Tiyeni tiphunzire za mayeso a O'Brien a ululu wa phewa m'njira yosavuta!

Kodi phewa lanu limapweteka pang'ono? Mwina mumamva ululu umenewo mukachita zinazake, mukakweza mkono wanu? Mukakhala ndi ululu wa phewa wotere, pali mayeso osavuta otchedwa mayeso a O'Brien omwe madokotala amagwiritsa ntchito kuti apeze chomwe chikuyambitsa. Tiyeni tikambirane za izi mwatsatanetsatane lero, chabwino?

Kodi mayeso a O'Brien ndi chiyani?

Mwachidule, mayeso a O'Brien ndi mayeso osavuta omwe madokotala amagwiritsa ntchito kuti athandize kuzindikira chomwe chimayambitsa kupweteka kwa phewa lanu. Ali ngati mayeso osavuta omwe mumachita ndi dzanja lanu. Kwenikweni amafufuza kung'ambika kapena kuwonongeka kwa khosi la phewa lanu, makamaka labrum , kapena vuto lililonse ndi AC joint yanu (acromioclavicular joint) . Amatchedwanso 'active compression test' chifukwa imakhudza kukweza mkono wanu ndikugwiritsa ntchito mphamvu.

Kodi mayeso a O'Brien amachitidwa liti?

Tsopano mwina mukuganiza kuti, 'Kodi cholumikizira cha AC ichi ndi chiyani? Kodi cholumikizira ichi ndi chiyani?' Phewa lathu ndi cholumikizira chovuta kwambiri, sichoncho? Lili ndi zigawo zambiri. Mayeso a O'Brien awa amayang'ana kwambiri magawo awiri: cholumikizira chanu cha AC ndi cholumikizira chanu cha labrum .

Kodi AC Joint ndi chiyani?

Cholumikizira cha AC ndi chimodzi mwa zolumikizira zinayi zomwe zili paphewa lanu. Apa ndi pomwe pamwamba pa tsamba lanu la phewa (timatcha acromion , yomwe ndi pamwamba, m'mphepete mwa tsamba la phewa) imakumana ndi pamwamba pa khosi lanu ( clavicle ). Taganizirani izi ngati cholumikizira chaching'ono pamwamba pa phewa lanu. Mayeso a O'Brien amatha kuzindikira mavuto aliwonse ndi cholumikizira cha AC, monga kupatukana kapena kung'ambika kwa cartilage pamenepo.

Kodi labrum ndi chiyani?

Labrum ndi chidutswa cha cartilage chomwe chimaoneka ngati bumper. Chili mozungulira cholumikizira chachikulu paphewa lanu (chotchedwa glenoid) . Chimathandiza kuti cholumikizira cha mpira ndi soketi m'phewa lanu chikhale chokhazikika. Cholumikizira ichi chimapangidwa ndi soketi ya fupa la phewa lanu (glenoid) ndi mpira ndi soketi ya fupa lanu lapamwamba la mkono ( humerus ). Mayeso a O'Brien amatha kuwona ngati pali kung'ambika kwa gawo lapamwamba la labrum iyi . Izi zimatchedwanso SLAP tear . SLAP ndi chidule cha Superior Labrum, Anterior to Posterior. Izi zikutanthauza kung'ambika kwa gawo lapamwamba la labrum, kuyambira kutsogolo mpaka kumbuyo.

Komanso, mayeso a O'Brien nthawi zina amatha kuzindikira mavuto ena a m'mapewa, mwachitsanzo:

• Kung'amba kwa Rotator Cuff
• Matenda a Kupindika kwa Mapewa
• Matenda a nyamakazi a Acromioclavicular kapena kulekanitsidwa kwa AC joint

Zimathandizanso kutsimikizira kuti izi sizili choncho.

Ndani amayesa O'Brien uyu?

Mayeso a O'Brien nthawi zambiri amachitidwa ndi ogwira ntchito zachipatala monga:

• Ophunzitsa masewera , makamaka pankhani ya kuvulala kwa othamanga.
• Madokotala a mafupa ndi madokotala omwe ali ndi chidziwitso chapadera chokhudza mafupa ndi mafupa anu .
• Akatswiri a zamaganizo ndi anthu omwe amakuthandizani kuchira mwa kukuphunzitsani masewera olimbitsa thupi.
• Opereka chithandizo choyamba ndi madokotala omwe nthawi zambiri mumawawona koyamba ngati muli ndi vuto lachipatala.

Kodi mayeso a O'Brien amagwira ntchito bwanji?

Chabwino, tsopano tiyeni tiwone momwe tingachitire mayeso a O'Brien awa ndendende. Ndi osavuta kwambiri. Mutha kuchita mutakhala kapena mutayimirira.

Dokotala adzakuuzani kuti muchite izi:

1. Choyamba, tambasulani manja anu onse awiri molunjika kutsogolo pa ngodya ya madigiri 90 mpaka pamapewa anu, molingana ndi nthaka . Zigongono zanu ziyenera kukhala zowongoka kwathunthu.

2. Kenako, bweretsani manja anu pang'ono m'mbali, kutanthauza kuti, pafupi ndi pakati pa thupi lanu (pafupifupi madigiri 10 mpaka 15).

3. Tsopano ndi gawo lofunika kwambiri. Tembenuzani manja anu mkati . Kumbuyo kwa manja anu kudzayang'anizana, ndi zala zanu zazikulu zikuloza pansi . Zigongono zanu zidzatembenuzidwira kutali ndi thupi lanu. Izi zimatchedwa pronation m'mawu azachipatala.

Tangoganizirani, muli ndi botolo la madzi m'manja mwanu ndipo mukupotoza chivundikirocho, ngati kuti mukuchilimbitsa.

Pamene mukugwira manja anu motere, dokotalayo adzakhala patsogolo panu kapena kumbuyo kwanu ndikukankhira manja anu kuchokera pamwamba mpaka pansi . Adzakuuzani kuti mukweze manja anu mmwamba motsutsana ndi kupsinjika kumeneko . Izi zikutanthauza kuti musalole manja anu kugwa.

Kenako, dokotala adzakuuzani kuti mutembenuzire manja anu mbali ina. Kutanthauza kuti, tembenuzani manja anu mmwamba, kupita padenga . Kenako zigongono zanu zidzatembenukira pansi. Izi zimatchedwa supination . Zili ngati mukutambasula mkono wanu ndikupempha wina kuti akupatseni chinachake.

Apanso, pamene dokotala akukankhira manja anu pansi kuchokera pamwamba mpaka pansi, muyenera kukankhira manja anu mmwamba.

Kodi mayeso a "positive" a O'Brien amatanthauza chiyani?

Chabwino, tsopano popeza mayesowa achitika, kodi dokotala anganene bwanji ngati ali ndi 'positive' kapena 'negative'?

Mayeso a O'Brien 'okhala ndi kachilombo' amaonedwa kuti ndi awa:

• Mumamva kupweteka paphewa lanu pamene dokotala akukanikizani dzanja lanu pamene mukutembenuza manja anu mkati (monga, poyamba ndi zala zanu zazikulu pansi).
• Koma, mukatembenuza manja anu kupita kunja (monga, m'malo achiwiri ndi manja anu akuyang'ana mmwamba) ndipo dokotala akukanikizani dzanja lanu,Ululu umenewo udzachepa, kapena kutha.

Ululu uyenera kuchepetsedwa kwambiri pamalo achiwiri awa kuti mayeso a O'Brien akhale 'olondola'.

Tsopano, dokotala akhoza kupeza lingaliro kutengera komwe ululu umamveka.

• Ngati ululu uli mkati mwa phewa, nthawi zambiri umakhala ngati kung'ambika kwa labral . Nthawi zina, ngati pali kung'ambika kwa labral, mungamve phokoso la 'click' m'phewa mukachita mayesowa.
• Ngati ululu uli pamwamba pa phewa lanu, pafupi ndi khungu , ukhoza kukhala chizindikiro cha vuto la mafupa a AC .

Kodi ndiyenera kukonzekera bwanji mayesowa?

Simukuyenera kukonzekera mwapadera kuti muchite mayeso a O'Brien, kapena mayeso okakamiza. Iyi ndi mayeso osavuta kwambiri omwe nthawi zambiri amachitikira ku ofesi ya dokotala.

Kodi chimachitika ndi chiyani pambuyo pa mayeso a O'Brien?

Pambuyo poyesa, dokotala wanu adzakudziwitsani za zotsatira zake. Izi zikutanthauza kuti, kaya mayesowo ndi 'abwino' kapena 'ayi', chifukwa chake anali choncho, tanthauzo lake, ndi zina zotero. Kenako, adzakuuzani ngati mukufuna mayeso ena.

Kodi mayeso a O'Brien ndi odalirika bwanji ?

Tsopano mwina mukudabwa kuti, 'Kodi mayeso a O'Brien awa ndi olondola 100%?' Ndipotu, nthawi zina ngakhale anthu omwe ali ndi mapewa abwino amatha kukhala ndi mayeso 'olondola' okakamiza . Izi zikutanthauza kuti ngakhale munthu amene sakumva ululu amatha kumva ululu panthawi yoyamba.

Chifukwa chake, mayeso a O'Brien ndi chida chimodzi chokha chomwe dokotala amagwiritsa ntchito poyesa kupweteka kwa phewa. N'zovuta kunena ndendende zomwe matendawa amachokera pa izi zokha. Nthawi zambiri, mayesowa amaphatikizidwa ndi mayeso ena kuti adziwe matenda molondola komanso mokwanira .

Kodi zimatenga nthawi yayitali bwanji kuti mupeze zotsatira za mayeso a O'Brien?

Mukhoza kudziwa zotsatira za mayeso a O'Brien nthawi yomweyo chifukwa dokotala akuchita nanu. Akhoza kukuuzani nthawi yomweyo ngati muli ndi ululu kapena ayi, komanso nthawi yomwe unayamba.

Koma, monga ndanenera kale, iyi ndi sitepe imodzi yokha poyesa kupweteka kwa phewa lanu. Dokotala wanu angakulangizeninso mayeso ena, monga:

• Kujambula X-ray, CT scan, kapena MRI scan : Izi zitha kujambula zithunzi za mkati mwa phewa lanu kuti muwone momwe mafupa, cartilage, ndi minofu yofewa zilili.
• Kuyezetsa magazi : Nthawi zina, poyang'ana kuchuluka kwa mankhwala enaake m'magazi mwanu, mutha kudziwa ngati muli ndi vuto monga gout kapena rheumatoid arthritis .
• Kujambula mafupa a phewa: Iyi ndi opaleshoni yaying'ono. Kamera imayikidwa kudzera mu mng'alu waung'ono kwambiri ndipo mkati mwa phewa mumayesedwa. Nthawi zina izi zimagwiritsidwa ntchito pozindikira komanso kuchiza.

Tenga uthenga kunyumba

Chabwino, ndikukhulupirira kuti tsopano mwamvetsa bwino mayeso a O'Brien omwe takambirana lero.

Mwachidule, mayeso a O'Brien ndi mayeso osavuta omwe dokotala angachite kuti athandize kudziwa chomwe chimayambitsa kupweteka kwa phewa. Nthawi zambiri amagwiritsidwa ntchito pofufuza vuto la kung'ambika kwa labral kapena vuto la mafupa a AC.

Ngakhale izi zokha sizingapange mfundo zomveka bwino, zingathandize dokotala wanu kudziwa bwino za vuto lanu. Ngati mukumvanso kupweteka kwa phewa, ndi bwino kupita kwa dokotala ndikupeza mayeso ndi chithandizo chofunikira popanda kunyalanyaza. Mukatero mutha kuchira mwachangu.

Kupweteka kwa phewa , mayeso a O'Brien, mayeso okakamiza, kung'ambika kwa labrum, matenda a mafupa a AC, kuyezetsa phewa, kung'ambika kwa SLAP