Tangoganizani kuti mukunyamula chinthu cholemera ndipo mwadzidzidzi mukumva phokoso la 'click' kuchokera kumtunda kwa mkono wanu ndipo mukumva kupweteka kwambiri. Kapena nthawi zina minofu ya mkono wanu imawoneka yotupa modabwitsa ngati chotupa. Imeneyi ikhoza kukhala vuto lomwe mwina mudamvapo lotchedwa Biceps Rupture. Anthu ambiri amachita mantha akamva dzinali, koma ngati tikudziwa bwino lomwe, palibe choopa. Chifukwa chake, lero tikambirana za izi.
Mwachidule, kodi biceps rupture ndi chiyani?
Minofu yomwe ili m'dzanja lanu lapamwamba yomwe imatuluka mukapinda mkono wanu imatchedwa minofu ya biceps. Minofu imeneyi imalumikizidwa ku mafupa omwe ali paphewa panu ndi fupa pafupi ndi chigongono chanu ndi minofu yolimba ngati chingwe. Timaitcha kuti tendon.
Mwachidule, kuphulika kwa biceps ndi kung'ambika kwa minofu yolimba ya mtsempha. Kung'ambika kumeneku kungakhale kwathunthu kapena pang'ono.
Minofu yathu ya biceps imalumikizidwa ku mafupa ndi ma tendons atatu akuluakulu:
- Ziwiri pafupi ndi phewa (Mnofu wautali wa mutu ndi Mnofu waufupi wa mutu)
- Limodzi pafupi ndi chigongono (Distal biceps tendon)
Timagawa vutoli malinga ndi komwe tendon imaphulika.
- Kuphulika kwa Mnofu wa Proximal Biceps: Izi zimachitika pamene mnofu womwe uli pafupi ndi phewa waduka. Uwu ndi mtundu wofala kwambiri.
- Kuphulika kwa Mnofu wa Distal Biceps: Izi zimachitika pamene mnofu wapafupi ndi chigongono wang'ambika. Izi sizichitika kawirikawiri, koma zingakhale zoopsa kwambiri.
Kodi chimachitika ndi chiyani ku ntchito ya mkono pamene biceps yang'ambika?
Pamene biceps yang'ambika, mphamvu yogwiritsira ntchito mkono imakhudzidwa. Koma zimatengera komwe tendon yang'ambika komanso momwe yang'ambikira kwambiri.
Kawirikawiri, tendon imang'ambika pafupi ndi phewa, ndipo minofu ina m'dzanja (monga Brachialis ndi supinator) imabwera kudzathandiza ndikuthandizira kusuntha mkono. Kotero mudzathabe kusuntha mkono wanu. Komabe , mungamve kuuma ndi kufooka mukanyamula zolemera kapena kutembenuza mkono wanu (monga kulimbitsa screw).
Ngati tendon yaphulika pafupi ndi chigongono (distal rupture), imakhala yoopsa kwambiri. Ngakhale mutha kusuntha mkono wanu kumbuyo ndi kumbuyo, mphamvu ya mkono wanu imachepa kwambiri. Makamaka, popeza mkonowo umatembenuzidwa pansi pa chigongono, mphamvu yokweza mkonowo mmwamba (supination) imatayika kwambiri. Mukanyamula zinthu, mukagwira mwamphamvu, mkonowo umamva ngati ulibe mphamvu. Kwa anthu omwe amafunikira mphamvu zonse m'dzanja lawo, monga othamanga, opaleshoni nthawi zambiri imafunika pazochitika zotere.
Nchifukwa chiyani minofu ya biceps imang'ambika motere?
Pakhoza kukhala zifukwa ziwiri zazikulu izi: mwina chifukwa cha ngozi, kapena chifukwa chakuti tendon yayamba kufooka pakapita nthawi.
Ngozi ndi chinthu chonga "mukangofikira chinthu cholemera kuposa momwe mukuganizira, ndikugwiritsa ntchito mphamvu zambiri kuti muwongolere mkono wanu." Ingayambitsidwenso ndi zinthu monga kugunda pansi ndi mkono wanu utatambasulidwa mukagwa, kapena kupotoza dzanja lanu kapena phewa lanu mwadzidzidzi.
| Zinthu zomwe zimawonjezera chiopsezo cha kuphulika kwa biceps | |
|---|---|
| Kudutsa nthawi | Minofu ya m'chiuno imafooka mwachibadwa pamene tikukalamba, ndipo zochita zobwerezabwereza za mapewa (monga kusambira, baseball, ntchito zina) zingayambitse kutopa kwa mnofu. |
| Mavuto ena a mapewa | Mphuno ya biceps imatha kuwonongeka ndi matenda ena a paphewa, monga tendonitis, bursitis, kapena kung'ambika kwa rotator cuff. |
| Kusuta | Kusuta kumachepetsa magazi kupita ku minofu ya m'mitsempha, zomwe zimapangitsa kuti ikhale yofooka ndikuchepetsa kuchira. |
| Kusowa zochita zolimbitsa thupi | Minofu ndi minofu ya minofu imafooka mukapanda kuchita masewera olimbitsa thupi. |
| Mankhwala ena | Kugwiritsa ntchito mankhwala monga corticosteroids kwa nthawi yayitali kungafooketse minofu ndi minyewa. |
Kodi zizindikiro za izi ndi ziti?
Ngati biceps yanu yayamba kuphulika, mutha kukhala ndi chimodzi kapena zingapo mwa zizindikiro izi:
- Kumva phokoso la 'tock' kapena 'pop' panthawi ya ngozi.
- Kupweteka kwadzidzidzi, koopsa paphewa kapena pa chigongono (kutengera komwe kwang'ambika).
- Kumva kufooka m'dzanja kapena phewa.
- Kuvulala pa mkono wapamwamba.Kuwoneka ngati.
- Kumva ngati mukumva kupweteka m'minofu yanu mukamagwiritsa ntchito dzanja lanu.
- Kuvuta kuzungulira mkono (kutembenuza dzanja mmwamba ndi pansi).
- Mbali ya "Popeye Muscle": Izi nthawi zambiri zimawoneka pafupi ndi phewa (kuphulika kwa proximal). Monga momwe Popeye alili mu katuni, minofu yanu ya biceps imawoneka ngati chotupa ndipo imatupa. Izi zimatchedwa `(Popeye deformity)`.
Kodi dokotala amazindikira bwanji ngati izi ndi kuphulika kwa biceps?
Dokotala nthawi zambiri amatha kuzindikira izi pokuyang'anirani mwakuthupi. Iye adzayang'ana momwe mkono wanu umagwirira ntchito komanso mphamvu zake. Nthawi zina, ngati kung'ambika sikunathe kapena sikunawonekere bwino, scan monga X-ray, ultrasound, kapena MRI ikhoza kuchitidwa.
Ndipo pali mayeso awiri apadera otsimikizira izi:
1. Kuyesa kwa Hook: Pamene mukupindika chigongono chanu ndikuzungulira mkono wanu, dokotala adzayesa kugwira mtsempha kumbuyo kwa chigongono chanu ndi chala chake. Ngati wagwidwa bwino, mutha kuganiza kuti mtsempha sunang'ambike.
2. Kuyesa Kukanikiza Minofu Yaikulu: Dokotala adzakuthandizani chigongono chanu ndikukanikiza pang'onopang'ono mkono wanu wapamwamba. Ngati mkono wanu sunatembenuke mwangozi, ichi chingakhale chizindikiro chakuti mtsempha wang'ambika.
Chofunika kwambiri ndikuonana ndi dokotala mwamsanga zizindikirozi zikaonekera. Chithandizo chimakhala chosavuta ndipo sichingayambitse mavuto mkati mwa milungu itatu yoyambirira. Ngati chisiyidwa mochedwa, mtsempha ukhoza kutupa ndi kuvulala, zomwe zimapangitsa kuti chithandizo, makamaka opaleshoni, chikhale chovuta kwambiri.
Kodi mankhwala ochizira izi ndi otani?
Chithandizo chomwe mudzalandire chidzadalira ngati mtsempha wang'ambika pafupi ndi phewa kapena chigongono, komanso kuchuluka kwa kung'ambikako.
Milandu yomwe opaleshoni siikufunika (Chithandizo Chopanda Opaleshoni)
Ngati mtsempha sunang'ambike konse (kung'ambika pang'ono), dokotala wanu angakulangizeni mankhwala monga:
- Ice: Pakani ayezi pamalo opweteka ndi kutupa kwa mphindi pafupifupi 20, kangapo patsiku.
- Kupuma: Pewani kunyamula zinthu zolemera ndi zochita zolemetsa kwa kanthawi. Mungalangizidwe kugwiritsa ntchito sling.
- Mankhwala Ochepetsa Ululu: Mankhwala oletsa kutupa omwe si a steroidal (NSAIDs) monga ibuprofen angathandize kuchepetsa kutupa ndi ululu. Komabe, nthawi zonse muyenera kufunsa dokotala wanu kuti muwonetsetse kuti ndi oyenera kwa inu.
- Kuchiza Thupi: Maseŵera olimbitsa thupi ochitidwa motsogozedwa ndi katswiri wa zamaganizo angathandize pakuchira ndikulimbitsa minofu ina m'dzanja.
Opaleshoni
Ngati mtsempha wang'ambika kwathunthu, makamaka pafupi ndi chigongono (kuphulika kwakutali), dokotala wanu angakulangizeni opaleshoni. "Mtsempha womwe wang'ambika pafupi ndi chigongono suchira wokha. Minofuyo sidzagwiranso ntchito bwino."
Opaleshoni ingalimbikitsidwenso pazochitika ngati izi:
- Ngati mankhwala ena sachepetsa ululu.
- Ngati minofu ya biceps ikupitirizabe kupweteka.
- Ngati simungathe kuchita zinthu za tsiku ndi tsiku chifukwa cha kupweteka kwa phewa ndi kufooka.
Opaleshoniyi imaphatikizapo kulumikizanso mtsempha woswekawo ku fupa. Izi zingaphatikizepo kugwiritsa ntchito mapini ang'onoang'ono achitsulo (anchors) kapena mabatani. Nthawi zambiri, opaleshoniyi imatha kuchitika kudzera m'mabala ang'onoang'ono angapo, otchedwa opaleshoni ya arthroscopic, pogwiritsa ntchito kamera.
Mukatha opaleshoni, muyenera kuvala splint kapena cast kwa kanthawi. Pambuyo pake, pang'onopang'ono mutha kupezanso mphamvu ndi kuyenda m'dzanja lanu kudzera mu physiotherapy.
Kodi zimatenga nthawi yayitali bwanji kuti munthu achire?
Kung'ambika pang'ono komwe sikufunikira opaleshoni kungachiritse pakatha milungu ingapo. Komabe, ngati opaleshoni yachitika, zingatenge miyezi iwiri kapena itatu kuti mtsempha ubwerere ku fupa. Zingatenge mwezi wina kapena iwiri kuti dzanja lanu likhalenso ndi mphamvu zonse. Ndikofunikira kufunsa dokotala wanu nthawi yomwe muyenera kudikira musanapitirize ntchito yolemetsa kapena masewera olimbitsa thupi ndikutsatira malangizo awo.
Uthenga Wopita Nawo Kunyumba
- Kupasuka kwa biceps ndi kung'ambika kwa tendon yomwe imalumikiza minofu ya biceps ndi fupa la mkono.
- Zizindikiro zazikulu zitha kuphatikizapo kupweteka mwadzidzidzi, phokoso la 'pop', kufooka kwa mkono, ndi minofu yotupa ('Popeye muscle').
- Njira zochiritsira zimadalira mtundu wa kung'ambika ndipo zimayambira pa kupuma mpaka opaleshoni.
- Chofunika kwambiri ndikupempha upangiri wa dokotala mwachangu. Pitani kwa dokotala mwamsanga mukangozindikira zizindikiro izi. Mukayamba chithandizo mwachangu, zotsatira zake zimakhala zabwino.
- Ndi chithandizo choyenera, anthu ambiri amatha kupezanso mphamvu ndi ntchito zonse m'manja mwawo. Choncho musadandaule.
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