I-Scapulohumeral Periarthritis

I-Scapulohumeral periarthritis, ukuba ayiphathwa kwangexesha nangempumelelo, iyakwenza okokubangela umsebenzi odibeneyo wamagxa kunye noluhlu lwentshukumo.Kunokubakho ukuthamba okukhulu kwijoyinti yegxalaba, kwaye inokukhanya entanyeni nasengqinibeni.Kwiimeko ezinzima, kunokubakho i-deltoid muscle atrophy yeedigri ezahlukeneyo.

Ziziphi iimpawu ze-Scapulohumeral Periarthritis?

Ikhosi yesi sifo inde.Ekuqaleni, kukho intlungu ye-paroxysmal ehlombe, kwaye intlungu eninzi ingapheliyo.Kamva, intlungu iyancipha ngokuthe ngcembe kwaye idla ngokuzingisa, intlungu inokusasazeka entanyeni nakwimilenze ephezulu (ingakumbi i-elbow).Iintlungu zamagxa zincinci emini kwaye zinzima ebusuku, kwaye zivakalelwa kukutshintsha kwemozulu (ingakumbi kubanda).Emva kokunyuka kwesi sifo, uluhlu lwamagxa egxalabeni lokuhamba kuzo zonke iindlela luya kunqunyulwa.Ngenxa yoko, i-ADL yezigulane iya kuchaphazeleka, kwaye imisebenzi yabo ye-elbow joint iya kulinganiselwa kwiimeko ezinzima.

Umjikelo we-Scapulohumeral Periarthritis

1. Ixesha leentlungu (ezihlala iinyanga ezi-2-9)

Eyona nto ibonakalayo yintlungu, enokuthi ibandakanye igxalaba, ingalo ephezulu, i-elbow kunye ne-forearm.Intlungu iyancipha ngexesha lomsebenzi kwaye ichaphazela ubuthongo.

2. Ixesha elinzima (elihlala iinyanga ezi-4-12)

Ubukhulu becala ukuqina okudibeneyo, izigulane azikwazi ukwenza uluhlu olupheleleyo lokunyakaza nangona uncedo lwesinye isandla.

3. Ixesha lokubuyisela (lihlala iinyanga ezi-5-26)

Ubuhlungu kunye nokuqina kancinci kancinci, yonke inkqubo yesifo ukusuka ekuqaleni ukuya ekubuyiseni malunga neenyanga ezili-12-42.

I-Periarthritis ye-Scapulohumeral Ngaba uyaziphilisa

I-Scapulohumeral periarthritis iyaziphilisa,abantu abaninzi banokuphuculwa ngemisebenzi yemihla ngemihla xa iimpawu zincinci.Nangona kunjalo, ixesha lokubuyiselwa kwendalo alinakuqikelelwa, kwaye ngokuqhelekileyo kuthatha iinyanga ukuya kwiminyaka emi-2.Inani elincinane labantu abangasebenzisiyo ngenxa yokoyika intlungu baya kuba nokubambelela kwendawo, okubangela ukuba kubekho uluhlu olulinganiselweyo lwamagxa okuhamba.

Ngoko ke, izigulana ziyakwazi ukuzenzela umzimba kunye nomsebenzi wokuzilolonga ukuze zolule izihlunu kunye namalungu, ngaloo ndlela ziphelise ukunyanzeliswa kwemisipha yendawo kunye ne-spasm, kunye nokukhuthaza ukujikeleza kwegazi.Ngale ndlela, izigulana zinokunyusa ukuqina kwemisipha kunye nemigqa ejikeleze igxalaba, ukuthintela ukunamathela, kunye nokufezekisa injongo yokuphelisa intlungu kunye nokugcina umsebenzi odibeneyo wamagxa.

Ukungaqondi kakuhle kweScapulohumeral Periarthritis

Ukungaqondi kakuhle 1: ukuthembela kakhulu kwiipilisi zentlungu.

Ubalo lwafumanisa ukuba uninzi lwabantu ebebenodliwano-ndlebe nabo baye bafumana iintlungu ezibukhali zamagxa bakhetha ukusebenzisa iziyobisi zokuthomalalisa iintlungu kunye nonyango.Nangona kunjalo, i-painkillers inokukhulula okwexeshana okanye ukulawula intlungu kwindawo, kwaye izizathu zentlungu azikwazi ukunyangwa ngokufanelekileyo.Kunoko, kuya kubangela intlungu engapheliyo.

Ukungaqondi kakuhle 2: ukwala ukusebenzisa amayeza okudambisa iintlungu ngenxa yokoyika iziphumo ebezingalindelekanga.

Abanye abantu bayala ukusebenzisa i-painkillers ngenxa yokoyika iziphumo ezibi emva kokuguqulwa okanye i-arthroscopy.Ukuthatha i-analgesics kunokunciphisa intlungu emva kokonyango, okulungileyo ekusebenzeni okusebenzayo kunye nokukhuthazwa kokubuyisela.

Ukongezelela, uphando olutshanje luye lwafumanisa ukuba ezinye ii-analgesics zinokuthintela ukuphindaphinda ukunamathela.Ngoko ke, emva kokuphathwa kakubi okanye unyango lwe-arthroscopic, kuyimfuneko ukusebenzisa i-analgesics ngokufanelekileyo.

Ukungaqondi 3: i-scapulohumeral periarthritis ayifuni unyango, kuya kuba ngcono ngokwemvelo.

Ngapha koko, i-scapulohumeral periarthritis inokubangela iintlungu zamagxa kunye nokungasebenzi kakuhle.Ukuziphilisa ngokuyintloko kubhekiselele ekupheliseni iintlungu zamagxa.Kodwa kwiimeko ezininzi, ukungasebenzi kakuhle kuhleli.

Ngenxa yembuyekezo yomsebenzi we-scapula, izigulane ezininzi aziziva umda wokusebenza.Injongo yonyango kukunciphisa ixesha lesifo, ukwandisa ukubuyiswa komsebenzi odibeneyo wamagxa, kunye nokuphucula umgangatho wobomi bezigulane.

Ukungaqondi kakuhle 4: yonke i-scapulohumeral periarthritis inokuphinda ihlaziywe ngokuzilolonga

Iimpawu eziphambili ziintlungu zegxalaba kunye nokungasebenzi kakuhle, kodwa ayizizo zonke i-scapulohumeral periarthritis ezinokubuyiselwa ngokuzilolonga.

Iimeko ezinzima apho ukubambelela kwamagxa kunye neentlungu zinzima, ukuguqulwa kuyimfuneko ekubuyiseleni imisebenzi yamagxa.Ukuzivocavoca okusebenzayo kuphela yindlela ebalulekileyo yokugcina umsebenzi emva kokuguqulwa.

Ukungaqondi kakuhle i-5: Ukukhwabanisa kuya kugxininisa izicubu eziqhelekileyo.

Enyanisweni, ukukhwabanisa kujoliswe kwezona zihlunu zibuthathaka ezijikeleze igxalaba.Ngokomgaqo we-mechanics, inxalenye ebuthathaka kakhulu iqhekeza kuqala phantsi kwamandla afanayo okuzolula.Xa kuthelekiswa nezicubu eziqhelekileyo, izicubu ezincamathelayo zibuthathaka kakhulu kuzo zonke iinkalo.Ngethuba nje ukuguqulwa kungaphakathi kwendawo yemisebenzi ye-physiological, idibanisa izicubu ezinamathele.

Ngokusetyenziswa kweendlela ze-anesthesia, emva kokuba i-muscle yegxalaba yesigulane ikhululekile, ukukhwabanisa akudingi mzamo omkhulu, kwaye ukhuseleko kunye nomphumo wonyango uphuculwe kakhulu.Akuyomfuneko ukuba ube nexhala malunga nokuguqulwa ngaphakathi koluhlu oluqhelekileyo lwe-physiological, kuba igxalaba lisetyenziselwa ukuhamba kolu luhlu.