Kodi Rotator Cuff Syndrome ndi chiyani komanso momwe mungachiritsire

Zamkati

• Zizindikiro zazikulu
• Momwe mungatsimikizire
• Zomwe zimayambitsa
• Momwe mankhwalawa amachitikira

Matenda a Rotator, omwe amadziwikanso kuti matenda ophatikizira paphewa, amapezeka pakakhala kuvulala kuzinthu zomwe zimathandizira kukhazikika m'derali, kuchititsa zizindikilo monga kupweteka kwamapewa, kuphatikiza pamavuto kapena kufooka pakukweza mkono, ndipo zimatha kuyambitsidwa chifukwa Matenda a tendonitis kapena kutuluka pang'ono kapena kwathunthu kwa tendon mderali.

Chikho cha rotator chimapangidwa ndi seti ya minofu inayi yomwe imasunthira komanso kukhazikika pamapewa, omwe ndi infraspinatus, supraspinatus, teres yaying'ono ndi subscapularis, pamodzi ndi ma tendon ake ndi mitsempha. Zovulala mderali zimachitika chifukwa cha kutupa komwe kumachitika chifukwa chovala, kukwiya kapena kukhudzidwa chifukwa chogwiritsa ntchito molumikizana bwino, komwe kumafala kwambiri kwa othamanga kapena anthu omwe amagwira ntchito atanyamula ndi mikono yawo.

Pofuna kuchiza matendawa, kupumula, ayezi ndi mankhwala akuthupi zimawonetsedwa, ndipo wamankhwala amathanso kuwonetsa kugwiritsa ntchito mankhwala osagwiritsa ntchito zotupa, monga ketoprofen, kuti athetse ululu kapena, ngati palibe kusintha, atha kuchitidwa opaleshoni zofunikira.

Zizindikiro zazikulu

Zizindikiro zomwe zimapezeka mu rotator cuff syndrome ndi monga:

• Ululu paphewa, zomwe zimachitika mwadzidzidzi mutakweza dzanja kapena kukhala wolimbikira ngakhale mutapuma, nthawi zambiri kutsogolo kapena mbali ya phewa;
• Kuchepetsa mphamvu pa phewa lomwe lakhudzidwa;
• Zovuta kuyika mkono wanu kumbuyo kwa thupi lanu, kuvala kapena kupesa tsitsi lanu, mwachitsanzo.
• Pakhoza kukhala kutupa pa phewa lomwe lakhudzidwa.

Zizindikiro zimatha kukulirakulira usiku kapena nthawi iliyonse yomwe ayesetsa ndipo, kuwonjezera apo, pamavuto akulu kwambiri osasamalidwa, ndizotheka kuchitika mpaka kulephera kusuntha phewa.

Momwe mungatsimikizire

Kuti adziwe matenda a rotator cuff, a orthopedist kapena physiotherapist amawunika zizindikirazo ndikuwunika paphewa kuti awone kusintha.

Dokotala amathanso kufunsa kuyesedwa kowonjezera monga radiography, ultrasound kapena kujambula kwamatsenga kwamapewa, zonse kuti zithandizire kutsimikizira matendawa, komanso kuwona kuchuluka kwa kuvulala kapena ngati pali mitundu ina yovulala pamapewa, scapula kapena mkono, zomwe zimatha kuyambitsa kapena kukulitsa zizindikilo. Phunzirani kusiyanitsa zomwe zimayambitsa kupweteka kwamapewa ndi zomwe muyenera kuchita nthawi iliyonse.

Zomwe zimayambitsa

Kuvulala kwa khafu ya rotator kumatha kukhala ndi zifukwa zingapo, kuyambira pakulamba kophatikizana, mkwiyo wamapewa chifukwa chowoneka ngati mafupa mu fupa kapena kuwonongeka kwa tendon panthawi yobwereza kapena kukweza kwa nthawi yayitali. Anthu omwe ali pachiwopsezo chachikulu cha matendawa ndi awa:

• Ogwira ntchito zolimbitsa thupi, makamaka iwo omwe nthawi zambiri amayenda mobwerezabwereza mikono, monga osewera tenisi, osunga zigoli, osambira ndi osewera basketball;
• Ogwira ntchito akuyenda mobwerezabwereza mikono, monga omwe amagwira ntchito yomanga, ukalipentala kapena kupenta, mwachitsanzo;
• Anthu azaka zopitilira 40, chifukwa kukalamba kumawonjezera ngozi ya kuvala komanso mawonekedwe a zotupa zotuluka.

Kuphatikiza apo, amakhulupirira kuti pakhoza kukhala chibadwa chomwe chimakhudzidwa ndi matendawa, chifukwa chimakhala chofala kwambiri m'banja limodzi.

Momwe mankhwalawa amachitikira

Chithandizo cha matenda a rotator cuff chikuwonetsedwa kuti chimachepetsa kutupa kwa cholumikizira ndikuthandizira kusinthika kwake, ndi phewa lonse, kugwiritsa ntchito ayezi ndi chithandizo chamankhwala, chomwe ndikofunikira kwambiri kuti chithandizire kukhazikika ndi mphamvu paphewa lomwe lakhudzidwa. Onani zochitika zolimbitsa thupi zapakhomo zomwe mungachite kunyumba zomwe zimathandizira kupumula kwamapewa.

Katswiri wa mafupa angalimbikitsenso kugwiritsa ntchito mankhwala opha ululu kapena oletsa kutupa, monga Dipyrone, Diclofenac kapena Ketoprofen, mwachitsanzo, kuti athetse ululu ndikuthandizira kuchira. Nthawi zina kupweteka kosalekeza, jakisoni wa corticosteroids mu olowa atha kukhala ofunikira.

Chithandizochi chimatha kuyambira milungu iwiri mpaka miyezi ingapo, komabe, ngati ululuwo sungathe kuthetsedwa, a orthopedist amatha kuwonetsa magwiridwe antchito a opaleshoni omwe dotolo angazindikire ndikukonzanso kuvulalako. Kuchita opaleshoniyi kumatha kutseguka pakhungu kapena kugwiritsa ntchito maikolofoni ndi zida zapadera, njira yotchedwa arthroscopy. Pezani momwe kuchira kumachitikira kuchokera ku arthroscopy yamapewa.