Na míanya wò abɔta ƒe ƒunukpeƒe nyuie wu.

Hello! Efɔ̃a? Egbea míele nu ƒom tso míaƒe ŋutilã ƒe akpa vevi aɖe ŋutɔ eye wònye kuxi zi geɖe ŋu. Emae nye abɔta ƒe ƒunukpeƒe . Ne èfɔ le ŋdi me eye nèʋuʋu wò alɔnu, kɔ kpekpeme aɖe, alo ƒo kriket la, abɔta ƒe ƒunukpeƒe sia kpena ɖe ŋuwò le nusiawo katã me. Eyata mina míakpɔ nusi tututu wònye, alesi wòwɔa dɔe, kple dɔléle siwo wòate ŋu ahe vɛ ɖa.

Nukae nye abɔta ƒe ƒunukpeƒe?

Kpuie ko la, ƒunukpeƒe nye teƒe si ƒu eve ƒe nugbɔ do go le be woate ŋu aʋuʋu. Wò abɔta nye ƒunukpeƒe vevi eve. Ƒunukpeƒe siawo doa ka kple ƒu etɔ̃ siwo le wò abɔta. Kadodo sia gasẽna ɖe edzi to lãmeka falɛfalɛwo, abe lãmekawo, lãkusiwo, lãkusiwo, kple ƒunukpeƒewo ene me.

Ƒu vevi etɔ̃ siwo le wò abɔtae nye:

• Abɔtaƒu `(Scapula)`
• Clavicle - Ame aɖewo hã yɔa esia be kɔmeƒu.
• Humerus - Esia nye ƒu didi si le wò abɔta.

Ƒu etɔ̃ siawo do ƒome eye woʋãna ɖekae le abɔta ƒe ƒunukpeƒea, si tae míate ŋu atrɔ míaƒe abɔwo ɖe mɔ ɖesiaɖe nu, abɔbɔ míaƒe abɔta, eye míawɔ dɔ kple míaƒe asiwo ɖo. Bu eŋu kpɔ ko, alesi abɔta sia wɔ nukui la na míete ŋu trɔa míaƒe abɔwo ne míele bɔl ƒom.

Nukawoe nye ƒunukpeƒe vevi eve siwo le abɔta?

Enyo, azɔ mina míalé ŋku ɖe ƒunukpeƒe vevi eve siawo ŋu le abɔta. Esiawo evea siaa le vevie ŋutɔ.

• Gbãtɔe nye `Acromioclavicular ƒunukpeƒe` . Togbɔ be ŋkɔa aɖi didi vie hã la, le nyateƒe me la, etsɔa wò abɔta ƒe ta (si woyɔna be `acromion`) doa ka kple wò kɔmeƒu (`Clavicle`). Esia nye ƒunukpeƒe si do ɖe ŋgɔ vie tso wò abɔta tame.

• Eveliae nye `Glenohumeral ƒunukpeƒe` . Le nyateƒe me la, esiae nye ƒunukpeƒe gã, vevitɔ si ame akpa gãtɔ susuna ne míegblɔ be `abɔta ƒe ƒunukpeƒe`. Afi siae wò abɔtaƒu ƒe akpa si le abe bɔl ene `(Humerus)` la sɔ ɖe wò abɔtaƒu `(Scapula)` (si woyɔna be `glenoid cavity`) ƒe akpa si le abe kplu ene me. Afi siae abɔa ƒe ʋuʋu ƒe akpa gãtɔ dzɔna le.

Ƒunukpeƒe ka ƒomevie nye abɔta ƒe ƒunukpeƒe?

Abɔta ƒe ƒunukpeƒe, vevietɔ glenohumeral ƒunukpeƒe, nye ƒunukpeƒe si wotsɔa bɔl kple socket ƒoa ƒui . Wogayɔnɛ be ƒunukpeƒe si woyɔna be spheroidal joint. Tsɔe be ƒu ɖeka ƒe nugbɔ si le dzogoe ene me la gena ɖe sogo si le abe kplu ene me le ƒu kemɛa me.

Àte ŋu ate esia kpɔ ko. Lé wò ɖusibɔ ɖe wò asibidɛ me eye nàtsɔe ade wò miasi me. Azɔ xatsa wò miasi ɖe ɖusime asi ŋu. Esi nèlé wò ɖusibɔ ɖe wò miasi me la, tsɔ wò ɖusibɔ yi dzi kple anyime, tso axa ɖeka yi axadzi, eye nànɔ tsatsam. Emae nye ʋuʋu si ƒomevi nèkpɔna tso ``Ball-and-socket joint'' me.

Le abɔta ƒe ƒunukpeƒe eve siawo ƒe dɔwɔwɔ ɖekae kple alesi abɔtaƒua ʋãna yia ŋgɔ kple megbe le akɔtaƒua dzi ta la, abɔta te ŋu ʋãna le ʋuʋu ƒe didime si lolo wu míaƒe ŋutilã ƒe ƒunukpeƒe bubu ɖesiaɖe. Ema fia be míate ŋu aʋuʋu míaƒe alɔnu ayi ŋgɔ, ayi megbe, ayi dzi, ayi axadzi, aƒo xlãe, kple go ɖesiaɖe.

Nukae dzɔna ɖe abɔta ƒe ƒunukpeƒe?

Eyata nu vevitɔ si abɔta ƒe ƒunukpeƒea wɔnae nye be wòɖea mɔ na wò be nàʋuʋu wò alɔnu. To ƒu etɔ̃ mawo ƒoƒo ƒu ɖekae me la, enaa nète ŋu wɔa ʋuʋu vovovowo. Bu eŋu kpɔ, ne èdo asi ɖe nane dzi le agbalẽdzraɖoƒe, ne ètsɔ bɔl ƒu gbe, ne èdo awu, ne èle wò ɖa ƒom, ne èle nu ŋlɔm, ne èle nu ɖum... nusiawo katã ate ŋu adzɔ abɔta ƒe ƒunukpeƒe manɔmee. Ele abe míaƒe alɔnu ƒe ‘dziɖunu’ ene.

Aleke abɔta ƒe ƒunukpeƒea wɔa dɔe?

Menye ƒuwo ƒe ƒuƒoƒo aɖe koe abɔta ƒe ƒuwo nye o. Akpa bubu geɖe le wo si siwo léa wo ɖe te eye wokpena ɖe wo ŋu woʋãna nyuie. Mina míalé ŋku ɖe nusiwo wonye ŋu:

• Lãmetsiwo Kple Lãmetsiwo: Esiawoe nye nusiwo le abe ka ene, gake wosẽ, eye woate ŋu atrɔ ɖe nɔnɔmewo ŋu. Lãmetsiwo léa ƒuwo ɖe wo nɔewo ŋu sesĩe, ale be ƒunukpeƒea meʋãna o. Lãmetsiwo doa ka kple lãmekawo kple ƒuwo. Ne míedi be míaʋuʋu míaƒe alɔnu la, lãmekaa ƒoa ƒu, si naa ŋusẽ toa lãkusia me yia ƒua gbɔ, si wɔnɛ be ƒua ʋãna.
• Ƒunukpeƒetetedɔ: Esia hã nye lãkusi si te ŋu trɔna bɔbɔe, si le abe goma ene vie. Le teƒe siwo ƒuwo do go le le ƒunukpeƒe aɖe la, ƒunukpeƒe sia ƒe ƒuƒoƒo aɖe nɔa anyi. Esia kpena ɖe ƒuawo ŋu woƒua du toa wo nɔewo dzi bɔbɔe (articular cartilage), enaa ʋuʋu nɔa te (le kpɔɖeŋu me, labrum si le glenohumeral joint me), eye abe wò afɔkpa ƒe afɔkpodzi ene la, exɔa ʋuʋudedi siwo doa ka kple ƒunukpeƒea. Esia manɔmee la, ƒuawo atutu wo nɔewo eye woavuvu.
• Lãmetsiwo: Lãmetsi tɔxɛ aɖe si woyɔna be rotator cuff , le wò abɔtaƒu kple abɔtaƒu dome. Esia nye lãmeka ene ƒe ƒuƒoƒo. Lãmetsi siawo léa ƒunukpeƒea ɖe te sesĩe, si kpena ɖe eŋu wòli ke, lénɛ ɖe te, eye wòkpena ɖe ame ŋu wòkɔa abɔa hetrɔna.
• Bursa: Bursa kpena ɖe wò lãmekawo, lãkusiwo, kple lãkusiwo ŋu woʋãna nyuie evɔ wometutua wo nɔewo o. Ele abe kotoku sue aɖe si me tsi yɔ fũu ene. Ewɔa dɔ abe akɔtaɖonu ene le ƒunukpeƒea me, vevietɔ le ƒu kple lãkusi dome.
• Synovial membrane: Lãmetsi sia ƒoa xlã ƒunukpeƒea eye wòɖea tsi si léna ɖe nu ŋu (synovial fluid) doa goe. Esia wɔnɛ be ƒunukpeƒea tsia ami eye wònana ʋuʋu nɔa bɔbɔe, abe ami si le mɔ̃ me ene. Enaa nunyiame hã ƒunukpeƒea.

Afikae abɔta ƒe ƒunukpeƒea le?

Abɔta ƒe ƒunukpeƒea le wò alɔnu tame, afisi wò alɔ do ƒome kple wò akɔta le. Abɔta ƒe ƒunukpeƒe eve le míaƒe ŋutilã ƒe akpa ɖesiaɖe, ɖeka le ɖusibɔ eye ɖeka le miame.

``(Acromioclavicular joint)`` si míeyɔ va yi la doa ka kple wò kɔmeƒu kple wò abɔta. Le ema te vie la, ``(Glenohumeral joint)``. Etsɔa wò abɔtaƒu doa ka kple wò abɔta.

Aleke abɔta ƒe ƒunukpeƒea le?

Ƒunukpeƒe eve le wò abɔta. Wo dometɔ ɖesiaɖe ƒe dzedzeme to vovo vie.

• Acromioclavicular ƒunukpeƒe:Esia doa ka kple abɔta kple abɔta. Edze abe pɛnsil eve siwo woɖo ɖe fli me ene, ɖeka le megbe na evelia, eye dometsotso sue aɖe le wo dome. Ƒunukpeƒe sia le sue ŋutɔ.
• Glenohumeral joint: Afi siae abɔta ƒe ƒu (abɔtaƒu) do ƒome kple abɔtaƒu. Abɔtaƒu ƒe nɔnɔme le abe kplu ene (si woyɔna be glenoid cavity). Wò abɔtaƒu didi, eye eƒe tame le dzogoe ene me (si woyɔna be humeral head). Akpa ma si le dzogoe ene me la sɔ ɖe abɔtaƒu ƒe nɔnɔme si le abe kplu ene nu, eye wòwɔa ƒunukpeƒea. ‘Bɔl kple socket’ siae na wò alɔ te ŋu trɔna yia goawo katã me.

Nɔnɔme kawoe bɔ siwo gblẽa nu le abɔta ƒe ƒunukpeƒe ŋu?

Esi míezãa míaƒe abɔta ƒe ƒunukpeƒewo zi geɖe ta la, woate ŋu axɔ abi eye woate ŋu avuvu bɔbɔe. Nɔnɔme siwo bɔ wu siwo gblẽa nu le abɔta ŋu dometɔ aɖewoe nye esi:

• Ƒunukpeƒetetedɔ: Lãmetsi aɖe si le abɔta ƒe ƒunukpeƒea keke alo vuvu. Esia ate ŋu adzɔ tso abɔa ƒe gege alo eƒe ʋuʋu kpata me.
• Abɔta si ʋuʋu: Abɔtaƒu ƒe ta si le akɔta la dona tso glenoid doa me. Esia vea ame ŋutɔ.
• Ƒunukpeƒetetedɔ: Vevesese kple ʋuʋudedi le ƒunukpeƒewo. Esia ate ŋu atso ƒunukpeƒetetedɔ ƒe gbagbã ne míele tsitsim (Osteoarthritis) alo nɔnɔme bubuwo gbɔ (Rheumatoid Arthritis).
• Bursitis: Akplo si me tsi yɔ fũu (bursa) si le ƒunukpeƒe aɖe me ƒe dɔdzẽ. Esia ate ŋu adzɔ ne èyi edzi le ʋuʋu mawo ke wɔm.
• Tendinitis: Lãmetsi siwo le abɔta ƒe dɔdzẽ. Rotator cuff tendinitis nye dɔléle si bɔ.
• Abɔta ƒe gbagbã: Abɔta ƒe ƒuwo dometɔ ɖeka (abɔta ƒe ƒu, akɔtaƒu, alo abɔta ƒe ƒu) si do ƒome kple ƒunukpeƒea ƒe gbagbã. Esia ate ŋu adzɔ tso nuwo abe anyidzedze ene me.

Nukawoe nye abɔta ƒe ƒunukpeƒe ƒe kuxiwo ƒe dzesiwo?

Ne kuxi aɖe le wò abɔta ƒe ƒunukpeƒe ŋu la, àte ŋu akpɔ dzesi siawo abe esiawo ene:

• Vevesese: Esiae nye nu vevitɔ. Vevesese ate ŋu ado mo ɖa ne èle wò abɔta ʋuʋum, nèle alɔ̃ dɔm, alo nèle tsitrenu ko gɔ̃ hã.
• Vuvu: Abɔta ate ŋu adze abe ɖe wòvuvu ene.
• Lãmetsiwo ƒe sesẽ, sesẽ: Ate ŋu asesẽ be woakɔ alɔnu alo atrɔe.
• Ŋutilã ƒe amadede ƒe tɔtrɔ alo abi: Ne abi aɖe nɔ eŋu.
• Ʋuʋu si seɖoƒe li na, vevesese ne wole abɔa ʋuʋum, alo ŋutete manɔamesi be wòazã abɔa le mɔ si sɔ nu. Le kpɔɖeŋu me, ate ŋu asesẽ be nàkɔ wò ɖa alo atutu wò aɖuwo.
• Ɣeaɖewoɣi la, àte ŋu ase "clicking" ƒe gbeɖiɖi alo sese le ɖokuiwò me be yeƒe abɔta le ʋuʋum.

Ne dzesi siawo le ŋuwò la, yi ɖɔkta gbɔ godoo.

Aleke woawɔ akpɔ abɔta ƒe ƒunukpeƒewo ƒe lãmesẽ?

Ðɔkta ado wò abɔta kpɔ, abia wò be aleke vevesesea le, kple ʋuʋu ƒomevi siwo sesẽ hã. Emegbe ne wodi be yewoalé ŋku ɖe abɔta ƒe ƒunukpeƒea ŋu nyuie la, woate ŋu aɖe gbe be woado nɔnɔmetatawo kpɔ.

Nɔnɔmetatawo dodokpɔ ƒomevi siwo bɔ wue nye:

• X-ray: Esia ate ŋu akpɔ ƒuawo ƒe nɔnɔme kple ne ƒu aɖewo gbagbã hã.
• MRI (Magnetic Resonance Imaging): Woate ŋu azã esia atsɔ alé ŋku ɖe lãmeka falɛfalɛwo, abe lãkusiwo, lãkusiwo, ƒunukpeƒewo, kple lãmekawo ene ƒe nɔnɔme ŋu. Esia ɖea vi ŋutɔ na ŋkuléle ɖe nuwo abe rotator cuff tear ene ŋu.
• Ɣeaɖewoɣi la, woate ŋu awɔ ultrasound dodokpɔ hã.

Esiawo ate ŋu akpe ɖe ɖɔkta ŋu wòase ƒuwo, lãmekawo, lãkusiwo, kple lãkusi siwo le wò abɔta ƒe ƒunukpeƒewo gɔme nyuie wu.

Nukawoe nye abɔta ƒe ƒunukpeƒetetedɔ ƒe atikewo?

Atikewɔwɔ ƒe tiatia ate ŋu ato vovo le nusi gbɔ wò abɔta xɔ abi alo nɔnɔme si me nèle nu. Atikewɔwɔ ɖeka aɖeke meli si sɔ na amewo katã o. Ne míagblɔe bɔbɔe la, atikewɔmɔnu siwo bɔ dometɔ aɖewoe nye esi:

• Aŋenu dodo vaseɖe esime abi la nahaya. Esia nana ƒunukpeƒea gbɔ ɖe eme.
• Amekoko nye dɔ si wowɔna tsɔ dzraa abɔta ƒe ƒunukpeƒe ƒe akpa aɖewo (abe lãkusiwo, lãkusiwo, kple ƒunukpeƒewo ene). Ɣeaɖewoɣi la, woate ŋu awɔ dɔ na ame le safui me, abe ƒunukpeƒetetedɔ ene hã.
• Lãmesẽfefewɔwɔ be wòana ʋuʋu nanyo ɖe edzi, atu ŋusẽ ɖo, eye wòaɖe vevesese dzi akpɔtɔ le vevie ŋutɔ.
• Atikewo nono (e.g., vevesesenutsitikewo, `NSAIDs`) be woaɖe dɔdzẽ (ʋuʋudedi) alo vevesese dzi akpɔtɔ. Woate ŋu ado atike na wò ɖe ƒunukpeƒea hã.
• Gbɔ ɖe eme eye nàɖo seɖoƒe na asizazã vaseɖe esime ƒunukpeƒea nahaya keŋkeŋ, vevietɔ nàƒo asa na dɔwɔna siwo ana nàse veve.
• Tsikpe alo dzoxɔxɔ (abe alesi ɖɔkta gblɔe ene).

Vevietɔ: Ðɔkta agblɔ atike si sɔ nyuie wu na wò dɔlélea na wò. Eyata anyo wu be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo hafi awɔ nusianu si nèdi be yeawɔ.

Aleke woawɔ be abɔta ƒe ƒunukpeƒewo nanɔ lãmesẽ me?

"Mɔxexe ɖe enu nyo wu edada." Ema fia be anyo wu be woaxe mɔ ɖe dɔléle aɖe nu hafi wòadzɔ tsɔ wu be woadae le eƒe dzɔdzɔ vɔ megbe. Eyata, àte ŋu ana wò abɔta ƒe ƒunukpeƒewo nanɔ lãmesẽ me ne èwɔ nusiwo gbɔna:

• Ƒo nuɖuɖu si da sɔ nyuie . Ðu nuɖuɖu siwo me nunyiame siwo nyo na ƒuwo sɔ gbɔ ɖo, abe calcium kple vitamin D ene.
• Dzoxɔxɔ kple fafa nyuie do ŋgɔ na kamedede kple le kamedede vɔ megbe, eye nàkeke ɖokuiwò, vevietɔ lãmeka siwo do ƒome kple abɔta.
• Ƒo ɖokuiwò ɖe dɔwɔna siwo mesẽ o kple kamedede siwo mesẽ o me abe alesi wò ɖɔkta kafui ene. Kamedede siwo doa ŋusẽ abɔta ƒe lãmekawo le vevie.
• Ne èle kadodo ƒe kamedefefewo wɔm la, kpekpemewo kɔmLé nɔnɔme nyuitɔ me ɖe asi, do ame ŋutɔ ƒe ametakpɔnu (ne ehiã) eye nàkpɔ wò ŋutilã ta tso abixɔxɔ me.
• Ne èle dɔ wɔm le mɔ ɖeka nu ɣesiaɣi la, ɖiɖi ɖe eme ɣeaɖewoɣi eye nàtrɔ ɖoƒe.
• Ƒo asa na atamanono. Sigaretnono gblẽa nu le ƒunukpeƒewo ƒe lãmesẽ ŋu.

Ðo ŋku esia dzi kpuie.

Wò abɔta ƒe ƒunukpeƒee nye wò ŋutilã ƒe akpa si te ŋu trɔna bɔbɔe wu, si wɔnɛ be wò abɔwo te ŋu ʋãna le mɔ vovovowo nu. Ne menye ƒunukpeƒe siawoe o la, anye ne wò abɔwo zazã ƒe ŋutete manɔ anyi kura o. Abɔta ƒe ƒunukpeƒe siwo le lãmesẽ me le vevie na gbesiagbedɔwo kple kamedefefewo.

Eyata ele vevie ŋutɔ be nàna wò abɔta ƒe ƒunukpeƒewo nanɔ lãmesẽ me to nuɖuɖu si da sɔ ɖuɖu, kamedede abe alesi wò ɖɔkta gblɔe ene, kple dzoxɔxɔ nana me. Ne vevesese aɖe, vuvu, alo ʋuʋu sesẽ na wò la, mègaŋe aɖaba ƒu edzi o eye nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake. To mɔ sia dzi la, ne kuxi aɖe do mo ɖa la, woate ŋu akpɔ egbɔ hafi wòazu nya gã aɖe.

` Abɔta ƒe ƒunukpeƒe, abɔta, ƒunukpeƒedɔlélewo, ƒuwo, abɔtave, ŋutilã ƒe lãmesẽ, atikewɔwɔ ŋuti aɖaŋuɖoɖo