Malingana ndi American Academy of Orthopedic Surgeons, anthu oposa 4 miliyoni ku United States amapeza chithandizo chamankhwala pachaka pothana ndi mavuto. Chaka chilichonse, mavuto amakumana ndi opitilira opaleshoni ya mafupa oposa 1.5 miliyoni. Mavuto amodzimodzi ndi awa:
- Kuphwanyika kumodzi ndi kupatukana
- Tendinitis
- Bursitis
- Kusokoneza matenda
- Chophika cha rotator chatsekedwa
- Frozen shoulder
- Kutsekeseka khungu
- Matenda a nyamakazi
Makhalidwe a Mkwatulo
Mphepete mwake imapangidwa ndi mafupa atatu:
- Nkhanza
- The scapula (mapewa)
- Manyowa (fupa lakunja kwa mkono)
Mankhwala awiri amachititsa kuti gulu liziyenda. Mgwirizano wa acromioclavicular (AC) uli pakati pa acromion (mbali ya scapula yomwe imapanga mapepala apamwamba kwambiri) ndi clavicle. Chombo cha glenohumeral, chimene chimatchedwa kuti mapewa, ndicho chophatikizapo mpira ndi zowonjezera zomwe zimathandiza kutsogolo kutsogolo ndi kumbuyo ndipo zimalola kuti mkonowo uzungulire mozungulira kapena kuchoka kutali ndi thupi.
"Ball" ndi gawo lapamwamba, losakanizika la fupa lakumtunda kapena mkono wa humer. "Zitsulo," kapena glenoid, ndi mbali yofanana ndi yozungulira ya pamtunda wa scapula imene mpira umagwirizana.
Capsule ndi envelopu yofewa yomwe imayendetsa gulu la glenohumeral. Ndilo lopangidwa ndi woonda, wosalala bwino wa synovial membrane.
Mafupa a paphewa amachitikira m'malo ndi minofu, tendon, ndi mitsempha. Tendons ndi zingwe zolimba za minofu zomwe zimagwirizanitsa minofu ya m'mapewa ndi mafupa ndikuthandizira minofu kusuntha pamapewa. Milima imagwirizanitsa mafupa a paphewa , kuwapatsa bata. (mwachitsanzo, kutsogolo kwa capsule wothandizira kulimbidwa ndi magulu atatu a glenohumeral.)
Khola la rotator ndilo lopangidwa ndi timatoni kuti, pamodzi ndi minofu yothandizira, imagwira mpira pamwamba pa tsinde la glenoid ndipo imapereka mphamvu ndi mphamvu kumphati. Zipangizo ziwiri zotchedwa bursae zimalola kuti ziziyenda bwino pakati pa fupa, minofu, ndi tendon. Amagwira ndi kuteteza khola la rotator ku bony arch wa acromion.
Kodi N'chiyani Chimayambitsa Mavuto Amodzi?
Paphewa ndi mgwirizano wopambana kwambiri m'thupi. Komabe, ndi wosasunthika mgwirizano chifukwa cha kayendetsedwe kake kamaloledwa. Zimakhala zovulaza mosavuta chifukwa mpira wa mkono wapamwamba uli waukulu kuposa thumba la phewa limene limagwira. Kuti akhalebe olimba, mapewa ayenera kumangidwe ndi minofu, matope, ndi mitsempha yake.
- Mavuto ena amayamba chifukwa cha kusokonezeka kwa minofu yofewa chifukwa cha kuvulala kapena kuchotsedwa mopitirira muyeso.
- Mavuto ena amachokera ku njira yowonongeka yomwe minofu imatha ndipo siigwira ntchito bwino.
Kumva ululu kumakhala kumidzi kapena kumatchulidwa kumadera ozungulira paphewa kapena pansi. Matenda mkati mwa thupi (monga gallbladder, chiwindi, kapena matenda a mtima, kapena matenda a chiberekero cha msana wa khosi) angapangitse ululu womwe umayenda pamphepete mwa mapewa.
Kodi Mavuto Amodzi Amapezeka Bwanji?
Zina mwa njira zomwe madokotala amadziwira mavuto ali monga:
- Mbiri yachipatala ya wodwalayo
- Kuyezetsa thupi kuti aone kuvulazidwa, malire a kuyenda, malo omwe amamva kupweteka, komanso kusagwirizana
- Mayesero kuti atsimikizidwe kuti ali ndi zifukwa zina. Zina mwa mayeserowa ndi x-rays, arthrograms (mwachitsanzo, amagwiritsa ntchito madzi osiyana ndi x-ray), MRI (kujambula kwa magnetic resonance)
- Kupweteka kwa mankhwala osokoneza bongo mkati ndi kuzungulira paphewa
Kodi Chotsegulira Magulu N'chiyani?
Mphepete ndi mbali yomwe imagwiritsidwa ntchito kwambiri. Pachimodzimodzinso pang'onopang'ono , magulu amphamvu omwe amakoka paphewa (kutengeka) kapena kuthamanga kwazowonjezereka kumawombera mpirawo kunja kwa mthunzi.
Kusiyana kumene kumachitika nthawi zambiri pamene pali kubwerera kumbuyo kwa mkono womwe umagwira minofu yosakonzeka kukana kapena kupanikiza minofu.
Pamene phewa limasuntha kawirikawiri, vutoli limatchulidwanso kukhala wosasuntha . Kusiyanitsa kwapadera komwe fupa lakumtunda la dzanja likudutsa pang'ono ndi pang'onopang'ono kuchokera mu chingwe limatchedwa kugonjera.
Zizindikiro za Kusokonezeka
Mapewa amatha kupita patsogolo, kumbuyo, kapena pansi. Sikuti dzanja limangokhala pamalo pomwe mapewa achoka, koma kusokonezeka kumapanganso ululu. Mafupa a minofu angapangitse kukula kwa ululu. Zizindikiro zomwe zingakhalepo zikuphatikizapo:
- kutupa
- kusowa
- kufooka
- kuvulaza
Mavuto omwe amawoneka ndi mapepalawa amachotsa mitsempha yamtunduwu, ndipo nthawi zambiri amatha kuwonongeka.
Madokotala kawirikawiri amadziwa kuti munthu amatha kusanthula thupi lake , ndipo amazitenga kuti azitsimikizira kuti ali ndi vutoli.
Kuchiza Kuchokera Kwambiri
Madokotala amachititsa kusokoneza mwa kuika mpira wa mcherewo kuti uwuluke m'dothi lokhala pamodzi - njira yotchedwa kuchepetsa.
Dzanja limalowetsedwa m'kanyumba kapena chingwe chotchedwa shoulder immobilizer kwa milungu ingapo. Kawirikawiri dokotala amalimbikitsa kupumula ndi kugwiritsa ntchito ayezi 3 kapena 4 pa tsiku. Pambuyo pa ululu ndi kutupa kwakhala kuyang'aniridwa, wodwala akulowa pulogalamu ya kukonzanso yomwe imaphatikizapo machitidwe kuti abwezeretse kayendetsedwe ka mapewa ndi kulimbitsa minofu kuti asatuluke mtsogolo.
Zochita izi zingapite patsogolo kuchoka pazomwe zimagwiritsa ntchito zolemera.
Pambuyo pa kuchipatala ndi kuchira, vuto linalake lomwe linachotsedwa kale likhoza kukhala lopweteka kwambiri, makamaka kwa achinyamata, omwe ali achangu. Zigamulo mwina zatambasulidwa kapena zong'ambika, ndipo mapewa amatha kusuntha kachiwiri. Mphepete yomwe imavulaza kwambiri kapena nthawi zambiri, imavulaza minofu kapena mitsempha yozungulira, kawirikawiri imafuna kukonzanso opaleshoni kuti imangirire mitsempha yotambasula kapena kubwereranso.
Nthaŵi zina dokotala amachititsa opaleshoni kudzera pang'onopang'ono kakang'ono kamene kameneka kalikonse (arthroscope) imalowetsedwa kuti isunge mkati mwake. Pambuyo pa njirayi, yomwe imatchedwa opaleshoni yamakono , mapewa amakhala osasinthika kwa milungu isanu ndi umodzi ndipo chiwonongeko chathunthu chimatenga miyezi ingapo.
Madokotala ena opanga opaleshoni amakonda kukonzanso mapepala omwe amagwiritsidwa ntchito mobwerezabwereza ndi opaleshoni yotsegulidwa nthawi yomweyo. Kawirikawiri zimakhala zochepa zobwereza kubwereza ndikuyenda bwino pakutsata opaleshoni yotseguka, koma zingatenge nthawi yayitali kuti ayambirenso.
Kodi Kupatukana Kumodzi N'kutani?
Kupatukana kumaphatikizapo fupa lamphongo (clavicle) likukumana ndi tsamba (scapula). Pamene mitsempha yomwe imagwirizanitsa pamodzi imagawanika pang'ono kapena pang'ono, mapeto ake amatha kuchoka pamalo, ndikulepheretsa kuti asamangidwe bwinobwino.
Kawirikawiri kuvulala kumayambidwa ndi kupweteka pamapewa kapena kugwa pa dzanja lotambasula.
Zizindikiro Zogwirizana Pamodzi
Zizindikiro zomwe zakhala zikulekanitsa zimakhalapo ululu kapena kupweteka kapena nthawi zina kumakhala pakati pa mapewa (pambali ya AC). Nthawi zina kupweteka kwa kupatukana kumawoneka mwa kutenga x-rays pamene wodwalayo amakhala ndi kulemera kwake komwe kumapangitsa minofu, kupatula kulekanitsa kwambiri.
Kuchiza Kuchulukana Kwapafupa
Kupatukana kumaperekedwa kawirikawiri ndi kupumula ndi kuvala choponyera . Posakhalitsa kuvulazidwa, thumba la ayezi lingagwiritsidwe ntchito pofuna kuthetsa ululu ndi kutupa.
Pambuyo pa nthawi yopumula, wothandizira amathandiza wodwalayo kuchita zozizwitsa zomwe zimayika mapewa kudzera muziyendayenda.
Amagawani ambiri amapatulira miyezi iwiri kapena itatu popanda kuthandizidwa. Komabe, ngati mitsempha yang'ambika kwambiri, kukonza opaleshoni kungakhale kofunika kuti igwiritse ntchito mankhwalawa. Dokotala akhoza kuyembekezera kuti aone ngati ntchito yoyenera yothandizira asanasankhe ngati opaleshoni imafunika.
Kodi Tendinitis, Bursitis, ndi Impingment Syndrome of theulder?
Tendinitis, bursitis, ndi impingement syndrome m'mapewa ndi ofanana kwambiri ndipo akhoza kukhala okha kapena kuphatikiza. Ngati chikho cha rotator ndi bursa chikukwiyitsidwa, kutentha, ndi kutupa, zimatha kufanana pakati pa mutu wa humer ndi acromion. Kuyendayenda mobwerezabwereza kwa mikono kungakhudzire kuyendayenda kwa zaka zambiri.
Zingakhale zokwiyitsa ndi kufooketsa pansi, matumbo, ndi zozungulira, komanso.
Tendinitis ndi kutupa (redness, kupweteka, ndi kutupa) kwa tendon. Mu tendinitis pa phewa, chikho cha rotator ndi / kapena biceps tendon amayamba kutenthedwa, kawirikawiri chifukwa chokhazikika pamagulu. Kuvulala kungakhale kosiyana ndi kutupa kochepa mpaka kutengeka kwa chikhomo cha rotator. Pamene chombo cha rotator chimawotcha ndi kukulitsa, chimatha kugwidwa pansi pa acromion. Kufinyidwa kwa chikho cha rotator kumatchedwa impingement syndrome.
Matendinitis ndi matenda osokoneza nthawi zambiri amaphatikizidwa ndi kutupa kwa sachesa zomwe zimateteza mapewa. Bursa yotentha imatchedwa bursitis .
Kutupa komwe kumayambitsidwa ndi matenda monga nyamakazi ya nyamakazi ingayambitse chifuwa cha rotin tendinitis ndi bursitis. Masewera okhudza kugwiritsidwa ntchito mopitirira muyeso ndi ntchito zomwe zimafuna kuti nthawi zambiri zifike pamsana ndi zina zomwe zingayambitse chikhomodola kapena bursa ndipo zingayambitse kutupa ndi kutsekemera.
Zizindikiro za Tendinitis ndi Bursitis
Zizindikiro zoyambirira za tendinitis ndi bursitis zikuphatikizapo:
- Kuyamba kuchepa kosauka ndi kupweteka kumtunda kapena mkono wapamwamba wachitatu
- Kuvuta kugona pamapewa
Tendinitis ndi bursitis zimapangitsanso ululu pamene dzanja lichotsedwa kutali ndi thupi kapena pamwamba. Ngati tendinitis imaphatikizapo tizilombo toyambitsa matenda (tendon yomwe imakhala kutsogolo kwa mapewa omwe amathandiza kupukusa chigoba ndi kubwezera), kupweteka kudzachitika kutsogolo kapena kumbali ya mapewa ndipo kungayende mpaka kumalowera ndi pamphuno.
Ululu ukhozanso kupezeka pamene mkono ukukankhidwa mwamphamvu pamwamba.
Kuzindikira Tendinitis, Bursitis ndi Impingement Syndrome
Kuzindikira kwa tendinitis ndi bursitis kumayamba ndi mbiri yachipatala ndi kuunika kwa thupi. X-rays samawonetsa tendons kapena bursae koma zingakhale zothandiza pakulamulira zinthu zosaoneka bwino kapena nyamakazi. Dokotala akhoza kuchotsa ndi kuyesa madzi kuchokera ku malo otentha kuti athetse matenda. Impingement syndrome imatsimikiziridwa pamene jekeseni wa mankhwala ochepa thupi (lidocaine hydrochloride) mu malo pansi pa acromion amachepetsa ululu.
Kuchiza kwa Tendinitis, Bursitis ndi Impingement Syndrome
Njira yoyamba yothandizira izi ndi kuchepetsa ululu ndi kutupa ndi kupumula, ayezi, ndi mankhwala odana ndi kutupa monga:
- Aspirin
- Naproxen (Aleve, Naprosyn)
- Ibuprofen (Advil, Motrin, kapena Nuprin)
- COX-2 inhibitors
Nthaŵi zina dokotala kapena wothandizira amagwiritsa ntchito mankhwala a ultrasound (maulendo omveka-mawonekedwe a mawonekedwe) kuti azitha kutentha thupi komanso kusintha magazi. Ntchito zolimbitsa thupi ndi zolimbikitsa zimaphatikizidwa pang'onopang'ono. Izi zikhoza kutsogozedwa kapena kutsatiridwa ndi kugwiritsa ntchito phukusi la ayezi. Ngati palibe chitukuko, dokotala akhoza kuyambitsa mankhwala a corticosteroid mu malo pansi pa acromion.
Ngakhale kuti majeremusi a steroid ndi ochiritsira, amayenera kugwiritsidwa ntchito mosamala chifukwa amatha kupweteka. Ngati pangakhalebe chitukuko pakatha miyezi 6 mpaka 12, dokotala akhoza kuchita opaleshoni yamakono kapena yotseguka kuti akonzere kuwonongeka ndi kuchepetsa mavuto pa tendons ndi bursae.
Kodi Chophimba Chophwanyika Chophwanyika N'chiyani?
Chombo chimodzi kapena zingapo zowonongeka zingayambe kugwiritsidwa ntchito mopitirira muyeso, ukalamba, kugwa pa dzanja lotambasula, kapena kugunda. Masewera omwe amafuna kupitilira kumbuyo kwa mkono kapena ntchito zomwe zimafuna kulemetsa kwambiri zimapangitsanso zovuta pazitsulo ndi minofu ya rotator. Kawirikawiri, mavitoni ndi amphamvu, koma kuvula zovala kungabweretse misozi.
Zizindikiro za Mpukutu Wosuntha Wowonongedwa
Kawirikawiri, munthu amene ali ndi ululu wovunda amachititsa ululu pamutu komanso pambali paphewa, makamaka ngati mkono ukuleredwa kapena kutuluka kunja kwa thupi. Zochita ngati anthu ovala zovala zingakhale zopweteka. Mapewa angakhale ofooka, makamaka pamene akuyesera kukweza dzanja kuti likhale malo osakanikirana. Munthu akhoza kumverera kapena kumva phokoso kapena pop pamene mapewa amasuntha.
Kusanthula Galimoto Yoyendetsa Torn
Kupweteka kapena kufooka kwa kutsogolo kwa mkono kapena kutsogolo kwazanja kungasonyeze kupweteka kwa mthunzi wa katolo. Wodwala amamva ululu pamene akutsegulira mkono kumbali kumbuyo kwake paphewa kumasunthira kumbuyo ndipo mkono ukukweza.
- Dokotala angaone kuti akufooka koma sangathe kudziwa kuchokera pa kuunika komwe kuli.
- X-ray, ngati atengedwa, ingawoneke ngati yachibadwa.
- MRI ingathandize kuzindikira misozi yonse, koma silingathetse misonzi yochepa .
Ngati ululu umatha dokotala atapweteka kachilombo kochepa m'deralo, kuyimika kungakhalepo. Ngati palibe yankho la mankhwala, dokotala akhoza kugwiritsa ntchito arthrogram, osati MRI, kuti ayang'ane malo ovulalayo ndi kutsimikizira kuti ali ndi vutoli.
Kuchiza kwa Torn Rotator Cuff
Nthawi zambiri madokotala amalangiza kuti odwala ali ndi vuto lopweteka la rotator pamapewa awo, azigwiritsa ntchito kutentha kapena ozizira kumalo opweteka, komanso kumwa mankhwala kuti athetse ululu ndi kutupa.
Mankhwala ena akhoza kuwonjezeredwa, monga:
- Kukweza magetsi kwa minofu ndi mitsempha
- Thandizo la ultrasound
- Jekeseni ya Cortisone pafupi ndi malo otenthedwa ndi chikho cha rotator
Wodwala angafunikire kuvala choponyera miyala kwa masiku angapo. Ngati opaleshoni sichidziwikidwe mwamsanga, zochitikazo zimaphatikizidwa pa pulogalamu ya chithandizo kuti amange kusintha ndi mphamvu ndikubwezeretsa mapepala. Ngati palibe chitukuko ndi mankhwala ochiritsira komanso kuwonongeka kwa ntchito zikupitirirabe, dokotala akhoza kupanga opaleshoni yamakono kapena opaleshoni yotsegula ya katolo yowola .
Kodi Mphepete Yamoto Ndi Chiyani?
Monga dzina limatanthawuza, kusuntha kwa mapewa kumaletsedwa kwambiri kwa anthu omwe ali ndi "mapewa osungunuka." Matendawa, omwe madokotala amawatcha kumatira capsulitis, amayamba chifukwa cha kuvulala komwe kumayambitsa kusowa ntchito chifukwa cha ululu.
Kuchuluka kwa matenda a rheumatic and opaleshoni yaposachedwapa ingayambitsenso mapewa osungunuka. Nthawi zosagwiritsidwa ntchito zingayambitse kutupa. Adhesions (magulu osakanikirana a minofu) amamera pakati pa malo olowa, kulepheretsa kuyenda. Palinso kusowa kwa synovial madzi, omwe nthawi zambiri amavomereza kusiyana pakati pa mkono ndi fupa kuti athandizidwe. Ndilo malo osalowetsa pakati pa capsule ndi mpira wa humer amene amasiyanitsa chotsatira cha capsulitis kuchokera ku mapewa ovuta kwambiri, ovuta kwambiri.
Anthu omwe ali pachiopsezo chachikulu cha mazira ndi awa omwe ali ndi zikhalidwe zina kuphatikizapo:
- Matenda a shuga
- Sitiroko
- Matenda a zilonda
- Matenda a nyamakazi
- Matenda a mtima
- Anthu omwe akhala ali pangozi
Chikhalidwechi sichipezeka kawirikawiri mwa anthu osakwana zaka 40.
Zizindikiro za Mphepete Mwachangu
Ndi mgwirizano wa mazira, mgwirizanowo umakhala wolimba komanso wolimba kwambiri moti ndizosatheka kuchita zosavuta, monga kukweza dzanja. Anthu amadandaula kuti kuuma ndi kukhumudwa kumawonjezereka usiku. Dokotala angaganize kuti wodwalayo ali ndi mapewa osungunuka ngati kuyang'ana kwa thupi kumasonyeza kuyenda kochepa. Arthrogram ingatsimikizire kuti matendawa ndi otani.
Kuchiza kwa Mphepete Mwachangu
Chithandizo cha mazira chimayang'ana kubwezeretsa mgwirizano komanso kuchepetsa ululu. Kawirikawiri, mankhwala amayamba ndi mankhwala osagwiritsidwa ntchito omwe amatsutsana ndi kutupa komanso kugwiritsa ntchito kutentha, motsogoleredwa ndi zozizwitsa zofatsa. Zochita zolimbitsa thupizi, zomwe zingatheke pakhomo mothandizidwa ndi wodwalayo, ndizo chithandizo cha kusankha.
Nthaŵi zina, kugwedeza kachulukidwe ka magetsi (TENS) ndi kachipangizo kakang'ono ka batri kangagwiritsidwe ntchito kuchepetsa kupweteka mwa kulepheretsa maganizo a mitsempha . Ngati izi sizinapambane, dokotala angapangitse kuti azigwiritsanso ntchito mapewa pansi pa anesthesia. Kuchita opaleshoni kuti kudula ma adhesi n'kofunikira nthawi zina.
Zizindikiro ndi Kuzindikiritsidwa kwa Kuthuka Kwambiri
Kuphulika kumaphatikizapo kutengeka pang'ono kapena kupyolera mu fupa. Kuphulika m'fupa kumachitika chifukwa cha kuvulaza, monga kugwa kapena kupweteka pamapewa. Nthawi zambiri fracture imaphatikizapo phokoso kapena khosi (pansi pa mpira) wa humer.
Kupweteka kwa mapewa komwe kumachitika pambuyo povulazidwa kwakukulu kaŵirikaŵiri kumapweteka kwambiri.
Mu kanthawi kochepa, pangakhale kufiira ndi kuvulaza kuzungulira dera. Nthawi zina mafupa amawonekera chifukwa mafupa amawonekera. Zomwe zimagwiritsidwa ntchito komanso zovuta zitha kutsimikiziridwa ndi x-ray.
Kuchiza kwa Kutaya Kwambiri
Ngati fereti imachitika, dokotala amayesa kubweretsa mafupawo kuti awathandize kuchiritsa komanso kubwezeretsa manja. Ngati mankhwalawa akuphwanyidwa, wodwala ayenera kuyamba atanyamula chidutswa ndi kumangoyendetsa pachifuwa kuti asamangidwe. Pambuyo pochotsa chidutswa ndi kuponyera, dokotalayo amapereka zochitika zolimbitsa mapewa ndi kubwezeretsanso kayendetsedwe kake. Kuchita opaleshoni kumafunika nthawi zina kuti ziphuphu zina zikhale zovuta .
Kuphwanyika kwa khosi la humer nthawi zambiri kumachiritsidwa ndi kuponyedwa kapena kuponyedwa kwa mapewa. Ngati mafupa sakutha, opaleshoni ingakhale yofunikira kuti muwabwezeretsenso. Zochita ndizo mbali ya kubwezeretsa mphamvu yamphwa ndi kuyenda.
Nyamakazi ya M'mphepete
Matenda a nyamakazi ndi matenda omwe amabwera chifukwa cha kupwetekedwa kwa khungu (ie, osteoarthritis ) kapena kutupa (mwachitsanzo, nyamakazi ya nyamakazi ). Matenda a nyamakazi samakhudza ziwalo; Zingasokonezenso zipangizo zothandizira monga:
- minofu
- tendons
- mitsempha
Zizindikiro ndi Kuzindikira kwa Amagazi Amodzi
Zizindikiro za matenda a nyamakazi za m'mapewa zimamva kupweteka, makamaka pa mgwirizano wa AC, komanso kuchepa m'maganizo.
Dokotala angaganize kuti wodwalayo ali ndi nyamakazi pamene pali zowawa zonse ndi kutupa pamodzi. Matendawa akhoza kutsimikiziridwa ndi kuunika kwa thupi ndi x-ray. Mayeso a magazi angakhale othandiza kupeza matenda a nyamakazi, koma mayesero ena angafunikirenso. Kufufuza kwa synovial madzi kuchokera pamapewa kungakhale kothandiza pozindikira mitundu ina ya nyamakazi. Ngakhale kuti nyamakazi imatulutsa chithunzi choonongeka cha karotila, tendon, ndi ligaments, ndipo zingatsimikizire kuti zimapezeka, nthawi zambiri zimangokhala ngati njira yokonzanso iyenera kuchitidwa.
Kuchiza kwa Amphaka Amodzi
Nthawi zambiri mafupa a mitsempha a m'mapewa amachizidwa ndi mankhwala osakanikirana ndi othandizira, monga:
- aspirin
- ibuprofen
- COX-2 inhibitors
Matenda a nyamakazi a m'mapewa angafune mankhwala ndi mankhwala ena, monga corticosteroids. Pamene mankhwala osagwira ntchito a nyamakazi amatha kuchepetsa kupweteka kapena kupititsa patsogolo ntchito, kapena pamene kuvulaza kwakukulu kumapangitsa kuti kumasula ndi kuchoka pamalo, kugwirizanitsa (arthroplasty) kungapereke zotsatira zabwino. Pa opaleshoniyi, dokotala wa opaleshoni amalowetsa pamphepete mwa mapepala opangira mapepala a pamwamba pa humer ndi kapu (glenoid) ya scapula.
Zochitika zapakhosi (pamene wina amachititsa dzanja kuti azizungulira) Amayambika posachedwa opaleshoni. Odwala amayamba kudziyesa okha pa masabata 3 mpaka 6 atatha opaleshoni. Mapeto ake, zochita zolimbitsa thupi ndi zolimbikitsa zimakhala mbali yaikulu ya pulogalamu ya kukonzanso. Kupambana kwa ntchito nthawi zambiri kumadalira mkhalidwe wa minofu ya rotator musanachite opaleshoni komanso momwe wodwala amatsatira pulogalamuyi.
Zotsatira:
NIH Publication No. 14-4865, Mafunso ndi Mayankho pa Mavuto a Mphindi. April 2014. (yasinthidwa)