Chiwalo Chokwanira Chokwanira Chimavulaza Kuvulaza
Chikho cha rotator ndi gulu la minofu ndi matumbo omwe amamanga kuzungulira kutsogolo, kumbuyo, ndi pamwamba pa mapewa. Ntchito yake ndiyo kugwira mutu wa dzanja lanu lakumtunda mwakachetechete mumthunzi wosazama wa paphewa.
Kuvulala kwa chikoka cha Rotator kumachitika mwina chifukwa cha kuvulala koopsa kapena kuwonongeka kofulumira komwe kunayambitsidwa ndi kubwereza kubwereza, monga kufika pamwamba ndikugwedeza mikono.
Kuvulala kofulumira nthawi zambiri kumagwirizanitsidwa ndi ntchito (monga kujambula kapena kukweza) kapena masewera (monga tenisi kapena kusambira) kumene mapewa amakhala akugwedezeka.
Zizindikiro za Rotator Cuff Kuipa
Kuvulala kwa katemera kwa Rotator kumakhala kovuta kwambiri chifukwa cha kutupa kwazing'ono mpaka kusemphana kwathunthu kwa mapewa. Zizindikiro zofala kwambiri ndizo:
- Kumeneko kumakhala kosalala kwambiri pamapewa
- Kufooka kwa nkhondo
- Kuvuta kufika kumbuyo ndi kumbuyo kwanu
- Kuvuta kugona pa mapewa okhudzidwa
Nthaŵi zina, mapewa angakhale otentha kwambiri ndipo sangathe kusuntha. Kwa ena, zizindikirozo zimatha nthawi zina, kawirikawiri pambuyo pochita masewera olimbitsa thupi kapena kugwiritsa ntchito mopitirira muyeso.
Zifukwa za Rotator Cuff Kuipa
Zizindikiro ndi chithandizo cha kuvulazidwa kwa chikhoto cha rotator makamaka zimadalira chifukwa.
Ngati chovulalacho chidachitika chifukwa cha ngozi, chithandizo chamankhwala chidziwika. Nthawi yomwe mapangidwe a mapewa apangika pang'onopang'ono, cholinga chikhoza kuwonjezeka kwambiri pa masewera olimbitsa thupi komanso kupumula kowawa.
Zina mwazimene zimayambitsa:
- Kutsindikiza ndi mkhalidwe umene minofu ya rotator imapuma ndikuphwanya malo pakati pa manja ndi mafupa a m'mapewa. Kusokonezeka kwa minofu ndi kugwiritsira ntchito mopitirira muyeso ndizo zimayambitsa kwambiri. Pakapita nthawi, kukhuta kungayambitse kutupa kwa mapewa ( tendinitis ) ndi bursa (bursitis). Ngati simunalandidwe, zingayambitse tendons kuti ikhale yopyapyala komanso yowola. Mapangidwe a bone spurs ( osteophytes ) amakhalanso ofala.
- Ngakhale kuti sizodziwika bwino, chifuwa chowombera chimakhala ngati chophimba chimakhala chodula. Misozi yambiri sizimafuna opaleshoni pokhapokha ngati minofuyo imasokonezeka kwambiri. Kulira kwathunthu kungachititse kuti kusatheka kusuntha mkono wokhudzidwawo. Pakakhala zovuta kwambiri, pangakhale kupweteka kosavuta m'dera la mapewa komanso "kugwidwa" kumverera pamene mukuyendetsa mkono wanu.
Njira Zothandizira
Kuvulala kwa katemera ambiri kungapangidwe ndi njira zopanda opaleshoni. Cholinga chake ndi kulola kuti mapewa azichiritsa okha. Izi zidzatsatiridwa ndi zozizwitsa pofuna kulimbitsa minofu yothandizira ndikubwezeretsanso kayendetsedwe ka kayendedwe kake. Chithandizochi chikaphatikizapo:
- Kupumula ndi kusokoneza mapewa ndi mwapadera
- Kulimbana ndi malo okhudzidwa kuti athe kuchepetsa ululu ndi ululu
- Kugwiritsira ntchito mankhwala osagwiritsidwa ntchito poletsa anti-inflammatory (NSAIDs) monga ibuprofen kapena naproxen
- Kupanga chithandizo chamankhwala pokhapokha kupweteka kovuta kukuthetsa
- Kuphunzira machitidwe olimbitsa thupi monga gawo la rehab
Ngati mankhwalawa sapereka mpumulo, madokotala ena amalimbikitsa jekeseni wa cortisone (steroid) ngati mawonekedwe a mpumulo wa nthawi yayitali. Ngati opaleshoni ikuwonetsedwa, zosankha zimaphatikizapo opaleshoni yotseguka, opaleshoni yochepa kwambiri, kapena kugwiritsidwa ntchito limodzi .
> Zotsatira:
> Itoi, E. "Chophimba cha Rotator chimang'amba: kuwonetsa thupi ndi chithandizo chodziletsa." J Orthop Sci. 2013; 18 (2): 197-204. DOI: 10.1007 / s00776-012-0345-2.
> Ludewig, P. ndi Braman, J. "Kumangirira Pamodzi: Zolemba Zachilengedwe Zoganizira za Kukonzekera." Ther Man. 2011; 16 (1): 33-39. DOI: 10.1016 / j.math.2010.08.004.