Zambiri za Rotator Cuff Kuvulala

Misozi ya Rotator imakhala yovulaza kwambiri. Chifukwa cha kudalira kwathu pamapewa pazinthu zambiri, kuvulala kwa katemera nthawi zambiri kumakhala kovuta.

Zinthu 4 Zodziwa Zokhudza Rotator Cuff

• Chophimba cha rotator ndi gulu la mavitoni anayi ndi minofu yomwe imayandikana paphewa.
  Nthawi zambiri amasokonezeka ndi mayina ena (kapu ya rotary, kapu ya rotator), mawu omwe amagwiritsidwa ntchito pofotokozera minofu ndi matopewa ndizokhoti. Ngati chikho cha rotator chikuvulala, ndizo zimbudzi za khola la rotator zomwe zimavulazidwa; ndi ma tendon awa omwe amagwirizanitsa minofu ya rotator ku fupa. Pamene mafinoni amatha kapena atang'ambika, sangathe kugwira bwino ntchito. Chombo cha rotator sikofunika kokha kukweza ndi mphamvu ya mapewa, koma minofu ndi matope zimakhala zovuta kwambiri kuti zikhale zoyenera komanso zomangamanga pamapewa. Popanda katete yoyendetsa bwino ntchito, mungathe kuyembekezera kuti zina zingatheke kugwira ntchito.
  
• Sikuti ululu wonse wa mapewa umachokera ku kuvulaza kakompyuta.
  Anthu ambiri omwe ali ndi ululu wa m'mapewa akhoza kuuzidwa ndi bwenzi kapena achibale awo kuti zizindikiro zawo zimawoneka ngati vuto lawo la katolo. Komabe, palinso zina zomwe zimayambitsa kupweteka kwa m'mapewa. Popanda kudziwa bwinobwino, chithandizochi sichingafanane ndi vuto lenilenilo. Ngati chikhalidwe china-monga mazira kapena mazira -osadziwika, ndondomeko ya chithandizo idawonongeke . Musanayambe ndondomeko iliyonse yothandizira, onetsetsani kuti mumamvetsa kumene mumapweteka.
  

• Misozi ya Rotator imakhala yofala kwambiri , makamaka pamene tikukalamba.
  Ngakhale kulira kwa misonzi sikulizoloŵera kwa anthu omwe ali ndi zaka za 20, 30, ndi 40, pamene tikukula, zimakhala zofala kwambiri. Ndipotu, panthawi imene wina ali ndi zaka 70 kapena 80, misonzi ya rotator ikuyembekezeredwa. Monga momwe ziwalo zina za thupi lathu zimasinthira ndi msinkhu (ganizirani tsitsi lakuda kapena khungu makwinya), chikhoto cha rotator cha munthu wina wa zaka zapakati pa 60 kapena kuposa sizochitika zachilendo.
  
• Misozi yonse ya rotator imakhala yabwino ndi mankhwala osamalidwa bwino .
  Ngakhale kuti opaleshoni imachita ntchito yofunika komanso yofunikira pochiza mavulalawa, anthu ambiri omwe ali ndi chombo cha rotator samalira osagwiritsa ntchito opaleshoni ndipo akhoza kuyambiranso kukhala ndi moyo wabwino. Ngakhale nthawi zina ma opaleshoni amafunika kutero, izi sizomwe zimayambitsa kulonda kwa katemera.

Zisonyezo za Rotator Cuff Kuvulaza

Anthu ambiri omwe ali ndi chikhoto cha rotator sadziwa kuti ali ndi vuto, chifukwa ambiri samakhala ndi mavuto komanso amalephera kugwira ntchito. Ngati wina awona zizindikilo za vuto la katemera , ndiye kuti amamva chisoni kwambiri. Kupweteka kumeneku kumakhala pamwamba pa mapewa ndi mkono. Kwa anthu ena, ululu ukhoza kutsika pansi kunja kwa mkono mpaka ku chigoba.

Zizindikiro zina zowoneka bwino za misozi yovunda ndizo:

• Kufooka kwa mapewa: Izi zingayambitse kulemberana mkono kapena kuvutika ndi ntchito monga kufika, kuvala, kapena kunyamula zinthu.
  
• Kuwongolera mu mkono: Nthawi zina, ngati pali kutupa kwakukulu, pangakhale kusokonezeka kwa mitsempha kumayambitsa kupweteka ndi kumangirira kutsika mkono.
  
• Kutupa kwa mapewa: Kuvulala koopsa , kutupa kapena ngakhale kuvulaza pambali paphewa nthawi zina kumachitika.

Njira Zothandizira Odwala a Rotator

Mvetserani ambiri misozi amatha kuchiritsidwa popanda opaleshoni. Ndipotu, ndi ocheperapo odwala omwe amatha opaleshoni kuti awonongeke. Mankhwala osakaniza opanga opaleshoni angaphatikizepo:

• Kuchiza thupi
• Mankhwala otsutsa-kutupa
• Chida chachitsulo
• Mankhwala a Cortisone

Cholinga cha mankhwalawa ndi kuchepetsa kutupa ndi kulimbitsa minofu yomwe ili pambali pako. Thandizo la thupi nthawi zambiri limathandiza kusintha kayendetsedwe ka makina ndi mapangidwe a paphewa pokhapokha ngati simungathe kupanikizika kwambiri ndi minofu ndi mavitoni owonongeka. Ngakhale anthu omwe amachita masewera othamanga angathe kupeza chithandizo chothandiza kuchokera kwa wodziwa bwino.

Opaleshoni ya Rotator

Komabe, nthawi zina, opaleshoni ingakonzedwe kukonzanso tinyanga zowonongeka. Kuzindikira pamene opaleshoni ikhoza kukhala yoyenera kumadalira mtundu wa rotator chifuwa, ntchito yanu, ndi mankhwala omwe agwiritsidwa ntchito kale.

Ngakhale kuti opaleshoni ndi njira yabwino kwambiri yothandizira kuyesera kubwezeretsa ntchito ya pamapewa, pali zifukwa zina zomwe anthu amasankha kuti asapite opaleshoni. Choyamba, anthu ambiri samafuna ntchito yowathandiza kuchita zonse zomwe akufuna kuchita. Anthu ambiri amatha kuchita masewera, ntchito zapakhomo, ndi ntchito zawo ndi misonzi yozungulira. Chachiwiri, rehab pambuyo opaleshoni ikhoza kukhala yaitali komanso yovuta. Odwala ambiri ali ndi zizindikiro kwa miyezi isanu ndi umodzi kufikira chaka chisanachitike opaleshoni.

Pali njira zingapo zopangira opaleshoni zothandizira khungu la rotator kulira . Mtundu weniweni wa opaleshoni ungadalire pa zinthu monga kukula kwake ndi malo a misozi yanu, zomwe mukuchita opaleshoni yanu, ndi ntchito zomwe mukufuna kuti mubwerere pambuyo pa opaleshoni. Kambiranani za mtundu wa opaleshoni yotani yomwe ingakonzedwe kuti chithandizo cha ozunguza anu chichepetse ndi dokotala wanu.

Rehab Pambuyo Opaleshoni

Kuchiritsa pambuyo pochita opaleshoni kwa chikhoto cha rotator kulira kumadalira kwathunthu kuti mutha kukonzanso bwino ndikupewa ntchito zomwe zingawononge mavitamini. Rehab pambuyo pa opaleshoni ya ovotala imatha mosiyana, koma pali mfundo zina zomwe zili zowona kwa anthu ambiri omwe amachitidwa opaleshoni kuti azitha kuwomba.

Apanso, kuyambiranso kutsatila opaleshoni ya rotator kungakhale yaitali komanso kovuta. Odwala ambiri amatenga chaka kuti abwerere ku zachizolowezi. Njira zina zochepetsera opaleshoni zingathe kupititsa msanga ndikupangitsanso kuti zisamakhale zopweteka kwambiri, koma khalani okonzeka kuti mutha kuchipatala zomwe zingakhale zotalika kuposa momwe mungafunire. Uthenga wabwino ndi wakuti, odwala ochuluka akubwerera ku ntchito zonse mkati mwa miyezi ingapo, ndipo ambiri amabwerera ku ntchito zawo zachizolowezi.

Mawu Ochokera

Vuto loyendetsa chozunguza, monga chovulaza chirichonse, palibe chimene munthu amachilandira. Ndibwino kuti, kumbukirani kuti anthu ambiri omwe ali ndi amodzi amatha kubwerera kuntchito zawo zachizolowezi pakatha mankhwala oyenera. Pamene opaleshoni ikhoza kukhala chithandizo chamankhwala, anthu ambiri akhoza kupeza zotsatira zabwino ndi njira zosasamala za mankhwala, zomwe nthawizonse zimakhala njira yabwino ngati mutha kutenga.

> Zotsatira:

> Pappou, IP, ndi al. "AAOS Zopindulitsa Zogwiritsira Ntchito: Kukhazikitsa Utsogoleri wa Kukwanira Kwambiri Rotator Cuff Misozi" J Am Acad Orthop Surg. 2013 Dec; 21 (12): 772-5.

> Pedowitz RA, et al. "Kupititsa patsogolo kayendetsedwe ka mavuto a katemera" J Am Acad Orthop Surg. 2011 Jun; 19 (6): 368-79.