Tiyeni tiphunzire za mayeso a Yergason okhudza kupweteka kwa phewa.

Kodi mulinso ndi mavuto monga kupweteka kwa phewa, kuvutika kukweza mkono wanu, kapena phokoso la "kudina" kuchokera paphewa lanu? Nthawi zina madokotala athu amachita mayeso apadera akuthupi kuti adziwe chomwe chimayambitsa zinthuzi. Mayeso ofunikira otere amatchedwa Yergason's Test . Tiyeni tikambirane za izi lero m'njira yosavuta yomwe mungamvetse, chabwino?

Kodi Mayeso a Yergason ndi chiyani?

Mwachidule, mayeso a Yergason ndi mayeso apadera a thupi omwe madokotala athu amachita. Cholinga chachikulu cha izi ndikupeza kuwonongeka kulikonse kwa minofu yathu ya biceps, makamaka mutu wautali wa biceps tendon womwe umamatira paphewa. Sikuti kokha, mayesowa angaperekenso lingaliro la zinthu zina zingapo. Mwachitsanzo:

• Kodi muli ndi kung'ambika kwa ligament yanu yopingasa ya humeral?
• Kodi pali kuvulala kwapadera pa phewa komwe kumatchedwa SLAP tear?
• Kodi pali vuto lotchedwa biceps tendonitis?

Tsopano mwina mukuganiza kuti mayina awa ndi ovuta pang'ono. Musadandaule, tiyeni tisunge zinthu mosavuta.

Choyamba, kodi minofu yathu ya biceps ili kuti?

Minofu ya biceps ndi minofu yomwe aliyense amadziwa yomwe imabwera mukakweza mkono wanu kuti "muwonetse minofu yanu." Imapezeka pamwamba pa mkono wathu wapamwamba, humerus, womwe ndi fupa lomwe limayenda kuchokera paphewa kupita ku chigongono. Minofu ya biceps imatithandiza pa ntchito zambiri, monga kunyamula zolemera, kupinda zigongono zathu, ndi kutambasula manja athu pamwamba pa mitu yathu.

Ndiye, kodi mutu wautali wa biceps tendon uli kuti?

Minofu ya minofu ndi minofu yolimba yomwe imagwirizanitsa minofu ndi mafupa. Minofu yathu ya biceps ili ndi minofu itatu ikuluikulu.

• Minofu iwiri imalumikiza biceps ndi phewa. Mutu wautali wa biceps tendon umalumikizana ndi glenoid, yomwe ndi soketi pamwamba pa phewa.
• Mnofu wina waufupi (mutu waufupi wa tendon ya biceps) umalumikizana ndi njira ya coracoid ya fupa la phewa (scapula).
• Mnofu wachitatu umalumikiza minofu ya biceps ndi fupa la radius lomwe lili padzanja lathu, pamwamba pa chigongono.

Mayeso a Yergason amakhudza kwambiri mtsempha wautali womwe umamatira paphewa.

Kodi ligament yopingasa ya humeral ndi chiyani?

Iyi ndi ligament yaying'ono, yayikulu, komanso yopingasa. Ligament ndi minofu yomwe imagwirizanitsa mafupa. Ligament iyi yopingasa ya humeral ili pa "mpira" wa fupa lathu lakumtunda kwa mkono (humerus), pamwamba pa mutu wautali wa biceps tendon. Chofunika kwambiri chomwe ligament iyi imachita ndikusunga mutu wautali wa biceps tendon pamalo pake mu groove yotchedwa bicipital groove, ndikuiteteza kuti isatuluke tikasuntha mkono wathu. Mnofu uwu umagwira ntchito ngati lamba.

Kodi misozi ya SLAP ndi chiyani?

SLAP ndi chidule cha Superior Labrum Anterior mpaka Posterior tear. Labrum ndi mphete ya cartilage yomwe imazungulira glenoid cavity, kapena "socket," ya phewa. Labrum imathandiza kuti phewa likhale lolimba. Kung'ambika kwa SLAP ndi kuvulala kwa gawo lapamwamba la labrum iyi, kuyambira kutsogolo kupita kumbuyo - kungakhale kung'ambika, kung'ambika, kapena kung'ambika kwathunthu. Chofunika kwambiri, mutu wautali wa biceps tendon umalumikizananso ndi gawo lapamwamba la labrum iyi. Chifukwa chake ngati labrum yavulala, pali mwayi waukulu kuti ingakhudzenso biceps tendon.

Kodi biceps tendonitis ndi chiyani?

Izi zimangotanthauza kuti pali kutupa kapena kukwiya mu tendon yathu ya pamwamba ya biceps, makamaka tendon yayitali. Vutoli limayamba chifukwa chogwiritsa ntchito tendon mopitirira muyeso, monga kusuntha mobwerezabwereza, kunyamula zinthu zolemera, ndi zina zotero. Mnofu wa biceps ukhozanso kutupa chifukwa cha zaka zambiri zogwiritsidwa ntchito paphewa.

Kodi mayeso a Yergason amachitidwa bwanji?

Taganizirani momwe dokotala angachitire mayesowa mukapita kwa dokotala chifukwa cha ululu wa phewa.

1. Muyenera kukhala pansi kapena kuimirira mowongoka. Ikani manja anu mwachibadwa pansi m'mbali mwanu, kumbuyo kwa dzanja lanu kuyang'ana patsogolo.

2. Kenako, muyenera kupinda chigongono chanu pa ngodya ya madigiri 90 (kupindika). Chofunika kwambiri ndikusunga chigongono chanu ndi mkono wapamwamba pafupi ndi thupi lanu. Chikhatho chanu chiyenera kuyang'anabe pansi.

3. Tsopano dokotala adzaika zala za dzanja limodzi pang'onopang'ono kutsogolo kwa phewa lanu, komwe kuli mtsempha wa bicipital (komwe kuli ligament yopingasa ya humeral ndi tendon yayitali ya biceps). Izi zili choncho chifukwa akufuna kumva kayendedwe kalikonse komweko panthawi yoyezetsa.

4. Ndi dzanja lake lina, adzagwira mkono wanu. Izi zimachitika kuti muchepetse pang'ono mukasuntha mkono wanu.

5. Kenako, mukupemphedwa kuti muchite mayendedwe awiri nthawi imodzi:

• Kusunga zigongono zanu pafupi ndi thupi lanuMuyenera kuzungulira mkono wanu kunja, chikhatho chanu chikuyang'ana mmwamba.
• Pa nthawi yomweyo, muyeneranso kusuntha mkono wanu pang'ono kuchokera ku thupi lanu.

Mayeso omwewo amachitidwa pa dzanja lanu lina "labwino", lomwe silinapweteke. Yerekezerani awiriwa kuti muwone ngati pali kusiyana.

Kodi mayeso a Yergesson amatanthauza chiyani ngati ali ndi "positive"?

Mayesowa amaonedwa kuti ndi "abwino" ngati zotsatirazi zitachitika:

• Ngati ligament yanu yopingasa yang'ambika, zala za dokotala paphewa panu zidzamva ngati "kudina" kapena kugwedezeka. Izi zili choncho chifukwa mtsempha wautali wa biceps, womwe unagwiridwa bwino ndi ligament, tsopano ukutuluka mu mtsempha wa bicipital.
• Komanso, ngati mukumva kupweteka kapena kuuma paphewa panu panthawi yoyezetsa, chimenechonso ndi chizindikiro "chabwino". Mtundu uwu wa ululu ukhoza kusonyeza vuto monga tendinopathy (vuto la nthawi yayitali la tendon), tendinosis (kusweka kwa puloteni ya collagen mu tendon), kapena SLAP rain.

Kodi mayesowa ndi olondola bwanji?

Mayeso a Yergason akuti ali ndi mphamvu yozindikira mavuto a biceps tendon ndi 43% komanso 79% yeniyeni.

Kodi kukhudzidwa ndi kudziwika kwa mayeso ndi chiyani?

Ngakhale kuti mawu awiriwa angawoneke ngati a zachipatala pang'ono, ndi osavuta kumva.

• Kuzindikira matenda kumatanthauza kuthekera kwa mayeso kuzindikira molondola anthu omwe ali ndi matenda monga "inde, ndili ndi matendawa." Kuzindikira matendawa kukakhala kwakukulu, kumachepetsa zolakwika zabodza.
• Kutsimikiza kumatanthauza kuthekera kwa mayeso kuzindikira molondola anthu omwe alibe matenda monga "ayi, matendawa kulibe." Kutsimikiza kwakukulu, kumatsimikizira kuti pali zabwino zochepa.

Pamene maperesenti awiriwa ali pafupi ndi 100%, mayesowo amakhala olondola kwambiri pozindikira matendawa. Koma kumbukirani, mayeso amodzi okha sangakhale otsimikiza nthawi zonse.

Mumachita chiyani mukamaliza mayesowa?

Ngati mayeso a Yergason ali "abwino," kapena ngati dokotala akuganiza kuti akufunika kudziwa zambiri, angachite izi:

• Mayeso ena akuthupi: Mayeso ena apadera, monga mayeso a Speed ​​kapena mayeso a O'Brien, angachitike. Tiyeni tiwonenso mwachidule.
• Mayeso ojambula zithunzi:Chinthu chonga MRI (Magnetic Resonance Imaging) chingapangidwe kuti chiyang'ane mkati mwa phewa.
• Malangizo a chithandizo:
• Mpumulo: Kupumula phewa ndikofunikira kwambiri.
• Aisi: Mutha kugwiritsa ntchito ayezi kwa mphindi 15-20 kangapo patsiku kuti muchepetse ululu ndi kutupa.
• Mankhwala oletsa kutupa: Dokotala amalemba mankhwala ochepetsa ululu ndi kuchepetsa kutupa.
• Jakisoni wa Cortisone: Nthawi zina, mankhwala otchedwa cortisone amatha kubayidwa mwachindunji m'malo olumikizirana mafupa, zomwe zimachepetsa ululu ndi kutupa mwachangu.
• Kuchiza thupi: Mothandizidwa ndi katswiri wa zamaganizo, mungathe kuchita masewera olimbitsa thupi omwe amalimbitsa minofu ya mapewa ndikuwonjezera kusinthasintha.
• Kuchotsa minofu yosweka, yosweka, kapena yomasuka mkati mwa phewa (nthawi zambiri kudzera mu kudula pang'ono monga arthroscopy).
• Maopaleshoni ena: Nthawi zina, kutengera chifukwa chake, opaleshoni monga biceps tenotomy (kudula tendon) kapena tenodesis (kulumikiza tendon kumalo ena) ingakhale yofunikira.

Mayeso ambiri kuti azindikire matenda a m'mapewa

Tiyeni tiphunzire pang'ono za mayeso a Yergason, komanso mayeso ena angapo omwe madokotala amagwiritsa ntchito.

Mayeso a Liwiro

Iyi ndi njira ina yoyezera thupi yomwe imachitika pofuna kupeza mavuto a tendon ya biceps, makamaka mavuto a mutu wautali wa tendon ya biceps, monga misozi ya SLAP kapena tendinopathy ya phewa.

Momwe mungachitire (zosavuta):

Mudzaimirira ndi dzanja lanu pambali panu, chikhatho chanu chikuyang'ana patsogolo. Popanda kupinda chigongono chanu, kwezani dzanja lanu mozungulira pang'ono (monga kuponya mpira) mpaka litafika pamwamba pa phewa lanu (pa ngodya ya madigiri 90). Mukakweza dzanja lanu motere, dokotala adzaika dzanja lake limodzi pa mkono wanu ndikukupatsani mphamvu zina.

Palinso mitundu yosiyanasiyana ya izi. Dokotala adzasankha njira yoyenera kutengera mtundu wa ululu.

Kodi mungakhale bwanji "otsimikiza"?

Ngati mukumva kupweteka kapena kufooka panthawi yoyezetsa iyi, mayesowo ndi "abwino." Ululu ukhoza kusonyeza kutupa kwa tendon ya biceps (biceps tendonitis) kapena zilonda za SLAP. Ngati mukumva kufooka (monga, simungathe kukweza mkono wanu), mutha kung'ambika mu tendon ya biceps.

Kulondola: Mayesowa akuwonetsa kukhudzidwa kwa 32% ndi 75% yeniyeni pozindikira mavuto ndi biceps tendon.

Mayeso a O'Brien

Iyi ndi njira ina yoyesera yomwe imagwiritsidwa ntchito kuzindikira matenda a tendon ya biceps, makamaka kuvulala kwa mutu wautali wa tendon ya biceps ndi zilonda za SLAP.

Momwe mungachitire (zosavuta):

Mukakhala pansi kapena mutayimirira, kwezani dzanja lanu molunjika patsogolo panu kufika pamlingo wa phewa (madigiri 90). Kenako tembenuzani dzanja lanu pang'ono mkati mwa thupi lanu (kuwonjezera madigiri 10). Tsopano tembenuzani dzanja lanu kuti chala chanu chachikulu chiloze pansi ndipo chikhatho chanu chikuyang'ana kutali ndi thupi lanu. Dokotala akamaika mphamvu yotsika pamwamba pa mkono wanu, muyenera kuyika mphamvu pa mkonowo. Kenako, tembenuzani dzanja lanu kuti chikhatho chanu chiyang'ane mmwamba, ndipo bwerezaninso mphamvu yotsutsana ndi mphamvu yotsika yomwe dokotalayo amagwiritsa ntchito.

Kodi mungakhale bwanji "otsimikiza"?

Ngati mukumva kupweteka mukachita mayesowa, mayesowo ndi "abwino." Kupweteka pa phewa kungasonyeze kuti muli ndi vuto la SLAP. Ngati ululuwo uchepa mukatembenuza mkono wanu, zimenezo zimawonjezera umboni woti muli ndi vuto la SLAP.

Kulondola: Mayesowa akuwonetsa kukhudzidwa kwa 38% ndi 61% yeniyeni pozindikira zilonda za SLAP.

Chofunika: Musayese mayeso aliwonse mwa awa nokha. Mayeso awa ayenera kuchitidwa ndi dokotala wodziwa bwino ntchito yake.

Pomaliza, kumbukirani izi (Uthenga Wopita Nawo Kunyumba)

Mayeso a Yergason ndi mayeso ofunikira kwambiri omwe angathandize kuzindikira mavuto ena omwe ali ndi tendon ya biceps yomwe ingayambitse kupweteka kwa phewa. Makamaka, angathandize kuzindikira matenda monga kuvulala kwa tendon ya biceps, kuvulala kwa ligament yodutsa, kuvulala kwa SLAP, ndi biceps tendonitis.

Koma kumbukirani, mayeso "olondola" ngati awa sakutanthauza kuti mudzakhala ndi vuto lalikulu. Dokotala wanu adzachita mayeso ambiri ndikuwayerekeza ndi zizindikiro zanu kuti apeze matenda enieni. Kenako, inu ndi dokotala wanu mudzagwira ntchito limodzi kuti mupange dongosolo la chithandizo lomwe lili loyenera kwa inu. Izi zitha kuphatikizapo mankhwala osamalira thupi monga kupuma, ayezi, mankhwala ochepetsa ululu, ndi mankhwala olimbitsa thupi, komanso njira zina zochitira opaleshoni ngati pakufunika kutero.

Choncho, ngati mukumva kupweteka kwa phewa kosalekeza, musaope kupita kwa dokotala. Iye adzakuthandizani.

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