So wo mmati mu yɛ wo yaw? Ebetumi ayɛ ɔhaw wɔ wo rotator cuff no ho!

So wote ɛyaw kakra anaasɛ wo ho nyɛ wo dɛ kakra nso wɔ wo mmati mu? Ɛtɔ da bi a, sɛ wobɔ mmɔden sɛ wobɛma wo nsa so anaa wobɛma biribi a emu yɛ duru so a, ɛyaw yi betumi ayɛ kɛse. Sɛ yɛbɛka nokware a, mmati mu yaw yɛ ade a ɛhyɛ abufuw kɛse. Ɛyɛ den paa sɛ wobɛyɛ da biara da nnwuma, ɛnte saa? Mpɛn pii no, nea ɛde mmati ho haw a ɛte saa ba no betumi ayɛ ɔhaw bi a ɛwɔ nipadua no fã yi a wɔfrɛ no ``Rotator Cuff`` a yɛreka ho asɛm nnɛ no. Enti momma yɛnhwɛ nea eyi yɛ, sɛnea ɛho hia ma yɛn mmati, ɔhaw ahorow a ebetumi aba ne nea wobetumi ayɛ wɔ ho.

Dɛn ne saa rotator cuff yi?

Sɛ yɛbɛka no tiawa a, wo rotator cuff no yɛ ntini ne ntini ahorow a atwa wo mmati nkwaa ho ahyia. Fa no sɛ ɛyɛ ahama a wɔde abɔ wo mmati ho. Wowɔ rotator cuff wɔ wo mmati biara mu. Eyi ne baabi a wo mmati dompe (dompe a ɛyɛ tratraa a ɛwɔ wo mmati akyi) ne wo nsa atifi dompe (humerus) no di nkitaho. Sɛ woma wo nsa so, sɛ wodannan wo nsa kɔ w’anim ne akyi a, wode saa rotator cuff yi yɛ saa nneɛma yi nyinaa.

Rotator cuff opira abu so kɛse, titiriw wɔ agumadifo mu. Enti sɛ wo mmati mu yɛ wo yaw, wo nsa yɛ den, woyɛ mmerɛw, anaasɛ wuntumi ntutu wo mmati a ɛyaw biara nni ho a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn .

Dɛn na ɛto rotator cuff no? Dɛn nti na eyi ho hia yɛn?

Wo rotator cuff no yɛ adwuma titiriw ma wo mmati ne wo nsa a ɛwɔ soro no gyina na ɛyɛ tẽẽ bere a wode redi dwuma no. Sɛnea edin no kyerɛ no, ne dwumadi titiriw biako ne sɛ ɛbɛboa wo ma ``woakyinkyin`` wo mmati.

Fa no sɛ mmati nkwaa no yɛ ball-and-socket nkwaa. Wo nsa a ɛwɔ soro dompe (humerus) (a wɔfrɛ no humeral head) no fã a ɛte sɛ bɔɔl no hyɛ socket ketewaa bi a ɛwɔ wo mmati (scapula) mu. Ɛte sɛ golf bɔɔl a ɛwɔ tee so. Enti, ntini ne ntini a ɛwɔ saa rotator cuff yi mu no kura nnompe abien yi bom, ɛbɔ nkwaa no ho ban, na ɛboa wo ma wo nsa kɔ anim ne akyi. Sɛ eyi nni hɔ a, anka wo mmati rengyina pintinn koraa, te sɛ hinge a ayɛ mmerɛw.

Ɛhe na saa rotator cuff yi wɔ?

Rotator cuff no wɔ baabi ketewaa bi a ɛda wo nsa atifi dompe (humerus) ne wo mmati atifi ntam. Ɛno kyerɛ sɛ ɛwɔ wo mmati mu. Ɛtwa mmati nkwaa no ho hyia na ɛkata wo nsa a ɛwɔ soro dompe (humerus) no ti so.

Ɔkwan bɛn so na wɔyɛ rotator cuff no? (Abɔde mu Nkwaadɔm) .

Ntini anan a ɛwɔ mmati no mu ne ntini a ɛde bata nnompe no ho na ɛyɛ rotator cuff no. Saa ntini anan yi ne:

• Supraspinatus: Saa ntini yi boa wo titiriw ma wo nsa so na wodannan wo mmati. Efi ase wɔ mmati no atifi (scapula) na ɛbata abasa a ɛwɔ soro dompe (humerus) no ti ho.
• Subscapularis: Saa ntini yi boa wo ma wotrɛw wo nsa mu kɔ w’anim na wotwe wo ho fi wo nipadua ho. Efi ase wɔ mmati no mfinimfini na ɛbata abasa a ɛwɔ soro dompe no ti ase.
• Infraspinatus: Eyi yɛ ntini foforo a ɛho hia a ɛboa wo ma wodannan wo nsa kɔ abɔnten. Efi ase wɔ wo mmati ase na ɛkɔ wo nsa atifi dompe mu wɔ supraspinatus no akyi.
• Teres minor: Eyi yɛ ntini foforo a ɛboa ma abasa no dannan kɔ abɔnten. Efi ase wɔ scapula no akyi ano na ɛkɔhyɛ humerus a ɛwɔ infraspinatus ase no mu.

Saa ntini ahorow yi nam ntini a ɛyɛ den a wɔfrɛ no ntini ahorow so na ɛbata nnompe no ho . Fa saa ntini ahorow yi sɛ levers. Sɛ wobɔ (pia) ntini bi a ɛwɔ wo rotator cuff no mu a, ntini a ɛbata ho no twetwe dompe no, na ɛma wo mmati ne wo nsa atifi tu.

Dɛn ne rotator cuff opira a ɛtaa ba?

Rotator cuff apirakuru abu so kɛse. Nneɛma ahe na yɛde yɛn mmati di dwuma da mũ no nyinaa? Saa apirakuru yi betumi aba mpofirim, anaasɛ ebetumi aba nkakrankakra bere a bere kɔ so no. Mmati mu opira dodow no ara, titiriw nea ɛba bere a wɔredi agumadi no, fa rotator cuff no ho.

Rotator cuff opira a ɛtaa ba ne:

• Overuse syndrome: Eyi yɛ tebea a ɛba esiane mmati a wɔde di dwuma boro so a wɔkɔ so de di dwuma nti. Sɛ nhwɛso no, sɛ woyɛ kriketni a, wode nhyɛso kɛse to wo mmati so bere a wobɔ bɔɔl bere nyinaa no. Anaasɛ sɛ wotwe nneɛma kɔ soro bere nyinaa bere a woreyɛ ofie nnwuma, anaasɛ wo tebea bɔne mu bere a woreyɛ adwuma wɔ kɔmputa so a, bere kɔ so no, saa rotator cuff yi betumi asɛe.
• Shoulder impingement syndrome: Wɔsan frɛ no rotator cuff tendinitis, na saa tebea yi ba bere a rotator cuff ntini no ho hyehyee na ɛkyere mmati no nnompe ntam no. Eyi ma ɛyaw ba bere a woma wo nsa so no.
• Rotator cuff tears: Eyi yɛ ntini biako anaa nea ɛboro saa a ɛtetew wɔ rotator cuff no mu. Eyi betumi afi tetew kakra so akosi tetew koraa so.
• Mmati a ɛpaapae: Mmati a ɛpaapae. Eyi hwehwɛ sɛ wɔtwe ntini bi.
• Asuguarefo mmati: Mmati mu opira a ɛtaa ba asuguarefo mu titiriw.

Mɛyɛ dɛn ahu sɛ me rotator cuff no atetew?

Sɛ wowɔ rotator cuff tear a, sɛnkyerɛnne titiriw ne mmati mu yaw . Saa ɛyaw yi betumi ayɛ ɛyaw a ɛyɛ kusuu a efi mmati no mu tɔnn, anaasɛ ebetumi ayɛ ɛyaw a ano yɛ nnam na ɛyɛ sekan. Sɛ rotator cuff no tetew mpofirim esiane opira (te sɛ asehwe) nti a, ebetumi ama wo mmati ayɛ yaw kɛse na abasa ayɛ mmerɛw.

Sɛ wowɔ mmati mu yaw a ɛnkɔ nna kakraa bi akyi a, hwɛ hu sɛ wobɛkɔ ayaresabea . Sɛ ɛyaw no mu yɛ den mpofirim araa ma wuntumi ntutu wo mmati, anaasɛ ɛba bere a akwanhyia bi asi akyi a, kɔ baabi a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ ntɛm ara.

Nhwehwɛmu bɛn na nnuruyɛfo de hu saa ɔhaw ahorow yi?

Oduruyɛfo bi bɛhu sɛ rotator cuff atetew denam nipadua mu nhwehwɛmu a ɔbɛyɛ ne, sɛ ɛho hia a, wayɛ mfonini ho nhwehwɛmu so. Oduruyɛfo no bɛhwɛ wo mmati mu na wabisa wo wo yare no ho sɛnkyerɛnne. Ka bere pɔtee a wudii kan tee ɛyaw no, adwuma ko a woyɛ, ne sɛ ɛyaw no mu yɛ den anaasɛ ɛyɛ yiye.

Ebia ɛho behia sɛ woyɛ sɔhwɛ ahorow pii te sɛ eyinom:

• Mmati so X-ray: Eyi betumi ahwɛ sɛ ɔhaw biara wɔ nnompe no ho anaa.
• MRI scan (Magnetic resonance imaging - MRI): Eyi betumi ama woanya ntini a ɛyɛ mmerɛw te sɛ ntini ne ntini ahorow no ho mfonini a emu da hɔ yiye. Eyi ho hia yiye na ama woahu sɛ ebia rotator cuff tear bi wɔ hɔ anaa.
• Ultrasound scan: Eyi nso betumi ahwɛ sɛ ntini tebea ne nusu te.

Dɛn ne ayaresa a wɔtaa de sa rotator cuff opira?

Ayaresa ko a wuhia no begyina sɛnea wo pira no te ne sɛnea emu yɛ den so. Wo duruyɛfo bɛkyerɛw ayaresa ahorow a ɛbɛboa ma wo yaw no so atew na aboa ma wo rotator cuff no ayɛ yiye. Eyinom ne ayaresa a wɔtaa de di dwuma:

• Ahomegye ne Dwumadi a Wɔapirapira a Wɔkwati: Eyi ne ade a edi kan na ɛho hia sen biara . Ahomegye a wubegye afi dwumadi ne agumadi a ɛde ɛyaw ba mu no ho hia na ama wɔasa yare.
• Fa nsukyenee gu wo mmati so: Wo duruyɛfo bɛkyerɛ wo mpɛn dodow a ɛsɛ sɛ wode nsukyenee gu so da biara ne bere tenten a ɛsɛ sɛ wode gu so. Mfa nsukyenee nhyɛ honam ani tẽẽ , fa ntama a ɛyɛ tratraa kyekyere ho. Eyi bɛma ɛyaw ne ɔfe so atew.
• Nnuru a wɔde kum ɛyaw ne nnuru a ɛko tia ɔyare mmoawa: Wobetumi de nnuru a wɔde kum ɛyaw a ɛnyɛ steroid (NSAIDs) (e.g., ibuprofen, diclofenac) anaa acetaminophen (e.g., Panadol) adi dwuma de atew ɛyaw ne ɔfe so. Nanso, mfa eyinom nni dwuma bɛboro nna du bere koro mu a wunni aduruyɛfo afotu .
• Apɔw-mu-teɛteɛ: Eyi yɛ ayaresa a ɛho hia yiye. Ɛboa ma mmati no ntini ahorow no yɛ den, titiriw bere a wapira akyi, na ɛma wotumi keka ne ho bio. Apɔw-mu-teɛteɛ ho ɔyaresafo bɛkyerɛ wo rotator cuff apɔw-mu-teɛteɛ a ɛfata wo. Eyinom a wɔbɛyɛ no yiye na wɔayɛ no daa no ho hia yiye ma ayaresa no .
• Cortisone a wɔde tua (steroid a wɔde twitwiw nipadua mu):Ɛtɔ mmere bi a, wo duruyɛfo betumi de corticosteroid, aduru bi a ɛtew ɔfe so, ahyɛ rotator cuff no mu. Eyi betumi aboa ma ɛyaw ne ɔfe so atew ntɛmntɛm.
• Oprehyɛn: Sɛ opira no mu yɛ den, sɛ nhwɛso no, sɛ ntini bi mu tetew koraa, anaasɛ ayaresa afoforo mmoa asram pii a, ebia ɛho behia sɛ wɔyɛ oprehyɛn. Wo duruyɛfo anaa oprehyɛn ho ɔbenfo bɛkyerɛkyerɛ oprehyɛn ko a ɛsɛ sɛ woyɛ ne nea wobɛhwɛ kwan mu akyerɛ wo.

Ɔkwan bɛn so na wobetumi asiw rotator cuff opira ano?

Wɔka sɛ: "Siw ano ye sen ayaresa." Enti ɔkwan a eye sen biara a wobɛfa so asiw rotator cuff opira ano ne sɛ wobɛkwati sɛ wode wo mmati bedi dwuma dodo na woahwɛ so.

• Sɛ wote ɛyaw nka wɔ wo mmati mu bere a woreyɛ apɔw-mu-teɛteɛ anaa woreyɛ apɔw-mu-teɛteɛ foforo biara a, gyae ntɛm ara . Mma nkɔ so nni agoru anaasɛ nnyɛ adwuma wɔ ɛyaw no mu .
• Ma wo ho yɛ hyew yiye ansa na woayɛ apɔw-mu-teɛteɛ anaa ntetee biara, na ma wo ho dwo wo bere a woawie no.
• Fa nnwinnade a ɛfata di dwuma bere a woredi agumadi na woreyɛ apɔw-mu-teɛteɛ adwuma no.
• Di aduan pa ne apɔw-mu-teɛteɛ nhyehyɛe a ɛfata wo akyi . Sɛ obi nya ntini a ɛyɛ den a, ɛboa ma wotumi siw opira ano.
• Hwehwɛ aduruyɛfo afotu bere a wote mmati mu yaw anaa sɛnkyerɛnne afoforo nka ara pɛ. Ɛnyɛ den sɛ wobɛsa ɔhaw ketewaa bi ansa na abɛyɛ kɛse.

So rotator cuff betumi ayɛ n’ankasa ayaresa?

Gye w’ahome na wokwati dwumadi ahorow a ɛde ɛyaw ba no betumi aboa ma wo rotator cuff no ayɛ yiye. Nanso, ɛho hia bere nyinaa sɛ woma oduruyɛfo hwɛ wo mu hwɛ sɛ woahu sɛ wowɔ wo yare no yiye anaa . Mma w’ani ngu sɛnkyerɛnne ahorow te sɛ ɛyaw, mmerɛwyɛ, anaasɛ sɛnea wotumi keka wo ho a ɛso atew so.

Sɛ wokɔ so de wo mmati di dwuma, na wode adwennwen kɛse to rotator cuff no so a, opira ketewaa bi mpo betumi asɛe kɛse.

Kae sɛ wo rotator cuff no nyɛ nwura bi kɛkɛ. Ɛyɛ "band" a ɛho hia a ɛyɛ ntini ne ntini a ɛkura nnompe mu, ɛboa ma wo mmati ne wo nsa yɛ adwuma yiye.

Rotator cuff tears abu so wɔ agumadifo a wɔyɛ adwumaden mu. Nanso enhia sɛ woyɛ kriketni a ɔbɔ bɔɔl wɔ akansi akɛse mu anaasɛ bɔɔlbɔ mu nsoromma kɛse ansa na woapira wɔ rotator cuff mu. Saa apirakuru yi betumi asi mpofirim, anaasɛ ebetumi aba nkakrankakra bere a bere kɔ so no.

Awiei koraa no, kae (Take-Home Message) .

Sɛ wo mmati mu yaw no ankɔ yiye wɔ nna kakraa bi a wode agye w’ahome na woahwɛ wo wɔ fie akyi a, yɛsrɛ wo kɔ oduruyɛfo nkyɛn.. Ɔbɛhwɛ opira no na wakyerɛ akwan a ɔbɛfa so aboa wo ma woasa wo rotator cuff no yare. Mmati yɛ nkwaa a ɛho hia wɔ yɛn da biara da dwumadi ahorow mu. Enti, ɛyɛ w’asɛyɛde sɛ wobɛhwɛ so. Yɛpɛ sɛ wo ho tɔ wo ntɛm!

` Mmati mu yaw, rotator cuff, Rotator Cuff, mmati mu yare, ntini, ntini, mmati a ɛkyinkyini, nipadua mu ayaresa, mmati mu apɔw-mu-teɛteɛ