Kodi nthawi zina mumamva kupweteka m'chiuno mukadzuka m'mawa kapena mutayenda kwakanthawi? Kodi mumamva 'whew' mukadzuka pampando kapena kutuluka m'galimoto? Kupweteka kwa m'chiuno kumeneku ndi vuto lomwe anthu ambiri amakhala nalo. Nthawi zina ndi chinthu chaching'ono, koma nthawi zina kungakhale chinthu chomwe chimafunika chisamaliro pang'ono. Lero, tiyeni tikambirane za kupweteka kwa m'chiuno, chifukwa chake kumachitika, ndi zomwe tingachite nazo.
Kodi kupweteka kwa m'chiuno n'chiyani kwenikweni?
Mwachidule, cholumikizira cha m'chiuno ndi komwe mafupa awiri m'thupi lathu amalumikizana. Kunena zoona, fupa lathu la ntchafu (femur) limalumikizana ndi chiuno (pelvis) pa cholumikizira cha m'chiuno ichi. Ichi ndi chimodzi mwa zolumikizira zazikulu komanso zamphamvu kwambiri m'thupi lathu. Cholumikizira ichi chimatithandiza kwambiri tikamayenda, kuthamanga, kunyamula zolemera, komanso kukhala ndi thanzi labwino.
Tsopano, ndi vuto ili, titha kupeza lingaliro lomveka bwino la komwe vuto lili. Tangoganizirani...
- Ngati ikumva ngati ili pamwamba pa chiuno, pafupi ndi khungu, mwina ndi vuto la minofu, minyewa, kapena mitsempha.
- Ngati ululuwo ukumva ngati ukuchokera mkati, ukhoza kukhala chifukwa cha vuto la mafupa kapena minyewa.
- Nthawi zina ululu wa m'chiuno ukhoza kufalikira kumadera ena, monga kumbuyo ndi m'chifuwa.
Ululu uwu nthawi zambiri sumakhala wokhazikika. Ungabwere pokhapokha mukayenda kapena mukamagwira ntchito ndipo umatha mukapuma. Anthu ena amamva ululu kwambiri m'mawa. Kwa ena, ululuwo ukhoza kukhala wokulirapo usiku, makamaka akagona chagada chomwe chimapweteka. Nthawi zambiri, ululu wochepa ukhoza kuthetsedwa ndi mankhwala apakhomo ndi mankhwala opha ululu. Komabe, ngati ululuwo ndi waukulu mokwanira kuti usokoneze zochita zanu za tsiku ndi tsiku ndipo sutha pakatha masiku ochepa, muyenera kuwona dokotala.
Kodi zifukwa zazikulu zomwe zimayambitsa kupweteka kwa m'chiuno ndi ziti?
Kupweteka m'chiuno ndi chizindikiro chabe. Pali matenda osiyanasiyana omwe angayambitse vutoli. Tiyeni tiwone zomwe zimayambitsa.
| Chifukwa | Kodi chimachitika ndi chiyani ndi izi? | Zitsanzo |
|---|---|---|
| Matenda a nyamakazi | Matenda omwe amayambitsa kupweteka ndi kutupa m'malo olumikizirana mafupa. Matenda a nyamakazi m'malo olumikizirana mafupa ndi ofala kwambiri. | - Matenda a mafupa - Matenda a nyamakazi - Ankylosing spondylitis |
| Bursitis | Ululu umachitika chifukwa cha kutupa kwa matumba ang'onoang'ono odzaza ndi madzi otchedwa bursa omwe amazungulira mafupa athu. | - Iliopectinal bursitis - Trochanteric bursitis |
| Kuvulala | Ululu ukhoza kuchitika chifukwa cha chilichonse chomwe chimawononga ziwalo za chiuno. Izi zitha kuchitika pangozi kapena mukusewera masewera. | - Kupweteka kwa minofu ya m'chiuno - Iliotibial band syndrome - Misozi ya m'chiuno - Kusweka kwa mafupa |
| Mikhalidwe ya Kapangidwe | Anthu ena amabadwa ndi mavuto enaake okhudza mawonekedwe a chiuno chawo, zomwe zingayambitse ululu ali ana kapena mtsogolo. | - Femoroacetabular impingement (FAI) - Kukula kwa dysplasia ya m'chiuno (DDH) |
Monga mukuonera, pali zifukwa zambiri. Anthu omwe amagwiritsa ntchito chiuno chawo mbali zonse, monga ovina ndi ochita masewera olimbitsa thupi, amakhala pachiwopsezo chachikulu chovulala mwanjira imeneyi.
Kodi mumachita bwanji ndi ululu wa m'chiuno uwu?
Chithandizo chomwe mukufuna chidzadalira chifukwa cha ululu wanu komanso kuopsa kwake. Dokotala wanu ndiye munthu woyenera kupanga chisankho chimenecho.
Zinthu zomwe mungachite kunyumba: Njira ya RICE
Iyi ndi njira yosavuta komanso yothandiza kwambiri yochizira kuvulala pang'ono kunyumba. `RICE` ndi chilembo choyamba cha mawu anayi.
- R - Mpumulo:Siyani chilichonse chomwe chikuyambitsa ululu, kutanthauza kuti, ntchito yovuta, kwa kanthawi. Kupumula kwa cholumikizira kudzaletsa kuwonongekako kuti kusakhale koipiraipira.
- I - Ice: Manga paketi ya ayezi kapena nsalu yoviikidwa m'madzi ozizira mu thaulo ndikuyiyika pamalo okhudzidwawo kwa mphindi 10-15. Chitani izi kamodzi pa ola limodzi patsiku loyamba. Kenako, chitani izi maola atatu kapena anayi aliwonse kwa masiku angapo otsatira. Musayike ayezi mwachindunji pakhungu.
- C - Kupsinjika: Izi zimathandiza kuchepetsa kuyenda kwa magazi ndikuletsa kutupa. Gwiritsani ntchito bandeji yokakamiza, yomwe mungagule ku pharmacy.
- E - Kukwezeka: Ngati n'kotheka, kwezani mwendo wanu pa mapilo ndikuusunga pamwamba pang'ono pa mulingo wa mtima wanu.
Mankhwala Ochepetsa Ululu (Mankhwala)
Dokotala wanu angakulembereni mankhwala oletsa ululu ndi kutupa. Izi zikuphatikizapo mankhwala osagwiritsidwa ntchito ndi dokotala (NSAIDs) (mankhwala oletsa kutupa omwe si a steroidal), monga ibuprofen ndi naproxen. Acetaminophen (Paracetamol) imagwiritsidwanso ntchito.
Koma kumbukirani, musamwe mankhwalawa kwa masiku opitilira 10 motsatizana popanda kulankhula ndi dokotala wanu.
Kuchiza Thupi
Ngati muli ndi ululu chifukwa cha matenda monga nyamakazi kapena vuto la kapangidwe ka thupi, dokotala wanu angakutumizireni kwa katswiri wa physiotherapy. Adzakuphunzitsani masewera olimbitsa thupi ndi kutambasula minofu kuti mulimbikitse minofu yozungulira chiuno chanu. Izi zidzakuthandizani kukhazikika kwa chiuno ndikuchepetsa ululu.
Opaleshoni
Si aliyense amene ali ndi ululu wa m'chiuno amene angafunike opaleshoni. Komabe, ngati ululuwo ndi waukulu ndipo mankhwala ena sakugwira ntchito, dokotala wanu angaganizire za opaleshoni.
- Kujambula m'chiuno: Iyi ndi opaleshoni yofala kwambiri. Imafuna kudula pang'ono khungu ndikuyika chida chaching'ono chotchedwa arthroscope, chomwe chili ndi kamera, kuti chizindikire ndikukonza kuwonongeka mkati.
- Kusintha chiuno: Nthawi zina, makamaka pamene ululu uli waukulu kwambiri moti kuyenda kapena kuyima n'kosatheka, opaleshoni ya chiuno ingafunike. Izi zimaphatikizapo kuchotsa cholumikizira chowonongeka ndikuyika cholumikizira chopangira (prosthesis).
Kodi kupweteka kwa m'chiuno kungapewedwe?
Sitingathe kuletsa ngozi kuchitika, koma pali zinthu zomwe tingachite kuti tichepetse ngoziyo.
Mukamasewera masewera ndi kuchita masewera olimbitsa thupi:
- Dzitenthetseni nthawi zonse musanayambe kuchita masewera olimbitsa thupi.
- Mukamaliza kuchita masewera olimbitsa thupi, dziziritseni ndipo tambasulani thupi.
- Sungani ululu ndipo sewerani mozungulira mukunena kuti "palibe vuto" ndipo musamachite masewera olimbitsa thupi.
- Patsani thupi lanu nthawi yokwanira kuti libwererenso bwino mutatha kuchita masewera olimbitsa thupi.
Kuti mukhale otetezeka, ganizirani izi:
- Musasiye zinthu zili paliponse kunyumba kapena kuntchito zomwe zingakupangitseni kupunthwa ndi kugwa.
- Musakwere pa mipando kapena matebulo kuti mufike pamwamba pa chinthu china. Gwiritsani ntchito chinthu choyenera, monga makwerero.
- Ngati mukuvutika kuyenda kapena muli pachiopsezo chogwa, musaope kugwiritsa ntchito ndodo yoyendetsera galimoto (ndodo/woyendetsa galimoto).
Kodi muyenera kupita kwa dokotala liti?
Izi ndizofunikira kwambiri.
Ngati ululu wanu wa m'chiuno ndi wosalekeza, kapena ngati ukukulepheretsani kuchita zinthu zanu za tsiku ndi tsiku kapena kuchita zinthu zomwe mumakonda, muyenera kuonana ndi dokotala nthawi yomweyo.
Ngati mwachita ngozi, monga ngozi ya galimoto kapena kugwa, kapena ngati simungathe kusuntha chiuno kapena mwendo wanu, kapena ngati mukuganiza kuti mwasweka fupa, pitani ku Dipatimenti Yothandiza Pangozi (ETU) yapafupi ndi inu nthawi yomweyo.
Ngakhale kupweteka m'chiuno kuli kofala, simuyenera kukhala nako. Dokotala wanu akhoza kudziwa chomwe chimayambitsa ululu wanu ndikukupatsani chithandizo chomwe mukufunikira kuti mubwerere kuntchito mwachangu.
Uthenga Wopita Nawo Kunyumba
- Ngakhale kupweteka m'chiuno kuli kofala, musanyalanyaze. Ululu ndi chizindikiro chochokera m'thupi lanu.
- Popeza chithandizo chimasiyana malinga ndi chomwe chayambitsa ululu, ndikofunikira kwambiri kupeza chomwe chayambitsa ululuwo.
- Mankhwala apakhomo monga njira ya RICE angathandize kuchepetsa ululu ndi kutupa pang'ono.
- Ngati ululu sutha patatha masiku ochepa, ndi waukulu, kapena umasokoneza zochita za tsiku ndi tsiku, onetsetsani kuti mwaonana ndi dokotala.
- Ngati mukumva kupweteka kwambiri pambuyo pa ngozi kapena mukuganiza kuti fupa lasweka, pitani ku Dipatimenti Yothandiza Anthu Odwala Mwadzidzidzi (ETU) ya chipatala nthawi yomweyo.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi mapiritsi/makapisozi a Fluvastatin (Fluvastatin / Lescol) amalembedwa matenda ati?
Iyi ndi mankhwala a 'High Cholesterol/Hyperlipidemia' (Statin)! Sangakhale amphamvu ngati Atorvastatin, koma chapadera chake ndichakuti ndi mankhwala opangidwa kuti achepetse chiopsezo chotsekanso mitsempha yamagazi mwa anthu omwe adachitidwapo opaleshoni ya mtima kapena ya mtima (PTCA/Bypass). Komanso, alibe mphamvu zambiri pakugwiritsa ntchito mankhwala ndi mankhwala ena.
💬 Kodi piritsi la cholesterol (Fluvastatin) limasungunula bwanji cholesterol yoyipa ikalowa m'thupi mwathu?
Makina akuluakulu omwe amapanga cholesterol m'chiwindi cha thupi lathu amatchedwa 'HMG-CoA Reductase'. Piritsi ili likangofika pachiwindi chathu, mamolekyu ake (opangidwa ndi synthetically) amagwira ntchito amatseka/kutseka makinawo 100% (Enzyme Inhibition). Makinawo akazimitsidwa, chiwindi sichingasankhe china koma kuyamba kuyamwa cholesterol/LDL yoipa m'magazi mwathu (Kukweza ma LDL receptors).
💬 Kodi ndi zoopsa ziti komanso zotsatira zake zoyipa zomwe muyenera kuzidziwa mukamamwa piritsi la cholesterol (Fluvastatin)?
Ngakhale kuti mankhwalawa ali ndi chiopsezo chochepa cha zotsatirapo zoyipa, chiopsezo chachikulu ndi 'Myopathy/Rhabdomyolysis'! Ngati mukumva kupweteka kwa minofu kosapiririka, kufooka, ndi mkodzo wakuda, uzani dokotala wanu nthawi yomweyo, apo ayi impso zanu zingasiye kugwira ntchito ndipo mungamwalire. Komanso, izi ndizoletsedwa kwa 'Amayi apakati' ndi omwe ali ndi 'matenda a chiwindi'!
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