Wowonongeka

Kukhumudwa ndi Kupweteka kwa Mgwirizano Wophatikiza

Msuzi wonyezimira, womwe umatchedwanso kumatira capsulitis, ndi chikhalidwe chomwe chimayambitsa kulepheretsa kuyenda ndi ululu pamapewa. Chifukwa cha paphewa lachisanu ndi chidziwitso nthawi zambiri sichidziwika, koma pali anthu ena omwe amawoneka kuti ali ndi mwayi waukulu wopanga vutoli. Msuzi wonyezimira amachititsa kapule yomwe imayang'anizana ndi mapepala ndi mapepala omwe amawombera .

Anthu ambiri osadziwika ndi vutoli amadabwa ndi kuchuluka kwa ululu zomwe zingayambitse ndipo nthawi zonse zizindikiro zimatha. Komabe, pali uthenga wabwino, ngati chithandizo choyenera chingakhale chothandiza kuthetsa ululu ndi kufulumizitsa kuchira.

Zimayambitsa

Kawirikawiri, mapewa a mazira amawoneka opanda chifukwa chovulazidwa kapena chifukwa chowonekera. Komabe, pali zina zomwe zimafala pakati pa odwala ambiri amene amakula matendawa.

• Zaka ndi Gender
  Mazira ozizira ambiri amachititsa odwala omwe ali ndi zaka zapakati pa 40 mpaka 60, ndipo zimakhala zofala kwambiri kwa amayi kusiyana ndi amuna.
• Matenda a Endocrine
  Odwala matenda a shuga ali pangozi yeniyeni yowonjezera mapewa. Zina zowonjezereka, monga matenda a chithokomiro, zingathenso kutsogolera chitukuko ichi. Kukhala ndi mapewa ozizira sikukutanthauza kuti muyenera kukhala ndi vuto losavomerezeka, koma nthawi zambiri mumachezawa.
• Kutupa Kwambiri Kapena Opaleshoni
  Odwala omwe amavulaza paphewa , kapena opaleshoni pamapewa amatha kukhala ndi mapewa oundana. Ngati kuvulala kapena opaleshoni ikutsatiridwa ndi kuchepa kwa nthawi yaitali, chiopsezo chokhala ndi mapewa ofiira ndi apamwamba kwambiri.

• Zochitika Zina Zovuta
  Makhalidwe osiyanasiyana monga matenda a mtima ndi matenda a Parkinson akhala akugwirizanitsidwa ndi chiopsezo chowonjezeka chokhala ndi mapewa oundana.

Palibe amene amamvetsa chifukwa chake anthu ena amapanga mapewa ozizira. Pa chifukwa china chosadziwika, mapepala amphati amakhala ouma ndipo kapule yomwe imakhala paphewa imayamba kugwira ntchito.

Mphepete ndi mpira ndi chojambulira chingwe. Bulu ndilo pamwamba pa mkono wa fupa (mutu wopunduka), ndipo chingwe ndi gawo la mapewa (glenoid). Pakhomopo palimodzi la mpira ndi chingwe ndi kapule wa minofu yomwe imamangiriza palimodzi.

Kawirikawiri, mgwirizano wa mapewa umalola kuyenda kuposa chiwalo china chilichonse m'thupi. Pomwe wodwala atenga paphewa lachisanu, kapule yomwe imayandikana paphewa imayamba kugwira ntchito. Kapsule imapanga magulu a ziphuphu zofiira zotchedwa adhesions. Kupangitsidwa kwa capsule ndi kupanga mapangidwe kumapangitsa kuti mapewa akhale olimbika komanso kusunthika kukhala opweteka.

Kudziwa

Kudandaula kwakukulu kwa anthu omwe ali ndi mapewa oyipa ndikumva ululu. Ngakhale kuti amadziwa kuti pali njira yowonjezera, vuto lofala kwambiri ndi ululu wokhudzana ndi matendawa. Matenda ambiri amapewa amachititsa ululu, kuphatikizapo mavuto a zitsulo za rotator , choncho mazira a mazira ndi imodzi mwa mavuto omwe amapezeka mosavuta m'matenda. Anthu ambiri omwe ali ndi zizindikiro za chiboliboli amang'amba kwenikweni ali ndi mapewa.

Imodzi mwa zovuta zomwe zimawapeza kuti anthu amatha kulipira paphewa lolimba kwambiri poyendetsa mapewa awo ndi msana.

Choncho, anthu omwe ali ndi vutoli angathe kutambasula dzanja lawo pamutu, ngakhale kuti ayeneranso kuyanjana nawo. Woganizira wanu ayenera kufufuza mosamala osati momwe dzanja lanu lingasunthire, koma pomwe mukugwirizanapo mukuchitika. Chifukwa chimene mazira omwe amawotchera kawirikawiri amadziwa kuti anthu amalephera kudzipatula ndikudziŵa kuchuluka kwa kayendetsedwe kake pamphepete mwa mpira.

Miyendo

Msuzi wofiira amafika pang'onopang'ono. Ambiri wodwala ali ndi zizindikiro za mazira ozizira kwa miyezi 12-18. Kutsimikizirani kwathunthu kwa zizindikiro za mapewa ozizira kungatenge zaka zitatu.

Nkhani yabwino ndi yakuti gawo lopweteka kwambiri, lokhazikika la mapewa oyenda ndi mazira ndi oyambirira, ndipo zizindikiro zimatha msanga. Komabe, pafupifupi nthawi zambiri miyezi yambiri, ngati osapitirira chaka, kuti zizindikiro zisinthe.

Kuchiza

Mankhwala othandizira amtunduwu amakhala ndi kupumula kupweteka komanso mankhwala. Odwala ambiri amapeza mpumulo ndi njira zosavuta izi, ngakhale njira yonse yothandizira ikhoza kutenga miyezi yambiri kapena yaitali.

Ngati chosavuta sichikonza mapewa osungunuka, nthawi zina wodwalayo adzafunika opaleshoni. Ndondomekoyi imatulutsidwa kumasulidwa kwa capsular. Kutulutsidwa kwa kapangidwe ka kapangidwe ka khungu kofiira sikofunikira, koma ndi kofunika kwambiri pa nthawi ya mazira ozizira omwe samayankhidwa ndi mankhwala ndi rehab. Ngati opaleshoni ikuchitidwa, chithandizo chamankhwala mwamsanga pambuyo pa kumasulidwa kwa capsular ndi kofunikira kwambiri. Ngati rehab siyambe kumangoyamba kumasulidwa, mwayi wothandizira kubwerera kumakhala wotsika kwambiri.

Kubwezeretsa

Odwala ambiri omwe ali ndi mapewa oyamwa amakhala ndi zoperewera zochepa pamaganizo, ngakhale zaka zitatha. Komabe, malire awa sali ochepa, ndipo nthawi zambiri amangozindikira pamene akufufuza bwinobwino. Odwala ambiri omwe amapanga mapewa ozizira amatha kuyenda bwino ndi mankhwala ndi kutambasula okha.

_Zotsatira:

_{Warner, JJ. "Mphepete Mwachangu: Kuzindikira ndi Utsogoleri" J. Am. Acad. Ortho. Kukula, May 1997; 5: 130 - 140.}