Kodi munayamba mwamvapo kupweteka kwambiri paphewa panu komwe nthawi zina kumapanga phokoso lomveka bwino mukanyamula chinthu cholemera? Kapena mumavutika ndi kupweteka kwa paphewa komwe sikutha mosasamala kanthu kuti mwamwa mankhwala angati kapena kuti mwapuma bwanji? Chifukwa cha izi chikhoza kukhala kuvulala kwa mtsempha pamwamba pa minofu yanu ya biceps. Lero, tikambirana za opaleshoni yapadera yomwe imachitika pa vuto lotere.
Kodi opaleshoni iyi yotchedwa Biceps Tenodesis ndi chiyani?
Mwachidule, Biceps Tenodesis ndi opaleshoni yomwe imakonza tendon yomwe imalumikiza minofu ya biceps yanu ku phewa lanu ikang'ambika kapena kuwonongeka. Kuwonongeka kwa tendon iyi nthawi zina kumatchedwa ``Biceps Tendonitis'' ndi madokotala. Opaleshoni iyi imaphatikizapo kutulutsa tendon yowonongeka kuchokera paphewa ndikuyilumikizanso ku fupa lapamwamba la mkono (humerus). Izi zimathandiza kuchepetsa ululu ndikubwezeretsa mphamvu m'dzanja.
Kodi inenso ndingafunike opaleshoni iyi? Zizindikiro zake ndi ziti?
Pali zizindikiro zingapo zomwe zikusonyeza kuti mungafunike opaleshoni iyi. Tiyeni tiwone zomwe zili.
| Chizindikiro | Kodi izi zikutanthauza chiyani? |
|---|---|
| Kupweteka kwa phewa kosalekeza | Ululu kutsogolo kwa phewa womwe sumatha ngakhale mutapuma, kupatsidwa mankhwala ochizira thupi, kapena mankhwala ochepetsa ululu. |
| Kumva phokoso la 'click' kapena 'snap' | Mwadzidzidzi, mumamva phokoso lalikulu limodzi ndi ululu waukulu paphewa panu kapena pa mkono wanu wapamwamba. |
| Kupweteka m'mimba | Kumva ngati minofu ya mkono wakumwamba ikugwedezeka, makamaka ponyamula chinthu cholemera. |
| "Popeye" Bulge | Pamene tendon yang'ambika kwathunthu, minofu ya biceps imapindika pansi ndipo imaoneka ngati mpira, monga momwe zilili mu katuni ya 'Popeye'. |
| Kutupa ndi kufinya | Kutupa kapena kuvulala kungaoneke kuyambira pa phewa mpaka pachigongono. |
| Kulephera kutembenuza mkono | Zimakhala zovuta kuzungulira dzanja kuti chikhatho chiyang'ane mmwamba. |
Nchifukwa chiyani minofu ya biceps iyi imang'ambika?
Pakhoza kukhala zifukwa zingapo za izi.
- Ukalamba: Pakapita nthawi, minofu ya m'thupi lathu imafooka ndikufooka, zomwe zimapangitsa kuti ing'ambike mosavuta ngakhale ikavulala pang'ono.
- Masewera: Kuvulala kumeneku kumachitika kawirikawiri kwa anthu omwe amasewera masewera omwe amafunika kuti mkono ukhale pamwamba pa mutu, monga baseball, tenisi, ndi kusambira. Kusuntha mobwerezabwereza kumatha kuwononga mtsempha.
- Kuvulala kwina kwa phewa: Nthawi zina chipolopolo cha mkati mwa phewa chimang'ambika (kung'ambika kwa SLAP). Izi zikachitika, tendon ya biceps yomwe imalumikizidwa nayo imathanso kung'ambika kapena kusweka.
Njira ziwiri zazikulu zomwe opaleshoni imachitikira
Opaleshoni iyi imachitika makamaka m'njira ziwiri: opaleshoni yotseguka ndi opaleshoni ya arthroscopic.
| Mbali | Opaleshoni Yotseguka | Opaleshoni ya Arthroscopy |
|---|---|---|
| Momwe mungachitire | Kudula pang'ono (3-4 cm) kumapangidwa kutsogolo kwa phewa, mtsempha wowonongeka umachotsedwa, dzenje laling'ono limabowoledwa mu fupa la mkono, ndipo mtsempha umalumikizidwanso nalo. | Opaleshoniyi imachitika mwa kudula pang'ono pang'ono phewa, momwe kamera yaying'ono (arthroscope) ndi zida zimayikidwa. |
| Zipsera | Chilonda chaching'ono chatsala. | Mabala ochepa chabe ang'onoang'ono, osaoneka bwino omwe atsala. |
| Ululu ndi machiritso | Ngakhale ululu ungawonjezeke pang'ono pambuyo pa opaleshoni, kafukufuku wina akusonyeza kuti osewera akhoza kubwerera kusewera msanga. | Ululu umakhala wochepa pambuyo pa opaleshoni, ndipo nthawi yochira imatha kukhala yochepa. |
| Mavuto | Magazi amaundana, matenda, kuwonongeka kwa mitsempha, ndi kuuma kwa mitsempha kungachitike. | Magazi amaundana, matenda, ndi kuuma kwa mitsempha kungachitike (chiopsezo cha kuwonongeka kwa mitsempha ndi chochepa). |
Chofunika kwambiri ndi chakuti dokotala wanu asankhe njira yochitira opaleshoni yomwe ili yoyenera kwa inu, choncho kambiranani naye za njira imeneyi.
Kodi chimachitika ndi chiyani pambuyo pa opaleshoni?
Ngakhale opaleshoniyo itapambana, kudzipereka kwanu n'kofunika kwambiri kuti munthu achire bwino.
- Kuvala Chigoba cha mkono: Muyenera kuvala chigoba cha mkono kuti mupumule mkono wanu kwa milungu iwiri mpaka isanu ndi umodzi mutachita opaleshoni.
- Kuchepetsa Ululu: Mutha kumva ululu m'masiku ochepa oyamba. Gwiritsani ntchito mankhwala ochepetsa ululu monga momwe dokotala wanu wanenera. Kupaka ayezi kungathandize kuchepetsa kutupa ndi ululu.
- Kuchiza ndi Thupi: Iyi ndi gawo lofunika kwambiri pakuchira. Pambuyo pa milungu ingapo, muyenera kuyamba kuchita masewera olimbitsa thupi motsogozedwa ndi katswiri wa zamaganizo, monga momwe dokotala wanu walangizira. Izi zidzakuthandizani pang'onopang'ono kuyambiranso kuyenda bwino komanso mphamvu m'mapewa anu.
- Kuchira kwathunthu: Kuchira kwathunthu nthawi zambiri kumatenga pakati pa miyezi 4 ndi 6, koma nthawi ino imatha kusiyana malinga ndi munthu.
Musafulumire! Ngati muyamba kunyamula zolemera kapena kuchita masewera olimbitsa thupi musanachiritsidwe kwathunthu, mtsempha ukhoza kung'ambikanso. Choncho khalani oleza mtima mpaka dokotala wanu atanena kuti "Chabwino."
Kodi pali njira ina?
Inde, pali opaleshoni ina yotchedwa ``Biceps Tenotomy''. Izi zimangokhudza kudula ndi kutulutsa mtsempha wowonongeka kuchokera pa phewa; sunalumikizidwenso ndi fupa. Ngakhale kuti iyi ndi opaleshoni yosavuta, pali mwayi waukulu woti "Popeye" iphuphuke pambuyo pa opaleshoniyo.
Nthawi yoti mukaonane ndi dokotala nthawi yomweyo
Ngati mukukumana ndi zizindikiro zotsatirazi mutapita kunyumba mutachita opaleshoni, imbani dokotala wanu nthawi yomweyo kapena pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) ya chipatala chapafupi.
- Ngati chotupacho chikutuluka magazi ambiri ndipo sichisiya ngakhale mutachikanikiza.
- Ululuwu ndi woopsa kwambiri moti sungathetsedwe ngakhale ndi mankhwala ochepetsa ululu.
- Ngati kutupa m'dzanja lanu kukukulirakulira.
- Kusamva bwino kapena kutaya kumva bwino m'zala kapena m'dzanja.
- Kusintha kwa mtundu wa dzanja kapena zala (zabuluu/zakuda) kapena manja ozizira kwambiri.
- Kufiira, kutupa, kupweteka kwambiri, kapena madzi ofanana ndi mafinya omwe akutuluka pamalo ochitira opaleshoni.
- Malungo (oposa 101 F / 38.3 C).
Uthenga Wopita Nawo Kunyumba
- Biceps Tenodesis ndi opaleshoni yopambana kwambiri yochizira ululu wa phewa womwe umachitika chifukwa cha kung'ambika kwa biceps tendon. Ili ndi chiwopsezo chopambana cha 70%.
- Zingatenge miyezi 4-6 kuti munthu achire bwino, ndipo ndikofunikira kwambiri kukhala woleza mtima panthawiyi.
- Kuchita masewera olimbitsa thupi ndi gawo lofunika kwambiri pakuchira. Musachite zimenezo.
- Musayambenso kunyamula zolemera kapena kuchita masewera olimbitsa thupi popanda upangiri wa dokotala. Kuchita zimenezi kungayambitse kuvulalako.
- Ngati muli ndi mafunso okhudza vuto lanu, opaleshoni, kapena njira yochiritsira, musaope kufunsa dokotala wanu.
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