Biceps minofu ndi minofu yaikulu kutsogolo kwa mkono umene umakupatsani nyonga pamene mukugwedeza chiguduli, ndipo imathandizanso kuthandizira. Pali mavuto angapo omwe angathe kuchitika ndi matope a biceps omwe angapangitse kukula kwa ululu wamapewa .
Anthu ambiri amaganiza kuti mabicepiti amangowonjezera mkono ndi m'phindi, koma kwenikweni, minofu, makamaka makamaka biceps tendon, imathandizanso kugwira ntchito limodzi.
Matenda a teteps a biceps amatha kuwonedwa padera, kapena ngati gawo la mavuto ndi chophimba cha rotator pamapewa.
Biceps Tendon
Tchutchutchu ndi kapangidwe kamene kamagwirizanitsa minofu ndi mafupa, ndipo mapuloteniwa amagwirizanitsa ndi zikopa ndi mapewa. Pamagulu a mapewa, palinso tizilombo ziwiri zomwe zimagwirizanitsa mapiritsi kumphongo, chifukwa chake minofu imatchedwa biceps: bi, kutanthauza "ziwiri," zomangira pamapewa. Zojambulidwa izi zimatchedwa "mutu wautali" wa biceps ndi "mutu wamfupi" wa biceps. Mutu wautali wa biceps nthawi zambiri umakhala ululu wa ululu wokhudzana ndi biceps pamapewa. Zonsezi, zizindikiro ziwirizi zimatchulidwa kuti "zovuta kwambiri".
Pangakhalenso mavuto a mitsempha ya biceps ndi chojambulidwa cha minofu pachikasu, chotchedwa tendal biceps "tendon. Mu chigoba, pali tendon imodzi yokha; imadutsa pansi pa chigwirizano cha gululi.
Matenda ambiri a biceps tendon a distal biceps tendon ndi kupasuka distal biceps .
Mapulogalamu Osakanikirana Amtundu wa Mavuto
Mavuto ambiri omwe amapezeka pamtundu wa biceps amapezeka pamutu wautali wa biceps. Mutu waifupi wa mapiritsiwo uli kutali kwambiri ndi mapewa ndipo umakhala wolimba ku fupa.
Mutu wautali wa biceps amapitilira pogwiritsa ntchito phokoso pamanja pfupa, kenaka kupyola chikho cha rotator ndikugwirana ndi fupa pafupi ndi tsamba la phewa . Mutu wautali wa biceps ukhoza kukhala ndi mavuto pa malo aliwonse awa.
Mavuto ambiri a mutu wautali wa biceps amachititsa ululu kutsogolo kwa phewa; Nthawi zambiri anthu amamva ngati akuwombera kapena akudumpha kumva. Kuonjezera apo, mavuto amtundu wambiri amakhala okhudzana ndi mavuto a katolo , choncho nthawi zambiri mavutowa amafunika kuthandizidwa pamodzi. Mutu wautali wa mavuto a misomali wokhudzana ndi biceps umaphatikizapo:
- Biceps Tendonitis ndi Misozi
Chifukwa chofala kwambiri cha biceps kupweteka ndi kutupa kwa tendon . Kutupa kungayambitse kutupa ndikumva ululu pamtunda wa biceps, ndipo pakapita nthawi zingayambitse chitukuko cha tendon, kuphatikizapo misonzi. Misozi m'matumbo a biceps amatha kupweteka kosalekeza ndipo nthawi zina amafunika kuchipatala. - Biceps Tendon Ruptures
Akawonongeka kwambiri, tchutchutchu timene timatha kuchotsa kwathunthu ku chiyanjano chake. Kuvulala kumeneku nthawi zambiri kumagwirizanitsidwa ndi chikhoto cha rotator, ndipo aliyense amene ali ndi mutu wa biceps amene akupunthwa ayenera kuganiza kuti ali ndi chovala chozungulira. Mtedzawu umalowetsa mdzanja, ndipo mbali imodzi ya biceps imatulutsa mitsempha, ndipo imayambitsa chiphuphu m'makutu. Mukamasintha mabala awo, anthu omwe ali ndi vuto lopwetekedwa kawirikawiri amawoneka ngati ali ndi "papa" minofu, yomwe imatulutsira mitsempha.
- Misozi ya SLAP
Kumene khosi la biceps limalowa pamapewa, limagwira pfupa pang'onopang'ono ndi kanyumba kake kamene kali pamphepete mwa mapepala otchedwa labrum. Mphuno ya biceps imatha kuchotsa labasi kuchoka ku fupa lomwe limayambitsa vuto lotchedwa SLAP misozi - mtundu wa misozi yomwe imagwera pamapewa. - Biceps Tendon Kugonjetsa / Kuthamangitsidwa
Mphuno ya biceps imatulukira kutsogolo kwa mkono mpaka pamapewa. Pa kutsogolo kwa mkono, pali phokoso la tonde lomwe limatchedwa "bicipital groove". Pamwamba pa pulawu, chophimba cha rotator chimagwiritsa ntchito thambo la groove pamene mkono ukuzungulira. Kwa anthu omwe ali ndi misozi yowonjezera, misonkho ya biceps ingakhale yosagwiritsidwa mwamphamvu m'mphepete mwake-ndipo ingathenso kuchoka pamphuno-imayambitsa kupweteka kosautsa . Pamene tendon ndi yosakhazikika, imatchedwa kugonjera ; pamene tchutchutchu imatulukira kuchokera mu mphukira, imatchedwa dislocation.
Kuchiza kwa Mavuto a Biceps Tendon
Sikuti mavuto onse a bicep tendon amachitidwa chimodzimodzi. Malinga ndi chifukwa cha matendawa, dongosolo lanu la mankhwala lingasinthe. Matenda osavuta a mavuto a ticeps a biceps ndi monga kupumula, ayezi , mankhwala oletsa kutupa , mankhwala opatsirana , ndi machitidwe a mapewa . Ngati pali kutupa kuzungulira tendon, jekeseni wa cortisone kuzungulira tchuthi ikhoza kuganiziridwa.
Njira yothandizira opaleshoni ya biceps tendon ingaganizidwe. Matenda omwe amapezeka kawirikawiri pamabvuto a ticeps a biceps ndi a biceps tenotomy ndi biceps tenodesis. Njira yokhala ndi tenotomy kudula nsonga ya mutu wautali wa biceps kotero kuti tendon imabwezeretsanso m'manja ndi kutali ndi phewa kumene ingapweteke. Kuchita opaleshoni n'kofulumira, kophweka, ndipo ili ndi zotsatira zodalirika. Odwala ena sakonda maonekedwe a mabiceps awo atatha opaleshoni, ndipo anthu ena akudandaula kuti akugwedeza mdzanja atatha opaleshoni.
Njira yotsutsana ndi tenotomy imatchedwa biceps tenodesis. Opaleshoniyi imachitidwa kuti isunthire chidindo cha mutu wautali wa mapiritsi kunja kwa mapewa, koma kachiwiri imakhudza tendon kuti fupa. Choncho, minofu imapitiriza ntchito yake, ndipo mavuto a pamapewa omwe amapezeka ndi ma biceps ambiri nthawi zambiri amathetsedwa. Biceps tenodesis amakhala ndi nthawi yowonjezera koma nthawi zambiri imakhala ndi zotsatira zabwino.
Zotsatira:
Nho SJ, et al. "Mutu Wautali wa Biceps Tendinopathy: Kuzindikira ndi Utsogoleri" J Am Acad Orthop Surging November 2010; 18: 645-656.
> Ponnappan RK, et al. "Kusiyanitsa Kwachipatala Kwa Mavuto Opweteka Kwambiri" J Am Acad Orthop Surg. 2015 Aug; 23 (8): 492-500.