Acromioclavicular olowa: kapangidwe, kudwala

Arthrosis wa olowa acromioclavicular kupangika, nthawi zambiri chifukwa cha masoka njira ukalamba. Wina zifukwa otchuka zokwanira kuganizira kuvulala olowa mu moyo. Mwachitsanzo, kungakhale dislocation wa olowa acromioclavicular. Kudwala osachiritsika osiyana, yotupa khalidwe. Mu magawo oyambirira a matenda acromioclavicular olowa angathe kubwezeretsedwanso msanga. Mu magawo m'tsogolo, pamafunikanso nthawi yambiri ndiponso khama kuchiritsa.

Kapangidwe ka olowa

Acromioclavicular olowa ndi gawo la paphewa. Ngati ena, articulation zophatikizidwamo Mitsemphayi ndi kapisozi. Acromion ndi mafuta chimene chimafika ku tsamba ndi chikugwirizana ndi clavicle lapansi. Articulation a pamwamba chivundikiro cartilaginous minofu pa m'mbali mwa fupa. Pali zinthu zingapo zochititsa kuti kusiyanitsa olowa acromioclavicular. Movement m'menemo poyerekeza Mwachitsanzo, m'chiuno kapena chigongono ndi matalikidwe ang'onoang'ono. Kotero kuti ntchito zake ziyenera kwambiri m'mwamba manja ake. Pamene mapindikidwe wa hyaline chichereŵechereŵe mikangano si angaimbidwenso, izo amakwiya ululu. Iwo chizindikiro cha nyamakazi. Ndi kuchepetsa ntchito amortization mu boma yachibadwa kupereka olimbikitsa phewa katundu, kumabweretsa komanso kupatulira wa chichereŵechereŵe wosanjikiza.

Chifukwa kugonjetsedwa zimfundo

Chifukwa chachikulu chitukuko cha nyamakazi, monga tatchulazi, amaona masoka njira zoti olowa. Pamphambano ya boma komanso zoipa anakhudzidwa ndi masewera olimbitsa thupi katundu. Mwachitsanzo, Komatsu, blacksmiths, ogwira ntchito ndi jackhammer ndi, Anthuwa pafupipafupi matenda nyamakazi ya olowa acromioclavicular. Large pafupipafupi overloads kuyambitsa chizindikiritso cha matenda pa wachinyamata. Chifukwa china ofunika pa chitukuko cha nyamakazi ndi choipa. Muyenera kudziwa kuti palibe kuwonongeka sikuti kudali popanda kusiya sanachite. kuvulala onse bwanji chikhalidwe cha malo, mofulumira chiwonongeko. Pankhani imeneyi, akatswiri mwamphamvu amalangiza ndi chidwi onse kuchitira sprains, fractures ndiponso kuwonongeka ena. The Nzofunikira kwa mode yachibadwa pochira mwambo wa chokumbukira zoopsa, nkhawa uphungu.

chithunzi matenda

Kuonongeka acromioclavicular olowa sakhala pomwepo zimapangitsa lokha anamva. zizindikiro za kuwonongeka ndi izi:

• The ululu phewa lake.
• Pohrustyvanie mkati articulation lapansi.
• Stiffness kayendedwe phewa.
• Kutopa.

chakuti siteji koyamba za nyamakazi si limodzi ndi matenda, chifukwa mu ulendo wotsatira kwa dokotala. Akatswiri amalangiza kuti kuzengereza ulendo ku chipatala. Sikuti kudikira nthawi imene olowa acromioclavicular ndi lowonongeka ndi kumangidwanso Pakufunika miyeso kwambiri.

siteji ya matenda

Nyamakazi articulation pa siteji koyamba limodzi ndi zomverera zazing'ono ululu kukakamiza dera clavicle, komanso pa kayendedwe ka mapewa ndi manja. Nthawi zina ululu akhoza kufalitsa kudera la msana khomo lachiberekero. Mu gawo lachiwiri la arthrosis limodzi ndi zizindikiro kwambiri. Makamaka, mphamvu ya ukuwonjezeka ululu kwambiri, pali mavuto m'kati kuvala, manja kumbuyo mitu yawo mmbuyo ndi iyo pa chifuwa chake. Zikatero, ngati zofunika Ochititsa chinthu amachita zoopsa phewa posankha kayendedwe zovuta angamvele kuwonekera kwa crackle lililonse.

diagnostics

Kuyambira kudziwika yake ya nyamakazi zimadalira bwino zikunena wotsatira achire. Pamene anali kumupima, dokotala osati zithunzi anayendera dera vuto. Zokambirana ndi katswiri mtima wapeza ngati kuwonongeka kwa malo ichi kale, utali mtima waona zizindikiro za kudwala, amene Zochita savuta ndi amene ali ovuta kuchita ndi manja ake. M'pofunikanso kuzindikira ndi chiwembu cha ululu kutanthauzira.

Nthawi zina, matenda zina ndi zofunika kuchita anachoka. Amakhala ndi kuyambitsa pang'ono ya lidocaine kapena mankhwala ochititsa ena kuti patsekeke olowa. Pamaso kutupa pambuyo anatseka misewu ya amalembedwa kutha kwa ululu. Kuti kumvetsa zambiri za matenda, kawirikawiri anaika katswiri x-ray. Iwo limakupatsani molondola kwambiri kudziwa mlingo wa chiwonongeko olowa. Malinga ndi ntchito kafukufuku zokhudzana amapatsidwa, kulola kubwezeretsa acromioclavicular olowa.

chithandizo

miyeso achire amasankhidwa molingana ndi mlingo wa chiwonongeko olowa. Malinga ndi nkhani ya kunyalanyaza chithandizo mukhoza kuchita chikhalidwe anzawo kapena wofatsa. Mu gawo loyamba, kawirikawiri olowa ntchito kuchira amapezeka popanda NSAIDs, corticosteroids, ndi mankhwala ena ntchito kubisa ululu ndi kutupa. Kaya cha zovuta matenda, izo tikulimbikitsidwa kuti alandire moyo chondroprotectors ntchito. Mankhwalawa pang'onopang'ono koma bwino kwambiri kubwezeretsa olowa chichereŵechereŵe.

Zikavuta kwambiri, madokotala ayamba kugwiritsa ntchito mankhwala aukali. Makamaka, wothandizila steroidal, glucocorticoids (mankhwala "Diprospan" "Kenalog") amapatsidwa kuchepetsa ululu. Mankhwalawa amathandizanso kuthetsa edema. Mu zizindikiro lochepa amalangiza NSAID jekeseni. Kuikidwa ndi mankhwala monga "Voltaren", "Diclofenac" "Ibuprofen", "Ksefokam".