Nthawi zambiri zimayamba ndi zovuta kuyenda paphewa. Mwinanso mungamve kupweteka, kukupweteka m'magazi anu. Mutha kuzindikira kuti mukukhala ndi zovuta zowonjezereka ndi ntchito za tsiku ndi tsiku zomwe zimaphatikizapo kukweza manja anu, monga kutsuka tsitsi lanu kapena kukwaniritsa chinthu pa alumali. Mwinanso mungakhale ndi kupweteka kwa mapewa pamene mukugona.
Ngati zizindikirozi zikumveka bwino, mukhoza kukhala ndi vuto lotchedwa "shoulder shoulder", yomwe imadziwika kuti adhesive capsulitis. Ngakhale kuti simukudziwa, mawere azirai amapezeka kwambiri odwala chithokomiro.
Tiyeni tiyang'ane pa phewa lakuda , pamodzi ndi zomwe zimayambitsa, zizindikiro, ndi momwe zimapezera, ndipo zimachiritsidwa.
Zomwe Zimayambitsa Mphepete Mwachangu
Sizowoneka bwino zomwe zimayambitsa mapewa , koma zikuwoneka kuti ndizofala kwambiri kwa amayi a pakati pa zaka 40 ndi 60.
Zina mwazidzidzidzi kapena zomwe zingayambitse mazirazi ndizo:
- Kukhala ndi matenda a shuga monga shuga kapena matenda a chithokomiro, kuphatikizapo onse hyperthyroidism ndi hypothyroidism.
- Kuvulala kwa mapewa, kuchitidwa opaleshoni, kuvutika maganizo, kapena kufooka.
- Kuchita opaleshoni yomwe imakulepheretsani mapewa anu, monga opaleshoni ya m'mawere kapena opaleshoni yotseguka.
- Kusintha kwa mahomoni, monga kusintha kwa thupi ndi kusamba kwa thupi.
- Matenda a cervical disk
Zizindikiro za M'mphepete Mwachangu
Zizindikiro za pamphuno zozizira nthawi zambiri zimakhala pang'onopang'ono pakapita nthawi, ndipo zimafalikira pang'onopang'ono. Kawirikawiri, amawoneka ndi ululu wochepa pakapita miyezi ingapo. Chikhalidwechi chimachitika m'zigawo zitatu zosiyana, ndi zizindikiro zosiyana pazigawo izi:
- Kuzizira kozizira-Malo ozizira kwambiri ndi gawo lopweteka kwambiri, lopweteka kwambiri m'dera lanu lakunja. Nthawi zina, mumatha kupwetekedwa pansi mpaka kumanja. Kuthamanga kwa mapewa anu kumabweretsa ululu, ndipo mukhoza kukhala ndi ululu pamene mukugona. Kuyenda kwanu paphewa kumakhalanso kuchepetsedwa.
- Malo ozizira - Pakati pa chisanu, mawonekedwe a mapewa anu ndi ochepa ndipo mapewa anu amakhala ovuta. Zingakhale zovuta kukweza manja anu mmwamba, kapena kusuntha mikono yanu mmbuyo. Pakapita nthawi, mapewa angakhale ouma kwambiri moti ndizosatheka kusuntha. Mungathe kuona kupweteka kochepa, komabe, pamene mapewa anu amachepa pang'ono.
- Pulogalamu ya thawing - Pakati pa malo othawa, nthawi zambiri mumakhala ululu wochepa, ndi kusintha kwa kayendetsedwe kanu ka nthawi.
Kuchiza kwa Mphepete Mwachangu
Imodzi mwa mavuto omwe akukumana nawo pakuthana ndi mazira ozizira ndi kupeza chitsimikizo cholondola. Nthaŵi zina, mapewa ozizira ndi olakwika ngati ululu wa rotator , kotero kuti kudziwa bwino ndi kofunika kuti muwone bwino.
Mafupa opunduka amadzipangira okha pa nthawi, koma izi zingaphatikizepo ululu wa zaka zambiri ndi kuyenda movutikira mpaka mapewa atabwerera. Nthaŵi zina, kuthamanga kwathunthu pamapewa sikubwezeretsanso.
Akatswiri apeza kuti anthu omwe mazira awo amawazindikiritsa ndiwapeza kuti ndi oyambirira, jekeseni wa cortisone mwachindunji mumalo oundana angathandize kubwezeretsa kayendedwe kake, ndipo amathandizira nthawi yowononga kwambiri.
(Dziwani kuti madokotala ambiri sapereka chithandizo chamankhwala panthawiyi, chifukwa akhoza kuvulaza vutoli ndi kupititsa patsogolo kuchira. Koma akatswiri amatha kulengeza mwachikondi monga wothandizira cortisone mankhwala.)
Nthaŵi zina, mankhwala opweteka monga mankhwala osagwiritsiridwa ntchito mankhwala osokoneza bongo (NSAIDs) pamodzi ndi mankhwala opatsirana pogwiritsa ntchito mankhwala omwe angapangidwe angakonzedwe. Chithandizochi chingathandize kubwezeretsa kayendetsedwe kake ndi kuchepetsa ululu, koma ikhoza kutenga chaka chimodzi kuti muthandize.
Kuchita opaleshoni kwa mazira ozizira ndi njira yomaliza, koma ikhoza kuchitidwa ngati zosankha zina sizigwira ntchito. Opaleshoni-yomwe nthawi zambiri imachita kafukufuku-imatanthawuza kuchotsa minofu yowopsya ndi kumatira pamapewa.
Pambuyo pa opaleshoni, nthawi yochiritsira imakhala yofunikira kuti ibwezeretse ndi kusunga kayendetsedwe kake pamapewa.
Mawu ochokera
Pali njira zingapo zowonjezera zowonjezera zomwe mungaganizire pa mapewa ozizira. Zimaphatikizapo kutsegulira magetsi (TENS), zomwe zasonyezedwa kuti zowonjezera kayendetsedwe ka magetsi. Mankhwala otsika otsika kwambiri ndi kutentha kwakukulu (diathermy mankhwala) ndi kutambasula kungaperekenso mpumulo.
> Zotsatira:
> Maund E, Craig D, Suekarran S, et al. "Kusamalira Mphindi Yowonongeka: Kusanthula Mwadongosolo ndi Kufufuza Kugwiritsa Ntchito Ndalama." Zolemba Za Zaumoyo Za Zaumoyo, No. 16.11. Southampton (UK): Library ya Magazini a NIHR; 2012 Mar.
> Tsamba P, Labbe A. AKHALIDWE CAPSULITIS: GWIRITSANI NTCHITO YOKHUDZA ZINTHU ZANU. North American Journal Sports Masewera Olimbitsa Thupi: NAJSPT. 2010; 5 (4): 266-273.