Kukonza khafu wa Rotator

Kukonza khola la Rotator ndi opaleshoni yokonza tendon yong'ambika paphewa. Njirayi imatha kuchitika ndikutsegula kwakukulu (kotseguka) kapena ndi arthroscopy yamapewa, yomwe imagwiritsa ntchito zocheperako pang'ono.

Chofukizira cha rotator ndi gulu la akatumba ndi minofu yomwe imapanga khola pamphumi. Minofu ndi minyewa imeneyi imagwirizira mkonowo molumikizira ndikuthandizira mgwirizano wamapewa kuti usunthire. Mitsempha imatha kung'ambika chifukwa chogwiritsa ntchito kwambiri kapena kuvulala.

Muyenera kuti mudzalandira oesthesia musanachite opaleshoniyi. Izi zikutanthauza kuti mudzagona ndipo simungamve kupweteka. Kapena, mudzakhala ndi anesthesia yachigawo. Dzanja lanu ndi phewa lanu zidzachita dzanzi kuti musamve kuwawa kulikonse. Mukalandira mankhwala ochititsa dzanzi a m'chigawo, mumapatsanso mankhwala omwe amakuthandizani kuti muzitha kugona kwambiri mukamagwira ntchito.

Njira zitatu zodziwika bwino zimagwiritsidwa ntchito pokonza khola la rotator likung'amba:

• Pakukonzekera kotseguka, katemera wopanga opaleshoni amapangidwa ndipo minofu yayikulu (deltoid) imachotsedwa modekha njira yochitira opaleshoniyi. Kukonzekera kotseguka kumachitika misozi yayikulu kapena yovuta kwambiri.
• Pakati pa arthroscopy, arthroscope imalowetsedwa kudzera pang'ono. Kukula kwake kulumikizidwa ndikuwonera makanema. Izi zimathandiza dokotalayo kuti aone mkati mwa phewa. Chimodzi kapena zitatu zocheperako zimapangidwa kuti alowetse zida zina.
• Pakukonzekera kotseguka, zotupa zilizonse zowonongeka kapena mafupa zimachotsedwa kapena kukonzedwa pogwiritsa ntchito arthroscope. Kenako panthawi yotseguka ya opaleshoniyi, amatambasula mainchesi awiri mpaka atatu (5 mpaka 7.5 sentimita) kuti akonze khafu yovota.

Kukonza khafu yoyendetsa:

• Mitunduyi imagwirizananso ndi fupa.
• Ma rivets ang'onoang'ono (otchedwa suture anchor) amagwiritsidwa ntchito nthawi zambiri kuti athandizire kulumikiza tendon ku fupa. Anchoko za suture zitha kupangidwa ndi chitsulo kapena zinthu zomwe zimasungunuka pakapita nthawi, ndipo sizifunikira kuchotsedwa.
• Sutures (stitch) amalumikizidwa ndi anangula, omwe amangiriza tendon kubwerera ku fupa.

Pamapeto pa opaleshoniyi, zidutswazo zatsekedwa, ndipo kuvala kumayikidwa. Ngati arthroscopy idachitidwa, madokotala ambiri amajambula zithunzi kuchokera pa kanema kanema kuti akuwonetseni zomwe apeza ndikukonzanso komwe kwapangidwa.

Zifukwa zokonzera ma Rotator zitha kupangidwa monga:

• Mumakhala ndi ululu wamapewa mukamapuma kapena usiku, ndipo sizinapite patsogolo ndikulimbitsa thupi kwa miyezi itatu kapena inayi.
• Ndinu achangu ndipo mumagwiritsa ntchito phewa lanu pamasewera kapena ntchito.
• Muli ndi zofooka ndipo simutha kuchita zochitika za tsiku ndi tsiku.

Kuchita opaleshoni ndi chisankho chabwino pamene:

• Muli ndi chimanga cha rotator chokwanira.
• Misozi idayambitsidwa ndi kuvulala kwaposachedwa.
• Miyezi ingapo yothandizidwa mwakuthupi yokha sinakuletsere zizindikiro zanu.

Kung'amba pang'ono sikungafunike kuchitidwa opaleshoni. M'malo mwake, kupumula ndikuchita masewera olimbitsa thupi kumagwiritsidwa ntchito kuchiritsa phewa. Njira imeneyi nthawi zambiri imakhala yabwino kwa anthu omwe samaika zofuna zawo pamapewa awo. Ululu ukuyembekezeka kusintha. Komabe, misozi imatha kukulirakulira pakapita nthawi.

Zowopsa za anesthesia ndi opaleshoni yonse ndi izi:

• Thupi lawo siligwirizana ndi mankhwala
• Mavuto kupuma
• Kukhetsa magazi, magazi kuundana, matenda

Zowopsa za opareshoni ya khafu ndi:

• Kulephera kwa opaleshoni kuti muchepetse zizindikilo
• Kuvulala kwa tendon, chotengera magazi kapena mitsempha

Uzani wothandizira zaumoyo wanu mankhwala omwe mukumwa. Izi zimaphatikizapo mankhwala, zowonjezera, kapena zitsamba zomwe mudagula popanda mankhwala.

Pakati pa masabata awiri musanachite opareshoni:

• Mutha kupemphedwa kuti musiye kumwa magazi pang'ono. Izi zimaphatikizapo aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), ndi mankhwala ena.
• Funsani omwe akukupatsirani mankhwala omwe muyenera kumwa patsiku la opareshoni yanu.
• Ngati muli ndi matenda ashuga, matenda amtima, kapena matenda ena, dokotala wanu akukufunsani kuti mukaonane ndi dokotala yemwe amakuchitirani izi.
• Uzani wothandizira wanu ngati mumamwa mowa wambiri, kuposa 1 kapena 2 zakumwa patsiku.
• Ngati mumasuta, yesetsani kusiya. Funsani omwe akukuthandizani kuti akuthandizeni. Kusuta kumatha kuchepetsa bala komanso kupoletsa mafupa.
• Uzani dokotala wanu wa opaleshoni ngati mukudwala chimfine, malungo, malungo, kapena matenda ena musanachite opaleshoni. Njirayo ingafunike kuimitsidwa kaye.

Patsiku la opareshoni:

• Tsatirani malangizo pa nthawi yomwe muyenera kusiya kudya ndi kumwa musanachite opaleshoni.
• Tengani mankhwala omwe dokotala wanu wakuuzani kuti mumamwe pang'ono.
• Tsatirani malangizo pa nthawi yobwera kuchipatala. Onetsetsani kuti mwafika nthawi.

Tsatirani malangizo aliwonse otulutsidwa ndi kudzisamalira omwe mwapatsidwa.

Mudzakhala mukuvala gulaye mukamachoka kuchipatala. Anthu ena amavalanso chopewera paphewa. Izi zimapangitsa kuti phewa lanu lisasunthike. Kutalika komwe mumavala legeni kapena chopukutira zimadalira mtundu wa opareshoni yomwe mudali nayo.

Kuchira kumatha kutenga miyezi 4 mpaka 6, kutengera kukula kwa misozi ndi zina. Muyenera kuvala choponyera kwa milungu 4 mpaka 6 mutachitidwa opaleshoni. Ululu nthawi zambiri umayendetsedwa ndi mankhwala.

Thandizo lakuthupi lingakuthandizeni kuyambiranso kuyenda komanso kulimbitsa phewa lanu. Kutalika kwa mankhwala kumatengera kukonza komwe kwachitika. Tsatirani malangizo amachitidwe aliwonse amapewa omwe mukuuzidwa kuti muchite.

Kuchita opaleshoni yokonzanso khafu yokhotakhota nthawi zambiri kumathandiza kuthetsa ululu paphewa. Njirayi siyingabwezeretse mphamvu paphewa nthawi zonse. Kukonza khafu kwa Rotator kumatha kutenga nthawi yayitali kuchira, makamaka ngati misozi inali yayikulu.

Mutha kubwerera kuntchito kapena kusewera masewera kutengera maopareshoni omwe adachitika. Yembekezerani miyezi ingapo kuti mupitirize ntchito zanu zanthawi zonse.

Zingwe zina za rotator zimalira sizingachiritse kwathunthu. Kuuma, kufooka, ndi ululu wosatha zitha kukhalapobe.

Zotsatira zosauka ndizotheka kwambiri ngati zotsatirazi zikupezeka:

• Chotengera cha rotator chinali chitang'ambika kale kapena kufooka chisanavulaze.
• Minofu yazovala ya rotator yafooka kwambiri asanafike opaleshoni.
• Misozi ikuluikulu.
• Zochita pambuyo pa opaleshoni ndi malangizo samatsatiridwa.
• Muli ndi zaka zopitilira 65.
• Mumasuta.

Opaleshoni - makina ozungulira; Opaleshoni - phewa - ozungulira khafu; Kukonza makhafu a Rotator - kutsegula; Kukonza makhafu a Rotator - kutsegula pang'ono; Kukonza ma Rotator - laparoscopic

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

• Kukonza makhafu a Rotator - mndandanda

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, Drez & Miller's Orthopedic Sports Medicine: Mfundo ndi Kuchita. 5th ed. Philadelphia, PA: Elsevier; 2020: chap 47.

Phillips BB. Zojambulajambula zam'munsi. Mu: Azar FM, Beaty JH, Canale ST, eds. Opaleshoni ya Campbell. Wolemba 13. Philadelphia, PA: Elsevier; 2017: mutu 52.