Intlungu yamagxa

Intlungu yamagxa nayiphi na intlungu okanye ijikeleze ukudibana kwegxalaba.

Igxalaba lelona lidibeneyo lihambayo emzimbeni womntu. Iqela lezihlunu ezine kunye neetoni zazo, ezibizwa ngokuba yiruff cuff, zinika igxalaba uluhlu lwayo lokuhamba.

Ukudumba, ukonakala, okanye utshintsho lwethambo olujikeleze ingqosha yeerotator kunokubangela iintlungu. Unokuba nentlungu xa uphakamisa ingalo ngaphezu kwentloko yakho okanye uyiqhubela phambili okanye emva komqolo.

Esona sizathu siqhelekileyo sentlungu yegxalaba senzeka xa iirotter cuff tendons zibanjiswa phantsi kwendawo enamathambo egxalabeni. Imisipha iyavutha okanye yonakaliswe. Le meko ibizwa ngokuba yi-rotator cuff tendinitis okanye i-bursitis.

Intlungu yehlombe nayo inokubangelwa:

• Isifo samathambo esidibeneyo
• Amathambo akhupha kwindawo egxalabeni
• I-Bursitis, kukudumba kwengxowa egcwele ulwelo (bursa) ekhusela ngesiqhelo indibaniselwano kwaye iyanceda ukuba ihambe kakuhle
• Ithambo legxalaba elaphukileyo
• Ukususwa kwegxalaba
• Ukwahlukana kwamagxa
• Igxalaba elomileyo, elenzeka xa izihlunu, imisipha, kunye nemisipha ngaphakathi kwegxalaba ziba lukhuni, zisenza intshukumo ibenzima kwaye ibuhlungu
• Ukusetyenziswa gwenxa okanye ukwenzakala kweethoni ezikufuphi, ezinje ngezihlunu ze-bicep zeengalo
• Iinyembezi zomtya ojikelezayo
• Ukuma kakubi kwamagxa kunye noomatshini

Ngamanye amaxesha, iintlungu zamagxa zinokubangelwa yingxaki kwenye indawo yomzimba, njengentamo okanye imiphunga. Oku kubizwa ngokuba yintlungu ekubhekiswa kuyo. Kukho iintlungu zokuphumla kwaye akukho kubola kweentlungu xa ususa igxalaba.

Nazi ezinye iingcebiso zokunceda iintlungu zamagxa ukuba zibengcono:

• Beka umkhenkce egxalabeni kangangemizuzu eli-15, emva koko uwushiye kangangemizuzu eli-15. Yenza oku amaxesha ama-3 ukuya kwayi-4 ngosuku kangangeentsuku ezi-2 ukuya kwezi-3. Songela umkhenkce ngelaphu. Musa ukubeka umkhenkce ngqo eluswini kuba oku kunokubangela iqabaka.
• Phumla igxalaba lakho kwezi ntsuku zimbalwa zizayo.
• Cotha ukubuyela kwimisebenzi yakho yesiqhelo. Umgqirha unokukunceda wenze oku ngokukhuselekileyo.
• Ukuthatha ibuprofen okanye i-acetaminophen (njengeTylenol) kunokunceda ukunciphisa ukudumba kunye nentlungu.

Iingxaki zekhafu yerotator zinokunyangwa nasekhaya.

• Ukuba ukhe wanentlungu egxalabeni ngaphambili, sebenzisa i-ice kunye ne-ibuprofen emva kokuzilolonga.
• Funda ukuzilolonga ukolula kwaye uqinise imisipha yekhafu yakho yokujikeleza kunye nezihlunu zamagxa. Ugqirha okanye ingcali yonyango ingacebisa imithambo enjalo.
• Ukuba uyachacha kwi-tendinitis, qhubeka nokwenza imithambo-yokunyusa umzimba ukuthintela igxalaba elinomkhenkce.
• Ziqhelanise nokuma kakuhle ukugcina izihlunu zakho zamagxa kunye neetoni zikwisikhundla esifanelekileyo.

Intlungu ekhawulezileyo egxalabeni ngamanye amaxesha inokuba luphawu lokuhlaselwa sisifo sentliziyo. Tsalela umnxeba ku-911 ukuba unoxinzelelo ngesiquphe okanye utyumze iintlungu egxalabeni lakho, ngakumbi ukuba iintlungu zibaleka ukusuka esifubeni ukuya emhlathini osekhohlo, ingalo okanye intamo, okanye kwenzeka ngokuphefumla okufutshane, isiyezi, okanye ukubila.

Yiya kwigumbi likaxakeka esibhedlele ukuba ukhe wenzakala kakhulu kwaye igxalaba lakho libuhlungu kakhulu, lidumbile, lityumkile, okanye wopha.

Shayela umboneleli wakho wezempilo ukuba unayo:

• Intlungu yamagxa enomkhuhlane, ukudumba, okanye ubomvu
• Iingxaki zokuhambisa igxalaba
• Ubuhlungu ngaphezulu kweeveki ezi-2 ukuya kwezi-4, kwanasemva konyango lwasekhaya
• Ukudumba kwegxalaba
• Umbala obomvu okanye oluhlaza okwesibhakabhaka kulusu lwamagxa

Umboneleli wakho uya kwenza uvavanyo lomzimba kwaye ujonge egxalabeni lakho. Uya kubuzwa imibuzo ukunceda umboneleli aqonde ingxaki yakho yegxalaba.

Uvavanyo lwegazi okanye lwe-imaging, olufana ne-x-reyi okanye i-MRI, inokuyalelwa ukunceda ukufumanisa ingxaki.

Umboneleli wakho unokucebisa unyango lwentlungu, kubandakanya:

• Izidakamizwa ezichasayo ezichasayo (i-NSAID)
• Inaliti yeyeza elichasayo elibizwa ngokuba yi-corticosteroid
• Ulungiso lwenyama
• Ugqirha ukuba zonke ezinye iindlela zonyango azisebenzi

Ukuba unengxaki yokujikeleza ikhafu, umboneleli wakho uya kuphakamisa amanyathelo okuzinyamekela kunye nokuzilolonga.

Intlungu - igxalaba

• Ukuziqhelanisa nekhafu yerotator
• Ikhomishini yerotator - ukuzikhathalela
• Ukutshintshwa kwamagxa - ukukhutshwa
• Utyando lwamagxa - ukukhutshwa
• Sebenzisa igxalaba lakho emva kotyando olwenziwe ngokutsha
• Sebenzisa igxalaba lakho emva kotyando

• Impingement syndrome
• Imisipha yekhafu yerotator
• Iimpawu zokuhlaselwa yintliziyo
• Bursitis egxalabeni
• Ukwahlulwa kwamagxa - uthotho

UGill TJ. Ukuxilongwa kwamagxa kunye nokwenza izigqibo. Ku: Miller MD, Thompson SR, ii-eds. UDeLee, uDrez, kunye neMiller's Orthopedic Sports Medicine: Imigaqo kunye nokuziqhelanisa. Umhla we-5. IPhiladelphia, PA: Elsevier; 2020: isahluko 37.

UMartin SD, Upadhyaya S, Thornhill TS. Intlungu yamagxa. Ku: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, ii-eds. Incwadi kaKelly noFirestein yeRheumatology. Ngomhla we-10. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 46.