Mhoro shamwari! Wakadii? Nhasi tichataura nezvezvikamu zvakakosha zvemuviri wedu. Idzo imapfupa edu, majoini, netsandanyama. Ingofungidzira, pasina izvi, hatigone kumira, kufamba, kana kuita chero chinhu. Saka, kana paine dambudziko kana kurwadziwa muhurongwa hwakakosha kudaro, pane chiremba ane hunyanzvi anotibatsira. Pamwe wakambowa ukakuvara ruoko kana gumbo, kana kurwadziwa nebvi kana pfudzi. Ndipo patinofanira kusangana nachiremba ane hunyanzvi uyu. Ngationei kuti chiremba uyu ndiani uye kuti anoita sei.
Chii chinonzi musculoskeletal system? Ngatizvinzwisise zviri nyore!
Zvichitaurwa zviri nyore, iri ndiro zita ratinopa kuhurongwa hwese hunobatsira miviri yedu kufamba nekushanda. Funga nezvaro seimba.
- Mapfupa : Aya ndiwo magadzirirwo emuviri wedu. Semadziro nedenga remba. Mapfupa anopa muviri wedu chimiro nesimba. Anodzivirirawo nhengo dzinokosha dziri mukati medu, dzakadai seuropi nemoyo .
- Majoini : Majoini inzvimbo dzinobatana mapfupa maviri. Sezvishandiso zvepamusuwo. Zvinotibvumira kukotama, kutambanudza, uye kufambisa miviri yedu. Mabvi , magokora, mapfudzi, uye chiuno ndiwo majoini atinonyanya kushandisa.
- Tsandanyama: Idzi dzakaita semainjini emuviri wedu. Dzakabatana nemapfupa uye padzinotatamuka nekukotama, tinogona kufamba. Tsandanyama dzinobatsira kudzora zvinhu zvatinoita tichiziva (kufamba, kumhanya) uye zvinhu zvatinoita tisingazive (kurova kwemoyo).
- Matendoni neMatendoni: Matendoni mabhande akasimba anobatanidza pfupa rimwe nerimwe. Matendoni mabhande anobatanidza tsandanyama nemapfupa. Dai pasina iwo, majoini aisazogadzikana, uye simba rinobva mutsandanyama haringapfuuriri kumapfupa.
Saka zvese izvi pamwe chete ndizvo zvinoita kuti tirambe tichishanda zvakanaka. Kana paine kakukanganisika muhurongwa uhu, mabasa edu ese ezuva nezuva anogona kukanganiswa, handiti?
Ndiani uyu nyanzvi yemapfupa nemajoini (Orthopedic Surgeon)?
Unoziva, kune vamwe vanachiremba vanorapa zvirwere zvinenge zvese (tinoti vanachiremba vezvirwere zvese - vanachiremba vezvirwere zvese). Zvakare, kune vamwe vanachiremba vakadzidziswa zvakanyanya uye vane ruzivo nezvechirwere chimwe
chete kana chikamu chimwe chemuviri. Nyanzvi yakadaro inonzi
nyanzvi yemapfupa nemajoini . Muchirungu, tinoidaidza kuti "Orthopedic Surgeon". Vanachiremba ava ndivo vatakambotaura.
Avo vakadzidziswa kurapa kukuvara , zvirwere, nedzimwe mhando dzematambudziko anoitika mumapfupa, majoini, tsandanyama, mitsipa, uye marunda. Zvakakosha: Pasinei neshoko rekuti 'Chiremba' muzita ravo, ava havasi vese vanachiremba vekuvhiya. Kutaura zvazviri, vanowanzoedza kurapa dambudziko rako pasina kuvhiyiwa , vachishandisa mishonga, maekisesaizi, kana dzimwe nzira. Kuvhiya kunodiwa chete kana zvimwe zvese zvikakundikana, kana kuti rudzi rwekukuvara/chirwere ruchida kuvhiyiwa zvachose.
Nyanzvi idzi dzakadzidza zvekurapa kwemakore, ndokuzopedza makore dzichidzidzira mapfupa nemajoini. Saka, vane ruzivo rwakakura munyaya iyi. Ndirini patinofanira kuona chiremba wemapfupa?
Zvakanaka, ikozvino ungangove uchifunga kuti, "Ndeipi dambudziko raizoda kuti ndiende kuna chiremba seizvi?" Ona kana wakambova nechimwe chezviratidzo izvi:- Kutsemuka: Kana ukadonha kana kuita tsaona wotyoka ruoko, gumbo, kana rimwe pfupa, dzimwe nguva rinogona kunge riri diki diki.
- Kukwenya Kwemakumbo Uye Kukwenya Kwemakumbo: Fungidzira wakangoerekana wagumburwa uchitamba cricket, kana kuti wakamonyoroka musana wako uchisimudza chimwe chinhu chinorema. Izvi kukuvara kwetsinga kana marunda.
- Marwadzo eMajoini : Marwadzo anoramba aripo uye kuzvimba mumajoini akadai semabvi, mapendekete, magokora, uye chiuno. Chimwe chikonzero cheizvi chingave chirwere chinonzi `(Arthritis)`.
- Kurwadziwa Kwemusana Nemutsipa: Iri idambudziko rinowanzoitika kuvanhu vazhinji. Kurwadziwa uku kunogona kukonzerwa nezvinhu zvakaita sekusagadzikana kwemuviri, kusimudza zvinhu zvinorema , uye shanduko dzinoitika nekukura.
- Kukuvara Kwemitambo : Chero rudzi rwekukuvara kunoitika panguva yekutamba mitambo. Semuenzaniso, kubvaruka kwebvi (anterior cruciate ligament), fudzi rakatyoka, nezvimwewo.
- Kushaya simba uye kushaya simba mumakumbo: Dzimwe nguva, tsinga dzakabatwa dzinogona kukonzera kusanzwa uye kurwadziwa mumaoko neminwe. Muenzaniso wechirwere chinonzi ``Carpal Tunnel Syndrome.''
- Kuremara kwemapfupa kana majoini: Mamwe matambudziko anokonzerwa nekuzvarwa nawo (semuenzaniso, tsoka yekirabhu) kana kuti anozokura gare gare, akadai se scoliosis.
- Kushaya simba kwemapfupa:Matambudziko akadai se osteoporosis anoita kuti mapfupa asashande zvakanaka uye apwanyike nyore nyore.
- Kuoma kufamba, kutadza kufambisa majoini: Kana joini rikanzwa rakanamira, sekunge harigone kufambisa.
Kana uine chimwe chezviratidzo izvi, zvakanaka kuti uone chiremba wemapfupa nemajoini, uye zvichibva pane zvavanotaura, ona chiremba wemapfupa nemajoini. Chiremba weMafupa angakubatsira sei?
Paunoenda kunoona nyanzvi yakaita seiyi, ichatora matanho akati wandei kuti iongorore dambudziko rako nemazvo uye ipe kurapwa kwakakodzera. 1. Kuongorora chirwere - Kuziva chirwere nemazvo
- Uchabvunzwa nezvezviratidzo zvako: Kutanga, chiremba achakubvunza mibvunzo. Kurwadziwa kuri kupi, kwakatanga sei, kunowedzera riini, uye kana uine zvimwe zvirwere. Ruzivo rwaunopa rwakakosha zvikuru.
- Kuongororwa Kwemuviri: Chiremba achakuongorora. Achanzwa kurwadziwa, ofambisa makumbo ako, uye okotamisa mabvi ako. Izvi zvichamubatsira kuti anzwisise kuti dambudziko riri kupi uye kuti rakakura sei.
- Kuedzwa Kwemifananidzo: Dzimwe nguva mifananidzo inofanira kutorwa kuti uone zviri kuitika mukati.
- `(X-ray)` (X-ray): Izvi zvinogona kushandiswa zvakanyanya kuona zvinhu zvakaita sekutyoka, kutsemuka, kutsemuka, uye kutyoka kwemajoini.
- `(CT scan)` (CT scan - Computed Tomography scan): Izvi zvinogona kutora mifananidzo yakajeka, ine zvikamu zvakasiyana kupfuura X-ray. Zvinogona kupa pfungwa kwete chete yemapfupa, asiwo yenyama dzakapfava.
- `(MRI scan)` (M.R.I. Scan - Magnetic Resonance Imaging scan): Izvi zvinogona kuona zviri pachena matambudziko enyama dzakapfava dzakadai semhasuru, ligaments, tendons, uye cartilage (chikamu chakaita secushion chiri pakati pemajoini).
Mushure mekuongororwa uku, chiremba achaona kuti dambudziko rako nderei chaizvo. 2. Kurapa - kurapa chirwere
Mushure mekuongororwa, chiremba ndiye achasarudza nzira yakakodzera yekurapa. Yeuka, ndakambotaura kare kuti kuvhiyiwa hakusi mhinduro yezvinhu zvese. Kurapa Kusina Kuvhiya:
Kazhinji, nzira idzi dzinotanga ne:- Mishonga: Mishonga inouraya marwadzo nemishonga inoderedza kuzvimba inogona kupihwa.
- Majekiseni: Mamwe marwadzo emajoini, semuenzaniso, marwadzo anokonzerwa nearthritis, anogona kuderedzwa nekurapwa kwakadai semajekiseni esteroid anopinzwa zvakananga mujoini.
- Kukanda, Kupwanya, Kusunga: Kana pfupa ratyoka, simbi inoiswa kuti irege kufamba. Kana pakaita kutsemuka, simbi inogona kuiswa kuti idzivirire majoini.
- Kurapa Kwemuviri:Izvi zvakakosha zvikuru. Nyanzvi yekurovedza muviri ichakudzidzisa maekisesaizi chaiwo ekuita, nzira dzekusimbisa tsandanyama dzako, uye nzira dzekuwedzera mafambiro emajoini ako. Izvi zvinogona kukubatsira kupora nekukurumidza uye kuderedza njodzi yekudzoka kwematambudziko.
- Kuchinja Mararamiro: Dzimwe nguva, kana wakafuta, unogona kukurudzirwa kuderedza uremu. Izvi zvinodaro nekuti uremu hwakawandisa hunoisa kumanikidzwa kwakanyanya pamapfundo akaita semabvi nechiuno. Unogonawo kukurudzirwa kugara zvakanaka uye kusimudza zvinhu nenzira isingakuvadze musana wako.
Kurapa Kwekuvhiya:
Kunyangwe mimwe mishonga yese yakamboedzwa, kana zvichienderana nekuoma kwedambudziko, chiremba anogona kusarudza kuvhiya. Usatya, chiremba achakutsanangurira zvese.- Kugadzirisa Kutyoka: Zvidimbu zvemapfupa zvakatyoka zvinonamirwa uye zvinogadziriswa newaya, zvipikiri, maplate, uye screws.
- Kutsiva Majoini: Joini rakasakara uye rinorwadza, rakaita sebvi kana chiuno, rinobviswa rotsiviwa nejoini rekugadzira rakagadzirwa nesimbi kana purasitiki (`kutsiva chiuno`, `kutsiva mabvi`). Izvi zvinobvisa marwadzo uye zvinokubvumira kufamba nekushanda zvakanaka zvakare.
- `(Arthroscopy): Iyi imhando yekuvhiya inonzi "keyhole surgery." Maburi madiki rimwe chete kana maviri anogadzirwa pedyo nejoini, umo kamera diki (arthroscope) nezvishandiso zvekuvhiya zvinoiswa kugadzirisa matambudziko ari mukati mejoini (semuenzaniso, cartilage yakabvaruka, ligaments). Sezvo pasina cheka hombe, kupora kunokurumidza.
- Kugadziriswa kweLigament neTendon: Ligaments kana tendons, dzakadai seACL, dzinobvaruka panguva yemitambo dzinosonwa pamwe chete.
- Kuvhiyiwa Kwekusunungurwa Kwetsinga: Mumamiriro ezvinhu akaita seCarpal Tunnel Syndrome, kuvhiyiwa kudiki kunoitwa kuti kusunungurwe tsinga yakamanikidzwa.
Iyi inongova mienzaniso mishomanana. Chiremba wako achakurukura newe marapirwo anonyatsoenderana nemamiriro ako ezvinhu. Zvinhu zvekurangarira usati waenda uye panguva yekusangana nachiremba wemapfupa
- Tsamba inobva kuna chiremba wako (Referral): Kazhinji, chiremba wemhuri yako (GP) achakutumira kune nyanzvi yerudzi urwu. Tora tsamba iyoyo newe.
- Mishumo yekare: Kana wakamboongororwa maX-ray kana mascan, uya nazvowo.
- Ruzivo rwemishonga: Udza chiremba wako kuti mishonga yauri kutora parizvino ndeipi.
- Bvunza mibvunzo:
"Usatya kubvunza chiremba mibvunzo. Bvunza uye pindura mibvunzo yako yese. Kana ukanyatsoziva nezvehurwere hwako nekurapwa kwako, uchakurumidza kupora."
Bvunza mibvunzo yakaita seyekuti chii chaunofanira kuita, chii chausingafaniri kuita, uye kuti zvinotora nguva yakareba sei kuti upore. Tingachengetedza sei mapfupa edu, majoini, uye tsandanyama zvine hutano? Mazano mashoma
Pane zvatinogona kuita kudzivirira hurongwa hwedu hunokosha kuti husarware kana kukuvara:- Kudya kwakaringana: Idya chikafu chine calcium yakawanda nevhitamini D (mukaka, chizi, yogati, miriwo mitema, hove diki). Izvi zvinosimbisa mapfupa.
- Kurovedza muviri nguva dzose: Kurovedza muviri kwakadai sekufamba, kumhanya, uye kushambira kunosimbisa tsandanyama uye kunoita kuti majoini agone kuchinjika.
- Kuchengetedza huremu hwakanaka hwemuviri: Kurema kwakawandisa kunoisa dzvinyiriro isina kufanira pamajoini.
- Tevedzera matanho ekudzivirira: Shandisa midziyo yekuchengetedza paunenge uchitamba mitambo uye kubasa. Ziva njodzi dzinogona kuitika kana munhu adonha.
- Kugara Zvakanaka: Chengeta musana wako wakatwasuka paunenge wakagara, wakamira, uye uchisimudza zvinorema.
Mharidzo Yekuenda Nayo Kumba
Saka, shamwari yangu, nhasi tataura zvakawanda nezvekuti ndiani anonzi 'Orthopedic Surgeon', kana kuti nyanzvi yemapfupa nemajoini, zvaanoita, uye kuti tinofanira kuenda kwaari riini, handiti? Chinhu chakakosha chekurangarira ndechekuti:- Kana uine kurwadziwa, kusagadzikana, kana kukuvara kunokonzerwa nemapfupa ako, majoini, kana tsandanyama, usazviregeredza.
- Chiremba wemapfupa munhu anenge akaita seshamwari yako, akagadzirira kukubatsira nematambudziko aya.
- Kuvhiyiwa hakusi kwechokwadi nguva dzose. Kune nzira dzakawanda dzekurapa dzisingashandisirwe kuvhiyiwa.
- Nekuona chiremba nekukurumidza uye kutsvaga mazano, unogona kugadzirisa dambudziko rako risati ranyanya kuipa.
Ndinovimba kuti ruzivo urwu rwunobatsira. Ndinoshuvira munhu wese hutano hwakanaka! chiremba wemapfupa Sinhala, nyanzvi yemapfupa, nyanzvi yemajoini, mushonga wekutyoka, arthroscopy, kurwadziwa kwemabvi, kurwadziwa kwemusana, kukuvara kwemitambo Sinhala, musculoskeletal system Sinhala
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