Phewa lamba: mankhwala zimfundo

Phewa lamba limapangidwa mfundo zisanu kuti kuphatikiza magulu awiri. Mu gawo loyamba la scapular-humeral olowa ndi pamalo awiri mating kuti Ng'ona ndi hyaline chichereŵechereŵe. olowa Izi ndi zofunika kwambiri. The chachiwiri zochita olowa subdeltoid mu gulu ili (saline), chomwe ndi chimodzi kali wina kutsetsereka. Iwo chikugwirizana umakaniko ndi olowa phewa, kupeza magalimoto ku masika.

Gulu lachiwiri tichipeza mfundo zitatu: scapular-grudnokletochny kapena scapular-thoracic, amene si anatomical ndi thupi. M'pofunikanso mu gulu, ngakhale kuti palibe kugwirizana makina m'mfundo sangathe kugwira ncthito. Kenako mmwamba ndi acromioclavicular limodzi ili kumapeto acromial wa clavicle lapansi. Chenicheni komanso sternal clavicular olowa lili kumapeto sternal wa clavicle lapansi.

Ndichachidziwikire kuti mafupa a lamba phewa angathe kuikidwa m'magulu pa malo angapo. Gulu loyamba adzaphatikizapo waukulu anatomic phewa limodzi komanso umakaniko kugwirizana subdeltoid kugwirizana olowa. Gulu lachiwiri zikuphatikizapo chachikulu thupi scapular thoracic olowa amene umakaniko zikugwirizana ndi awiri okhudzidwa anatomical olowa - sternal clavicular clavicular ndi acromion.

Thupi lofunika kwambiri mwa lamba phewa, ndi phewa olowa. Iwo ali mawonekedwe ozungulira ndi ndipamene mutu wa humerus ndi ndi glenoid padziko scapula lapansi. Olowa ali kuyenda mkulu, kulola flexion, atigwira, adduction, kutambasuka, zozungulira zoyenda ndi kasinthasintha wa mkono.

Phewa olowa wazunguliridwa ndi thumba amene amapita ku khosi humerus kumalire a tsamba patsekeke. Olowa kapisozi kumalimbitsa minofu ozungulira ndi Mitsemphayi akugwira olowa mu M'mimbamo kwathunthu humeral mutu. Padziko kutsogolo kwa olowa palibe minofu. Apa ndi pamene nthawi zambiri amapezeka dislocation la fupa mutu (humerus) ndi kapisozi wathyoka.

Zotsatirazi ndi matenda ambiri amene amakhudza phewa lamba. Izi phewa kuchepetsa olowa matenda, wosakhazikika mutu fupa (humerus), phewa stiffness, madipoziti laimu, kuwonongeka lolingana kasinthasintha wa minofu khafu phewa, arthrosis.

Phewa olowa: Chithandizo

M'zaka zaposachedwapa, matenda a phewa mankhwala olowa mtima kwambiri. Ntchito luso latsopano ntchito endoscopy izo popanda kutsegula malo. Njira opaleshoni waikanso kusintha kwakukulu mu chitukuko cha zida zamakono.

Mwakhama ntchito arthroscopic njira ndi umene umathandiza mankhwalawa olowa phewa. Chifukwa woonda owala arthroscopy mokwanira kufufuza mkati olowa m'dera ndi kuchitira ululu mapewa, phewa Kusakhazikika, malire kuyenda, kuthetsa miyala ya conglomerates anajambulapo akuswa khafu (rotator khafu) limagwirira osiyana.

Pambuyo alowererepo pa (arthroscopic) ululu kukhala zonyozeka. Mukhoza kuyamba kale kwambiri ndi kusuntha kulemera pa olowa. Komanso, pafupifupi wosaoneka matabwa. mwayi komanso lagona pa khalidwe la ambiri ntchito outpatient kapena lalifupi Kupeza m'chipatala. Arthroscopic njira ya chithandizo cha mfundo za m'mapewa amafuna kupezeka kwa dokotala kwambiri oyenerera ndi zambiri komanso kugwiritsa ntchito zipangizo zoyenerera ndi zipangizo zachipatala.

phewa olowa chithandizo zokolola ndi ntchito njira otchuka yopanga vinyo wosasa compresses, akusisita m'dera zilonda za infusions wa tsabola burdock muzu ndi maluwa Lilac. Pambuyo ndondomeko, mapewa insulated, tieing mpango. Komabe, ayenera kumvetsa kuti mankhwala oopsa matenda m'njira sizingatheke.