Kodi tsamba lanu la phewa likutuluka? (Winged Scapula)

Kodi munayamba mwaonapo kuti tsamba limodzi la mapewa anu likuwoneka kuti likutuluka pang'ono kuposa linzake? Nthawi zina izi zingayambitse ululu ndi kuuma mukasuntha phewa lanu. Lero tikambirana za vuto ili lotchedwa "winged scapula" kapena monga momwe madokotala amalitchulira. Si chinthu choopa, mukangodziwa bwino, zinthu zambiri zidzamveka bwino.

Kodi fupa la phewa lotulukali limatanthauza chiyani? (`Winged Scapula`)

Mwachidule, fupa la phewa lomwe lili kumbuyo kwanu (madokotala amalitcha kuti ``Scapula'') ndi limene timalitcha ``Winged Scapula'' kapena ``Scapular Maping'' likatuluka kuchokera kumbuyo, m'malo mokhala lathyathyathya komanso lolumikizidwa ndi thupi lanu. Liganizireni ngati phiko la mbalame, ndi fupa la phewa lomwe limatuluka kumbuyo. Apa ndi pomwe dzina lakuti ``winged'' limachokera, chifukwa limawoneka ngati phiko.

Pamene tsamba la phewa lasunthika motere, zingakhale zovuta pang'ono kusuntha phewa kumbali imeneyo kapena kukweza mkono. Mungamve kupweteka, ndipo mwina mungamve ngati mkono wanu wachita dzanzi. Tangoganizani kuti mukufuna kunyamula katundu, ndipo mwadzidzidzi mukumva chinachake mkati mwa phewa lanu chikukakamira. Ndicho chimene chingakhale.

Chofunika kwambiri ndichakuti, ngati mukumva kuti fupa limodzi la phewa likuwoneka mosiyana ndi linzake, kapena ngati muli ndi ululu wa phewa, kuuma, kapena kuvutika kukweza mkono wanu kwa nthawi yoposa sabata imodzi, muyenera kuwonana ndi dokotala . Mukazindikira msanga, zimakhala zosavuta kuchiza.

Kodi kusokonekera konse kwa ziwalo za m'mimba n'koopsa? Tiyeni tiphunzirenso za `(Scapular Dyskinesis)`

Mapiko a scapular kwenikweni ndi vuto losowa kwambiri. Nthawi zambiri, timawona chinthu chosawoneka bwino, pomwe tsamba la phewa silili pamalo pake. Madokotala amatcha izi Scapular Dyskinesis, zomwe zikutanthauza kuti tsamba la phewa silili pamalo pake ndipo limakhala ndi kusayenda bwino.

Ngati muli ndi vuto lotchedwa `(Scapular Dyskinesis)` tsamba lanu la phewa lingawoneke mosiyana pang'ono ndi lachizolowezi. Silituluka konse mukakweza mkono wanu. Komabe, mofanana ndi vuto la `(Winged Scapula)`, zizindikiro - monga kupweteka ndi kuuma - zimatha kuchitika, koma nthawi zambiri zimakhala zochepa. Mungamve kufooka pang'ono paphewa lanu, kapena mungamve ngati pali vuto mukakweza mkono wanu.

Kodi zizindikiro za vuto la `(Winged Scapula)` ndi ziti?

Chofunika kwambiri ndichakuti fupa limodzi la phewa likutuluka kwambiri kuposa linzake. Ndicho chimene anthu ambiri amaona poyamba. Kuphatikiza apo, mungamve zinthu monga:

• Kupweteka kwa phewa: Ichi ndi chizindikiro chofala kwambiri. Kupwetekako kumathanso kufika pakhosi.
• Kuuma kwa phewa: Kungamveke ngati mwakhala mukukankhidwa ndi wrench.
• Kuvuta kukweza mkono: Ululu ukhoza kuwonjezeka, makamaka poyesa kukweza mkono pamwamba pa mutu, kapena mkono sungatheke kukwezedwa konse. Izi zimatchedwa kuchepa kwa ``Range of Motion''.
• Kumva ngati wofooka: Mungamve ngati manja anu ndi ofooka ndipo mungamve ngati simungathe kunyamula chilichonse.
• Kumva phokoso mukakweza mapewa: Mungamve kapena kumva phokoso la "kulira", kapena china chake chonga china chake chikupotozedwa.
• Kumva ngati mbali imodzi ya khosi ikukokedwa: Mukakweza mkono wanu, mungamve ngati minofu ya khosi ikukokedwa kumbali imodzi.

Ngati muli ndi chimodzi mwa zizindikiro izi kapena zingapo, ndi bwino kuda nkhawa.

N’chifukwa chiyani tsamba la phewa limatuluka chonchi? Kodi zimayambitsa chiyani?

Kawirikawiri, vuto la "Winged Scapula" limeneli limayamba chifukwa cha kuwonongeka kwa minofu yomwe imasunga tsamba la phewa lanu kapena mitsempha yomwe imalamulira minofuyo .

Taganizirani izi ngati dongosolo lomwe limagwira ntchito limodzi. Tikakweza dzanja lathu, kulitsitsa, kapena kulizungulira phewa lathu, minofu yomwe ikukhudzidwa imakokana, imapumula, ndikuthandizana. Ichi ndi chinthu chomwe chiyenera kukhala chokhazikika. Tsopano, ngati mitsempha kapena minofu yomwe imayang'anira minofu iyi yawonongeka, kukhazikika kumeneko kumatayika. Kenako minofuyo singathe kugwira phewa motsutsana ndi chifuwa ndikuchisunga chathyathyathya.

Kuti ndikupatseni chitsanzo china chosavuta: Tangoganizani kuti mukuyesera kutseka bokosi la makatoni. Mukufuna kupindikiza mbali zonse zinayi za bokosilo ndikuzitseka bwino. Tsopano tangoganizani kuti mbali imodzi ya bokosilo yaphwanyika kapena yasweka. Ndiye, ngakhale mutayesa kuyika mbali imodzi mwa zinayizo, idzatuluka ndi kukwera, eti? Umu ndi momwe zimakhalira. Pamene minofu imodzi kapena zingapo zozungulira phewa zafooka, fupa la phewa "limatuluka."

Pali minofu ndi mitsempha yambiri yomwe ingakhudzidwe kwambiri ndi vutoli:

• Serratus Anterior Muscle: Izi zimayendetsedwa ndi Long Thoracic Never. Kuwonongeka kwa mitsempha iyi ndi komwe kumayambitsa Winged Scapula.
• Minofu ya Trapezius: Vutoli lingachitike ngati minofu iliyonse mwa iyi yawonongeka, kapena ngati mitsempha yolumikizira msana yomwe imailamulira yawonongeka.
• Minofu ya Rhomboid: Izi zimayendetsedwa ndi Mitsempha ya Dorsal Scapular. Kuvulala kwina kungayambitsenso izi.

Ndiye, kodi mitsempha kapena minofu imeneyi ingawonongeke bwanji?

• Ngozi zamasewera: Masewera omwe amaika mavuto ambiri pamapewa, monga cricket ndi volleyball.
• Kuvulala Kobwerezabwereza: Mukapitiriza kugwira ntchito yofanana, mwachitsanzo, munthu amene amajambula kapena kugwira ntchito pa kompyuta mofanana.
• Mapewa Osong'ambika.
• Ngozi: Zinthu monga ngozi zamagalimoto, kugwa.
• Zotsatirapo zoyipa za opaleshoni: Nthawi zina, panthawi ya opaleshoni ya m'mawere, makamaka mastectomy, mitsempha yomwe imakhudzidwa imatha kuwonongeka, kapena ikhoza kukhala yankho la mankhwala oletsa ululu.

Ndani amene ali pachiwopsezo chachikulu cha vutoli?

Mapiko enieni a scapular, omwe ndi vuto lomwe tsamba la phewa limatuluka kwambiri chifukwa cha kuwonongeka kwa mitsempha kapena minofu, nthawi zambiri limachitika chifukwa cha ngozi. Anthu omwe adachitidwa opaleshoni pachifuwa, makamaka mastectomies, ali pachiwopsezo chachikulu.

Komabe, vuto lomwe ndatchula kale lotchedwa ``Scapular Dyskinesis``, pomwe tsamba la phewa limakokedwa pang'ono, likhoza kuchitika chifukwa cha zinthu zotsatirazi:

• Kuchita masewera omwe amaika mapewa pampani.
• Ntchito yolemetsa thupi.
• Kunyamula thumba lolemera nthawi zonse (ana a sukulu ayenera kusamala ndi izi).
• Kaimidwe Kofooka, kutanthauza kuima ngati wowerama.
• Phewa limodzi ndi lofooka kwambiri kuposa linzake.

Kodi madokotala amazindikira bwanji izi?

Mukapita kukaonana ndi dokotala, amayamba wakufunsani mafunso ndikufufuza msana wanu. Nthawi zambiri, mukayimirira, mutha kuwona vuto la "Winged Scapula" mukayerekeza ndi tsamba lina la phewa.

Mayeso a `(Winged Scapula)`

Dokotala adzakufunsani kuti muchite mayendedwe osiyanasiyana ndikuwona momwe phewa lanu limayendera komanso mphamvu zake. Mayeso akulu ozindikira mapiko a scapula ndi mayeso opukutira pakhoma .

Chomwe chimachitika apa ndichakuti, mukupemphedwa kuyang'ana pakhoma ndikuyika manja anu pakhoma. Kenako, ngati mukuchita ``Pushup`` pansi, mukupemphedwa kuti muchoke pakhoma ndi manja onse awiri nthawi imodzi. Ngati muli ndi ``Winged Scapula``, mukachita izi, fupa la phewa lomwe likutuluka lidzawonekera bwino.

Kuphatikiza apo, mayeso otsatirawa angachitike kuti aone ngati pali Scapular Dyskinesis:

• Mayeso Othandizira a Scapular (SAT): Dokotala adzakufunsani kuti mukweze mkono wanu molunjika pamwamba pa mutu wanu. Mukatero, adzakukankhirani pang'onopang'ono pansi pa phewa lanu. Ngati izi zikuthandizani kuchepetsa ululu wanu kapena kupangitsa kuti mkono wanu ukhale wosavuta kukweza, mutha kukhala ndi dyskinesis.
• Mayeso Ochepetsa Kubwerera kwa Mapewa (SRT): Mu mayesowa, dokotala amaika dzanja lake pamwamba pa phewa lanu ndikukankhira phewa lanu kumbuyo ndi mphumi yake. Izi zikutanthauza kuti phewa limakokedwa kumbuyo komwe liyenera kukhala. Kenako, mukupemphedwa kuti mutambasule dzanja lanu kumbali. Kenako dokotalayo amaika mphamvu pang'ono paphewa lanu ndi mkono wanu. Ngati ululu wanu wachepa mutakoka phewa lanu kumbuyo, kapena ngati mukumva mphamvu zambiri m'dzanja lanu, izi zitha kukhalanso chizindikiro cha dyskinesis.

Kuyezetsa zithunzi sikofunikira nthawi zonse. Koma nthawi zina dokotala angafunike kuyang'ana mkati mwa phewa kapena phewa. Angagwiritse ntchito zinthu monga:

• X-ray ya paphewa
• `(MRI)` (Kujambula kwa Magnetic Resonance)
• EMG (Electromyography) - Izi zimayesa ntchito yamagetsi ya minofu.
• Kuphunzira za Kuyendetsa Mitsempha - Izi zimayang'ana liwiro lomwe mauthenga amadutsa m'mitsempha.

Kodi vuto ili la `(Scapular Winging)` limachiritsidwa bwanji?

Dokotala wanu adzakulangizani chithandizo kutengera chomwe chikuyambitsa vutoli. Mankhwala ofala kwambiri ndi awa:

• Kuchepetsa ululu: Mankhwala amaperekedwa kuti achepetse ululu ndi kutupa. Anthu ambiri amapatsidwa mankhwala osagulitsidwa ndi dokotala otchedwa NSAIDs (Non-Steroidal Anti-Inflammatory Drugs). Anthu ena angapatsidwenso mankhwala opumitsa minofu.
• Kuchiza Thupi (PT): Izi ndizofunikira kwambiri. Katswiri wa zamaganizo adzakuphunzitsani masewera olimbitsa thupi ndi kutambasula kuti mulimbikitse minofu ya mapewa anu ndikuwonjezera kusinthasintha. Ngakhale kuti PT singathe kukonza kuwonongeka kwa mitsempha, ingathandize kuwonjezera mayendedwe anu ndikulamulira zizindikiro zina.
• Opaleshoni: Anthu ambiri safunika opaleshoni. Komabe, ngati njira zina zothandizira sizikuthandizani, ngati muli ndi ululu waukulu, kapena ngati simungathe kusuntha phewa lanu konse, opaleshoni ingafunike. Opaleshoni nthawi zambiri imaganiziridwa pambuyo pa ngozi. Mungafunike kuyika minofu kapena mitsempha (njira yomwe imaphatikizapo kutenga minofu yathanzi ndikuyiyika pamalo owonongeka). Kapena mungafunike njira yotchedwa scapular arthrodesis (joint fusion). Dokotala wanu adzakufotokozerani opaleshoni yoyenera kwa inu ndi zomwe mungayembekezere.

Kodi chimachitika ndi chiyani ngati sichikuchiritsidwa?

Ngati sichikuthandizidwa, scapula yokhala ndi mapiko ingakupangitseni kupanikizika kosafunikira pa phewa lanu ndi minofu yozungulira. Anthu omwe salandira chithandizo ali pachiwopsezo chachikulu chotenga matenda otchedwa frozen shoulder (adhesive capsulitis).

Ngati ``Winged Scapula`` yayamba chifukwa cha kuwonongeka kwa mitsempha, pali kuthekera kotaya kumva ndi kuyenda kwa minofu yoyenera. Chiwopsezocho chimawonjezeka ngati chizindikirika ndi kuchiritsidwa kwa nthawi yayitali. Ichi ndichifukwa chake tikukulimbikitsani kuti mukawone dokotala mwachangu ngati muli ndi zizindikiro.

Kodi mungayembekezere chiyani ngati muli ndi vuto la "Winged Scapula"?

Anthu ambiri amatha kuthana ndi vutoli popanda opaleshoni. Dokotala wanu komanso katswiri wa zamaganizo adzakuthandizani kupeza chithandizo chothandizira kuthana ndi zizindikiro zanu. Angakulimbikitseninso kusintha ntchito kapena zochita zanu kuti muchepetse nkhawa paphewa lanu ndikupewa kuvulala.

Kodi `(Scapular Winging)` imatenga nthawi yayitali bwanji?

Kutalika kwa nthawi imeneyi kumadalira chomwe chayambitsa komanso ngati pali kuwonongeka kwa mitsempha kapena minofu. Mungafunike chithandizo chamankhwala cha miyezi ingapo kuti phewa lanu libwererenso bwino ndikuyambiranso kuyenda.

Anthu ena, makamaka omwe adwala matendawa atangochita ngozi, akhoza kukhala ndi zizindikiro kwa zaka zingapo. Pafupifupi kotala la anthu omwe ali ndi mapiko a scapula amathabe kumva ululu pang'ono akachira.

Kodi mapiko a Scapular angapewedwe?

Izi nthawi zambiri zimachitika chifukwa cha ngozi zosayembekezereka, kotero sizingatheke kuziletsa kwathunthu.

Komabe, ndi bwino kutsatira malangizo awa achitetezo kuti muchepetse chiopsezo cha ngozi:

• Nthawi zonse muzivala lamba wanu wapampando mukamakwera galimoto.
• Valani zida zoyenera zodzitetezera mukamasewera masewera ndi zochitika zina.
• Sungani nyumba yanu ndi kuntchito kwanu kuti musakhale ndi zinthu zambiri zomwe zingakubweretsereni mavuto.
• Nthawi zonse gwiritsani ntchito chida choyenera mukatenga chinthu kuchokera pamwamba. Musakwere pa mipando kapena matebulo.
• Ngati mukuvutika kuyenda kapena muli pachiopsezo chachikulu chogwa, gwiritsani ntchito chinthu chonga ndodo.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati muli ndi ululu wa phewa, kuuma kwa mafupa, kapena zizindikiro zina kwa nthawi yoposa sabata imodzi, pitani kwa dokotala.

Ngati simungathe kusuntha kapena kugwiritsa ntchito phewa lanu, pitani kuchipatala nthawi yomweyo. Ngati mukumva ngati phewa lanu lasokonekera, musayese kulikakamiza kuti libwerere m'malo mwake. Sungani mkono wanu ndi phewa lanu zili chete momwe mungathere, zithandizeni, ndipo pitani kuchipatala nthawi yomweyo.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

• Nchifukwa chiyani ndili ndi "Winged Scapula"?
• Kodi ndili ndi vuto la mitsempha kapena minofu?
• Kodi mukupereka chithandizo chamtundu wanji?
• Kodi ndiyenera kuchita physiotherapy kwa nthawi yayitali bwanji?
• Kodi mungandiuze masewera olimbitsa thupi kapena kutambasula thupi komwe ndingachite kunyumba?

Ndiye, kodi tikuphunzirapo chiyani kuchokera pa izi?

Mukazindikira kuti muli ndi "Winged Scapula", mungakumbukire maloto anu aubwana oyenda pandege. Koma, kwenikweni, mwina mukuganizira kwambiri za ululu ndi kuuma kwa phewa lanu.

Mapiko a Scapular ndi vuto lomwe limachitika pamene minofu ndi mitsempha ya m'mapewa anu sizingathe kugwira bwino tsamba la phewa lanu motsutsana ndi chifuwa chanu. Musachite mantha. Dokotala wanu akhoza kufotokoza chomwe chimayambitsa vutoli komanso momwe mungathanirane ndi zizindikiro monga kupweteka ndi kuvutika kuyenda. Chofunika kwambiri ndikupita kuchipatala mwamsanga ngati muli ndi zizindikiro. Izi zikuthandizani kuchira mwachangu.

Kusokonekera kwa phewa , scapula ya mapiko, kupweteka kwa phewa, dyskinesis ya scapular, matenda a mitsempha, chithandizo cha thupi, masewera olimbitsa thupi a phewa