Kodi Swimmer's Shoulder ndiye chifukwa cha kupweteka kwa mapewa? Tiyeni tikambirane mwachidule! (Swimmer's Shoulder)

Nthawi zina mungamve kupweteka pang'ono paphewa panu, sichoncho? Mwina mumamva kupweteka kumeneku mukakweza mkono wanu, kunyamula zolemera, kapena kungoyima chilili. Makamaka ngati ndinu wosambira, mumasewera masewera monga cricket kapena volleyball, kapena muli ndi ntchito yomwe imafuna kuti mukweze manja anu, kupweteka kwa phewa kumeneku kungakhale kozolowereka kwa inu. Lero tikulankhula za chifukwa chofala cha mtundu uwu wa ululu wa phewa wotchedwa 'Swimmer's Shoulder'. Ngakhale dzinalo lingawoneke ngati ndi matenda omwe amakhudza osambira okha, sichoncho. Lingayambe mwa aliyense amene amaika mphamvu zambiri paphewa pake.

Kodi kwenikweni Swimmer's Shoulder ndi chiyani?

Mwachidule, Swimmer's Shoulder ndi mawu ofala otanthauza zizindikiro zambiri, monga kupweteka ndi kufooka, m'malo olumikizirana mafupa a phewa lanu. Si matenda amodzi okha, koma ndi mndandanda wa mavuto ang'onoang'ono angapo omwe amayambitsa zizindikiro zofanana.

Ganizirani phewa lanu ngati makina ovuta kwambiri. Lili ndi mafupa, minofu, ndi ziwalo zambiri, monga minofu ndi mitsempha, zomwe zimazilumikiza pamodzi. Zonsezi zimagwira ntchito limodzi kuti zikuthandizeni kukweza mkono wanu, kuwuzunguliza, ndikuchita chilichonse chomwe mukufuna. Chifukwa chake mukamasambira, kusewera masewera, kapena kuchita ntchito yomwe imafuna kuti mukweze mkono wanu, minofu yofewa yomwe ili m'phewa ili imakhala pansi pa kupsinjika nthawi zonse. Mukagwira ntchito molimbika chonchi kwa nthawi yayitali, minofu imeneyo imayamba kuwonongeka ndi kutupa. Pamenepo ndi pomwe ululu umayamba.

Dzinali limachokera ku mfundo yakuti vutoli ndi lofala kwambiri pakati pa osambira. Komabe, limatha kuchitika pamasewera aliwonse kapena ntchito iliyonse yomwe imafuna kunyamula pamwamba pa thupi. Ngati mukumva kupweteka kwa phewa kwa nthawi yoposa sabata imodzi, ndikofunikira kuonana ndi dokotala kuti akupatseni upangiri.

Kodi ndi zinthu ziti zazikulu zomwe zimagwera pansi pa Swimmer's Shoulder?

Pali matenda angapo omwe amalembedwa ndi dzina lodziwika bwino la Swimmer's Shoulder. Mukapita kwa dokotala, angakuuzeni kuti muli ndi chimodzi mwa izi. Tiyeni tiwone zomwe zili.

Kodi vutoli ndi lofala bwanji?

Popeza pali matenda ambiri omwe amagwera pansi pa dzina loti "Swimmer's Shoulder," n'zovuta kunena kuti ndi ofala bwanji. Komabe, kafukufuku wapeza kuti osachepera gawo limodzi mwa magawo atatu a osambira opikisana adavulalapo phewa nthawi ina m'miyoyo yawo.

Koma chiwerengero chenicheni chikhoza kukhala chokwera kwambiri. Izi sizikuphatikizapo othamanga osachita masewera ena, omwe amasewera masewera ena (monga oponya mpira mu cricket, osewera volleyball), ndi omwe amagwira ntchito ndi mapewa awo (osema matabwa, omanga). Chifukwa chake, ili ndi vuto lofala lomwe limakhudza anthu ambiri.

Kodi zizindikiro zazikulu za Swimmer's Shoulder ndi ziti?

Ngati muli ndi vutoli, mungakumane ndi chimodzi kapena zingapo mwa zizindikiro zotsatirazi.

• Kupweteka kwa phewa: Ichi ndiye chizindikiro chachikulu. Kupwetekako kumatha kuchitika pokweza mkono, kunyamula cholemera, komanso nthawi zina ngakhale mukugona.
• Kufooka kwa minofu: Phewa limakhala lopanda moyo. Zimakhala zovuta kunyamula zolemera kapena kugwiritsa ntchito mkono monga momwe zinalili kale.
• Kusuntha kochepa: Kutha kukweza ndi kuzungulira mkono kumachepa. Pakhoza kukhala ululu waukulu mukakweza mkono kupitirira malire enaake.
• Kumva kusakhazikika kwa phewa: Cholumikizira cha phewa chingamveke ngati chomasuka, ngati kuti chatsala pang'ono kumasuka.

N’chifukwa chiyani vutoli limachitika?

Chifukwa chachikulu cha izi ndi kupsinjika mobwerezabwereza pa phewa. Pamene kupanikizika kumeneku kukugwiritsidwa ntchito kwa nthawi yayitali, minofu yofewa mkati mwa phewa imawonongeka ndipo ming'alu yaying'ono imapangika. Kuwonongeka kumeneku kumapangitsa kuti madera amenewo atupa. Kutupa kumeneku ndiko komwe kumapangitsa kuti phewa lisamagwire bwino ntchito yake komanso kumabweretsa ululu.

Tangoganizani kuti mukusenda kokonati tsiku lililonse, kapena kalipentala akudula matabwa tsiku lililonse. Mukagwiritsa ntchito manja anu mwanjira yomweyo, mafupa anu amatopa pakapita nthawi, sichoncho? Umu ndi momwe zilili ndi izi.

Kusambira ndiye chifukwa chachikulu cha izi. Komanso,

• Kubwata (kiriketi)
• Masewera monga baseball ndi volleyball
• Ntchito zomwe zimagwiritsa ntchito zida zolemera monga nyundo

Zinthu ngati izi zingayambitsenso izi.

Dokotala, mumazindikira bwanji izi?

Mukapita kwa dokotala, chinthu choyamba chimene angachite ndikukupimitsani thupi. Iye adzakufunsani za zizindikiro zanu.

• Kodi ululu unayamba liti?
• Ndi zinthu ziti zomwe zimapangitsa kuti ululuwo ukhale woipa kwambiri?
• Kodi mumasewera masewera kapena ntchito yanji?

Ndikofunikira kwambiri kufotokoza momveka bwino zonse zomwe mukudziwa pa mafunso ngati awa.

Dokotalayo adzayang'ana momwe phewa lanu limayendera. Izi zikutanthauza kutalika komwe mungathe kukweza ndikuzungulira mkono wanu popanda kupweteka. Adzayang'ananso mphamvu ya phewa lanu ndikuyerekeza ndi phewa lanu lina, lomwe silipweteka.

Ndi mayeso ati omwe angafunike?

Vutoli nthawi zambiri limapezeka poyesedwa thupi, koma nthawi zina mungapemphedwe kuti muyesedwe ndikujambula zithunzi kuti muwone zomwe zikuchitika mkati mwa phewa.

• X-ray: Izi zingagwiritsidwe ntchito makamaka pofufuza ngati mafupa awonongeka.
• Kujambula kwa MRI (Magnetic Resonance Imaging): Izi zimatha kuona bwino kuwonongeka kwa minofu yofewa monga minofu ndi minyewa m'mapewa.

Kodi mankhwala ochizira izi ndi otani?

Pali zolinga ziwiri zazikulu pochiza phewa la munthu wosambira. Choyamba ndi kuchepetsa ululu. China ndi kusiya kuwonongeka kwina kwa phewa ndikubwezeretsa ntchito yabwinobwino. Izi ndi njira zochiritsira zomwe zimagwiritsidwa ntchito kwambiri pa izi.

1. Mpumulo ndiye mankhwala oyamba.

Izi ndizofunikira kwambiri. Zochita zomwe zinakupangitsani kupweteka kwa phewa, kaya ndi masewera kapena ntchito, ziyenera kuyimitsidwa kwakanthawi. Dokotala wanu adzakuuzani nthawi yeniyeni yomwe muyenera kupuma.

2. Kuchiza thupi

Katswiri wa zamaganizo adzakuphunzitsani masewera olimbitsa thupi ndi kutambasula thupi lanu kuti mulimbitse phewa lanu ndikuwonjezera mphamvu zake zoyendera. Pamene phewa lanu likuchira, adzakuphunzitsaninso masewera olimbitsa thupi kuti alimbitse minofu yozungulira phewa lanu.

3. Kugwiritsa ntchito ayezi

Kupaka paketi ya ayezi pamalo omwe mukumva ululu ndi kutupa kungathandize. Koma musaike ayeziyo mwachindunji pakhungu lanu. Ikulungeni ndi thaulo lopyapyala. Funsani dokotala wanu kangati patsiku komanso nthawi yayitali bwanji.

4. Mankhwala opha ululu

Mankhwala monga mankhwala oletsa kutupa omwe si a steroidal (NSAIDs) angagwiritsidwe ntchito kwa nthawi yochepa, koma musawamwe mosalekeza kwa masiku opitilira 10 popanda upangiri wa dokotala.

5. Jakisoni wa Corticosteroid

Ngati ululu ndi kutupa zili zazikulu kwambiri, dokotala wanu angasankhe kubaya mtundu wa mankhwala otchedwa corticosteroid mwachindunji m'malo olumikizirana mafupa a phewa. Awa ndi mankhwala amphamvu oletsa kutupa.

6. Sinthani pang'ono momwe mumagwirira ntchito.

Mungathe kuchepetsa nkhawa zomwe zili m'mapewa mwa kusintha pang'ono kaimidwe kanu kapena momwe mumagwirira ntchito. Ngati ndinu wothamanga, mutha kulankhula ndi mphunzitsi ndikusintha pang'ono luso lanu.

7. Opaleshoni

Opaleshoni imaonedwa ngati njira yomaliza pokhapokha ngati palibe chithandizo china chomwe chagwira ntchito. Ngati mukufuna opaleshoni, dokotala wanu adzakufotokozerani mtundu wa opaleshoniyo komanso nthawi yomwe ingatenge kuti muchire.

Kodi zitenga nthawi yayitali bwanji kuti vutoli lichiritsidwe?

Palibe tsiku kapena nthawi yeniyeni ya izi. Zimasiyana malinga ndi munthu ndi munthu. Nthawi iyi idzadalira kukula kwa kuwonongeka kwa phewa lanu komanso liwiro lomwe thupi lanu limachira.

Kawirikawiri, anthu ambiri amayamba kumva bwino pakatha milungu ingapo kuchokera pamene anayamba kulandira chithandizo. Komabe, zingatenge mwezi umodzi kapena kuposerapo kuti achire bwino ndikuyambiranso kuchita masewera olimbitsa thupi mwachizolowezi. Musayambenso kuchita masewera olimbitsa thupi mpaka dokotala wanu atanena kuti ululuwo wachepa. Kuchita zimenezi kungawonjezere chiopsezo cha kuvulalako ndikupitirira kukhala vuto lalikulu (monga rotator cuff yosweka).

Kodi mungapewe bwanji phewa la wosambira?

“Kupewa kuli bwino kuposa kuchiza,” iwo amatero. Choncho ngati mungathe kupewa vutoli lisanachitike, ndicho chinthu chabwino kwambiri kuchita.

• Siyani kuchita izi mukangomva ululu: Sewerani ululuwo, musagwire ntchito. Ndi chenjezo la thupi lanu.
• Tenthetsani ndi kuziziritsa bwino:Tenthetsani bwino musanachite masewera olimbitsa thupi. Ziziritsani pambuyo pake.
• Sungani minofu ya phewa lanu ndi kumbuyo kwanu kukhala yolimba: Chitani masewera olimbitsa thupi omwe amalimbitsa rotator cuff ndi minofu ya kumbuyo yomwe imathandizira phewa lanu.
• Khalani ndi kaimidwe koyenera: Sungani thupi lanu bwino mukamachita masewera olimbitsa thupi komanso mukugwira ntchito.
• Kupuma n'kofunika: Pumulani mapewa anu akatopa kapena kutopa. Musapitirize kudzipanikiza.

Kodi muyenera kupita kwa dokotala liti?

Nthawi yoti mukaonane ndi dokotala wamkulu:

Pitani kwa dokotala mwamsanga mukangoona zizindikiro monga kupweteka kwa phewa, kutupa, kapena kuvutika kusuntha mkono wanu. Kuchiza vutoli msanga kungathandize kuti lisakule kwambiri.

Nthawi yoti mupite ku Emergency Treatment Unit (ETU):

Ngati muli ndi vuto lotsatira, pitani ku Emergency Treatment Unit (ETU) nthawi yomweyo kuchipatala chapafupi.

• Ngati mwavulala phewa chifukwa cha ngozi inayake (kuvulala).
• Ngati simungathe kukweza mapewa anu konse.
• Ngati mukuganiza kuti phewa lanu lasweka, musayese kulumikizanso malo olumikizirana nokha.