Kodi phewa lanu likupweteka? Kungakhale kung'ambika kwa rotator cuff!

Kodi mumavutikanso kukweza kapena kuzungulira phewa lanu? Kodi zimakupwetekani mukagona? Nthawi zina mukagona usiku, kodi mumamva kupweteka kwambiri kotero kuti simungathe ngakhale kukweza phewa lanu? Kapena mumamva ngati chinachake 'chatsekedwa' mkati mwa phewa lanu, kapena chikukakamira? Ndiye nkhaniyi idzakhala yofunika kwambiri kwa inu. Lero tikambirana za vuto la phewa lomwe anthu ambiri ali nalo, koma sakudziwa bwino. Umenewo ndi kung'ambika kwa phewa lotchedwa rotator cuff .

Kodi chigoba cha phewa chozungulira ndi chiyani? Chimang'ambika bwanji?

Mwachidule, rotator cuff ndi gulu la minofu inayi ndi minyewa yawo m'mapewa mwanu yomwe imapanga 'cuff' yaying'ono kapena chibangili chozungulira phewa.

Ntchito yake yayikulu ndikukuthandizani kukweza, kutsitsa, ndikuzungulira mkono wanu mkati ndi kunja . Zimathandizanso kusunga gawo longa mpira la fupa lanu lapamwamba la mkono (lomwe timalitcha kuti humerus m'mawu azachipatala) m'malo mwake mu tsamba la phewa. Taganizirani ngati mpira wa gofu pa tee ya gofu. Umu ndi momwe phewa lathu limagwirira ntchito. Chogwirira cha rotator chimathandiza kuti mpirawo usadumphe kuchokera pa tee.

Choncho, kung'ambika kwa rotator cuff kumachitika pamene imodzi kapena zingapo mwa minyewayo zachoka kwathunthu kapena pang'ono kuchokera ku fupa lapamwamba la mkono (humerus). Izi zitha kuchitika mwadzidzidzi (monga kugwa), kapena zitha kuchitika pakapita nthawi pamene minyewayo ikutha pakapita nthawi.

Kodi pali mitundu ina ya misozi iyi?

Inde, pali mitundu iwiri makamaka:

1. Kung'ambika pang'ono: Apa ndi pamene mtsempha suchoka kwathunthu ku fupa. Izi zikutanthauza kuti mtsempha umakhalabe wolumikizidwa ku fupa pang'ono. Koma wang'ambika pang'ono ndipo wafooka. Uli ngati nsalu yomwe yang'ambika pang'ono popanda kung'ambika konse.

2. Kung'ambika Konse Kapena Kukhuthala Kwambiri: Apa ndi pamene mtsempha umapatukana kwathunthu ndi fupa. Makamaka, mtsempha umaoneka kuti uli ndi dzenje, kapena umasweka kwathunthu pakati.

Kodi vutoli ndi lofala bwanji?

Kusoka kwa Rotator cuff ndi kofala kwambiri kuposa momwe mungaganizire. Kumapezeka makamaka kwa okalamba . Malinga ndi ziwerengero zina, anthu mamiliyoni ambiri padziko lonse lapansi amavutika ndi vutoli chaka chilichonse.

Tangoganizani, anthu ena ali ndi misozi koma alibe zizindikiro zilizonse, kotero sadziwa ngakhale kuti ali nayo! Nthawi zina imatha kukhala chete.

Kodi zizindikiro zake ndi ziti? Mukumva bwanji ndi izi?

Zizindikiro za kung'ambika kwa rotator cuff zimatha kusiyana malinga ndi munthu, koma pali zizindikiro zina zodziwika bwino:

• Ndizovuta, zimapweteka, ndipo zimamveka ngati palibe mphamvu mu mkono mukamaukweza, kuutsitsa, kapena kuuzunguliza.Ululu uwu ukhoza kuchitika mukapesa tsitsi lanu, mukamakanda msana wanu, kapena mukamatambasula dzanja lanu kuti mutole china chake.
• Ndikasuntha mkono wanga mwanjira inayake , ndimamva phokoso la 'tick-tock' kapena 'chiri-chiri' likuchokera mkati mwa phewa langa, kapena ndimamva ngati chinachake chikupotoka kapena chikukakamira mkati.
• Ululu wa phewa umakula kwambiri usiku. Ululuwu ukhoza kukhala woopsa kwambiri makamaka akagona chammbali. Anthu ena amamva ululu ngakhale akangopumitsa mkono wawo chammbali.
• Mapewa anu ndi ofooka, zomwe zimapangitsa kuti zikhale zovuta kunyamula zinthu, kutsegula zitseko, ndi zina zotero. Mungavutike kuchita zinthu zomwe kale zinali zosavuta.

Kodi ululu uwu umamveka bwanji kwenikweni?

Izi ndizosiyana kwa munthu aliyense. Ena angamve kupweteka kosalekeza komwe kumamveka ngati chinachake chakhala mkati mwa phewa, ndi kulemera . Ena angamve kupweteka kwambiri komanso kobaya .

• Ngati kung'ambikako kwachitika mwadzidzidzi (kung'ambika kwakukulu) , monga kugwa, ndiye kuti mwadzidzidzi mungamve kupweteka kwa phewa kosapiririka komanso kutayika mphamvu kwa mkono.
• Pakugwa kofooka , ululu ukhoza kukhala wochepa poyamba. Ungachepetsedwe ndi mankhwala ochepetsa ululu omwe amaperekedwa ndi dokotala (OTC pain relievers). Komabe, pakapita nthawi, ululuwo ukhoza kukhala woopsa kwambiri ndipo sungachepetsedwe ndi mankhwalawo.
• Chofunika ndichakuti si aliyense amene adzamva ululu, koma anthu ambiri adzamva kufooka m'manja ndi m'mapewa awo.

N’chifukwa chiyani izi zikuchitika? Kodi zifukwa zake ndi ziti?

Pali zifukwa zingapo zomwe zingayambitse kung'ambika kwa rotator cuff.

1. Kuvulala Kwambiri:

Mnofu ukhoza kung'ambika chifukwa cha kugwa, kumenyedwa mwamphamvu pa phewa, kapena kupsinjika mwadzidzidzi pa phewa ponyamula chinthu cholemera. Nthawi zina, rotator cuff imathanso kuwonongeka phewa likasokonekera kapena khosi likasweka.

2. Misozi Yosasinthika:

Ichi ndiye chifukwa chofala kwambiri. Chiwopsezochi chimakhala chachikulu makamaka mwa anthu azaka zopitilira 40. Pali zifukwa zingapo zomwe izi zingachitikire:

• Kutupa kwa Mafupa: Anthu ena amakhala ndi tinthu tating'onoting'ono ta mafupa (`(Bone spurs)`) pamwamba pa fupa la phewa lawo, komwe tendon imadutsa. Tikakweza dzanja lathu, tinthu ta mafupa timeneti timakakamirana ndi tendon. Izi zimatchedwa ``Shoulder Impingement``. Izi zikapitirira kukakamira, monga momwe chingwe chimakakamira pamwala, tendon imatha kufooka ndikung'ambika.
• Kuchepa kwa Magazi:Pamene tikukalamba, magazi opita ku rotator cuff tendons amachepa. Chiwalo chilichonse cha thupi lathu chikavulala, magazi abwino ndi ofunikira kuti chichiritsidwe. Chifukwa chake, magazi akapanda kukwanira, tendon imakhala yofooka, ndipo ngakhale kuvulala pang'ono sikuchira mosavuta, ndipo pang'onopang'ono kumatha kung'ambika kwambiri.
• Kugwiritsa Ntchito Mopitirira Muyeso ndi Kubwerezabwereza:

Kaya ndi kusewera masewera kapena kugwira ntchito yanu ya tsiku ndi tsiku, mukamagwiritsa ntchito phewa lanu mwanjira yomweyo, zimaika nkhawa kwambiri pa minofu ndi minofu ya minofu. Izi zitha kufooketsanso minofu ya minofu ndikuidula. Taganizirani za munthu amene nthawi zonse amayang'ana mmwamba akamajambula, munthu amene amachita ntchito ya ukalipentala, kapena munthu amene nthawi zonse amaponya mpira wa bowling fast akamasewera cricket kapena volleyball. Ali pachiwopsezo chachikulu.

Ndani amene ali ndi mwayi waukulu wopeza izi? (Zinthu Zoopsa)

Ndipotu, aliyense akhoza kuvulala ndi rotator cuff. Komabe, anthu ena ali pachiwopsezo chachikulu. Onani ngati izi zikukukhudzani:

• Zaka: Anthu opitirira zaka 40 ali pachiwopsezo chachikulu chifukwa mphamvu ya tendon ndi kusinthasintha kwake zimachepa ndi ukalamba.
• Mbiri ya banja: Ngati wina m'banja mwanu (amayi, abambo, abale ndi alongo) wakhala ndi mavuto a m'mapewa, monga misozi ya rotator cuff, inunso mungakhale pachiwopsezo chachikulu.
• Kusuta: Anthu omwe amasuta amakhala ndi mphamvu zochepa zochira minofu ndipo amathanso kufooketsa minofu yawo.
• Kaimidwe Koyipa: Anthu omwe amagwira ntchito pa kompyuta, amagwiritsa ntchito mafoni awo, kapena akuwerama mapewa awo akuimirira kapena atakhala akhoza kukakamiza kwambiri phewa lawo.
• Ntchito zina ndi masewera: Monga tanenera kale, anthu omwe amachita mapewa mobwerezabwereza amakhala ndi mwayi waukulu wokhala ndi misozi yofooka. Mwachitsanzo:
• Amisiri amatabwa
• Opaka utoto
• Akatswiri a magalimoto
• Anthu omwe amagwira ntchito zonyamula katundu wolemera
• Othamanga: Makamaka omwe amasewera masewera monga baseball, softball, tennis, kusambira, kupalasa bwato. Anthu omwe amasewera masewera monga cricket (makamaka bowler), volleyball, ndi badminton, omwe ndi otchuka m'dziko lathu, nawonso ali pachiwopsezo.

Kodi chimachitika ndi chiyani ngati chithandizo sichiperekedwa? (Zovuta)

Funso limene anthu ambiri amafunsa ndi ili. Si bwino kuganiza kuti, "Ngati ipweteka pang'ono, idzakhala bwino yokha ." Chifukwa, ngati sichitha kuchiritsidwa, kung'ambika kwa rotator cuff kumeneku kumatha kukulirakulira.

• Ngakhale kung'ambika pang'ono kungakule kukhala kung'ambika konse ngati munthu apitiriza kugwiritsa ntchito phewa lake.
• Ngati pali kung'ambika konse, kungayambitse mpaka kufika poti simungathe kusuntha kapena kukweza mkono wanu.
• >Ngati simulandira chithandizo kwa nthawi yayitali, mutha kukhala ndi ululu wosatha wa mapewa, kufooka kwambiri kotero kuti simungathe kugwiritsa ntchito mkono wovulalayo pa ntchito za tsiku ndi tsiku, komanso kukhala ndi mavuto ena, monga nyamakazi m'malo olumikizirana mafupa a phewa.

Kodi mumazindikira bwanji izi molondola?

Ngati mukuvutika ndi mapewa kapena kusapeza bwino, choyamba muyenera kupita kwa dokotala. Iye adzakufunsani mafunso ndikukuyesani.

1. Kuyezetsa Thupi: Dokotala adzakhudza phewa lanu ndikuyang'ana ngati lili lofewa kapena lotupa. Kenako adzakufunsani kuti musunthe mkono wanu mbali zosiyanasiyana (momwe mungasunthire) ndikuyang'ana mphamvu ya mkono wanu. Mayesowa angakuthandizeni kudziwa ngati muli ndi vuto la rotator cuff.

2. Mayeso apadera (Mayeso Ojambula): Kuti atsimikizire matenda, mayesowa atha kuchitidwanso:

• X-ray: Izi sizingawonetse mwachindunji tendon yosweka. Komabe, zimatha kuyang'ana zinthu monga mafupa, nyamakazi, ndi mavuto ena a mafupa.
• MRI (Magnetic Resonance Imaging): Iyi ndi njira yabwino kwambiri yoyezera kung'ambika kwa rotator cuff. Ikhoza kusonyeza bwino kuchuluka kwa mtsempha womwe wang'ambika komanso mtundu wa kung'ambika kwake (kochepa kapena kokwanira).
• Kujambula kwa Ultrasound: Izi zingagwiritsidwenso ntchito pofufuza zinthu monga kung'ambika kwa tendon ndi kutupa. Ndi mayeso omwe angachite mwachangu komanso pamtengo wotsika kuposa MRI.

Kodi chithandizo cha izi ndi chiyani?

Nkhani yabwino ndi yakuti pali njira zambiri zochizira kung'ambika kwa rotator cuff. Dokotala wanu adzakukonzerani chithandizo chabwino kwambiri kutengera zinthu monga mtundu wa kung'ambika kwanu, zaka zanu, komanso kuchuluka kwa zochita zanu.

Njira zochiritsira zitha kugawidwa m'magulu awiri akuluakulu:

1. Zosankha Zopanda Opaleshoni

Izi ndizofunikira kwa anthu ambiri: Kung'ambika kwa Rotator cuff sikuchira kwathunthu (minofu imalumikizananso) popanda opaleshoni. Komabe, anthu ambiri (makamaka omwe ali ndi kung'ambika pang'ono kapena okalamba) amatha kuchepetsa ululu, kukonza magwiridwe antchito a phewa, ndikubwerera pamlingo womwe angathe kuchita zinthu zatsiku ndi tsiku popanda opaleshoni.

Ndipotu, kafukufuku wasonyeza kuti anthu asanu ndi atatu mwa khumi omwe ali ndi misozi yochepa amatha kuchira bwino popanda chithandizo cha opaleshoni . Komabe, zingatenge miyezi, ngakhale zaka, kuti vutoli lithe. Muyenera kukhala oleza mtima ndi chithandizo.

Kodi njira zochiritsira zosagwiritsa ntchito opaleshonizi ndi ziti?

• Kusintha kwa Mpumulo ndi Zochita:Ndikofunikira kwambiri kupumula phewa lanu. Mungafunike kusiya kapena kuchepetsa zochita kapena masewera omwe amayambitsa ululu kwa kanthawi. Dokotala wanu angakulangizeninso kuti muvale chogwirira cha mkono kwa masiku angapo.
• Mankhwala Ochepetsa Ululu: Dokotala wanu angakulangizeni mankhwala ochokera ku gulu la mankhwala ochepetsa ululu otchedwa NSAIDs (monga Ibuprofen, Diclofenac) kuti achepetse ululu ndi kutupa.
• Kuchiza ndi Thupi: Ichi ndi gawo lofunika kwambiri la chithandizo chopanda opaleshoni. Katswiri wodziwa bwino ntchito ya thupi adzakuphunzitsani masewera olimbitsa thupi kuti mulimbikitse minofu ya mapewa anu ndi masewera olimbitsa thupi kuti muwonjezere kuyenda kwa mapewa anu. Kuchita masewera olimbitsa thupi awa moyenera kungathandize kuchepetsa ululu ndikuwongolera magwiridwe antchito a mapewa anu.
• Jakisoni wa Steroid: Ngati ululu ndi kutupa kuli kwakukulu, dokotala wanu angasankhe kukupatsani jakisoni wa steroid (monga jakisoni wa cortisone) m'malo olumikizirana mafupa anu. Ngakhale izi zingapereke mpumulo mwachangu, ndi yankho la kanthawi kochepa chabe. Si bwino kupitiriza kumwa jakisoni awa.

2. Njira Zopangira Opaleshoni

Opaleshoni imafunika pazochitika zotsatirazi:

• Ngati muli ndi misozi yonse (makamaka ngati misoziyo ndi yayikulu).
• Ngakhale kung'ambika pang'ono, palibe kusintha komwe kumachitika pakatha miyezi 6-12 popanda chithandizo cha opaleshoni.
• Ngati ndinu wachinyamata, wochita zinthu mwachangu, kapena ngati ntchito yanu kapena masewera anu amadalira kwambiri mapewa anu.
• Ngati pali kuvulala kwakukulu chifukwa cha kuvulala kwadzidzidzi.

Opaleshoni zambiri za rotator cuff tsopano zimachitika pogwiritsa ntchito arthroscopically . Izi zikutanthauza kuti kamera yaying'ono (arthroscope) ndi zida zochitira opaleshoni zimayikidwa kudzera m'mabala angapo ang'onoang'ono paphewa. Njirayi imakhala ndi ululu wochepa komanso kuchira mwachangu chifukwa sikutanthauza kudula kwakukulu. Komabe, nthawi zina, ngati kudulako kuli kwakukulu kwambiri kapena kovuta, dokotalayo angachite opaleshoni yotseguka (njira yomwe imaphatikizapo kudula kwakukulu pang'ono).

Cholinga chachikulu cha opaleshoni ndikulumikizanso mtsempha wosweka ku fupa. Nthawi zina, ngati pali ma spurs a fupa, amachotsedwanso.

• Ngati pakhala kung'ambika pang'ono , dokotalayo angafunike kungodula zidutswa zina zonga ulusi, zotha ntchito za mtsempha wong'ambika. Izi zimatchedwa kuchotsedwa kwa mtsempha .
• Misozi ina ingakhale misozi yosatha kukonzedwa chifukwa cha kukula kwake, nthawi yomwe yakhala ikung'ambika, komanso momwe tendon imakhalira. Pazochitika zotere, opaleshoni ina ingafunike kuganiziridwa. Mwachitsanzo, "Reverse shoulder replacement" (opaleshoni yapadera yosinthira phewa) kapena "Tendon transfer" (tendon yathanzi imabweretsedwa kuchokera kwina ndikukonzedwa).

Opaleshoni iyi nthawi zambiri imachitika tsiku lomwelo kapena tsiku lotsatira (njira ya 'kunja kwa chipatala' kapena kukhala kwakanthawi kochepa). Komabe, zimatenga nthawi yayitali kuti munthu achire bwino kuchokera ku opaleshoniyi, mwina chaka chimodzi kapena kuposerapo.

Zimatenga nthawi yayitali bwanji kuti munthu achire? (Nthawi Yochira)

Ichi ndi chinthu chomwe anthu ambiri amafunsa modandaula.

• Popanda opaleshoni, zingatenge miyezi ingapo kuti ululu uchepe ndikugwira ntchito bwino ndi mankhwala olimbitsa thupi ndi mankhwala ena.
• Ngati mwachitidwa opaleshoni,
• Mukachita opaleshoni, muyenera kuvala sling kwa milungu pafupifupi 4 mpaka 6 kuti mkono wanu usasunthe. Ndikofunikira kuti phewa lanu lipumule panthawiyi.
• Kenako muyenera kuyamba kuchita physiotherapy . Ichi ndi chinthu chomwe chiyenera kuchitika. Mumayamba ndi mayendedwe a mapewa pang'onopang'ono, kenako pitirizani kuchita masewero olimbitsa thupi.
• Anthu ambiri amayambiranso kugwira ntchito bwino kwa phewa lawo mkati mwa miyezi 4 mpaka 6 kuchokera pamene opaleshoni yachitika ndipo amatha kuchita zinthu za tsiku ndi tsiku.
• Komabe, zingatenge miyezi 9, 12, kapena ngakhale 18 kuti munthu achire bwino ndikubwerera ku zochita monga masewera. Zimatengera kukula kwa kung'ambika, mtundu wa opaleshoni, zaka zanu, komanso momwe mumachitira bwino ndi chithandizo cha thupi.

Kodi chidzachitike ndi chiyani mukachira? (Zolosera/Maganizo)

Anthu ambiri amatha kuchira bwino atatha kung'ambika kwa rotator cuff.

• Anthu ambiri amamva kupweteka pang'ono komanso kugwira ntchito bwino popanda opaleshoni .
• Ndi opaleshoni, makamaka pogwiritsa ntchito njira zamakono monga arthroscopy, anthu ambiri amatha kuyambiranso kugwira ntchito bwino kwa phewa.
• Komabe, pali mwayi wochepa kuti mtsempha womwewo ungang'ambikenso. Chiwopsezochi chimakhala chachikulu makamaka ngati kung'ambika koyamba kunali kwakukulu kwambiri, kapena ngati ndinu wokalamba kapena wosuta fodya. Ngati kung'ambikanso ndikuyambitsa kupweteka kwambiri kapena kulephera kugwira ntchito bwino, mungafune kuganiziranso opaleshoni.

Kodi izi zingalepheretsedwe kuti zisachitikenso? (Kupewa)

Ngakhale kuti sizingatheke kupeweratu izi, pali zinthu zomwe mungachite kuti muchepetse chiopsezo chanu chokhala ndi zizindikiro za rotator cuff lear:

• Sungani minofu ya mapewa anu kukhala yolimba komanso yosinthasintha. Chitani masewera olimbitsa thupi otambasula mapewa anu nthawi zonse. Funsani dokotala wanu kapena katswiri wa zamaganizo kuti akupatseni upangiri pankhaniyi.
• Khalani ndi kaimidwe koyenera mukakhala kuntchito kapena kusewera masewera.
• Ngati mukuchita mayendedwe omwewo mobwerezabwereza, pumulani pakati pawo. Musamachite maseŵera olimbitsa thupi mopitirira muyeso.
• Mukanyamula katundu, munyamule bwino. Musamukoke yense nthawi imodzi koma ingomunyamula ndi mapewa anu.
• Ngati mukusuta, siyani kusuta.

Kodi Muyenera Kuyimbira Wopereka Chithandizo Chaumoyo Wanu Liti?

Ngati muli ndi zizindikiro izi, muyenera kuwona dokotala kuti akupatseni malangizo:

• Kupweteka kwa phewa ndi/kapena mkono komwe kwakhalapo kwa milungu ingapo.
• Ngati ululu ukukulirakulira usiku ndipo umasokoneza tulo.
• Ngati pali kufiira, kutupa, kapena kupweteka kwambiri mukakhudza phewa.
• Ngati mwakumana ndi kufooka mwadzidzidzi paphewa kapena mkono wanu , makamaka pambuyo pa ngozi.
• Ngati kupweteka kwa phewa ndi kusapeza bwino zikukhudza zochita zanu za tsiku ndi tsiku mpaka kufika poti simungathe kuchita ntchito zanu za tsiku ndi tsiku .

Ndi mafunso ati omwe muyenera kufunsa dokotala?

Mukapita kwa dokotala, musazengereze kufunsa mafunso ngati awa:

• Kodi ndinapeza bwanji kung'ambika kwa rotator cuff? Kodi chifukwa chachikulu cha vutoli ndi chiyani?
• Kodi misozi yanga ndi ya mtundu wanji (yochepa, yonse)? Kodi ndi yaikulu bwanji?
• Kodi chithandizo chabwino kwambiri kwa ine ndi chiti? Kodi ndikufunika opaleshoni?
• Kodi ndingayembekezere kusintha kotani kuchokera ku chithandizo chosagwiritsa ntchito opaleshoni?
• Ngati ndichitidwa opaleshoni, zoopsa zake ndi ziti? Zimatenga nthawi yayitali bwanji kuti ndichire?
• Kodi ndingatani kuti ndipewe kung'ambika kotereku kuti kusabwerenso?
• Ndi zinthu ziti zomwe ndiyenera kupewa? Ndi zinthu ziti zomwe ndingachite?
• Kodi ndiyenera kudziwa za mavuto? Kodi zizindikiro za mavuto amenewo ndi ziti?

Ngati mumagwira ntchito kwambiri kapena ndinu wothamanga, kung'ambika kwa rotator cuff kungakuchotseni kuntchito kapena masewera anu kwakanthawi. Komabe, sikuyenera kukhala mapeto a ntchito yanu kapena ntchito yanu yamasewera. Lankhulani ndi dokotala wanu za njira yabwino kwambiri yothandizira - kaya si opaleshoni kapena opaleshoni. Ngakhale phewa lanu litakhala lopweteka komanso lofooka kwakanthawi, limatha kuchira pakapita nthawi, chithandizo choyenera, komanso khama lanu. Kuleza mtima ndi kutsatira malangizo a dokotala wanu ndiye chinsinsi.

Uthenga Wopita Nawo Kunyumba

Kung'ambika kwa rotator cuff ndi vuto lofala, koma likhoza kukhala lalikulu, lomwe lingayambitse kupweteka kwa mapewa ndi kufooka.

• Zifukwa: Ngozi, kuwonongeka ndi ukalamba, kugwiritsa ntchito phewa mopitirira muyeso, komanso kukula kwa mafupa.
• Zizindikiro: Kupweteka kwa phewa (makamaka usiku komanso pokweza mkono), kuvutika kukweza mkono, kufooka, phokoso la 'kudina' kuchokera paphewa.
• Mayeso: Kuwunika thupi, X-ray, MRI kapena Ultrasound scan.
• Chithandizo: Kupuma, mankhwala ochepetsa ululu (NSAIDs), physiotherapy, jakisoni wa steroid, ndi opaleshoni (monga opaleshoni ya arthroscopic) ngati pakufunika.
• Chofunika kwambiri: Ngati mukumva kupweteka kwa phewa kapena kusapeza bwino , pitani kwa dokotala. Mukazindikira msanga ndikuyamba kulandira chithandizo, mwayi wanu wochira umakhala wabwino. Musayese kudzichiritsa nokha! Phewa lanu ndi lofunika.

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