Kupatukana pamapewa - pambuyo pa chisamaliro

Kulekana kwamapewa sikukuvulaza cholumikizira chachikulu paphewa palokha. Ndi kuvulaza pamwamba paphewa pomwe kolala (clavicle) imakumana pamwamba pamutu wa phewa (acromion wa scapula).

Sizofanana ndi kusunthidwa kwamapewa. Paphewa losokonekera limachitika fupa la mkono litatuluka mgwirizanowu.

Kuvulala kwakukulu kwamapewa kumachitika chifukwa chogwera paphewa. Izi zimapangitsa kuti misozi igwere polumikizana ndi kolala komanso pamwamba paphewa. Misoziyi imathanso kuyambitsidwa ndi ngozi zapagalimoto komanso kuvulala kwamasewera.

Kuvulala kumeneku kumatha kupangitsa kuti phewa liziwoneka lachilendo kuyambira kumapeto kwa fupa lokhalitsa kapena phewa likulendewera pansi kuposa zachilendo.

Ululu nthawi zambiri umakhala pamwamba paphewa.

Wothandizira zaumoyo wanu akhoza kukupangitsani kulemera kwinaku akukuyesani kuti muwone ngati kolala lanu limatuluka. X-ray ya phewa lanu ingathandize kuzindikira kupatukana kwamapewa. Podzipatula mochenjera pangafunike sikani ya MRI (yotsogola kwambiri) kuti muzindikire kupezeka komanso kuvulala kwake.

Anthu ambiri amachira pamapewa popanda kuchitidwa opaleshoni, mkati mwa milungu iwiri kapena iwiri. Mudzalandira mankhwala oundana, mankhwala, gulaye, kenako ndikuchita masewera olimbitsa thupi mukapitiliza kuchira.

Kuchira kwanu kungachedwe ngati muli:

• Nyamakazi paphewa palimodzi
• Matenda owonongeka (okutira minofu) pakati pa khosi lanu ndi pamwamba paphewa lanu
• Kulekana kwakukulu kwamapewa

Mungafunike kuchitidwa opaleshoni nthawi yomweyo ngati muli:

• Dzanzi zala zanu
• Zala zozizira
• Minofu kufooka mu dzanja lanu
• Kukhazikika kwakukulu kwa olowa

Pangani phukusi la ayisi poika ayezi m'thumba la pulasitiki losungunuka ndikukulunga nsalu mozungulira. Osayika chikwama cha ayezi mwachindunji pamalopo, chifukwa ayezi amatha kuwononga khungu lanu.

Patsiku loyamba lavulala, perekani ayezi kwa mphindi 20 ola lililonse mukadzuka. Pambuyo pa tsiku loyamba, madzi oundana m'derali maola atatu kapena anayi aliwonse kwa mphindi 20 nthawi iliyonse. Chitani izi masiku awiri kapena kupitilira apo, kapena monga mwakulangizani ndi omwe amakupatsani.

Kuti muthe kupweteka, mutha kutenga ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), aspirin, kapena acetaminophen (Tylenol). Mutha kugula mankhwalawa popanda mankhwala.

• Lankhulani ndi omwe amakupatsani mankhwala musanagwiritse ntchito mankhwalawa ngati muli ndi matenda a mtima, kuthamanga kwa magazi, matenda a impso, matenda a chiwindi, kapena muli ndi zilonda zam'mimba kapena magazi.
• Musatenge zochuluka kuposa zomwe zakonzedwa mu botolo.
• Osapatsa ana aspirin.

Mutha kupatsidwa cholembera chamapewa kuti mugwiritse ntchito milungu ingapo.

• Mukakhala ndi ululu wochepa, yambani kuchita zolimbitsa thupi kuti phewa lanu lisakhazikike. Izi zimatchedwa mgwirizano kapena phewa lachisanu. Funsani omwe akukuthandizani musanachite izi.
• Kuvulala kwanu kuchira, musakweze zinthu zolemetsa kwa masabata 8 mpaka 12 malinga ndi momwe woperekayo walangizira.

Ngati mupitiliza kumva zowawa, omwe akukupatsani mwina akufunsani kuti mubwerere sabata limodzi kuti muone ngati mukufuna:

• Onani orthopedist (fupa ndi ophatikizana dokotala)
• Yambani chithandizo chamankhwala kapena zochitika zingapo zoyenda

Kutulutsa kwamapewa ambiri kumachiritsa popanda zovuta. Povulala kwambiri, pakhoza kukhala zovuta zazitali kukweza zinthu zolemetsa ndi mbali yovulala.

Itanani dokotala wanu kapena pitani kuchipatala mwadzidzidzi ngati muli:

• Kupweteka kwambiri
• Kufooka m'manja mwanu kapena zala
• Dzanzi kapena zala zozizira
• Kutsika kwakukulu kwa momwe mungagwiritsire ntchito dzanja lanu
• Bulu pamwamba pa phewa lanu lomwe limapangitsa phewa lanu kuwoneka lachilendo

Osiyanitsa phewa - pambuyo pa chithandizo; Kupatukana kwa Acromioclavicular olowa - pambuyo pa chisamaliro; Kupatukana kwa A / C - pambuyo pa chisamaliro

Andermahr J, Mphete D, Jupiter JB. Kuphulika ndi kusokonezeka kwa clavicle. Mu: Browner BD, Jupiter JB, Krettek C, Anderson PA, olemba. Chifuwa cha Skeletal: Basic Science, Management, ndikumanganso. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2020: chap 48.

Bengtzen RR, Daya MR. Phewa. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 46.

Rizzo TD. Kuvulala kwa Acromioclavicular. Mu: Frontera WR, Silver JK, Rizzo TD, olemba. Zofunikira pa Thupi Lathupi ndi Kukonzanso. Wolemba 4. Philadelphia, PA: Elsevier; 2019: mutu 10.

Scholten P, Stanos SP, Mitsinje WE, Prather H, Press J. Mankhwala ndi njira zakukonzanso njira zothanirana ndi ululu. Mu: Benzon HT, Raja SN, Liu SS, Fishman SM, Cohen SP, olemba. Zofunikira pa Mankhwala Opweteka. Wolemba 4. Philadelphia, PA: Elsevier; 2018: chap 58.

• Kuvulala Kwamapewa ndi Kusokonezeka