Kodi phewa lanu limapweteka nthawi zonse? Kodi mwatopa ndi ululu womwe umachokera mkati mwa phewa lanu mukanyamula zolemera, kusewera masewera, kapena kungokweza mkono wanu? Kodi nthawi zina mumamva phokoso la "click" m'dzanja lanu lapamwamba ndipo mwadzidzidzi mumamva ngati mukukankhidwa ndi ululu waukulu? Izi zitha kukhala vuto ndi tendon yomwe imalumikiza minofu yanu ya biceps. Lero, tiyeni tikambirane za opaleshoni yotchedwa Biceps Tenodesis, yomwe ingakhale yankho la vutoli.
Mwachidule, kodi biceps tenodesis ndi chiyani?
Biceps Tenodesis ndi opaleshoni yomwe imakonza kung'ambika kapena kuwonongeka kwa mutu wautali wa biceps tendon womwe umalumikiza minofu ya biceps yanu ndi phewa lanu. Makamaka, tendon iyi imalumikizana ndi chidutswa cha cartilage (labrum) mkati mwa phewa lanu. Pamene tendon iyi yang'ambika kapena kutupa (biceps tendonitis), ingayambitse kupweteka kwambiri ndi kufooka kwa phewa lanu ndi mkono.
Choncho mu opaleshoni iyi, dokotalayo amachotsa mtsempha wowonongeka kuchokera mkati mwa phewa ndikuulumikizanso ku fupa lapamwamba la mkono (humerus). Izi zili ngati kuchotsa gawo losweka la mlatho ndikulilumikiza pamalo atsopano komanso olimba.
Kodi inenso ndingafunike opaleshoni iyi? Zizindikiro zake ndi ziti?
Yang'anani ngati muli ndi zizindikiro izi kuti muwone ngati nthawi yakwana yoti muganizire za opaleshoni iyi.
| Chizindikiro | Kufotokozera |
|---|---|
| Kupweteka kwa phewa kosalekeza | Kupweteka kwa phewa komwe sikutha ngakhale mutapuma, kupatsidwa mankhwala ochizira ululu, kapena mankhwala ochepetsa ululu. |
| Kupweteka kwadzidzidzi ndi phokoso | Kumva phokoso la "click" kapena "tuck" ndi ululu waukulu mwadzidzidzi m'mwamba mwa mkono. |
| Kupindika kwa mkono | Kupweteka m'minofu ya mkono wapamwamba, makamaka ponyamula zinthu zolemera. |
| "Popeye Bulge" | Kunja kwa mkono kumakhala minofu yotupa kwambiri (Popeye bulge). Izi zimachitika chifukwa cha minofu ya biceps yomwe imakwera mmwamba pamene tendon yang'ambika kwathunthu. |
| Kutupa ndi kufinya | Kutupa kapena kutupa kuchokera ku dzanja lapamwamba mpaka ku chigongono. |
| Kulephera kutembenuza mkono | Kuvuta kuzunguliza dzanja kuti chikhatho chiyang'ane mmwamba. |
Ngati muli ndi chimodzi kapena zingapo mwa zizindikirozi, makamaka ngati muli ndi "Popeye Bulge" yooneka bwino, ndikofunikira kwambiri kufunafuna upangiri wa dokotala.
Nchifukwa chiyani minofu ya biceps iyi imang'ambika?
Pakhoza kukhala zifukwa zingapo za izi.
- Ukalamba: Pakapita nthawi, minofu ya m'thupi lathu imafooka ndi kufooka. Pamene tikukalamba, imayamba kung'ambika, ngakhale titavulala pang'ono.
- Masewera: Matendawa amatha kuchitika mwa anthu omwe amachita masewera omwe nthawi zambiri amakhudza mayendedwe a pamwamba (monga bowling mu cricket, kusambira, tennis, volleyball).
- Kuvulala kwina kwa mapewa: Ngati labrum (mphete ya cartilage yozungulira phewa) yang'ambika (yomwe imatchedwanso SLAP tendon ), tendon ya biceps imathanso kung'ambika kapena kung'ambika nthawi imodzi.
Njira zochitira opaleshoni ndi kukonzekera
Opaleshoni iyi ingathe kuchitika m'njira ziwiri zazikulu: opaleshoni yotseguka ndi opaleshoni ya arthroscopic.
Kukonzekera kwakukulu musanachite opaleshoni
Dokotala wanu adzakupatsani malangizo enieni, koma kawirikawiri, samalani ndi zinthu izi.
- Pewani kudya kapena kumwa kwa maola 8 musanachite opaleshoni (mankhwala wamba, monga mankhwala othamanga magazi, angatengedwe ndi madzi pang'ono).
- Ngati mukusuta fodya, siyani kusuta fodya osachepera milungu iwiri musanachite opaleshoni. Izi zithandiza kwambiri mtima ndi mapapo anu kugwira ntchito bwino.
- Ngati mukumwa mankhwala enaake ochokera ku zitsamba, lankhulani ndi dokotala wanu kuti musiye kumwa mankhwalawa patatha sabata imodzi kapena ziwiri musanachite opaleshoni.
1. Opaleshoni Yotseguka (Open Biceps Tenodesis)
Izi zimaphatikizapo kupanga kachidutswa kakang'ono (pafupifupi masentimita 3-4) kutsogolo kwa phewa, kuchotsa mtsempha wowonongeka, kuuchotsa, kuuyika mu dzenje laling'ono lopangidwa m'fupa lapamwamba la mkono, ndikukonza ndi chogwirira chapadera ndi sikulu (njira yolumikizira sikulu).
2. Opaleshoni ya Arthroscopic (Arthroscopic Biceps Tenodesis)
Iyi ndi 'opaleshoni ya chitseko cha kiyi'. Siimaphatikizapo kudula kwakukulu. M'malo mwake, mabowo angapo ang'onoang'ono amapangidwa mozungulira phewa, momwe kamera yaying'ono (arthroscope) ndi zida zochitira opaleshoni zimayikidwa. Dokotala, akuyang'ana zithunzi kuchokera ku kamera pa chowunikira, amamasula mtsempha wowonongeka ndikuwulumikizanso ku fupa la mkono monga kale.
| Njira yopangira opaleshoni | Ubwino | Zoyipa/Zovuta |
|---|---|---|
| Opaleshoni yotseguka (Yotseguka) | Malinga ndi kafukufuku wina, masewera amatha kubwerera msanga. | Chilondacho ndi chachikulu pang'ono. Mavuto monga matenda, kuwonongeka kwa mitsempha, kupweteka, ndi kuuma kwa minofu kungachitike. |
| Opaleshoni ya Arthroscopy | Ululu umakhala wochepa, nthawi yochira imatha kukhala yochepa, ndipo mabala amakhala ochepa kwambiri. | Zingatenge nthawi yayitali kuti munthu abwerere ku masewera poyerekeza ndi opaleshoni yotseguka. Mavuto ofala (ululu, matenda) amatha kuchitika. |
Dokotala wanu adzakusankhirani njira yabwino kwambiri kutengera zinthu monga mtundu wa kuvulala kwanu, zaka zanu, ndi moyo wanu.
Kodi chimachitika ndi chiyani pambuyo pa opaleshoni? Nthawi yochira
Nthawi zambiri zimatenga miyezi 4-6 kuti munthu achire bwino. Panthawi imeneyi, muyenera kukhala oleza mtima.
- Chigoba cha mkono: Muyenera kuvala chigoba cha mkono kwa milungu iwiri mpaka isanu ndi umodzi mutachita opaleshoni. Panthawiyi, mungafunike thandizo pa zochita za tsiku ndi tsiku komanso kuyendetsa galimoto.
- Chithandizo cha Thupi:Iyi ndi gawo lofunikira komanso lofunika kwambiri pakuchira. Patatha milungu ingapo mutachita opaleshoni, muyenera kuyamba kuchita masewera olimbitsa thupi motsogozedwa ndi katswiri wa zamaganizo. Izi zidzakuthandizani kuti muyambenso kuyenda bwino komanso kukhala ndi mphamvu m'mapewa anu.
- Kuyambiranso zochita: Nthawi zonse lankhulani ndi dokotala musanayambe kuchita zinthu monga kuchita masewera olimbitsa thupi, masewera, kapena kunyamula zolemera. Ngati muyamba kuchita masewera olimbitsa thupi mofulumira kwambiri, mutha kuvulazanso tendon yochira.
Nthawi yoti muyimbire dokotala nthawi yomweyo
Ngati chilichonse chonga ichi chichitika mutachita opaleshoni, dziwitsani dokotala wanu kapena chipatala nthawi yomweyo.
- Ngati bala likutuluka magazi kwambiri moti bandeji yanyowa.
- Ngati muli ndi ululu waukulu womwe sungathetsedwe ngakhale mutagwiritsa ntchito mankhwala ochepetsa ululu.
- Ngati kutupa m'dzanja lanu kukuchulukirachulukira.
- Ngati muli ndi dzanzi kapena mukumva dzanzi m'zala zanu kapena m'dzanja lanu.
- Ngati dzanja lanu kapena zala zanu zasintha mtundu (kufiyira) kapena kumva kuzizira mukakhudza.
- Ngati pali kufiira, kutupa, kupweteka, kapena madzi achikasu ngati mafinya omwe akutuluka pabala.
- Ngati muli ndi malungo (opitirira 101°F / 38.3°C).
Chiwopsezo cha opaleshoniyi ndi choposa 70%. Chifukwa chake, ngati mwapeza matenda oyenera, dokotala wodziwa bwino ntchitoyo akukuchititsani opaleshoniyo, ndikutsatira malangizowo molondola, mutha kuchotsa ululu wovutawu wa m'mapewa ndikubwerera ku moyo wanu watsiku ndi tsiku.
Uthenga Wopita Nawo Kunyumba
- Biceps Tenodesis ndi opaleshoni yomwe imalumikizanso tendon ya biceps yosweka kapena yowonongeka ku fupa.
- Kupweteka kwa phewa kosalekeza, kupweteka mwadzidzidzi ndi phokoso la "kudina", ndi kutupa kwa mkono ngati "Popeye" ndi zizindikiro zazikulu.
- Zingatenge miyezi 4-6 kuti munthu achire bwino atachitidwa opaleshoni, ndipo chithandizo chamankhwala ndichofunika kwambiri.
- Ndikofunikira kwambiri kutsatira malangizo a dokotala osati kuthamangira ntchito yolemetsa kapena masewera olimbitsa thupi panthawi yochira.
- Ngati muli ndi kukayikira kulikonse kapena muli ndi zizindikiro zilizonse zochenjeza zomwe zatchulidwa pamwambapa, pitani kwa dokotala nthawi yomweyo.
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