Esi míele dɔ wɔm, le zɔzɔm, alo le kamedefefe wɔm la, kasia míaƒe afɔ vuvu alo míevuvu lãmeka aɖe, alo? Ne edzɔ alea la, míegblɔna be, "Oo, naneke medzɔ ɖe ƒua dzi o, lãmeka ƒe abi koe wònye." Woyɔa lãmeka, ŋutigbalẽ, ami, kple lãmeka siwo ŋu míele nu ƒom tsoe la be ‘ lãkusi falɛfalɛ’ le atikewɔwɔ me. Esiawo le vevie na míaƒe ŋutilã ŋutɔ. Eyata, mina míaƒo nu tso esia ŋu tsitotsito vie egbea, abe ɖe míele nu ƒom na mía xɔlɔ̃ aɖe ene.
Kpuie ko la, nukae nye lãkusi falɛfalɛ sia?
‘Soft tissue’ nye nya bɔbɔe aɖe ŋutɔ. Efia míaƒe ŋutilã ƒe akpa falɛfalɛ siwo katã mesesẽ abe míaƒe ƒuwo ene o. Ðɔktawo zãa nya sia tsɔ dea vovototo ƒuwo ƒe gbegblẽ kple ƒu falɛfalɛ siwo ƒo xlã wo ƒe gbegblẽ dome.
Bu eŋu kpɔ, esia dze abe nu geɖe siwo woate ŋu atsyɔ le akɔtakpoxɔnu ɖeka te ene. Togbɔ be le nyateƒe me la, lãkusi ƒomevi enee le atikewɔwɔ me (epithelial, connective, muscle, nervous) hã la, nya ‘lãmeka falɛfalɛ’ xɔ ŋkɔ ŋutɔ le ɖɔktawo kple amehawo dome.
Lãmetsi falɛfalɛ sia kaka ɖe míaƒe ŋutilã katã me, ƒo xlã ƒuwo kple ŋutinu ememetɔwo. Nusiwo gbɔna koŋue le eme:
- Ŋutilã: Míaƒe ŋutilã ƒe gotagome ametakpɔnu.
- Ami si le ŋutigbalẽ te: Ami si le ŋutigbalẽa te.
- Fascia: Lãmetsi tsɛ aɖe si ma lãmekawo, abe lãmekawo ene, tso wo nɔewo gbɔ eye wòkpena ɖe wo ŋu woléa wo nɔewo.
- Lãmetsiwo: Lãmetsi siwo kpena ɖe míaƒe ŋutilã ŋu wòʋãna.
- Kadodo ƒe lãkusi falɛfalɛ bubuwo: Nuwo abe lãkusiwo kple lãkusi siwo ƒo xlã míaƒe ƒunukpeƒewo ene.
Vovototo si le Lãmetsi Sesẽwo Kple Lãmetsi Falɛfalɛwo Dome
Togbɔ be lãmenugbagbevi siwo le míaƒe ŋutilã me fa hã la, ɖewo ya sesẽ ŋutɔ, si woyɔna be lãmeka sesẽ. Lãmetsi sesẽ sia, alo ‘Lãmetsi Sesẽ’, dzɔna le mɔ vevi eve nu.
1. Ƒumeŋuɖui: Esiae nye alesi ƒuwo dzɔna le míaƒe ŋutilã me. Esia dzɔna ne calcium kple lãmenugbagbevi tɔxɛ siwo woyɔna be fibroblasts va ƒo ƒu. Zi geɖe la, esia nyea nuwɔna si naa lãmesẽ. Gake le dɔléle aɖewo siwo mebɔ kura o ta la, ƒu ƒe wɔwɔme sia ate ŋu adzɔ le mɔ si mesɔ o nu.
2. Calcification: Esia nye calcium ƒe ƒuƒoƒo ɖe lãkusi siwo fa miamiamia le dzɔdzɔme nu me. Togbɔ be esia sɔ ɣeaɖewoɣi hã la, calcium ƒe ƒuƒu ate ŋu adzɔ le dɔléle ƒe nɔnɔme geɖe me.
Subɔsubɔdɔ kae lãmenugbagbevi falɛfalɛ siawo dometɔ ɖesiaɖe wɔna na míaƒe ŋutilã?
Dɔ aɖe koŋ le lãkusi falɛfalɛ ƒomevi ɖesiaɖe si. Mina míalé ŋku ɖe nusiwo nye dɔwɔwɔ mawo ŋu.
| Lãmetsi falɛfalɛ ƒomevi | Awɔ nyui na ŋutilã la. |
|---|---|
| Ŋutigbalẽ | Ŋutilã nye mɔxenu si kpɔa ame ta le nusiwo le míaƒe ŋutilã me kple gotagome xexeame dome. Ekpena ɖe mía ŋu hã be míaƒe ŋutilã ƒe dzoxɔxɔ naɖɔ ɖo. Lãmetsiŋusẽ ƒe nuwuƒewo le ŋutigbalẽa me si wɔnɛ be míesea nuwo abe vuvɔ, dzoxɔxɔ, kple vevesese ene. |
| Ami si le ŋutigbalẽ te | Dɔ eve le esia ŋu. Ðekae nye be woadzra ŋusẽ ɖo. Ŋutilãa dzraa nunyiame bubu siwo míeɖuna la ɖo abe ami ene. Bubue nye be wòawɔ dɔ abe ametakpɔnu alo mattress ene na lãkusi siwo le ŋutilãa me. Ami sia ɖea nusiwo gblẽna le ememe dzi kpɔtɔna ne míedze anyi alo woƒo mí. |
| Fascia ƒe ŋkɔ | Esia kpena ɖe ame ŋu be lãmenugbagbevi vovovowo, abe lãmeka kple ami ene, ma heɖoa wo ɖe ɖoɖo nu. Liƒo sia le vevie ŋutɔ na míaƒe ŋutilã ƒe wɔwɔme kple dɔwɔwɔ. |
| Lãmetsiwo | Lãmetsi ƒomevi vovovowoe li. Wo dometɔ aɖewo ʋãa nuwo le míaƒe ŋutilã me, le kpɔɖeŋu me, wotsɔa ʋu toa dzia me. Lãmetsi bubuwo kpena ɖe ŋutinuwo abe míaƒe abɔwo kple afɔwo ene, kple ŋutilã bliboa ŋu be woaʋuʋu. |
| Kadodo ƒe lãkusi falɛfalɛ bubuwo | Lãmetsiŋusẽ kple lãkusiwo hã le ƒuƒoƒo sia me . Lãmetsiŋusẽwo doa ka kple ƒu ɖeka kple bubu. Lãmetsiwo doa ka kple lãmeka aɖe kple ƒu. Esiawoe nana míaƒe ƒunukpeƒewo sẽna eye woli ke. |
Ele vevie be míade dzesii be nya siwo nye ‘lãmeka falɛfalɛ’ kple ‘kadodo ƒe lãkusi’ menye nu ɖeka o. Lãmetsiŋusẽ kple lãkusiwo nye lãkusi falɛfalɛwo kple kadodoŋusẽwo siaa. Gake ƒu nye kadodoŋusẽ, gake menye lãkusi falɛfalɛe wònye o. Eyata ne edze abe wò ɖɔkta tɔtɔ ene ne ezã nya siawo la, mègakpe ŋu be yeagabiae ake o.
Nukae Nye Lãmetsi Falɛfalɛwo ƒe Nuveviwɔame?
Ðɔktawo yɔa abi siawo be ‘nu falɛfalɛwo ƒe abi’ be woatsɔ ade vovototo wo kple nuwo abe ƒu gbagbã (ƒu gbagbã) ene dome. Ðewohĩ èxɔ abi siawo dometɔ ɖeka kpɔ. Mina míalé ŋku ɖe abi ƒomevi siwo bɔ wu le lãmeka falɛfalɛwo ŋu.
| Nuveviwɔame ƒomevi | Kpuie ko la,... |
|---|---|
| Aɖuɖɔtoewo | Ne èɖi le bɔs me, alo wò afɔ ge ɖe do aɖe me la, wò afɔkpodzi vuvu, alo? Esiae nye ne wohe lãkusi siwo le ƒunukpeƒe aɖe me. |
| Lãmetsiwo ƒe Teteɖeanyi | Lãmetsiwo ƒe tete dzɔna ne èkɔ nu kpekpe aɖe alo ƒu du kasia esime nèle kamedefefe wɔm. Esia ate ŋu agblẽ nu le lãmeka alo lãkusi aɖe ŋu. |
| Abi/Abi ƒe Ʋuʋudedi | Ne woƒo wò alo ƒo wò le afi aɖe la, ètrɔna zua blɔ, alo? Ema nye abi. Le afisia la, ʋuka sue siwo le ŋutigbalẽa te la gbãna eye ʋu vi aɖe ƒoa ƒu. |
| Lacerations kple Abrasions | Woyɔa nusi nu ɖaɖɛ aɖe lã be lãɖeɖe , eye woyɔa lãɖeɖe si tso anyidzedze ɖe anyigba me be ʋuʋudedi . Wo ame evea siaa nye abi siwo woxɔna le ŋutigbalẽa ƒe lãkusi falɛfalɛwo ŋu. |
| Lãmetsi alo lãkusi siwo vuvu | Esia nye nɔnɔme si nu sẽ wu. Lãmetsi alo lãkusi ate ŋu avuvu keŋkeŋ le anyidzedze sesẽ alo afɔku ta. |
| Nyaƒoɖeamenu ƒe Nuveviwɔame/Abati ƒe Abiwo | Nuveviwɔame siwo tsoa nyaƒoɖeamenu ɖe ŋutigbalẽ dzi le dɔnɔ siwo nɔa nɔnɔme ɖeka me ɣeyiɣi didi aɖe ŋu. Esia hã nye lãmeka falɛfalɛwo ƒe gbegblẽ. |
Nɔnɔme bubu siwo gblẽa nu le lãkusi falɛfalɛwo ŋu evɔ womexɔa abi o
Tsɔ kpe ɖe abixɔxɔ ŋu la, dɔléle bubuwo hã ate ŋu adze lãmeka falɛfalɛwo dzi.
- Dɔdzẽ ƒe nɔnɔme siwo nɔa anyi didi: Nɔnɔmewo abe fibromyalgia kple ƒunukpeƒetetedɔ ene ate ŋu ana lãmeka falɛfalɛwo nase veve eye woavuvu atraɖii.
- Dɔlékuiwo: Dɔlékui alo dɔlékui ƒe dɔlékuiwo ate ŋu agblẽ nu le lãmeka falɛfalɛwo abe ŋutigbalẽ kple lãmekawo ene ŋu.
- Lãmetsiŋusẽ ƒe tete: Le nɔnɔmewo abe carpal tunnel syndrome , ene me la, lãkusi falɛfalɛawo ƒe vuvu tea lãmeka aɖe, si wɔnɛ be asi tsia dzodzodzoe eye wòsea veve.
- Ƒunukpeƒetetedɔ: Nɔnɔmewo abe bursitis ene nana lãkusi falɛfalɛ siwo ƒo xlã ƒunukpeƒe aɖe vuvu eye wosea veve.
- Dɔdzẽ: Ɣeaɖewoɣi la, dɔdzẽ siwo me dɔlékui aɖeke mele o alo kansa ate ŋu adzɔ ɖe lãmeka falɛfalɛwo me.
Nukawoe nye lãmeka falɛfalɛ ƒe kuxi ƒe dzesi siwo bɔ?
Ne abi alo nɔnɔme aɖe le wò lãmeka falɛfalɛwo ŋu la, àte ŋu akpɔ dzesi siawo dometɔ ɖeka alo esi wu nenema:
- Abi alo ʋu si le dodom: Amadede si le blɔ, si ƒe amadede nye aŋutiɖiɖi le ŋutigbalẽa te.
- Vuvu: Vuvu le teƒe si woxɔ abi le.
- Vevesese alo vevesese: Sese le eɖokui me be yese veve akpa be yeaka asi eŋu.
- Ƒunukpeƒe ƒe malikenyenye: Sese le ame ɖokui me abe ɖe ƒunukpeƒe aɖe le gbadzaa eye wòle ʋuʋum le mɔ si dzi womate ŋu aɖu o nu ene.
- Sesẽ alo sesẽ: Esesẽna be woabɔbɔ alo aɖɔ teƒe si xɔ abi la ɖo.
Aleke nèwɔna dea dzesi nɔnɔme sia tɔgbe?
Zi geɖe la, ɖɔkta dea dzesi dɔlélea to ŋutilãmedɔdada kple ne ehiã la, nɔnɔmetatawo ɖeɖe me.
- X-ray: Esiawo ɖea ƒuwo fiana nyuie. Eyata ne X-ray meɖee fia be lãmekawo ƒe gbagbã o la, ɖɔktaa ate ŋu abui be lãmeka falɛfalɛ siwo ƒo xlãe la mee kuxia le.
- CT Scan (Kɔmpiuta dzi Tomenukpɔkpɔ):Esia hã nana míesea ƒuwo kple lãkusi falɛfalɛ aɖewo gɔme nyuie wu.
- MRI Scan (Magnetic Resonance Imaging): MRI scan ɖea vi ŋutɔ be woakpɔ nusiwo gblẽ le lãmeka falɛfalɛwo abe lãkusiwo, lãkusiwo, kple lãmekawo ŋu nyuie.
Wò ɖɔkta atso nya me le dodokpɔ siwo nèhiã ŋu.
Aleke nèwɔa atike na lãmeka falɛfalɛ ƒe abi?
Zi geɖe la, aƒeme atikewo li na abi suesuesue siwo woxɔna le lãmeka falɛfalɛwo ŋu. Míeyɔa esia be RICE mɔnu . Ele bɔbɔe ŋutɔ be woaɖo ŋku edzi.
BLI ƒe atikewɔwɔ si nàte ŋu awɔ le aƒeme
- R - Gbɔɖeme: Gbɔ ɖe eme le teƒe si xɔ abi la. Le kpɔɖeŋu me, ne wò afɔ vuvu la, ƒo asa na azɔlizɔzɔ le afɔ ma dzi.
- I - Ice: De tsikpe teƒe si xɔ abi la hena miniti 15-20. Wɔ esia zi geɖe gbesiagbe. Esia aɖe abi kple vevesese dzi akpɔtɔ. Mègatsɔ tsikpe asisi ɖe ŋutigbalẽa ŋu tẽ gbeɖe o. Xlãe ɖe avɔ me.
- C - Compression: De elastic bandage ɖe teƒe si xɔ abi la be wòasẽ vie, gake màxe mɔ ɖe ʋu ƒe sisi nu o. Esia kpena ɖe ame ŋu hã be wòaɖu abi dzi.
- E - Kɔkɔme: Na alɔ alo afɔ si xɔ abi la nasɔ gbɔ wu wò dzi ƒe kɔkɔme. Àte ŋu atsɔ akɔtaɖonu aɖo edzi. Esia aɖe abi ƒe vuvu dzi akpɔtɔ.
Atikewɔwɔ bubuwo
Le abi si wòxɔ ƒe sesẽ nu la, ɖɔkta ate ŋu aŋlɔ atike bubuwo na wò.
- Atikewo: Woate ŋu ana vevesesenutsitikewo abe NSAIDs (Nonsteroidal Anti-inflammatory Drugs) ene be woatsɔ aɖe vevesese kple abi dzi akpɔtɔ. Gake mègano atike aɖeke ne mèbia wò ɖɔkta o.
- Amekoko: Ne lãkusi alo lãkusi aɖe vuvu keŋkeŋ la, ate ŋu ahiã be woawɔ dɔ nɛ atsɔ aɖɔe ɖo.
- Lãmesẽnyawo Gbɔkpɔkpɔ: Ne abi la haya la, kamededeŋutinunyala akpe asi ɖe kamedede kple atikewɔwɔ ŋu be ŋusẽ nagaɖo eŋu eye wòate ŋu atrɔ ɖe nɔnɔmewo ŋu le go ma me.
- Atikewɔwɔ Kpekpeɖeŋu: Atikewɔwɔ abe atikewɔwɔ ƒe asikaka ame ŋu ene ate ŋu akpe ɖe ame ŋu ɣeaɖewoɣi be woaɖe vevesese si tso nɔnɔmewo abe lãmekawo ƒe tete ene gbɔ dzi akpɔtɔ.
Aleke míewɔna be míaƒe lãmeka falɛfalɛwo nanɔ lãmesẽ me?
Nu siwo míewɔna be míaƒe ŋutilã bliboa nanɔ lãmesẽ me la ke nyo na míaƒe lãmeka falɛfalɛwo ƒe lãmesẽ hã.
- Ƒo nuɖuɖu si da sɔ: Ƒo nuɖuɖu siwo me protein, vitamin, kple mineral sɔ gbɔ ɖo.
- Lé lolo nyuie me ɖe asi: Lolo akpa dea nyaƒoɖeamenu si mehiã o vaa míaƒe ƒunukpeƒewo kple lãkusi falɛfalɛwo dzi. Eyata lé kpekpeme si sɔ na wò la me ɖe asi.
- De kame edziedzi:Kamedede nana lãmekawo kple lãmeka falɛfalɛ bubuwo sẽna eye wote ŋu trɔna bɔbɔe.
- Mègawɔ dɔ fũu akpa o: Mègakɔ kpekpeme siwo màte ŋu akpɔ o la zi ɖeka alo awɔ kamedede siwo mezu numame na wò o. Ne èle veve sem la, mègaŋe aɖaba ƒu edzi o. Ema ate ŋu ana abi la nagasẽ ɖe edzi.
- Mègahe atikewɔwɔ ɖe megbe o: Ne lãmeka falɛfalɛ aɖe xɔ abi eye vevesesea kple vuvua nu meɖe le eme le aƒeme atikewɔwɔ ŋkeke ʋɛ aɖewo megbe o la, kpɔ egbɔ be yeyi ɖɔkta gbɔ. Atikewɔwɔ kaba ate ŋu akpe ɖe ŋuwò nàhaya kabakaba eye nàxe mɔ ɖe kuxiwo nu.
Ne èse nya "lãmeka falɛfalɛ" la, àte ŋu atɔtɔ vie. Ema menyo o. Enye nya si wozãna le mɔ gbadza nu si ƒo nu tso nu geɖe ŋu. Nu vevitɔe nye be nàbia wò ɖɔkta be nukae wònye kple nusi nàwɔ tso eŋu ne èxɔ abi hã. Wò ŋutilã nyanya le vevie ŋutɔ na wò nyonyo.
Gbedasi si Wotsɔ Yi Aƒeme
- ‘Lãmetsi falɛfalɛ’ fia míaƒe ŋutilã ƒe akpa falɛfalɛ siwo menye ƒuwo o, abe ŋutigbalẽ, lãmekawo, ami, lãkusiwo, kple lãkusiwo ene.
- Nutete, teteɖeanyi, kple abi nye abi siwo bɔ ɖe lãmeka falɛfalɛwo me.
- Le abi suewo gome la, RICE mɔnu (gbɔɖeme, tsikpe, nutete, kɔkɔ) wɔa dɔ ŋutɔ.
- Ne vevesesea nu sẽ alo meɖe le ŋkeke ʋɛ aɖewo megbe o la, kpɔ egbɔ be yeyi ɖɔkta gbɔ.
- Mègavɔ̃ gbeɖe be yeabia nya wò ɖɔkta tso wò nɔnɔmea ŋu eye nàse egɔme nyuie o.
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