Kubwezeretsedwanso kwa Mphindi Yophwanyika
Kuphwanyika kwaphwanyidwa kwakukulu ndi kuphwanya fupa komwe kumachitika pafupi ndi mapewa. "Kupititsa patsogolo" kumatanthauza kukhala pafupi ndi thupi lanu, ndipo "humeral" amatanthauza fupa la mkono lotchedwa humerus. Kuwonongeka kwapadera kwa thupi kungakhale kuvulaza kowawa komwe kumachepetsa mphamvu yanu yosuntha dzanja lanu. Izi zingakhudzidwe kwambiri ndi luso lanu lakugwira ntchito, kugwira ntchito zapakhomo, kapena kusangalala ndi zosangalatsa.
Pulogalamu yachipatala pambuyo pa kupasuka kwapadera kungakuthandizeni kubwerera kuntchito mwamsanga komanso mosamala.
Zomwe Zimayambitsa Kuphwanyidwa Kwambiri kwa Mankhwala
Mphuno yanu yowonjezereka imaphatikizapo kupsyinjika kwakukulu kwa dzanja lanu kapena mapewa. Makhalidwe omwe angayambitse kuphwanya pano, koma sakulimbana ndi:
- Kugwa pa dzanja lanu lotambasula
- Kukoka kwakukulu kumanja ndi paphewa
- Kugwa pambali panu kapena paphewa
Zizindikiro ndi Zisonyezo za Kutha Kwambiri Kwambiri kwa Mankhwala
Zizindikirozi ndizo:
- Kumva ululu wam'mimba kapena kupweteka kwa mmwamba
- Kuvuta kusuntha mkono ndi mapewa
- Kutupa pozungulira paphewa lanu
- Kuwombera kapena kutuluka pang'onopang'ono kumbali yanu ndi mkono wapamwamba
Ngati mukuganiza kuti mwavulala kwambiri (kapena kupumula kwina kulikonse) muyenera kufotokozera mwamsanga dokotala wanu kapena dipatimenti yodzidzimutsa kuti mugwire bwino ntchito yanu. Kulephera kuchita zimenezi kungapangitse kutaya kwakukulu ndi kosatha kwa ntchito mu dzanja lanu.
Kuchiza Kwachiyambi kwa Kutha Kwambiri Kwambiri kwa Humatu
Ngati dokotala akudandaula kuti mwathyoka, ndiye kuti X-ray idzatengedwa kuti mutsimikizidwe kuti mukudwala matendawa. Zithunzi zam'tsogolo zapamwamba kwambiri za mapewa anu zidzatengedwa ndi kanema ka CT kapena CAT. Zithunzi izi zimathandiza dokotala kuwona kuopsa kwa kuvulaza kwanu ndikuthandizani kusankha njira yabwino yothetsera vuto lanu.
Ngati chiwonongeko chokhazikika chimatsimikiziridwa, chotsekekacho chiyenera kuchepetsedwa . Nthawi zambiri, zidutswa za mafupa zomwe zathyoledwa palimodzi sizidzafuna zambiri kuchepetsa kupasuka. Chifukwa cha ziphuphu zazikulu zomwe zidutswa za fupa zimakhala zosiyana kwambiri, njira yopaleshoni yotchedwa " ORIF" yotsegula mkati imatha kuchitidwa. Dokotala wanu adzakambirana ndi inu zomwe mungachite komanso njira yabwino yothetsera vuto lanu.
Thandizo la Thupi la Kutha Kwambiri Kwambiri kwa Humatu
Mu chipatala: Choyamba chokumana nacho ndi wodwala zakuthupi chikhoza kuchitika mwamsanga pambuyo povulala m'chipatala. Mwinamwake, mudzafunika kuvala mkono wanu mu slinge kuti muteteze ndikuyimitsa phawa lanu pamene likuchiritsa. Mutha kukumana ndi wodwalayo yemwe angakuphunzitseni momwe mungagwiritsire ntchito matayala anu . Iye angakuphunzitseni machitidwe olimbitsa thupi a pendulum kuti athandizeni kuti musamangogwiritsidwa ntchito ngati mukuchiritsa. Dokotala wanu adzakuuzani ngati ziri zotheka kuchita masewera awa.
Kliniki : Pambuyo pa masabata anayi mpaka asanu ndi amachiritso, mukhoza kukhala okonzeka kupita kuchipatala. Ngati simungathe kuyendetsa galimoto kapena kuchoka panyumba chifukwa cha kuvulazidwa, wodwalayo angabwere kunyumba kwako kuti akuchiritse.
Wodwala wanu wanyama adzayesa matenda anu pa nthawi yoyamba. Iye adzakufunsani za vuto lanu ndikutenga zitsanzo kuti mudziwe momwe mukuchitira. Kuwunika kumathandizanso wodwalayo kuti asankhe chithandizo chabwino koposa.
Miyeso yowonongeka idatengedwa pambuyo pa kupasuka kwapadera kwaphatikizapo:
- Zambirimbiri
- Mphamvu
- Ululu
- Ntchito ndi kuyenda
- Kusakanikirana (ngati muli ndi opaleshoni ya ORIF)
Pambuyo pofufuza bwinobwino, mankhwala anu ayamba kuthandiza kuthandizira ntchito ya mkono wanu. Wodwala wanu wamthupi ayenera kukupatsani inu kuzindikira zomwe muyenera kuyembekezera ndi zomwe mukuyembekeza kwa inu.
Mapulogalamu ambiri opindulitsa a thupi amafuna kuti mutenge nawo mbali, choncho onetsetsani kuti mufunse mafunso ambiri kuti mumvetse zomwe zikuchitika.
Zowonongeka zina zomwe inu ndi wodwala wanu mukugwira ntchito zikuphatikizapo:
- Kuyendayenda: Pambuyo pang'onopang'ono, mwapang'onopang'ono mwakhala mukuchepetseratu phokoso lanu ndi mzere, ndipo kutayika kumeneku kumakhala kovuta. Wodwala wanu wathanzi angakupatseni ntchito zomwe mungachite kuti muwathandize kuwongolera.
- Mphamvu: Paphewa lanu likhoza kukhala loponyedwa m'thumba kwa masabata anayi kapena asanu pambuyo povulazidwa. Nthawi imeneyi yosayimitsa kawirikawiri imabweretsa kutaya kwakukulu kwa mphamvu (kuganiza "kugwiritsira ntchito kapena kutayika"). Kulimbikitsana kumawoneka minofu ngati chikho cha rotator ndi minofu m'dzanja ngati biceps ndi triceps. Minofu yomwe imathandizira kumbali yanu ingathenso kufooketsedwa, ndipo kuchita masewera olimbitsa thupi kumalimbitsa minofu imeneyi ikhoza kulamulidwa.
- Ululu: Pakutha fupa lililonse , kawirikawiri zimakhala zopweteka kwambiri. Izi ndi zachilendo komanso zoyembekezeka. Mavuto anu ayenera kusintha tsiku ndi tsiku mutatha kuvulala, koma mutha kupweteka mutangoyamba mankhwala . Wodwala wanu wathanzi akhoza kukuthandizani kuthetsa ululu wanu ndi masewera olimbitsa thupi kapena mankhwala monga kutentha , ayezi, kapena TENS . Onetsetsani kuti wodwalayo akudziwe ngati chithandizo chanu chikupweteka kwambiri kotero kuti akhoza kukuthandizani kuti asamalire ndikukupatsani ululu woyenera.
- Kuyenda molakwika: Ngati mukufunira njira ya ORIF kuti muthe kuchepetsa kutsekemera kwanu kowonongeka , mumakhala ndi ululu wopaleshoni kutsogolo kapena kumbali yanu. Nthaŵi zina, kumatira pang'ono kumapangitsa kuti chilondacho chikhale "chosamalidwa" ndi kuchepetsa kuyenda. Wodwala wanu wathanzi akhoza kupanga masewera achilonda ndi kuwongolera kuti athandizidwe kupititsa khungu lanu. Angathe kukuphunzitseni kuti azisamba misala kuti muthe kuchita izi kunyumba.
- Ntchito: Pulogalamu yanu yamakono iyenera kuganizira za kubwezeretsa ntchito yachibadwa kumanja ndi paphewa. Wodwala wanu wathanzi akhoza kukuthandizani kuchita ntchito zothandizira kuti muwongole bwino momwe mapewa anu ndi mkono wanu zikuyendera kuti choipa chanu chisachepetse ntchito zanu zachizolowezi. Kambiranani ndi wodwala wanu zinthu zomwe ziri zovuta (kapena zosatheka) chifukwa cha kuvulaza kotero kuti akhoza kupanga pulogalamu yoyenera yobwezeretsa ntchito kwa inu.
Pulogalamu yanu ya PT iyenera kukhala yeniyeni pa chikhalidwe chanu. Onetsetsani kuti muzigwira ntchito ndi PT yanu kuti mukhazikitse zolinga zenizeni za rehab yanu, ndipo kambiranani ndi wodwala wanu ngati muli ndi nkhaŵa zokhudzana ndi momwe mungayambitsire humer kupasuka.
Kodi Humerus Ayenera Kutaya Nthawi Yaitali Bwanji?
Masabata asanu ndi atatu (12) mutatha kuvulazidwa, mphamvu zanu ndi kuyenda kwanu ziyenera kukwanira mokwanira kuti mulole ntchito yeniyeni ya mkono wanu. Mtundu wanu wopweteka uyenera kukhala wochepa kwambiri. Panthawiyi, pulogalamu yanu yamankhwala imatha. Mutha kuyesetsabe kuti muzichita masewera kunyumba kwa miyezi ingapo kuti muwonjezere kuyenda. Onetsetsani kuti muzigwira ntchito mwakhama ndi dokotala wanu komanso wodwalayo kuti mumvetse bwino zomwe muyenera kuchita ndi zomwe muyenera kuyembekezera.
Mawu Ochokera
Ngati mwayamba kutaya thupi lanu, mungapindule ndi aphunzitsi ogwira ntchito a PT kuti akuthandizeni kupeza bwino. Pozindikira zomwe muyenera kuyembekezera pakutha, mungathe kukhala ndi chidziwitso chonse chofunikira kuti mutenge nawo mbali pazomwe mumazembera kuti mutha kuchira.
> Zotsatira:
> Handoll HH, Brorson S. Njira zothandizira odwala akuluakulu omwe amatha kupasuka. Dongosolo la Cochrane la Zosintha Zogwirizana . November 2015. do: 10.1002 / 14651858.cd000434.pub4.
> Rotator Cuff ndi Phase Conditioning Program. American Academy of Orthopedic Surgeons. http://orthoinfo.aaos.org/topic.cfm?topic=A00663.