Munyori: Roger Morrison
Zuva Rekusika: 3 Gunyana 2021
Gadziridza Zuva: 16 Mbudzi 2024
Anonim
Scapular marwadzo: 9 zvikonzero zvikuru uye zvekuita - Utano
Scapular marwadzo: 9 zvikonzero zvikuru uye zvekuita - Utano

Zvemukati

Iyo scapula, inozivikanwawo seye scapula, ipfupa, yakatetepa, iri muchikamu chepamusoro chekumashure, icho chine basa rekudzikamisa nekubatsira kufamba kwemafudzi. Iko kutaura kweiyo scapula nefudzi inobvumira kuunganidzwa kwemaoko uye inoumbwa neseti yemhasuru uye tendon, inonzi Rotator cuff.

Kune shanduko uye zvimwe zvirwere zvinogona kumuka mudunhu reiyo scapula uye zvichikonzera kurwadziwa, sekukuvara kwemhasuru, fibromyalgia, mapapiro scapula uye bursitis. Izvo zvinokonzeresa shanduko idzi nezvirwere hazvizivikanwe nguva dzose, asi zvinogona kuve zvine hukama nekumira zvisizvo, simba rakawandisa uye huremu mumaoko, pamwe nekushungurudzika nekutyoka.

Dzimwe shanduko nezvirwere zvinogona kukonzera kurwadziwa mu scapula ndeizvi:

1. Kukuvara kwetsandanyama

Iyo scapula inobatsira kufamba kwefudzi kuburikidza nemhasuru iri kumashure, senge rhomboid mhasuru. Iyi mhasuru inowanikwa pakati peyekupedzisira vertebrae yemuzongoza uye kumucheto kweiyo scapulae, nekudaro, kunyanyisa kushanda nesimba kana kufamba kamwe kamwe nemaoko kunogona kutungamira kutambanudza kana kutambanudza tsandanyama, zvichikonzera marwadzo mudunhu rinopisa.


Mune zvimwe zviitiko, kukuvara kumhasuru yeRhomboid kunogona zvakare kukonzera kuderedzwa kwesimba mumawoko uye kurwadziwa kana uchifambisa bendekete, uye zviratidzo izvi zvinowanzonyangarika nekufamba kwenguva muviri uchipora.

Zvekuita: mukukuvara kwakapfava, kutora zororo uye kuisa inotonhorera compress panzvimbo ipapo zvakakwana kugadzirisa marwadzo, asi kana mushure memaawa makumi mana nemasere marwadzo achienderera, iwe unogona kuisa inodziya compress uye anti-kupisa mafuta. Nekudaro, kana zviratidzo zvikanyanyisa kana kupera kwemazuva anopfuura manomwe, zvinokurudzirwa kuti ubvunze chiremba wemazino uyo anogona kukurudzira kushandiswa kwemishonga inorwisa-kupisa uye analgesics kudzikisira uye kubvisa marwadzo.

2. Bursitis

Munharaunda yescapula mune homwe dzemvura dzinoshandira kukonzeresa mafambiro ekufamba kwemaoko, anonzi bursae. Kana mabura akatsva anokonzera chirwere chinonzi bursitis uye chinokonzera kurwadziwa kwakanyanya, kunyanya pamazuva anotonhora uye kana achifambisa ruoko. Uku kuzvimba kunogona zvakare kukanganisa nzvimbo yepafudzi uye kunokonzeresa kurwadziwa mu scapula. Ona zvimwe nezve chii chinonzi bursitis mubendekete uye chikuru zviratidzo.


Zvekuita: kubvisa marwadzo e scapular anokonzerwa ne bursitis, chando chinogona kuiswa panzvimbo iyi kwemaminitsi makumi maviri, kaviri kana katatu pazuva. Chiremba wemapfupa anogona zvakare kukurudzira painkillers, anti-anogumbura zvinodhaka uye corticosteroids kugadzirisa marwadzo uye kudzikisa kuzvimba.

Uye zvakare, zvakakosha kuti usayedze neruoko, parutivi panorwadza zvakanyanya, uye zvinodikanwa kuita kurovedza muviri kusimbisa mhasuru dzedunhu uye kubatsira mukuderedza kuzvimba kwenzvimbo.

3. Scapula ine mapapiro

Iyo mapapiro scapula, inozivikanwawo se scapular dyskinesia, inoitika kana kumisikidzwa uye kufamba kweiyo scapula kunoitika zvisirizvo, zvichipa manzwiro ekusave panzvimbo, zvichikonzera kurwadziwa nekusagadzikana mudunhu repafudzi. Iyo scapula ine mapapiro inogona kuitika kune rumwe rutivi rwemuviri, zvisinei, inowanzoitika kurudyi uye inogona kukonzerwa neArthrosis, isina kusanganiswa kuputsika kweclavicle, kuoma mitezo uye shanduko mumitsipa yechipfuva uye kyphosis.


Iko kuongororwa kunoitwa nachiremba wemapfupa kuburikidza nekuongorora kwepanyama, uye electromyography inogona kukumbirwa kuti iongorore mashandiro emhasuru mudunhu rakakura. Tarisa uone zvakawanda nezvekuti iyo electromyography bvunzo inoitwa sei uye ndeyei.

Zvekuita: mushure mekusimbisa kuongororwa, iyo orthopedist inogona kukurudzira mishonga yekudzora marwadzo, zvisinei, kazhinji, kuvhiyiwa kugadzirisa tsinga mumashure mechipfuva kunokurudzirwa.

4. Fibromyalgia

Fibromyalgia ndechimwe chezvirwere zvakajairika zve rheumatological, chiratidzo chikuru chekutambudzika kwakapararira munzvimbo dzakasiyana dzemuviri, kusanganisira scapula. Kazhinji, vanhu vanotambura nefibromyalgia vanogona kunzwa kuneta, kuomarara kwemhasuru, kurira mumawoko avo uye vanogona zvakare kukura kushushikana uye kusagadzikana kwekurara, zvichitungamira mukuwedzera kwehunhu hwehupenyu.

Kana zviratidzo zvikaonekwa, zvakakosha kuti ubvunze rheumatologist uyo anozoita kuongororwa kuburikidza nenhoroondo yekurwadziwa, ndiko kuti, nzvimbo uye nguva yekutambudzika ichaongororwa. Nekudaro, iyo rheumatologist inogona kuraira kumwe kuyedza, senge magnetic resonance imaging kana electroneuromyography, kutonga kunze kwezvimwe zvirwere.

Zvekuita: fibromyalgia chirwere chisingaperi uye hachina mushonga, uye kurapwa kunoenderana nekuzorora kwekurwadziwa. Rheumatologist inogona kupa mishonga senge yekuzorodza mhasuru, senge cyclobenzaprine uye tricyclic antidepressants, senge amitriptyline. Iyo TENS uye michina ye ultrasound inoshandiswa mu physiotherapy inogona zvakare kubatsira kudzora marwadzo anokonzerwa nefibromyalgia. Tsvaga zvimwe nezve iyo fibromyalgia inorapwa sei.

5. Suprascapular tsinga compression

Iyo tsinga suprascapular inowanikwa mune brachial plexus, inova seti yemitsipa inokonzeresa kufamba kwefudzi neruoko, uye inogona kuchinja uye kukonzeresa kurwadziwa kwakanyanya mu scapula.

Kumanikidzwa kwetsinga iyi kushandurwa kunokonzerwa kunyanya nekuzvimba kana kushungurudzika, izvo zvinogona kuitika mutsaona kana mumitambo yemitambo inomanikidza bendekete zvakanyanya. Nekudaro, kumanikidza kweiyo suprascapular nerve kunogona zvakare kuve nehukama nekuputika kwecuff, inonyatso kuzivikanwa se rotator cuff syndrome. Ona zvimwe nezve chii chinonzi rotator cuff syndrome uye nemabatiro acho.

Kurwadziwa kwakakura kunokonzerwa nekumanikidzwa kweiyo tsinga inoshamisa, inogona kuwedzera husiku uye nemazuva anotonhora uye kana ichinge yakabatana nezvimwe zviratidzo zvakaita sekuneta uye kushaya simba kwemhasuru zvakakosha kuti ubvunze chiremba wemazino, uyo anoratidza bvunzo dzakadai seX-ray uye MRI kusimbisa kuongororwa.

Zvekuita: Muzviitiko zvinotyisa, kurapwa kunoenderana nekushandiswa kwemaanti-inflammatories uye analgesics, kudzikisira kuzvimba uye kubvisa marwadzo, uye kuita kurapwa kwemuviri. Mune zviitiko zvemberi, iyo orthopedist inogona kuratidza kuvhiyiwa kuti idzore iyo suprascapular nerve.

6. Scapular kutsemuka

Zvikwapuka zvakaputsika hazviwanzo, nekuti mapfupa anopikisa uye nekufamba kukuru, zvisinei, kana zvikaitika, zvinogona kukonzera kurwadziwa. Rudzi urwu rwekutsemuka runoitika, kunyanya, kana munhu akadonha akarova pabendekete uye, kazhinji, marwadzo anomuka imwe nguva mushure mechiitiko ichi.

Mushure metsaona kana kudonha kwakakonzera kushungurudzika mudunhu repashure, zvakafanira kutsvaga rubatsiro kubva kuna chiremba wemazino anozokumbira bvunzo dzakadai seX-rays kuti aone kana watsemuka uye, kana paine, chiremba achaongorora zvekutyoka uku.

Zvekuita: akanyanya kupwanywa anotsemuka anorapwa achishandisa mushonga kudzikamisa marwadzo, physiotherapy uye kusagadzikana nechipfuramabwe uye chakaputsika, zvisinei, mune zvakakomba zviitiko, kuvhiyiwa kunogona kukurudzirwa.

7. Hosha yaGorham

Chirwere cheGorham chirwere chisingawanzoitika pasina chikonzero chaicho, chinokonzeresa kurasikirwa kwemapfupa, zvichikonzera marwadzo mudunhu rinopisa. Iyo inorwadza scapular inogadzirwa nechirwere ichi inongoerekana yatanga, inoonekwa nekukasira, uye munhu anogona kunge achinetseka kufambisa fudzi. Iko kuongororwa kunoitwa nachiremba wemabhonzo, achishandisa computed tomography uye magnetic resonance imaging.

Zvekuita: kurapwa kunotsanangurwa nachiremba wemapfupa, zvichienderana nenzvimbo yechirwere uye zviratidzo zvinoratidzwa nemunhu, uye mishonga yekubatsira kutsiva kwemapfupa, senge bisphosphonates, uye kuvhiya, zvinogona kuratidzwa.

8. Crackling scapular chirwere

Iyo inopwanya scapula syndrome inoitika kana, kana ichifambisa ruoko nebendekete, scapula crackle inonzwika, ichikonzera kurwadziwa kwakanyanya. Iyi syndrome inokonzerwa nekunyanyisa kuita zvemuviri uye kushungurudzika kwepafudzi, kuve kwakajairika muvakuru vechidiki.

Kuongororwa kwechirwere ichi kunoitwa nachiremba wemazino zvichibva nezviratidzo zvinoratidzwa nemunhu uye zvinogona kukurudzirwa kuve nemiyedzo yakadai seX-ray kana computed tomography, kana chiremba achifungidzira zvimwe zvirwere.

Zvekuita:kurapwa kunoitwa nekushandiswa kweanorapa uye anti-anogumbura madhiragi, kubvisa marwadzo uye kudzikisa kuzvimba, physiotherapy yekusimbisa scapular mhasuru uye kinesitherapy. Zvirinani unzwisise kuti kinesitherapy chii uye ndeapi maitiro makuru.

9. Matambudziko echiropa uye enduru

Kuonekwa kwematuru uye matambudziko echiropa, akadai semapundu, kunova kuumbwa kwepus, hepatitis uye nyangwe gomarara matambudziko ehutano anogona kutungamira pakuonekwa kwekurwadziwa mu scapula, kunyanya kurudyi. Ichi chiratidzo chinogona zvakare kuperekedzwa nezvimwe zviratidzo senge yero yeruvara rweganda nemaziso, kurwadziwa musana, zvakare kurudyi, svoto, fivha uye manyoka.

Mimwe miedzo inogona kuratidzirwa neanowanzo shanda kana iwe uchifungidzira kuti marwadzo mudunhu rinopisa anokonzerwa nechimwe chirwere chiri muchiropa kana nduru, inogona kunge iri ultrasound, CT scan, MRI kana kuongororwa kweropa, semuenzaniso.

Zvekuita: mangoti zviratidzo zvoonekwa zvinokurudzirwa kuti uone chiremba wepamoyo kuitira kuti zviongororwe kuti zvionekwe kana paine dambudziko muchiropa kana munduru uye mushure meizvozvo, chiremba anogona kukurudzira kurapwa kwakakodzera zvinoenderana nechirwere chakaonekwa.

Nguva yekuenda kuna chiremba

Kurwadziwa kwepasuru kunogona zvakare kuve chiratidzo cheimwe hosha dzisina hukama nepfupa, mhasuru kana huta uye, mune zvimwe zviitiko, zvinogona kuratidza hosha yemoyo nemapapu, senge acute myocardial infarction uye pulmonary aortic aneurysm. Naizvozvo, zvakakosha kutsvaga kurapwa kwekukurumidzira kana zvimwe zviratidzo zvikaonekwa, senge:

  • Kunongedzera kurwadziwa mubhokisi;
  • Kufema kwekufema;
  • Kuoma mitezo kune rumwe rutivi rwemuviri;
  • Ziya rakawandisa;
  • Kukosora ropa;
  • Pallor;
  • Yakawedzera kurova kwemoyo.

Uye zvakare, chimwe chiratidzo chekucherechedza kukura kwefivha, iyo, kana ichioneka, inogona kuratidza hutachiona uye, mune idzi kesi, kumwe kuyedzwa kunogona kukurudzirwa kuti uwane chikonzero chechiratidzo ichi.

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