Kulimbana ndi Opaleshoni Yamakono Yokwanira
Kuchita opaleshoni yamakono ndi njira yomwe imachitika pamagulu a thupi, kuphatikizapo mapewa. Dokotala wochita opaleshoni amaika kamera kanema mkati mwa chophatikizana, pamodzi ndi zida zapadera, kuti achite opaleshoni kudzera mwazing'onozing'ono. Kuchita opaleshoni yamakono nthawi zambiri kumapangitsa munthu kuchira mofulumira poyerekeza ndi chizoloŵezi "opaleshoni yotseguka" chifukwa kuwonongeka kwa minofu yochepetseka kumachitika chifukwa cha njira zowonongeka zochepa.
Kuchita opaleshoni kumaonedwa kuti ndi kotetezeka, ndipo mavuto aakulu ndi osowa. Komabe, monga momwe ziliri ndi ntchito iliyonse, pali mavuto omwe angathe. Zina mwa izi zingakhale ndi zotsatira zowawa. Pambuyo pokhapokha vutoli likuphatikizapo chondrolysis.
Kodi Chondrolysis N'chiyani?
Chondrolysis ndi chikhalidwe chomwe chimayambitsa kugawidwa mwamsanga kwa kagaweti mkati mwa mgwirizano. Mgwirizano ndi pamene mafupa awiri amalumikizana. Mgwirizano wokhazikika, malekezero a fupa amadzaza ndi minofu yowopsya, yosalala, yosakaniza, yotchedwa "cartilage." Katemera wotchedwa cartilage ali ndi maselo otchedwa chondrocytes, ozunguliridwa ndi scaffold ya mapuloteni ndi madzi otchedwa "matrix."
Kwa odwala omwe ali ndi chondrolysis, ma chondrocyte amamwalira ndipo zozizwitsa zimakhala zosiyana. Katatayi akachoka, sadzabwerera kapena kuchiritsa. Pamene kanyumba kakang'ono kamatayika, fupa lakuthwa pansi likuwululidwa.
Maonekedwe a chondrolysis ali ofanana ndi osteoarthritis a phewa .
Komabe, matenda a osteoarthritis ndi omwe amakhudza okalamba ndipo amatha zaka zambiri. Chondrolysis yambiri imakula mofulumira kwambiri, nthawi zina patatha milungu kapena miyezi. Nthawi zambiri amapezeka odwala achinyamata ndipo nthawi zambiri amagwirizanitsidwa ndi opaleshoni yamakono yatsopano. Avereji ya msinkhu wa wodwala amene akudwala chondrolysis pambuyo pa mapewa a nyamakazi ndi 26.
Zifukwa za Chondrolysis
Kumvetsetsa chifukwa cha chondrolysis pambuyo pa mapewa kugwiritsira ntchito nyamakazi kwakhala kovuta. Kwa zaka makumi awiri zapitazo, madokotala akhala akudziwitsa nthawi zonse zomwe zimayambitsa vutoli, pokhapokha atapeza kuti mwina mayiko omwe akukayikira angakhalepo kapena ayi. Zina mwa zifukwazi zikuphatikizapo:
- Kutentha: Kutentha kwa dzuwa kunkagwiritsidwa ntchito kawirikawiri m'masiku oyambirira a nyamakazi. Pulojekiti yotentha imagwiritsira ntchito chipangizo chosokoneza bongo kuti apereke kutentha mwachindunji kumatenda ofewa. Mankhwala otentha amatha kugwiritsidwa ntchito poyambitsa mitsuko ya magazi kapena kuchepetsa minofu. Iwo akhala akuphatikizidwa mu kuvulala kwa karotila. Pulojekiti yamoto kamodzi kamagwiritsidwa ntchito kubwezera mapepala ogwirana paphewa ndi odwala omwe ali ndi phazi losasunthika kulimbitsa mgwirizano. Njirayi, yotchedwa "thermal shrinkage," sichitsatidwanso.
- Njira zoperekera opaleshoni: Zochitika zingapo zochitidwa opaleshoni zingayambitse karoti, kuphatikizapo kuvulaza kachipangizo ndi zida zamagetsi, kusiya mapulaneti kukhala otchuka kapena kukanika katemera ndi zipangizo zamagetsi.
- Mapumpsu opweteka: Mapupa opweteka amachititsa kuti munthu azichita bwino kwambiri m'thupi mwake. Mapampu adasiyidwa pamalo pomwe atatha opaleshoni kuti athandize kuchepetsa ululu, koma ena amaganiza kuti mitsempha yapamwamba yowonongeka ingapangitse chondrolysis.
Sidziwika ngati chimodzi kapena zonsezi zikhoza kukhala chifukwa cha shoulder chondrolysis. Ochita opaleshoni ambiri amachoka pamapope ndi ululu wa kutentha kuti atsimikizire kuti odwala awo ali otetezeka momwe zingathere.
Chondrolysis Treatment
Mwamwayi, nthawi ya chondrolysis yapezeka, vutoli lakhala likupita patsogolo kwambiri. Palibe njira yodziwikiratu yothetsera kupititsa patsogolo kwa chondrolysis, ndipo palibe njira yodziwika yothetsera zotsatira zake. N'zotheka kuti panthawi ina m'tsogolomu, padzakhala mankhwala kapena jekeseni yomwe ingagwiritsidwe ntchito "kutseka" vuto la ma cell limene limayambitsa kupweteka kwa kagawoti.
Komabe, panopa, si choncho.
Chithandizo chokha ndicho kupweteka ndi kusintha ntchito. Odwala ambiri amasokonezeka ndipo amasiya kuthamanga. Odwala ena adzasankha kukhala nawo m'malo ; Komabe, atapatsidwa kuti chondrolysis imapezeka nthawi ya zaka khumi kapena makumi awiri, izi sizingakhale zosayenera. Mafupa amodzi amapangidwa kwa odwala okalamba ndipo amatha zaka makumi angapo. Kwa wodwala wamng'ono, izi zingatanthauze kukhala ndi mapewa m'malo mwake, mwinamwake kangapo. Kubwereza malo m'malo movutikira kuchita, ndipo sikungapindule bwino.
> Zotsatira:
> Yeh PC & Kharrazi FD. "Gulu la Glenohumeral Chondrolysis" J Am Acad Orthop Surg February 2012; 20: 102-112 .; lembani: 10.5435 / JAAOS-20-02-10