Kuyesedwa Kwapamapewa: Chida Chofunikira Pofufuza Kupweteka Kwanu

Zamkati

• Pamodzi ndi kulingalira koyerekeza
• Kodi kupemphedwa kwamapewa ndikotani?
• Chifukwa chiyani muyenera kuyesedwa mokwanira?
• Kodi mitundu yamayeso okakamiza ndi yotani, ndipo chimachitika ndi chiyani nthawi iliyonse?
• Mayeso a Neer kapena chizindikiro cha Neer
• Mayeso a Hawkins-Kennedy
• Kuyesedwa kwa Coracoid
• Mayeso a Yocum
• Kuyesa kwamtanda
• Mayeso a Jobe
• Akuyang'ana chiyani?
• Ululu
• Malo opwetekera
• Ntchito ya minofu
• Kuyenda komanso kulumikizana molumikizana
• Mfundo yofunika

Ngati mukuganiza kuti mungakhale ndi matenda am'mapewa, impsoment, dokotala angakutumizireni kwa othandizira (PT) omwe adzayese mayeso kuti athandizire kudziwa komwe kulowera komwe kuli komanso njira yabwino kwambiri yothandizira.

Mayeso wamba amaphatikizapo Neer, Hawkins-Kennedy, kulowetsedwa kwa coracoid, ndi kuyesa kwa dzanja lamanja, komanso ena ambiri. Pakuwunikaku, PT ikufunsani kuti musunthire mikono yanu mbali zosiyanasiyana kuti muwone zovuta komanso zovuta zoyenda.

kuthandizira kugwiritsa ntchito kuwunika kosiyanasiyana kuti muwone zoperewera zomwe mukukumana nazo komanso zomwe zimapweteka.

"Othandizira athupi samapachika zipewa zawo pamayeso amodzi. Kuyesedwa kochuluka kumatipezetsa matenda, ”atero a Steve Vighetti, mnzake wa American Academy of Orthopedic Manual Physical Therapists.

Pamodzi ndi kulingalira koyerekeza

Madokotala ambiri amagwiritsa ntchito ma X-rays, CT scan, MRI scan, ndi kuyesa kwa ultrasound kuti amve bwino ndikutsimikizira zotsatira za kuyezetsa thupi.

Kafukufuku akuwonetsa kuti kuyesa kulingalira kumathandiza kwambiri pofotokoza pomwe pali kuvulala. Ultrasound ili ndi mwayi wokhala wosavuta kuchita komanso wotsika mtengo kuposa mayeso ena ojambula.

Ngati pali misozi, kapena zotupa, mu chikwama cha rotator, kuyerekezera kujambula kumatha kuwonetsa kuvulala kwake ndikuthandizira madokotala kudziwa ngati pakufunika kukonza kuti mubwezeretse luso lanu.

Kodi kupemphedwa kwamapewa ndikotani?

Kulowetsa pamapewa ndichinthu chowawa. Zimachitika pamene tendon ndi minofu yofewa yomwe ili mozungulira paphewa yanu itakodwa pakati pa fupa lanu lamanja (humerus) ndi acromion, chiwonetsero cha mafupa chomwe chimakwera mmwamba kuchokera pa tsamba lanu lamapewa.

Pamene zofewa zimafinya, zimatha kukwiya kapena kung'amba, kukupweteketsani ndikuchepetsa kutambasula dzanja lanu moyenera.

Chifukwa chiyani muyenera kuyesedwa mokwanira?

Mawu oti "phewa impingement syndrome" ndi poyambira pomwe angapeze matenda oyenera komanso chithandizo chamankhwala.

"Ndiwo mawu onse ogwira ntchito," adatero Vighetti. "Zimangokuwuzani kuti tendon imakwiyitsidwa. Zomwe katswiri wazachipatala angachite ndi kudziwa amene misana ndi minofu zimakhudzidwa. ”

Kodi mitundu yamayeso okakamiza ndi yotani, ndipo chimachitika ndi chiyani nthawi iliyonse?

Mayeso a Neer kapena chizindikiro cha Neer

Poyesa kwa Neer, PT imayimirira kumbuyo kwanu, ikukanikiza pamwamba paphewa panu. Kenako, amatembenuzira mkono wanu chakumapeto kwa chifuwa chanu ndikukweza mkono wanu momwe ungathere.

Ena akuwonetsa kuti mayeso osinthidwa a Neer ali ndi chidziwitso chotsimikizira cha 90.59%.

Mayeso a Hawkins-Kennedy

Pakati pa mayeso a Hawkins-Kennedy, mwakhala pansi pomwe PT imayima pambali panu. Amasinthira chigongono chanu kukhala chenje cha 90 digiri ndikukweza mpaka mulingo wamapewa. Dzanja lawo limakhala lolimba pansi pa chigongono chanu pamene akukankhira pansi pa dzanja lanu kuti musinthe phewa lanu.

Kuyesedwa kwa Coracoid

Kuyesedwa kwa coracoid impingement kumagwira ntchito motere: PT imayima pambali panu ndikukweza mkono wanu kuti mukhale phewa ndi chigongono chanu chopindika pa 90-degree angle. Pogwirizira chigongono, amagogomeza pang'onopang'ono dzanja lanu.

Mayeso a Yocum

Muyeso la Yocum, mumayika dzanja lanu limodzi paphewa lanu ndikukweza chigongono osakweza phewa lanu.

Kuyesa kwamtanda

Mukamayesa dzanja lamanja, mumakweza dzanja lanu mpaka phewa ndi chigongono chanu chosinthasintha mozungulira madigiri 90. Kenako, kusunga mkono wanu mu ndege yomweyo, mumayendetsa thupi lanu pachifuwa.

PT imatha kukanikiza dzanja lanu modekha mukafika kumapeto koyenda.

Mayeso a Jobe

Pakati pa kuyesa kwa Jobe, PT imayimirira pambali panu ndipo kumbuyo kwanu pang'ono. Amakweza dzanja lanu kumbali. Kenako, amasunthira mkonowo kutsogolo kwa thupi lanu ndikukufunsani kuti muukweze pamalo pomwe akumakankhira.

Mayesero onsewa cholinga chake ndi kuchepetsa kuchuluka kwa malo pakati pa minofu yofewa ndi fupa. Kuyesaku kumatha kukulira pang'onopang'ono pamene mayeso a PT akuyenda.

"Tisiya mayeso owawa kwambiri kumapeto kwa kuwunika kotero kuti phewa silimakwiya nthawi yonseyi," adatero Vighetti."Ukachita mayeso owawa koyambirira kwambiri, zotsatira zake zonse zidzawoneka ngati zabwino."

Akuyang'ana chiyani?

Ululu

Chiyeso chimawerengedwa kuti ndi chothandiza ngati chikupweteketsani ululu womwe mwakhala mukukumana nawowo paphewa panu. Kuyesa kwa Neer, Vighetti adati, nthawi zambiri kumakhala ndi zotsatira zabwino, chifukwa kumakakamiza dzanja kuti lizitha kupindika.

"Muli kumapeto kwa mayesero ndi mayeso a Neer," adatero. "Pafupifupi aliyense amene amabwera kuchipatala ali ndi vuto lakumapewa adzakutsina kumapeto kumapeto kwake."

Malo opwetekera

Pakati pa mayeso aliwonse, PT imayang'anitsitsa komwe kupweteka kwanu kumachitika. Izi zikuwonetsa gawo lanji la phewa lanu lomwe lingakhudzidwe kapena kuvulala.

Kupweteka kumbuyo kwa phewa, mwachitsanzo, kumatha kukhala chizindikiro chakulowetsedwa mkati. Othandizira akadziwa kuti ndi minofu iti yomwe ikukhudzidwa, imatha kukhala yodziwika bwino pazithandizo zawo.

Ntchito ya minofu

Ngakhale simukumva kuwawa panthawi yoyesedwa, minofu yomwe imakhudzidwa ndikumangika paphewa imakhala ndi mayankho osiyana pang'ono poyesa kukakamizidwa.

"Timagwiritsa ntchito kuwala, zala ziwiri kukana kuyesa zoyeserera pa khafu ya rotator," adatero Vighetti. "Ngati wina ali ndi vuto ndi cholembera chozungulira, ngakhale kukana pang'ono kumeneku kumabweretsa zizindikiro."

Kuyenda komanso kulumikizana molumikizana

"Zowawa ndizomwe zimabweretsa odwala," adatero Vighetti. “Koma pali vuto lomwe limayambitsa kupweteka. Nthawi zina vutoli limakhudzana ndi kuyenda limodzi. Ophatikizana akuyenda kwambiri kapena osakwanira. Ngati cholumikizacho sichikhala chosakhazikika, khafuyo ikuzungulira mozungulira kuti ipereke bata ndikulimba. ”

Minyewa ikagwira ntchito molimbika, mavuto amatha - osati chifukwa chakuti minofu yagwiritsidwa ntchito mopitirira muyeso koma chifukwa chakuti ikugwiritsidwa ntchito molakwika.

Pachifukwachi, PT wabwino amayang'ana zochitika zomwe mumachita kuti muwone ngati mukuyenda m'njira yomwe ingayambitse kuvulala. Zojambula pamavidiyo a Vighetti ngati kuthamanga kuti azindikire kusokonekera kulikonse.

Mfundo yofunika

Madokotala ndi ma PTs amagwiritsa ntchito kuyerekezera koyezetsa komanso kuyezetsa thupi kuti azindikire komwe phewa lanu lingavulazidwe.

Pakati pa kuyezetsa thupi, PT idzakutengerani m'mayendedwe angapo kuti muyesere kutengera zowawa zomwe mukumva mukamayendetsa dzanja lanu mosiyanasiyana. Mayesowa amathandiza PT kudziwa komwe mwavulala.

Zolinga zazikulu zamankhwala ndikuchepetsa kupweteka kwanu, kukulitsa mayendedwe anu, kukupangitsani kukhala olimba komanso malo anu olimba azikhala olimba, ndikuphunzitsani minofu yanu kuyenda m'njira yomwe imapangitsa kuti kuvulala kwamtsogolo kukhale kochepa.

"Zonsezi ndi zamaphunziro," adatero Vighetti. “Madokotala odziwa bwino masewera olimbitsa thupi amaphunzitsa odwala momwe angakwaniritsire payekha.”