Kodi mukumva kupweteka pa phewa lanu? Kungakhale vuto ndi rotator cuff yanu!

Kodi mumamvanso kupweteka pang'ono kapena kusasangalala paphewa panu? Nthawi zina mukayesa kukweza dzanja lanu kapena kunyamula chinthu cholemera, ululuwu ukhoza kuwonjezeka. Kunena zoona, kupweteka paphewa ndi chinthu chokhumudwitsa kwambiri. N'zovuta kwambiri kuchita ntchito za tsiku ndi tsiku, sichoncho? Nthawi zambiri, chomwe chimayambitsa mavuto otere a paphewa chingakhale vuto lomwe lili m'thupi ili lotchedwa ``Rotator Cuff``` lomwe tikulankhula lero. Tiyeni tiwone chomwe ichi ndi chiyani, momwe chilili chofunikira pamapewa athu, matenda omwe angachitike komanso zomwe tingachite pa iwo.

Kodi chozungulira ichi ndi chiyani?

Mwachidule, rotator cuff yanu ndi gulu la minofu ndi minyewa yomwe imazungulira phewa lanu. Taganizirani ngati lamba wozungulira phewa lanu. Muli ndi rotator cuff paphewa lililonse. Apa ndi pomwe tsamba lanu la phewa (fupa lathyathyathya kumbuyo kwa tsamba lanu la phewa) limalumikizana ndi fupa lanu lakumtunda (humerus). Mukakweza mkono wanu, mukazungulira mkono wanu kutsogolo ndi kumbuyo, mumagwiritsa ntchito rotator cuff iyi kuchita zonsezi.

Kuvulala kwa Rotator cuff kumachitika kawirikawiri, makamaka pakati pa othamanga. Chifukwa chake ngati muli ndi kupweteka kwa phewa, kuuma kwa mkono, kufooka, kapena kulephera kusuntha phewa lanu popanda kupweteka, muyenera kuwonana ndi dokotala .

Kodi chimachitika ndi chiyani ndi rotator cuff? N’chifukwa chiyani izi n’zofunika kwa ife?

Chogwirira chanu chozungulira chimagwira ntchito makamaka kuti phewa lanu ndi mkono wanu wapamwamba zikhale zokhazikika komanso zowongoka mukazigwiritsa ntchito. Monga momwe dzinalo likusonyezera, chimodzi mwa ntchito zake zazikulu ndikukuthandizani "kuzungulira" phewa lanu.

Ganizirani za cholumikizira cha phewa ngati cholumikizira cha mpira ndi soketi. Gawo lofanana ndi mpira la fupa lanu lapamwamba la mkono (humerus) (lotchedwa mutu wa humeral) limalowa m'kabokosi kakang'ono mu tsamba la phewa lanu (scapula). Lili ngati mpira wa gofu pa tee. Chifukwa chake, minofu ndi minyewa mu rotator cuff iyi imagwira mafupa awiriwa pamodzi, kuteteza cholumikizira, ndikukuthandizani kusuntha mkono wanu kumbuyo ndi kumbuyo. Popanda izi, phewa lanu lingakhale losakhazikika kwambiri, ngati hinge yomasuka.

Kodi chogwirira ichi cha rotator chili kuti?

Chogwirira cha rotator chili pamalo ang'onoang'ono pakati pa fupa la mkono wanu wapamwamba (humerus) ndi pamwamba pa tsamba la phewa lanu. Izi zikutanthauza kuti chili mkati mwa phewa lanu. Chimazungulira phewa lanu ndipo chimaphimba mutu wa fupa la mkono wanu wapamwamba (humerus).

Kodi chozungulira cha thupi chimapangidwa bwanji? (Anatomy)

Chogwirira cha rotator chimapangidwa ndi minofu inayi m'mapewa ndi minofu yomwe imailumikiza ku mafupa. Minofu inayi iyi ndi:

• Supraspinatus: Minofu iyi imakuthandizani kukweza mkono wanu ndikuzungulira phewa lanu. Imayambira pamwamba pa tsamba la phewa (scapula) ndikulumikizana ndi mutu wa fupa lapamwamba la mkono (humerus).
• Subscapularis: Minofu iyi imakuthandizani kutambasula mkono wanu patsogolo komanso kutali ndi thupi lanu. Imayambira pakati pa tsamba la phewa ndikulumikizana ndi pansi pa mutu wa fupa lapamwamba la mkono.
• Infraspinatus: Iyi ndi minofu ina yofunika kwambiri yomwe imakuthandizani kuzungulira mkono wanu kupita kunja. Imayambira pansi pa phewa lanu ndikulowetsa m'fupa la mkono wanu wakumtunda kumbuyo kwa supraspinatus.
• Teres minor: Iyi ndi minofu ina yomwe imathandiza kuzungulira mkono kunja. Imayambira m'mphepete mwa scapula ndikulowa mu humerus pansi pa infraspinatus.

Minofu imeneyi imalumikizidwa ku mafupa ndi minofu yolimba yotchedwa tendons . Ganizirani za tendons izi ngati levers. Mukakoka (kufinya) minofu mu rotator cuff yanu, tendon yomwe imalumikizidwa nayo imakoka fupa, ndikusuntha phewa lanu ndi mkono wapamwamba.

Kodi kuvulala kofala kwambiri kwa rotator cuff ndi kotani?

Kuvulala kwa mapewa a Rotator cuff n'kofala kwambiri. Kodi mapewa athu timagwiritsa ntchito ndalama zingati tsiku lonse? Kuvulala kumeneku kungachitike mwadzidzidzi, kapena kungayambe pang'onopang'ono pakapita nthawi. Kuvulala kwakukulu kwa mapewa, makamaka komwe kumachitika panthawi yamasewera, kumagwirizana ndi rotator cuff.

Kuvulala kofala kwambiri kwa rotator cuff ndi:

• Matenda Ogwiritsa Ntchito Mopitirira Muyeso: Uwu ndi vuto lomwe limachitika chifukwa chogwiritsa ntchito phewa mopitirira muyeso nthawi zonse. Mwachitsanzo, ngati ndinu wosewera mpira wa cricket, mumaika mphamvu zambiri paphewa lanu mukamaliza kusewera mpira nthawi zonse. Kapena ngati nthawi zonse mumachita zinthu pamwamba pa mutu wanu mukugwira ntchito zapakhomo, kapena ngati simuli bwino mukugwira ntchito pa kompyuta, pakapita nthawi, rotator cuff iyi ikhoza kuwonongeka.
• Matenda a Shoulder impingement: Amatchedwanso rotator cuff tendinitis, vutoli limachitika pamene rotator cuff tendons imatupa ndikugwidwa pakati pa mafupa a phewa. Izi zimayambitsa ululu mukakweza mkono wanu.
• Kung'ambika kwa rotator cuff: Uku ndi kung'ambika kwa tendon imodzi kapena zingapo mu rotator cuff. Izi zitha kuyambira kung'ambika pang'ono mpaka kung'ambika kwathunthu.
• Kuvulala kwa phewa: Izi ndi kuvulala kwa phewa. Pamenepa, mtsempha umakokedwa.
• Phewa la wosambira: Kuvulala kwa phewa komwe kumachitika kawirikawiri kwa osambira.

Ndingadziwe bwanji ngati chidendene changa cha rotator chang'ambika?

Ngati muli ndi rotator cuff yong'ambika, chizindikiro chachikulu ndi kupweteka kwa phewa . Ululu uwu ukhoza kukhala kupweteka kofooka komwe kumachokera mkati mwa phewa, kapena kungakhale kupweteka kwakuthwa komanso kobaya. Ngati rotator cuff yang'ambika mwadzidzidzi chifukwa cha kuvulala (monga kugwa), ikhoza kuyambitsa kupweteka kwakukulu kwa phewa ndi kufooka kwa mkono.

Ngati ululu wa phewa sumatha patatha masiku angapo, onetsetsani kuti mwapeza thandizo lachipatala . Ngati ululuwo wakula mwadzidzidzi moti simungathe kusuntha phewa lanu, kapena ngati wayamba pambuyo pa ngozi, pitani kuchipatala mwamsanga.

Kodi madokotala amagwiritsa ntchito mayeso otani kuti adziwe matenda amenewa?

Dokotala adzazindikira kung'ambika kwa rotator cuff mwa kuchita mayeso akuthupi, ndipo ngati pakufunika, adzayesa kujambula zithunzi. Dokotala adzayang'ana phewa lanu ndikukufunsani za zizindikiro zanu. Auzeni nthawi yeniyeni yomwe munayamba kumva ululu, mtundu wa ntchito yomwe mumagwira, komanso ngati ululuwo ukukulirakulira kapena kucheperapo.

Mungafunike kuchita mayeso angapo monga awa:

• X-ray ya paphewa: Izi zitha kuwona ngati pali vuto lililonse ndi mafupa.
• Kujambula kwa MRI (Magnetic resonance imaging - MRI): Izi zingapereke chithunzi chomveka bwino cha minofu yofewa, monga minofu ndi minyewa. Izi ndizofunikira kwambiri kuti mudziwe ngati pali kung'ambika kwa rotator cuff.
• Kujambula kwa Ultrasound: Izi zingathandizenso kuwona ngati pali vuto la minofu ndi kung'ambika kwa minofu.

Kodi njira zochiritsira zodziwika bwino za kuvulala kwa rotator cuff ndi ziti?

Mtundu wa chithandizo chomwe mukufuna chidzadalira mtundu ndi kuopsa kwa kuvulala kwanu. Dokotala wanu adzakupatsani chithandizo chomwe chingathandize kuchepetsa ululu wanu ndikuthandiza rotator cuff yanu kuchira. Mankhwala ofala kwambiri ndi awa:

• Kupuma ndi Kupewa Zochita Zovulala: Ichi ndi chinthu choyamba komanso chofunikira kwambiri . Kupuma ku zochitika ndi masewera omwe amayambitsa ululu ndikofunikira kuti munthu achire.
• Kupaka ayezi paphewa panu: Dokotala wanu adzakuuzani kangati patsiku komanso nthawi yomwe muyenera kuyika ayezi. Musamaike ayezi mwachindunji pakhungu , muikulunge ndi nsalu yopyapyala. Izi zichepetsa ululu ndi kutupa.
• Mankhwala ochepetsa ululu ndi oletsa kutupa: Mankhwala oletsa kutupa omwe si a steroidal (NSAIDs) (monga ibuprofen, diclofenac) kapena acetaminophen (monga Panadol) angagwiritsidwe ntchito kuchepetsa ululu ndi kutupa. Komabe, musagwiritse ntchito izi kwa masiku opitilira khumi popanda upangiri wa dokotala .
• Kuchiza thupi: Ichi ndi chithandizo chofunikira kwambiri. Chimathandiza kulimbitsa minofu ya phewa, makamaka mutavulala, ndikubwezeretsa kuyenda bwino. Katswiri wa zamaganizo adzakuphunzitsani masewera olimbitsa thupi a rotator cuff omwe ndi oyenera kwa inu. Kuchita izi molondola komanso nthawi zonse ndikofunikira kwambiri pakuchira .
• Jakisoni wa Cortisone (jakisoni wa steroid):Nthawi zina, dokotala wanu angamupatse jekeseni wa corticosteroid, mankhwala ochepetsa kutupa, mu rotator cuff. Izi zingathandize kuchepetsa ululu ndi kutupa mwachangu.
• Opaleshoni: Ngati kuvulalako kuli kwakukulu, mwachitsanzo, ngati mtsempha wang'ambika kwathunthu, kapena ngati chithandizo china sichinathandize kwa miyezi ingapo, opaleshoni ingafunike. Dokotala wanu kapena dokotala wanu adzakufotokozerani mtundu wa opaleshoni yomwe mukufuna komanso zomwe mungayembekezere.

Kodi mungapewe bwanji kuvulala kwa rotator cuff?

“Kupewa ndi bwino kuposa kuchiza,” iwo akutero. Choncho njira yabwino yopewera kuvulala kwa rotator cuff ndi kupewa kugwiritsa ntchito mapewa anu mopitirira muyeso ndikuwasamalira.

• Ngati mukumva kupweteka paphewa panu mukuchita masewera olimbitsa thupi kapena kuchita masewera ena olimbitsa thupi, siyani nthawi yomweyo . Musapitirize kusewera kapena kuyesetsa kuthetsa ululuwo .
• Tenthetsani bwino musanachite masewera olimbitsa thupi kapena masewera olimbitsa thupi, kenako ziziritsani pambuyo pake.
• Gwiritsani ntchito zida zoyenera pochita masewera olimbitsa thupi komanso pogwira ntchito zolimbitsa thupi.
• Tsatirani zakudya zabwino komanso ndondomeko yochitira masewera olimbitsa thupi yomwe ikukuyenererani. Kukhala ndi minofu yolimba kumathandiza kupewa kuvulala.
• Funani upangiri kwa dokotala mukangomva kupweteka kwa phewa kapena zizindikiro zina. N'zosavuta kuchiza vuto laling'ono lisanakhale lalikulu.

Kodi rotator cuff imatha kudzichiritsa yokha?

Kupuma ndi kupewa zinthu zomwe zimayambitsa ululu kungathandize kuti rotator cuff yanu ichire. Komabe, nthawi zonse ndikofunikira kuti dokotala akufufuzeni kuti adziwe ngati muli ndi matenda oyenera . Musanyalanyaze zizindikiro monga kupweteka, kufooka, kapena kuchepa kwa kuyenda.

Ngati mupitiliza kugwiritsa ntchito phewa lanu, kuyika mphamvu zambiri pa rotator cuff, ngakhale kuvulala pang'ono kumatha kukulirakulira.

Kumbukirani, rotator cuff yanu si chidutswa chabe cha zinyalala, ndi "mzere" wofunikira wa minofu ndi minyewa yomwe imagwirizanitsa mafupa, zomwe zimathandiza kuti phewa lanu ndi mkono wanu zizigwira ntchito bwino.

Kuvulala kwa Rotator cuff ndi kofala pakati pa othamanga akatswiri. Koma simuyenera kukhala wosewera cricket wa ligi yayikulu kapena nyenyezi ya mpira kuti muvulale chifukwa cha kuvulala kwa rotator cuff. Kuvulala kumeneku kungachitike mwadzidzidzi, kapena kungayambe pang'onopang'ono pakapita nthawi.

Pomaliza, kumbukirani (Uthenga Wopita Nawo Kunyumba)

Ngati ululu wa phewa lanu sukuyenda bwino mutatha masiku angapo opuma komanso kusamalira kunyumba, chonde pitani kwa dokotala.Adzazindikira kuvulalako ndikukupatsani njira zothandizira kuchiritsa rotator cuff yanu. Phewa ndi lofunika kwambiri pa zochita zathu za tsiku ndi tsiku. Chifukwa chake, ndi udindo wanu kusamalira. Ndikukufunirani kuti muchire mwachangu!

Ululu wa phewa , rotator cuff, Rotator Cuff, matenda a phewa, minofu, minyewa, kuzungulira phewa, chithandizo cha thupi, masewera olimbitsa thupi a phewa