Njira Yothandizira Pazifukwa Zina za Mavuto a Elbow
Kuchita opaleshoni yamatsenga yapamwamba kungakhale njira yosamaliritsira mitundu ina ya ululu wa mphutsi . Kuchita opaleshoni yamakono ndi njira yopaleshoni yopangira kamera kakang'ono mkati mwake. Kupyolera mu zochitika zina zing'onozing'ono, zida zikhoza kulowetsedwa kukonza kapena kuchotsa zowonongeka. Kuchita opaleshoni yamakono, yomwe nthawi zambiri imatchedwa "scoping the bow," ndiyo njira yothandizira mitundu ina ya ululu.
Zifukwa Zopangira Opaleshoni Yopangika Kwambiri
Sizifukwa zonse zomwe zimayambitsa kupweteka kwa mphutsi zitha kuchiritsidwa bwino ndi njira yowonongeka. Zina mwa zifukwa zokhalira opaleshoni yokongola , kapena kugwiritsira ntchito nyenyezi, zimaphatikizapo:
- Kuchotsa Zosokoneza Bwino: Mgwirizano wa mphuno ukhoza kusonkhanitsa zinyalala kapena karotila lotayirira chifukwa cha nyamakazi kapena kuvulala. Matupi otayirira mkati mwa mgwirizano akhoza kuyambitsa kupweteka ndi kuyenda kochepa. Kuchita opaleshoni yamakono ndi njira yochepa yothetsera vutoli.
Kuchotsa Bone Spurs: Kumayambiriro kwa nyamakazi yamagulu, mafupa angapangidwe pozungulira palimodzi, ndipo amalepheretsa kayendetsedwe kachidziwitso kamodzi. Ndondomeko yamakono ingakhale yoyenera kuchotsa fupa la fupa kuti libwezeretse kayendetsedwe kowonjezereka kowonjezera.
Vuto linalake lotchedwa "thonje lakuponyera," likupezeka pakuponya othamanga monga masikiti a baseball. Chifukwa cha mphamvu zazikuluzikulu pamphuno , fupa la fupa lingapangidwe kumbuyo kwa mgwirizano. Ngati mankhwala osamalidwa amalephera kuthetsa zizindikiro, opaleshoni yamakono ingakhale yothandiza kuchotsa izi.
- Kutsegula Mgwirizano Wophatikiza: Mgwirizano wa mmphepete umatchuka chifukwa cha kuuma chifukwa cha kuvulazidwa, opaleshoni, kapena zoopsa zina ku mgwirizano; vutoli limatchedwa elbow arthrofibrosis . Kwa odwala ena, kapu yowonjezera pamphindi ikhoza kukhala yolimba kwambiri kuti kuyenda kuli kochepa. Kutsegula mthunzi wokhudzana nawo wodwalayo kungakhale kotheka kwa odwala awa. Kupindula kwa njira yodabwitsa kwambiri ndikuti zochepa zochepa minofu zingapangidwe pambuyo pa opaleshoni, motero kupangitsa mwayi wobwereranso mofulumira.
- Kuonongeka kwa Kupha Nkhalango: Mavuto enaake a katemera, omwe nthawi zambiri amagwiritsa ntchito osteochondritis dissecans (OCD) , amatha kuyambitsa mavuto pamphindi. X-rays ndi MRIs sangawonetsere bwinobwino kuwonongeka kwake, ndipo opaleshoni yamakono ingagwiritsidwe ntchito poyesa kuchuluka kwake kwa kagaweti kuti awonetse ngati chithandizo china chikufunika.
- Elbow Tennis: Sitima ya tenisi imachitika pamene pali kuphulika kwakukulu kwa ma tendons kunja kwa mgwirizano wa mphuno. Ngakhale kuti anthu ambiri amapanga chithandizo chosagwiritsa ntchito opaleshoni, nthawi zina opaleshoni ndi yofunika. Opaleshoni yachibadwidwe imachotsa ntchentche kuchokera ku fupa, imachotsa tchire loonongeka, kenako ikukonzekera kapena kukonzanso kachilomboka. Kuchita opaleshoni yamakono kwasanduka chithandizo chamankhwala pa tebulo la tenisi. Njira zamakono zimathandiza dokotala wanu kuti ayang'ane mgwirizano wamtundu kuti athetse kuti palibe vuto lina la ululu, komanso amalola kuchotsa tchuthi lowonongeka popanda chitetezo cha tendon kuchokera ku fupa. Ngakhale opaleshoni yamakono yophimba tennis ndi yatsopano, zotsatira zoyambirira zakhala zikulimbikitsana ndi kupambana kwakukulu.
Kuchita Opaleshoni Yokongola Kwambiri
Zojambulajambula za Elbow zikhoza kuchitika m'magulu anesthesia ambiri kapena a m'madera .
Pambuyo pa anesthesia yokwanira, dokotala wanu adzapanga 'zojambula' kuti athe kupeza mgwirizano wamphongo. Zowonongeka zimayikidwa m'malo enieni kuti zichepetse zomwe zingathe kuvulaza mitsempha yoyandikana, mitsempha ya mitsempha, ndi matope. Kupyolera pakhomo limodzi, kamera imayikidwa muphatikizidwe, ndipo kupyolera mwa ena, zida zing'onozing'ono zingagwiritsidwe ntchito kuthetsa vutolo.
Kutalika kwa ndondomeko ya kugwiritsira ntchito nyenyezi kumasiyana malinga ndi zomwe dokotala akufunikira kuti akwaniritse. Pambuyo pa opaleshoni, goli lanu lidzaikidwa mu bandage yofewa kapena kupasuka. Odwala ambiri amagwira ntchito ndi wodwalayo kuti ayambenso kuyendetsa komanso mphamvu.
Kutalika kwa kukonzanso kudzasinthasintha malinga ndi zomwe zimachitidwa pa nthawi ya opaleshoni.
Mavuto
Zovuta zokhudzana ndi zovuta za opaleshoni yamakono ndizovulaza chimodzi mwa mitsempha yayikulu yomwe imayandikana pamodzi. Mitsempha yambiri yomwe ili yofunika kwambiri kuti igwire ntchito ndi yozungulira. Zovuta zina zimaphatikizapo matenda ndi kuwonongeka kwa kadoti yothandizana ndi zida zamagetsi.
Zotsatira:
Dodson CC, et al. "Kujambula Kwambiri Kwambiri" J. Am. Acad. Ortho. Kukonza., October 2008; 16: 574 - 585.