Chikho cha rotator ndi gulu la tinthu ndi minofu yomwe imayandikana paphewa. Pali mitsempha inayi ya chikhomodola chomwe chili chofunikira pa ntchito ndi kusuntha pamodzi. Minofuyi imagwirizanitsa ndi fupa kudzera pamtambo. Ndilo gawo la chikhotecho chomwe chingathe kuonongeka kuti chikhomodola chimve. Pamene chombo cha rotator chimang'ambika, mapewa amatha kukhala opweteka ndi ofooka, ndipo kukhumudwa kungasokoneze ntchito komanso ngakhale kugona.
Misozi ya Rotator ndi mitsempha yambiri ya mitsempha, ndipo nthawi zambiri misonzi imeneyi imatchedwa misozi yonyamulira. Kulira kochepa kwa kagoli ya rotator ndi malo owonongeka ku makina ozungulira, kumene kulira sikungoyenda kupyolera mumatope. M'malo mwake, mu kuvulala kagawo kamodzi kokha, tendon yowonongeka, koma osati njira yonse. Nthaŵi zina pamwamba pa tendon nthawi zina kuwonongeka, mbali ya pansi ya tendon yowonongeka nthawi zina, ndipo nthawi zina, mkati mwa tendon ikhoza kuonongeka. Misozi yodziwika bwino ndi yosaoneka bwino, kungokhala kochepa chabe kwa tchutchutchu, pamene misonzi inanso yokha ingakhale minofu yocheperapo. Ngakhale kuti nthawi zambiri timagwiritsa ntchito misonzi yozungulira ngati chiwalo chimodzi, ndiye kuti misozi iliyonse imakhala yosiyana kwambiri, ndipo imakhala yosiyana kwambiri ndi mankhwala abwino.
Kuchiza kwa Zopweteka Zapadera
Ambiri odwala onse omwe ali ndi chigoba chodontheza chowombera angathe kuyamba kuchipatala popanda opaleshoni.
Panthawiyi, mankhwala ena omwe sali ovuta , makamaka opaleshoni , angayesedwe kuti alowetse.
Thandizo la thupi lingathandize kubwezeretsa ndi kukonza mapangidwe abwino, ndipo nthawi zambiri akhoza kuthana ndi zizindikiro za kuvulala. Ngakhale kuti anthu ambiri ali achangu komanso olimba, mankhwala opatsirana amatha kukhala othandiza kwambiri pamene odwala ambiri omwe ali ndi vutoli asintha magetsi omwe angapangitse zizindikirozo.
Odwala amatha kupewa mankhwala, kuganizira ntchito yawo kapena moyo wawo wachangu ndizochita zolimbitsa thupi zokwanira. Nthawi zambiri ndimakumbutsa odwala kuti ngakhale ochita masewera amatha kuchita (ndi kuchita) athandizidwa ndi mankhwala.
Ngati zizindikiro zikupitirirabe ngakhale mankhwalawa, ndiye kuti opaleshoni ikhoza kuganiziridwa ngati chiguduli chochepa chokha. Kuzindikira pamene opaleshoni ndi yofunikira kuti chikhomodola chimveke ndi chimodzimodzi ndi misozi yonse yosakanikirana ndi yopota .
Kuchita Opaleshoni Chifukwa cha Kuchepa Kwake Misozi
Pali njira zingapo zochepetsera kachipangizo kakang'ono ka rotator akulira panthawi ya opaleshoni. Kawirikawiri, misonzi imeneyi ingathe kuthandizidwa kwambiri, ndipo opaleshoni yotseguka (nthawi zambiri) imakhala yofunikira. Njira zomwe mungapangire opaleshoni zimaphatikizapo kuyeretsa kutupa (kupweteka kwachisokonezo ), kubwetsa misozi (kuyeretsa gawo lotsekedwa), kapena kukonza chikho cha rotator. Kuphatikizanso, kuphatikiza kwa njirazi zingathe kuchitidwa.
Kusankha chithandizo choyenera cha opaleshoni kumadalira zomwe zimawoneka pa nthawi ya nyamakazi . Ngati matope osachepera 50% amang'ambika, nthawi zambiri misozi imasowa. Pazochitikazi, kuchotsa tinthu towonongeka ndi kuonongeka (debridement), komanso kuchotsa kutupa kulikonse, nthawi zambiri kumachepetsa zizindikiro.
Ngati tchuthi zoposa 50% zathyoledwa, kukonzanso katemera kumayendedwe kawirikawiri.
Kukonza kabokosi kamodzi kotsitsa kawirikawiri kumakhala kolimba kwambiri. Poyerekeza ndi misozi yonse ya rotator, pokonzekera chikhomodzinso chaching'onoting'ono, kulibe nkhawa kwambiri pamtambo wokonzedwa chifukwa kusokonezeka kwa tendon sikukwanira. Izi ndi zopindulitsa pa machiritso ndi kuchepetsa kuthekera kwa kukonza kukonza.
Kodi Kupaleshoni Ndi Kofunika Piti?
Kudziwa nthawi imene opaleshoni yolondola kungakhale funso lovuta. Mosiyana ndi misozi yowola misozi, nthawi zambiri sichiyenera kuchitidwa opaleshoni chifukwa cha mfuti yazing'ono.
Pamene makulidwe onsewa amatha, odwala amatha kutaya mphamvu ya minofu ndi kuthetsa mphamvu ngati opaleshoni imachedwa. Izi sizingakhale zovuta chifukwa cha misozi yochepa, choncho ndizomveka kupereka khama pa chithandizo chopanda chithandizo.
Ngati mankhwala ena osamalidwa sakugwira ntchito pofuna kuthetsa zizindikiro zanu, ndiye kuti opaleshoni ikhoza kukhala yoyenera. Kusankha ngati kukonza n'kofunika nthawi zambiri pa nthawi ya opaleshoni . Pomwepo dokotala wanu adzakhala ndi lingaliro lolondola la momwe tchuthi yang'ambika, ndipo ngati mukuyenera kukonza kapena ayi.
Mawu Ochokera
Misozi yowononga misonkho ndizopeza zofala, pazithunzi zojambula zithunzi komanso pa nthawi yopaleshoni ya mapewa. Ngakhale kuti izi zikhoza kukhala zowonjezereka, nthawi zina sangafunike kuchipatala. Ndipotu, misonzi yambiri yopanda phindu imatha kupumula bwino ndi mankhwala osamalidwa bwino. Kawirikawiri, opaleshoni ya mtundu uwu wawonongeka ndi yosungidwa kwa anthu omwe sangathe kupulumuka ndi mankhwala ochepa kwambiri.
Zotsatira:
> Pedowitz RA, et al. "Kupititsa patsogolo kayendetsedwe ka mavuto a katemera" J Am Acad Orthop Surg. 2011 Jun; 19 (6): 368-79.
> Wolff AB, Sethi P, Sutton KM, Covey AS, Magit DP, Medvecky M. "Misozi yophimba mozungulira" J Am Acad Orthop Surg. 2006 Dec; 14 (13): 715-25.