Mavuto oyendetsera Rotator

Chofukizira cha rotator ndi gulu la akatumba ndi ma tendon omwe amalumikizana ndi mafupa olumikizana ndi phewa, kulola kuti phewa lizisuntha ndikukhazikika.

• Rotator cuff tendinitis amatanthauza kukwiya kwamatendawa ndi kutukusira kwa bursa (kosanjikiza kosalala) kokutira ma tendon.
• Chingwe cha rotator chimang'ambika pamene imodzi mwa ma tendon imang'ambika kuchokera kufupa chifukwa chogwiritsa ntchito kwambiri kapena kuvulala.

Mgwirizano wamapewa ndi mpira ndi mtundu wolumikizana. Gawo lapamwamba la fupa lamanja (humerus) limapanga cholumikizira ndi tsamba lamapewa (scapula). Cuff cha rotator chimagwira mutu wa humerus mu scapula. Imayang'aniranso kuyenda kwa phewa.

TENDINITI

Minyewa ya chikwama chozungulira imadutsa pansi pa malo amfupa popita kukalumikiza kumtunda kwa fupa la mkono. Matendawa akapsa, amatha kutentha kwambiri m'derali poyenda phewa. Nthawi zina, kutuluka kwa fupa kumachepetsa malowo kwambiri.

Makapu a Rotator amatchedwanso impingement syndrome. Zomwe zimayambitsa izi ndi monga:

• Kuyika mkono pamalo omwewo kwa nthawi yayitali, monga kugwira ntchito yamakompyuta kapena kumeta tsitsi
• Kugona mkono umodzi usiku uliwonse
• Kusewera masewera omwe amafuna kuti dzanja lizisunthira pamutu mobwerezabwereza monga tenisi, baseball (makamaka kuponya), kusambira, ndikukweza zolemera pamwamba
• Kugwira ntchito pamwamba pamanja kwa maola kapena masiku ambiri, monga kujambula ndi ukalipentala
• Osauka kwa zaka zambiri
• Kukalamba
• Bokosi la Rotator limalira

MISOZI

Misozi ya khafu ya Rotator imatha kuchitika m'njira ziwiri:

• Kung'ambika mwadzidzidzi kumatha kuchitika mutagwera padzanja lanu litatambasulidwa. Kapena, zimatha kuchitika modzidzimutsa, mukugwedezeka mukamayesera kukweza china cholemetsa.
• Misozi yosalekeza ya matayala a rotator imachitika pang'onopang'ono pakapita nthawi. Zimakhala zotheka mukakhala ndi matenda a tendinitis kapena impingement syndrome. Nthawi ina, tendon imafooka ndikulira.

Pali mitundu iwiri ya misozi ya makutu ozungulira:

• Misozi pang'ono imachitika pamene misozi siyimasula zolumikizira fupa.
• Kukula kwathunthu, kumatanthauza kuti misozi imadutsa mu tendon. Itha kukhala yaying'ono ngati pini, kapena misozi itha kuphatikizira tendon yonse. Ndikulira kwathunthu, tendon yatuluka (yotayika) kuchokera pomwe idalumikizidwa ndi fupa. Misozi yamtunduwu sichichira yokha.

TENDINITI

Kumayambiriro, ululu ndi wofatsa ndipo umachitika ndikutulutsa zinthu zakutsogolo ndikukweza dzanja lako pambali. Zochita zimaphatikizapo kutsuka tsitsi lanu, kufikira zinthu m'mashelefu, kapena kusewera masewera ena apamwamba.

Ululu umakhala patsogolo paphewa ndipo umatha kupita mbali ya mkono. Ululu nthawi zonse umasiya pamaso pa chigongono. Ngati kupweteka kumatsikira mkono mpaka kugongono ndi dzanja, izi zitha kuwonetsa mitsempha yotsinidwa m'khosi.

Pakhoza kukhala zopweteka mukamatsitsa phewa kuchokera pamalo okwezeka.

Popita nthawi, pakhoza kukhala zopweteka popumula kapena usiku, monga kugona papewa lomwe lakhudzidwa. Mutha kukhala ndi kufooka ndikusunthika mukakweza dzanja pamwamba pamutu panu. Phewa lanu limatha kukhala lolimba ndikukweza kapena kuyenda. Kungakhale kovuta kwambiri kuyika mkono kumbuyo kwanu.

ROTATOR MISOZI

Kupweteka ndikulira mwadzidzidzi mutagwa kapena kuvulala nthawi zambiri kumakhala kwakukulu. Pambuyo povulazidwa, mungakhale wofooka pamapewa ndi mkono. Kungakhale kovuta kusuntha phewa lanu kapena kukweza mkono wanu pamwamba paphewa. Mwinanso mutha kumva kuti mukuwombera mukamayesera kusuntha mkono.

Ndikulira kosalekeza, nthawi zambiri simudziwa kuti idayamba liti. Izi ndichifukwa choti zizindikiro zakumva kuwawa, kufooka, kuuma kapena kutayika zimangowonjezereka pang'onopang'ono pakapita nthawi.

Misozi ya Rotator khafu misozi nthawi zambiri imapweteka usiku. Ululuwo ukhoza kukudzutsani. Masana, kupweteka kumakhala kosalekerera, ndipo nthawi zambiri kumangopweteka ndimayendedwe ena, monga kupitilira kapena kufikira kumbuyo.

Popita nthawi, zizindikilozo zimakulirakulirabe, ndipo sizimasulidwa ndi mankhwala, kupumula, kapena masewera olimbitsa thupi.

Kuyezetsa thupi kumatha kuwonetsa kukoma mtima paphewa. Ululu ukhoza kuchitika pamene phewa lakwezedwa pamwamba. Nthawi zambiri pamakhala kufooka kwamapewa ikaikidwa m'malo ena.

X-ray pamapewa imatha kuwonetsa fupa kapena kusintha pamapewa. Itha kusiyananso zina zomwe zimayambitsa kupweteka kwamapewa, monga nyamakazi.

Wothandizira zaumoyo wanu amatha kuyitanitsa mayeso ena:

• Kuyesa kwa ultrasound kumagwiritsa ntchito mafunde omveka kuti apange chithunzi cha phewa. Ikhoza kuwonetsa misozi mu chomangira chozungulira.
• MRI ya phewa imatha kuwonetsa kutupa kapena kung'amba mu mthumba wa rotator.
• Ndi x-ray yolumikizana (arthrogram), woperekayo amayika zinthu zosiyana (utoto) paphewa. Kenako x-ray, CT scan, kapena MRI scan imagwiritsidwa ntchito kujambula. Kusiyanitsa kumakonda kugwiritsidwa ntchito pamene omwe amakupatsani akuganiza kuti kachingwe kakang'ono ka rotator kang'ambika.

Tsatirani malangizo a omwe amakupatsani momwe mungasamalire vuto lanu lokwera mozungulira kunyumba. Kuchita izi kungathandize kuchepetsa zizolowezi zanu kuti mutha kubwerera kumasewera kapena zochitika zina.

TENDINITI

Wothandizira anu akhoza kukulangizani kuti mupumule phewa lanu ndikupewa zinthu zomwe zimapweteka. Zina mwa izi ndi izi:

• Mapaketi oundana amagwiritsidwa ntchito mphindi 20 nthawi imodzi, katatu kapena kanayi patsiku paphewa (tetezani khungu polunga phukusi ndi thaulo loyera musanapemphe)
• Kutenga mankhwala, monga ibuprofen ndi naproxen, kuthandiza kuchepetsa kutupa ndi kupweteka
• Kupewa kapena kuchepetsa zinthu zomwe zimayambitsa kapena kukulitsa zizindikilo zanu
• Thandizo lakuthupi ndikutambasula ndikulimbitsa minofu yamapewa
• Mankhwala (corticosteroid) amalowetsedwa m'mapewa kuti achepetse kupweteka komanso kutupa
• Opaleshoni (arthroscopy) kuchotsa minofu yotupa ndi gawo la fupa pamwamba pa kachingwe ka rotator kuti muchepetse kupanikizika kwa tendon

MISOZI

Kupumula ndi kuchiritsa kumatha kuthandizira ndikung'amba pang'ono ngati simumafunikira zambiri paphewa.

Kuchita opaleshoni yokonza tendon kungafunike ngati khafu ya rotator ili ndi misozi yonse. Kuchita opaleshoni kungafunikenso ngati zizindikilo sizikukhala bwino ndi mankhwala ena. Nthawi zambiri, opaleshoni yamagetsi ingagwiritsidwe ntchito. Misozi ikuluikulu imafunikira kuchitidwa opaleshoni yotseguka (kuchitidwa opaleshoni yocheperako) kuti ikonzenso tendon yong'ambika.

Ndi rotator cuff tendinitis, kupumula, kuchita masewera olimbitsa thupi komanso njira zina zodziyang'anira nthawi zambiri zimawongolera kapena kuchepetsa zizindikilo. Izi zitha kutenga milungu kapena miyezi. Anthu ena angafunike kusintha kapena kuchepetsa nthawi yomwe amasewera masewera ena kuti akhale opanda ululu.

Ndi misozi ya khafu ya rotator, chithandizo nthawi zambiri chimachepetsa zizindikilo. Koma zotsatira zimadalira kukula kwa misoziyo ndi kutalika kwa misoziyo, msinkhu wa munthuyo, komanso momwe munthuyo analili wogwira ntchito asanavulazidwe.

Itanani nthawi yokumana ndi omwe amakupatsani ngati mukumva kuwawa paphewa. Komanso itanani ngati zizindikiro sizikusintha ndi chithandizo.

Pewani kubwereza mobwerezabwereza pamutu. Zolimbitsa thupi zolimbitsa minofu yamapewa ndi mikono zitha kuthandizanso kupewa mavuto azovala zouzungulira. Yesetsani kuyimirira bwino kuti musunge makotoni anu ndi ma minofu anu pamalo oyenera.

Paphewa losambira; Phewa la pitcher; Matenda am'mapewa; Tennis phewa; Tendinitis - khafu woyendetsa; Rotator khafu tendinitis; Matenda osokoneza bongo

• Zochita za Rotator
• Makapu a Rotator - kudzisamalira
• Opaleshoni yamapewa - kutulutsa
• Kugwiritsa ntchito phewa lanu mutachitidwa opaleshoni ina
• Kugwiritsa ntchito phewa lanu mutatha opaleshoni

• Thupi labwinobwino la rotator
• Kutupa kolumikizana kwamapewa
• Matenda otentha amapewa
• Chobowolera cha Rotator

Hsu JE, Gee AO, Lippitt SB, Matsen FA. Chotengera cha Rotator. Mu: Rockwood CA, Matsen FA, Wirth MA, Lippitt SB, Fehringer EV, Sperling JW, olemba. Rockwood ndi Matsen a Paphewa. 5th ed. Philadelphia, PA: Elsevier; 2017: mutu 14.

Mosich GM, Yamaguchi KT, Petrigliano FA. Chingwe cha Rotator ndi zotupa zamagetsi. Mu: Miller MD, Thompson SR, olemba. DeLee ndi Drez's Orthopedic Sports Medicine: Mfundo ndi Kuchita. 5th ed. Philadelphia, PA: Elsevier; 2020: chap 47.