Chophimba chanu cha rotator pamapewa anu chimapangidwa ndi minofu inayi. Minofu imeneyi imaphatikiza pamapewa kuti apange "chikho" chakuda pa chojambulira ichi. Chophimba cha rotator chili ndi ntchito yofunika yolimbitsa phawa komanso kukweza ndi kutembenuza mkono. Minofu iliyonse imachokera pamapewa, kapena kusinthana, ndipo imaika pfupa la mkono, kapena humper.
Mitundu Ina ya Rotator Cuff Muscle:
Minofu inayi yomwe imapanga chikho cha rotator ndi supraspinatus, infraspinatus, teres wamng'ono, ndi subscapularis. Kawirikawiri mitsempha yamakono imagwiritsidwa ntchito kuthandiza kukumbukira minofu yomwe imapanga chikhomodola. Mphuno iliyonse ya rotator imapanga ntchito yeniyeni ndi yofunika pamaganizo anu.
- Supraspinatus: Minofu ya supraspinatus imachokera pamwamba pa msana wa scapula ndipo imaika pa chifuwa chachikulu cha humer. The supraspinatus amatenga, kapena kukwera, mapewa mbali mbali. Imagwiranso ntchito ndi minofu ina ya rotator kuti ikhale yoyenerera mutu wa humer mu phinda glenohumeral, kapena paphewa.
- Infraspinatus: Minofu ya infraspinatus imachokera pansi pa msana wa scapula, mu infraspinatus fossa, ndipo imayika pambali yowonjezereka ya chifuwa chachikulu cha humer. Mpweya wotchedwa infraspinatus umangosinthasintha paphewa. Imagwiranso ntchito ndi minofu ina ya rotator kuti ikhale yoyenerera mutu wa humer mu phinda glenohumeral, kapena paphewa.
- Teres Minor: Minofu yaing'ono imachokera kumalire ofanirana nawo ndipo imaika mbali yochepa ya chifuwa choopsa cha humer. Minofu yaing'ono imasinthasintha paphewa. Imagwiranso ntchito ndi minofu ina ya rotator kuti ikhale yoyenerera mutu wa humer mu phinda glenohumeral, kapena paphewa.
- Subscapularis: Minofu ya subscapularis imachokera kumtunda, kumakhala pamwamba pa nthiti, ndipo imayika pa chifuwa chachikulu cha humer. Mitsempha yotchedwa subscapularis imathandiza kuchepetsa mutu wa humer yomwe imalola kuti isunthire mwaulere mukulumikizana kwa glenohumeral panthawi yokweza mkono. Imagwiranso ntchito ndi minofu ina ya rotator kuti ikhale yoyenerera mutu wa humer mu phinda glenohumeral, kapena paphewa.
Mitsempha yonse inayi yomwe imagwira ntchito pamodzi ikuthandizani kuti muzitha kuika mafupa anu paphewa. Pamene mutambasula dzanja lanu, minofu yanu imayendetsa pamodzi, ikukhazikika.
Kodi Cholakwika N'chiyani?
Ngati mwapwetekedwa ndi katemera wanu, mukhoza kumva ululu kapena kufooka mukakweza dzanja lanu. Kuvulazidwa kwa chikhodzodzo chanu kungayambitse mavuto ndi ntchito zoyamba monga ntchito, kukwera, kapena kugona.
Nthawi zina, ululu umatha chifukwa palibe chifukwa chomveka. Kuvala ndi kugwidwa kwa chingwe cha rotator ndi kugwirizana kungayambe chifukwa cha kubwerezabwereza nkhawa ndi kusalidwa kusalidwa. Izi zikachitika, zosiyana zozungulira kuzungulira kothamanga zingakuvulazeni.
Kuvulala kotheka ndi mavuto ndi chikho cha rotator SITS
minofu ingaphatikizepo:
- Khutu ya Rotator imalira
- Rotator chikho tendonitis
- Kusokoneza mwakachetechete
- Phiko bursitis
- Maso amodzi
- Kudzipatula
Zonse mwa mavutowa pambali panu zingayambe kuyenda pang'ono ndikugwira ntchito. Koma zodabwitsa, anthu ena ali ndi misozi ya rotator imaonekera pa MRI ndipo alibe ululu, wopanda mphamvu, komanso ntchito yochepa. Kukhalapo kwa chombo cha rotator misozi sikutanthauza kuti mudzakumana ndi mavuto pamapewa anu.
Zowopsa kwa Rotator Cuff Kuvulala
Pali zochitika zina zomwe zimapangitsa kuti mukhale ndi vuto lovulazidwa.
Izi ziphatikizapo:
- Kuchita ntchito zapamwamba
- Kupanikizika mobwerezabwereza kumbali yanu monga kuponya masewera
- Anakhala ndi malo amtundu wozungulira
- Kulephera kukhala ndi thupi labwino
Kugwira ntchito kuti mupitirize kukhala ndi thanzi labwino, kupeŵa kupitirira ndi kubwereza mavuto pamapewa anu, ndipo kukhala ndi malo abwino kungakuthandizeni kupeŵa kuvulala kowawa. Koma sikuti kuvulazidwa konse kungapewe; nthawi zina kusokonezeka mu masewera kapena kugwa kungayambitse mitsempha yanuyo ndikumusiya kufunafuna chithandizo cha katemera wanu.
Phokoso Pamodzi: Njira Zoyamba Kutenga
Pamene vuto la rotator limayambitsa kupweteka, muyenera kuganizira dokotala wanu kuti mukafufuze ndikupeza bwino momwe mulili. Mukhoza kupindula ndi aphunzitsi ogwira ntchito kuti athandizidwe kudziwa zomwe zimayambitsa kupweteka kwa mapewa ndikugwira ntchito yobwezeretsa kayendetsedwe kake (ROM) ndi mphamvu.
P PT yanu ikufunsani mafunso okhudza ululu ndi mapewa anu. Akhoza kupanga mayesero apadera pamapewa anu kuti adziwe zomwe zimayambitsa zowawa zanu komanso zoyendetsa bwino.
Chithandizo cha Rotator Cuff Kuvulala
Chithandizo cha katemera wanu chimaphatikizapo kugwiritsa ntchito njira zothandizira kuchepetsa kupweteka, ndipo kutsata zochitika zochiritsira zidzakonzedwa kuti zikuthandizeni kubwezeretsa kuyenda mozungulira paphewa lanu. Zochita izi zingaphatikizepo izi:
- Zochita zosiyanasiyana zamagulu
- Zozizwitsa zolimbitsa thupi
- Isometric imalimbitsa
- Khutu ya Rotator ikulimbitsa ndi kukana magulu
PT yanu ingakuphunzitseni zomwe mungachite panopa kuti muzitha kuchiza vuto lanu lachitsulo, ndipo akuyenera kukuwonetsani momwe mungapewere mavuto amtsogolo ndi minofu yanu.
Muyenera kuonana ndi dokotala musanayambe ndondomeko yochita masewera olimbitsa thupi, ndipo musiye kuchita zolimbitsa thupi zomwe zimayambitsa kupweteka kapena kupweteka kwambiri pamapewa anu.
Mawu ochokera
Kudziwa mitsempha inayi ya chikhomodola ndi momwe zimagwirira ntchito ndi gawo lofunika kumvetsetsa mapewa anu. Fufuzani ndi PT yanu kuti mudziwe zambiri zokhuza kupweteka kwanu ndi minofu ya rotator yomwe imathandizira kumbali yanu.
> Chitsime:
> Dunn, W. etal. Zizindikiro za Ululu Usagwirizane ndi Rotator Chifuwa Kuwopsya Kwambiri: Phunziro Loyenda Pakati pa Odwala 393 Omwe Amakhala ndi Chizindikiro Chakumayambiriro Chakutentha Chophimba Chophimba Chophimba. Journal of Surgery and Bone Joint Surgery. 96 (10); May 2014: 793-800.