Mmati mu yaw? Momma yensua AC nkwaa (Acromioclavicular Joint - AC Joint) ho ade!

So woanya mmati mu yaw pɛn? Anaasɛ wote yaw kakra anaa wo ho nyɛ wo dɛ kakra wɔ wo mmati mu pɛn bere a woredi agumadi, worema nneɛma a emu yɛ duru so, anaa wugyina hɔ ara kwa no? Wɔ mmerɛ a ɛte saa mu no, ebia yɛate biribi a wɔfrɛ no ‘AC joint’ ho asɛm. Ebia oduruyɛfo bi mpo aka din yi akyerɛ wo. Enti, ɛnnɛ yɛbɛka nea saa AC nkwaa yi yɛ, sɛnea ɛho hia wɔ yɛn nipadua mu, ne ɔhaw ahorow a ebetumi de aba, ne sɛnea wobɛbɔ wo ho ban afi ho.

Dɛn ne AC Joint no?

Sɛ yɛbɛka no tiawa a, AC nkwaa no yɛ nkwaa atitiriw abien a ɛwɔ wo mmati mu no mu biako. Ɛyɛ baabi a wo kɔn mu dompe , anaa nea yɛtaa frɛ no wo ‘kɔkora dompe’ no, hyia wo mmati atifi, ‘acromion’ . Ɛno nti na wɔfrɛ no ‘acromioclavicular joint’ no nyinaa. Ɛno yɛ din tenten, ɛnte saa? Enti momma yɛmfrɛ no AC joint kɛkɛ, ɛno yɛ mmerɛw.

Dɛn ne AC nkwaa no dwumadi? Ɔkwan bɛn so na ɛboa mmati no?

Afei ma yɛnhwɛ nea saa AC nkwaa yi yɛ yɛn nipadua ne nea ɛyɛ. Ne dwumadi titiriw ne sɛ ɛbɛma wo mmati no aboa yiye na ama ntini a atwa wo mmati ho ahyia no anya baabi a ɛho hia.

Susuw ho hwɛ, saa AC nkwaa yi yɛ ‘passive’ nkwaa kakra. Ɛne sɛ, n’ankasa ntumi nkɔ baabiara. Sɛ ntini ne nkwaa afoforo a ɛwɔ mmati no mu no tu a, AC nkwaa no nso tu sɛnea saa kankyee no te. Ɛte sɛ bɔɔl a ɛbɔ bere a obi pia no. Wɔsan frɛ no ‘planar joint’. Ɛne sɛ, ɛboa ma nnompe abien ma ɛtwetwe wɔn ho wɔn ho so yiye, a ɛnbɔ wɔn ho wɔn ho.

Sɛ wode wo mmati ntini di dwuma de tu wo mmati a, AC nkwaa no boa ma wo mmati kɔ w’anim ne akyi (anteroposterior movement). Sɛ yɛbɛka no tiawa a, susuw ho te sɛ nea woretu hyɛmma, baabi a wɔtrɛw wo nsa kɔ w’anim na afei wɔtwe w’akyi, na ɛma wo nsateaa kɔ akyi. AC nkwaa no boa kɛse wɔ mmati a wɔde keka wɔn ho saa no mu.

Ɛhe ankasa na AC nkwaa no wɔ?

Eyi nso ho hia sɛ yehu. AC nkwaa no wɔ wo mmati atifi. Sɛ yɛbɛka no pɛpɛɛpɛ a, saa nkwaa ketewaa a ɛho hia yiye yi ne baabi a wo kɔn mu dompe no akyi hyia wo mmati anim. Sɛ wode wo nsa to wo mmati atifi a, ebia wubetumi ate baabi a saa nkwaa yi wɔ no nka.

Afã horow bɛn na ɛwɔ AC nkwaa no mu?

AC nkwaa no yɛ afã horow pii. Momma yɛnhwɛ nea wɔyɛ:

• Nnompe: Wo kɔn mu dompe (Clavicle) ne wo mmati (Scapula) ne nnompe abien a ɛyɛ saa nkwaa yi titiriw.
• Ntini a ɛwɔ ntini:Nnompe yi ano a ɛkata nnompe yi ano yɛ ntini a ɛyɛ den na ɛyɛ den. Eyi yɛ adwuma sɛ aduru pa ma AC nkwaa no, na ɛboa ma nnompe abien no tu kɔ baabiara a ɛnyɛ yaw a ɛnsɛe wɔn ho wɔn ho.
• Nhama: Ntini atitiriw abiɛsa na ɛka AC nkwaa no bom. Saa ntini ahorow yi kura nnompe abien no mu na ɛboa ma nkwaa no kɔ so yɛ ne nsusuwii. Wɔte sɛ ahama a ɛkyekyere nkwaa no bom.
• Ntini: AC nkwaa no nya nkate fi ntini a efi wo kɔn mu kɔ wo mmati so no mu. Saa ntini ahorow yi na ɛma yɛte ɛyaw nka.
• Mogya ntini: AC nkwaa no nya n’aduannuru ne mframa pa fi mogya no mu. Saa mogya yi fi suprascapular artery ne thoracoacromial artery no mu titiriw .

Dɛn ne nyarewa ne tebea horow a ɛtaa ba a ɛka AC nkwaa no?

Awerɛhosɛm ne sɛ, AC nkwaa mu opira abu so kɛse. Sɛnea aduruyɛ ho abenfo kyerɛ no, mmati so opira nyinaa mu 40% fa AC nkwaa no ho! Susuw sɛnea nkwaa yi betumi apira kɛse no ho hwɛ.

Eyi ho nhwɛso ahorow a wɔtaa yɛ ne:

• Mmati a ɛpaapae: Ɛsɛe ntini ahorow.
• Mmati a wɔatew mu: Ntini a ɛtetew mu ne acromion no.
• Mmati a atutu: Nkwaa no afi baabiara koraa.
• Mmati a ɛpaapae: Nnompe a atwa nkwaa no ho ahyia no mu abubu.

Biribiara a ɛde ahoɔden anaa nhyɛso kɛse bɛto mmati so mpofirim no betumi asɛe AC nkwaa no. Agumadi mu akwanhyia, kar akwanhyia, ne ahwease a efi sorosoro na ɛtaa de eyi ba.

Afei nso, ntini mu yare betumi aba AC nkwaa no mu. Eyi ne bere a ntini a ɛwɔ nkwaa no mu no brɛ ase. Nanso, nnipa pii nnya ɛyaw anaa sɛnkyerɛnne foforo biara. Enti ebia wunhia ayaresa na ebia wunnim mpo sɛ wowɔ AC nkwaa mu ntini mu yare.

AC nkwaa mu yaw te dɛn?

Sɛ wowɔ mmati mu yaw a, ebetumi ayɛ den kakra sɛ wubehu sɛ ebia ɛyɛ AC nkwaa mu yaw ankasa anaa. Efisɛ mmati yɛ beae a ɛyɛ den. Sɛ wunim nea AC nkwaa no yɛ ne baabi a ɛwɔ ankasa mpo a, ɛnyɛ mmerɛw sɛ wobɛkyerɛ baabi pɔtee a ɛyaw no fi ase bere a wo mmati yɛ wo yaw no.

Ebia wobɛte ɛyaw no nka wɔ baabi a AC nkwaa no wɔ no ara, wɔ mmati no atifi pɛɛ. Nanso ɛtɔ mmere bi a ɛyaw no tumi trɛw kɔ kɔn, mmati ase, anaa ntini a ɛwɔ koko anaa akyi.

Sɛnea AC nkwaa mu yaw te no gyina nea ɛde ba no so. Ɛyaw betumi ate nka sɛ:

• Ɛyaw a ano yɛ nnam na ɛyɛ sekan: Ɛyaw a ɛte sɛɛ betumi aba, titiriw bere a wokeka wo mmati, woma wo nsa so, anaa woyɛ biribiara a wode wo mmati bedi dwuma no.
• Ɛyaw a ɛyɛ kusuu na ɛyɛ yaw: Ɛyaw a ɛyɛ kusuu a ɛyɛ yaw a ɛte sɛ nnyigyei a ɛyɛ mmerɛw a ɛrebɔ wɔ akyi, anaasɛ ɛte sɛ nea biribi repira wo bere nyinaa. Ebia eyi yɛ nea ɛkɔ so daa.
• Akuru: Ɛyaw a ɛte sɛ nea yɛateɛteɛ yɛn apɔw mu denneennen, anaasɛ yɛreyɛ ofie nnwuma a emu yɛ duru, anaasɛ yɛreboa yɛn adamfo bi ma wama biribi so, na afei yɛn akwaa ayɛ yɛn yaw.

Adɛn nti na AC joint no yɛ "pop" nnyigyei?

Ɛyɛ ade a ɛfata sɛ wobɛte nnyigyei bi a ɛrepue anaasɛ ɛrebɔ afi wo nkwaa mu, ɛnyɛ wo mmati nko, na mmom wo nkotodwe ne wo nsateaa nso. Mpɛn pii no, mframa a akyeakyea wɔ synovial membrane , nsu a ɛde srade sra nkwaa no mu, a ɛpae na ɛde saa nnyigyei yi ba. Ɛnyɛ ade a ɛhaw wo sɛ woretrɛw wo ho anaasɛ worekɔ baabiara kɛkɛ a.

Nanso, hwɛ yiye wɔ saa nneɛma yi ho:

Sɛ wote ‘pop’ a ano yɛ den bere a worehwe ase, wobɔ wo mmati denneennen bere a woredi agumadi, anaasɛ sɛ wo mmati mu yɛ wo yaw kɛse, ɛyaw a ɛma ɛyɛ den sɛ wobɛkanyan wo mmati, anaasɛ sɛ ɛte sɛ nea wo mmati nsusuwii asesa a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara. Ná dede a ɛte sɛɛ betumi afi mmati no a ɛbɛpaapae anaasɛ ɛbɛtetew mu. Afei nso, sɛ bere nyinaa woyɛ dede koro no ara bere a woretu wo mmati no, anaasɛ wote nka sɛ woreyam bere a woretutu wo mmati no a, ɛsɛ sɛ wode kyerɛ oduruyɛfo nso.

Ade foforo a ɛho hia yiye:

Sɛ wususuw sɛ wo mmati da asiane mu a, mma obiara mfa ne nsa nka, nmia, ntwe, anaa nsiesie no gye oduruyɛfo anaa apɔw-mu-teɛteɛ ho ɔbenfo a wɔatete no. Titiriw sɛ wususuw sɛ wo mmati atutu anaasɛ atetew a, mmɔ mmɔden da sɛ w’ankasa wobɛsakra mu anaasɛ wobɛma obi a wunnim no asiesie. Sɛ woyɛ saa a, ebetumi asɛe ade bio. Ma ɛntra hɔ dinn sɛnea wubetumi na kɔ ayaresabea dan a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ mu ntɛm ara.

Dɛn ne ayaresa a wɔtaa de sa AC nkwaa mu haw ahorow?

Ayaresa ko a wuhia no begyina opira anaa ɔhaw a wowɔ no so. Ɛne sɛ, wɔrensa wo yare wɔ akisikuru ho, na mmom sɛ woabubu. Wo duruyɛfo bɛhwɛ wo na wakamfo ayaresa ahorow a ɛbɛboa ma woadi wo sɛnkyerɛnne ahorow so na aboa ma wo AC nkwaa no ayɛ yiye ntɛmntɛm akyerɛ wo.

Ayaresa a wɔtaa de di dwuma no bi ni:

• Gye w’ahome: Gye w’ahome mmati a ayɛ basaa no na kwati apɔw-mu-teɛteɛ a emu yɛ den, titiriw dwumadi ahorow a wode bɛsoa wo mu duru, kakra.
• Nnuru a wɔde yɛ:
• Sɛnea ɛbɛyɛ a wobɛtew ɛyaw ne ɔfe so no, wubetumi atɔ nnuru a wɔde kum ɛyaw a wɔtɔn wɔ nnurutɔnbea hɔ, sɛ nhwɛso no , NSAIDs (Nonsteroidal Anti-inflammatory Drugs) (te sɛ ibuprofen, naproxen) anaa paracetamol (Acetaminophen) .
• Corticosteroids yɛ nnuru a wɔkyerɛw ma obi a ɛtew ɔfe ne ɛyaw so ntɛmntɛm. Wobetumi de eyinom ama sɛ nnuru anaasɛ cortisone a wɔde twitwiw nkwaa no mu tẽẽ.
• Apɔw-mu-teɛteɛ: Eyi ho hia yiye. Apɔw-mu-teɛteɛ ho ɔyaresafo bɛkyerɛ wo apɔw-mu-teɛteɛ ne ayaresa pɔtee bi a ɛbɛboa wo ma woasan atumi atu wo mmati, ahyɛ wo ntini mu den, na ɛyaw no so atew.
• Sɛnea Womma Wo Ntumi Nkɔ: Wɔ opira ahorow bi mu no, wobetumi aka akyerɛ wo sɛ hyɛ agyan anaa ade titiriw bi a wɔde hyɛ wo mmati mu nna kakraa bi na ama wo mmati antumi ankɔ baabiara.
• Oprehyɛn: Ebia ɛho behia sɛ wɔyɛ oprehyɛn wɔ apirakuru a emu yɛ den te sɛ akisikuru, anaasɛ ntini a emu tetew a emu yɛ den a ɛnnyaa ayaresa afoforo ho.

Mɛyɛ dɛn atumi ama me AC nkwaa no ayɛ yiye na ayɛ den?

"Asiw ano ye sen ayaresa." Ɛne sɛ, eye sɛ wubesiw yare bi ano ansa na aba sen sɛ wobɛsa no bere a aba akyi. Enti, ɔkwan a eye sen biara a wobɛfa so ama ɛnyɛ wo AC nkwaa nko, na mmom wo nipadua nyinaa anya apɔwmuden ne sɛ wubedi akwahosan ho su pa a ɛwɔ hɔ nyinaa akyi. Ɛno kyerɛ sɛ:

• Aduan pa a ɛfata wo a wubedi ne apɔw-mu-teɛteɛ daa .
• Ɛho hia sɛ wo ho yɛ hyew yiye ansa na woayɛ apɔw-mu-teɛteɛ biara, titiriw agumadi, na wo ho adwo wo wɔ dwumadi no akyi.
• Sɛ wo mmati yɛ wo yaw, bere a woreyɛ apɔw-mu-teɛteɛ anaasɛ bere a woayɛ apɔw-mu-teɛteɛ awie no, ‘di agoru wɔ ɛyaw no mu’ da. Eyi yɛ biribi a nnipa pii yɛ, nanso ɛyɛ biribi a ɛnsɛ sɛ woyɛ. Ɛyaw yɛ sɛnkyerɛnne a efi wo nipadua mu, tie.
• Nneɛma a ɛfata a wode bɛbɔ wo ho ban a wode bedi dwuma ama dwumadi, agumadi, anaa adwuma biara a woyɛ. Sɛ nhwɛso no, mmati so ntama a wɔhyɛ wɔ agumadi ahorow bi mu.
• Kɔ aduruyɛ mu nhwehwɛmu daa na kɔ oduruyɛfo nkyɛn bere a wuhu nsakrae, ɛyaw, anaa sɛnkyerɛnne afoforo biara a ɛyɛ soronko wɔ wo mmati mu ara pɛ.

Nea etwa to no, kae saa nneɛma yi

Wo mmati yɛ nkwaa a ɛyɛ den na ɛyɛ nwonwa ankasa. Ɛboa wo ma woyɛ nneɛma pii wɔ wo da biara da asetra mu, efi wo nsa a wobɛma so, wobɛkyinkyim no, nneɛma a emu yɛ duru a wobɛma so, akyerɛw, ne adidi so. Nokwarem no, wo mmati tumi kɔ akyirikyiri na ɛkɔ mmeae pii sen wo nipadua mu nkwaa foforo biara. AC nkwaa no yɛ saa nhyehyɛe a ɛyɛ nwonwa no fã titiriw. Ɛnyɛ sɛ ɛboa wo mmati nko, na mmom ɛboa ma ɛkɔ so yiye nso.

Mpɛn pii no, wunsusuw AC nkwaa no ho mpo wɔ wo da biara da asetra mu, efisɛ ɛyɛ n’adwuma komm. Nanso, yennwen ho pii kosi sɛ opira anaa tebea bi bɛba a ɛka nkwaa no. Nanso, ɛno nkyerɛ sɛ ɛsɛ sɛ wubu w’ani gu ɛyaw, akisikuru, akisikuru, anaa sɛnkyerɛnne afoforo a ɛyɛ soronko a wote nka wɔ wo mmati mu no so.

Kae sɛ, sɛ wote anwonwade, ɛyaw, anaa ɔhaw bi nka wɔ wo mmati mu a, mmu w’ani ngu so. Hwɛ oduruyɛfo. Wɔbɛkyerɛkyerɛ nea ɛhaw wo mu pɛpɛɛpɛ, nea ɛyɛ ayaresa a ɛfata, na wɔayɛ nea wobetumi biara de aboa wo ma woasan anya akwahosan na wo ho atɔ wo. Mma ɛnhaw wo, ayaresa a etu mpɔn wɔ hɔ ma mmati mu tebea dodow no ara!

` Mmati mu yaw, AC nkwaa, acromioclavicular nkwaa, mmati mu yare, nkwaa mu yaw, kɔla dompe, mmati a ɛyɛ mmerɛw, mmati a ɛtwetwe, mmati a ɛtwetwe