Momma yensua pii fa O’Brien Sɔhwɛ a wɔde ma wo mmati mu yaw no ho.

Sɛ yɛwɔ mmati mu yaw a, yentumi nyɛ yɛn da biara da nnwuma mpo yiye, ɛnte saa? Ɛtɔ da bi a, yentumi mma yɛn nsa so, ɛyɛ den sɛ yɛbɛsesa ntade, anaasɛ ɛyaw no yɛ nea yentumi nnyina ano bere a yɛma biribi so no. Sɛ wokɔ oduruyɛfo a ɔte sɛɛ nkyɛn a, ɔbɛsɔ wo ahwɛ nneɛma ahorow mu de ahu nea ɛde wo mmati mu yaw ba. Ɛte saa, O’Brien sɔhwɛ no yɛ sɔhwɛ a ɛnyɛ den, nanso ɛho hia yiye na ama woate nea ɛhaw wo mmati no ase ankasa.

Sɛ yɛbɛka no tiawa a, dɛn ne O’Brien Sɔhwɛ no?

O’Brien sɔhwɛ no yɛ nipadua mu nhwehwɛmu a ɛnyɛ den a wo duruyɛfo de di dwuma de hu nea ɛde wo mmati mu yaw ba. Ɛnyɛ X-ray anaa mogya mu nhwehwɛmu. Nea ɛka ho ne sɛ wo duruyɛfo de wo nsa besi mmeae bi, de nhyɛso kakra, na ɔhwɛ sɛ ebia wote ɛyaw bi nka anaa. Wɔsan frɛ eyi sɛ ‘active compression test’.

Saa sɔhwɛ yi betumi ama yɛanya ɔhaw ahorow a ɛwɔ mmati nkwaa no afã pɔtee abien ho nsɛnkyerɛnne, a ɛne:

1. Tetew a ɛba mmati no mu ntini mu, titiriw tetew a ɛba ɔfã bi a wɔfrɛ no labrum (labral tear) mu.

2. Ɔhaw bi a ɛwɔ acromioclavicular (AC) nkwaa , a ɛwɔ mmati no atifi no ho.

Akwahosan ho adwumayɛfo ahorow betumi ayɛ sɔhwɛ yi. Nhwɛsoɔ:

• Nnompe ho animdefo
• Apɔw-mu-teɛteɛ ho animdefo
• Agumadi ho nteteefo
• W’abusua oduruyɛfo (Primary care providers) .

Dɛn nti na wɔyɛ sɔhwɛ yi? Mmati no afã horow bɛn na ɛhwɛ?

Sɛ yɛbɛte eyi ase a, ɛsɛ sɛ yedi kan hu yɛn mmati ho asɛm kakra. Susuw yɛn mmati ho sɛ afiri a ɛyɛ den yiye, a ɛkɔ akwan horow pii so. Afã atitiriw pii na ɛwɔ mu. O’Brien sɔhwɛ no twe adwene si afã abien yi so titiriw.

1. AC nkwaa (Acromioclavicular nkwaa) .

Eyi ne baabi a yɛn kɔn mu dompe (clavicle) no ne yɛn mmati dompe (scapula) atifi di nkitaho. Sɛ yɛbɛka no tiawa a, eyi ne nkwaa a nnompe abien hyia, a sɛ wode wo nsa to wo mmati atifi a, wubetumi ate nka. O’Brien sɔhwɛ no boa ma wohu ɔhaw ahorow te sɛ ntini a ɛyera, nkwaa a ɛpaapae, anaa ɔhaw bi a ɛwɔ saa nkwaa yi mu.

2. Labrum a ɔkyerɛwee

Yɛn mmati nkwaa yɛ ‘bɔl-ne-socket’ nkwaa. Ɛne sɛ, yɛn nsa atifi dompe (humerus) no fã a ɛte sɛ bɔɔl no hyɛ yɛn mmati dompe (scapula) fã bi a ɛte sɛ kuruwa mu. Labrum yɛ ntini a ɛyɛ den a ɛte sɛ rɔba a atwa kuruwa yi ho ahyia. Ɛyɛ adwuma te sɛ bamper, na ɛboa ma bɔɔl no gyina na ɛnyɛ nea ɛpue mfi kuruwa no mu.

Ɛtɔ da bi a, saa labrum yi tumi tetew esiane akwanhyia anaa bere a wɔredi agumadi nti. Titiriw sɛ ne fã a ɛwɔ soro no mu tetew a, wɔfrɛ no SLAP tear.Wɔsan frɛ no `(Superior Labrum, Anterior to Posterior)`. O’Brien sɔhwɛ no nso betumi ama woahu sɛ ebia nusu a ɛte saa wɔ hɔ anaa.

Ɔkwan bɛn so na wɔyɛ sɔhwɛ yi? Anamɔn biara

Saa sɔhwɛ yi yɛ mmerɛw yiye. Wonhia ahosiesie titiriw biara ma no. Oduruyɛfo no bɛka akyerɛ wo sɛ tena ase anaa gyina hɔ na di anammɔn yi akyi. Ɛwɔ afã atitiriw abien.

Anamɔn a edi kan (thumb down) .

1. Ma wo nsa so: Ma wo nsa so wɔ wo yaw no nkyɛn tẽẽ wɔ w’anim, na ɛne fam no nhyia (digrii 90). Ma wo nsateaa nyɛ tẽẽ koraa.

2. Fa wo nsa bra mu: Afei fa saa nsa a woama so no bra kakra kyerɛ wo nipadua (bɛyɛ digrii 10-15).

3. Dannan wo nsa: Afei, dannan wo nsa kɔ mu, te sɛ nea worehwie nsu afi nsu toa mu, a wo nsateaa kɛse kyerɛ fam na wo nsa akyi hwɛ wo nsa foforo no. Wɔfrɛ eyi ``pronation.''

4. Ko tia nhyɛso no: Afei oduruyɛfo no bɛkura wo nsateaa wɔ nifa so na wamia wo nsa akɔ fam. Nea ɛsɛ sɛ woyɛ ne sɛ wobɛko atia nhyɛso no, kyerɛ sɛ, bɔ mmɔden sɛ wobɛpia wo nsa akɔ soro sen sɛ wobɛma akɔ fam.

Oduruyɛfo no bisa sɛ ebia worete ɛyaw bi wɔ wo mmati mu saa bere yi anaa.

Anamɔn a ɛto so abien (sateaa a ɛkɔ soro) .

1. Sesa wo nsa gyinabea: Afei dan wo nsa kɔ ɔkwan foforo so. Te sɛ nea worebisa obi biribi no, wo nsateaa hwɛ soro na wo nsateaa nso hwɛ akyi. Wɔfrɛ saa gyinabea yi `(supination)`. Ma wo nsa da so ara ne fam nhyia, na ɛnteɛ.

2. Ko tia nhyɛso no bio: Oduruyɛfo no bɛsan amia wo nsa akɔ fam sɛnea na ɔyɛ kan no. Ɛsɛ sɛ wobɔ mmɔden sɛ wobɛma wo nsa so atia nhyɛso no.

Oduruyɛfo no nso bisa sɛnea ɛyaw no te saa bere yi.

Dɛn na nea efi mu ba a ‘ɛyɛ papa’ kyerɛ?

Mprempren ne ɔfã a ɛho hia. Sɛ wodi tebea abien yi nyinaa so nkutoo a, wɔfrɛ saa sɔhwɛ yi sɛ ‘ɛyɛ papa’:

• Ɛsɛ sɛ wote ɛyaw nka wɔ wo mmati mu wɔ gyinabea a edi kan no mu (a wo nsateaa kyerɛ fam).
• Afei nso, wɔ gyinabea a ɛto so abien no mu (a wɔadan nsateaa no akɔ soro) no, ɛsɛ sɛ ɛyaw a wɔadi kan ate no so tew kɛse anaasɛ efi hɔ koraa.

Sɛ wopɛ sɛ wote nea afi mu aba yi ase yiye a, hwɛ pon a ɛwɔ ase hɔ no.

So sɔhwɛ yi yɛ nokware 100%? Dɛn na ɛba akyi?

Eyi yɛ biribi a ɛsɛ sɛ yɛn nyinaa hu. O’Brien sɔhwɛ no yɛ adwinnade a mfaso wɔ so yiye a ebetumi ama woahu mmati ho haw bi. Nanso, ɛnyɛ sɔhwɛ a ɛyɛ pɛpɛɛpɛ 100%, a ɛyɛ pintinn. Ɛtɔ da bi a, obi a ne mmati yɛ apɔwmuden betumi ayɛ nhwehwɛmu ahu sɛ ɔwɔ nhwehwɛmu yi mu sɛ onni ɔhaw biara mpo a.

Oduruyɛfo no ba awiei a etwa to bere a wasusuw nea efii nhwehwɛmu yi mu bae, ne nea edidi so yi ho akyi:

• Nsɛm a wode ma: Sɛnea ɛyaw no fii ase, bere a na ɛyɛ, sɛnea na ɛte, ne nea ɛkeka ho.
• Nipadua mu sɔhwɛ afoforo: Sɔhwɛ afoforo a ɛhwɛ nneɛma te sɛ mmati a ɛkanyan ne ahoɔden.

Ɛtɔ mmere bi a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ nhwehwɛmu pii bio na ama woatumi akyerɛ sɛ woahu yare no bio.

• X-ray, CT scan, anaa MRI: Eyinom tumi hu nnompe, ntini, ne ntini a ɛwɔ mmati nkwaa no mu no pefee.
• Mogya mu nhwehwɛmu: Hwɛ sɛ ebia tebea afoforo te sɛ gout anaa ntini mu yare na ɛde ɛyaw no ba anaa.
• Mmati mu ntini mu nhwehwɛmu: Eyi yɛ oprehyɛn ketewaa bi. Wɔde mfoninitwa afiri ketewaa bi hyɛ nkwaa no mu na ama wɔahu nea ɔhaw no wɔ mu no tẽẽ.