Momwe Mungadziwire ndi Kusamalira Kugonjetsedwa Kwamapewa

Zamkati

• Zikumveka bwanji?
• Nthawi yoti mupite kuchipatala
• Kodi dokotala wanu angazindikire bwanji?
• Kodi mankhwalawa amakhala ndi chiyani?
• Kutsekedwa kotsekedwa
• Kutha mphamvu
• Mankhwala
• Opaleshoni
• Kukonzanso
• Malangizo othandizira kusamalira nyumba
• Kodi zovuta ndizotheka?
• Maganizo ake ndi otani?

Kodi kugonjetsedwa kwa phewa ndi chiyani?

Kugonjera paphewa ndikung'ambika pang'ono paphewa panu. Mgwirizano wamapewa anu umapangidwa ndi mpira wamphongo lanu (humerus), womwe umakwanira mchikho chonga chikho (glenoid).

Mukachotsa phewa lanu, mutu wamphongo lanu lakumtunda umachokeratu pachokhachokha. Koma modzikweza paphewa, mutu wa fupa la mkono umangobwera pang'ono kuchokera mchokocho.

Phewa ndi chimodzi mwazilumikizidwe zosavuta kusokoneza chifukwa ndimayendedwe kwambiri. Kusuntha kumeneku kumakupatsani mwayi wokhotakhota dzanja lanu mozungulira, ngati kuponyera phula la softball. Kuponyera mwachangu kwambiri kapena mwamphamvu kumatha kupangitsa kuti olowa agwedezeke, koma nthawi zambiri kuvulala uku kumachitika pambuyo poti agwiritsidwa ntchito mobwerezabwereza.

Pogwedezeka, fupa limatha kupita kutsogolo, kubwerera kumbuyo, kapena kutsika. Nthawi zina kuvulala kumang'ambanso minofu, mitsempha, kapena tendon mozungulira paphewa.

Zikumveka bwanji?

Kutuluka kapena kusunthika phewa kumatha kuyambitsa:

• ululu
• kutupa
• kufooka
• dzanzi, kapena zikhomo ndi singano kumva kumanja kwanu

Ndikutengeka, fupa limatha kubwereranso mchokhachokha.

Kugonjera komanso kusokonezeka kumatha kuyambitsa zizindikilo zofananira, chifukwa chake kumakhala kovuta kudziwa kusiyana osawonana ndi dokotala.

Nthawi yoti mupite kuchipatala

Pezani chithandizo chamankhwala ngati phewa lanu silibwereranso mu cholumikizira chokha, kapena ngati mukuganiza kuti chitha kusokonekera. Musayese kuyikanso m'malo mwanu. Mutha kuwononga mitsempha, minofu, ndi ziwalo zina mozungulira paphewa.

Ngati mungathe, valani choponyera kapena choponyera kuti mugwire phewa mpaka mutha kuwona dokotala wanu.

Kodi dokotala wanu angazindikire bwanji?

Dokotala wanu akufunsani za zizindikilo zanu ndikuchita masewera olimbitsa thupi musanayang'ane phewa lanu. Mungafunike ma X-ray kuti muwone ngati mutu wa fupa watuluka pang'ono kapena kwathunthu paphewa. Ma X-ray amathanso kuwonetsa mafupa osweka kapena kuvulala kwina paphewa panu.

Dokotala wanu atazindikira kukula kwa kuvulala kwanu, atha kukuthandizani kuti mubwezeretse phewa lanu ndikupanga dongosolo la chisamaliro.

Kodi mankhwalawa amakhala ndi chiyani?

Kuyika phewa lanu pamalo ake ndikofunikira. Ngakhale izi zitha kuchitika kumunda kapena kulikonse komwe kuvulala kunachitika, ndibwino kuti dokotala azichita izi kuofesi ya zamankhwala kapena kuchipatala.

Kutsekedwa kotsekedwa

Madokotala amasunthira phewa kubwerera m'malo mwa njira yotchedwa kuchepetsa kutsekedwa. Chifukwa njirayi imatha kukhala yopweteka, mutha kupezako ululu musanafike. Kapenanso, mutha kukhala kuti mukugona komanso osamva kuwawa pansi pamankhwala ochepetsa ululu.

Dokotala wanu amayenda pang'onopang'ono ndikusinthasintha mkono wanu mpaka fupa litabwerera kumbuyo kwake. Kupweteka kumayenera kuchepa mpira ukabwerera. Dokotala wanu amatha kupanga ma X-ray pambuyo pake kuti awonetsetse kuti phewa lanu lili pamalo oyenera komanso kuti palibenso kuvulala kwina paphewa.

Kutha mphamvu

Pambuyo pochepetsa kutsekedwa, muvala gulaye kwa milungu ingapo kuti mulumikizane paphewa. Kulepheretsa olumikizanawo kumathandiza kuti fupa lisatulukenso. Sungani phewa lanu mu gulaye, ndipo pewani kutambasula kapena kuyisunthira kwambiri pamene kuvulala kumachira.

Mankhwala

Ululu wokhudzidwa uyenera kuchepa dokotala wanu akangotsitsa pang'ono. Ngati mukupwetekabe pambuyo pake, dokotala wanu akhoza kukupatsani mankhwala ochepetsa ululu, monga hydrocodone ndi acetaminophen (Norco).

Komabe, simuyenera kumwa mankhwala ochepetsa ululu wa mankhwala omwe mwalandira kwa masiku opitilira ochepa. Amadziwika kuti amakhala chizolowezi.

Ngati mukufuna kupumula kwakanthawi, yesani NSAID monga ibuprofen (Motrin) kapena naproxen (Naprosyn). Mankhwalawa amatha kubweretsa ululu komanso kutupa m'mapewa. Tsatirani malangizo omwe ali phukusi, ndipo musamamwe mankhwala ambiri kuposa momwe mukufunira.

Ngati ululu wanu ukupitilira patatha milungu ingapo, funsani dokotala kuti akupatseni zina.

Opaleshoni

Mungafunike kuchitidwa opaleshoni ngati mwabwereza zochitika zingapo. Dokotala wanu amatha kukonza mavuto aliwonse omwe akupangitsa kuti phewa lanu lisasunthike.

Izi zikuphatikiza:

• Mitsempha ya misozi
• misozi yachitsulo
• zophulika zokhazikapo kapena mutu wa fupa la mkono
• khafu wa khafu akulira

Kuchita opaleshoni yamapazi kumatha kuchitidwa kudzera pazinthu zochepa kwambiri. Izi zimatchedwa arthroscopy. Nthawi zina, zimafunikira njira yotseguka / yomangidwanso yotchedwa arthrotomy. Mudzafunika kukonzanso mukatha opaleshoni kuti muyambenso kuyenda paphewa.

Kukonzanso

Rehab itha kukuthandizani kuti mupezenso mphamvu ndikusunthika paphewa mukatha kuchitidwa opareshoni kapena pomwe gulaye wanu wachotsedwa. Katswiri wanu wakuphunzitsani zolimbitsa thupi zolimbitsa thupi zolimbitsa minofu yolimbitsa phewa lanu.

Wodwala wanu atha kugwiritsa ntchito njira izi:

• achire kutikita
• kulimbikitsana, kapena kusunthira olowa kudzera m'malo angapo kuti athetse kusinthasintha
• zolimbitsa zolimbitsa thupi
• kuchita zolimba
• akupanga
• ayezi

Mupezanso pulogalamu ya masewera olimbitsa thupi kunyumba. Chitani izi nthawi zonse momwe wodwalayo amalimbikitsira. Pamene mukuchira, pewani masewera kapena zinthu zina zomwe zingayambitsenso phewa lanu.

Malangizo othandizira kusamalira nyumba

Kusamalira phewa lanu kunyumba ndikupewa kubwereza:

Ikani ayezi. Gwirani phukusi lozizira kapena thumba lachisanu paphewa lanu kwa mphindi 15 mpaka 20 nthawi, kangapo patsiku. Madzi oundana amathetsa ululu ndikuchepetsa kutupa mutavulala. Pakatha masiku angapo, mutha kusintha.

Pumulani. Mutagonjetsa phewa lanu nthawi yoyamba, zimakhala zotheka kuchitika kachiwiri. Pewani zochitika zilizonse zomwe zingakokere mpira wamphongo lanu mchikuto chake, monga kuponyera kapena kunyamula zinthu zolemetsa. Bwererani m'masewera ndi zochitika zina pang'onopang'ono, pokhapokha mutagwiritsa ntchito phewa lanu momwe mukumvera.

Yesetsani kusinthasintha. Chitani zomwe thupi lanu limalimbikitsa tsiku lililonse. Kuchita mayendedwe ofatsa nthawi zonse kumathandiza kuti phewa lanu lisakhale lolimba.

Kodi zovuta ndizotheka?

Zovuta zakugundika kwamapewa ndi izi:

• Kusakhazikika kwamapewa. Mukakhala ndi kugonjetsedwa, ndizotheka kuti zichitikenso. Anthu ena amatengeka mobwerezabwereza.
• Kutaya kuyenda. Kuwonongeka kwa phewa lanu kumatha kuyika kutaya kusinthasintha.
• Kuvulala kwina kwamapewa. Panthawi yogonjetsedwa, mitsempha, minofu, ndi tendon paphewa panu zitha kuvulazidwanso.
• Mitsempha kapena kuwonongeka kwa mitsempha yamagazi. Mitsempha kapena mitsempha yamagazi mozungulira paphewa lanu imatha kuvulala.

Maganizo ake ndi otani?

Mudzavala legeni kuti musunge phewa lanu sabata limodzi kapena awiri. Pambuyo pake, muyenera kupewa kuyenda mwamphamvu paphewa pafupifupi milungu inayi.

Mutagonjetsa phewa lanu, zimakhala zotheka kuchitika kachiwiri. Ngati mumakhala ndi nkhawa paphewa nthawi zambiri, mungafunike kuchitidwa opaleshoni kuti mukhale okhazikika pamapewa anu.

Pambuyo pochitidwa opaleshoni, zimatenga pafupifupi milungu inayi kapena isanu ndi umodzi kuti phewa lanu lisinthe. Dzanja lanu lidzakhala loponyera kwambiri kapena nthawi yonseyi. Ochita masewera othamanga sangathe kutengapo gawo pamasewera miyezi ingapo atachitidwa opaleshoni.