Acromioclavicular dislocation inonyanya kukuvadza kupfuura inoratidzika, kunyanya pakati pevatambi, uye inogona kumutsa mibvunzo yakawanda panguva yekudzorera. Chimwe chezvinonyanya kunetsa mushure mekurwadziwa nekukuvara uku kuziva kuti ndezvipi mafambiro kana maekisesaizi anogona kuita kuti zviwedzere. Uye kusarudzwa kwakashata mukugadzirisa maitiro kunogona kutungamirira kumigumisiro yakadai seyo kurwadziwa kusingaperi, kushanda ganhuriro kana kunyange kudiwa kuvhiya.
Muchikamu chino, tichaongorora zvakadzama maekisesaizi anofanirwa kudzivirirwa mushure meacromioclavicular dislocation. Tichatsanangura nhungamiro yekudzoreredza yakanakisa zvichienderana nerudzi rwekurapwa kwagamuchirwa (kunochengetedza kana kuvhiyiwa), uye tinopa mazano anoshanda, zvese zvichibva paumbowo hwesainzi uye ruzivo rwekiriniki.
Chii chinonzi acromioclavicular dislocation?
Acromioclavicular dislocation inoitika kana pane kuparadzaniswa kusina kujairika pakati pe clavicle uye acromion, iyo iri chikamu chepfudzi. Mubatanidzwa uyu une basa kiyi pakufamba kwepfudzi, kunyanya mumamovements akadai simudza ruoko rwako o takura uremu. Mukukuvadzwa kworudzi urwu, mitsipa inodzikamisa majoini yakakuvadzwa, zvichiita kuti majoini aparadzane kana kutama.
Uku kukuvara kwakajairika mumitambo yekuonana senge rugby, nhabvu, uye hockey, uye zvakare muzviitiko zvine njodzi yekudonha, senge bhasikoro kana martial arts. Sekureva kweRockwood classification, kune madhigirii matanhatu ekuomarara, aine mamakisi I uye II ari akapfava, IV kusvika VI akanyanya (achida kuvhiyiwa), uye giredhi III riri iro rinonyanya kukakavara maererano nekurapwa kwayo.
Mishonga inokwanisika: inochengetedza kana yekuvhiya
Conservative kurapwa Inowanzokurudzirwa kumagiredhi I uye II, uye muzviitiko zvakawanda zvakare yegiredhi III. Zvinosanganisira repose, kushandisa chipfuramabwe, kudzora marwadzo y kufambira mberi kwekuvandudza ne physiotherapy. Zvakanakira sarudzo iyi ndezvi:
- Nguva pfupi yekutanga kupora.
- Kusavapo kwekupindira kwekuvhiya.
- Zvakanaka zvinoshanda zvinoguma zvakazara.
Nekudaro, inewo zvimwe zvinokanganisa, senge a inonyanya kuoneka aesthetic defect kana mukana mukuru we kurwadziwa kwakasara, iyo inogona kusvika kusvika 20% mune zvimwe zvidzidzo.
Kune rumwe rutivi, kurapwa kwekuvhiya Inochengeterwa kubviswa kwakanyanyisa kana kuti murwere ane zvaanoda chaizvo, zvakadai sekuda basa rekuita muviri kana kuti zvinonyanya kukosha. Kuvhiya kunogona zviri nani kugadzirisa anatomy, asi inotakurawo njodzi dzakadai se ossification yemarunda, utachiona, mavanga anorwadza kana kudiwa kwe kupindira zvakare.
Ndeapi maitiro anokuvadza zvakanyanya mushure meacromioclavicular dislocation?
Munguva yekutanga kupora, kungave mushure mekuchengetedza kana kuvhiyiwa kurapwa, Pane mamwe mafambiro anofanira kudziviswa kudzivirira kukanganisa kugadzikana kwemajoini kana kunonoka kupora:
- Kutakura zvinorema zvakananga neruoko rwako rwakatambanudzwa: Ichi chinzvimbo chinoburitsa simba rekudhonza pamapfudzi rinogona kukurudzira kupatsanurwa pakati pe clavicle uye acromion.
- Kukwirira pamusoro pe90º pasina kutonga: Kufamba kwepamusoro kunowedzera kushushikana pajoinhi, kunyanya kana ikaitwa nehuremu kana kamwe kamwe.
- Vertical kudhonza maekisesaizi akadai sekudhonza-ups, dips, kana mitsetse yakakwira: Vanoisa kudiwa kwepamusoro pamusoro petrapezius uye vanogona kuwedzera kuparadzanisa kana kukonzera kurwadziwa.
- Horizontal presses (bench press, aggressive push-ups): Aya mafambiro anoisa mutoro wakakosha pane acromioclavicular tishu uye inofanirwa kudzivirirwa kusvika padanho repamusoro.
Kukanganisa kwakajairika panguva yekuvandudza
Imwe yezvikanganiso zvinowanzoitika ndeye tanga kusimbisa maitiro pasina scapula control. Iyo scapula inofanira kuva nekugadzikana kwakakwana kuitira kuti chero kufamba kwepfudzi kurege kuunza mari isingakoshi kana kukakavara.
Zvinowanzoitikawo overactivate repamusoro trapezius, iyo isingaenzanisi kushanda kwe scapular complex. Isu tinofanirwa kusimudzira iyo activation ye pasi trapezius and the serratus anterior.
Nhungamiro dzakananga maererano nerudzi rwekurapa
Mushure mekuchengetedza kurapwa
Muchiitiko ichi, maekisesaizi ekutanga anowanzounzwa kubva muvhiki yechipiri kana yechitatu, ne kusimbaradza kunofambira mberi kubva pasvondo rechitanhatu zvichienda mberi. Mazhinji maprotocol anobvumirana pakuchengetedza kudzorera kunoshanda kweanosvika mavhiki e12.
Maekisesaizi anokurudzirwa panguva dzekutanga:
- Isometric scapular retractions.
- Yakavharwa kinetic cheni maekisesaizi akadai sekuzunungusa kumashure pamakumbo mana.
- Isometric deltoid basa munzvimbo dzakasiyana.
- Cross adduction maekisesaizi ane postural control.
Mhando yebasa iri inobvumira kuti a kupora kwakachengeteka nepo mhasuru dzinodzikamisa dzichiitwazve pasina kukanganisa mubatanidzwa. Kuti udzidze zvakawanda nezve inorambidza maekisesaizi mukukuvara, unogona kuona chinyorwa pa Kurambidzwa kuita madhisiki herniated.
Mushure mekuvhiyiwa
Kana pakave nekugadziriswa kwekuvhiya, nzira yacho yakareba. Bendekete rinowanzoita immobilized pakati vhiki nhatu nenhanhatu. Kubva pavhiki rechitanhatu unogona kutanga kufamba-famba y soft assets, uye kusimbiswa kwakanyanya kunochengeterwa mavhiki 12-18. Kudzokera kumitambo yemitambo inogona kutora pakati 4 uye 6 mwedzi.
Panguva ino zvakakosha kutarisa kufambira mberi kuitira kuti usakuvadza kugadziriswa kwekuvhiya. Nyanzvi yekutevera inokurudzirwa, uye maekisesaizi anofanirwa kuenderana nezviratidzo uye zvinangwa zvega.
Kudzidzira kwakachengeteka pakati uye chikamu chepamusoro
Zvishoma nezvishoma, chinangwa chichava activate tsandanyama pasina kurasikirwa scapular control:
- Kukwiridzira ruoko mu scapular plane: Kutanga pamakumbo mana, ipapo kumira.
- Kutenderera kwekunze nekuramba: Inogona kutangwa munzvimbo yakagadzikana kuderedza mutoro wepamusoro trapezius.
- Mutsara wakapinzwa une barbell kana TRX: Ichi chiitiko chinovandudza kuenzana pakati peiyo posterior deltoid uye trapezius, kuchengetedza iyo acromioclavicular joint.
Zvakakosha kuti zviitwa izvi zviunzwe zvishoma nezvishoma, kukoshesa maitiro uye kudzivisa muripo. Kana iwe uchida kuziva zvakawanda pamusoro pezviitwa zvekudzivirira mune mamwe mamiriro, funga kuongorora gwara re kurambidzwa kuita maekisesaizi.
Nguva yekudzokera kumitambo?
Iyi nguva inoenderana nemhando yekurapa uye rudzi rwemutambo. Muvatambi vepamusoro, kunyanya mumitambo yekusangana kana avo vane zvinodiwa zvakanyanya, kurapwa kwekutanga kwekuchengetedza kunowanzo kusarudzwa kweinenge Mavhiki e12. Kana kurwadziwa kana kusagadzikana kuchienderera mberi, kuvhiyiwa kunofungidzirwa.
Mumitambo yekuvaraidza, kudzoka kunogona kuongororwa mushure 3-4 mwedzi kana pasina sequelae. Chero zvazvingava, Kudzoka nguva isati yakwana, iyo inogona kutungamirira kukudzoka, inofanira kudziviswa..
Zano kune varwere uye physiotherapists
Kana kuvhiyiwa kwasarudzwa kana kwete, dzidzo yevarwere inokosha. Mamwe matipi akakosha ekuchengeta mupfungwa:
- Dzivisa kutakura mitoro neruoko rwako rwakatambanudzwa mumavhiki mashoma ekutanga.
- Kufambira mberi nenzira yakangwarira uye inotungamirirwa.
- Remekedza mwero wekuporesa kwematishu.
- Dzora kushandiswa kwemasimba makuru (serratus, pasi trapezius, deltoids).
- Sarudza maekisesaizi akagadziridzwa uye asingarwadze.
Kune varapi vemuviri, chakakosha kugadzira mapuroteni akasarudzika anoremekedza biomechanics uye kudzivirira akaomesesa masisitimu. Chiitiko chekiriniki uye kuongororwa kwemurwere kunoenderera kunofanirwa kutarisa chikamu chimwe nechimwe chekupora, kupfuura mavhiki akasimba ezvirongwa.
Mukuwedzera, kuchengetedza kukurukurirana nguva dzose nemurwere inokubatsira kunzwisisa mafambiro ako uye inokurudzira kutevedzera kurapwa. Iwe unogona zvakare kuverenga zvakawanda nezve zvinorambidzwa maekisesaizi mu sciatica uye lumbago kuti uve nemaonero akazara.
An acromioclavicular dislocation, kunyanya giredhi III, haina imwe-saizi-inokodzera-yese mhinduro. Zvinoenderana nemamiriro ezvinhu, nzvimbo yebasa kana yemitambo, danho rekufamba, uye zvinodiwa nemurwere. Nekudaro, zvisinei nesarudzo yekurapa, Kudzivisa maitiro asina kukodzera, kuremekedza nguva dzekuporesa uye kutsigira kugadziriswa kwakanyatsorongwa ndicho chinhu chikuru chekudzoka kune zvakajairika pasina matambudziko.. Ruzivo, kudzivirira kudzoreredza, uye dzidzo yevarwere ichaita mutsauko mukupora kwavo kwenguva refu kwekushanda.
