Kupweteka pamapewa

Kupweteka kwamapewa ndiko kupweteka kulikonse mkati kapena mozungulira paphewa.

Phewa ndilo gawo losunthika kwambiri m'thupi la munthu. Gulu la akatumba anayi ndi minyewa yawo, yotchedwa khafu yozungulitsira, imapatsa phewa mayendedwe ake osiyanasiyana.

Kutupa, kuwonongeka, kapena kusintha kwa mafupa mozungulira kachingwe ka rotator kumatha kupweteka. Mutha kukhala ndi ululu mukakweza dzanja pamwamba pamutu panu kapena kusunthira patsogolo kapena kumbuyo kwanu.

Chifukwa chofala kwambiri cha kupweteka kwamapewa chimachitika pamene ma roton amakutu amatsekedwa pansi pamiyala yamapewa. Matendawa amatupa kapena kuwonongeka. Matendawa amatchedwa rotator cuff tendinitis kapena bursitis.

Kupweteka kumaphatikizanso kungayambitsidwe ndi:

• Matenda a nyamakazi pamapewa
• Mafupa amatuluka m'mbali mwa phewa
• Bursitis, komwe ndikutupa kwa thumba lodzaza madzi (bursa) lomwe nthawi zambiri limateteza kulumikizana ndikuwathandiza kuyenda bwino
• Fupa losweka lamapewa
• Kuthamangitsidwa kwa phewa
• Kulekana kwamodzi
• Kuzizira phewa, komwe kumachitika minofu, tendon, ndi minyewa mkati mwamapewa zimakhala zolimba, ndikupangitsa kuyenda kukhala kovuta komanso kopweteka
• Kugwiritsa ntchito mopitirira muyeso kapena kuvulaza ma tendon apafupi, monga minofu ya mikono
• Misozi ya ma tendon a makapu ozungulira
• Maonekedwe osauka amakanika

Nthawi zina, kupweteka kwamapewa kumatha kukhala chifukwa chamavuto ena m'thupi, monga khosi kapena mapapo. Izi zimatchedwa kupweteka komwe kumatchulidwa. Nthawi zambiri pamakhala kupweteka kwinaku ukupuma ndipo kupweteka sikukulira kukulira poyenda phewa.

Nawa maupangiri othandizira kupweteka kwamapewa kukhala bwino:

• Ikani ayezi paphewa kwa mphindi 15, kenako muzisiye kwa mphindi 15. Chitani izi katatu kapena kanayi patsiku kwa masiku awiri kapena atatu. Kukutira ayezi ndi nsalu. Osayika ayezi pakhungu chifukwa izi zimatha kuyambitsa kuzizira.
• Pumulani phewa lanu masiku angapo otsatira.
• Pang'onopang'ono mubwerere ku zochitika zanu zanthawi zonse. Wothandizira zakuthupi angakuthandizeni kuchita izi mosatekeseka.
• Kutenga ibuprofen kapena acetaminophen (monga Tylenol) kungathandize kuchepetsa kutupa ndi kupweteka.

Mavuto a Rotator amathanso kuchiritsidwa kunyumba.

• Ngati mwakhala mukumva kupweteka m'mapewa, gwiritsani ntchito ayezi ndi ibuprofen mutatha kuchita masewera olimbitsa thupi.
• Phunzirani zolimbitsa thupi kuti mutambasule ndikulimbitsa matako anu ozungulira ndi minofu yamapewa. Dokotala kapena wothandizira akhoza kulangiza machitidwe otere.
• Ngati mukuchira ku tendinitis, pitirizani kuchita masewera olimbitsa thupi kuti mupewe phewa lachisanu.
• Yesetsani kuyimirira bwino kuti musunge minofu yanu yam'mapewa ndi ma tendon pamalo awo oyenera.

Kuwawa mwadzidzidzi kumapewa kumanzere nthawi zina kumatha kukhala chizindikiro cha matenda amtima. Itanani 911 ngati mwapanikizika mwadzidzidzi kapena kupweteka m'mapewa anu, makamaka ngati kupweteka kumayambira pachifuwa kupita kunsagwada yakumanzere, mkono kapena khosi, kapena kumachitika ndi kupuma pang'ono, chizungulire, kapena thukuta.

Pitani kuchipatala chodzidzimutsa ngati mwangovulala kwambiri ndipo phewa lanu ndi lopweteka kwambiri, kutupa, kuvulala, kapena kutuluka magazi.

Imbani wothandizira zaumoyo wanu ngati muli ndi:

• Kupweteka pamapewa ndi malungo, kutupa, kapena kufiira
• Mavuto akusuntha phewa
• Kupweteka kwa milungu yopitilira 2 mpaka 4, ngakhale atalandira chithandizo kunyumba
• Kutupa kwa phewa
• Mtundu wofiira kapena wabuluu pakhungu lamapewa

Wothandizira anu amayesa thupi ndikuyang'anitsitsa phewa lanu. Mudzafunsidwa mafunso othandizira wothandizirayo kumvetsetsa vuto lanu lamapewa.

Mayeso amwazi kapena kujambula, monga ma x-ray kapena MRI, atha kulamulidwa kuti athetse vutoli.

Wothandizira anu akhoza kulangiza chithandizo cha ululu wamapewa, kuphatikizapo:

• Mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs)
• Jekeseni wa mankhwala odana ndi zotupa otchedwa corticosteroid
• Thandizo lakuthupi
• Kuchita opaleshoni ngati mankhwala ena onse sakugwira ntchito

Ngati muli ndi vuto la makapu ozungulira, omwe amakupatsani mwayiwu angakulimbikitseni njira zodzisamalirira.

Ululu - phewa

• Zochita za Rotator
• Makapu a Rotator - kudzisamalira
• Phewa m'malo - kumaliseche
• Opaleshoni yamapewa - kutulutsa
• Kugwiritsa ntchito phewa lanu mutachitidwa opaleshoni ina
• Kugwiritsa ntchito phewa lanu mutatha opaleshoni

• Impingement matenda
• Minyewa ya Rotator
• Zizindikiro za matenda amtima
• Bursitis paphewa
• Kupatukana kwamodzi - mndandanda

Gill TJ. Kuzindikira kwamapewa komanso kupanga zisankho. Mu: Miller MD, Thompson SR, olemba. DeLee, Drez, & Miller's Orthopedic Sports Medicine: Mfundo ndi Kuchita. 5th ed. Philadelphia, PA: Elsevier; 2020: chap 37.

Martin SD, Upadhyaya S, Thornhill TS. Kupweteka pamapewa. Mu: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, olemba. Kelly ndi Firestein's Bookbook of Rheumatology. 10th ed. Philadelphia, PA: Elsevier; 2017: mutu 46.