Kodi ndinu katswiri wa masewera omwe mumasewera cricket, volleyball, kapena mivi? Ndiye mwina mukudziwa ululu womwe umachokera mkati mwa chigongono chanu. Kuvulala kumeneku kumachitika kawirikawiri m'masewera omwe amaphatikizapo kuponya chinthu ndi mkono wanu. Nthawi zina ululuwu ukhoza kukhala woopsa kwambiri moti ukhoza kutha ntchito yanu yamasewera. Lero tikulankhula za opaleshoni yapadera yomwe imapulumutsa nthawi ngati imeneyi ndipo yapulumutsa tsogolo la othamanga ambiri. Umenewo ndi "opaleshoni ya Tommy John".
Mwachidule, kodi opaleshoni ya Tommy John ndi chiyani?
Ndi zophweka kwambiri. Opaleshoni ya Tommy John ndi opaleshoni yomwe imakonza mitsempha yapadera pachigongono chanu. Malinga ndi zamankhwala, opaleshoni iyi imatchedwa opaleshoni yolowa m'malo mwa UCL (Ulnar Collateral Ligament) .
Ganizirani za cholumikizira chanu cha chigongono ngati cholumikizira cha chitseko. Pali zingwe mbali zonse ziwiri za cholumikizira ichi zomwe zimachigwira popanda kusuntha mosayenera, sichoncho? Mofananamo, pali chingwe cholimba mkati mwa cholumikizira chomwe chimasunga cholumikizira cha chigongonocho chili chokhazikika, chomwe timachitcha `(Ulnar Collateral Ligament)` kapena `(UCL)`.
Mofananamo, mukaponya chinthu ndi mphamvu zambiri pa mkono mobwerezabwereza (makamaka oponya mpira mwachangu mu cricket, osewera baseball, oponya mivi), ligament iyi ya `(UCL)` imatha kutambasulidwa, kung'ambika komanso kuwonongeka pang'onopang'ono. Opaleshoni iyi imachitika kuti ikonze ligament yowonongekayo.
Nanga n’chifukwa chiyani izi zimatchedwa ‘Tommy John’?
Pali nkhani yosangalatsa kwambiri kumbuyo kwa izi. Opaleshoni iyi idatchedwa dzina lake kuchokera kwa wosewera mpira wotchuka waku America dzina lake Tommy John . Anali wosewera mpira wa bowler. Mu 1974, ligament iyi ya ``UCL`` m'chigongono mwake idang'ambika kwambiri. Panthawiyo, chinali chinthu chomwe chikanatha kuthetsa ntchito yake yosewerera. Koma madokotala adachita opaleshoni yatsopano ndikuchiritsa chigongono chake. Atapuma pafupifupi chaka chimodzi, Tommy John adayambanso kusewera bwino. Kuyambira pamenepo, opaleshoni iyi yadziwika kuti "opaleshoni ya Tommy John".
Kodi ndikufunikadi opaleshoni iyi?
Vutoli ndi lomwe anthu ambiri amakumana nalo. Ngati ndinu wothamanga chabe, mutha kuchiza vutoli mwa kupumula mokwanira komanso kulandira chithandizo china.
Komabe, ngati ndinu wothamanga wampikisano kapena waluso amene ntchito yake yonse imadalira luso loponya, opaleshoniyi ikhoza kukhala yofunika kwambiri kwa inu. Zinthu zazikulu zomwe zimayembekezeredwa kuchokera ku opaleshoniyi ndi izi:
- Kukhazikitsa chigongono chanu.
- Kuchepetsa ululu.
- Kubwezeretsa mayendedwe osiyanasiyana m'chigongono.
Pa opaleshoni, dokotala wanu amagwiritsa ntchito mtsempha wathanzi wochokera kwina m'thupi lanu kuti alowe m'malo mwa UCL yowonongeka. Izi zimatchedwa graft. Graft iyi imalumikizidwa ku fupa lapamwamba la mkono (humerus) ndi fupa la mkono (ulna) kuti igwire ntchito ngati UCL yatsopano.
Kodi mumakonzekera bwanji musanachite opaleshoni?
Dokotala wanu adzakufotokozerani zonse zomwe muyenera kuchita musanachite opaleshoni. Nthawi zambiri, muyenera kuchita izi:
- Kuyezedwa thupi lonse kuti muwone ngati muli ndi thanzi labwino lokwanira opaleshoni.
- Kuyezetsa magazi kangapo.
- Kuyezetsa zithunzi, monga X-ray , CT scan , kapena MRI scan , kungafunike kuti muwone bwino momwe chigongono chilili.
- Kuyesa kwa ECG kuti muwone momwe mtima ukugwira ntchito.
- Kuyezetsa mano kuti achepetse chiopsezo cha matenda pambuyo pa opaleshoni.
Chofunika kwambiri: Onetsetsani kuti mwauza dokotala wanu za mankhwala aliwonse, mavitamini , kapena mankhwala azitsamba omwe mukumwa. Mankhwala ena angafunike kuyimitsidwa masiku angapo opaleshoni isanachitike.
Dokotala wanu adzakuuzani nthawi yomwe muyenera kusiya kudya ndi kumwa tsiku lisanafike opaleshoni yanu. Nthawi zambiri, muyenera kusiya kudya ndi kumwa pafupifupi maola 12 musanachite opaleshoni yanu.
Kodi chimachitika ndi chiyani panthawi ya opaleshoni?
Opaleshoni isanayambe, dokotala wogonetsa anthu adzakuikani pansi pa mankhwala oletsa ululu kuti musamve ululu uliwonse panthawi ya opaleshoni.
Opaleshoni nthawi zambiri imachitika m'njira izi:
1. Kuyang'ana mkati mwa chigongono: Choyamba, dokotala wa opaleshoni akhoza kuyika kamera kakang'ono (arthroscopy) kuti aone ngati pali kuwonongeka kwina mkati mwa chigongono.
2. Kupeza Chingwe Cholumikizira: Kuti apange ligament yatsopano, chidutswa cha tendon chathanzi cha mainchesi 6-7 chimatengedwa kuchokera kwina m'thupi lanu. Izi nthawi zambiri zimatengedwa kuchokera padzanja lanu. Nthawi zina, hamstring ingachotsedwenso kumbuyo kwa bondo lanu .
3.Kuyeretsa: Minofu yonse yowonongeka mkati mwa chigongono imachotsedwa.
4. Kukonzekera mafupa: Kenako, mabowo awiri amabowoledwa mu fupa la mkono (ulna) ndipo mabowo atatu amabowoledwa mu gawo looneka ngati Y la fupa lapamwamba la mkono (humerus).
5. Kuyika mtsempha watsopano: ``graft`` ya mtsempha yomwe idachotsedwa kale imadutsa m'mabowo awa ndikukhazikika ngati mtsempha watsopano. Zomangira zazing'ono zingagwiritsidwe ntchito kuilumikiza ku fupa.
6. Kukonza kwina: Ngati mitsempha ya ulnar kapena ziwalo zina za chigongono zawonongeka panthawiyi, zidzakonzedwanso.
7. Kutha kwa opaleshoni: Pomaliza, bala la pakhungu limakutidwa ndi nsalu yoyera. Pambuyo pa opaleshoni, chigoba chimayikidwa kuti chisasunthike.
Opaleshoni iyi nthawi zambiri imatenga pakati pa mphindi 60 ndi 90 .
Kodi ubwino ndi zoopsa za opaleshoni ndi ziti?
Monga opaleshoni iliyonse, opaleshoni ya Tommy John ili ndi ubwino wake komanso zoopsa zina.
| Ubwino | Zoopsa |
|---|---|
| Luso la osewera ambiri (80%-95%) lobwerera bwino kusewera. | Matenda opatsirana pamalo ochitira opaleshoni. |
| Kupirira kumatha kuwongoleredwa poponya chinthu. | Kusanza chifukwa cha kuwonongeka kwa mitsempha ya m'chigongono (mtsempha wa ulnar). |
| Mwayi woti achite opaleshoni pa ligament yomweyi ndi wochepa kwambiri. | Kuwonongeka kwa mitsempha yamagazi. |
| Kusakhazikika kapena kutopa kwa tendon yatsopano (graft). |
Kodi kuchira kuli bwanji pambuyo pa opaleshoni?
Kumbukirani, zingatenge chaka chimodzi kuti munthu achire bwino atachitidwa opaleshoni ya Tommy John. Ulendowu ndi wautali ndipo umafuna kuleza mtima.
Dokotala wanu ndi katswiri wa zamaganizo adzakupatsani dongosolo loti muchiritse lomwe lili loyenera kwa inu. Nthawi zambiri limawoneka motere:
| Malire a nthawi | Chikuchitika ndi chiyani? |
|---|---|
| Masabata angapo oyamba | Muyenera kuvala chogwirira cholimba kuti chigongono chanu chisamayende. |
| Pakati pa miyezi 1-2 | Sinthani kugwiritsa ntchito chogwirira chopindika. Masewero olimbitsa thupi akuyamba. |
| Pakati pa miyezi 3-4 | Ngati dokotala wanu akuvomereza, mukhoza kuyamba kuchita masewera olimbitsa thupi pang'onopang'ono. |
| Pakati pa miyezi 6-9 | Mudzatha kutenga nawo mbali mu maphunziro okhala ndi ziletso. Ndikofunikira kwambiri kutsatira malangizo molondola. |
| Pakati pa miyezi 12-18 | Ngati palibe zovuta, mudzalandira chilolezo chachipatala kuti mutenge nawo mbali mokwanira mu mpikisano. |
Nthawi yoti mukaonane ndi dokotala
Ngati mukukumana ndi zizindikiro izi mutachita opaleshoni, muyenera kuyimbira dokotala nthawi yomweyo .
- Kupweteka pachifuwa
- Kuvuta kupuma
- Malungo opitirira madigiri 39 Celsius (102 Fahrenheit)
- Zizindikiro za matenda monga kutuluka magazi kapena madzi ofanana ndi mafinya ochokera pabala la opaleshoni, kutupa, fungo loipa, komanso kumva kutentha kosazolowereka.
- Ululu watsopano kapena woipiraipira m'chigongono, mkono, kapena dzanja.
- Ululuwu ndi woopsa kwambiri moti sungathetsedwe ngakhale ndi mankhwala ochepetsa ululu.
Kumbukirani, ngati mukumva kupweteka pachifuwa kapena kupuma movutikira, pitani mwachangu ku Dipatimenti Yothandiza Pangozi (ETU) ya chipatala chapafupi mwamsanga. Izi zitha kukhala zizindikiro za matenda oopsa.
Opaleshoni ya Tommy John ndiyo njira yabwino kwambiri yothetsera vuto lotha masewera m'mbuyomu. Ngakhale kuti nthawi yochira imakhala yayitali, ndi kuleza mtima komanso kutsatira malangizo a dokotala wanu, mutha kubwerera bwino kumasewera. Ngati muthamanga ndikuyamba kuchita masewera olimbitsa thupi dokotala wanu asanakupatseni chilolezo, mungafunike kuchitidwa opaleshoni zambiri ndikukhala kutali ndi masewera kwa nthawi yayitali. Chifukwa chake kuleza mtima ndiye chinsinsi apa.
Uthenga Wopita Nawo Kunyumba
- Opaleshoni ya Tommy John ndi njira yopambana kwambiri yomwe imakonza kuwonongeka kwa ligament ya collateral ligament (UCL) mkati mwa chigongono.
- Izi ndizofunikira kwambiri kwa osewera akatswiri omwe amasewera masewera oponya monga cricket ndi baseball.
- Zingatenge nthawi yoposa chaka chimodzi kuti munthu achire bwino atachitidwa opaleshoni, ndipo kuleza mtima ndi kudzipereka ndizofunikira.
- Kutsatira malangizo a dokotala wanu ndi katswiri wa masewera olimbitsa thupi ndiyo njira yabwino kwambiri yobwererera bwino ku masewera.
- Musanyalanyaze zizindikiro zochenjeza monga kupweteka pachifuwa, kuvutika kupuma, ndi kutentha thupi kwambiri mutachita opaleshoni. Funsani dokotala nthawi yomweyo.
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