Kodi mwadzidzidzi munamvapo ululu wosapiririka paphewa panu? Kodi ndi woopsa kwambiri moti simungathe kuchita zinthu zosavuta monga kukweza mkono wanu, kusintha zovala, kapena kupesa tsitsi lanu? Kodi ululuwo ndi woopsa kwambiri moti umakudzutsani usiku? Chifukwa cha izi sichidziwika kwa ambiri, koma chikhoza kukhala vuto lopweteka kwambiri. Ndicho chimene tikulankhula lero. M'mawu azachipatala, timatcha vutoli Calcific Tendonitis .
Mwachidule, kodi Calcific Tendonitis ndi chiyani?
Chabwino, tiyeni tinene mwachidule. Tili ndi minofu yolimba m'thupi lathu yomwe imagwirizanitsa minofu ndi mafupa. Ichi ndi chomwe timachitcha kuti tendon. Calcific Tendonitis ndi pamene calcium deposits imapanga mkati mwa tendon izi.
Taganizirani ngati limescale yomwe imasonkhana mkati mwa chitoliro cha madzi pakapita nthawi. Umu ndi momwe calcium imasonkhana mkati mwa minyewa iyi. Ma calcium awa amatha kupangika pamalo amodzi kapena m'malo angapo. Pamene izi zikukula, kapena kutupa mwanjira ina, zimatha kuyambitsa ululu wosapiririka.
Ngakhale vutoli lingachitike mu mtsempha uliwonse m'thupi, nthawi zambiri limapezeka m'phewa . Dongosolo la mtsempha m'phewa limatchedwa ``Rotator cuff```. Chifukwa chake ndi ``Rotator cuff`` iyi yomwe imakhudzidwa kwambiri.
Kodi izi ndi zosiyana ndi Rotator Cuff Tendonitis ndi Frozen Shoulder?
Inde, zinthu zitatu zonsezi zimagwirizana ndi phewa, koma zimasiyana wina ndi mnzake.
- Rotator Cuff Tendonitis: Uku ndi kutupa kwa minyewa ya m'mapewa. Kungayambitsenso kutupa kwa matumba ang'onoang'ono odzaza ndi madzi otchedwa bursae omwe amathandiza minyewa kuyenda. Calcific Tendonitis siikhudza mwachindunji minyewa ya m'mapewa, koma ingayambitsenso kutupa chifukwa cha kuchuluka kwa calcium m'thupi.
- Mapewa Ozizira: Apa ndi pamene phewa limazizira komanso kuuma, zomwe zimalepheretsa mkono kuyenda. Nthawi zina, vuto lotchedwa Calcific Tendonitis lingayambitsenso `(Mapewa Ozizira)`.
Ndani amene ali ndi mwayi waukulu wopeza vutoli?
Anthu azaka zapakati pa 40 ndi 60 ali pachiwopsezo chachikulu chotenga matendawa. Zapezekanso kuti amapezeka kwambiri mwa akazi kuposa amuna. Komabe, amatha kuchitika kwa aliyense. Sichikugwirizana ndi ntchito kapena ntchito inayake.
Koma vuto limeneli si lofala kwambiri. Anthu ochepa pa khumi omwe akufuna chithandizo cha ululu wa m'mapewa amakhala ndi vutoli.
Kodi magawo a Calcific Tendonitis ndi ati?
Vutoli limachitika m'magawo atatu akuluakulu. Kumvetsa izi kudzakuthandizani kumvetsetsa bwino ululu womwe mukumva.
| Gawo | Chimachitika ndi chiyani pa siteji iyi |
|---|---|
| 1. Gawo la Pre-calcific | Iyi ndi gawo loyamba. Panthawiyi, kusintha kumayamba kuchitika pamlingo wa maselo mu minofu ya tendon. Ululu umachitika dzanja likasunthidwa, ndipo kuyenda kwa dzanja kumayamba kuchepa. |
| 2. Gawo la Calcific | Ndi panthawiyi pamene calcium imatulutsidwa m'maselo, ndipo calcium yomwe tatchulayi imayamba kupangidwa. Patapita kanthawi, thupi limayamba kudziunjikira yokha. Anthu ambiri amamva ululu waukulu kwambiri panthawiyi yodziunjikira. |
| 3. Gawo Lotsatira Calcific | Iyi ndi nthawi yochira. Panthawiyi, minofu yathanzi ya mtsempha imakulanso komwe kunali calcium. Ululu umachepa pang'onopang'ono, ndipo kuyenda m'dzanja kumayamba kubwerera mwakale. |
Kodi uwu ndi mtundu wa nyamakazi?
Ayi. Iyi si mtundu wa nyamakazi. Awiriwa ndi osiyana kotheratu.
Calcific Tendonitis ndi kutupa kwa minyewa . Koma nyamakazi ndi kutupa ndi kuwonongeka kwa mafupa . Nthawi zina vutoli lingasokonezedwe ndi mtundu wa nyamakazi wotchedwa calcium pyrophosphate dihydrate deposition disease (CPPD, kapena pseudogout). Chifukwa zimenezi zimaphatikizaponso kuyika kwa makhiristo a calcium mkati mwa mafupa. Koma ndi chinthu china chosiyana mkati mwa mafupa. Izi zimachitika mkati mwa minyewa.
Kodi zizindikiro zazikulu za vutoli ndi ziti?
Anthu ena akhoza kukhala ndi calcium deposits popanda kupweteka kulikonse. Komabe, ngati calcium deposits izi zatupa, zizindikiro zimatha kuwoneka.
- Kupweteka mwadzidzidzi komanso kosayembekezereka m'mapewa.
- Ululu waukulu ukasuntha phewa.
- Ululu umawonjezeka mpaka kufika poti simungathe kugona usiku .
- Kuvuta kuchita zinthu monga kukweza mkono wanu kapena kuuyika kumbuyo kwa msana wanu, zomwe zikutanthauza kuti simungayende bwino .
- Ululu womwe ungamveke ngakhale malo ozungulira a phewa akakhudzidwa.
Kodi dokotala amazindikira bwanji izi?
Mukapita kukaonana ndi dokotala wanu, choyamba adzakufunsani za zizindikiro zanu. Kenako adzayang'ana phewa lanu ndikuwona momwe mungasunthire mkono wanu kutali.
Pambuyo pake, mungatumizidwe kuti mukayesedwe kuti mutsimikizire vutoli ndikuwona matenda ena.
- Kuyezetsa X-ray: Iyi ndi njira yosavuta komanso yodziwikiratu yowunikira kuchuluka kwa calcium m'misempha.
- Kujambula pogwiritsa ntchito ultrasound: Izi zingathandizenso kuwona ngati calcium ili m'mafupa komanso momwe minofu ya m'chiuno ilili.
- Kujambula kwa MRI: Nthawi zina kujambulidwa kwa MRI kungafunike kuti mudziwe zambiri za kuwonongeka kwa tendon kapena mavuto ena.
Kodi mankhwala ochizira izi ndi otani?
Nkhani yabwino ndi yakuti anthu ambiri omwe ali ndi Calcific Tendonitis amatha kuchira popanda opaleshoni . Pali njira zingapo zochiritsira.
| Njira yochizira | Mwachidule, kodi zimenezi zikutanthauza chiyani? |
|---|---|
| Mankhwala ochepetsa ululu ndi oletsa kutupa (NSAIDs) | Mankhwala monga Ibuprofen ndi Naproxen angathandize kuchepetsa ululu ndi kutupa, koma musagwiritse ntchito izi popanda upangiri wa dokotala. |
| Majekeseni a Steroid | Ngati ululu ndi kutupa kuli kwakukulu, dokotala wanu angakupatseni jakisoni wa steroid mwachindunji m'malo olumikizirana mafupa. Izi zingathandize kuchepetsa ululu mwachangu. |
| Kuchiza Thupi | Ululu ukachepa, masewera olimbitsa thupi ndi chithandizo chapadera chimachitidwa motsogozedwa ndi katswiri wa zamaganizo kuti abwezeretse kuyenda bwino kwa mapewa ndi mphamvu. |
| Chithandizo cha Shockwave (ESWT/RSWT) | Izi zimaphatikizapo kutumiza mafunde amphamvu kwambiri (mafunde owopsa) kuti aswe calcium yambiri, zomwe zimathandiza kuti machiritso ayambe kuchira mwachangu. |
| Chithandizo cha lavage | Pa izi, dokotala, pogwiritsa ntchito makina a ultrasound, amaika singano ziwiri mu chotupa cha calcium. Singano imodzi imabaya madzi a saline pomwe inayo imachotsa tinthu ta calcium tosungunuka. |
| Kuchiza kwa Ultrasound | Chipangizo chogwiritsidwa ntchito m'manja chimagwiritsa ntchito mafunde amphamvu kwambiri kuti chithandize kuswa calcium yambiri. |
| Opaleshoni | Ngati palibe chithandizo china chomwe chapambana, nthawi zina opaleshoni imachitidwa kuti achotse calcium m'thupi. Komabe, izi ndizofunikira kwa odwala ochepa okha, pafupifupi 10%. |
Kodi ululu ungathetsedwe kunyumba?
Inde, kuwonjezera pa chithandizo cha dokotala, palinso zinthu zingapo zomwe mungachite kunyumba kuti muchepetse ululu.
- Kupuma: Pumulani phewa lanu likamapweteka. Pewani kunyamula zinthu zolemera kapena kuchita zinthu zina zolemetsa.
- Kupopera madzi otentha ndi ozizira: Anthu ena amapeza mpumulo chifukwa cha madzi otentha, pomwe ena amapeza mpumulo chifukwa cha mapaketi a ayezi. Onani zomwe zikukuyenderani bwino. Koma musaike ayezi mwachindunji pakhungu lanu, ikulungeni mu nsalu.
- Mankhwala ochepetsa ululu monga momwe dokotala wanu wanenera: Ngati dokotala wanu wakupatsani mankhwala ochepetsa ululu, imwani mankhwala ochepetsa ululu mu mlingo womwe mwapatsidwa.
Zofunika:Ngati mukumva kupweteka kwadzidzidzi komanso koopsa paphewa panu, dzanzi m'dzanja lanu, kapena ngati ululuwo sutha patatha masiku ochepa, pitani kwa dokotala mwamsanga.
Kodi ululu uwu ungabwererenso?
Inde, nthawi zina zizindikiro za Calcific Tendonitis zimatha kubwereranso. Anthu ena amatha miyezi kapena zaka popanda vuto lililonse ululu usanabwererenso. Chifukwa chake, ngati mudakumanapo ndi vutoli kale, ndi bwino kupita kwa dokotala kuti akakuwoneni nthawi zonse. Nthawi zambiri, vutoli limatha kuchiritsidwa mwachangu. Komabe, ndikofunikira kuti mupeze matenda oyenera komanso chithandizo.
Uthenga Wopita Nawo Kunyumba
- Calcific Tendonitis ndi matenda opweteka kwambiri omwe amayamba chifukwa cha calcium yomwe imayikidwa m'misempha ya phewa.
- Iyi si mtundu wa nyamakazi.
- Chizindikiro chachikulu ndi kupweteka kwa phewa komwe kumabwera mwadzidzidzi, kumawonjezeka usiku, ndipo kumakhala koopsa kwambiri kotero kuti sizingatheke kusuntha mkono.
- Nthawi zambiri, vutoli limatha kuchiritsidwa kwathunthu popanda opaleshoni, pogwiritsa ntchito mankhwala monga jakisoni, mankhwala, ndi physiotherapy.
- Ngati muli ndi zizindikiro izi, musazinyalanyaze. Pitani kwa dokotala mwamsanga kuti mudziwe bwino matendawa ndi kulandira chithandizo choyenera.
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