Kuzizira phewa - pambuyo pa chisamaliro

Phewa lachisanu ndi ululu wamapewa womwe umabweretsa kuuma kwa phewa lanu. Nthawi zambiri kupweteka komanso kuuma kumakhalapo nthawi zonse.

Kapisozi wa paphewa amapangidwa ndi minofu yolimba (mitsempha) yomwe imagwirizira mafupa amapewa. Kapisozi ikatupa, imakhala yolimba ndipo mafupa amapewa sangathe kuyenda momasuka. Matendawa amatchedwa phewa lachisanu.

Kuzizira phewa kumatha kukula popanda chifukwa chodziwika. Zitha kukhalanso mwa anthu omwe:

• Ali ndi zaka 40 mpaka 70 (ndizofala kwambiri mwa akazi, koma amuna amatha kuzipeza)
• Khalani ndi matenda a chithokomiro, matenda ashuga, kapena mukudwala msambo
• Khalani ndi vuto la phewa
• Adwala sitiroko yomwe imawapangitsa kulephera kugwiritsa ntchito mkono wawo
• Khalani ndi choponyera padzanja lawo chomwe chimagwira mkono wawo pamalo amodzi

Zizindikiro za phewa lachisanu nthawi zambiri zimatsatira izi:

• Poyamba, mumakhala ndi zowawa zambiri, zomwe zimatha kubwera modzidzimutsa ngakhale osavulala kapena kupwetekedwa mtima.
• Phewa lanu limatha kukhala lolimba komanso lovuta kusuntha, ngakhale kupweteka kumachepa. Zimakhala zovuta kufikira pamutu panu kapena kumbuyo kwanu. Ili ndiye gawo lozizira kwambiri.
• Pomaliza, kupweteka kumatha ndipo mutha kugwiritsa ntchito mkono wanu kachiwiri. Ili ndiye gawo losungunuka ndipo limatha kutenga miyezi kutha.

Zitha kutenga miyezi ingapo kudutsa gawo lililonse lama phewa achisanu. Phewa limakhala lopweteka kwambiri komanso louma lisanayambe kumasuka. Zitha kutenga miyezi 18 mpaka 24 kuti muchiritsidwe kwathunthu. Kuti muthandizire kuchiritsa mwachangu, omwe amakuthandizani pa zaumoyo atha kuchita izi:

• Kukuphunzitsani zolimbitsa thupi kuti zibwezeretse kuyenda paphewa lanu.
• Tumizani kwa wodwala.
• Perekani mankhwala oti muzimwa pakamwa. Izi zimaphatikizapo mankhwala ochepetsa kupweteka komanso kutupa pamapewa. Muthanso kulandira mankhwala odana ndi zotupa kapena steroid mwachindunji olowa nawo.

Anthu ambiri amachira ndi mayendedwe osiyanasiyana popanda opaleshoni.

Kugwiritsa ntchito kutentha konyowa paphewa katatu kapena kanayi patsiku kungathandize kuchepetsa kupweteka komanso kuuma.

Pogwiritsa ntchito ululu, mungagwiritse ntchito ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), kapena acetaminophen (Tylenol). Mutha kugula mankhwala amtunduwu kusitolo.

• Lankhulani ndi omwe amakupatsani mankhwala musanagwiritse ntchito mankhwalawa ngati muli ndi matenda a mtima, kuthamanga kwa magazi, matenda a impso, kapena mudakhala ndi zilonda zam'mimba kapena kutuluka magazi m'mbuyomu.
• Musatenge zochuluka kuposa zomwe zakulimbikitsidwa mu botolo kapena ndi omwe amakupatsirani.

Pezani chithandizo chokhazikitsa nyumba yanu kuti mufike kuzonse zomwe mungafune osafikira pamwamba pamapewa anu kapena kumbuyo kwanu.

• Sungani zovala zomwe mumavala pafupipafupi m'madrowa ndi mashelufu omwe ali m'chiuno mwanu.
• Sungani chakudya m'makabati, m'madrowa, ndi m'mashelufa a firiji omwe ali m'chiuno mwanu.

Pezani thandizo poyeretsa m'nyumba, kutaya zinyalala, kulima dimba, ndi ntchito zina zapakhomo.

Osakweza zinthu zolemera kapena kuchita zinthu zomwe zimafunikira mphamvu zambiri pamapewa ndi mkono.

Muphunzira zolimbitsa thupi zosavuta komanso zotambasula phewa lanu.

• Poyamba, yesani kuchita izi kamodzi pa ola limodzi, kapena kangapo patsiku.
• Ndikofunika kuchita zolimbitsa thupi nthawi zambiri kuposa kuzichita kwa nthawi yayitali nthawi iliyonse yomwe muzichita.
• Gwiritsani ntchito kutentha konyowa musanachite masewerawa kuti muchepetse kupweteka ndikuwonjezera kuyenda.
• Zochitazo ziyenera kuyang'ana kutambasula phewa ndikusunthika.
• Pewani zolimbitsa thupi kuti mulimbitse phewa lanu mpaka mayendedwe abwerera.

Zina mwazochita ndi izi:

• Pamapewa amatambasula
• Pendulum
• Zokwawa kukhoma
• Chingwe ndi pulley chimayambira
• Kusunthika kothandizidwa ndikusinthasintha kwamkati ndi kunja, monga kumbuyo kumbuyo

Dokotala wanu kapena wothandizira zakuthupi akuwonetsani momwe mungachitire izi.

Itanani dokotala wanu ngati:

• Kupweteka kwa phewa lanu kukukulirakulira ngakhale mutamwa mankhwala opweteka
• Mumapwetekanso dzanja lanu kapena phewa lanu
• Phewa lanu lachisanu likukupangitsani kumva chisoni kapena kukhumudwa

Zomatira capsulitis - pambuyo pa chisamaliro; Achisanu phewa matenda - pambuyo chisamaliro; Pericapsulitis - pambuyo pa chithandizo; Ouma phewa - pambuyo pa chisamaliro; Kupweteka kwamapewa - phewa lachisanu

Krabak BJ, Chen ET. Zomatira capsulitis. Mu: Frontera, WR, Silver JK, Rizzo TD Jr, olemba. Zofunikira pa Thupi Lathupi ndi Kukonzanso. Wolemba 4. Philadelphia, PA: Elsevier; 2019: mutu 11.

Martin SD, Thornhill TS. Kupweteka pamapewa. Mu: Firestein GS, Budd RC, Gabriel SE, Koretzky GA, McInnes IB, O'Dell JR, olemba. Kelly ndi Firestein's Bookbook of Rheumatology. 10th ed. Philadelphia, PA: Elsevier; 2017: mutu 49.

• Kuvulala Kwamapewa ndi Kusokonezeka