Mphepete mwachangu ndi chifukwa chodziwika bwino cha ululu , koma nthawi zambiri sichidziwika ngati chikho cha rotator . Mapewa osakanikirana ndi osiyana ndi makina a rotator kapena chikhoto cha rotator, ndipo pamene onse awiri amatha kupweteka kwambiri, paphewa lachisanu ndilo limakhala lolimba. Odwala omwe ali ndi mapewa amathandiza kuti asamayende bwino , ndipo amadandaula za ululu waukulu, ngakhale ndi zosavuta.
Mafupa osungunuka amapezeka mwa odwala omwe ali:
- Akazi
- Okalamba (40-60)
- Popanda chifukwa chomveka
Mawu omalizira alipo chifukwa nthawi zambiri anthu amayamba kuchepa pang'ono. Nthawi zina odwala amakumbukira zomwe zinachitika nthawi yoyamba atazindikira zizindikiro, koma izi ndizochita zochepa. Zoona zenizeni, ntchito izi sizomwe zimayambitsa mapewa ozizira, koma makamaka choyamba chomwe chinachitika pamene wodwala adayamba kulimbitsa mgwirizano.
Zimayambitsa
Pali zifukwa zingapo zomwe zimawoneka kuti ndizoopsa kwa odwala kuti apange mapewa ozizira. Zinthuzi zimawoneka mochuluka kwa odwala amene amapezeka ndi phewa losungunuka, koma nthawi zonse sakhala nawo odwala omwe ali ndi mapewa.
Zina mwazo ndizo:
- Matenda a Endocrine: Matenda omwe amapezeka mwa odwala omwe amatha kukhala ndi mapewa osakanizika ndi osowa . Ndipotu, odwala ena omwe ali ndi mapewa osadziwika sadziŵa zapadera zomwe zimakhala zovuta kwambiri, ndipo amangozipeza ndi mapewa osungunuka kuti apeze vutoli.
Zowonongeka kwambiri ndi matenda a shuga ndi ma chithokomiro (onse hyperthyroidism ndi hypothyroidism amawonedwa). Odwala omwe amapanga maulendo amodzi okhudzidwa akukambirana ndi dokotala wawo wachisamaliro ngati kufufuza kwina kuli kofunikira kwa izi zowonongeka.
- Kupanda malire: Chifukwa chachiwiri chomwe chimayambitsa mapewawa ndi chifukwa cha kuchepa kapena kusokonezeka. Kawirikawiri amatchedwa "yachiwiri" mapewa osungunuka (mosiyana ndi mapewa oyambirira a mazira) izi zimayambitsa zotsatirapo za kuvulazidwa, kuchitidwa opaleshoni, kapena chifukwa china chimene mapewa amalephera. Odwala ena okhala ndi mapewa amatha kupweteka. Chomwe chimayambitsa vuto lachiwiri lachisanu ndichisanu ndilo pambuyo pa opaleshoni ya rotator .
- Matenda a Neurologic: Matenda a mtima, monga Matenda a Parkinson , akhoza kukhalapo kwa odwala amene ali ndi mapewa omwe amawathandiza. Osawerengeka kwambiri kuposa odwala omwe ali ndi vuto la endocrine, matenda a ubongo akhoza kukhala chiwopsezo cha chitukuko cha matendawa.
- Matenda a mtima: Kuwonongeka kwa mtima, kuphatikizapo matenda a mitsempha ndi mtima wina, kungayambitse chitukuko chachisanu.
Ngakhale kuti izi zikhoza kuchititsa munthu kukhala ndi chiopsezo chachikulu cha kukula kwa paphewa lachisanu, zomwe zimayambitsa mazira ndi "idiopathic," zomwe zimatchedwanso njira yodzikongoletsa kuti, "sitikudziwa chifukwa chake."
Chithandizo
Mphepo yamoto ingakhale chinthu chokhumudwitsa kwambiri. Kawirikawiri zimachokera kumbali, zizindikiro za mapewa ozizira zingatenge zaka kuti zithetsedwe. Zigawo za mazira ozizira zimachedwa kuchepa. Nkhani yabwino ndi yakuti kupweteka kumawoneka bwino mkati mwa miyezi ingapo, vuto ndilo kuchepetsa kuyenda komwe kungatenge zaka.
Kawirikawiri, ndi chithandizo chamankhwala ndi mankhwala ena, odwala akhoza kuchira bwinobwino. Ululu ukhoza kutenga miyezi kuti ikathetsere, kuyendetsa sikungabwerere kwathunthu, koma ntchito pafupifupi nthawi zonse imakhala yabwino.
Nkhani ina yabwino ndi yakuti opaleshoni nthawi zambiri amafunika kusintha kuti izi zitheke.
Zotsatira:
Warner JJ. "Mphepete Mwachangu: Kuzindikira ndi Utsogoleri" J Am Acad Orthop Surgery May 1997 vol. 5 ayi. 3 130-140