So wo mmati yɛ wo yaw bere nyinaa? Momma yensua pii fa asuguarefo mmati, mmati tebea a abu so wɔ asuguarefo mu no ho!

So woahyɛ no nsow pɛn sɛ ɛtɔ mmere bi a, sɛ wuguare, di agoru bi te sɛ kriket, wobɔ kuruwa, anaa woyɛ biribi a wo nsa so a, wo mmati yɛ wo yaw na wote nka sɛ woayɛ mmerɛw kakra? Ɛtɔ da a, ɛyɛ yaw araa ma wuntumi mma wo nsa so mpo. Ɛno ne nea yɛtaa frɛ no `(Swimmer's Shoulder)` wɔ mmati mu yaw, mmerɛwyɛ, ne sɛnkyerɛnne afoforo a ɛte saa ho. Sɛ wote saa din yi a, wususuw sɛ ɛyɛ yare a asuguarefo nkutoo na wonya? Nokwarem no, wɔtaa hu tebea yi wɔ asuguarefo mu. Nanso, obiara a ɔde adesoa a ɛboro so to ne mmati so na ɔde ne nsa di dwuma wɔ ne ti so no betumi anya saa tebea yi.

Dɛn ankasa ne ``Asuguarefo Mmati''?

Sɛ yɛbɛka no tiawa a, ``Swimmer's Shoulder'' nyɛ tebea pɔtee biako pɛ. Ɛyɛ asɛmfua a wɔde di dwuma wɔ ɔkwan a ɛkɔ akyiri so de kyerɛkyerɛ sɛnkyerɛnne ahorow a wɔaboaboa ano a ɔhaw ahorow pii a ɛwɔ mmati no mu betumi de aba. Susuw ho hwɛ, wo mmati yɛ nkwaa a ɛyɛ den yiye. Ɛyɛ nnompe, ntini, ne ntini a ɛka bom a wɔfrɛ no ``tendons'' ne ``ligaments'' a ɛboa wo ma wode wo nsa kɔ anim ne akyi, ma so, na wode si fam.

Sɛ woyɛ asuguarefo, anaasɛ wobɔ agumadi bi a ɛwɔ soro te sɛ volleyball anaa baseball, anaasɛ woyɛ adwuma bi a ɛde nhyɛso kɛse ba wo mmati so, te sɛ duadwumfo anaa mfoniniyɛ a, ɛda adi sɛ wobɛsɛe na wobɛtwetwe saa ntini a ɛyɛ mmerɛw yi wɔ wo mmati mu. Ɛno na ɛyaw ne ahotɔ yi fi ase ba.

Nea ɛho hia: Sɛ wo mmati yɛ wo yaw bɛboro dapɛn biako a, akyinnye biara nni ho sɛ kɔ oduruyɛfo nkyɛn. Mma w’ani ngu so.

Mmati ho haw bɛn na wobetumi aka sɛ efi `(Swimmer's Shoulder)`?

Nnuruyɛfo frɛ mmati tebea ahorow pii wɔ edin titiriw no ase ``Asuguarefo Mmati.'' Sɛ wokɔ oduruyɛfo nkyɛn a, ebia wɔbɛka tebea pɔtee a ɛwɔ ase ha no ho asɛm akyerɛ wo:

• Shoulder Impingement Syndrome: Eyi ne bere a wo mmati no akyi ano (scapula) ne rotator cuff ntini ne ntini a ɛwɔ ase no bɛbɔ. Fa no sɛ wo nsa a wode ahyɛ ɔpon bi mu. Ɛno na ɛyaw no ba, titiriw bere a woama wo nsa so no.
• Rotator Cuff Tendinitis: Sɛnea edin no kyerɛ no, eyi yɛ ɔfe anaa opira a ɛba ntini a ɛwɔ rotator cuff no mu no so. Mpɛn pii no, tendinitis yɛ ntini bi a ɛyɛ hyew. Saa tebea yi betumi aba bere a wɔde mmati no di dwuma wɔ ɔkwan koro no ara so mpɛn pii no.
• Mmati mu Apirakuru: Labrum yɛ ntini a ɛyɛ mmerɛw a ɛtwa wo mmati nkwaa ho hyia. Ɛboa ma mmati nkwaa no gyina na ɛbɔ ho ban. Sɛ saa labrum yi sɛe a, ebetumi ama obi ate yaw.
• Mmati Ntini a Ɛyɛ Den:Eyi yɛ biribi a yɛn nyinaa ate, "ntini a wɔatwe." Sɛ ntini bi trɛw dodo a, ne nhama tumi tetew. Ɛno ne bere a mmati mu yaw ba.
• Ntini a Wɔabɔ: Ɛtɔ mmere bi a, ntini bi a ɛwɔ wo mmati mu no betumi ayɛ nea ntini a atwa ho ahyia no abɔ. Sɛ eyi ba a, ntini no de ɛyaw ho nsɛnkyerɛnne kɔ w’amemene mu.

Saa tebea yi na wɔfrɛ no `(Swimmer's Shoulder)` abu so dɛn?

Ɛyɛ den sɛ yɛbɛka sɛnea ``Asuguarefo Mmati'' abu so pɛpɛɛpɛ, efisɛ ɛyɛ asɛmfua a wɔde di dwuma wɔ ɔkwan a ɛkɔ akyiri so ma mmati mu haw ahorow pii. Nanso, abenfo bu akontaa sɛ anyɛ yiye koraa no, asuguarefo a wosi akan no mu nkyem abiɛsa mu biako benya saa mmati mu opira yi wɔ wɔn asetra mu bere bi.

Nanso, ebia ɛtaa ba. Saa tebea yi abu so titiriw wɔ agumadifo a wɔnyɛ adwumaden, wɔn a wodi agumadi afoforo (sɛ nhwɛso no, kriket, volleyball, tɛnis), ne wɔn a wɔyɛ nnwuma a ɛma wɔn mmati yɛ duru (sɛ nhwɛso no, duadwumfo adwuma, abodan, mfoniniyɛ).

Dɛn ne `(Swimmer's Shoulder)` ho sɛnkyerɛnne?

Nsɛnkyerɛnne a wɔtaa hu wɔ tebea yi mu ne:

• Mmati mu yaw: Eyi ne sɛnkyerɛnne titiriw. Ɛtɔ da a, etumi fi ase nkakrankakra na ɛkɔ soro nkakrankakra. Anaasɛ ebetumi ayɛ ɛyaw a emu yɛ den mpofirim.
• Ntini mu mmerɛwyɛ: Ebia wo mmati anaa wo nsa bɛte nka sɛ wayɛ mmerɛw. Ebia ɛbɛyɛ den sɛ wobɛma biribi so anaa wobɛma wo nsa so.
• Sɛnea wotumi keka wo ho no so tew: Ebia ɛbɛyɛ den ama wo sɛ wobɛkanyan wo mmati ne wo nsa a wuntua hwee a ɛyaw biara nni mu. Ebia ɛbɛyɛ den sɛ wobɛma so akɔ soro na woadan akɔ akyi.
• Mmati mu mmerɛwyɛ anaasɛ entumi nnyina: Ebia mmati no bɛte nka sɛ "ɛkyere" anaasɛ "ɛrepopa".

Adɛn nti na saa `(Swimmer's Shoulder)` yi ba?

Sɛ yɛbɛka no tiawa a, Swimmer’s Shoulder ba bere a wɔde nhyɛso ne nhyɛso ba wo mmati nkwaa so mpɛn pii ne mpɛn pii no. Bere kɔ so no, nhyɛso a ɛboro so yi betumi ama ntini a ɛyɛ mmerɛw (te sɛ ntini ne ntini) a ɛwɔ wo mmati mu no asɛe na ɛho ahonhon. Saa ntini ahorow yi betumi ayɛ hyew na ayɛ abufuw. Ɛtɔ mmere bi a, akuru ntini nso betumi ayɛ. Saa ɔsɛe yi betumi ama ayɛ den ama wo mmati nkwaa no sɛ ɛbɛkɔ yiye na ɛnyɛ den.

Sɛnea edin no kyerɛ no, asuguare yɛ ade titiriw a ɛde ``Asuguarefo Mmati'' ba . Eyi te saa titiriw sɛ wuguare wɔ akansi mu anaasɛ woguare daa sɛ apɔw-mu-teɛteɛ a. Asuguare yɛ ɔkwan pa a wobɛfa so anya ahoɔden, nanso ebetumi de adwennwen kɛse aba wo mmati nkwaa so – titiriw sɛ wohyɛ da de nhyɛso ba wo ho so na ama w’ahoɔden ne w’ahoɔhare akɔ soro a.

Afei nso, dwumadi anaa adwuma biara a ɛfa nneɛma a wɔde kɔ soro mpɛn pii ho no betumi de eyi aba. Nhwɛsoɔ:

• Agodie a wɔtow bɔɔl (baseball, kriket, volleyball) .
• Racquet agumadi te sɛ tɛnis ne badminton
• Nneɛma a emu duru so a wɔma so
• Duadwumfo adwuma (hama a wɔde bɔ, saw) .
• Mfoniniyɛ, plastering afasu
• Nnwom nnwinnade bi a wɔbɔ (e.g. violin) .

Ɔkwan bɛn so na nnuruyɛfo hu ``Swimmer's Shoulder''?

Sɛ wokɔ oduruyɛfo nkyɛn a wo mmati mu yɛ no yaw a, ade a edi kan a ɔbɛyɛ ne sɛ obebisa wo wo yare no ho sɛnkyerɛnne ahorow ho asɛm. Ka bere tenten a ɛyaw no, bere a emu yɛ den, adwuma ko a ɛma ɛyɛ den, ne nea ɛkeka ho kyerɛ wɔn.

Afei, oduruyɛfo no bɛhwɛ wo mmati mu.

• Wɔhwɛ baabi a wo mmati tumi keka ne ho.
• Ɛsɔ ahoɔden a ɛwɔ mmati mu ntini ahorow mu hwɛ.
• Wubetumi nso de atoto mmati foforo a ɛnyɛ ɛyaw no ho.

Sɔhwɛ ahorow ma `(Asuguarefo Mmati)`

Ɛtɔ mmere bi a, wo duruyɛfo betumi ahyɛ sɛ wɔnyɛ mfoninitwa nhwehwɛmu ahorow bi mfa nhwɛ sɛnea ntini a ɛwɔ wo mmati nkwaa mu ne nea atwa ho ahyia no te. Nhwɛsoɔ:

• Mmati so X-ray: Eyi betumi ahwɛ sɛ ɔhaw biara wɔ nnompe no ho anaa.
• Magnetic Resonance Imaging (MRI): Eyi tumi hu pefee sɛ mmati mu ntini a ɛyɛ mmerɛw te sɛ ntini, ntini, ne labrum asɛe.

Dɛn ne ayaresa ahorow a wɔde sa `(Swimmer's Shoulder)`?

Wo duruyɛfo bɛkyerɛw ayaresa ahorow a ɛbɛboa ma wo yaw no so atew na ama nhyɛso a ɛwɔ wo mmati nkwaa so no so atew. Botae titiriw a ɛwɔ asuguarefo mmati a wɔsa mu ne sɛ wobesiw nkwaa no a ɛbɛsɛe bio no ano na ama mmati no asan ayɛ adwuma sɛnea ɛsɛ. Ayaresa a wɔtaa yɛ ne:

• Ahomegye: Ɛsɛ sɛ wugyae apɔw-mu-teɛteɛ a ɛde wo mmati di dwuma – titiriw agumadi anaa adwuma a ɛde tebea no bae no. Wo duruyɛfo bɛkyerɛ wo bere tenten a ɛsɛ sɛ wotwe wo ho fi apɔw-mu-teɛteɛ anaa adwuma ho. Eyi ho hia paa. Sɛ wokɔ so de mu duru to wo mmati so a wunnye w’ahome a, ebetumi ama tebea no asɛe kɛse.
• Apɔw-mu-teɛteɛ: Apɔw-mu-teɛteɛ ho ɔbenfo bɛkyerɛ wo apɔw-mu-teɛteɛ ne sɛnea wobɛtrɛw mu na aboa ma wo mmati ayɛ den na ama wo kankyee atu mpɔn. Bere a wo mmati fi ase sa yare no, wɔbɛma wo apɔw-mu-teɛteɛ de ahyɛ ntini a atwa wo mmati ho ahyia no den. Eyi nso betumi atew asiane a ɛwɔ hɔ sɛ opira yi bɛsan aba bio no so.
• Icing: Fa ice pack anaa ntama a ɛyɛ nwini gu wo mmati so. Kae sɛ wode mpopaho teateaa bɛkyekyere nsukyenee no sɛnea ɛbɛyɛ a ɛrenka wo honam ani tẽẽ. Wo duruyɛfo bɛtu wo fo wɔ bere tenten ne mpɛn dodow a wode bɛpete nsukyenee no so da biara. Eyi bɛboa ma ɔfe ne ɛyaw no so atew.
• Nnuru a ɛma ɛyaw ano brɛ ase: Nnuru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa (NSAIDs) (e.g., ibuprofen, naproxen) a wonya fi nnurutɔnbea ahorow no betumi aboa ma ɛyaw ne ɔfe so atew. Nanso, nnom nnuru yi bere nyinaa bɛboro nnafua 10 a wunnya aduruyɛ mu afotu.
• Nnuru a wɔde yɛ corticosteroids:Eyinom yɛ nnuru a oduruyɛfo akyerɛw ama obi de atew ɔfe so. Ɛtɔ mmere bi a, wobetumi de cortisone ahyɛ mmati nkwaa no mu tẽẽ.
• Ergonomic Adjustments: Ebia ɛho behia sɛ wosakra ɔkwan a wofa so yɛ nneɛma bi anaa dwumadi ahorow bi. Sɛ woyɛ ogumadifo a wopɛ akansi a, ebia wo duruyɛfo anaa wo kyerɛkyerɛfo bɛkamfo akyerɛ sɛ yɛ nsakrae kakra wɔ wo gyinabea anaa wo gyinabea mu bere a woretete wo ho anaasɛ woresi akan no. Sɛ nhwɛso no, sɛ woyɛ asuguarefo a, ebia wɔbɛkamfo akyerɛ wo sɛ yɛ nsakrae kakra wɔ sɛnea woguare no mu.
• Asuguarefo Mmati Oprehyɛn: Sɛ ayaresa afoforo mmoa wo yare no ho sɛnkyerɛnne ahorow a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ oprehyɛn. Wo duruyɛfo bɛkyerɛkyerɛ oprehyɛn ko a ɛsɛ sɛ woyɛ, bere tenten a ebegye, ne nea wobɛhwɛ kwan bere a wo ho atɔ wo no mu. Nanso, nnipa kakraa bi pɛ na wɔkɔ akyiri kodu oprehyɛn.

So wobetumi asa Swimmer’s Shoulder koraa?

Te sɛ nyarewa binom no, wontumi "nsa" asuguarefo mmati prɛko pɛ. Ɛne sɛ, wɔanhyɛ da biara a wɔde bewie eyi, sɛnea nnuru a ekum ɔyare mmoawa a wobɛnom bɛma wo ho atɔ wo no. Nanso, mpɛn pii no, eyi yɛ bere tiaa mu ɔhaw .

Nnipa dodow no ara fi ase te nka wɔ adapɛn kakraa bi akyi bere a wɔafi ayaresa ase no. Sɛ wo yare no ho sɛnkyerɛnne no ano abrɛ ase mpo a, ɛnsɛ sɛ wuguare, tete wo ho, anaa woyɛ nneɛma a emu yɛ duru biara kosi sɛ wo duruyɛfo bɛka akyerɛ wo. Saa a wɔyɛ no ma asiane a ɛwɔ hɔ sɛ obi bɛsan apira bio no yɛ kɛse.

Yɛbɛyɛ dɛn abɔ yɛn ho ban afi `(Swimmer's Shoulder)` ho?

Ɔkwan a eye sen biara a wobɛfa so asiw tebea yi ano ne sɛ wobɛkwati sɛ wode wo mmati bedi dwuma dodo.

• Gyae ntetee anaa apɔw-mu-teɛteɛ bere a wote ɛyaw nka ara pɛ. Mfa ɛyaw nnyɛ wo ho adesua anaasɛ nni agoru da.
• Ansa na wobɛteɛteɛ w’apɔw mu no, yɛ wo ho hyew yiye na teɛteɛ w’apɔw mu. Yɛ cool-down nso bere a woawie dwumadi no.
• Ma wo rotator cuff ne w’akyi ntini nyɛ den. Eyinom ma wo mmati boa wo yiye.
• Fa nnwinnade a ɛfata a ahobammɔ wom di dwuma ma agumadi ne apɔw-mu-teɛteɛ nyinaa.
• Di aduan pa ne apɔw-mu-teɛteɛ nhyehyɛe a ɛfata wo akyi.
• Sɛ wuhu ɛyaw anaa sɛnkyerɛnne afoforo ara pɛ a, kɔ oduruyɛfo nkyɛn.

Kae: Ɛho hia sɛ wode nipadua mu mfiri a ɛfata di dwuma bere a woredi agumadi anaa woreyɛ apɔw-mu-teɛteɛ no. Afei nso, sɛ wo mmati nkwaa te nka sɛ wabrɛ anaasɛ emu yɛ duru a, gye w’ahome.

Bere tenten ahe na egye na obi asa yare afi `(Swimmer's Shoulder)` mu?

Ɛsono bere a asuguarefo mmati ho tɔ no yɛ soronko ma obiara. Egyina sɛnea wo mmati sa ntɛmntɛm ne sɛnea nkwaa no mu asɛe anaasɛ ɛho ahonhon no so.

Anyɛ yiye koraa no, egye adapɛn kakraa bi ansa na ne ho atɔ no sɛnea ɛbɛyɛ a obetumi afi ntetee ase bio.Nanso ebetumi adi ɔsram biako anaa nea ɛboro saa ansa na mmati no ayɛ yiye koraa. Nea ɛho hia ne sɛ wubenya abotare na woasa.

Mɛyɛ dɛn ahwɛ me ho akosi sɛ me ho bɛtɔ me?

Nsuguare anaa mfa wo ho nhyɛ apɔw-mu-teɛteɛ afoforo mu kosi sɛ wo duruyɛfo bɛka akyerɛ wo. Sɛ wode nhyɛso ba wo mmati so ansa na asa koraa a, ɛma asiane a ɛwɔ hɔ sɛ wobɛsan apira bio no yɛ kɛse. Eyi betumi ama asiane a ɛwɔ hɔ sɛ obi bepira kɛse te sɛ rotator cuff tear anaa SLAP tear no ayɛ kɛse.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wuhu sɛnkyerɛnne biara te sɛ mmati mu yaw, wo hohoro, anaasɛ ɛyɛ den sɛ wobɛkeka wo ho a, kɔ oduruyɛfo nkyɛn ara pɛ. Dodow a wufi ayaresa ase ntɛm no, dodow no ara na hokwan a wowɔ sɛ wo ho bɛtɔ wo no yɛ kɛse.

Bere bɛn na ɛsɛ sɛ mekɔ baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ (ER)?

Sɛ woapira wo mmati (trauma), wuntumi ntutu wo mmati, anaasɛ wususuw sɛ wo mmati atutu a, kɔ baabi a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ ntɛm ara. Sɛ wo mmati atutu pɛn a, mmɔ mmɔden sɛ wobɛsan de ahyɛ wo ho.

Nsɛm bɛn na ɛsɛ sɛ mibisa oduruyɛfo no?

Sɛ wokɔ oduruyɛfo nkyɛn a, wubetumi abisa nsɛm te sɛ eyinom:

• `(Swimmer's Shoulder)` tebea bɛn na mewɔ?
• So ɛsɛ sɛ meyɛ sɔhwɛ biara?
• Ayaresa bɛn na mihia?
• So ebehia sɛ wɔyɛ me oprehyɛn?
• Bere tenten ahe na ɛsɛ sɛ metwe me ho fi ntetee anaa adwuma ho?

Opira biara yɛ ade kɛse ma ogumadifo. Titiriw bere a woretete wo ho sɛnea wubetumi biara na worepira no. Swimmer’s Shoulder betumi ayi wo afi adesua anaa adwuma mu adapɛn kakraa bi. Nanso mfaso wɔ so.

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

Mfa ahopere nyɛ wo ho a wobɛsan agye no. Tie wo nipadua. Ma wo mmati bere dodow a ehia nyinaa na ama ayɛ yiye. Mpɛn pii no, mmati mu apirakuru yɛ bere tiaa mu de. Nanso, wo mmati hia bere ansa na woatumi asan akɔ wo ntetee ne wo dwumadi ahorow mu. Abotare ne aduruyɛ mu afotu a ɛfata a wubedi akyi ne akwan a eye sen biara a wobɛfa so anya ayaresa ntɛm. Hwɛ wo mmati so yiye. Efisɛ mmati a ɛte apɔw kyerɛ sɛ wubetumi atoa wo da biara da dwumadi ahorow ne agumadi a w’ani gye ho no so a akwanside biara nni ho!

` Mmati mu yaw, asuguarefo mmati, asuguarefo mmati, mmati a opira, agumadi mu opira, nipadua mu ayaresa, mmati apɔw-mu-teɛteɛ