So wo mmati yɛ wo yaw bere nyinaa? Ebetumi ayɛ Mmati a Ɛbɔ (Rotator Cuff Tendinitis)!

Hɛlo! Ɛtɔ mmere bi a, wote ɛyaw a ano yɛ den nka wɔ wo mmati mu? Sɛ nhwɛso no, sɛ wobɔ mmɔden sɛ wobɛma wo nsa so, wobɛfa biribi, anaa wobɛdan akɔ ɔfã biako bere a woada anadwo a? Ebia woremfa w’adwene nsi ɛyaw yi so kɛse. Nanso eyi betumi ayɛ tebea bi a wɔfrɛ no `Shoulder Impingement` , a ɛyɛ bere a wɔpia mmati no afã horow fi mu no ho sɛnkyerɛnne. Ɛnnɛ, yɛbɛka eyi ho asɛm kɔ akyiri, tiawa koraa.

Dɛn ne `Mmati a Ɛbɔ`?

Sɛ yɛbɛka no tiawa a, Shoulder Impingement yɛ tebea a ɛma wo rotator cuff a ɛwɔ wo mmati no akyi ano (scapula) ase pɛɛ no ​​bo fuw. Ɛtɔ mmere bi a nnuruyɛfo frɛ eyi Impingement Syndrome. Impingement yɛ afã horow a ɛwɔ nkwaa mu a wɔde petepete, twitwiw, anaa wɔde petepete so. Eyi na ɛde ɛyaw ba, titiriw bere a woretutu wo mmati no.

Susuw ho hwɛ, wo `Rotator Cuff` yɛ ntini atitiriw anan kuw a ɛka wo mmati ne dompe kɛse a ɛwɔ wo nsa atifi (`humerus`) bom. Wode saa `Rotator Cuff` yi di dwuma de ma wo nsa so kɔ soro na wodannan wo nsa kɔ nkyɛn ne akyi.

Rotator cuff no wɔ baabi ketewaa bi a ɛda wo nsa atifi dompe (humerus) ne wo mmati atifi (acromion) ntam. Eyi nti na ɛda adi sɛ rotator cuff no bɛkyere saa nnompe abien no ntam na akɔbɔ no. Wɔfrɛ saa impingement yi mmati impingement.

Sɛ wo mmati mu yɛ wo yaw, anaasɛ wuntumi ntutu wo mmati a ɛyaw biara nni mu a, akyinnye biara nni ho sɛ kɔ oduruyɛfo nkyɛn.

So `Shoulder Impingement Syndrome` ahorow ahorow wɔ hɔ?

Yiw, oduruyɛfo betumi akyekyɛ saa `Shoulder Impingement` tebea yi mu sɛ ɔhaw pɔtee foforo. Wɔn titiriw ne:

`Rotator Cuff Ntini a Ɛyɛ Fɛ`

Sɛnea edin no kyerɛ no, eyi yɛ tebea bi a wɔfrɛ no Tendinitis, a ɛka Rotator Cuff no ntini ahorow no. Tendinitis yɛ ntini bi a ɛyɛ hyew anaasɛ ɛho ahonhon. Ntini anan na ɛwɔ hɔ a ɛboa ma wo Rotator Cuff no ma wo mmati nkwaa no tu. Biribiara a ɛsɛe anaa ɛhyɛ saa ntini yi abufuw no betumi ama ahohoro. Saa ɔfe yi na ɛma mmati no bɔ.

Mmati mu Bursitis

Bursitis yɛ bursa, kotoku ketewaa bi a nsu ahyɛ mu ma a ɛyɛ hyew. Saa bursa yi twa yɛn nkwaa ho hyia na ɛyɛ adwuma sɛ aduru a wɔde hyɛ yɛn nkwaa mu. Bursa nso wɔ wo rotator cuff tendon ne wo acromion bone ntam, na ɛboa ma akasakasa a ɛda abien no ntam no so tew. Nanso, sɛ saa bursa yi ho hyehye no a, ebetumi ama mmati nso abɔ.

Nsakrae a ɛba sɛnea acromion dompe no te mu

Mpɛn pii no, acromion no yɛ petee. Nanso, sɛ wo acromion no abɔ anaasɛ abɔ te sɛ hama a, ebetumi apete rotator cuff no so na ama wo mmati abɔ. Wɔwo nnipa binom a wɔwɔ saa acromion a ne nsɛso a ɛnteɛ yi. Anaasɛ, bere a wɔrenyin no, nnompe mu ntini betumi ayɛ kɛse.

Saa tebea yi abu so dɛn?

Sɛnea nhwehwɛmufo kyerɛ no, mmati a ɛbɔ no na ɛde mmati mu yaw bɛyɛ 50% ba . Saa tebea yi abu so titiriw wɔ agumadifo ne nnipa a wɔyɛ adwumaden mu.

Dɛn ne `Shoulder Impingement` ho sɛnkyerɛnne?

`Shoulder Impingement` ho sɛnkyerɛnne titiriw ne nea ɛtaa ba ne mmati mu yaw .

Wɔtaa te ɛyaw yi nka wɔ mmati no anim. Nso:

• Sɛ wode wo nsa ka wo mmati a, ebetumi ayɛ wo yaw kɛse.
• Ɛyaw no betumi afi mmati no anim akɔ fam akosi nkyɛn.
• Ebia ɛyaw no bɛyɛ kɛse anadwo , na ama ayɛ den ama wo sɛ wobɛda anaasɛ wobɛda.

Shoulder Impingement ɛyaw betumi ayɛ kɛse bere a obi keka ne ho anaa gyinabea ahorow bi no. Nhwɛsoɔ:

• Bere a woama basa no so tẽẽ akɔ soro, wɔ ti no atifi.
• Bere a woama wo nsa so na woasan asi fam bio no.
• Sɛ woteɛ wo nsa kɔfa biribi a.
• Sɛ woda ɔfã a ɛyɛ yaw.
• Bere a wode wo nsa to w’akyi (te sɛ wode wo nsa bɛhyɛ wo pants akyi kotoku mu, anaasɛ wobɛkyinkyim wo nsa de abue bag bi zip).

Nneɛma titiriw a ɛwɔ `Rotator Cuff Tendinitis` mu

Nsɛnkyerɛnne no betumi ayɛ soronko kakra a egyina `Shoulder Impingement` ko a wowɔ so. Sɛ nhwɛso no, wɔ mmati mu yaw akyi no, obi a ɔwɔ `Rotator Cuff Tendinitis` nso betumi anya sɛnkyerɛnne te sɛ:

• Nkate a ɛte sɛ nea ɛyɛ den na ɛyɛ den wɔ mmati mu.
• Sɛ obi ho ahonhon .
• Ɛtɔ mmere bi a, honam ani kɔla anaa kɔkɔɔ sesa.
• Nnyigyei "squeaking" a wobɛte anaasɛ wobɛte biribi a ɛte saa nka bere a wowosow wo mmati no.

Dɛn ne nneɛma a ɛde mmati a ɛbɔ?

Mpɛn pii no, Shoulder Impingement yɛ opira a wɔde di dwuma boro so . Eyi kyerɛ sɛ tebea no kɔ so nkakrankakra bere kɔ so esiane nhyɛso a ɛboro so a ɛba mmati nkwaa ne Rotator Cuff so bere a wɔreyɛ kankyee koro no ara mpɛn pii nti.

Nnuruyɛfo frɛ eyi ``overhead rotation motions.'' Ɛne sɛ, kankyee biara a wɔtaa yɛ a ɛfa sɛ wokura basa no so na wɔdannan mmati no. Nea ɛde eyi ba titiriw ne ntetee a wɔde ma ma agumadi bi, anaasɛ kankyee koro no ara a wɔyɛ da mũ nyinaa wɔ adwumam.

Fa no sɛ, bowler bi a ɔbɔ kriket kɔ so twitwiw ne nsa wɔ ɔkwan koro no ara so. Anaasɛ mfoniniyɛfo bi kɔ so twitwiw ne nsa kɔ soro ne fam da mũ nyinaa. Nneɛma te sɛ eyi na ɛde nhyɛso yi ba mmati so.

Nnipa binom betumi anya mmati mu akisikuru wɔ ɔkwan a ɛyɛ nwonwa so. Ebetumi nso aba mpofirim esiane ahodwiriw te sɛ asehwe, kar akwanhyia, anaa agumadi mu opira nti.

Hena na ɔwɔ asiane kɛse mu sɛ obenya eyi? (Nneɛma a Ɛma Asiane) .

Shoulder Impingement betumi ato obiara. Nanso, ɛtaa ba agumadifo ne nnipa a wɔyɛ adwumaden so . Mpɛn pii no, ɛnyɛ prɛko pɛ, na mmom ɛkɔ so nkakrankakra wɔ adapɛn pii mu, ɛtɔ mmere bi a asram pii mu.

Agumadi ahorow a ebetumi ama `Shoulder Impingement` aba:

• Reboro nsuo
• Kriket (titiriw wɔn a wɔbɔ bɔɔl) .
• Volleyball a wɔbɔ
• Tennis a wɔbɔ

Saa tebea yi betumi afi adwuma biara a ɛhwehwɛ nipadua mu den a ɛde nhyɛso ba mmati so:

• Adansi adwuma
• Paintbrush a wɔde yɛ mfonini
• Mfɛnsere a wɔtew ho
• Wallpapering, drywalling a wɔde yɛ nneɛma

Ɔkwan bɛn so na wobehu sɛ mmati mu akisikuru?

Oduruyɛfo bi de nipadua mu nhwehwɛmu bɛkyerɛ sɛ mmati abɔ obi . Ɔbɛhwɛ wo mmati mu na wahwɛ baabi a wotumi keka (baabi a wubetumi de akɔ baabiara a ɛyaw biara nni mu). Ka nea na woreyɛ bere a edi kan a wotee ɛyaw no ne sɛnkyerɛnne afoforo nka kyerɛ wo duruyɛfo. Sɛ woyɛ agumadi, nneɛma a wode gye w’ani, anaa adwuma a ɛde adwennwen ba wo mmati anaa wo nsa so mpɛn pii a, hwɛ hu sɛ wobɛka ɛno nso ho asɛm.

Sɔhwɛ a Wɔde Hwɛ Mmati a Ɛbɔ

Wo duruyɛfo nso betumi ayɛ mfoninitwa nhwehwɛmu pii de atwa mmati nkwaa no mfonini:

• `X-ray ahorow`
• `MRI (Magnetic Resonance Mfonini a Wɔde Yɛ Nneɛma)` (M.R.I.)
• Ultrasound a wɔde yɛ nneɛma

Saa mfoninitwa nhwehwɛmu ahorow yi betumi ama wo duruyɛfo ahu nnompe ne ntini a ɛwɔ wo mmati nkwaa mu no ho mfonini pefee. Wobetumi nso aboa ma wɔahu nea ɛde akuturuku no bae ankasa.

Ɛnyɛ ɛno nko, na mmom nhwehwɛmu ahorow yi nso betumi aboa ma wɔahu sɛ ebia nneɛma afoforo bi wɔ hɔ a ɛde mmati mu yaw ba anaa. Nhwɛsoɔ:

• `Rotator cuff nusuo`
• Biceps ntini a wɔapirapira
• Mmati mu ntini mu yare

Ɔkwan bɛn so na wɔsa mmati a ɛbɔ? (`Ayaresa`) .

Wo duruyɛfo bɛkamfo ayaresa ahorow a ɛbɛboa ma woadi wo sɛnkyerɛnne ahorow so, asa wo mmati yare, na ama woasan ayɛ adwuma sɛnea ɛsɛ. Ayaresa atitiriw a wɔde sa mmati a ɛbɔ ne:

• Ahomegye: Bere a wɔde twe wɔn ho fi adwuma a emu yɛ den ho, titiriw agumadi anaa dwumadi a ɛde tebea no bae no.
• Apɔw-mu-teɛteɛ:Apɔw-mu-teɛteɛ ho ɔyaresafo bɛma wo ntrɛwmu ne apɔw-mu-teɛteɛ de ahyɛ wo mmati den na ama wo kankyee atu mpɔn. Bere a wo mmati resa no, ɔbɛma wo apɔw-mu-teɛteɛ nso de ahyɛ wo rotator cuff ntini ahorow no den.
• Icing: Fa mpopaho teateaa kyekyere ice cube anaa ice pack na fa to wo mmati so. Mfa nsukyenee nhyɛ honam ani tẽẽ da. Wo duruyɛfo bɛkyerɛ wo bere tenten a ɛsɛ sɛ wode nsukyenee no gu so ne mpɛn dodow a ɛsɛ sɛ wode gu so da biara.
• Nnuru a ɛma ɛyaw ano brɛ ase: NSAID (Nonsteroidal Anti-Inflammatory Drugs) a wɔtɔn (OTC) betumi aboa ma ɛyaw ne ɔfe so atew. Nanso, nnom nnuru yi bɛboro nnafua 10 bere koro mu a wo ne oduruyɛfo nkasa.
• Corticosteroids: Eyinom yɛ nnuru a oduruyɛfo akyerɛw ama obi de atew ɔfe (ɔhohoro ne ɛyaw) so. Ɛtɔ mmere bi a, ebia ɛho behia nso sɛ wode cortisone tuo hyɛ wo mmati nkwaa no mu.

So ɛho behia sɛ wɔyɛ oprehyɛn ansa na ne mmati atutu?

Sɛ ayaresa afoforo mmoa wo yare no ho sɛnkyerɛnne a, wo duruyɛfo betumi asusuw ho sɛ wobɛyɛ no oprehyɛn. Oduruyɛfo a ɔyɛ oprehyɛn no betumi ayɛ oprehyɛn bi a wɔfrɛ no arthroscopic shoulder decompression. Eyi hwehwɛ sɛ wode mfoninitwa afiri ne nnwinnade pa bɛhyɛ mu denam ntwitwiridii nketenkete kakraa bi mu de ayi wo acromion dompe no fã ketewaa bi na ama rotator cuff no anya baabi kɛse.

Oduruyɛfo a ɔyɛ wo oprehyɛn no bɛkyerɛkyerɛ oprehyɛn ko a wuhia ne sɛnea bere a wo ho bɛtɔ wo wɔ ɛno akyi no mu kɔ akyiri.

Dɛn ne ayaresa a eye sen biara a wɔde sa `Rotator Cuff Tendinitis`?

Mpɛn pii no, ayaresa a wɔde sa rotator cuff tendinitis no te sɛ ayaresa a wɔde sa mmati a ɛbɔ ahorow afoforo no. Wo duruyɛfo bɛkyerɛ wo akwan pa a wobɛfa so aboa wo rotator cuff tendon no ma ayɛ yiye.

Ɛrenkyɛ na me ho atɔ me bere a mafi ayaresa ase awie no?

Nnipa dodow no ara fi ase te nka sɛ wɔn ho tɔ wɔn na wɔte ɛyaw kakraa bi wɔ adapɛn kakraa bi akyi bere a wɔafi ase sa wɔn mmati a ɛbɔ no yare no. Nanso, sɛ wo yare no ho sɛnkyerɛnne no tu mpɔn mpo a, ɛnsɛ sɛ wosan kɔ agumadi anaa nneɛma a emu yɛ den so kosi sɛ wo duruyɛfo bɛma wo OK.

Bere tenten ahe na egye ansa na mmati a ɛbɔ no ayɛ yiye?

Bere a wo ho bɛtɔ wo wɔ mmati a ɛbɛbɔ wo ho no gyina akisikuru ko a wowɔ ne sɛnea emu yɛ den no so.

Ɛwom sɛ mpɛn pii no wufi ase te nka wɔ adapɛn kakraa bi akyi bere a woafi ayaresa ase de, nanso ebetumi adi asram pii ansa na wo mmati ayɛ yiye koraa. Ebia nnipa binom behia ayaresa ne ahosiesie a ɛkɔsi afe biako (`rehab`).

So wobetumi asa Rotator Cuff Tendinitis koraa?

Yiw, wobetumi asa `Shoulder Impingement` ahorow nyinaa, a `Rotator Cuff Tendinitis` ka ho, na wɔasa no yiye yiye.Nanso, ntwentwɛn wo nan ase sɛ wobɛkɔ oduruyɛfo nkyɛn bere a wote mmati mu yaw ara pɛ. Sɛ wɔansa a, mmati a ɛbɛbɔ no betumi ayɛ kɛse, ɛde nsɛnnennen aba, anaasɛ ama opira no ayɛ kɛse.

Sɛ wuhu yare no ho sɛnkyerɛnne te sɛ ɛyaw, wo hohoro, anaa ɛyɛ den sɛ wobɛkanyan wo mmati ara pɛ a, kɔ oduruyɛfo nkyɛn.

Ɔkwan bɛn so na wobetumi asiw mmati a ɛbɛbɔ no ano? (Ayaresa a wɔde siw ano) .

Ɔkwan pa a wobɛfa so akwati sɛ wo mmati bɛbɔ ne sɛ wobɛkwati sɛ wode wo mmati bedi dwuma dodo :

• Gyae apɔw-mu-teɛteɛ anaa adwuma a emu yɛ den yɛ bere a wote ɛyaw nka ara pɛ. Mfa ɛyaw nni agoru anaasɛ nyɛ adwuma da.
• Yɛ `ɔhyew` (apɔw-mu-teɛteɛ a wode besiesie nipadua no) pa ansa na woayɛ adwuma a emu yɛ den anaa agumadi, ne `nwini` (apɔw-mu-teɛteɛ a wode bɛma nipadua no adwo) bere a woawie no.
• Fa ahobammɔ nnwinnade a ɛfata di dwuma ma agumadi ne apɔw-mu-teɛteɛ nyinaa.
• Di aduan pa ne apɔw-mu-teɛteɛ nhyehyɛe a ɛfata wo akyi.
• Sɛ wote ɛyaw anaa sɛnkyerɛnne afoforo ara pɛ a, kɔ oduruyɛfo nkyɛn.

Meyɛ dɛn hwɛ me ho bere a mewɔ `Shoulder Impingement`?

Nsan mfi dwumadi ahorow a emu yɛ den ase kosi sɛ wo duruyɛfo bɛma wo OK. Sɛ wode nhyɛso ba wo mmati, rotator cuff no so ansa na anya bere asa koraa a, ɛda adi sɛ wubepira bio. Eyi betumi ama obi apirapira kɛse te sɛ rotator cuff a atetew.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wote ɛyaw foforo biara, wo ho yɛ wo den, anaasɛ wo ho wosow wɔ wo mmati mu – titiriw sɛ yare no ho sɛnkyerɛnne no reyɛ kɛse, anaasɛ ɛyɛ den ma wo sɛ wobɛkanyan wo anaa wode wo mmati anaa wo nsa bedi dwuma a – kɔ oduruyɛfo nkyɛn ntɛm ara.

Sɛ woanya akwanhyia, wuntumi ntutu wo mmati, anaasɛ wote nka sɛ wo mmati atutu a, kɔ ayaresabea dan a wɔhwɛ ntɛmpɛ so ntɛm ara. Mmɔ mmɔden da sɛ w’ankasa wobɛsan de wo mmati asi baabi a ɛwɔ.

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Wubetumi abisa wo duruyɛfo nsɛm yi:

• So me mmati abɔ anaasɛ mapira foforo?
• `Impingement` bɛn na mewɔ?
• Ayaresa bɛn na mihia?
• So ebehia sɛ wɔyɛ me oprehyɛn?
• Bere tenten ahe na ɛsɛ sɛ metwe me ho fi agumadi ne dwumadi ahorow a ɛyɛ den ho?

Nea etwa to no, nneɛma a ɛsɛ sɛ wokae (Take-Home Message) .

Biribiara a ɛhyɛ wo rotator cuff ne ntini a ɛwɔ wo mmati nkwaa mu no abufuw anaasɛ ɛyɛ hyew betumi afi Mmati a ɛbɛbɔ no mu aba. Sɛ́ ebia wowɔ rotator cuff tendinitis, bursitis, anaasɛ wo mmati nnompe ho nhyehyɛe ho haw bi no, wo duruyɛfo bɛkamfo ayaresa ahorow a wɔaka abom a ɛbɛboa ma wo sɛnkyerɛnne ahorow no afi hɔ na ama wo mmati no asan ayɛ adwuma sɛnea ɛsɛ.

Mmati a ɛbɛbɔ no betumi ayɛ yaw na ayɛ abasamtu – titiriw sɛ ɛgye wo adapɛn pii fi agumadi anaa da biara da dwumadi ahorow a w’ani gye ho mu a. Nanso, mmu w’ani ngu sɛnkyerɛnne ahorow te sɛ ɛyaw, ayamye, anaa ɛyɛ den sɛ wobɛkanyan wo mmati so da.

Dodow a woma oduruyɛfo kɔhwɛ wo mmati ntɛm no, dodow no ara na wubetumi afi ase ayɛ nneɛma a w’ani gye ho no bio ntɛm ara wɔ dwoodwoo ne anigye mu. Yɛpɛ sɛ wo ho tɔ wo ntɛm!

` Mmati mu Ɛyaw, Mmati a Ɛbɔ, Rotator Cuff Tendinitis, Mmati a Ɛyɛ Den, Tendonitis, Mmati mu Nyarewa, Apɔw-mu-teɛteɛ