Kodi chiwalo chaching'ono ichi ndicho chimayambitsa kupweteka kwa phewa? Tiyeni tiphunzire za chiwalo cha AC (Acromioclavicular Joint)

Kodi nthawi zina mumamva kupweteka kwachilendo kapena kupsinjika kumtunda kwa phewa lanu, makamaka komwe tsamba la phewa limathera? Mwina kunayamba pamene munagwa pansi mukusewera cricket, kapena pamene munatsetsereka ndikugunda dzanja lanu pansi mutakwera njinga. Ngakhale anthu ambiri amaganiza kuti kupweteka kwa phewa kumeneku ndi kwachibadwa, kupsinjika kwa minofu, chifukwa chenicheni chingakhale vuto ndi cholumikizira chaching'ono koma chofunikira kwambiri paphewa lathu. Lero, tiyeni tikambirane za cholumikizira cha AC, chomwe si aliyense amalankhula kwambiri, koma ndi chofunikira kwambiri.

Kodi cholumikizira cha AC ichi ndi chiyani?

Mwachidule, cholumikizira cha AC ndi chimodzi mwa zolumikizira ziwiri zazikulu paphewa lanu. Dzina lake lonse ndi Acromioclavicular Joint . Dzinalo likumveka lovuta pang'ono, sichoncho? Koma momwe limapangidwira ndi losavuta kwambiri. Cholumikizira cha AC chili pomwe fupa lanu la collarbone, kapena clavicle , limalumikizana pamwamba pa tsamba lanu la phewa (scapula) . Mutha kumva pamwamba pa phewa lanu ndi zala za dzanja lanu lina. Ndi chotupa chaching'ono chomwe chimatuluka kumapeto kwa fupa lanu la collarbone, ndipo ndi komwe cholumikizira chili.

Kotero dzina lakuti `Acromio-clavicular` limapangidwa mwa kuphatikiza mayina a mafupa awiriwa. Ichi ndi cholumikizira chomwe chili chofunikira kwambiri pakuyenda ndi kukhazikika kwa phewa lathu.

Kodi AC junction imapereka chithandizo chotani ku thupi lathu?

Ntchito yaikulu ya cholumikizira cha AC ndikuchirikiza phewa ndikupereka malo oti mitsempha yozungulira phewa igwirizane.

Ganizirani za cholumikizira cha AC ngati cholumikizira 'chopanda kanthu' chomwe sichingayende chokha. Izi zikutanthauza kuti, mayendedwe ake amayendetsedwa ndi minofu ndi zimfundo zina m'mapewa. Minofu ya m'mapewa ikasuntha, phewa lonse limasuntha, ndipo pamenepo cholumikizira cha AC chimasuntha. Kunena zoona, ndi cholumikizira chozungulira chomwe chimalola mafupa awiri kutsetsereka bwino pamwamba pa wina ndi mnzake.

Mwachitsanzo, taganizirani kuti mukupalasa bwato ndipo mukukankhira manja anu patsogolo kenako n’kuwakoka kumbuyo. Pa nthawi imeneyi, phewa lanu likuyenda patsogolo ndi kumbuyo, ndipo cholumikizira cha AC ndicho chimathandiza phewa kuyenda bwino. Cholumikizira ichi n’chofunikanso kwambiri mukakweza mkono wanu mmwamba.

Kodi malo olumikizirana a AC amapangidwa ndi chiyani?

Mkati mwa malo olumikizirana ang'onoang'ono awa muli ziwalo zingapo zofunika kwambiri za thupi lathu.

• Mafupa: Monga tafotokozera kale, clavicle ndi scapula ndi mafupa awiri akuluakulu omwe amapanga cholumikizira ichi.
• Kutupa kwa mafupa: Kuti mafupa awiriwa asakhudzene pamodzi, pali tsinde pakati pawo. Ichi ndi chomwe timachitcha kuti cartilage. Ichi ndi chomwe chimalola mafupa awiriwa kutsetsereka bwino popanda kuwonongeka.
• Mitsempha: Mafupa awiri mu cholumikizira amalumikizidwa pamodzi ndipo amagwiridwa ndi mitsempha. Cholumikizira cha AC chili ndi mitsempha itatu ikuluikulu. Izi ndi zomwe zimapangitsa cholumikiziracho kukhala pamalo ake popanda kusuntha.
• Mitsempha: Timamva ululu ndi kumva bwino pa malo olumikizirana awa kuchokera ku dongosolo la mitsempha lomwe limayambira pakhosi mpaka pamapewa.
• Mitsempha ya magazi: Monga chiwalo chilichonse, malo olumikizirana magazi awa ali ndi njira yolumikizirana magazi kuti apereke zakudya ndi mpweya.

Kodi matenda ndi matenda ofala kwambiri a AC joint ndi ati?

Kuvulala kwa mafupa a AC kwenikweni n'kofala kwambiri. Malinga ndi madokotala, pafupifupi 40% ya kuvulala konse kwa mapewa kumabwera chifukwa cha mafupa a AC. Kuvulala kumeneku kungachitike m'njira zosiyanasiyana.

• Kuphwanyika kwa phewa: Kung'ambika kwa mitsempha yozungulira malo olumikizirana mafupa.
• Mapewa olekanitsidwa: Uku ndi kulekanitsidwa kwa tsamba la phewa ndi clavicle chifukwa cha kung'ambika kwa mitsempha yomwe imagwira tsamba la phewa pamodzi. Pali kuuma kosiyanasiyana.
• Mapewa oduka: Izi nthawi zambiri zimakhudza cholumikizira chachikulu cha phewa kuposa cholumikizira cha AC, koma pakagwa ngozi yayikulu cholumikizira cha AC chingakhudzidwenso.
• Kusweka kwa phewa: Kusweka kwa tsamba la phewa kapena humerus pamalo olumikizirana mafupa.

Chifukwa chachikulu cha chilichonse mwa izi ndi mphamvu yowonjezereka yomwe imayikidwa paphewa mwadzidzidzi. Ngozi zamasewera (monga kugwa mukusewera rugby, kuyendetsa galimoto mu cricket, kapena kusewera volleyball), ngozi zamagalimoto , ndi kugwa kuchokera pamwamba ndizomwe zimafala kwambiri.

Kuphatikiza apo, nyamakazi, matenda omwe amabwera munthu akamakalamba, ingakhudzenso chiwalochi. Komabe, anthu ambiri omwe ali ndi nyamakazi m'chiwalochi samva kupweteka kapena zizindikiro zilizonse. Chifukwa chake, chithandizo sichingakhale chofunikira.

Kodi kupweteka kwa mafupa a AC kumamveka bwanji?

Pamene phewa lanu likupweteka, zimakhala zovuta pang'ono kudziwa ngati ululuwo ukuchokera ku AC joint, chifukwa pamene likupweteka, limamva ngati phewa lonse likupweteka.

Nthawi zina ululu ungachokere pomwe pali AC joint. Koma nthawi zina ululuwo ukhoza kufika pakhosi, pansi pa phewa, minofu ya pachifuwa, kapena kumbuyo. Mtundu wa ululuwo umasiyananso malinga ndi chomwe chayambitsa.

N’chifukwa chiyani pali phokoso la 'tock tock' lomwe likuchokera ku AC junction?

Ili ndi vuto lomwe anthu ambiri ali nalo. Ndizachilendo kuti mafupa athu azipanga phokoso la 'kudina' kapena 'kudina' nthawi ndi nthawi. Izi zitha kuchitika tikatambasula thupi lathu kapena kupinda cholumikizira. Chifukwa cha izi ndikuti thovu la mpweya lomwe limagwidwa mumadzimadzi mkati mwa cholumikizira limatulutsidwa. Palibe chifukwa choopa mawu wamba otere.

Komabe, pali milandu yapadera yomwe muyenera kuiganizira.

Komanso, ngati nthawi zonse mumamva phokoso la kudina mukagwirana chanza mwanjira yomweyo, kapena ngati mukumva phokoso la 'kung'ambika' limodzi ndi phokosolo, ngati kuti mafupa awiri akukhutchumulana, muyeneranso kuuza dokotala za zimenezo.

Chofunika kwambiri: Ngati mukuganiza kuti mwavulala paphewa, musalole munthu wosaphunzitsidwa kukhudza, kumangitsa, kapena kusintha. Ngati mukuganiza kuti cholumikizira chasweka, musayese kuchibwezeretsa. Sungani phewa lanu pamalo okhazikika momwe mungathere ndipo pitani ku Dipatimenti Yothandiza Padzidzidzi (ETU) yapafupi nthawi yomweyo.

Kodi mankhwala otani a matenda a mafupa a AC?

Mtundu wa chithandizo chomwe mukufuna chidzadalira mtundu ndi kuopsa kwa vuto lanu. Dokotala wanu adzayamba kukuyang'anani (mwina ndi X-ray kapena scan) kuti adziwe mtundu weniweni wa vuto lanu. Pamenepo adzakupatsani chithandizo.

Mankhwala omwe amagwiritsidwa ntchito nthawi zambiri ndi awa:

• Kupuma: Ndikofunikira kwambiri kupumula phewa lovulala. Muyenera kupewa kunyamula zinthu zolemera, kugwira ntchito pamwamba pa thupi, komanso kuchita masewera olimbitsa thupi kwa kanthawi.
• Mankhwala ochepetsa ululu: Dokotala wanu angakulangizeni mankhwala monga NSAIDs (mankhwala oletsa kutupa omwe si a steroidal) kuti muchepetse ululu ndi kutupa. Nthawi zonse muzimwa mankhwalawa pokhapokha ngati dokotala wakupatsani upangiri.
• Jakisoni wa Corticosteroid: Ngati ululu ndi kutupa zili zazikulu kwambiri, dokotala wanu angakulangizeni jakisoni wapadera mwachindunji m'malo olumikizirana mafupa. Izi zimatchedwanso jakisoni wa cortisone .
• Kuchiza thupi: Uwu ndi chithandizo chofunikira kwambiri. Motsogozedwa ndi katswiri wa zamaganizo, muyenera kuchita masewera olimbitsa thupi apadera omwe amalimbitsa minofu ya phewa ndikuwonjezera kuyenda kwa cholumikizira. Izi zithandiza kwambiri kubwezeretsa cholumikizira pamalo ake abwinobwino.
• Kuletsa kuyenda: Dokotala amalangiza kusunga mkono mu sling kuti upumule cholumikizira ndikuletsa kuyenda kwambiri.
• Opaleshoni: Nthawi zambiri, opaleshoni si yofunikira. Komabe, ngati ligament yang'ambika kwathunthu ndipo cholumikiziracho chili kutali kwambiri (kulekana kwakukulu), kapena ngati pali kusweka, opaleshoni ingafunike kuti igwirizanenso.

Kodi mungatani kuti malo olumikizirana a AC akhale athanzi?

“Kupewa ndi bwino kuposa kuchiza,” iwo akutero. Choncho pali zinthu zingapo zomwe tingachite kuti tidziteteze ku kuwonongeka komwe kungachitike pa cholumikizira cha AC.

• Moyo Wathanzi: Kudya zakudya zoyenera komanso kuchita masewera olimbitsa thupi moyenera ndikwabwino kwambiri pa thupi lonse, komanso mafupa.
• Musanayambe ndi mutatha kuchita masewera olimbitsa thupi: Musanachite masewera olimbitsa thupi , tenthetsani thupi lanu bwino. Ndiko kuti, tenthetsani thupi lanu. Komanso, mukamaliza kuchita masewera olimbitsa thupi , tenthetsani minofu yanu bwino. Izi zimachepetsa kwambiri chiopsezo chovulala.
• 'Osasewera ngakhale mutamva ululu': Ngati mukumva kupweteka kwa phewa pamene mukusewera masewera, musanyalanyaze ndipo pitirizani kusewera. Izi zingapangitse kuvulala pang'ono kukhala vuto lalikulu. Ngati mukumva ululu, siyani kusewera ndipo mupumule.
• Valani zida zodzitetezera: Ngati mumasewera masewera otchuka monga rugby, valani zida zoyenera zodzitetezera, monga mapewa.
• Funsani upangiri wa dokotala:Ndibwino kupita kukayezetsa kuchipatala nthawi zonse. Komanso, ngati mukumva kupweteka kosazolowereka, kuuma, kapena phokoso lotuluka paphewa panu, musanyalanyaze ndipo pitani kwa dokotala nthawi yomweyo.

Phewa lathu ndi cholumikizira chodabwitsa m'thupi lathu. Chimatha kuyenda mbali zambiri komanso pamlingo waukulu kuposa cholumikizira china chilichonse. Cholumikizira cha AC ndi gawo lofunika kwambiri la cholumikizira chodabwitsachi. Simungaganizepo za cholumikizira ichi mpaka mutavulala. Koma sizikutanthauza kuti muyenera kunyalanyaza ululu uliwonse kapena kuuma kwa phewa lanu. Ngati mukumva china chake chachilendo m'phewa lanu, pitani kwa dokotala. Iye adzakufotokozerani vuto lenilenilo komanso chithandizo chabwino kwambiri.