Mwina mukudziwa ululu wa phewa losweka, sichoncho? Zingakhale chifukwa cha kugwa, kuvulala pamasewera, kapena ngozi yagalimoto. Phewa losweka ndi vuto lalikulu, koma ngati litachiritsidwa bwino, likhoza kuchiritsidwa mwachangu. Lero, tikambirana mwatsatanetsatane, ngati kuti tikulankhula ndi mnzanu.
Kodi kupunduka kwa phewa n’chiyani kwenikweni?
Mwachidule, phewa losweka ndi pamene mafupa omwe ali m'malo mwa phewa lanu amachoka pamalo awo oyenera. Taganizirani izi motere: cholumikizira ndi pomwe mafupa awiri m'thupi lathu amalumikizana. Awa ndi gawo la dongosolo lathu lonse la mafupa .
Cholumikizira cha phewa lanu chimapangidwa ndi gawo longa mpira la fupa la mkono wanu wapamwamba (lotchedwa humerus ) lomwe limalowa m'gawo longa chikho la fupa la phewa lanu (lotchedwa glenoid) . Lili ngati mpira wolowa m'chikho.
Choncho, chomwe chimachitika mu vuto ili lotchedwa shoulder dislocation ndichakuti kulumikizana kwa mpira ndi socket kumamasuka. Izi zitha kuwononganso minofu yozungulira phewa. Izi zikutanthauza:
- Za minofu
- Kwa mitsempha
- Kupita ku tendon
- Kupita ku mitsempha
- Ku mitsempha yamagazi
Chofunika Kwambiri: Ngati mukuganiza kuti phewa lanu lasweka, kapena ngati simungathe kusuntha phewa lanu, muyenera kupita kuchipatala nthawi yomweyo. Musayesere kusintha phewa lanu nokha. Izi zidzangowonjezera kuvulalako.
Kodi mitundu ya kulumpha kwa phewa ndi iti?
Madokotala amagawa kusweka kwa mapewa kutengera momwe fupa layendera:
- Kusokonekera Konse Kapena Kusokonezeka: Apa ndi pamene mafupa a cholumikiziracho amalekanitsidwa kwathunthu ndipo sali pamalo ake.
- Kuchepetsa Kuchuluka kwa Mafupa: Izi ndi zomwe madokotala amatcha 'kuchepetsa kuchulukitsa kwa mafupa'. Chomwe chimachitika apa ndi chakuti china chake chaduladula mafupa anu ndipo mafupa awiriwa akadali pamodzi, koma osati mokwanira monga momwe analili kale.
Kodi kupweteka kwa mapewa kumakhala kofala bwanji?
Ndipotu, cholumikizira cha phewa ndicho cholumikizira chomwe chimapindika kwambiri m'thupi lathu. Komabe, sichifala kwambiri. Ngakhale m'dziko ngati America, anthu pafupifupi khumi mwa anthu 100,000 aliwonse amavulala chifukwa cha cholumikizira cha phewa chaka chilichonse.
Kodi zizindikiro za phewa losweka ndi ziti?
Kutupa kwa phewa kumatha kuyambitsa zizindikiro monga:
- Ululu waukulu kwambiri.
- Kufooka.
- Kusakhoza kugwirana chanza.
- Zikuoneka kuti phewa lasweka bwino.
- Kutupa.
- Kutupa kapena kusintha mtundu wa khungu.
- Kupweteka kwa minofu.
- Kusanza, kumva kuwawa, kapena kufooka m'dzanja, mkono, kapena zala.
Kodi n’chiyani chimayambitsa kugwedeza mapewa?
Mwachidule, chilichonse chomwe chimagwiritsa ntchito mphamvu yayikulu yokwanira kusokoneza phewa lanu chingayambitse vutoli. Zomwe zimayambitsa kwambiri ndi izi:
- Kugwa: Taganizirani zinthu monga kugwera m'bafa, kugwa kuchokera mumtengo, kapena kugwa kuchokera pa makwerero.
- Ngozi za magalimoto: Monga ngozi za njinga, ngozi za magalimoto.
- Ngozi zamasewera: Kudumphira m'madzi ndi kugwa mukusewera cricket, masewera olumikizana monga rugby, ndi volleyball.
Ndani amene ali pachiopsezo chachikulu cha kugwidwa ndi mapewa?
Ngakhale kuti aliyense akhoza kuvulala paphewa, anthu ena ali pachiwopsezo chachikulu. Izi zikuphatikizapo:
- Osewera omwe amasewera masewera olumikizana (monga rugby, mpira).
- Amuna (amuna ali ndi mwayi wopitilira kawiri wodwala matenda a m'mapewa poyerekeza ndi akazi).
- Achinyamata azaka zapakati pa 15 ndi 30.
- Anthu omwe adakweza mapewa awo nthawi yatha.
Kodi ndi mavuto otani omwe amabwera chifukwa cha kuvulala kwa phewa?
Kusokonekera kwa mapewa kungayambitse kuwonongeka kwa mafupa ndi minofu yozungulira phewa lanu. Izi ndi zovuta zomwe zimachitika kawirikawiri:
- Kusweka kwa Mafupa.
- Kutupa kwa Mitsempha ndi Tendon.
- Kuwonongeka kwa mitsempha.
- Kuwonongeka kwa mitsempha yamagazi.
- Kupsinjika kwa Minofu.
Kodi chilonda cha Hill-Sachs ichi n'chiyani?
Anthu ena amatha kukhala ndi chinthu chotchedwa Hill-Sachs Lesion akamasuntha phewa lawo. Izi zili ngati kubowoka kwa gawo longa mpira la fupa la mkono wanu wapamwamba (humerus). Ngati phewa lanu lisuntha ndipo humerus ikankhira pa dzenje la tsamba la phewa, gawo longa mpiralo likhoza kuwonongeka.
Kodi dokotala amadziwa bwanji ngati phewa lasweka?
Dokotala adzazindikira phewa lomwe lasochera ndi mayeso a thupi . Iye adzafufuza phewa lanu ndi mkono wanu wonse. Muyenera kuuza dokotalayo za zizindikiro zanu ndi zomwe munkachita musanavulale phewa lanu.
Ndi mayeso ati omwe akuchitidwa pa izi?
Kuti adziwe bwino kuwonongeka kwa mkati pambuyo pa kusokonekera kwa phewa, dokotala angachite mayeso ojambulira zithunzi monga:
- X-ray.
- Chithunzi cha Magnetic Resonance (MRI).
- Tomografia ya pakompyuta (CT scan).
- Ultrasound.
Kodi chithandizo cha phewa losweka ndi chiyani? (Izi ndizofunikira kwambiri!)
Ngati mukumva ngati mwadzikundikira phewa lanu,Pitani kuchipatala mwamsanga. Chithandizo chofunikira kwambiri cha phewa losweka ndikubwezeretsa mkono wanu pamalo omwe unali, pamalo ofanana ndi chikho. Izi zimatchedwa kuchepetsa kapena kusinthasintha . Izi zimachitika popanda opaleshoni. Dokotala adzakukankhira ndikukoka thupi lanu kunja kuti asinthe phewa lanu. Mungapatsidwe mankhwala oletsa ululu kuti achepetse malo ozungulira phewa lanu, kapena mungapatsidwe mankhwala ochepetsa ululu kuti thupi lanu likhale lopumula.
Kumbukirani izi: Musayese kuyika phewa lanu nokha. Musalole wina aliyense kupatula katswiri wodziwa bwino ntchito kukhudza kapena kusuntha phewa lanu lovulala. Sungani phewa lanu chete momwe mungathere, ndipo musayese kulikakamiza.
Ngati muyesa kuyika phewa lanu nokha, mutha kupangitsa kuvulalako kukhala koipitsitsa ndikuwononga minofu yozungulira.
Dokotala akabwezeretsa cholumikizira chanu pamalo pake, mungafunike chithandizo china. Izi zikuphatikizapo:
- Kuletsa kuyenda: Pambuyo poti phewa lakonzedwa, muyenera kuvala splint kapena sling kuti phewa lovulala lisamayende. Izi zichepetsa kupanikizika pa phewa ndikuthandiza kuti lichiritse. Dokotala wanu angakuuzeninso kuti phewa lanu lovulala lizizizira kangapo patsiku. Mungafunikenso kuchita masewera olimbitsa thupi opepuka kuti phewa lanu lisaume komanso kuuma. Funsani dokotala wanu kuti muyenera kuvala splint kapena sling kwa nthawi yayitali bwanji komanso kangati muyenera kuchita masewera olimbitsa thupi. Anthu ambiri amafunika kusunga phewa lawo losayenda kwa milungu ingapo.
- Mankhwala: Dokotala wanu adzakuuzani mankhwala omwe mungamwe kuti muchepetse ululu ndi kutupa. Musamwe mankhwala ochepetsa ululu a OTC kwa masiku opitilira 10 osalankhula ndi dokotala.
- Kupuma: Muyenera kupewa kuchita masewera olimbitsa thupi omwe amagwiritsa ntchito phewa lanu kapena omwe amalikakamiza. Funsani dokotala wanu kuti ndi zinthu ziti zomwe muyenera kupewa mpaka mutachira.
- Chithandizo cha Thupi: Phewa lanu likachira, muyenera kuyamba chithandizo cha thupi kuti mubwezeretse mphamvu ndi kuyenda. Poyamba, izi mwina zidzafuna masewera olimbitsa thupi pang'ono kuti muchepetse kuuma. Pamene mitsempha ya phewa lanu (yomwe imadziwikanso kuti capsule ya phewa) ikuyamba kuchira, muyenera kutambasula phewa lanu kuti lisamasuke ndikuliletsa kuti lisaume. Pomaliza, dokotala wanu kapena katswiri wa zamaganizo adzawonjezera masewera olimbitsa thupi kuti alimbitse minofu ya phewa lanu. Izi zingathandize kuchepetsa chiopsezo cha kusuntha kwa phewa mtsogolo. Anthu ambiri adzafunika chithandizo cha thupi kwa miyezi ingapo phewa litasuntha.
Kodi opaleshoni imafunika liti pa phewa losweka?
Anthu ambiri safunika opaleshoni phewa likasweka. Komabe, mungafunike opaleshoni pazochitika zotsatirazi:
- Ngati ngozi yomwe inachititsa kuti phewa lanu lidumphe inayambitsa kuvulala kwina kwamkati.
- Ngati kuchepetsa kotsekedwa komwe kwatchulidwa kale sikukugwira ntchito, kapena ngati sikungatheke, muyenera opaleshoni kuti mukonzenso malo olumikizirana mapewa anu.
- Ngati mwasoka phewa lanu kale, mungafunike opaleshoni kuti mukonze kapena kulimbitsa mitsempha yomwe imalumikiza mkono wanu ndi tsamba la phewa lanu.
Kodi zimatenga nthawi yayitali bwanji kuti munthu achire chifukwa cha phewa losweka?
Phewa losweka nthawi zambiri limatenga miyezi ingapo kuti lichiritsidwe. Muyenera kuletsa phewa lanu kuyenda kwa milungu ingapo kenako n’kulandira chithandizo chamankhwala cha miyezi ingapo pambuyo poti chilumikizo chachira.
Funsani dokotala wanu nthawi yomwe muyenera kudikira musanayambirenso kuchita masewera olimbitsa thupi. Ngati muchita masewera olimbitsa thupi kapena kuchita masewera olimbitsa thupi phewa lanu lisanachiritsidwe bwino, muli pachiwopsezo chachikulu cholivulazanso - zomwe zikutanthauza kuti mutha kulipwetekanso.
Kodi kutsekeka kwa mapewa kungapewedwe?
Sizotheka nthawi zonse kupewa kusokonekera kwa phewa, chifukwa nthawi zambiri kumachitika chifukwa cha ngozi zosayembekezereka komanso kuvulala mwadzidzidzi (kuvulala).
Kumbukirani zinthu izi mukamasewera:
- Valani zida zoyenera zotetezera.
- Ngati phewa lanu likupweteka, kaya panthawi yochita masewera olimbitsa thupi kapena mutatha, musaganize kuti mungathe "kusewera ndi ululu."
- Patsani thupi lanu nthawi yopuma ndikuchira mukatha kuchita zinthu zovuta.
- Dzitenthetseni ndi kutambasula bwino musanachite masewera olimbitsa thupi kapena kuchita masewera olimbitsa thupi.
- Ziziritsani ndi kutambasula thupi mukatha kuchita masewera olimbitsa thupi.
Tiyeni tichite izi kuti titetezeke:
- Sungani nyumba yanu ndi malo anu antchito aukhondo komanso opanda zinthu zosafunikira. Izi zidzakuthandizani kuti inu ndi ena musasokonezeke.
- Mukamatenga zinthu kunyumba, nthawi zonse gwiritsani ntchito zida kapena zida zoyenera. Musakwere pa mipando, matebulo, kapena makauntala.
- Ngati mukuvutika kuyenda kapena muli pachiopsezo chachikulu chogwa, gwiritsani ntchito ndodo kapena choyendera.
Kodi chingachitike n’chiyani ngati phewa lasokonekera? (Outlook)
Anthu ambiri amachira kwathunthu phewa litasweka. Ngakhale mutachitidwa opaleshoni, muyenera kubwereranso ku zochita zanu zambiri komanso masewera phewa lanu likachira.
Komabe, phewa lomwe linali litasochera kale likhoza kuvulalanso. Kafukufuku wina wapeza kuti othamanga oposa 90% osakwana zaka 25 omwe amasochera phewa lawo akamasewera masewera olimbitsa thupi adzavulazanso phewa lomwelo mtsogolo.
Lankhulani ndi dokotala wanu kapena dokotala musanayambe kuchita masewera olimbitsa thupi - makamaka masewera olimbitsa thupi. Angakuthandizeni kumvetsetsa zomwe mungayembekezere komanso momwe mungapewere kusweka kwa phewa mtsogolo.
Kodi sindingathe kupita kuntchito/kusukulu ngati nditadzipweteka phewa langa?
Ngati phewa lanu lovulala likupweteka kwambiri kuntchito kapena kusukulu, simungathe kupita kuntchito kapena kusukulu pamene phewa lanu silikuyenda bwino. Dokotala wanu adzakuuzani mayendedwe ndi malo omwe muyenera kupewa mpaka mutachira. Funsani dokotala wanu nthawi yomwe mungayambe kusewera masewera, kugwira ntchito zapakhomo, kapena kunyamula zolemera.
Kodi nthawi yabwino yopita kuchipatala chadzidzidzi ndi iti?
Ngati mwavulala mwadzidzidzi (kuvulala kwambiri), pitani ku dipatimenti yothandiza anthu mwadzidzidzi nthawi yomweyo.
Ngati mukuganiza kuti phewa lanu lasweka:
- Pitani ku dipatimenti ya zadzidzidzi kuchipatala nthawi yomweyo, kapena imbani nambala yadzidzidzi monga 1990.
- Musasunthe dzanja lanu. Lisungeni pafupi ndi thupi lanu.
- Musayese kuyika phewa lanu paokha. Musalole wina aliyense kupatula dokotala kuyesa kuyika phewa lanu paokha. Ngati wina kupatula dokotala ayesa kuyika phewa lanu paokha, mutha kuwononga mitsempha yamagazi, minofu, mitsempha, ndi mitsempha.
- Ikani paketi ya ayezi pamalo ovulala kuti muchepetse kutupa ndi ululu.
- Mankhwala ochepetsa ululu a NSAID omwe amaperekedwa ndi dokotala angathandize kuchepetsa ululu wanu ndi zizindikiro zina. Komabe, musamwe mankhwala ochulukirapo kuposa mlingo woyenera.
Ndi mafunso ati omwe muyenera kufunsa dokotala?
- Kodi ndiyenera kuchitidwa opaleshoni?
- Kodi ndiyenera kusunga dzanja langa chete kwa nthawi yayitali bwanji?
- Kodi ndiyamba liti kuchita masewera olimbitsa thupi?
- Kodi ndidzatha liti kusewera masewera kapena kuchita masewera olimbitsa thupi kachiwiri?
Kodi phewa losweka lidzatha lokha?
Ayi, phewa losweka silingachiritse lokha. Komanso, silingachiritse bwino pokhapokha ngati dokotala wayang'ana ndi kuchiza bwino.
Ngati muli ndi zizindikiro zilizonse za phewa losweka mutagwa, ngozi yamasewera, kapena ngozi ina, pitani kuchipatala nthawi yomweyo.
Kotero, tiyeni tifotokoze mwachidule zomwe takambirana. (Uthenga Wopita Nawo Kunyumba)
Chabwino, phewa losweka ndi pamene mutu wonga mpira wa fupa la mkono wanu wapamwamba umatuluka m'chimake cha tsamba la phewa lanu. Kugwa, kuvulala pamasewera, ndi kuvulala kwina mwadzidzidzi (kuvulala) ndizomwe zimayambitsa phewa losweka. Tinakambirananso za momwe phewa limasweka kwambiri m'thupi lathu.
Chofunika kwambiri ndichakuti, musayese kuyika phewa lanu lokha. Musalole wina aliyense kulikhudza kapena kulisuntha kupatula dokotala. Ngati mukuganiza kuti phewa lanu lasokonekera, kapena ngati simungathe kusuntha kapena kugwiritsa ntchito mkono wanu, pitani kuchipatala nthawi yomweyo.
Ndikukufunirani kuchira mwachangu!
Kusokonekera kwa phewa , Kuvulala kwa phewa, Kusokonekera kwa mafupa, Mafupa, Kuchiza thupi, Thandizo loyamba, Kuvulala kwa masewera, Chisamaliro chadzidzidzi

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