Kuzizira phewa

Kuzizira phewa ndimkhalidwe womwe phewa limakhala lopweteka ndipo limasunthika chifukwa chotupa.

Kapsule ya cholumikizira paphewa ili ndi mitsempha yomwe imagwirizira mafupa amapewa. Kapisozi ikatupa, mafupa amapewa amalephera kuyenda momasuka.

Nthawi zambiri, palibe chifukwa chamapewa oundana. Amayi azaka 40 mpaka 70 amakhudzidwa kwambiri, komabe, amuna amathanso kutenga matendawa.

Zowopsa ndi izi:

• Matenda a shuga
• Mavuto a chithokomiro
• Kusintha kwa mahomoni anu, monga nthawi ya kusamba
• Kuvulala kwamapewa
• Kuchita opaleshoni yamapewa
• Tsegulani opaleshoni yamtima
• Matenda a chiberekero a khosi

Zizindikiro zazikulu za phewa lachisanu ndi izi:

• Kuchepetsa kuyenda kwamapewa
• Ululu
• Kuuma

Kuzizira phewa popanda chifukwa chodziwika kumayamba ndi ululu. Kupweteka kumeneku kumakulepheretsani kusuntha mkono wanu. Kulephera kuyenda kumeneku kumatha kuyambitsa kuuma komanso kuyendetsa pang'ono. Pakapita nthawi, simungathe kuyenda monga kufikira mutu wanu kapena kumbuyo kwanu.

Wothandizira zaumoyo wanu adzafunsa za zizindikilo zanu ndikuyang'ana phewa lanu. Matendawa nthawi zambiri amapangidwa ndimayeso azachipatala pomwe simutha kusintha phewa lanu.

Mutha kukhala ndi ma x-ray paphewa. Izi ndikuwonetsetsa kuti palibenso vuto lina, monga nyamakazi kapena calcium. Nthawi zina, mayeso a MRI amawonetsa kutupa, koma mayesero amtunduwu nthawi zambiri samafunika kuti azindikire phewa lachisanu.

Ululu umathandizidwa ndi ma NSAID ndi jakisoni wa steroid. Majekeseni a Steroid ndi mankhwala angakuthandizeni kuyenda.

Zitha kutenga milungu ingapo kuti muone kupita patsogolo. Zitha kutenga miyezi 9 mpaka chaka kuchira kwathunthu. Thandizo lamthupi ndilolimba ndipo limafunika kuchitika tsiku lililonse.

Mukapanda kuchiritsidwa, vutoli limadzichitira lokha pazaka ziwiri osayenda pang'ono.

Zowopsa zaphewa lachisanu, monga kusamba kwa thupi, matenda a shuga kapena mavuto a chithokomiro, ayeneranso kuthandizidwa.

Kuchita opaleshoni ndikulimbikitsidwa ngati chithandizo chamankhwala sichigwira ntchito. Njirayi (arthroscopy yamapewa) imachitika pansi pa anesthesia. Pakati pa opaleshoni khungu lofiira limatulutsidwa (kudula) pobweretsa phewa mosunthika kwathunthu. Kuchita ma Arthroscopic kungagwiritsidwenso ntchito kudula mitsempha yolimba ndikuchotsa zilonda zam'mapewa paphewa. Pambuyo pakuchitidwa opareshoni, mutha kulandira ma block (ma shoti) kuti muthe kulimbitsa thupi.

Tsatirani malangizo posamalira phewa lanu kunyumba.

Kuchiza ndimankhwala amthupi komanso ma NSAID nthawi zambiri kumabwezeretsa kuyenda ndikugwira phewa pasanathe chaka. Ngakhale osachiritsidwa, phewa limatha kudzilimbitsa lokha pazaka ziwiri.

Pambuyo pa opaleshoni ikubwezeretsani kuyenda, muyenera kupitiriza kulandira mankhwala kwa milungu ingapo kapena miyezi. Izi ndikuti tipewe phewa lachisanu kuti lisabwerere. Ngati simukuyenda limodzi ndi chithandizo chamankhwala, phewa lachisanu limatha kubwerera.

Zovuta zingaphatikizepo:

• Kuuma ndi kupweteka kumapitilira ngakhale ndi mankhwala
• Dzanja limatha kuthyola ngati phewa lasunthidwa mwamphamvu panthawi yochita opareshoni

Ngati muli ndi ululu wamapewa ndi kuuma ndikuganiza kuti muli ndi phewa lachisanu, funsani omwe akukuthandizani kuti akutumizireni ndi kulandira chithandizo.

Chithandizo choyambirira chitha kuthandiza kupewa kuuma. Itanani omwe akukuthandizani ngati mukumva kupweteka m'mapewa komwe kumachepetsa mayendedwe anu kwakanthawi.

Anthu omwe ali ndi matenda ashuga kapena mavuto a chithokomiro sangakhale ndimapewa owundana ngati angayang'anire matenda awo.

Zomatira capsulitis; Kumva kupweteka - kuzizira

• Zochita za Rotator
• Makapu a Rotator - kudzisamalira
• Opaleshoni yamapewa - kutulutsa

• Kutupa kolumikizana kwamapewa

American Academy of Orthopedic Surgeons tsamba lawebusayiti. Kuzizira phewa. orthoinfo.aaos.org/en/diseases--conditions/frozen-shoulder. Idasinthidwa pa Marichi 2018. Idapezeka pa February 14, 2021.

Barlow J, Mundy AC, Jones GL. Khosi lolimba. Mu: Miller MD, Thompson SR, olemba. DeLee, Drez, & Miller's Orthopedic Sports Medicine: Mfundo ndi Kuchita. 5th ed. Philadelphia, PA: Elsevier; 2020: chap 51.

Finnoff JT, Johnson W.Kumva kupweteka kwamiyendo ndi kulephera kugwira ntchito. Mu: Cifu DX, mkonzi. Mankhwala a Braddom Physical and Rehabilitation. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2021: mutu 35.

Miller RH, Azar FM, Throckmorton TW. Kuvulala kwamapewa ndi chigongono. Mu: Azar FM, Beaty JH, olemba. Opaleshoni ya Campbell. Wolemba 14th. Philadelphia, PA: Elsevier; 2021: chaputala 46.