So wo mmati nso yɛ wo yaw? So ɛte sɛ nea ɛyɛ den? Ebetumi ayɛ mmati mu ntini mu yare!

So ɛtɔ mmere bi a ɛyɛ den ma wo sɛ wobɛma wo mmati so? So wopere wo mmati mu yaw ne wo ho a ɛyɛ den bere a woreyɛ da biara da nnwuma no? Sɛ ɛte sɛ nea saa nneɛma yi nim a, ebia wowɔ mmati mu ntini mu yare. Momma yɛnka eyi ho asɛm nkɔ akyiri, tiawa koraa.

Dɛn ne Mmati mu Ntini Mu Yare?

Sɛ yɛbɛka no tiawa a, mmati mu ntini mu yare yɛ wo mmati nkwaa a ɛyɛ hyew . Eyi na ɛma wo mmati yɛ yaw na ɛyɛ den. Ɛka bɔɔl-ne-socket nkwaa a ɛwɔ wo mmati mu no kɛse. Nnuruyɛfo frɛ eyi glenohumeral nkwaa . Susuw ho saa kwan yi so: bɔɔl-ne-socket nkwaa a ɛwɔ wo nsa atifi dompe (humerus) no atifi no hyɛ kuruwa-ne-socket socket a ɛwɔ wo mmati mu (scapula) mu.

Bere kɔ so no, saa ntini mu yare yi ma ntini a ɛwɔ mmati no mu no hwere . So wunim nea cartilage yɛ? Ɛyɛ ntini a ɛyɛ mmerɛw na ɛyɛ mmerɛw a ɛkata abasa a ɛwɔ soro dompe no bɔɔl ne mmati dompe no socket no nyinaa so. Saa ntini a ɛyɛ den yi ne nea ɛma yɛn nnompe no ani tumi kɔ nkwaa no mu yiye a ɛnsɛe wɔn ho wɔn ho. Ɛsan yɛ adwuma sɛ ntama a ɛbɔ nnompe no ho ban fi nhyɛso ho bere a yɛreyɛ biribi no.

Afei susuw nea ɛba bere a wudu mmati mu ntini mu yare no fã a etwa to no ho hwɛ. Sɛ saa ntini a ɛbɔ ho ban no nyinaa sa a, nnompe a ɛwɔ mmati nkwaa no mu no fi ase petepete wɔn ho wɔn ho. Bone spurs , anaa nnompe mu ntini foforo betumi ayɛ. Eyinom betumi asiw nkwaa no kwan sɛnea ɛsɛ, na ɛtɔ mmere bi a saa ntini yi tumi bubu na ɛsensɛn nkwaa no mu.

Mpɛn bɛn na mmati mu ntini mu yare ba?

Mmati mu ntini mu yare no afã atitiriw anan na ɛwɔ hɔ. Momma yɛnhwɛ nea wɔyɛ:

• Ɔfã 1 (ɔfã a edi kan): Eyi ne ɔfã a edi kan . Wo ntini no fi ase yɛ mmerɛw kakra, nanso wunhu sɛnkyerɛnne titiriw biara. Ɛtɔ da bi a wɔfrɛ eyi sɛ ‘asɛm a ɛyɛ adwenem naayɛ’.
• Ɔfã 2 (Mild): Eyi ne ɔfã a ɛyɛ mmerɛw . Saa bere yi de, nusu nketenkete fi ase puw wɔ ntini no mu. Ebia wobɛte ɛyaw na wo ho ayɛ wo den bere a woretu wo mmati no.
• Ɔfã 3 (Ɛyɛ mmerɛw): Eyi ne ɔfã a ɛkɔ fam . Nnompe no ayɛ mmerɛw na afi ase retu asinasin. Ɛyaw ba bere nyinaa bere a woretutu mmati no, na ɛyɛ den bere a wogyina hɔ bere a woatra ase akyɛ no.
• Ɔfã 4 (Ɔfã a Etwa To): Eyi ne ɔfã a etwa to . Saa bere yi de, nnompe no asɛe koraa, na ama dompe no ani ada adi. Ebia ɛyaw a emu yɛ den, ɛho wosow, na ɛyɛ den, sɛ́ ebia wɔatutu mmati no anaasɛ wɔantutu no.

Dɛn ne mmati mu ntini mu yare ho sɛnkyerɛnne?

Mmati mu ntini mu yare ho sɛnkyerɛnne betumi ayɛ soronko wɔ onipa biara ho. Ɛtɔ mmere bi a, ebia sɛnkyerɛnne ahorow no renyɛ den te sɛ nea asɛe ntini no. Nanso, sɛnkyerɛnne ahorow bi wɔ hɔ a ɛtaa ba a wobetumi ahu:

• Mmati mu yaw: Eyi ne sɛnkyerɛnne a ɛtaa ba . Mfiase no, ebia bere a woreyɛ biribi nkutoo na wobɛte nka. Nanso bere kɔ so no, ɛyaw no betumi aba bere biara, sɛ́ woretutu wo nsa anaasɛ worenkeka wo ho no.
• Wo mmati a ɛyɛ den na wotumi nkɔ baabiara: Ebia wo mmati bɛte nka sɛ ɛyɛ den na ebia wo nsa so atew na woatumi akanyan wo ho. Eyi betumi ama ayɛ den sɛ wobɛyɛ da biara da nnwuma te sɛ ahohoro anaa ntadehyɛ. Ebia worentumi mma wo nsa so tẽẽ nkɔ soro anaasɛ worentumi nkyinkyin nkɔ abɔnten.
• Nnyigyei a ɛbɔ anaa ɛpopae wɔ mmati nkwaa no mu: Saa nnyigyei yi fi ntini a ɛwɔ ntini no mu a ɛresɛe na nkwaa no ani a ɛyera a ɛnyɛ mmerɛw no. Ɛyaw betumi aka saa nnyigyei yi ho anaasɛ enni hɔ.
• Dae a wontumi nna: Ɛyɛ den yiye sɛ wobɛda baabi a ɛhɔ yɛ fɛ. Sɛ obi tu ne mmati kakra mpo a, ebetumi ama wate yaw, na ɛno betumi ama wada.

Enti, sɛ wunya ntini mu yare wɔ wo mmati mu a, wote nka dɛn?

Ebia wobɛte mmati mu yaw ahorow, efi nea emu nyɛ den so kosi nea emu yɛ den so, na wo ho ayɛ wo den. Mpɛn pii no, ɛyaw yi fi mmati no nkyɛn, te sɛ ɛyaw a emu dɔ a efi nkwaa no mu tɔnn. Bere kɔ so no, ebia wubehu sɛ baabi a wo mmati nkwaa no tumi keka ne ho no so tew.

Dɛn nti na ntini mu yare ba saa mmati yi mu? Dɛn na ɛde ba?

Nneɛma pii wɔ hɔ a ebetumi de mmati mu ntini mu yare aba. Momma yɛnhwɛ nea wɔyɛ:

• Nnompe mu yare: Eyi ne ntini mu yare a abu so sen biara . Sɛ yɛbɛka no tiawa a, ɛyɛ yare a ɛba bere a obi nyin na ne nkwaa asɛe no. Wɔ eyi mu no, ntini no yɛ mmerɛw, ɛpaapae, ɛpaapae, ɛbrɛ, na awiei koraa no ɛyera koraa.
• Rotator cuff tear arthropathy: Saa ntini mu yare yi ba bere a rotator cuff, ntini ne ntini nhyehyɛe bi a ɛwɔ mmati no mu no mu tetew kɛse, na ɛma abasa no atifi dompe (humeral ti) bɔɔl no petepete nnompe afoforo so no.
• Ntini mu yare ne ntini mu yare afoforo a ɛma obi ho hyehye no: Eyinom yɛ nyarewa a nipadua no tumi ko tia nyarewa . Eyi kyerɛ sɛ wo nipadua no ankasa ahobammɔ nhyehyɛe no tow hyɛ wo ntini a ɛte apɔw no so. Eyi betumi ama nkwaa no mu ntini ayɛ hyew na asɛe ntini no.
• Apirakuru biara a ɛba wo mmati so: Opira biara a ɛba wo mmati mu nnompe no so – sɛ nhwɛso no, sɛ wobɛpae, wo abubu, anaasɛ wobɛbɔ wo denneennen – betumi asɛe ntini no ani. Bere kɔ so no, eyi betumi ama obi anya ntini mu yare.
• Avascular necrosis: Saa tebea yiWɔsan frɛ nnompe mu yare no nnompe mu yare. Eyi ne bere a wotwa mogya a ɛkɔ wo mmati ‘bɔl’ no mu, na ɛma dompe no wu. Sɛ wɔtwa mogya a ɛkɔ dompe no mu, esiane opira anaa yare bi (anaasɛ nnuru bi mpo nti) a, eyi betumi aba.

Hena na ɛda adi sɛ obenya eyi?

Nnipa a ɛda adi sɛ wobenya mmati mu ntini mu yare no bi ne:

• Wɔ nnipa a wɔadi boro mfe 50. Efisɛ bere a yɛrenyin no, ntini a ɛwɔ nipadua no mu no yɛ mmerɛw fi awosu mu.
• Wɔ nnipa a wɔayɛ kɛse mmoroso fam no . Efisɛ sɛ nipadua mu duru kɔ soro a, nhyɛso ba nkwaa no so kɛse.
• Sɛ obi a ɔwɔ abusua no mu, kyerɛ sɛ, obi a ɔwɔ awosu mu abusuabɔ, anya saa tebea yi pɛn a.

Ɔkwan bɛn so na oduruyɛfo hu eyi?

Wo duruyɛfo bedi kan ayɛ wo mmati ho nipadua mu nhwehwɛmu . Eyi kyerɛ sɛ wobɛhwɛ baabi a wotumi keka wo ho, w’ahoɔden, ne mmeae a ɛyɛ yaw no. Wobebisa w’ayaresa ho abakɔsɛm a atwam ne mprempren yare no ho sɛnkyerɛnne nso.

Ɛno akyi no, oduruyɛfo betumi ayɛ mfoninitwa nhwehwɛmu te sɛ eyinom nso:

• Mmati so X-ray: X-ray betumi ahwɛ sɛnea nnompe a ɛwɔ wo mmati mu no te, sɛ ebia nkwaa no ayɛ teateaa bi, anaasɛ nnompe mu ntini bi wɔ hɔ anaa. Ɛwom sɛ eyi nkyerɛ ntini no tẽẽ de, nanso ebetumi ama yɛanya sɛnea ntini no asɛe na ɛtetew ho adwene.
• CT scan: Saa sɔhwɛ yi ma wotumi hu mmati nkwaa no nnompe a ɛkɔ akyiri, wɔ afã abiɛsa sen X-ray. Wɔtaa yɛ eyi bere a wɔreyɛ oprehyɛn ho nhyehyɛe no.
• MRI scan: Eyi betumi ahwɛ ntini a ɛyɛ mmerɛw a atwa wo mmati nkwaa ho ahyia te sɛ ntini, ntini, ne ntini ahorow no yiye. Ebia wo duruyɛfo bɛhyɛ eyi na ama wahwɛ sɛnea wo rotator cuff ntini ahorow no te.

Dɛn ne ayaresa ahorow a wɔde sa eyi?

Nneɛma bi wɔ hɔ a wobetumi afa so asa mmati mu ntini mu yare, a ofie nnuru, asetra mu nsakrae, nnuru, ne oprehyɛn ka ho.

Wɔ fie ne ɛnam asetra mu nsakrae so

Mpɛn pii no, wɔde ayaresa a ɛnyɛ oprehyɛn ne asetra mu nsakrae a wubetumi ayɛ wɔ fie na efi ase sa mmati mu ntini mu yare. Saa akwan yi betumi aboa ma wo mmati akɔ so ayɛ adwuma na ama ɛyaw no so atew. Eyinom bi ne:

• Dwumadi ne asetra mu nsakrae: Ɛsɛ sɛ ɛyaw yɛ wo kwankyerɛfo . Tew da biara da dwumadi ahorow so anaasɛ gyae bere tiaa bi (sɛ nhwɛso no, nneɛma a emu yɛ duru a wɔma so, wo nsa ka biribi a ɛwɔ wo ti so) anaa agumadi a ɛma wo mmati yɛ yaw.
• Nsukyenee ne ɔhyew: Fa nsukyenee (a wɔde ntama abɔ mu bɛyɛ simma 15-20) anaa ɔhyew a ɛyɛ nwini (te sɛ nsu a ɛyɛ hyew toa) gu so na ama wo ho a ɛhoa no so atew na ama ɛyaw no so atew – paw nea ɛte sɛ nea eye ma wo.
• Mmati apɔw-mu-teɛteɛ:Apɔw-mu-teɛteɛ a wode trɛw wo ho na ɛhyɛ wo den betumi aboa wo ma wo mmati atumi atu mpɔn anaasɛ woakɔ so atu mpɔn. Ebia wo duruyɛfo nso de wo bɛkɔ apɔw-mu-teɛteɛ ho ɔyaresafo nkyɛn . Ɔbɛkyerɛ wo apɔw-mu-teɛteɛ a ɛfata wo.

Nnuru a wɔde yɛ nnuru

Nnuru betumi ama ɛyaw no ano abrɛ ase na atew ɔfe so. Nneɛma a wɔtaa paw no bi ne:

• Nnuru a wɔtɔn: Sɛ wopɛ sɛ wogyae ɛyaw bere tiaa bi a, acetaminophen (e.g., Panadol®, Tylenol®) anaa nnuru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa (NSAIDs) te sɛ ibuprofen (e.g., Brufen®, Advil®, Motrin®) anaa naproxen nyɛ hwee. Ɛyɛ papa sɛ wubebisa oduruyɛfo ansa na wode eyinom adi dwuma.
• Corticosteroid a wɔde twitwiw nipadua no mu: Cortisone yɛ aduru a ɛtew ɔfe a ɛwɔ nkwaa no mu so na ɛma ɛyaw no ho tɔ no ntɛm. Oduruyɛfo bi de saa aduru yi gu wo mmati nkwaa mu tẽẽ. Ahotɔ no betumi adi asram pii.

Sɛɛgyiri

Sɛ ayaresa afoforo ntumi nyi wo yaw no ano, na wo ntini mu yare no reyɛ kɛse na ama ayɛ den sɛ wobɛyɛ da biara da dwumadi ahorow a, ebia wobɛpɛ sɛ wususuw oprehyɛn ho. Oprehyɛn a wɔtaa yɛ no bi ne:

• Mmati a wɔde besi ananmu: Wɔ saa adeyɛ yi mu no, oduruyɛfo a ɔyɛ oprehyɛn no yi dompe a yare no wɔ wo mmati nkwaa mu no na ɔde foforo si ananmu denam plastic ne dade a wɔde hyɛ mu so. Eyi betumi atew ɛyaw so kɛse na ama mmati ayɛ adwuma yiye.
• Arthroscopic shoulder debridement: Wɔ saa adeyɛ yi mu no, oduruyɛfo a ɔyɛ oprehyɛn no twa wo mmati mu nketenkete pii na ɔde mfoninitwa afiri ketewaa bi ne nnwinnade titiriw bi fa mu de tew nkwaa no ho, na oyi ntini ne nnompe a asɛe no asinasin a ayɛ mmerɛw no fi hɔ. Wɔtaa yɛ eyi wɔ ntini mu yare no mfiase.

Ebia wo duruyɛfo a ɔyɛ oprehyɛn no bɛsakra oprehyɛn atitiriw yi a egyina wo ntini mu yare no su, beae, ne sɛnea emu yɛ den so. W’asetra kwan, w’akwahosan ho abakɔsɛm, ne nea wopɛ nso betumi aka eyi.

So wobetumi asiw mmati mu ntini mu yare ano?

Ɛwom sɛ wontumi nsiw ano koraa de, nanso nneɛma pii wɔ hɔ a wubetumi ayɛ de atew asiane a ɛwɔ hɔ sɛ wubenya mmati mu ntini mu yare no so:

• Kwati sɛ wode tawa nneɛma bedi dwuma, a vaping ka ho .
• Fa wo botae sɛ wubenya aduan a ahoɔden wom, te sɛ Mediterranea aduan (a nhabannuru, nnuaba, atoko, nnuaba, ne ngodua ngo pii wom).
• Kura mu duru a ɛfata a ɛfata wo mu.
• Low -impact, a ɛnyɛ nea emu duru yɛ apɔw-mu-teɛteɛSɛ nhwɛso no, fa wo ho hyɛ dwumadi ahorow te sɛ asuguare ne nantew mu.
• Tew asiane a ɛwɔ hɔ sɛ wobɛpira wo nkwaa so denam dwumadi ahorow bi a wobɛkwati anaasɛ wobɛto ano hye so. Hwɛ yiye titiriw bere a woreyɛ adwuma a ɛde nhyɛso ba wo mmati so mpɛn pii no.

So wobetumi asa eyi koraa?

Sɛ yɛbɛka nokware a, mprempren aduru biara nni hɔ a wɔde sa mmati mu ntini mu yare. Esiane sɛ wontumi mfa ntini a asɛe no nsi ananmu nti, wobetumi ayɛ foforo. Nanso, akwan pii wɔ hɔ a wobɛfa so atew wo yaw so na ama w’asetra ayɛ mmerɛw. Wubetumi de nsukyenee, ɔhyew, ne apɔw-mu-teɛteɛ adi dwuma na ama wo mmati ho adwo na wo ho atɔ wo. Wubetumi nso asiw dwumadi ahorow a ɛma wote yaw ano anaasɛ wubegyae. Sɛ saa nneɛma a ɛnyɛ den yi mmoa wo yaw no a, wo ne wo duruyɛfo nkasa mfa nnuru anaa oprehyɛn a wubetumi apaw ho.

Sɛ mewɔ ntini mu yare wɔ me mmati mu a, dɛn na metumi ahwɛ kwan?

Nea efi mu ba a wubenya no gyina nneɛma te sɛ mfe a woadi, sɛnea woyɛ nnam, sɛnea wode wo nsa ne wo mmati keka wo ho, ne baabi a wo mmati mu ntini mu yare no yɛ, sɛnea emu yɛ den, ne sɛnea emu yɛ den no so.

Esiane sɛ ɛsono obiara ne mmati tebea biara nti, ɛbɛyɛ papa sɛ wubebisa wo duruyɛfo no nea ebefi mu aba a wubetumi ahwɛ kwan na woaka ayaresa a wubetumi apaw nyinaa ho asɛm.

Mmati mu ntini mu yare betumi ayɛ yaw na ebetumi aka w’asetra pa. Nanso, esiane sɛ enni aduru nti, ɛnkyerɛ sɛ ɛsɛ sɛ wo ne ɛyaw no tra ase . Anamɔn a edi kan a wobɛfa so ahu nea ɛde wo mmati mu yaw ba ankasa na woayɛ ayaresa nhyehyɛe a ebetumi ama wo sɛnkyerɛnne ahorow no afi hɔ yiye ne sɛ wobɛkɔ wo duruyɛfo nkyɛn. Wo duruyɛfo betumi aboa wo ma woanya akwan a wobɛfa so de bere pii ayɛ nneɛma a w’ani gye ho no na woatew bere a wode te nka sɛ wo ho yɛ den na wo ho nyɛ wo dɛ no so.

Awiei koraa no, nneɛma a ɛsɛ sɛ yɛkae...

Okay, enti yɛaka mmati mu ntini mu yare ho asɛm pii. Nea ɛho hia sen biara ne sɛ, sɛ wo mmati yɛ wo yaw, wo ho yɛ wo den, anaasɛ ɛyɛ den sɛ wobɛkanyan wo mmati a, mmu w’ani ngu so . Nnipa binom susuw sɛ, "Ebia ɛyɛ akisikuru kɛkɛ," anaasɛ "Ɛyɛ biribi a ɛba bere a woanyin no ara kwa ." Nanso ɛho hia ankasa sɛ wobɛkɔ oduruyɛfo nkyɛn ntɛm ara na woahu nea ɛde ba.

• Kae sɛ, sɛ wuhu no ntɛm a , wubetumi asua akwan a wobɛfa so atew ɛyaw so, akwati dwumadi ahorow bi, na woatew ɔsɛe foforo a ɛba ntini no so no so.
• Ayaresa pii wɔ hɔ a wubetumi apaw, enti nnyae anidaso . Wo duruyɛfo bɛboa wo ma woapaw ayaresa a ɛfata ama wo.
• Wo ne wo duruyɛfo nkasa pefee , bisa nsɛm biara a wowɔ, na ka nea wohwɛ kwan kyerɛ wɔn.
• Ɛho hia paa sɛ wobɛtra ase wɔ apɔwmuden mu, yɛ apɔw-mu-teɛteɛ a ɛfata mmati, na wudi akwankyerɛ a wɔde ama no akyi.

Sɛ worehyia saa sɛnkyerɛnne ahorow yi bi a, yɛsrɛ wo hwehwɛ aduruyɛfo afotu. Yɛrepɛ obiara akwahosan pa!

`Mmati mu ntini mu yare, mmati mu yaw, nkwaa a ɛyɛ hyew, ntini a ɛyɛ den, nnompe mu yare, ntini mu yare, mmati mu oprehyɛn