Tiyeni tiphunzire bwino za Chilonda cha Hill-Sachs chomwe chimachitika phewa likasunthika!

Mwina munamvapo wina akunena kuti wasoka phewa lake, sangathe kukweza mkono wake, ndipo akumva ululu waukulu, sichoncho? Mwina ndi zomwe zinakuchitikiraninso. Pamene phewa lasoka, zomwe zikutanthauza kuti gawo longa mpira la phewa lasoka, mafupa omwe ali mkati mwa phewa lathu amathanso kuwonongeka. Ndicho chimene 'Chilonda cha Hill-Sachs' (chomwe chimatchedwanso kuti chilonda cha Hill-Sachs) chili. Tiyeni tikambirane za izi mosavuta komanso momveka bwino.

Kodi 'Chilonda cha Hill-Sachs' ichi n'chiyani?

Mwachidule, Hill-Sachs Lesion ndi chotupa chaching'ono kapena chotupa chomwe chimachitika pamwamba pa fupa la mkono wanu wapamwamba (fupa lalitali pamwamba pa mkono lomwe limalumikizana ndi phewa - humerus), makamaka pa gawo longa mpira (mutu wa humeral). Tangoganizirani kuti mukagwetsa phewa lanu, gawo longa mpirali limakanda mwamphamvu pa soketi ya phewa lanu (soketi ya glenoid). Pamenepo ndi pomwe chidutswa chaching'ono cha fupali chimaphwanyidwa ndikupanga chobowola chaching'ono. Zimakhala ngati chotupa chaching'ono pamene apulo wagwa pansi.

Ndani amene ali ndi mwayi waukulu wopeza 'Hill-Sachs Lesion' iyi?

Ndipotu, aliyense amene angasunthe phewa lake ali pachiwopsezo chotenga `Chilonda cha Hill-Sachs` ichi. Izi zimachitika chifukwa phewa likasunthedwa pa ngozi kapena kugwa. Komabe, kwa anthu ena, chiopsezochi chimakhala chachikulu pang'ono.

• Kwa othamanga: Makamaka omwe amasewera masewera olimbitsa thupi, mwachitsanzo rugby, mpira wamiyendo, nkhonya.
• Kwa amuna: Akuti amuna ali ndi mwayi wochuluka wopeza phewa losweka kuposa akazi.
• Kwa achinyamata azaka zapakati pa 15 ndi 30: Anthu azaka izi amakhala ndi mwayi waukulu wochita ngozi chifukwa amakhala otanganidwa kwambiri.
• Kwa iwo omwe adasoka phewa lawo kale: Mukasoka phewa lanu, mumakhala ndi mwayi wosokanso. Izi zitha kubweretsa `Chilonda cha Hill-Sachs`.

Kodi vutoli ndi lofala bwanji?

Malinga ndi deta ya ku America, anthu pafupifupi 10 pa anthu 100,000 amasuntha mapewa awo chaka chilichonse. Izi zikutanthauza kuti sizichitika kwa aliyense. Komabe, ngati musuntha phewa lanu, mwayi wokhala ndi `Hill-Sachs Lesion` ndi wofunika kwambiri. Kafukufuku wina akusonyeza kuti pakati pa 40% ndi 90% ya anthu omwe amasuntha mapewa awo adzavulala. Izi zikutanthauza kuti ngati musuntha phewa lanu, muyenera kuganiziranso za izi.

Kodi `Chilonda cha Hill-Sachs` ichi chimakhudza bwanji thupi lanu?

Nthawi zambiri, `Chilonda cha Hill-Sachs` chokha sichimakhudza kwambiri. Izi zikutanthauza kuti, kupweteka kwa phewa losweka komanso kulephera kusuntha mkono ndiye zizindikiro zazikulu. Komabe, ngati `Chilonda cha Hill-Sachs` ichi chilipo, zizindikirozo zitha kukhala zokulirapo pang'ono . Ululu ukhoza kukhala wokulirapo, ndipo kuvutika kusuntha mkono kungawonjezere.

Chinanso n'chakuti `Chilonda cha Hill-Sachs` ichi chingatenge nthawi yayitali kuti phewa lanu lichiritse. Komanso, chilondacho chikakula, pamakhala mwayi waukulu woti phewa lanu lidzaphwanyikanso mtsogolo. Pakapita nthawi, nyamakazi m'malo olumikizirana mafupa a phewa ikhoza kubuka.Palinso kuthekera kwa nyamakazi ya m'mapewa, zomwe zikutanthauza kuti cholumikiziracho chatha.

Kodi zizindikiro za matenda a Hill-Sachs Lesion ndi ziti?

Zizindikiro za `Hill-Sachs Lesion` ndizofanana ndi za phewa losweka. Komabe, monga ndanenera kale, ngati muli ndi `lesion` iyi, zizindikirozo zitha kukhala zowopsa pang'ono.

• Kumva ululu waukulu kwambiri .
• Ndikumva kufooka m'dzanja langa.
• Sindingathe kusuntha dzanja langa.
• Phewa limawoneka mosiyana , popanda komwe linali kale (ngati kuti latuluka).
• Kutupa kumachitika.
• Mungaone mabala kapena kusintha kwa mtundu wa khungu.
• Kupweteka kwa minofu.
• Mungamve dzanzi, kumva kuwawa, kapena kufooka m'dzanja lanu, m'chikhatho chanu, kapena zala zanu.

Chofunika: Ngati mukuganiza kuti phewa lanu laduka, kapena ngati mwachita ngozi yaikulu paphewa lanu, pitani kuchipatala chapafupi nthawi yomweyo. Musachedwe, chifukwa ndikofunikira kwambiri kupeza chithandizo mwachangu.

Kodi n’chiyani chimayambitsa ‘Chilonda cha Hill-Sachs’ ichi?

Chifukwa chachikulu ndi kusokonekera kwa phewa .

Taganizirani izi motere: cholumikizira cha phewa lathu ndi 'cholumikizira cha mpira ndi soketi'. Gawo lofanana ndi mpira pamwamba pa fupa lanu lapamwamba la mkono (`Humerus`) nthawi zambiri limakhala mkati mwa 'soketi' pa fupa la phewa (`Scapula`).

Tsopano, ngati phewa lanu lipita patsogolo (kutanthauza kuti, kuchokera kutsogolo kwa thupi lanu), gawo longa mpira la fupa lapamwamba la mkono, soketi, likhoza kulowa mu soketi ndikukanda. Kupanikizika kumeneko kumapangitsa gawo longa mpirawo kuvulala ndikupanga 'kupindika'. Izi zimatchedwa 'Hill-Sachs Lesion'.

Zifukwa zazikulu zokwezera mapewa ndi izi:

• Kuvulala pamasewera - Ganizirani kugwa mukusewera rugby, kapena kusambira pansi pamadzi mukusewera cricket.
• Kugwa - Izi zitha kuchitika pongogwa pansi kapena kutsika masitepe.
• Ngozi zamagalimoto - Ngozi zamtunduwu zingayambitsenso kuvulala kwa mapewa.

Kodi madokotala amazindikira bwanji `Chilonda cha Hill-Sachs`?

Mukapita kwa dokotala yemwe phewa lake lasweka, adzafufuza ngati ali ndi vuto la Hill-Sachs akamakufufuzani.

Choyamba, dokotala adzakuyesani mkono ndi phewa lanu. Adzafufuza malo omwe muli ululu, kutupa, komanso ngati mungathe kusuntha mkono wanu. Kenako, angachite mayeso ena kuti aone zomwe zikuchitika mkati.

Ali:

• Kuyezetsa X-ray(`X-ray`): Izi zingathandize kuwona malo a mafupa, kusweka kwa mafupa, ndi zina zotero. Ngakhale `Hill-Sachs Lesion` nthawi zina imatha kuwoneka pa `X-ray`.
• Kujambula kwa MRI (Magnetic Resonance Imaging): Izi zingathandize kuona bwino minofu yofewa, monga minofu, mitsempha, minyewa, ndi mafupa. Kujambula kwa MRI ndikofunikira kwambiri kuti mudziwe kukula ndi kuzama kwa chotupa cha Hill-Sachs.
• Kujambula kwa CT (Computed Tomography): Izi zingaperekenso chidziwitso chatsatanetsatane chokhudza mafupa. Nthawi zina CT scan imagwiritsidwa ntchito pokonzekera opaleshoni.

Kujambula kumeneku kumatha kuona bwino malo ndi kukula kwa bala la fupa, zomwe zimathandiza kwambiri pokonzekera chithandizo.

Kodi chilonda cha Hill-Sachs chimachiritsidwa bwanji?

Mtundu wa chithandizo chomwe mukufuna chimadalira kukula kwa chilonda cha Hill-Sachs, kutanthauza kuwonongeka kwa fupa.

Kawirikawiri, ngati mutu wa humeral wochepera 20% wasweka, palibe chithandizo chapadera chomwe chikufunika. Chithandizo chanthawi zonse cha phewa losweka chimagwiritsidwa ntchito.

Mankhwala osagwiritsa ntchito opaleshoni

1. Kuchepetsa kotsekedwa:

Ichi ndi chinthu chofunika kwambiri. Zimatanthauza kuyika phewa lanu kumbuyo komwe linali, m'chikhomo. Uku si opaleshoni. Dokotala adzagwira phewa lanu kuchokera kunja, kulikoka mbali yoyenera, ndikulibwezera mkati. Mukamachita izi, mungapatsidwe mankhwala oletsa ululu am'deralo (mankhwala omwe amangochepetsa ululu m'dera lokha) kuti muchepetse ululu, kapena mungapatsidwe mankhwala ochepetsa ululu (mankhwala omwe amakupangitsani kukhala chete).

2. Kulephera kuyenda:

Pambuyo poti phewa labwezeretsedwa pamalo ake, mungafunike kuvala chogwirira kapena sling kuti likhale pamalo ake. Izi zimatchedwa kuletsa kuyenda. Izi zimathandiza kuti phewa lovulala lipumule ndikulithandiza kuchira.

Dokotala angakuuzeni kuti mupake ayezi kangapo patsiku. Angakuuzeninso kuti muchite masewera olimbitsa thupi kuti phewa lanu lisaume kapena kuzizira (kuzizira). Funsani dokotala wanu kuti muvale sling kwa nthawi yayitali bwanji komanso kuti muzichita masewera olimbitsa thupi angati. Anthu ambiri amafunika kuti phewa lawo lisayende bwino kwa milungu ingapo.

3. Kuchiza thupi:

Pamene phewa lanu likuchira pang'onopang'ono, libwezeretse mphamvu zake ndipo lizitha kulisuntha bwino.Kuchiza thupi kudzayamba. Choyamba, mudzatambasula pang'ono kuti phewa lanu likhale lomasuka komanso lopanda kuuma. Kenako, dokotala wanu kapena katswiri wa zamaganizo adzawonjezera masewera olimbitsa thupi kuti alimbitse minofu ndi mitsempha yanu. Izi zithandizanso kuchepetsa chiopsezo cha kuduka kwa mafupa mtsogolo. Anthu ambiri adzafunika kuchita chithandizo cha thupi kwa miyezi ingapo mutachoka.

Opaleshoni ya Chilonda cha Hill-Sachs

Ngati `Chilonda cha Hill-Sachs`, ndiko kuti, chotupa cha fupa, chikuphimba gawo loposa 20% la fupa lapamwamba la mkono (`mutu wa humerus`), zomwe zikutanthauza kuti chotupacho ndi chachikulu, opaleshoni ingafunike kuti ikonzedwe.

Pali njira zingapo zochitira opaleshoni zomwe zimachitika kawirikawiri:

• Njira yobwezera: Izi zimaphatikizapo kudzaza malo ofanana ndi dzenje lomwe lasiyidwa ndi chotupa cha Hill-Sachs ndi minofu yofewa yapafupi. Kawirikawiri, kapisozi ndi tendon pafupi ndi kuvulala kwa phewa zimagwiritsidwa ntchito pa izi.
• Kulumikiza mafupa: Mu njira iyi, dokotala amatenga minofu yowonjezera ya mafupa ndikuiyika m'dera lowonongeka la humerus kuti ayikonze. Izi nthawi zina zimatchedwa kuwonjezera mafupa.
• Kusintha mapewa: Ngati pali kuwonongeka kwakukulu kwa humerus, scapula (tsamba la mapewa), ndi minofu ina m'mapewa, kusinthidwa kwa mapewa kungafunike. Pankhaniyi, dokotalayo amachotsa mbali zowonongeka za phewa ndikuzisintha ndi zidutswa zopangira.

Zimatenga nthawi yayitali bwanji kuti munthu achire?

Nthawi zambiri zimatenga miyezi ingapo kuti munthu achire ku chilonda cha Hill-Sachs. Phewa lanu liyenera kupumula kwa milungu ingapo, kenako miyezi ingapo ya chithandizo cha thupi.

Nthawi yomwe chilonda chanu chimachira imatengera zinthu zingapo:

• Momwe kuvulalako kunachitikira (monga kugwa kapena ngozi yamasewera).
• Kaya pali kuvulala kwina kapena kuwonongeka mkati mwa phewa (monga kusweka kwa mitsempha kapena kuwonongeka kwa labrum).
• Kodi munkafunika chithandizo chamtundu wanji , kapena ngati munayenera kuchitidwa opaleshoni ?

Dokotala wanu kapena dokotala wanu adzakupatsani nthawi yeniyeni yochira chifukwa cha kuvulala kwanu, choncho musadandaule.

Kodi 'Chilonda cha Hill-Sachs' ichi chingapewedwe?

Popeza mapewa ambiri amasokonekera chifukwa cha zochitika zadzidzidzi monga kugwa ndi ngozi zamasewera, palibe chomwe chingachitike makamaka kuti apewe 'Chilonda cha Hill-Sachs' ichi.

Komabe, ndi bwino kutsatira malangizo awa achitetezo kuti muchepetse ngozi:

• Nthawi zonse muzivala lamba wa chitetezo mukamakwera galimoto.
• Valani zida zoyenera zodzitetezera panthawi ya masewera ndi masewera aliwonse.(monga chisoti, zophimba mapewa).
• Sungani nyumba yanu ndi malo anu antchito aukhondo komanso opanda zinthu zomwe zingakugwetseni kapena kukugwetsani ena. Samalani ndi malo oterera.
• Mukatenga chinthu kuchokera pamwamba, nthawi zonse gwiritsani ntchito chida kapena chipangizo chomwe chapangidwira cholinga chake. Musakwere pa mipando kapena matebulo.
• Ngati mukuvutika kuyenda kapena muli pachiopsezo chachikulu chogwa, gwiritsani ntchito ndodo kapena choyendera.

Kodi mungayembekezere chiyani ndi `Hill-Sachs Lesion`?

Anthu ambiri amachira kwathunthu atavulala. Ngakhale mutachitidwa opaleshoni, muyenera kubwereranso ku zochita zanu zachizolowezi komanso masewera phewa lanu likachira.

Komabe, mukangophwanya phewa lanu, mumakhala ndi mwayi waukulu wovulala kachiwiri. Kafukufuku wina wapeza kuti othamanga oposa 90% osakwana zaka 25 omwe amaphwanya phewa lawo pamasewera olumikizana adzavulazanso phewa lomwelo mtsogolo.

Choncho, musanapitirize kuchita masewera olimbitsa thupi - makamaka lankhulani ndi dokotala wanu kapena dokotala wa opaleshoni. Angakuuzeni zomwe mungayembekezere komanso momwe mungapewere kusokonekera kwa malo olumikizirana mafupa mtsogolo. Chithandizo choyenera cha thupi chingachepetsenso chiopsezochi.

Kodi sindingathe kupita kuntchito kapena kusukulu mpaka nditachira?

Ngati simungathe kuchita ntchito yanu kapena ntchito ya kusukulu popanda kusuntha mkono wanu pamene phewa lanu silikuyenda bwino, simungathe kupita kuntchito kapena kusukulu. Dokotala wanu adzakuuzani mayendedwe ndi malo omwe muyenera kupewa mpaka mutachira. Tsatirani malangizowo mosamala.

Kodi ndiyenera kupita ku chipinda chadzidzidzi liti?

Ngati mwachita ngozi yaikulu (zoopsa) , pitani kuchipatala mwamsanga.

Ngati mukuganiza kuti phewa lanu lasokonekera:

• Pitani ku chipinda chadzidzidzi kapena imbani 1990.
• Musasunthe dzanja lanu. Lisungeni pafupi ndi thupi lanu.
• Musayese kusintha phewa lanu nokha. Musalole wina aliyense kupatula dokotala kuti achite zimenezo. Ngati munthu wosakhala katswiri ayesa kusintha phewa lanu, mutha kuwononga mitsempha yamagazi, minofu, mitsempha, ndi mitsempha.
• Ikani paketi ya ayezi pamalo ovulala. Izi zichepetsa kutupa ndi ululu.
• Mankhwala ochepetsa ululu (monga paracetamol, kapena `NSAIDs` - Mankhwala oletsa kutupa omwe si a steroidal, monga momwe dokotala wanu wanenera) angathandize kuchepetsa ululu ndi zizindikiro zina. Komabe, musamwe mankhwala ochulukirapo kuposa mlingo woyenera.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Ngati muli ndi vuto ngati ili, ndi bwino kufunsa dokotala wanu za izi:

• Kodi ndikufunika opaleshoni kuti ndikonze chotupa changa cha Hill-Sachs? Ngati ndi choncho, ndi mtundu wanji?
• Kodi ndiyenera kusunga mkono wanga wosasuntha kwa nthawi yayitali bwanji?
• Kodi ndiyenera kuyamba liti kuchita physiotherapy? Zitenga nthawi yayitali bwanji?
• Kodi ndidzatha liti kusewera masewera kapena kuchita masewera olimbitsa thupi kachiwiri? Ndi zinthu ziti zomwe ndingachite poyamba?
• Kodi ndingatani kuti phewa langa lisatulukenso?

Kodi kusiyana pakati pa `Chilonda cha Hill-Sachs` ndi `Chilonda cha Reverse Hill-Sachs` n'chiyani?

Chotupa cha `Hill-Sachs Lesion` ndi `Reverse Hill-Sachs Lesion` ndi mtundu womwewo wa kuvulala. Kusiyana kokha ndi mbali yomwe ili ngati mpira wa fupa la mkono wanu wapamwamba (`Humerus`) komwe kuvulalako kuli .

• `Chilonda cha Hill-Sachs` ndi chotupa chomwe chimachitika kumbuyo (mwachipatala, `posterolateral aspect`) cha gawo longa mpira la phewa likakankhidwira patsogolo kuchokera ku `anterior side`.
• `Reverse Hill-Sachs Lesion` ndi chotupa chomwe chimachitika kutsogolo (mwachipatala, `anteromedial aspect`) cha gawo longa mpira la phewa likaponyedwa kuchokera ku `posterior side`.

Onsewa amapezeka ndi kuchiritsidwa mofanana.

Kodi kusiyana pakati pa `Hill-Sachs Lesion` ndi `Bankart Lesion` n'chiyani?

`Chilonda cha Hill-Sachs` ndi `Chilonda cha Bankart` ndi mitundu iwiri ya kuvulala komwe kumakhudzana ndi kusweka kwa phewa. Komabe, ndi zosiyana.

• `Chilonda cha Hill-Sachs` ndi fupa lomwe limayamba pamene phewa lanu likusuntha kuchokera mbali imodzi kupita mbali ina (kusokonekera kwa glenohumeral anterior), zomwe zimapangitsa kuti mutu wa fupa lapamwamba la mkono (`humerus`) ukhale wopanikizika, zomwe zimapangitsa kuti chotupa chikhale m'malo olumikizira phewa. Izi zikutanthauza kuti izi ndi kuwonongeka kwa fupa.
• `Chilonda cha Bankart` ndi kuvulala kwa mphete yoteteza ya cartilage yozungulira phewa (yotchedwa `Labrum`). `Chilonda cha Bankart` ndi kung'ambika kwa `Labrum` iyi. Izi zitha kuchitika chifukwa cha kusokonekera kapena kusuntha pang'ono (`subluxation`). Phewa likangosokonekera, nthawi zambiri limachitikanso. Ngati phewa likupitiliza kusokonekera kapena `subluxate`, `Labrum` ikhoza kuwonongeka kwambiri (monga `SLAP tear`).

Kutuluka kwa phewa kungakhale kowawa kwambiri komanso koopsa. Kulephera kusuntha mkono wanu mwadzidzidzi, kumva ngati phewa lanu sililinso komwe linali kale, kumakudabwitsani kwambiri. Musayese "kugwedeza" phewa lanu ndikulibwezeretsa pamodzi. Pitani kuchipatala nthawi yomweyo ndipo funani thandizo lachipatala mwachangu momwe mungathere.

>

Ngati mwakhala mukupunduka phewa lanu kamodzi, kaya muli ndi Hill-Sachs Lesion kapena ayi, muli pachiwopsezo chachikulu chodzavulalanso mtsogolo. Chifukwa chake, lankhulani ndi dokotala wanu panthawi yomwe mukuchira. Mwanjira imeneyi, mutha kudziwa bwino zomwe mungayembekezere komanso momwe mungatetezere phewa lanu.

Uthenga Wopita Nawo Kunyumba

Chabwino, tiyeni tikambirane zinthu zofunika kwambiri zomwe tidakambirana mu 'Hill-Sachs Lesion' iyi:

• Izi zimachitika phewa likasokedwa , ndipo gawo longa mpira la fupa lapamwamba la mkono ('humerus') limagunda pansi pa tsamba la phewa, zomwe zimapangitsa kuti pakhale chotupa chaching'ono chonga kubowoka pa fupa.
• Ili ndi zizindikiro zofanana ndi za phewa losweka, monga kupweteka kwambiri, kulephera kusuntha mkono, ndi kutupa , koma ikhoza kukhala yoopsa pang'ono.
• Nthawi zambiri, phewa limatha kusinthidwa, kulephera kuyenda, ndikuchiritsidwa ndi physiotherapy popanda opaleshoni .
• Ngati chilonda chili chachikulu (kuposa 20% ya fupa), opaleshoni ingafunike.
• Chofunika kwambiri ndikupempha upangiri wa dokotala nthawi yomweyo ngati phewa lanu lasweka. Musayese kukonza nokha.
• Ngati phewa lanu litasweka kamodzi, mudzakhala ndi mwayi woliswekanso. Chifukwa chake, ndikofunikira kwambiri kutsatira malangizo a dokotala ndikusunga phewa lanu lolimba.

Ngati muli ndi mafunso ena okhudza izi, musaope kufunsa dokotala wanu kapena mzamba wanu. Khalani ndi thanzi labwino!

Kusokonekera kwa phewa , Chilonda cha Hill-Sachs, Chilonda cha Hill-Sachs, kupweteka kwa phewa, kuvulala kwa mafupa, chithandizo cha phewa, chithandizo cha thupi