N 'chifukwa Chiyani Paphewa Langa Limapweteka?

Zamkati

• Nchiyani chimayambitsa kupweteka kwamapewa?
• Kodi zimayambitsa matenda amapewa bwanji?
• Kodi ndiyenera kupita kuchipatala liti?
• Kodi njira zamankhwala zamankhwala amapewa ndi ziti?
• Kodi ndingapewe bwanji kupweteka kwamapewa?

Timaphatikizapo zinthu zomwe timaganiza kuti ndizothandiza kwa owerenga athu. Ngati mutagula maulalo omwe ali patsamba lino, titha kupeza ndalama zochepa. Nayi njira yathu.

Chidule

Paphewa limayenda mosiyanasiyana. China chake chikalakwika ndi phewa lanu, chimakulepheretsani kuyenda momasuka ndipo chimatha kupweteka kwambiri.

Paphewa ndi cholumikizira mpira ndi socket chomwe chili ndi mafupa atatu akulu: humerus (fupa lalitali lamanja), clavicle (collarbone), ndi scapula (yomwe imadziwikanso kuti phewa tsamba).

Mafupawa ndi otsekedwa ndi karoti. Pali ziwalo ziwiri zazikulu. Mgwirizano wa acromioclavicular uli pakati pa gawo lalikulu la scapula ndi clavicle.

Mgwirizano wa glenohumeral umapangidwa ndi gawo lokwera, lopangidwa ndi mpira la fupa la humerus komanso m'mphepete mwake mwa scapula. Mgwirizanowu umadziwikanso kuti olowa paphewa.

Mgwirizano wamapewa ndi wolumikizana kwambiri m'thupi. Imasunthira phewa patsogolo ndi kumbuyo. Zimathandizanso mkono kuti usunthire mozungulira komanso usunthire kutali ndi thupi.

Mapewa amatenga mayendedwe awo kuchokera ku kachingwe ka rotator.

Chophikira cha Rotator chimapangidwa ndi ma tendon anayi. Tendons ndi minofu yomwe imagwirizanitsa minofu ndi fupa. Kungakhale kowawa kapena kovuta kukweza dzanja lanu pamutu panu ngati minyewa kapena mafupa ozungulira makapu a rotator awonongeka kapena kutupa.

Mutha kuvulaza phewa lanu pogwira ntchito yamanja, kusewera masewera, kapena ngakhale kuyenda mobwerezabwereza. Matenda ena amatha kubweretsa ululu womwe umayenda paphewa. Izi zimaphatikizapo matenda am'mimba (khosi), komanso chiwindi, mtima, kapena ndulu.

Mwinanso mumakhala ndi mavuto paphewa mukamakula, makamaka mutakwanitsa zaka 60. Izi ndichifukwa choti zofewa zofewa paphewa zimayamba kuchepa ndi msinkhu.

Nthawi zambiri, mutha kuchiza ululu wamapewa kunyumba. Komabe, mankhwala, mankhwala, kapena opaleshoni angafunikirenso.

Izi ndi zomwe muyenera kudziwa zokhudzana ndi kupweteka kwamapewa, kuphatikiza zomwe zimayambitsa, kuzindikira, chithandizo, komanso kupewa.

Nchiyani chimayambitsa kupweteka kwamapewa?

Zinthu zingapo zomwe zingayambitse ululu wamapewa. Chifukwa chofala kwambiri ndi makina ozungulira a tendinitis.

Izi ndizodziwika ndi zotupa zotupa. Chimodzi mwazomwe zimayambitsa kupweteka kwamapewa ndi impingement syndrome komwe khafu ya rotator imagwidwa pakati pa acromium (gawo la scapula lomwe limaphimba mpira) ndi mutu wamanyazi (gawo la mpira wa humerus).

Nthawi zina kupweteka kwamapewa kumachitika chifukwa chovulala kumalo ena mthupi lanu, nthawi zambiri khosi kapena biceps. Izi zimadziwika kuti kupweteka. Kupweteka komwe kumatchulidwa sikumangowonjezereka mukasuntha phewa lanu.

Zina mwazimene zimapweteka m'mapewa ndi monga:

• nyamakazi
• khungu losweka
• khafu wovundikira
• zotupa bursa sacs kapena tendons
• bone spurs (mafupa omwe amapezeka m'mphepete mwa mafupa)
• pinched mitsempha mu khosi kapena paphewa
• wosweka phewa kapena fupa la mkono
• mazira paphewa
• kuchoka pamapewa
• kuvulala chifukwa chogwiritsa ntchito mopitirira muyeso kapena kubwereza
• msana kuvulala
• matenda amtima

Kodi zimayambitsa matenda amapewa bwanji?

Dokotala wanu adzafuna kudziwa chomwe chimayambitsa kupweteka kwanu. Afunsira mbiri yanu yazachipatala ndikuwunika.

Adzamva kuti ndi achifundo komanso kutupa ndipo adzawunikanso mayendedwe anu ndi kukhazikika palimodzi. Kujambula mayeso, monga X-ray kapena MRI, kumatha kupanga zithunzi mwatsatanetsatane za phewa lanu kuti zithandizire kuzindikira.

Dokotala wanu amathanso kufunsa mafunso kuti adziwe chomwe chikuyambitsa. Mafunso angaphatikizepo:

• Kodi kupweteka kuli paphewa limodzi kapena onse awiri?
• Kodi kupweteka kumeneku kunayamba mwadzidzidzi? Ngati ndi choncho, mumatani?
• Kodi ululuwo umasunthira mbali zina za thupi lanu?
• Kodi mungathe kudziwa komwe kuli ululu?
• Kodi zimapweteka mukamayenda?
• Kodi zimapweteka kwambiri mukamasamuka m'njira zina?
• Kodi ndikumva kuwawa kapena kupweteka pang'ono?
• Kodi dera lowawa lakhala lofiira, lotentha, kapena lotupa?
• Kodi ululuwo umakupangitsani kukhala maso usiku?
• Nchiyani chimapangitsa kuti chiwonjezeke komanso chomwe chimapangitsa kukhala bwino?
• Kodi mudayenera kuchepetsa zochita zanu chifukwa cha ululu wamapewa?

Kodi ndiyenera kupita kuchipatala liti?

Muyenera kulumikizana ndi adotolo ngati mukumva malungo, kulephera kusuntha phewa lanu, mabala okhazikika, kutentha ndi kukoma kuzungulira molumikizana, kapena ululu womwe umapitilira milungu ingapo yothandizidwa kunyumba.

Ngati ululu wamapewa mwadzidzidzi osakhudzana ndi kuvulala, itanani 911 mwachangu. Kungakhale chizindikiro cha matenda a mtima. Zizindikiro zina za matenda a mtima ndi monga:

• kuvuta kupuma
• kufinya pachifuwa
• chizungulire
• thukuta kwambiri
• kupweteka m'khosi kapena nsagwada

Komanso, itanani 911 kapena pitani kuchipinda chodzidzimutsa nthawi yomweyo ngati mwavulaza phewa lanu ndikutuluka magazi, kutupa, kapena mutha kuwona minofu yowonekera.

Kodi njira zamankhwala zamankhwala amapewa ndi ziti?

Chithandizochi chimadalira chifukwa komanso kupweteka kwamapewa. Njira zina zochiritsira ndi monga kulimbitsa thupi kapena ntchito, kuponyera gulaye kapena phewa, kapena opaleshoni.

Dokotala wanu amathanso kukupatsirani mankhwala monga nonsteroidal anti-inflammatory (NSAIDs) kapena corticosteroids. Corticosteroids ndi mankhwala odana ndi zotupa omwe amatha kumwedwa pakamwa kapena dokotala wanu akhoza kukupatsani phewa lanu.

Ngati mwachitidwa opaleshoni yamapewa, tsatirani malangizo mosamalitsa pambuyo pa chisamaliro.

Zowawa zazing'ono zamapewa zimatha kuchiritsidwa kunyumba. Kuyika phewa kwa mphindi 15 mpaka 20 katatu kapena kanayi patsiku kwa masiku angapo kungathandize kuchepetsa kupweteka. Gwiritsani ntchito thumba lachisanu kapena kukulunga ayezi mu thaulo chifukwa kuyika ayezi pakhungu lanu kumatha kuyambitsa chisanu ndikuwotcha khungu.

Kupumula phewa kwa masiku angapo musanabwerere ku zochitika zonse ndikupewa mayendedwe aliwonse omwe angayambitse ululu kumatha kukhala othandiza. Chepetsani ntchito kapena zochita zina.

Njira zina zochiritsira kunyumba zimaphatikizapo kugwiritsa ntchito mankhwala osagwiritsa ntchito anti-inflammatory omwe amathandiza kuchepetsa ululu ndi kutupa ndikupondereza dera lanu ndi bandeji yotanuka kuti ichepetse kutupa.

Kodi ndingapewe bwanji kupweteka kwamapewa?

Zochita zosavuta zamapewa zimatha kutambasula ndikulimbitsa minofu ndi ma tendon a makapu. Wothandizira zakuthupi kapena wothandizira pantchito akhoza kukuwonetsani momwe mungachitire bwino.

Ngati mudakhala ndi mavuto am'mbuyo, gwiritsani ntchito ayezi kwa mphindi 15 mutachita masewera olimbitsa thupi kuti mupewe kuvulala mtsogolo.

Mukakhala ndi bursitis kapena tendinitis, kuchita masewera olimbitsa thupi tsiku lililonse kumatha kukulepheretsani kukhala ndi phewa lozizira.