Tiyeni tiphunzire zambiri za mayeso a O'Brien a ululu wa phewa lanu.

Tikakhala ndi ululu wa phewa, sitingathe kuchita ntchito zathu za tsiku ndi tsiku moyenera, eti? Nthawi zina sitingathe kukweza manja athu, zimakhala zovuta kusintha zovala, kapena ululu sungathe kupirira tikanyamula china chake. Mukawona dokotala ngati uyu, adzakuyesani zinthu zosiyanasiyana kuti apeze chomwe chikuyambitsa ululu wa phewa lanu. Ndi zoona, mayeso a O'Brien ndi mayeso osavuta, koma ofunikira kwambiri kuti mumvetse bwino chomwe chikuvuta ndi phewa lanu.

Mwachidule, kodi mayeso a O'Brien ndi chiyani?

Mayeso a O'Brien ndi mayeso osavuta omwe dokotala wanu amagwiritsa ntchito kuti adziwe chomwe chikukupangitsani kupweteka kwa phewa. Si mayeso a X-ray kapena magazi. Amaphatikizapo dokotala wanu kuyika mkono wanu m'malo enaake, kuika mphamvu pang'ono, ndikuyang'ana ngati mukumva kupweteka kulikonse. Izi zimatchedwanso 'mayeso okakamiza mwamphamvu.'

Mayesowa angapereke chidziwitso chokhudza mavuto omwe ali ndi magawo awiri enieni a phewa, omwe ndi:

1. Kung'ambika kwa chigoba cha phewa, makamaka kung'ambika kwa gawo lotchedwa labrum (labral tear).

2. Vuto ndi cholumikizira cha acromioclavicular (AC) , chomwe chili pamwamba pa phewa.

Mayesowa akhoza kuchitidwa ndi akatswiri osiyanasiyana azaumoyo. Mwachitsanzo:

• Madokotala a mafupa
• Akatswiri a zamaganizo
• Ophunzitsa masewera
• Dokotala wa banja lanu (opereka chithandizo choyamba)

N’chifukwa chiyani mayesowa amachitidwa? Ndi ziwalo ziti za phewa zomwe zimayesedwa?

Kuti timvetse izi, choyamba tiyenera kudziwa pang'ono za mapewa athu. Ganizirani za mapewa athu ngati makina ovuta kwambiri, opita mbali zambiri. Pali zigawo zingapo zazikulu. Mayeso a O'Brien amayang'ana kwambiri magawo awiriwa.

1. Cholumikizira cha AC (cholumikizira cha Acromioclavicular)

Apa ndi pomwe fupa lathu la m'khosi (clavicle) limalumikizana ndi pamwamba pa fupa lathu la phewa (scapula). Mwachidule, apa ndi malo olumikizirana mafupa awiri, omwe mungamve ngati muyika dzanja lanu pamwamba pa phewa lanu. Mayeso a O'Brien amathandiza kuzindikira mavuto monga kutayika kwa khosi, kulekana kwa mafupa, kapena vuto ndi malo olumikizirana mafupa.

2. Labrum

Cholumikizira cha phewa lathu ndi cholumikizira cha 'mpira ndi soketi'. Izi zikutanthauza kuti, gawo longa mpira la fupa lathu lapamwamba la mkono (humerus) limalowa m'gawo longa chikho la fupa lathu la phewa (scapula). Labrum ndi chidutswa chokhuthala chonga rabara chomwe chimazungulira chikho ichi. Chimagwira ntchito ngati bumper, chomwe chimathandiza kuti mpirawo ukhale wolimba komanso kuti usatuluke m'chikho.

Nthawi zina labrum iyi imatha kung'ambika chifukwa cha ngozi kapena masewera. Makamaka pamene gawo lapamwamba la clamp lang'ambika, limatchedwa SLAP tear.Imatchedwanso `(Superior Labrum, Anterior to Posterior)`. Mayeso a O'Brien angaperekenso chidziwitso ngati pali kung'ambika koteroko.

Kodi mungatani kuti muyesere izi? Gawo ndi Gawo

Mayeso awa ndi osavuta kwambiri. Simukusowa kukonzekera kwapadera. Dokotala adzakufunsani kuti mukhale pansi kapena muyime ndikutsatira njira izi. Ali ndi magawo awiri akuluakulu.

Gawo loyamba (chala chachikulu pansi)

1. Kwezani mkono wanu: Kwezani mkono wanu kumbali ya ululu wanu molunjika patsogolo panu, molingana ndi pansi (madigiri 90). Sungani chigongono chanu chowongoka kwathunthu.

2. Bweretsani dzanja lanu mkati: Tsopano bweretsani dzanja lanu lokwezedwa pang'ono ku thupi lanu (pafupifupi madigiri 10-15).

3. Tembenuzani dzanja lanu: Kenako, tembenuzirani dzanja lanu mkati, ngati kuti mukutsanulira madzi kuchokera mu botolo la madzi, ndi chala chanu chachikulu choloza pansi ndipo kumbuyo kwa dzanja lanu kuyang'ana dzanja lanu lina. Izi zimatchedwa "pronation."

4. Pewani kupanikizika: Tsopano dokotala adzagwira dzanja lanu kumanja ndikukanikiza dzanja lanu pansi. Chomwe muyenera kuchita ndikukaniza kupanikizika, ndiko kuti, yesani kukankhira dzanja lanu mmwamba m'malo molisiya pansi.

Dokotala akufunsa ngati mukumva kupweteka kulikonse paphewa panu panthawiyi.

Gawo lachiwiri (chala chachikulu mmwamba)

1. Sinthani dzanja lanu: Tsopano tembenuzani dzanja lanu mbali ina. Ngati kuti mukupempha winawake kanthu, dzanja lanu layang'ana mmwamba ndipo chala chanu chachikulu chayang'ana kunja. Malo amenewa amatchedwa `(supination)`. Sungani dzanja lanu litalunjika pansi, molunjika.

2. Pewani kupanikizika kachiwiri: Dokotala adzakukanikizanso dzanja lanu pansi monga kale. Muyenera kuyesa kukweza dzanja lanu motsutsana ndi kupanikizika.

Dokotalayo akufunsanso kuti ululu uli bwanji panthawiyi.

Kodi zotsatira 'zabwino' zikutanthauza chiyani?

Gawo lofunika kwambiri ndi ili. Mayesowa amatchedwa 'positive' pokhapokha ngati zinthu zonsezi zakwaniritsidwa:

• Muyenera kumva kupweteka paphewa lanu poyamba (ndi chala chanu chachikulu choloza pansi).
• Komanso, mu malo achiwiri (ndi chala chachikulu chokwezedwa mmwamba), ululu womwe umamveka kale uyenera kuchepetsedwa kwambiri kapena kutha kwathunthu.

Kuti mumvetse bwino zotsatira zake, onani tebulo ili m'munsimu.

Kodi mayesowa ndi olondola 100%? Kenako chimachitika ndi chiyani?

Ichi ndi chinthu chomwe tonsefe tiyenera kudziwa. Mayeso a O'Brien ndi chida chothandiza kwambiri chomwe chingakupatseni chidziwitso chokhudza vuto la phewa. Komabe, si mayeso olondola 100% komanso otsimikizika. Nthawi zina, munthu amene ali ndi phewa labwino amatha kupezeka kuti ali ndi kachilomboka ngakhale atakhala kuti alibe vuto lililonse.

Dokotala afika pamapeto pake ataganizira zotsatira za kafukufukuyu, komanso zotsatirazi:

• Tsatanetsatane womwe mumapereka: Momwe ululu unayambira, nthawi yake, momwe unamvekera, ndi zina zotero.
• Mayeso ena akuthupi: Mayeso ena omwe amayang'ana zinthu monga kuyenda kwa phewa ndi mphamvu.

Nthawi zina, dokotala wanu angakulangizeni mayeso ena kuti atsimikizire kuti matendawa ndi otani.

• X-ray, CT scan, kapena MRI: Izi zimatha kuona bwino mafupa, cartilage, ndi minofu mkati mwa phewa.
• Kuyezetsa magazi: Yang'anani ngati ululuwo umayamba chifukwa cha matenda ena, monga gout kapena rheumatoid arthritis.
• Kujambula mafupa a mafupa a phewa: Iyi ndi opaleshoni yaying'ono. Kamera yaying'ono kwambiri imayikidwa m'malo olumikizirana mafupa kuti ione vuto lomwe lili mkati.