Chitsogozo Chochiza Chithandizo cha Torn Rotator
Misozi ya Rotator imakhala yovulaza kwambiri. Chifukwa cha kudalira kwanu paphewa pazinthu zambiri, kuvulala kwa kakompyuta kungakhale kokhumudwitsa. Phunzirani zambiri za misozi yotsitsa, kuphatikizapo matenda, zizindikiro, mankhwala, ndi kukonzanso.
Zifukwa Zopweteka Pamodzi
Kumva ululu ndikumva kudandaula kwambiri komwe kumachititsa ambiri. Chifukwa chakuti mumagwiritsira ntchito manja anu pazochitika zambiri, zowawa zimapangitsa mavuto aakulu. Pofuna chithandizo choyenera, chifukwa cha vutoli chiyenera kudziwika.
Anthu ambiri omwe ali ndi ululu wa m'mapewa akhoza kuuzidwa ndi bwenzi kapena achibale awo kuti zizindikiro zawo zimawoneka ngati vuto la katolo. Komabe, pali zina zomwe zimayambitsa kupweteka kwa mapewa, ndipo popanda chitsimikizo cholondola, chithandizochi sichingafanane ndi vuto lenilenilo. Musanayambe ndondomeko iliyonse yothandizira, onetsetsani kuti mumamvetsa kumene mumapweteka.
Kodi Chopangitsa Rotator N'chiyani?
Chophimba cha rotator ndi gulu la mavitoni anayi ndi minofu yomwe imayandikana paphewa. Kaŵirikaŵiri kusokonezeka ndi mayina ena, mawu omwe amagwiritsidwa ntchito pofotokozera minofu ndi matope amenewa ndi chikho cha rotator.
Chophimba cha rotator ikavulazidwa, ndizo zotupa zomwe zavulala. Mitundu imeneyi imagwirizanitsa minofu ya ozungulira pamphuno. Pamene mafinoni amatha kapena atang'ambika, sangathe kugwira bwino ntchito.
Khola la rotator si lofunika kokha ndi kukweza mapewa, koma minofu ndi matope zimakhala zovuta kwambiri kuti zikhale zolimba komanso zomangamanga pamapewa. Popanda katete yoyendetsa bwino ntchito, mungathe kuyembekezera kuti pali malire oyenera.
Chizindikiro cha Kutentha kwa Rotator
Ululu ndi chizindikiro chofala kwambiri cha vuto la katemera . Odwala amadandaula chifukwa cha ululu pamwamba pa phewa ndi mkono. Kwa odwala ena, kupweteka kumatha kutsika kunja kwa mkono mpaka kumalo.
Kufooka kwapadera ndi chizindikiro china chofala cha chikhotakhota cholira . Zofooka zimayambitsa zovuta kutambasula mkono kapena kuvutika ndi ntchito monga kufika, kuvala, kapena kunyamula zinthu.
Misozi ya Rotator imakhala yosavuta, makamaka pamene mukukalamba. Ndizofala kwambiri moti anthu ambiri okhala ndi chikhoto cha rotator sadziwa kuti ali ndi vuto. Anthu ambiri omwe ali ndi chifuwa chowombera sakhala ndi ululu komanso zoperewera zochepa. Komabe, nthawi zina misonzi ikhoza kuyambitsa zizindikiro, ndipo anthuwa angafune chithandizo.
Mankhwala othandizira kupweteka a Rotator
Mvetserani ambiri misozi amatha kuchiritsidwa popanda opaleshoni. Ndipotu, owerengeka okha odwala amatha kupatsidwa chithandizo cha opaleshoni.
Mankhwala osagwiritsa ntchito opanga mavitamini angaphatikizepo:
Kodi Kupaleshoni Kumakhala Kofunika Kwambiri Kutentha Kwambiri?
Mbalame zambiri zowononga misozi zimatha kuchiritsidwa osati opaleshoni. Komabe, kwa odwala ena, opaleshoni ikhoza kuperekedwa monga chithandizo cha mankhwala . Kuchita opaleshoni kumachitidwa kuti akonzedwe matope otsekedwa. Kuzindikira pamene opaleshoni ikhoza kukhala yoyenera kumadalira mtundu wa rotator chifuwa, mchitidwe wa wodwalayo, ndi mankhwala omwe ayesedwa.
Ngakhale kuti opaleshoni nthawi zambiri ndi njira yabwino kwambiri yothetsera kuyesera kubwezeretsa ntchitoyo pamapewa, pali zifukwa zina zomwe anthu angasankhe kusachita opaleshoni. Choyamba, anthu ambiri samafuna ntchito yonse kuti achite zonse zomwe akufuna kuchita. Anthu ambiri amatha kuchita masewera, ntchito zapakhomo, ndi ntchito zawo, ndi misozi yowola. Chachiwiri, rehab pambuyo opaleshoni ikhoza kukhala yaitali komanso yovuta. Odwala ambiri ali ndi zizindikiro kwa miyezi isanu ndi umodzi kufikira chaka chisanachitike opaleshoni.
Chovala cha Rotator Kuphika Kuphika
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 ndi dokotala kuti ndi opaleshoni yotani yomwe akukulimbikitsani kuti chithandizo cha ovotolo anu chigwetse.
Rehab Pambuyo Opaleshoni
Kuchiritsa kuchokera ku opaleshoni kwa chikhotakhota kumalira kumadalira kwathunthu kuti wodwalayo athe kukonzanso bwino ndikupewa ntchito zomwe zingawononge mavitamini ochiritsa. Rehab pambuyo pakuchita opaleshoni ya rotator ingasiyana mosiyana, koma pali mfundo zina zomwe zili zowona kwa odwala ambiri opaleshoni kuti athe kuchira.
Monga tanenera kale, kubwezeretsa kutsogolo kwa ovota kungakhale yaitali komanso kovuta. Odwala ambiri amatenga chaka kuti abwerere ku zachizolowezi. Njira zina zochepetsera opaleshoni zingathe kubwezeretsa msanga, ndipo zimakhala zovuta kwambiri, koma khalani okonzekera kuti mutha kuchira komwe kungakhale kwautali kuposa momwe mungafunire. Uthenga wabwino ndi wakuti, odwala ochuluka akubwerera ku ntchito zonse mkati mwa miyezi ingapo, ndipo ambiri amabwerera ku ntchito zawo zachizolowezi.
Misozi Yamtundu wa Rotator
Mkokomo waukulu wa rotator ndimangomveka basi-kumveka kwakukulu kwa chikhoto cha rotator. Ena amanena kuti kugwedeza kwakukulu kumaphatikizapo maulendo awiri pazitsulo zina. Ena amagwiritsira ntchito tanthawuzo kuti chombo chachikulu cha ovota chimakhala pafupifupi masentimita asanu m'mimba mwake. Pali zosankha kuti anthu omwe ali ndi misozi yowola, ndipo odwala ambiri angathe kupeza kupumula kupweteka komanso ntchito yabwino.
Mankhwala Opanda Opaleshoni kwa Misozi Yamtundu wa Rotator
Ngakhalenso ndi misozi yowonongeka, nthawi zambiri anthu amapeza zotsatira zabwino ndi mankhwala osapaleshoni . Mankhwalawa angaphatikize kupuma, mankhwala, mankhwala , jekeseni, kapena mankhwala ena. Opaleshoni imakhala kwa odwala ochepa amene sapeza chithandizo ndi njirazi zosavuta.
Chombo cha Rotator Chotsalira
Dokotala wanu angakulimbikitseni kungoyeretsa kutupa paphewa, kutchedwa kusokonezeka maganizo . Kuchita opaleshoniyi sikungathetsere vuto lokonza thambo, koma lingathe kuchotsa kutupa komwe kungakhale chifukwa cha ululu. Kuchita opaleshoni nthawi zambiri kumaphatikizapo ndi biceps tenodesis kuti athetse mavuto omwe angakhale nawo pamodzi.
Kukonzekera kwa Rotator
Kukonza katemera wothandizira ndi njira yopangira opaleshoni yokonzanso tchuthi. Kuchita opaleshoni kumachitidwa pansi pa anesthesia wambiri ndipo ikhoza kuchitidwa kudzera mu kukonzanso kwabwino kapena ngati kukonzanso nyamakazi . Kuvuta ndi kukonzanso opaleshoni ya lalikulu rotator kukung'amba ndikuti tendons ndi minofu mwina anawonongeka kuposa kukonza.
Pali zochitika ziwiri zomwe zimapangitsa kuti rotator ikhale yosakanika. Choyamba chimawonongeka ndi kuwonongeka kwa minofu ya tendon . M'mayeserowa, tendon nthawi zambiri imakhala yoonda, yowonongeka, yotembenuzidwa (kubwerera), ndi yofooka. Mankhwalawa sangakhale ndi minofu, ndipo kutaya kwake kwa thupi kumatayika.
Chinthu chachiwiri ndi atrophy ya minofu ya rotator. Ngakhale minofu yomwe siinali vuto lenileni, misozi yowonongeka kwa nthawi yaitali ingayambitse minofu yosagwira ntchito. Ngati tendon imang'ambika kwa nthawi yayitali, minofu yomwe imayendetsa thambo imakhala yofooka komanso imadulidwa. Patapita nthawi, minofu yachibadwa imalowetsedwa ndi mafuta, ndipo kusintha kumeneku sikungasinthe. Ngati minofu yowonongeka motere, kukonza sikungakhale ndi zotsatira zabwino.
Kusokoneza Minofu
Ndondomeko yotumizira minofu imachitika pamene minofu ndi maviton sizitsitsimutsa, ndipo wodwalayo ndi wamng'ono komanso wogwira ntchito. Odwalawa, malo amodzi sangakhale osankhidwa, koma ntchito yabwino ya mapewa imafunika pa ntchito kapena zosangalatsa.
Kusamutsa minofu kawirikawiri kumachitidwa pogwiritsa ntchito mitsempha ya latissimus kapena pectoralis . Mitundu ya minofu imeneyi imachotsedwa ku chizoloŵezi chawo chokhazikika ndikugwiritsidwa ntchito pang'onopang'ono pamphuno. Minofu imagwira ntchito kuti ikalowetse mitsempha yotayika.
Minofu imakhala yabwino kwa odwala omwe ali ndi misozi yambiri yomwe sangathe kuchitidwa opaleshoni. Kuchita opaleshoni ndi njira yaikulu, yokonzanso nthawi yaitali. Kuwonjezera apo, mapulogalamu atatha opaleshoni akhoza kusintha, koma si zachilendo. Odwala ayenera kukhala ophatikizana komanso opanda zizindikiro za nyamakazi.
Kupanga Opaleshoni Yophatikiza
Kawirikawiri opaleshoni yowonjezeredwa imasungidwa ndi odwala omwe ali ndi rotator akudonthetsa nyamakazi , zomwe zimachititsa kuti odwala ambiri azidontha amapezeke m'magazi a nyamakazi .
Muzochitika izi, mkhalidwe wotsatiridwa siwo mtundu wabwino wokhazikika ndipo ukhoza kutsogolera kulephera koyambirira. Choncho, mapiritsi apadera, monga kutsitsimula , amasankhidwa kuti azitha kuchipatala. Izi zimapangidwira mapewa omwe ali ndi nyamakazi, ndipo sizingatheke.
> Zosowa
- > 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.