsanga kuti asamawonongeke mwamsanga.
- Kuthamanga Kwambiri Chifukwa cha Rotator Cuff Misozi ndi nyamakazi imene imakhala ngati chovuta kwa chikhomodola . Ndi chikho cha rotator chinang'ambika, mutu wa humer sungagwirizane ndi malo ake oyenera mu chingwe, kuupangitsa kusuntha ndi kupaka motsutsana ndi acromion. Kugundira mafupa pa fupa kungagwirizanitsidwe ndi zofunikira zowonongeka.
- Avascular necrosis, kapena Osteonecrosis, imayamba pamene magazi operekedwa kumutu wa humer amachotsedwa. Popanda magazi enieni, maselo a mafupa amafa, zomwe zimapangitsa kuti mapewa asokonezeke. Monga fupa lakufa lathyoka, mutu wa humer umakhudzidwa poyamba, koma pamapeto pake phokoso la glenoid limakhudzidwa. Mankhwala a corticosteroid akuluakulu, kumwa mowa mwauchidakwa, matenda a sickle cell, kapena kupasuka kungawononge avascular necrosis pamapewa.
Zizindikiro za Matenda a Nyamakazi
Zizindikiro zikuluzikulu zomwe zimagwiridwa ndi matenda a nyamakazi zimakhala zopweteka komanso zochepa . Ululu umakhala kumbuyo kwa mapewa ngati mgwirizano wa glenohumeral umakhudzidwa ndipo nthawi zambiri umatchulidwa ngati phula lakuya. Ululu uli pamwamba pa mapewa ngati mgwirizano wa acromioclavicular umakhudzidwa ndipo ukhoza kuwonekera kumbali ya khosi. Ngati pali kugwirizana kwake, monga momwe zimakhalira ndi matenda a nyamakazi, nyamakazi yonse imapweteka kumbali zonse ziwiri za thupi. Kuyenda pang'ono kwa mapewa kungakhudze zochitika zosiyanasiyana za moyo wa tsiku ndi tsiku. Zingakhale zovuta kukweza dzanja lanu, kuti mukwaniritse, kapena kuchita ntchito iliyonse yomwe imafuna kusuntha. Kuuma kolimba pamodzi ndi zokhala ndi zizindikiro zofala.
Kuchiza kwa Amphaka Amodzi
Chithandizo chodziletsa, chosagwiritsa ntchito opaleshoni nthawi zambiri chimakhala choyenera kudwala matenda a nyamakazi, poyamba komanso ngati matendawa achotsedwa. Mankhwala othandizidwa kawirikawiri amayamba ndi:
- Kupumula
- Kupanga ntchito zanu
- NSAIDs (mankhwala osakanizika ndi mankhwala osagwiritsidwa ntchito)
- Jekeseni wa Steroid
- Kutenthetsa kapena kuzizira
Ngati njira zamankhwala zopanda chithandizo zimalephera kuthetsa zizindikiro, ndipo ululu wanu ndi kuchepa kwa ntchito ndizovuta, opaleshoni ingaganizidwe. Kujambula nyamakazi , kuphatikizapo mbali imodzi (kuphatikizapo hemiarthroplasty [mbali imodzi yowonjezerapo imaloledwa m'malo mwake], kuikapo mbali zonse, ndi kubwezeretsa mmwamba m'malo mwake ), ndi resection arthroplasty [chiwalo cha prostate kapena prosthetic chimachotsedwa chifukwa cha opaleshoni yolephera kapena matenda] ndizochita opaleshoni.
Zotsatira:
Nyamakazi ya M'mphepete. OrthoInfo. January 2013.
http://orthoinfo.aaos.org/topic.cfm?topic=a00222
Amagazi Amagazi. University of Washington, Orthopedics & Sports Medicine. Inapezeka pa 12/10/2015.
http://www.orthop.washington.edu/?q=patient-care/shoulder-arthritis.html
Kelley's Textbook ya Rheumatology. Elsevier. Kusindikiza kwachisanu ndi chinayi. Mutu 46. Ululu Wopweteka. Martin ndi Thornhill.