Kupweteka kwa phewa? Tiyeni tiphunzire za cholumikizira cha AC (Acromioclavicular Joint - AC Joint)!

Kodi munayamba mwamvapo kupweteka kwa phewa? Kapena munayamba mwamvapo kupweteka pang'ono kapena kusasangalala paphewa panu mukuchita masewera, kunyamula zolemera, kapena kungoyimirira? Nthawi ngati zimenezi, mwina tinamvapo za chinthu chotchedwa 'AC joint'. Mwina dokotala anakuuzani dzina limeneli. Chifukwa chake, lero tikambirana za chomwe AC joint iyi ili, kufunika kwake m'thupi lathu, ndi mtundu wa mavuto omwe ingayambitse, komanso momwe mungadzitetezere ku mavutowo.

Kodi AC Joint ndi chiyani?

Mwachidule, cholumikizira cha AC ndi chimodzi mwa zolumikizira ziwiri zazikulu paphewa lanu. Apa ndi pomwe fupa lanu la m'khosi , kapena lomwe nthawi zambiri timalitcha 'collarbone' yanu, limakumana ndi pamwamba pa tsamba lanu la phewa, 'acromion' . Ndicho chifukwa chake chimatchedwa 'cholumikizira cha acromioclavicular' kwathunthu. Dzina lalitali, sichoncho? Choncho tiyeni tingoti cholumikizira cha AC mwachidule, ndikosavuta.

Kodi ntchito ya cholumikizira cha AC ndi yotani? Kodi chimathandiza bwanji phewa?

Tsopano tiyeni tiwone zomwe chiwalo cha AC ichi chimachita ku thupi lathu komanso zomwe chimachita. Ntchito yake yayikulu ndikupereka chithandizo chabwino paphewa lanu komanso kupereka malo ofunikira kuti mitsempha yozungulira phewa igwirizane.

Taganizirani izi, cholumikizira cha AC ichi ndi cholumikizira 'chopanda mphamvu'. Izi zikutanthauza kuti, sichingayende chokha. Minofu ndi zimfundo zina m'mapewa zikasuntha, cholumikizira cha AC chimayendanso mogwirizana ndi kayendedwe kameneko. Chili ngati mpira womwe umagubuduzika wina akakankhira. Chimatchedwanso 'cholumikizira chokhazikika.' Izi zikutanthauza kuti, chimathandiza mafupa awiri kutsetsereka bwino pamwamba pa wina, osagundana.

Mukagwiritsa ntchito minofu ya mapewa anu kusuntha phewa lanu, cholumikizira cha AC chimathandiza kusuntha phewa lanu kutsogolo ndi kumbuyo (anteroposterior movement). Mwachidule, ganizirani ngati mukupalasa bwato, komwe manja anu amatambasulidwa patsogolo kenako nkukokedwa kumbuyo, zomwe zimapangitsa kuti zigongono zanu zisunthe kumbuyo. Cholumikizira cha AC chimathandiza kwambiri ndi mayendedwe a mapewa ngati amenewo.

Kodi malo olumikizirana a AC ali kuti kwenikweni?

Izi ndizofunikiranso kudziwa. Cholumikizira cha AC chili pamwamba pa phewa lanu. Kunena zoona, cholumikizira chaching'ono koma chofunikira kwambiri ichi ndi komwe kumapeto kwa khosi lanu kumakumana ndi kutsogolo kwa tsamba la phewa lanu. Ngati muyika dzanja lanu pamwamba pa phewa lanu, mutha kumva komwe cholumikizirachi chili.

Kodi cholumikizira cha AC chili ndi ziwalo ziti?

Cholumikizira cha AC chimapangidwa ndi zigawo zingapo. Tiyeni tiwone zomwe zili:

• Mafupa: Khola lanu (Clavicle) ndi tsamba la phewa (Scapula) ndi mafupa awiri omwe amapanga kwambiri cholumikizira ichi.
• Kuchuluka kwa chichereŵechereŵe:Kuphimba malekezero a mafupa awa kuli gawo lolimba komanso lolimba la cartilage. Izi zimagwira ntchito ngati thaulo labwino la cholumikizira cha AC, kuthandiza mafupa awiriwa kuyenda bwino komanso popanda kupweteka popanda kukandana.
• Mitsempha: Pali mitsempha itatu ikuluikulu yomwe imalumikiza cholumikizira cha AC. Mitsempha iyi imagwira mafupa awiri pamodzi ndipo imathandiza cholumikiziracho kukhalabe ndi mawonekedwe ake. Ili ngati zingwe zomwe zimagwirira cholumikiziracho pamodzi.
• Mitsempha: Cholumikizira cha AC chimalandira kumva kuchokera ku mitsempha yomwe imayenda kuchokera pakhosi kupita ku phewa. Mitsempha iyi ndi yomwe imatithandiza kumva kupweteka.
• Mitsempha yamagazi: Cholumikizira cha AC chimalandira michere ndi mpweya kuchokera m'magazi. Magazi amenewa amachokera makamaka ku mitsempha ya suprascapular ndi mitsempha ya thoracoacromial .

Kodi matenda ndi mikhalidwe yofala yomwe imakhudza chiwalo cha AC ndi iti?

Mwatsoka, kuvulala kwa mafupa a AC n'kofala kwambiri. Malinga ndi akatswiri azachipatala, 40% ya kuvulala konse kwa mapewa kumabwera chifukwa cha mafupa a AC! Tangoganizirani kuchuluka kwa mafupa amenewa omwe angavulale.

Zitsanzo zodziwika bwino za izi ndi izi:

• Kuphwanyika kwa phewa: Kuwonongeka kwa mitsempha.
• Mapewa olekanitsidwa: Kulekanitsidwa kwa khosi ndi acromion.
• Mapewa oduka: Cholumikiziracho sichili pamalo ake.
• Kusweka kwa mapewa: Kusweka kwa mafupa ozungulira malo olumikizirana mafupa.

Chilichonse chomwe mwadzidzidzi chimaika mphamvu kapena kukakamiza kwambiri paphewa chingawononge malo olumikizirana a AC. Ngozi zamasewera, ngozi zamagalimoto, komanso kugwa kuchokera pamwamba ndizomwe zimayambitsa izi.

Komanso, nyamakazi imatha kuyamba m'malo olumikizirana mafupa a AC. Apa ndi pamene chipolopolo cha mafupa chimatha. Komabe, anthu ambiri samva ululu uliwonse kapena zizindikiro zina. Chifukwa chake simungafunike chithandizo ndipo simungadziwe kuti muli ndi nyamakazi ya mafupa a AC.

Kodi kupweteka kwa mafupa a AC kumamveka bwanji?

Mukakhala ndi ululu wa phewa, zimakhala zovuta kudziwa ngati ndi ululu wa mafupa a AC. Chifukwa phewa ndi malo ovuta. Ngakhale mutadziwa bwino lomwe cholumikizira cha AC ndi komwe chili, sizophweka kudziwa komwe ululu umayambira phewa lanu likapweteka.

Mungamve ululu pamalo pomwe pali AC joint, pamwamba pa phewa. Komabe, nthawi zina ululuwo ukhoza kufika pakhosi, m'munsi mwa phewa, kapena minofu pachifuwa kapena kumbuyo.

Mmene ululu wa mafupa a AC umamvekera zimadalira chomwe chikuyambitsa ululuwo. Ululu ungamveke m'njira zosiyanasiyana, kuphatikizapo:

• Ululu wakuthwa komanso wobaya: Ululu wamtunduwu ungachitike, makamaka mukasuntha phewa lanu, kukweza mkono wanu, kapena kuchita chilichonse chogwiritsa ntchito phewa lanu.
• Ululu wosasangalatsa komanso wopweteka: Ululu wosasangalatsa komanso wopweteka womwe umamveka ngati phokoso lochepa kumbuyo, kapena ngati kuti chinachake chikukupwetekani nthawi zonse. Izi zitha kukhala zosatha.
• Kupweteka: Ululu womwe umamveka ngati takhala tikuchita masewera olimbitsa thupi molimbika, kapena kugwira ntchito zolemetsa zapakhomo, kapena kuthandiza mnzathu kunyamula china chake, kenako ziwalo zathu zimapweteka.

N’chifukwa chiyani cholumikizira cha AC chimapanga phokoso la "pop"?

Ndizachilendo kumva phokoso lomveka kapena lomveka kuchokera m'mafupa anu, osati mapewa anu okha, komanso mawondo ndi zala zanu. Phokoso limeneli nthawi zambiri limayamba chifukwa cha thovu la mpweya lomwe lili mu synovial membrane , madzi omwe amapaka mafuta pamfundo, kuphulika. Sikoyenera kuda nkhawa ngati mukungotambasula kapena kuyenda.

Koma, samalani ndi zinthu izi:

Ngati mukumva phokoso lalikulu mukagwa, kumenya phewa lanu mwamphamvu mukuchita masewera, kapena ngati muli ndi ululu waukulu wa phewa, ululu womwe umakupangitsani kukhala kovuta kusuntha phewa lanu, kapena ngati mawonekedwe a phewa lanu akuwoneka kuti asintha, muyenera kuwonana ndi dokotala nthawi yomweyo. Phokoso lamtunduwu likhoza kuchitika chifukwa cha kusuntha kapena kulekanitsidwa kwa phewa. Komanso, ngati nthawi zonse mumapanga phokoso lomwelo mukasuntha phewa lanu, kapena ngati mukumva kutopa mukasuntha phewa lanu, muyeneranso kuwonetsa kwa dokotala.

Chinthu china chofunika kwambiri:

Ngati mukuganiza kuti phewa lanu lili pachiwopsezo, musalole aliyense kulikhudza, kulikanikiza, kulikoka, kapena kulikonza kupatula dokotala wodziwa bwino ntchito kapena katswiri wa zamaganizo. Makamaka ngati mukuganiza kuti phewa lanu lasokonekera kapena lapatukana, musayese kulikonza nokha kapena kupempha munthu amene simukumudziwa kuti alikonze. Kuchita zimenezi kungayambitse kuwonongeka kwina. Lisungeni pamalo okhazikika momwe mungathere ndipo pitani kuchipatala nthawi yomweyo.

Kodi ndi mankhwala otani omwe amagwiritsidwa ntchito pochiza mavuto a mafupa a AC?

Mtundu wa chithandizo chomwe mukufuna chidzadalira kuvulala kapena vuto lomwe muli nalo. Izi zikutanthauza kuti, simulandira chithandizo chifukwa cha kusweka kwa mafupa, koma chifukwa cha kusweka kwa mafupa. Dokotala wanu adzakuyang'anirani ndikukupatsani chithandizo chomwe chingathandize kuchepetsa zizindikiro zanu ndikuthandiza kuti mafupa anu a AC achire mwachangu.

Nazi zina mwa njira zochiritsira zomwe zimagwiritsidwa ntchito kwambiri:

• Pumulani: Pumulani phewa lomwe lakhudzidwa ndipo pewani kuchita masewera olimbitsa thupi, makamaka masewera olimbitsa thupi, kwa kanthawi.
• Mankhwala:
• Kuti muchepetse ululu ndi kutupa, mutha kugula mankhwala ochepetsa ululu omwe amapezeka mu pharmacy, mwachitsanzo , NSAIDs (Nonsteroidal Anti-inflammatory Drugs) (monga ibuprofen, naproxen) kapena paracetamol (Acetaminophen) .
• Mankhwala a Corticosteroids ndi mankhwala omwe amalembedwa ndi dokotala omwe amachepetsa kutupa ndi ululu mwachangu. Mankhwalawa amatha kuperekedwa ngati mapiritsi kapena jakisoni wa cortisone mwachindunji m'malo olumikizirana mafupa.
• Kuchiza thupi: Izi ndizofunikira kwambiri. Katswiri wa zamaganizo adzakuphunzitsani masewera olimbitsa thupi ndi mankhwala enaake kuti akuthandizeni kuyambiranso kuyenda bwino kwa phewa, kulimbitsa minofu yanu, komanso kuchepetsa ululu.
• Kulephera kuyenda: Pa kuvulala kwina, mungapemphedwe kuvala sling kapena brace yapadera kwa masiku angapo kuti phewa lanu lisamayende.
• Opaleshoni: Opaleshoni ingakhale yofunikira pa kuvulala kwakukulu monga kusweka kwa mafupa, kapena kusweka kwa mitsempha komwe sikunachiritsidwe ndi mankhwala ena.

Kodi ndingatani kuti chiwalo changa cha AC chikhale chathanzi komanso cholimba?

"Kupewa kuli bwino kuposa kuchiza." Izi zikutanthauza kuti, ndi bwino kupewa matenda asanayambe kusiyana ndi kuchiza matenda akayamba. Chifukwa chake, njira yabwino kwambiri yosungira osati AC yanu yokha, komanso thupi lanu lonse kukhala lathanzi ndikutsatira zizolowezi zabwino zaumoyo. Izi zikutanthauza:

• Kudya zakudya zabwino zomwe zimakuyenererani komanso kuchita masewera olimbitsa thupi nthawi zonse .
• Ndikofunikira kutentha bwino musanayambe kuchita masewera olimbitsa thupi, makamaka masewera, komanso kuziziritsa thupi mutatha kuchita masewera olimbitsa thupi.
• Ngati phewa lanu likupweteka, kaya panthawi yochita masewera olimbitsa thupi kapena mutatha, musayesere kupirira ululuwo. Izi ndi zomwe anthu ambiri amachita, koma ndi chinthu chomwe simuyenera kuchita. Ululu ndi chizindikiro chochokera m'thupi lanu, mverani.
• Kugwiritsa ntchito zida zoyenera zodzitetezera pazochitika zilizonse, masewera, kapena ntchito iliyonse yomwe mumachita. Mwachitsanzo, kuvala mapewa pamasewera ena.
• Pitani kukaonana ndi dokotala nthawi zonse ndipo pitani kwa dokotala mukangoona kusintha kulikonse kwachilendo, kupweteka, kapena zizindikiro zina m'mapewa anu.

Pomaliza, kumbukirani zinthu izi

Phewa lanu ndi lolumikizana lovuta komanso lodabwitsa. Limakuthandizani kuchita zinthu zambiri pa moyo wanu watsiku ndi tsiku, kuyambira kukweza mkono wanu, kuupotoza, kunyamula zolemera, kulemba, ndi kudya. Ndipotu, phewa lanu limatha kuyenda kutali komanso m'njira zambiri kuposa cholumikizira china chilichonse m'thupi lanu. Cholumikizira cha AC ndi gawo lofunika kwambiri la dongosolo lodabwitsali. Sichimangothandiza phewa lanu, komanso chimathandiza kuti liziyenda bwino.

Nthawi zambiri, simumaganizira ngakhale za cholumikizira cha AC m'moyo wanu watsiku ndi tsiku, chifukwa chimagwira ntchito yake mwakachetechete. Komabe, sitimaganizira kwambiri za icho mpaka patakhala kuvulala kapena vuto lomwe limakhudza cholumikiziracho. Komabe, sizikutanthauza kuti muyenera kunyalanyaza ululu uliwonse, kuuma, dzanzi, kapena zizindikiro zina zachilendo zomwe mumamva m'phewa lanu.

Kumbukirani, ngati mukumva zachilendo, ululu, kapena kusasangalala paphewa panu, musanyalanyaze. Pitani kwa dokotala. Adzakufotokozerani vuto lanu, chithandizo choyenera, ndikuchita zonse zomwe angathe kuti akuthandizeni kukhalanso ndi thanzi labwino. Musadandaule, pali mankhwala othandiza pa matenda ambiri a mapewa!

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