So woate nka pɛn sɛ wo mmati ayɛ nwini mpofirim, wuntumi mma wo nsa so, anaasɛ ɛyɛ den ma wo sɛ wobɛyɛ nneɛma a ɛnyɛ den te sɛ wo ti nhwi a wobɛbɔ anaa wosesa ntade? So wosɔre anadwo a wo mmati mu yɛ wo yaw denneennen, wuntumi nsan nkɔ ɔfã biako, anaasɛ wuntumi nhinhim? Eyi ne nea yɛtaa frɛ no ‘Frozen Shoulder’. Ɛwom sɛ ebetumi ayɛ ahometew kakra de, nanso ɛnyɛ biribi a ɛsɛ sɛ yesuro. Momma yɛnte eyi ase nkɔ akyiri.
Sɛ yɛbɛka no tiawa a, dɛn ne ‘Frozen Shoulder’?
Aduruyɛ mu din foforo a wɔde frɛ ‘Frozen Shoulder’ ne ‘Adhesive Capsulitis’ . Eyi ne bere a ntini a atwa wo mmati nkwaa ho ahyia no yɛ den, ɛyɛ den, na ɛmma wuntumi nkɔ baabiara.
Fa no sɛ yɛn mmati nkwaa yɛ nnompe abiɛsa a wɔaka abom . Ɛne sɛ, abasa a ɛwɔ soro dompe (humerus), mmati dompe ( scapula ), ne akyi dompe (clavicle). Wɔde ade a ɛyɛ den a ɛte sɛ kotoku na ɛkyekyere nnompe yi nyinaa bom na ɛbɔ ho ban. Wɔfrɛ eyi mmati mu aduru.
Sɛ ‘mmati a awɔw wom’ ba a, saa aduru yi de nkakrankakra yɛ den, ɛyɛ den, na ɛyɛ nnam. Ɛte sɛ ntama a ɛyɛ nsuo a ɛbata ho. Ɛtew nsu a ɛwɔ nkwaa no mu a ɛboa ma nkwaa no ma ɛtwetwe no so nso. Eyi ma ɛyɛ den yiye sɛ wobɛkanyan mmati no. Wotew mmati a wode di dwuma no so esiane ɛyaw no nti. Dodow a woamfa nni dwuma bere tenten no, dodow no ara na capsule no mu yɛ den. Awiei koraa no, mmati no te nka sɛ "ɛyɛ nwini" wɔ beae biako.
Dɛn ne ‘Frozen Shoulder’ ho sɛnkyerɛnne ne ne fã ahorow?
Nsɛnkyerɛnne titiriw ne ɛyaw ne mmati a ɛyɛ den . Eyi ma ɛyɛ den yiye, ɛtɔ mmere bi a ɛrentumi nyɛ yiye, sɛ wobɛkanyan mmati no. Mpɛn pii no, ɛyaw yi te sɛ ɛyaw a ɛyɛ kusuu na ɛyɛ yaw. Wɔ nnipa binom fam no, ɛyaw no mu yɛ den kɛse anadwo, na ɛma ɛyɛ den yiye sɛ wɔbɛda.
Saa tebea yi taa fa akwan abiɛsa so. Ma yɛnhwɛ nea saa afã abiɛsa no yɛ.
| Prama | Dɛn na ɛrekɔ so? (Dɛn na Ɛba?) |
|---|---|
| 1. Nwini a Ɛwɔ Hɔ Stage | Wote ɛyaw nka bere biara a wobɛkeka wo mmati no. Ɛyaw yi kɔ soro nkakrankakra, titiriw anadwo. Sɛnea wo mmati no keka ne ho no so tew nkakrankakra. Saa fã yi betumi adi bɛyɛ asram 6 kosi 9. |
| 2. Frozen Stage a ɛyɛ nwini | Saa bere yi mu no, ɛyaw no betumi ano abrɛ ase kakra, nanso mmati a ɛyɛ den no bɛkɔ soro kɛse. Ɛbɛyɛ den yiye sɛ wobɛyɛ nneɛma te sɛ wo nsa a wobɛma so anaasɛ wobɛpete w’akyi. Saa fã yi di bɛyɛ asram 4 kosi 12. |
| 3. Thawing Stage a ɛwɔ hɔ | Eyi ne ayaresa bere. Tumi a obi tumi tu mmati no san de nkakrankakra san kɔ sɛnea na ɛte kan no. Eyi betumi agye asram 5 kosi bɛyɛ mfe 2. |
Dɛn nti na ‘Frozen Shoulder’ ba? Dɛn ne nneɛma a ɛde asiane ba ?
Biribiara nni hɔ pɔtee a enti eyi to nnipa binom, nanso akuw binom wɔ asiane kɛse mu sɛ wobenya bi.
- Mfe a wɔadi ne ɔbarima anaa ɔbea: Mmea taa nya saa tebea yi, na ɛtaa ba nnipa a wɔadi fi mfe 40 kosi 60 so.
- Mmati a wɔmfa nkɔ baabiara: Sɛ wuntumi ntutu wo mmati bere tenten esiane biribi nti (sɛ nhwɛso no, bere a wo nsa abubu wɔ cast mu, bere a woabɔ wo stroke , anaa oprehyɛn akyi) a, asiane yi kɔ soro.
- Ayaresa mu tebea afoforo: Abusuabɔ bi nso da eyi ne aduruyɛ mu tebea horow bi ntam. Nnipa a wɔwɔ asikreyare no wɔ asiane a ɛkɔ soro 10% - 20% sɛ wobenya ‘Frozen Shoulder’. Nea ɛka ho no, nnipa a wɔwɔ ayaresa tebea horow a edidi so yi nso wɔ asiane kɛse mu:
- Koma mu yare
- Thyroid yareɛ
- Parkinson yare no
Ɔkwan bɛn so na oduruyɛfo no hu eyi?
Sɔhwɛ pɔtee biara nni hɔ a ɛfa ‘Frozen Shoulder’ ho. Ade a edi kan a wo duruyɛfo bɛyɛ ne sɛ ɔbɛhwehwɛ wo nipadua mu.
Oduruyɛfo no de wo nsa bɛkɔ mmeae ahorow, na ebia ɔbɛka akyerɛ wo nso sɛ w’ankasa tutu wo nsa no na ama woahu baabi a wubetumi de akɔ akyirikyiri ne baabi a ɛyaw no ba. Ɛtɔ mmere bi a, wobetumi de aduru bi a ɛma obi dwensɔ bɛhyɛ wo mmati mu de atew ɛyaw no so na wɔasɔ sɛnea wo mmati tumi keka ne ho no ahwɛ.
Mpɛn pii no, nipadua mu nhwehwɛmu yi tumi hu tebea no. Nanso, wobetumi ayɛ X-ray, ultrasound, anaa MRI scan de ayi tebea afoforo te sɛ ntini mu yare anaasɛ rotator cuff a atetew afi hɔ.
Dɛn ne ayaresa ahorow a wɔde sa ‘Frozen Shoulder’?
Asɛmpa no ne sɛ mmati a ayɛ nwini no mu dodow no ara besiesie wɔn ankasa bere a bere kɔ so no, sɛ wɔansa mpo a. Nanso, ebetumi agye bere, enti ɛho hia sɛ wunya ayaresa na ama woadi ɛyaw no so na wo mmati asan ayɛ sɛnea na ɛte kan no.
Nnuru a wɔde kum ɛyaw a ɛnyɛ den te sɛ NSAIDs (Nonsteroidal anti-inflammatory drugs) te sɛ ibuprofen betumi aboa ma ɛyaw ne ɔfe so atew. Sɛ eyinom nnɔɔso a, ebia wo duruyɛfo bɛkyerɛw wo aduru a ano yɛ den.
Sɛ yare no ho sɛnkyerɛnne no mu yɛ den anaasɛ bere kɔ so no, ɛnkɔ yiye a, ebia wo duruyɛfo bɛkamfo ayaresa afoforo akyerɛ wo.
- Corticosteroid a wɔde twitwiw nipadua no mu: Sɛ wɔde twitwiw mmati nkwaa mu a, ebetumi atew ɛyaw so ntɛmntɛm na ama obi atumi akɔ baabiara.
- Nkwaa a ɛtrɛw: Wɔ saa adeyɛ yi mu no, wo duruyɛfo de nsu a ɛnyɛ ɔyare mmoawa gu wo mmati mu, na ɛma ɛtrɛw. Eyi boa ma wo mmati tu ntɛmntɛm.
- Apɔw-mu-teɛteɛ: Apɔw-mu-teɛteɛ a wɔyɛ wɔ oduruyɛfo titiriw akwankyerɛ ase no betumi aboa ma mmati no asan ayɛ adwuma sɛnea ɛsɛ, nanso eyi tu mpɔn kɛse wɔ yare no fã bi.
- Oprehyɛn: Eyi ho nhia wɔ nsɛm dodow no ara mu. Nanso, sɛ ayaresa foforo biara nni hɔ a etu mpɔn a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ oprehyɛn a wɔde hwɛ ntini mu, a wɔde mfoninitwa afiri ketewaa bi ne nnwinnade yi ntini biara a akɔhyɛ mmati no mu.
Akwan a wobɛfa so ayi ɛyaw afi hɔ wɔ fie
- Nsu a ɛyɛ hyew/nwini a wɔde hyɛ mu: Sɛ wode toa a ɛyɛ hyew anaa nwini gu so a, ebetumi aboa ma ɛyaw ne ɔfe so atew. Gyae no simma 15-20. Wubetumi nso asesa abien no ntam.
- TENS ayaresa (`Transcutaneous electrical nerve stimulation`): Eyi hwehwɛ sɛ wɔde anyinam ahoɔden a ɛba fam fa honam ani denam afiri ketewaa bi a wɔde di dwuma so, na esiw ɛyaw ho nsɛnkyerɛnne kwan sɛ ɛnkɔ amemene no mu. Nanso, akyinnye biara nni ho sɛ ɛsɛ sɛ wo ne wo duruyɛfo kasa ansa na wode mfiri a ɛte sɛɛ adi dwuma.
Apɔw-mu-teɛteɛ a ɛnyɛ den a eye ma mmati
Mmati apɔw-mu-teɛteɛ a ɛyɛ brɛoo betumi aboa ma tebea yi afi hɔ na asiw ano mpo. Nanso kae sɛ, ɛbɛyɛ papa sɛ wubehu oduruyɛfo anaa apɔw-mu-teɛteɛ ho ɔbenfo ansa na woafi apɔw-mu-teɛteɛ yi ase. Mma nyɛ wɔn den araa ma ɛde ɛyaw bɛba.
Ma wo mmati yɛ hyew ansa na woateɛteɛ w’apɔw mu. Ɔkwan a eye sen biara ne sɛ wobɛguare a ɛyɛ hyew.
- Pendulum stretch: Gyina hɔ tẽẽ na ma basa a ɛyɛ yaw no nsensɛn fam kwa. Fa wo nsa foforo no gyina pon bi so. Afei dannan basa a ɛyɛ yaw no wɔ kurukuruwa ketewaa bi mu mpɛn 10 kɔ ɔfã biako na di akɔneaba mpɛn 10 kɔ ɔfã foforo.
- Cross-body reach: Fa wo nsa pa no fa nsa a ɛyaw wom no nsateaa. Afei twe basa a ɛyaw wɔ wo moma so no kɔ ɔfã foforo. Kura mu simma 15-20 kosi sɛ wobɛte nka sɛ wo mmati atrɛw. Yɛ eyi mpɛn 10-20 da biara.
- Mpopaho a wɔtrɛw mu: Fa mpopaho a ne tenten bɛyɛ anammɔn 3 fi w’akyi kura mu. Fa wo nsa pa no kɔ soro na fa wo nsa a ɛyɛ yaw no kɔ fam. Afei fa wo nsa pa no twe mpopaho no kɔ soro. Kura mu simma 10 kosi sɛ wobɛte nka sɛ wo nsa a ɛyɛ yaw no mmati atrɛw.
Sɛnea wɔde ‘Frozen Shoulder’ da?
Ɔhaw kɛse a ɛwɔ saa yare yi ho ne sɛ ɛyaw no mu yɛ den anadwo. Saa afotu yi bɛboa wo.
- Fa pillow a ɛfata di dwuma: Paw pillow a ɛbɛma wo ti, wo kɔn, ne w’akyi berɛmo akɔ so ayɛ tẽẽ.
- Fa pillows foforo di dwuma: Da ɔfã a ɛnyɛ yaw. Fa pillow to wo nsa ntam. Eyi bɛboa ma wo mmati akɔ so ayɛ pɛ.
- Da hɔ hyew: Fa nsu a ɛyɛ hyew toa gu wo mmati so ansa na woada. Eyi bɛboa ma ɛyaw no so atew na aboa ma woada yiye.
Nkrasɛm a Wɔde Kɔ Fie
- ‘Frozen Shoulder’ yɛ tebea a ɛma ntini a atwa mmati nkwaa ho ahyia no yɛ den na ɛyɛ den. Eyi nyɛ biribi a ɛsɛ sɛ ɛhaw yɛn ho.
- Eyi taa wɔ akwan abiɛsa (a ɛkyekyere, nea ɛbata, ne nea apete). Egye bere ansa na asa.
- Mpɛn pii no, tebea yi ankasa befi hɔ bere a bere kɔ so no, nanso ɛho hia sɛ wɔhwehwɛ ayaresa na ama wɔadi ɛyaw no so na wɔasan ayɛ nea ɛfata.
- Apɔw-mu-teɛteɛ a ɛnyɛ den ne nnuru a wɔde kum ɛyaw betumi ama wo ho atɔ wo kɛse.
- Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, hwɛ hu sɛ wobɛkɔ wo duruyɛfo nkyɛn akɔhwehwɛ sɛnea wohu yare no ne ayaresa ho nhyehyɛe a edi mu.
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