I-adhesive capsulitis: yintoni, iimpawu, izizathu kunye nonyango

Umxholo

• Iimpawu
• Oonobangela
• Unyango

I-Adhesive capsulitis, ekwabizwa ngokuba 'ligxalaba elinomkhenkce', yimeko apho umntu unesithintelo esibalulekileyo ekuhambeni kwamagxa, esenza ukuba kube nzima ukubeka ingalo ngaphezulu kokuphakama kwamagxa. Olu tshintsho lunokwenzeka emva kwexesha elide lokungahambi egxalabeni. Le meko ichaphazela igxalaba elinye kuphela kwaye ixhaphake kakhulu kubafazi.

Esi sifo sinokufunyanwa ngokwamanqanaba ahlukeneyo anokuthi:

• Isigaba sokumisa: iintlungu zamagxa ngokuthe ngcembe zonyusa ukuphumla, kunye nobukho beentlungu ezibi kakhulu kwimida yokuhamba. Eli nqanaba lithatha iinyanga ezi-2-9;
• Isigaba esincamathelayo: iintlungu ziqala ukwehla, kwaye zibonakala kuphela ngokuhamba, kodwa iintshukumo zonke iintshukumo zilinganiselwe, kunye nembuyekezo nge-scapula. Eli nqanaba lihlala iinyanga ezi-4-12.
• Inqanaba lokuncipha: ibonakaliswa luphuculo oluqhubela phambili kuluhlu lwamagxa okushukuma, ukungabikho kwentlungu kunye ne-synovitis, kodwa ngokubaluleka kwezithintelo zecapsule. Eli nqanaba lithatha iinyanga ezili-12-42.

Ukongeza, isithuba esiphakathi kwe-glenoid kunye ne-humerus, kunye nendawo phakathi kwe-biceps kunye ne-humerus ziyancitshiswa kakhulu, ezithintela intshukumo epheleleyo yamagxa. Lonke olu tshintsho lunokubonwa kuvavanyo lomfanekiso, njengee-x-reyi kwizikhundla ezahlukeneyo, i-ultrasound kunye ne-arthrography yamagxa, ecelwe ngugqirha.

Iimpawu

Iimpawu zibandakanya iintlungu egxalabeni kunye nobunzima bokuphakamisa iingalo, ndinoluvo lokuba igxalaba linamathele, 'liqabile'.

Uvavanyo olunokunceda ekuchongeni esi sifo zezi: X-ray, i-ultrasound kunye ne-arthrography, eyona nto ibaluleke kakhulu kuba ibonisa ukuncipha kwe-synovial fluid ngaphakathi kwendibaniselwano kunye nokuncitshiswa kwezithuba ngaphakathi kwendibaniselwano uqobo.

Ukuxilongwa kungathatha iinyanga ezimbalwa ukufikelela kuyo, kuba ekuqaleni umntu unokuba nentlungu egxalabeni kunye nokusikelwa umda kwiintshukumo, ezinokubonisa ukudumba okulula, umzekelo.

Oonobangela

Unobangela wegxalaba elinomkhenkce alaziwa, elenza ukuba kube nzima ukuxilongwa kunye nokhetho kunyango. Kukholelwa ukuba ukuqina kwegxalaba kungenxa yenkqubo yokubambelela kwimicu ngaphakathi kwendibaniselwano, enokuthi yenzeke emva koxinzelelo egxalabeni okanye ekuhambeni kwemoto ixesha elide.

Abantu abanobunzima bokujongana noxinzelelo kunye noxinzelelo lwemihla ngemihla banokunyamezelana kancinci kwintlungu kwaye kunokwenzeka ukuba bakhulise igxalaba elinqabileyo ngenxa yezizathu zeemvakalelo.

Ezinye izifo ezinokuthi zinxulunyaniswe kwaye zibonakale zonyusa amathuba okuncamathelisa i-capsulitis sisifo seswekile, isifo se-thyroid, utshintsho olwenzakalayo kumqolo wesibeleko, izifo ze-neurological, ngenxa yokusebenzisa amayeza, anjenge-phenobarbital ukulawula ukuxhuzula, isifo sephepha kunye ne-myocardial ischemia.

Unyango

Unyango luhlala lusenziwa kusetyenziswa iipilisi zentlungu, ii-anti-inflammatories kunye ne-corticosteroids, ukongeza kwiiseshoni ze-physiotherapy zokunyusa ukunyakaza kwamagxa, kodwa kukho iimeko apho i-adhesive capsulitis inonyango olukhawulezileyo, kunye nokuphucuka okuqhubekayo kweempawu, ngaphandle kokwenza naluphi na uhlobo lonyango. unyango, kwaye ke akusoloko kuvunyelwana ngendlela efanelekileyo yesigaba ngasinye.

I-block ye-nerve ye-suprascapular ngokungena kwe-anesthetic yendawo kunye nokuphathwa kwegxalaba phantsi kwe-anesthesia ngokubanzi kunokucetyiswa.

I-Physiotherapy ihlala ibonakalisiwe kwaye ineziphumo ezilungileyo, ukuzilolonga kunye nokwenza umthambo kuyacetyiswa, ukongeza koxinzelelo olushushu olunceda ukukhulula iintshukumo kancinci kancinci. Funda ngakumbi malunga nonyango lwe-capsulitis yokuncamathela apha.