Kodi ndinu wosewera mpira wa cricket, volleyball, kapena munthu amene amasewera masewera omwe amafuna kuti muponye mpira ndi manja anu pamwamba? Kapena muli ndi ululu wosatha, kuuma, kapena "kudina" paphewa lanu mutagwa mwadzidzidzi? Nthawi zina izi zingayambitsidwe ndi kung'ambika kwa chipolopolo mkati mwa phewa lanu. M'mawu azachipatala, timatcha vutoli kuti SLAP tear . Anthu ambiri amachita mantha akamva dzinali, koma ngati tilimvetsa bwino, zimakhala zosavuta kuchiza.
Kodi 'kung'amba kwa SLAP' n'chiyani? Tiyeni timvetse mwachidule
Chabwino, tiyeni tiwone tanthauzo la mawu awa `SLAP`. Amapangidwa pophatikiza zilembo zoyambirira za mawu anayi achingerezi: Superior Labrum , Anterior to Posterior . Tsopano mwina mukudabwa kuti mawu awa ndi otani. Musadandaule, ndifotokoza mwachidule.
Ganizirani za cholumikizira cha phewa lanu ngati mpira ndi cholumikizira cha soketi. M'mphepete mwa soketi iyi, monga chotsukira cha rabara, muli mphete yolimba ya cartilage. Mphete iyi imagwirizira fupa la mkono wapamwamba (humerus) pamalo ake olimba mu soketi. Mphete ya cartilage yofanana ndi ya washer imatchedwa labrum .
Mu `SLAP tear`, gawo lapamwamba la labrum iyi limang'ambika kuchokera kutsogolo (kwapamwamba) kupita kumbuyo (kumbuyo). Apa ndi pomwe tendon ya minofu yayikulu m'dzanja lathu (biceps) imabwera ndikumangirira. Chifukwa chake kung'ambika kumeneku kukachitika, kukhazikika kwa phewa kumachepa, ululu umachitika, ndipo tendon ya biceps imathanso kuwonongeka.
Ndi nthawi ziti pamene opaleshoni imafunika?
Kawirikawiri, dokotala satumiza wodwala nthawi yomweyo kuti akachite opaleshoni akazindikira kuti ali ndi SLAP tear. Choyamba amayesa kuchiza ndi mankhwala osagwiritsa ntchito opaleshoni.
- Kupuma: Ndikofunikira kuti musamachite zinthu zopanikiza kwa kanthawi.
- Mankhwala: Mankhwala amaperekedwa kuti achepetse ululu ndi kutupa.
- Physiotherapy: Maseŵero apadera amaperekedwa kuti alimbitse minofu yozungulira phewa ndikubwezeretsa kuyenda kwa malo olumikizirana mafupa.
Komabe, ngati ululu suchepa patatha miyezi ingapo ya chithandizo, ndipo phewa likumva losakhazikika, ndiye kuti dokotala adzaganiza zochita opaleshoni.
Makamaka,
- Ngati kung'ambika kumeneku kudachitika pangozi (monga kugwa) ndipo kudakhudza kwambiri kukhazikika kwa phewa.
- Vutoli limayamba chifukwa chogwiritsa ntchito phewa mopitirira muyeso, monga pamasewera.
- Ngati mumasewera masewera a mpira monga cricket, baseball, kapena volleyball.
Pazochitika ngati izi, kulumikizanso chipolopolo chosweka ndi opaleshoni kungathandize.
Kodi opaleshoniyi imachitidwa bwanji? (Kukonza SLAP ya Arthroscopic)
Tsopano, opaleshoniyi nthawi zambiri imachitika pogwiritsa ntchito njira yopangira opaleshoni yotchedwa arthroscopy . Izi zikutanthauza kuti imachitika kudzera m'mabala ang'onoang'ono (pafupifupi 1 cm) m'malo mopanga ming'alu yayikulu paphewa.
1. Kuika kamera: Kudzera mu kudula pang'ono, chipangizo chaching'ono chokhala ndi kamera (`arthroscope`) chimayikidwa m'malo olumikizirana mafupa a phewa. Dokotalayo amachita opaleshoniyo akuonera chithunzicho kuchokera ku kamera iyi pazenera lalikulu.
2. Kuyang'ana kuwonongeka: Pogwiritsa ntchito kamera, labrum imang'ambika ndipo kuopsa kwake kumayesedwa molondola.
3. Kuyeretsa: Kenako, m'mphepete mwa chipolopolo choswekacho chimatsukidwa ndi zida zapadera ndipo chimakonzedwa kuti chilumikizidwenso.
4. Kulumikiza nangula: Kenako, dzenje laling'ono kwambiri limabowoledwa mu fupa la cholumikizira pomwe chipolopolo choswekacho chikufunika kulumikizidwanso, ndipo chipangizo chaching'ono chonga screw chotchedwa nangula wa suture chimayikidwa. Nangula uyu ali ndi ulusi wolimba womangiriridwa.
5. Kukonzanso tsitsi: Monga gawo lomaliza, pogwiritsa ntchito ulusi wochokera ku nangula, labrum yong'ambika imalumikizidwanso ku fupa ndikusokedwa mwamphamvu.
Opaleshoni ikachitika motere, chipolopolo chosweka chimalumikizidwanso ndi fupa ndipo chimayamba kuchira.
Kodi chimachitika ndi chiyani pambuyo pa opaleshoni? Tiyeni tiphunzire za nthawi yochira
Opaleshoniyo ikapambana, muyenera kudzipereka kwambiri kuti muchire bwino.
- Chigoba cha mkono: Muyenera kuvala chigoba cha mkono kwa milungu pafupifupi 4-6 mutachita opaleshoni. Izi zimakuthandizani kuti phewa lanu lipumule ndikulola kuti chigoba chomwe changobzalidwa kumene chichiritse bwino.
- Ululu: Pakhoza kukhala ululu m'masiku oyamba. Muyenera kumwa mankhwala ochepetsa ululu omwe dokotala wanu wakupatsani. Kupaka paketi ya ayezi kungathandizenso kuchepetsa ululu ndi kutupa.
- Physiotherapy: Iyi ndi gawo lofunika kwambiri la chithandizochi. Mkono ukachotsedwa, phewa likhoza kuuma komanso kuuma. Maseŵera olimbitsa thupi ayenera kuyambika mosamala kwambiri komanso pang'onopang'ono, motsogozedwa ndi katswiri wa physiotherapy. Izi ndi zomwe zimathandiza kubwezeretsa kuyenda ndi mphamvu m'phewa.
- Nthawi yochira: Zingatenge miyezi 6 mpaka 9, kapena chaka chimodzi, kuti munthu achire mokwanira ndikubwerera ku masewera. Kuleza mtima ndi chithandizo ndizofunikira kwambiri.
| Ubwino wa opaleshoni ndi mavuto omwe angakhalepo | |
|---|---|
| Ubwino | Kupweteka ndi kusakhazikika kwa phewa kwatha, ndipo mutha kubwerera ku moyo wokangalika. Izi zimathandiza makamaka ngati muli ndi SLAP tear yokha popanda mavuto ena. |
| Zovuta zomwe zingatheke |
|
Kumbukirani, chiopsezo cha mavutowa ndi chochepa kwambiri. Zoopsazi zitha kuchepetsedwa pochita opaleshoni ndi dokotala wodziwa bwino ntchito yake ndikutsatira malangizo otsatirawa mosamala.
Ndikufunika kuonana ndi dokotala posachedwa!
Mukafika kunyumba mutachita opaleshoni, samalani kwambiri ndi zizindikiro izi. Ngati muli ndi chimodzi mwa izi, imbani dokotala wanu nthawi yomweyo kapena pitani kuchipatala komwe mudalandira chithandizo.
| Chenjezo |
|---|
| Bandeji pa bala ndi yonyowa ndipo ikutuluka magazi. |
| Ululuwu ndi waukulu kwambiri moti sumatha ngakhale nditamwa mankhwala ochepetsa ululu omwe dokotala anandipatsa. |
| Kutupa kwambiri kwa dzanja kapena zala. |
| Kusamva bwino kapena kutaya kumva bwino m'zala. |
| Kusintha mtundu wa dzanja kapena zala (kusandulika buluu/kuda) kapena kumva kuzizira kwambiri ukakhudza. |
| Kufiira, kutupa, kupweteka kwambiri, kapena madzi achikasu ngati mafinya omwe akutuluka pabala. |
| Malungo opitirira 38.3°C (101°F). |
Pomaliza pake, SLAP tear ndi vuto lochiritsika. Ngati silichiritsidwa, lingayambitse kupweteka kwa nthawi yayitali, kutayika kwa ntchito ya phewa, ndi mavuto ena akuluakulu. Chifukwa chake ngati mukuda nkhawa ndi kupweteka kwa phewa lanu, onetsetsani kuti mwawonana ndi dokotala woyenerera kuti akupatseni upangiri.
Uthenga Wopita Nawo Kunyumba
- Kung'ambika kwa `SLAP tear` ndi kung'ambika kwa gawo lapamwamba la mphete yofunika kwambiri ya cartilage yotchedwa labrum mu cholumikizira cha phewa.
- Opaleshoni ingafunike chifukwa cha kusakhazikika kwa phewa komwe sikungasinthe ndi chithandizo chamankhwala wamba.
- Opaleshoni iyi nthawi zambiri imachitika pogwiritsa ntchito njira yopangira opaleshoni yotchedwa arthroscopic surgery.
- Zingatenge miyezi ingapo kapena chaka chimodzi kuti munthu achire bwino atachitidwa opaleshoni. Kuchiza ndi thupi n'kofunika kwambiri.
- Ngati mukukumana ndi zizindikiro zachilendo (kupweteka kwambiri, kutupa, kutentha thupi, dzanzi) mutachita opaleshoni, funsani dokotala nthawi yomweyo.
- Ndikofunikira kutsatira malangizo azachipatala ndi olimbitsa thupi mosamala musanabwerere ku zochita zimenezo kuti mupewe kuvulalanso.











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