Kupweteka kwa phewa? Izi zitha kukhala Shoulder Tendonitis!

Kodi mumamvanso kupsinjika paphewa panu, kupweteka mukakweza mkono wanu? Nthawi zina zimakhala zovuta kwambiri moti simungathe ngakhale kuchita ntchito yaying'ono, sichoncho? Ili ndi vuto lomwe anthu ambiri ali nalo. Lero, tiyeni tikambirane za ululu uwu paphewa, womwe umatchedwa Shoulder Tendonitis.

Kodi Tendonitis ya Paphewa ndi Chiyani?

Mwachidule, kutupa kwa mapewa ndi kutupa kwa minofu , mtundu wa minofu yomwe ili mkati mwa phewa lanu. Ganizirani za phewa lanu ngati chogwirira chitseko. Gulu la minofu limathandiza kuti likhale lolimba. Izi zimatchedwa minofu ya rotator cuff . Minofu ya biceps imathandizanso pa izi. Minofu ndi minofu iyi ndi yomwe imasunga fupa la mkono wapamwamba, humerus , pamalo ake mu socket ya phewa, kapena glenoid .

Kodi mukudziwa momwe tendonitis iyi imakulira? Pamene palibe malo okwanira pakati pa fupa pamwamba pa phewa lanu (timatcha acromion) ndi minofu iyi ya rotator cuff, tendons, imayamba kupsinjidwa ndi kupsinjidwa. Pamenepo ndi pomwe kutupa kumeneku kumachitika. Kunena zoona, ngati tendons ya rotator cuff yatupa, imatchedwa rotator cuff tendonitis . Ngati biceps tendon yatupa, imatchedwa biceps tendonitis . Mwamvetsa?

Kodi mumamva bwanji mukakhala ndi vuto la tendon paphewa?

Ululu womwe umapezeka ukhoza kusiyana malinga ndi munthu. Ngakhale kuti ena angamve ngati phewa lolimba, ena angamve ululu wosapiririka. Nthawi zambiri, ululu umayamba pamwamba pa phewa ndipo umatsika pansi pa mkono. Ululuwu ukhoza kukhala woipitsitsa mukakweza kapena kuzungulira mkono wanu. Zizindikiro zina ndi izi:

• Kungopweteka pang'ono, ngati dzanzi.
• Phewa limapweteka ngakhale likakhudzidwa (kufewa).
• Ululu umawonjezeka usiku ndipo zimakhala zovuta kugona.
• N'zovuta kusunga manja anu m'malo ena.
• Mungaone kutupa pang'ono.
• Kusuntha ndi kukweza mkono kumachepa (kutayika kwa kuyenda).
• Mukagwedeza phewa lanu, mumamva phokoso loti "click".

Taganizirani za Amalume Sugath m'mudzi mwathu. Amagwira ntchito ya ukalipentala. Chifukwa chake, chifukwa amanyamula matabwa ndikunyamula tsiku lonse, phewa lake lamanja lakhala likupweteka kwa kanthawi. Sangagone usiku, ndipo akayesa kukweza mkono wake, amapanga phokoso "logogoda". Kodi izi zakuchitikirani?

Nchifukwa chiyani tendinitis imayamba m'mapewa awa?

Vutoli nthawi zambiri limayamba chifukwa cha kuvulala pamasewera. Limafala makamaka pamasewera omwe amakhudza kuyenda kwa nthawi yayitali pamwamba pa mutu. Nazi zitsanzo zingapo:

• Mpira wa baseball
• Kusambira
• Masewera a racket monga tenisi
• Gofu
• Kunyamula zolemera
• Volleyball

Njira yolakwika pamasewera awa ndiye chifukwa chachikulu cha tendonitis, yomwe imayamba chifukwa cha kupsinjika kwambiri pa minofu monga tendons. Kunena zoona, sitinganene kuti izi sizichitika chifukwa choti simuli wothamanga. Anthu omwe amagwira ntchito ndi manja awo pamwamba pa mitu yawo (mwachitsanzo, omwe amagwira ntchito yosonkhanitsa kapena kugwiritsa ntchito makina osindikizira pamwamba) ndi omwe amanyamula zolemera nawonso ali pachiwopsezo. Sikuti zokhazo, koma aliyense akhoza kukhala ndi vutoli chifukwa chogwiritsa ntchito tendons izi mobwerezabwereza. Nthawi zina, tendonitis imatha kuchitika motere ngati pakhala kumenyedwa mwachindunji paphewa kapena ngati mkono wagwa ndi mkono wake utatambasulidwa.

Ndani amene ali pachiwopsezo chachikulu cha vutoli?

Pamene tikukalamba, kusinthasintha kwa minyewa yathu kumachepa mwachibadwa. Chifukwa chake, chiopsezo chokhala ndi tendon ya phewa chimawonjezeka ndi ukalamba. Nazi zina zomwe zimayambitsa:

• Kuchita masewera olimbitsa thupi mobwerezabwereza (monga baseball, kusambira, tenisi).
• Kugwira ntchito zomwe zimafuna kuyenda mobwerezabwereza kapena kugwira ntchito zina (monga opaka utoto, onyamula katundu, okonza denga).
• Ntchito zapakhomo, zimenezo zikutanthauza kupitiriza kuchita zinthu monga kusesa, kuzula udzu, ndi kudula udzu.
• Kukhala ndi matenda ena omwe amaika mphamvu pa minofu ya m'chiuno, monga nyamakazi .
• Kuyamba masewera olimbitsa thupi popanda kutentha thupi (osati kutambasula thupi) musanachite nawo.

Kodi ndi mavuto otani omwe angabwere ngati sanalandire chithandizo?

Ngati izi sizikuchiritsidwa bwino, vutoli likhoza kukulirakulira. Izi zikutanthauza zinthu monga:

• Kusuntha kwa manja kumakhala kochepa ndipo mphamvu imachepa.
• Sindingathe kugona usiku chifukwa cha ululu.
• Zimakhala zovuta kuchita ntchito za tsiku ndi tsiku. Ngakhale zinthu monga kutseka mabatani kapena kunyamula china chake kuchokera pamwamba zingakhale zovuta.

Kodi mumazindikira bwanji izi?

Mukapita kukaonana ndi dokotala, iye adzakufunsani kaye za mbiri yanu yachipatala, matenda aliwonse omwe mudadwalapo kale, ndikukupimitseni thupi. Kenako, ngati pakufunika, adzayitanitsa mayeso ena angapo. Zina mwa izi ndi izi:

• X-ray
• Kujambula kwa Ultrasound
• Kujambula kwa MRI (Kujambula kwa Magnetic Resonance - Kujambula kwa MRI)

Magawo a tendinitis ya phewa

Dokotala wanu angagwiritse ntchito magawo awa kuti afotokoze matenda anu:

• Kugwiritsa ntchito kwambiri tendonitis: Kusuntha mobwerezabwereza kungapangitse kuti rotator cuff yanu ikhale yopanikizika kwambiri. Izi zingayambitse kuwonongeka, kung'ambika, kapena kung'ambika. Izi zingayambitse ululu ndi kufooka.
• Matenda a Calcific Tendonitis: Nthawi zina, kutupa kwa nthawi yayitali kungayambitse kuti calcium ipangidwe mkati mwa rotator cuff tendons. Izi zingapangitse kuti zikhale zovuta kusuntha phewa ndikuchepetsa mphamvu.
• Kung'ambika kwa rotator cuff: Ngati fupa la phewa layamba kuuma chifukwa cha kuwonongeka kapena kung'ambika kwa minyewa, gawo lina kapena lonse la rotator cuff lingang'ambike. Izi zingayambitse kupweteka kwambiri, kufooka, komanso kusayenda bwino.

Kodi izi zimachiritsidwa bwanji?

Chithandizo cha tendinitis ya paphewa chimadalira zinthu zingapo, kuphatikizapo msinkhu wanu, mtundu wa zizindikiro zanu, ndi kuopsa kwa vuto lanu. Dokotala wanu angakulangizeni kuti mupumule, muvale mapewa, ndi kuti mupake ayezi, makamaka ngati kuvulalako ndi kwatsopano kapena koopsa. Palinso njira zina zosagwiritsa ntchito opaleshoni:

• Mankhwala oletsa kutupa osagwiritsa ntchito steroidal (NSAIDs): Mankhwala monga aspirin, naproxen , kapena ibuprofen angagwiritsidwe ntchito kuchepetsa ululu ndi kutupa. Komabe, ndi bwino kufunsa dokotala musanagwiritse ntchito.
• Kuchiza ndi thupi: Dokotala wanu angakutumizireni kwa katswiri wa thupi . Katswiri wa thupi angakuphunzitseni masewera olimbitsa thupi osiyanasiyana komanso masewera olimbitsa thupi kuti muwonjezere mphamvu ya mapewa anu.
• Jakisoni wa Corticosteroid: Ngati muli ndi ululu wopitirira komanso woopsa wa m'mapewa , jakisoni wa cortisone ukhoza kuperekedwa. Izi zingathandize kuchepetsa ululu mwachangu.
• Chithandizo cha plasma yolemera m'magazi (PRP): Izi zimaphatikizapo kubaya jekeseni wambiri wa ma platelet, otengedwa m'magazi anu, kubwerera ku phewa. Izi zimanenedwa kuti zimathandizira kuchira kwa bala komanso kuchira msanga.

Kodi opaleshoni imafunika liti?

Ngati rotator cuff yanu kapena biceps tendon yanu yang'ambika kapena yang'ambika pang'ono, ndipo mankhwala ena sakuchepetsa zizindikiro zanu, dokotala wanu angakulangizeni opaleshoni. Opaleshoni imaphatikizapo kukonza tendon (minofu) yowonongeka ndikuchotsa bursae yotupa yomwe ikupangitsa kupweteka paphewa panu.

Zimatenga nthawi yayitali bwanji kuti munthu achire?

Nthawi yomwe imatenga kuti munthu achire imasiyana malinga ndi kuopsa kwa kuvulalako. Matenda ofooka amatha kuyamba kuchira mkati mwa milungu iwiri kapena inayi popanda chithandizo cha opaleshoni.Komabe, pazochitika zoopsa kwambiri, zingatenge miyezi ingapo. Dokotala wanu angakupatseni lingaliro lomveka bwino la nthawi yomwe ingatenge kuti muchiritsidwe kutengera vuto lanu.

Kodi ndingabwerere liti kuntchito yanga yachizolowezi?

Chofunika kwambiri ndikupumula phewa lanu mpaka mutachira ululu ndi zizindikiro zina. Mukabwerera kuntchito, masewera, kapena zochitika zina, yambani pang'onopang'ono komanso mosamala. Dzitenthetseni bwino ndi masewera olimbitsa thupi osinthasintha. Chepetsani nthawi yomwe mumakweza mkono wanu pamwamba pa mutu wanu, ndipo musachite izi kwa nthawi yayitali. Pumulani mokwanira. Pang'onopang'ono onjezerani kuchuluka kwa zochita zanu popanda kufulumira.

Kumbukirani, ngati muyambiranso kusewera pamene mukuvutika, kuvulalako kungakule kwambiri.

Kodi izi sizingaletsedwe kuti zisachitike?

Popeza kutupa kwa mapewa nthawi zambiri kumachitika chifukwa chogwiritsa ntchito mopitirira muyeso, chithandizo chabwino kwambiri ndi kupewa . Ndikofunikira kupewa kapena kusintha zochita zomwe zimayambitsa vutoli. Ndikofunikira kukonza zinthu zomwe zimayambitsa vutoli, monga kaimidwe kosayenera kapena njira yosayenera yochitira masewera kapena kuntchito.

Tsatirani malamulo oyambira awa panthawi ya zochitika:

• Yambani pang'onopang'ono ndipo pang'onopang'ono muwonjezere kuchuluka kwa zochita zanu.
• Gwiritsani ntchito mphamvu zochepa komanso kubwerezabwereza kochepa.
• Ngati mukumva kupweteka kwachilendo, siyani nthawi yomweyo.

Kodi muyenera kupita kwa dokotala?

Matenda ambiri a fupa amatha okha pakapita nthawi. Komabe, kutengera kuopsa kwa matendawa, zingatenge milungu kapena miyezi kuti achiritsidwe. Pazochitika izi, muyenera kuonana ndi dokotala:

• Ngati muli ndi ululu umene umasokoneza zochita zanu za tsiku ndi tsiku.
• Ngati njira zodzisamalira kunyumba sizichepetsa ululu.
• Ngati matendawa abwereranso.
• Ngati phewa lanu likuoneka lofiira komanso lotupa pamodzi ndi malungo anu. (Zizindikiro izi zikusonyeza kuti mungakhale ndi matenda.)
• Ngati muli ndi matenda ena omwe amawonjezera chiopsezo chanu chotenga matenda.
• Ngati mukumwa mankhwala omwe amawonjezera chiopsezo cha matenda, monga corticosteroids kapena immunosuppressants .

Zinthu zoti mufunse dokotala/dokotala wanu

Ngati muli ndi vuto la shoulder tendinitis, mungafune kufunsa dokotala wanu mafunso monga:

• Kodi ululu uwu udzakhalapo kwa nthawi yayitali bwanji?
• Kodi mumalimbikitsa chithandizo chanji?
• Mukuganiza kuti ndifunika opaleshoni?
• Kodi ndidzatha liti kuyambiranso zochita zanga zachizolowezi (masewera/ntchito)?
• Kodi ndingachite chiyani kuti ndipewe matenda a shoulder tendinitis mtsogolo?

Zinthu zoti mukumbukire kupita nazo kunyumba

Kukhala ndi matenda a paphewa kungakhale kokhumudwitsa kwambiri, makamaka ngati simungathe kusewera masewera omwe mumakonda. Muyenera kupuma phewa lanu kwa milungu ingapo kuti tendon ichire. Izi zitha kukhala zovuta, koma ndikofunikira kuti musapite kumunda mpaka dokotala wanu atanena kuti ndi bwino kutero. Simukufuna kuvulalanso. Tsatirani malangizo a dokotala wanu ndendende, ndipo mudzabwerera ku zochita zanu zachizolowezi posachedwa.

Choncho, ngati mukumva kupweteka kwa phewa, musatenge mopepuka. Pitani kwa dokotala nthawi yomweyo ndikupeza upangiri. Kenako mutha kuchira mwachangu ndikubwerera kuntchito yanu.

Kupweteka kwa phewa, tendinitis, rotator cuff, kuvulala kwa phewa, kuvulala kwa masewera, chithandizo cha thupi, malo olumikizirana mafupa