Rotator Cuff Anatomy Yafotokozedwa

Zamkati

• Anatomy
• Kuvulala wamba
• Zizindikiro
• Mankhwala
• Chithandizo chosagwira ntchito
• Chithandizo cha opaleshoni
• Nthawi yoti muwonane ndi dokotala
• Mfundo yofunika

Chofukizira cha rotator ndi gulu la minofu inayi yomwe imagwira mkono wanu wapamwamba paphewa panu. Zimakuthandizani kupanga zoyenda zonse zamkono ndi phewa lanu.

Mutu wa fupa lanu lakumtunda, womwe umatchedwanso humerus, umalowa mchikopa cha tsamba lanu lam'mapewa, kapena scapula. Mukatambasulira dzanja lanu kutali ndi thupi lanu, minofu yazingwe ya rotator imatchinga kuti isatuluke mchitsulo, kapena glenoid.

Kuvulala kwa ma Rotator kumakhala kofala, makamaka kwa anthu opitilira 40, othamanga, komanso anthu omwe ntchito yawo imakweza mobwerezabwereza mikono yawo. Chithandizo chodziletsa chimakhala chopambana.

Anatomy

Minofu inayi imapanga chikho cha rotator: subscapularis, teres yaying'ono, supraspinatus, ndi infraspinatus. Pamodzi amathandizira kukhazikika pamalumikizidwe amapewa komanso pochita mayendedwe osiyanasiyana.

Minofu inayi ndi ma tendon ake ophatikizika amapanga chotengera chozungulira. Zonsezi zimathandizira kuyenda kwamapewa anu. Onse pamodzi amathandizira kugwira mkono wanu wakumtunda m'malo mwake paphewa.

Minofu yonse inayi imayambira paphewa panu, koma mathero ena a minofu amatsogolera mbali zosiyanasiyana za fupa lanu lakumtunda.

Chizindikiro cha SITS chingakuthandizeni kukumbukira minofu inayi:

• Supraspinatus ali ndi udindo wosunthira kutali ndi pakati pa thupi lanu (kubedwa). Supraspinatus imapanga pafupifupi madigiri 15 oyenda. Pambuyo pake, minofu yanu ya deltoid ndi trapezius imalanda.
• Zowonjezera ndiye minyewa yayikulu yomwe imapangitsa kuti mkono wanu uzungulira mozungulira kuchokera pakatikati pa thupi lanu. Ndi mnofu wolimba wamakona atatu. Amakuta kumbuyo kwa tsamba la phewa lanu pansi penipeni pakhungu ndikumayandikira kufupa.
• Teres wamng'ono ndi minyewa yaying'ono, yopapatiza kumbuyo kwa tsamba lanu lamapewa pansipa pamutu pa infraspinatus. Zimathandizanso kusinthasintha (kunja) kwa mkono wanu.
• Subscapularis ndi minyewa yayikulu yooneka ngati makona atatu yomwe ili pansi pamiyalayo. Ndiwo olimba kwambiri, wokulirapo, komanso ogwiritsidwa ntchito kwambiri mwaminyewa ya makutu ozungulira. Imagwira nawo mbali zambiri zamapewa koma ndikofunikira kwambiri potembenuza mkono wanu kulowera mkatikati mwa thupi lanu (kusinthasintha kwamankhwala). Mosiyana ndi minofu ina ija, subscapularis imamangirira kutsogolo, osati kumbuyo, kwa mkono wanu wapamwamba.

Minofu iliyonseyi imamangirira kumtunda kwa humerus mwanu mosiyana. Kuchokera pamwamba mpaka pansi, dongosolo lawo ndilofanana ndi chidule:

• Salireza
• Inenfrachiwo
• Teres zazing'ono
• Subskuchita

Kuvulala wamba

Anthu ambiri omwe amapita kuchipatala ali ndi ululu wamapewa amakhala ndi vuto ndi makhafu awo ozungulira.

Kuvulala kwa khafu kozungulira kungachitike mwadzidzidzi, monga kugwera pa mkono wanu wotambasula. Kapenanso imatha kukula pang'onopang'ono, chifukwa chobwereza bwereza kapena kuwonongeka kwazaka.

Nayi mitundu ina yovulaza khafu:

• Tendinopathy. Izi ndizopweteka mkati ndi kuzungulira ma tendon. Tendinitis ndi tendinosis ndizosiyana. Makina a Rotator amaonedwa ngati njira yofatsa kwambiri yovulaza khafu. Itha kukhala kuchokera:
  • kuchepa kwazaka
  • kugwiritsira ntchito mopitirira muyeso
  • kubwereza mobwerezabwereza
  • kupwetekedwa mtima
• Kukhazikika. Izi zimachitika pomwe pamwamba paphewa (acromion) ipaka motsutsana ndi tendon ndi bursa ndikukwiyitsa chikho cha rotator. Pakati pa zowawa zonse za m'mapewa zimaganiziridwa kuti zimachokera ku subacromial impingement syndrome (SAIS), yomwe ndimavuto ambiri amapewa.
• Bursitis. Bursa mozungulira chikho cha rotator imatha kudzaza ndimadzimadzi ndikutupa.
• Misozi yochepayazingwe zapa rotator. Chithokomiro chimawonongeka kapena kupindika koma sichimasulidwa kuchokera ku fupa.
• Misozi yathunthu. Mitsemphayo idang'ambika kwathunthu kumafupa. Kusokonekera kwakanthawi nthawi zambiri kumakhala chifukwa.
• Mafupa amatuluka. Izi zimatha kupangika pamene matumba a rotator amathira pamapewa amapewa. Mafupa amphaka samayambitsa kuvulala kwa khafu nthawi zonse.

Zizindikiro

Zizindikiro za kuvulala kwa khafu wa rotator zimasiyanasiyana payekha. Zitha kuphatikiza:

• kupweteka m'mbali mwa phewa, komwe kumafotokozedwa ngati kupweteka pang'ono
• kuvuta kusuntha mkono wanu pochita zinthu za tsiku ndi tsiku, monga kupesa tsitsi
• kufooka kapena kuuma m'mapewa anu
• ululu womwe umakula usiku, zimapangitsa kuti zikhale zovuta kugona mbali yomwe yakhudzidwa
• kulira kapena kutulutsa mawu mukamayendetsa dzanja lanu

Anthu ena omwe ali ndi vuto lakuzungulira la rotator sangamve kuwawa kulikonse. Vutoli limatha kupita patsogolo, ndikuwonongeka kumachitika pang'onopang'ono. Gawo limodzi lokha mwa magawo atatu a rotator misozi imayambitsa kupweteka, malinga ndi a.

Mankhwala

Chithandizo chanu chovulala ndi khafu wa rotator chimadalira mtundu wa kuwonongeka. Pazovulala zambiri zapa rotator, madotolo amapereka mankhwala osamalitsa.

Chithandizo chosagwira ntchito

Chithandizo chosamala chimaphatikizapo:

• kupumula
• icing malowa kwa mphindi 20 nthawi zingapo patsiku
• zosintha zochitika zogwiritsa ntchito phewa
• mankhwala osagwiritsidwa ntchito ndi anti-inflammatory (NSAIDs) monga ibuprofen, kaya pamsika kapena pamankhwala
• zolimbitsa kutambasula ndi kulimbikitsa tsamba la phewa ndi minofu ina
• kutambasula ndikusamba kotentha
• jakisoni wa corticosteroid

Mitundu yatsopano yamankhwala osamala omwe akuphunziridwa ndi awa:

• (jekeseni wa hypertonic dextrose)

Kafukufuku akuwonetsa kuti chithandizo chamankhwala chimagwira ntchito pakagwa misozi yazodzaza. Anthu ambiri amayambiranso kuyenda komanso kulimbitsa thupi pakatha miyezi 4 mpaka 6.

Chithandizo cha opaleshoni

Ngati zizindikiro zikupitirira kapena kukulirakulira, dokotala wanu angakulimbikitseni kuchitidwa opaleshoni. Dokotala wanu adzaperekanso opaleshoni yovulala kwambiri paphewa.

Kambiranani ndi dokotala kuti ndi mtundu wanji wa opareshoni wabwino kwambiri pakukuvulazani. Zosankha ndizo:

• Opaleshoni yotseguka. Ichi ndiye chowopsa kwambiri. Zitha kukhala zofunikira pakukonzanso kovuta.
• Opaleshoni yojambulajambula. Kamera yaying'ono imatsogolera dokotala wanu kuti akonze. Izi zimafuna kung'amba pang'ono. Ndi mtundu wofala kwambiri wa opareshoni.
• Opaleshoni yaying'ono. Dokotala wanu amagwiritsa ntchito zida zazing'ono kuti akonze. Izi zimangofunika kudula pang'ono.

Nthawi zochira kuchokera kuchipatala zimasiyanasiyana kutengera mtundu wa opareshoni komanso momwe wavulazidwira. Nthawi zina, kuchira kumatha kutenga, koma anthu ambiri abwerera kumagulu awo ndikuchira posachedwa kuposa pamenepo.

apambana. Lankhulani ndi dokotala wanu za njira zowonjezera zotsatira zabwino. Mwachitsanzo, ngati mumasuta, izi ziphatikizapo kusiya. Anthu omwe amasuta amayenera kukhala ndi zotsatira zoyipa za opareshoni.

Thandizo lakuthupi ndilofunikira pakukonzanso pambuyo pochitidwa opaleshoni.

Nthawi yoti muwonane ndi dokotala

Ngati mukumva kuwawa paphewa, ndibwino kuti muwonane ndi dokotala kuti akuthandizeni. Kuchiza mabala a rotator koyambirira kumatha kukupulumutsirani ku ululu wochulukirapo komanso kulephera kugwiritsa ntchito mkono ndi phewa lanu pochita tsiku ndi tsiku.

Mfundo yofunika

Kapangidwe ka mpira-ndi-socket paphewa panu ndi mkono ndikapangidwe kovuta kwa minofu, minyewa, ndi mafupa. Kuvulala kwa khafu ya rotator kumakhala kofala, koma mankhwala nthawi zambiri amapambana.