Kodi phewa lanu limakuuma? Kodi ichi ndi chimene mukutanthauza ndi 'phewa lozizira'?

Kodi nthawi zina zimakuvutani kukweza phewa lanu kapena kusuntha mkono wanu? Kodi mumamva ngati phewa lanu lagwira kapena lagwira? Kodi zimakupwetekani mukayesa kusintha zovala, kupesa tsitsi lanu, kapena kukweza mkono wanu kuti mutenge china chake? Ngati zinthu izi ndizofala kwa inu, ndiye kuti mwina muli ndi vuto lotchedwa 'Frozen Shoulder' , kapena monga momwe madokotala amalitchulira ``Adhesive Capsulitis'' . Ndiye, kodi tikambirane izi mwatsatanetsatane lero?

Kodi 'Frozen Shoulder' ndi chiyani?

Mwachidule, phewa lozizira ndi vuto lopweteka lomwe limapezeka m'malo olumikizirana mafupa a phewa lanu. Limadziwika ndi kuchepa pang'onopang'ono kwa mphamvu yosuntha phewa lanu. Makamaka, minofu yolumikizana yozungulira malo olumikizirana mafupa a phewa lanu (yotchedwa Shoulder Joint Capsule) imakhuthala, kuuma, komanso kutupa.

Taganizirani cholumikizira cha phewa lanu ngati chidutswa cha fupa chooneka ngati mpira (chotchedwa mutu wa humeral) chomwe chimalowa mu chidutswa china cha fupa chooneka ngati mpira (chotchedwa glenoid). Ichi ndi chomwe timachitcha cholumikizira cha mpira ndi soketi. Kapisozi yozungulira cholumikiziracho ili ndi mitsempha yomwe imalumikiza fupa lapamwamba la mkono ndi tsamba la phewa.

Kotero pamene `(Capsule)` iyi yakula ndi kukhala yolimba, zimakhala zovuta kusuntha phewa. Mumachepetsanso kugwiritsa ntchito phewa chifukwa cha ululu. Mukapanda kuligwiritsa ntchito, `(Capsule)` imeneyo imakula ndi kukhala yolimba. Pamapeto pake, phewa limakhala "lozizira" pamalo amodzi. Ndicho chifukwa chake limatchedwa phewa 'lozizira'.

Kodi zizindikiro za izi ndi ziti? Kodi zimakula bwanji?

Madokotala amagawa zizindikiro za vuto la 'mapewa ouma' m'magawo atatu.

1. Gawo la "Kuzizira"

Iyi ndi gawo loyamba. Panthawiyi, phewa lanu lidzalimba pang'onopang'ono komanso lidzakhala lopweteka posuntha. Ululu udzawonjezeka pang'onopang'ono. Ululu ukhoza kukhala wokulirapo usiku. Komanso pang'onopang'ono zidzakhala zovuta kusuntha phewa lanu. Gawoli nthawi zambiri limatenga milungu isanu ndi umodzi mpaka miyezi isanu ndi inayi.

2. Gawo la "Ozizira"

Mukafika pagawo lachiwiri, ululu ukhoza kuchepa pang'ono. Koma phewa lidzakhala lolimba kwambiri komanso lolimba. Izi zimapangitsa kuti zikhale zovuta kwambiri kuchita ntchito za tsiku ndi tsiku, monga kuvala zovala kapena kupesa tsitsi lanu. Gawoli likhoza kukhala miyezi iwiri mpaka isanu ndi umodzi.

3. Gawo la "Kusungunuka"

Iyi ndi gawo lomaliza la kuchira. Panthawiyi, ululu umachepa ndipo mphamvu yosuntha phewa imakula pang'onopang'ono. Phewa limapezanso mphamvu zonse kapena pafupifupi zonse komanso mtunda woyenda. Gawoli limatha kukhala miyezi isanu ndi umodzi mpaka zaka ziwiri.

Tangoganizirani, anthu ena ayenera kukumana ndi magawo onse atatu: choyamba, kukhala ndi ululu, kenako kukhala ndi ululu ngakhale kuti ululuwo ukuchepa, ndipo pamapeto pake, kuchira pang'onopang'ono.

Kodi chifukwa chachikulu chomwe 'phewa lozizira' ili limakulira ndi chiyani?

Ndipotu, ofufuza sakudziwabe chomwe chimayambitsa phewa lozizira. Koma tikudziwa kuti vutoli limayamba chifukwa cha kapisozi ya phewa yomwe imatupa, kukhuthala, komanso kuuma. Pakapita nthawi, minofu ya zipsera, yomwe imadziwika kuti zomatira, imapangika mu kapisozi. Madzi a synovial omwe amathandiza kuti phewa lizigwira ntchito bwino amachepanso. Zonsezi pamodzi zimalepheretsa phewa kuyenda ndi kuzungulira momasuka.

Ndani ali pachiopsezo chachikulu chotenga 'mapewa ouma'?

Anthu ena ali ndi mwayi waukulu wopeza vutoli. Tiyeni tiwone kuti ndi ndani:

• Zaka: Izi zimachitika kawirikawiri mwa akuluakulu azaka zapakati pa 40 ndi 60.
• Jenda: Matendawa amapezeka kwambiri mwa akazi kuposa amuna.
• Kuvulala kwa phewa posachedwapa: Ngati mwavulala phewa lanu (monga kung'ambika kwa rotator cuff, kusweka kwa tsamba la phewa, fupa la m'khosi, kapena fupa la mkono wapamwamba), opaleshoni, kapena kulephera kuyenda kwa phewa lanu (monga kuvala sling), muli pachiwopsezo chachikulu chotenga vutoli. Izi zili choncho chifukwa kapisozi imakonda kulimba phewa likasagwiritsidwa ntchito.
• Matenda a shuga: Pakati pa 10% ndi 20% ya anthu omwe ali ndi matenda a shuga amakhala ndi mapewa ouma.
• Matenda ena: Izi zikuphatikizapo sitiroko, hypothyroidism, hyperthyroidism, matenda a Parkinson, ndi matenda a mtima. Siroko ingachepetse mphamvu yosuntha mkono ndi phewa lanu, zomwe zingayambitse phewa lozizira. Ofufuza sakudziwa momwe matenda ena amakhudzira izi.

Kodi madokotala amazindikira bwanji matenda a paphewa lozizira?

Ngati muli ndi zizindikiro izi, mukapita kwa dokotala, choyamba adzakufunsani za zizindikiro zanu ndikulemba mbiri yanu yachipatala. Kenako adzakuyesani manja ndi mapewa anu. Nazi zina zomwe angachite:

• Phewa lanu lidzasunthidwa kuchokera mbali imodzi kupita mbali kuti liwone ngati pali kuyenda komanso kupweteka. Izi zimatchedwa mayeso a "passive range of motion" dokotala akasuntha mkono wanu.
• Kenako, mudzafunsidwa kuti mukweze mapewa anu kuti muwone momwe "Active Range of Motion" yanu ilili.
• Mitundu iwiriyi ya mayendedwe imayerekezeredwa. Anthu omwe ali ndi 'phewa lozizira' ali ndi mayendedwe ochepa komanso osachitapo kanthu.

Dokotala wanu nthawi zambiri amalamula kuti muone matenda ena monga nyamakazi. Nthawi zambiri phewa lozizira silifuna MRI kapena ultrasound. Komabe, ngati dokotala wanu akukayikira vuto lina, monga kung'ambika kwa rotator cuff, angakulamulireninso mayeso amenewo.

Kodi njira zabwino kwambiri zochiritsira 'mapewa ouma' ndi ziti?

Chithandizo cha mapewa oundana nthawi zambiri chimakhala chochepetsa ululu kumayambiriro. Ngati kuyenda sikubwerera mwakale, chithandizo chamankhwala kapena opaleshoni chingafunike.

Nazi njira zosavuta zochizira:

• Ma compress otentha ndi ozizira: Izi zimathandiza kuchepetsa ululu ndi kutupa.
• Mankhwala opweteka ndi kutupa: Izi zikuphatikizapo mankhwala oletsa kutupa omwe si a steroidal (NSAIDs), monga ibuprofen ndi acetaminophen. Dokotala wanu angaperekenso mankhwala ena ochepetsa ululu/oletsa kutupa. Jakisoni wa steroid angagwiritsidwe ntchito kuchepetsa ululu waukulu ndi kutupa. Dokotala wanu adzabaya corticosteroid, monga cortisone, mwachindunji m'malo olumikizirana mafupa anu.
• Chithandizo cha Thupi: Katswiri wa thupi adzakuphunzitsani kuchita masewera olimbitsa thupi otambasula komanso mayendedwe osiyanasiyana.
• Pulogalamu Yochitira Maseŵera Olimbitsa Thupi Pakhomo: Dokotala wanu kapena katswiri wa zamaganizo angakuphunzitseni maseŵero olimbitsa thupi omwe mungachite kunyumba.
• Chithandizo cha TENS (Transcutaneous Electrical Nerve Stimulation): Izi zimaphatikizapo kugwiritsa ntchito chipangizo chaching'ono choyendetsedwa ndi batire kuti chilepheretse mitsempha ndikuchepetsa ululu.

Ngati ululu wanu ndi kuuma kwa phewa lanu sikuchepa patatha pafupifupi chaka chimodzi mukuchita chithandizo chosachitidwa opaleshoni, dokotala wanu angakulangizeni njira zina zothandizira. Izi zikuphatikizapo:

• Kusinthasintha Pakupopera Mankhwala Oletsa Kupweteka: Mu njira iyi, dokotala adzasuntha phewa lanu mwamphamvu pamene mukugona. Izi zidzatambasula kapena kung'amba kapisozi yanu ya mafupa, kumasula kuuma kwake. Izi zidzawonjezera mphamvu ya kuyenda kwanu.
• Kujambula Mapewa: Mu njira iyi, dokotala wanu adzadula ndikuchotsa ziwalo zolimba za kapisozi yanu yolumikizirana (kutulutsa kapisozi). Adzayika zida zazing'ono, zazikulu ngati pensulo kudzera m'mabala ang'onoang'ono ozungulira phewa lanu.

Madokotala nthawi zambiri amagwiritsa ntchito njira zonse ziwiri pamodzi kuti apeze zotsatira zabwino.

Kodi chiyembekezo cha 'mapewa ouma' ndi chiyani? Kodi adzachira?

Kawirikawiri, mankhwala osavuta monga mankhwala ochepetsa ululu ndi masewera olimbitsa thupi a paphewa, nthawi zina kuphatikiza ndi jakisoni wa cortisone, amatha kubwezeretsa kuyenda kwa mapewa ndi kugwira ntchito bwino pakatha chaka chimodzi kapena kuchepera. Nthawi zina, ngakhale popanda chithandizo chilichonse, kuyenda kwa mapewa ndi kugwira ntchito bwino kumachepa pang'onopang'ono pakapita nthawi, koma ndi njira yocheperako kwambiri. Nthawi zambiri zimatenga pafupifupi zaka ziwiri kuti munthu achire mokwanira kapena pafupifupi mokwanira.

Kodi mapewa oundana angapewedwe?

Inde, mpaka pamlingo winawake. Ngati muli ndi vuto pa phewa lanu lomwe limapweteka kapena lovuta kusuntha, mutha kuchepetsa chiopsezo chokhala ndi phewa lozizira mwa kuyamba chithandizo chamankhwala mwachangu momwe mungathere . Dokotala wanu wa mafupa kapena katswiri wa zamaganizo akhoza kupanga pulogalamu yochita masewera olimbitsa thupi yomwe ikugwirizana ndi zosowa zanu.

Pomaliza, ndiyenera kunena... (Uthenga Wopita Nawo Kunyumba)

Mapewa Ozizira (Adhesive Capsulitis) akhoza kukhala vuto lalikulu lomwe lingakhudze moyo wanu watsiku ndi tsiku. Kupweteka ndi kuuma kwa phewa lanu kungapangitse kuti zikhale zovuta kapena zosatheka kuchita zinthu zatsiku ndi tsiku zomwe munkachita popanda vuto lililonse.

Chofunika kwambiri ndikupempha upangiri kwa dokotala popanda kupirira ululu ngati muli ndi zizindikiro izi.

Ngati mankhwala apakhomo, monga kupuma ndi mankhwala ochepetsa ululu, sakuthandiza, pitani kwa dokotala. Angakulangizeni kaye kuti mulandire chithandizo chamankhwala kapena mankhwala ena osachita opaleshoni. Opaleshoni ndi njira inanso yochiritsira mapewa ouma omwe sangachiritsidwe kwa nthawi yayitali. Dokotala wanu angakuthandizeni kusankha chithandizo chomwe chili choyenera kwa inu. Chifukwa chake, musaope kufunsa upangiri wa dokotala nthawi yomweyo.

` Mapewa Ozizira, Ululu wa Mapewa, Kuuma kwa Mapewa, Capsulitis Yomatira, Masewero Olimbitsa Mapewa, Kuchiritsa Thupi, Nyamakazi