Misozi ya Rotator misozi imayambitsa ululu , koma sizomwe zimayambitsa mapewa opweteka. Kudziwa ngati chombo cha rotator chimang'ambika ndicho chomwe chimayambitsa kupweteka kwanu kumadalira zizindikiro ndi zochitika za mkhalidwe wanu.
Dokotala wanu ayang'ana zina mwa zizindikiro izi kuti atsimikizidwe ngati matenda omwe akugwiritsidwa ntchito ngati ozungulira akugwedeza ndi chifukwa cha zizindikiro za kupweteka kwa m'mapewa anu.
Ngati mukufuna kuyesa kupeza ngati ululu wanu ukhoza kuyambitsidwa ndi chikho cha rotator chophwanyika, werengani izi zizindikiro za kuvulala uku.
Ululu
Ululu wochokera kubwalo la rotator kumalira nthawi zambiri amakhala kunja kwa phewa ndi mkono wapamwamba. Ululu pochita ntchito zapamwamba (ndi mkono wapamwamba pamwamba pamutu wam'mwamba) ndi ululu usiku ndi wamba mwa anthu omwe ali ndi chifuwa chowombera. Pamene chombocho chimalira kwambiri, kupweteka kungadzutse odwala ku tulo.
Zidzakhala zachilendo kuti ululu wa chikhoto chatsekedwa utengeke kwambiri pansi pa mkono kuchokera pamapewa. Anthu ambiri amaganiza kuti ali ndi vuto ndi minofu kapena mfupa, pamene kwenikweni zizindikiro zawo zimachokera ku chikhomodzinso. Chifukwa chake ululu umamvekanso kwambiri pansi pa mkono uli ndi malo amanjenje omwe amadutsa mbali zakuya za phewa.
Kuchepetsa Mphamvu
Mphamvu ya mthunzi wa ovunda akhoza kuyesedwa ndi dokotala wanu.
Pogwiritsa ntchito zida zapadera , dokotala wanu amatha kudzipatula. Misozi yowononga misozi imakhudza wodwalayo kuti akweze manja awo pamutu. Kulephera kugwira dzanja mwatunthu kuchokera kumtundu ndichonso chizindikiro cha chikhotakhota cholira.
Zina mwa mayeserowa angathe kuchitidwa nokha:
Zosayesa Zingayesedwe
Kuyeza kosayenerera kungagwiritsidwe ntchito poyesa momwe mzere wonyamulira wotchedwa Rotra umatchedwa supraspinatus kumtunda kwa phewa lanu. Ndiyeso yosavuta kuchita, ndipo kayendetsedwe kamene kamakhala ngati kutaya soda.
- Khalani kapena kuima bwino ndi mnzanuyo.
- Kwezani dzanja lanu lopweteka kumbaliyo kuti lifanane ndi pansi.
- Bweretsani mkono wanu patsogolo pafupi madigiri 30 mpaka 45.
- Tsegulani dzanja lanu kuti thumbu lanu likuloza pansi (ngati kuti mukuyesera kutulutsa soda).
- Muuzeni mnzanuyo mwachikondi kuti akankhire dzanja lanu pansi.
Ngati ululu kapena zofooka zimakulepheretsani kusunga dzanja lanu mu malo opanda kanthu, mukhoza kukhala ndi supraspinatus. Ngati ndi choncho, yang'anani ndi dokotala kuti mutsimikizire kuti akudwala matendawa.
Ikani Kuthamanga Kwambiri
Kuchotsa mayesero ndi mayesero a mapewa kuti mudziwe ngati muli ndi misozi mu mitsempha ya rotator yomwe imatchedwa subscapularis. Minofuyi ili pamunsi mwa mapewa anu ndipo imayendetsa paphewa lanu. Kuti tichotse mayeso:
- Imani ndikuyika kumbuyo kwa dzanja lanu pamsana wanu.
- Dzanja la dzanja lanu liyenera kuyang'anitsitsa kutali ndi kumbuyo kwanu.
- Yesetsani kutambasula dzanja lanu kutali ndi thupi lanu.
Ngati simungakwanitse kutambasula dzanja lanu kumbuyo kwanu, mukuganiza kuti kuvulala kwa abambo a subscapularis kungakhalepo.
Kukaniza Kuyesedwa
Njira yosavuta yodziwira ngati chovala cha rotator chimalira kungakhale kukupweteka m'mapiko anu ndikuyesa mphamvu zamagetsi za mitsempha yanu yoyenda. Kuti muchite izi, tsatirani njira yosavuta:
- Khalani mwakhama pampando.
- Lembani mitu yanu 90 madigiri ndipo sungani goli lanu kumbali yanu.
- Khalani ndi wina akukankhira dzanja lanu mimba yanu.
- Ngati simungathe kugwira ntchitoyi ndikukumva ululu, mukhoza kukhala ndi chikhoto cha rotator.
Kulephera Kuchita Ntchito Yoyenera
Odwala omwe ali ndi chikhomodzinso amang'ung'udza nthawi zambiri amadandaula chifukwa cha zovuta kuchita monga kumeta tsitsi lawo, kumangirira kumbuyo kumbuyo, kumbuyo kumbuyo, kapena kugona paphewa. makamaka, kuchepa kwa mphamvu kumakhala kofala kwambiri ndi misozi ya rotator. Anthu ambiri ankaona kuti zimakhala zovuta kuika mbale m'makabati apamwamba, kapena kulowa m'firiji kuti akweze kateketi ya mkaka. Onetsetsani kuuza dokotala wanu za ntchito zina zomwe zimapwetekedwa ndi mapewa anu. Zomwezi zingathandize dokotala kudziwa chomwe chimayambitsa vuto lanu.
Zotsatira Zowonongeka Zowonongeka
Ngati phokoso la rotator likugwedezeka, chiyeso chimagwiritsidwa ntchito pofuna kudziwa ngati pali misozi. Chiyeso chomwe chimagwiritsidwa ntchito kwambiri kuti chitsimikizidwe kuti chovala cha rotator chimalira ndi MRI, koma iyi si njira yokhayo yodziwira kuti chiboliboli chimalira.
MRI ndi yothandiza chifukwa ikhoza kusonyeza misonzi yonse yomwe ili ndi misozi . MRI ingasonyezenso umboni wa shoulder bursitis ndi mavuto ena amodzi . Mayesero ena omwe angagwiritsidwe ntchito kuti azindikire kachipangizo kowonongeka akuphatikizapo arthrogram ndi ultrasound.
Njira Zanu Zamatenda
Ngati mukuganiza kuti muli ndi chovala cha rotator, ndi nthawi yowona opaleshoni yanu ya mafupa kuti mutsimikizire kuti mukudziwidwa kuti mukuyezetsa ndi kupeza dongosolo la mankhwala. Uthenga wabwino sikuti aliyense opaleshoni amafunika kuchitidwa opaleshoni . Komabe, pamene opaleshoni ndi njira yabwino kwambiri yothandizira, nthawi zambiri ndibwino kuti mupite mwamsanga kusiyana ndi mtsogolo pamene minofu ya rotator ikhoza kufooketsa (atrophy) ndi kubwezera (kubwerera) pakapita nthawi. Izi zingachititse kukonzanso kusapindula kapena kosatheka, choncho ndi bwino kukambirana njira zomwe mungapange ndi dotolo wanu wamatenda mwamsanga.
Kwa odwala omwe amasankha chithandizo chamankhwala osamalidwa bwino, pali njira zingapo zopezera mpumulo wa ululu wa mapewa omwe amachititsa kuti mfuti iwonongeke. Kawirikawiri ndi mankhwala opatsirana komanso mapulogalamu olimbitsa thupi, odwala amatha kupititsa patsogolo mapewa awo kuti asamve ululu umene umachokera ku khola lotsekemera.
Mawu Ochokera
Chombo cha ovunda chimakhala chofala, makamaka ngati anthu akula. Ndipotu, misozi imawombera misozi kenako imakhala yopezeka, ngakhale anthu omwe alibe zizindikiro za ululu. Ndikofunika kupeza matenda oyenera omwe amachotsera ululu wa m'mapewa anu, sizinthu zonse zomwe zimayambitsa mavuto pambali paphewa ndi zotsatira za vuto la katolo. Izi zinkati, misozi yokhotakhota imayambitsa kupweteka kwa mapewa ndi kulemala, ndipo kupeza matenda oyenera kungakuthandizireni kuchipatala chokwanira.
Zotsatira:
> Omid R ndi Lee B. Tendon Kusamutsira Kwachitsulo Chosawonongeka Chokha Misozi. J Am Acad Opup Surger August 2013; 21: 492-501.
> Schmidt CC, Jarrett CD, Brown BT. Kulamulira kwa Rotator Cuff Misozi. Journal of Surgery . 2015; 40 (2): 399-408. lembani: 10.1016 / j.jhsa.2014.06.122.