Iintlungu ezi-Scapular: 9 engunobangela ophambili kunye nokwenza

Umxholo

• 1. Ukwenzakala kwezihlunu
• 2. IBursitis
• 3. I-scapula enamaphiko
• 4. I-Fibromyalgia
• 5. Ukucinezelwa kwemithambo-luvo
• 6. Ukuqhekeka kwescapular
• 7. Isifo sikaGorham
• 8. Crackling scapular syndrome
• 9. Iingxaki zesibindi kunye nenyongo
• Uya nini kwagqirha

I-scapula, ekwabizwa ngokuba yi-scapula, ithambo elisicaba, elingunxantathu, elikwindawo ephezulu yomqolo, enomsebenzi wokuzinzisa kunye nokunceda ukuhamba kwamagxa. Ukuchazwa kwescapula kunye negxalaba kuvumela ukuhlanganiswa kweengalo kwaye kudityaniswe neseti yezihlunu kunye nemisipha, ebizwa ngokuba ngumjikelo wokujikeleza.

Kukho utshintsho kunye nezifo ezithile ezinokuthi zivele kummandla we-scapula kwaye zibangele iintlungu, ezinje ngomonakalo wemisipha, i-fibromyalgia, i-scapula enamaphiko kunye ne-bursitis. Izizathu zolu tshintsho kunye nezifo azihlali zaziwa, kodwa zinokunxulunyaniswa nokuma okungachanekanga, ukomelela okugqithisileyo kunye nobunzima ezingalweni, kunye nokwenzakala nokwaphuka.

Olunye utshintsho kunye nezifo ezinokubangela iintlungu kwi-scapula zezi:

1. Ukwenzakala kwezihlunu

I-scapula inceda ukuhamba kwegxalaba ngezihlunu ezibekwe ngasemva, njengesihlunu se-rhomboid. Esi sihlunu sibekwe phakathi kwe-vertebrae yokugqibela yomqolo kunye nemiphetho ye-scapulae, ke ngoko, umgudu ogqithisileyo womzimba okanye ukuhamba ngesiquphe ngeengalo kunokukhokelela ekuzoluleni okanye ukolula umsipha, kubangele iintlungu kwingingqi ye-scapular.

Ngamanye amaxesha, ukonzakala kwimisipha ye-rhomboid kunokubangela ukunciphisa amandla ezingalweni kunye nentlungu xa ususa igxalaba, kwaye ezi mpawu zihlala zinyamalala ngokuhamba kwexesha njengoko umzimba uchacha.

Kwenziwe ntoni: ukwenzakala okuphakathi, ukuphumla kunye nokufaka ingqele ebandayo kuloo ndawo kwanele ukunciphisa iintlungu, kodwa ukuba emva kweeyure ezingama-48 iintlungu ziyaqhubeka, unokufaka i-compress efudumeleyo kunye neoyile yokuthintela ukudumba. Nangona kunjalo, ukuba iimpawu ziya zisiba mbi okanye zihlala ngaphezulu kweentsuku ezisi-7, kuyacetyiswa ukuba ubonane nogqirha wamathambo onokuthi ucebise ngokusetyenziswa kwamachiza okuthomalalisa nokudumba kunye nokuthomalalisa iintlungu.

2. IBursitis

Kwingingqi yescapula kukho iipokotho zolwelo ezisebenza ukukhusela ifuthe lokuhamba kwengalo, okubizwa ngokuba yi-bursae. Xa i-bursae idumbile ibangela isifo esibizwa ngokuba yi-bursitis kwaye sibangele iintlungu eziqatha, ngakumbi kwiintsuku ezibandayo naxa uhambisa ingalo. Oku kudumba kunokuchaphazela nendawo egxalabeni kwaye kubangele iintlungu kwiscapula. Bona ngakumbi malunga ne-bursitis egxalabeni kunye neempawu eziphambili.

Kwenziwe ntoni: Ukuphelisa iintlungu ezibangelwa yi-bursitis, umkhenkce ungafakwa kwisiza kangangemizuzu engama-20, amaxesha ama-2 ukuya kwezi-3 ngosuku. Ugqirha wamathambo unokucebisa kwakhona iipilisi zentlungu, iziyobisi ezichasayo kunye ne-corticosteroids ukuphucula iintlungu kunye nokunciphisa ukudumba.

Ukongeza, kubalulekile ukuba ungenzi mzamo ngengalo, kwicala apho iintlungu zinzima khona, kwaye kufuneka wenze umthambo we-physiotherapy ukomeleza izihlunu zommandla kunye nokunceda ukunciphisa ukudumba kwendawo.

3. I-scapula enamaphiko

I-scapula enamaphiko, ekwabizwa ngokuba yi-scapular dyskinesia, yenzeka xa ukubekwa kunye nokuhamba kwescapula kwenzeka ngokungachanekanga, kunike imvakalelo yokungabikho ndawo, kubangele iintlungu kunye nokuphazamiseka kummandla wamagxa. I-scapula enamaphiko inokwenzeka nakweliphi icala lomzimba, nangona kunjalo, ixhaphake kakhulu kwicala lasekunene kwaye inokubangelwa yi-arthrosis, ukuqhekeka okungadityaniswanga kwe-clavicle, ukukhubazeka kunye notshintsho kwimithambo yesifuba kunye ne-kyphosis.

Ukuxilongwa kwenziwa ngugqirha wamathambo ngovavanyo lomzimba, kwaye i-electromyography inokucelwa ukuba ihlalutye ukusebenza kwezihlunu kwingingqi ye-scapular. Jonga ngakumbi malunga nendlela olwenziwa ngayo uvavanyo lwe-electromyography kunye nokuba yenzelwe ntoni.

Kwenziwe ntoni: emva kokuqinisekisa ukuxilongwa, ugqirha wamazinyo unokucebisa amayeza okuphelisa iintlungu, nangona kunjalo, kwiimeko ezininzi, utyando ukulungisa imithambo-luvo ngasemva kwesifuba kuyacetyiswa.

4. I-Fibromyalgia

I-Fibromyalgia sesinye sezifo ze-rheumatological, olona phawu luxhaphakileyo kwiintlungu ezahlukeneyo zomzimba, kubandakanya ne-scapula. Rhoqo, abantu abanengxaki ye-fibromyalgia banokufumana ukudinwa, ukuqina kwemisipha, ukubetheka ezandleni zabo kwaye banokuphucula ukudakumba kunye nokuphazamiseka kokulala, oko kukhokelela ekwandeni komgangatho wobomi.

Xa iimpawu zibonakala, kubalulekile ukuba uqhagamshelane ne-rheumatologist eya kwenza ukuxilongwa kwimbali yentlungu, oko kukuthi, indawo kunye nobude beentlungu ziya kuvavanywa. Nangona kunjalo, i-rheumatologist inokuyalela ezinye iimvavanyo, ezinje ngemagneti yokujonga amandla okanye i-electroneuromyography, ukulawula ezinye izifo.

Kwenziwe ntoni: I-fibromyalgia sisifo esinganyangekiyo kwaye asinyangi, kwaye unyango lusekwe kwintlungu. I-rheumatologist inokuyalela amayeza anje ngokuthomalalisa izihlunu, njenge-cyclobenzaprine kunye ne-tricyclic antidepressants, njenge-amitriptyline. I-TENS kunye neendlela ze-ultrasound ezisetyenziswe kwi-physiotherapy nazo zinokunceda ukulawula iintlungu ezibangelwa yi-fibromyalgia. Fumana okunye malunga nendlela i-fibromyalgia iphathwa ngayo.

5. Ukucinezelwa kwemithambo-luvo

I-nerve ephezulu kakhulu ibekwe kwi-brachial plexus, eseti yemithambo-luvo ejongene nokuhamba kwegxalaba nengalo, kwaye inokutshintsha kwaye ibangele iintlungu ezinzima kwiscapula.

Ukucinezelwa kwale luvo lutshintsho olubangelwa ikakhulu kukudumba okanye ukwenzakala, okunokwenzeka kwiingozi okanye kwimidlalo yezemidlalo enyanzela igxalaba kakhulu. Nangona kunjalo, uxinzelelo lwe-nerve ye-suprascapular nayo inokunxulunyaniswa nokuphuka kwekhafu, eyaziwa ngokuba yi-rotator cuff syndrome. Bona ngakumbi malunga nokuba yintoni i-rotator cuff syndrome kunye nendlela yokuyinyanga.

Intlungu ebangelwe kukuxinana kwemithambo-luvo, inokuba mandundu ebusuku kunye neentsuku ezibandayo kwaye xa inxulunyaniswa nezinye iimpawu ezinjengokudinwa kunye nobuthathaka bemisipha kuyimfuneko ukubonana nogqirha wamathambo, oya kuthi abonise iimviwo ezifana ne-X-ray kunye MRI ukuqinisekisa ukuxilongwa.

Kwenziwe ntoni: Kwiimeko ezinzima, unyango lusekwe ekusetyenzisweni kwe-anti-inflammatories kunye ne-analgesics, ukunciphisa ukudumba kunye nokuphelisa iintlungu, kunye nokwenza unyango lomzimba. Kwiimeko ezihambele phambili, ugqirha wamazinyo unokubonisa utyando ukuze anciphise uxinzelelo lwethambo.

6. Ukuqhekeka kwescapular

Ukuqhekeka kwescapsular kunqabile, kuba amathambo amelana nokunyakaza okukhulu, nangona kunjalo, xa kusenzeka, kunokubangela iintlungu. Olu hlobo lokophuka lwenzeka, ubukhulu becala, xa umntu esiwa kwaye ebetha egxalabeni kwaye, rhoqo, iintlungu zivela kwithuba elithile emva kwesihlo.

Emva kwengozi okanye ukuwa okuye kwabangela umothuko kwingingqi ye-scapular, kuyafuneka ukuba ufune uncedo kugqirha wamathambo oya kuthi acele iimviwo ezinje nge-X-ray ukujonga ukuba unokwaphuka na, ukuba kukhona, ugqirha uza kuhlalutya ubungakanani koku kwaphuka.

Kwenziwe ntoni: Uninzi lwee-scapular fractures luyanyangwa kusetyenziswa amayeza ukuthomalalisa iintlungu, i-physiotherapy kunye ne-immobilization nge-sling kunye ne-splint, nangona kunjalo, kwiimeko ezinzima kakhulu, kunokucetyiswa utyando.

7. Isifo sikaGorham

Isifo sikaGorham sisifo esinqabileyo ngaphandle kwesizathu, esenza ukuba amathambo aphulukane nawo, abangele iintlungu kwingingqi ye-scapular. Intlungu ebangelwa sisifo iqala ngesiquphe, ivele ngesiquphe, kwaye umntu abe nobunzima bokuhambisa igxalaba. Ukuchongwa kwesifo kwenziwa ngugqirha wamathambo, kusetyenziswa ikhompyuter ye-tomography kunye nemifanekiso yokujonga ngemagneti.

Kwenziwe ntoni: Unyango luchazwa ngugqirha wamathambo, kuxhomekeka kwindawo esi sifo kunye neempawu ezinikwe ngumntu, kunye namayeza okunceda ukubuyisela ithambo, njenge-bisphosphonates, kunye noqhaqho.

8. Crackling scapular syndrome

Ukuqhekeka kwesifo se-scapula kwenzeka xa, xa uhambisa ingalo kunye negxalaba, kuvakala ukuqaqamba kwescapula, kubangela iintlungu. Esi sifo sibangelwa ngumsebenzi ogqithisileyo womzimba kunye nentlungu egxalabeni, exhaphake kakhulu kubantu abadala abancinci.

Ukuchongwa kwesi sifo kwenziwa ngugqirha wamathambo ngokusekwe kwiimpawu ezinikezwe ngumntu kwaye kunokucetyiswa ukuba kuvavanywe ii-X-reyi okanye iikhompyuter ze-tomography, xa ugqirha ekrokrela ezinye izifo.

Kwenziwe ntoni:Unyango luquka ukusetyenziswa kwamayeza e-analgesic kunye ne-anti-inflammatory, ukunciphisa iintlungu kunye nokunciphisa ukudumba, i-physiotherapy ukomeleza izihlunu zescapular kunye ne-kinesitherapy. Ukuqonda ngcono ukuba yintoni i-kinesitherapy kwaye yeyiphi eyona mithambo iphambili.

9. Iingxaki zesibindi kunye nenyongo

Ukubonakala kwengxaki yenyongo kunye neengxaki zesibindi, ezinje ngamathumba, oko kukuthi ukuyilwa kobofu, ihepatitis kunye nomhlaza ziingxaki zempilo ezinokukhokelela ekubonakaleni kwentlungu kwiscapula, ngakumbi kwicala lasekunene. Olu phawu lunokuhamba neminye imiqondiso enjengombala omthubi wolusu namehlo, iintlungu zomqolo, nakwicala lasekunene, isicaphucaphu, umkhuhlane kunye norhudo.

Ezinye iimvavanyo zingabonakaliswa ngugqirha oqhelekileyo ukuba ukrokrela ukuba iintlungu zommandla wesplapular zibangelwa sisifo esithile esibindini okanye kwisinyongo, esinokuba yi-ultrasound, CT scan, MRI okanye iimvavanyo zegazi, umzekelo.

Kwenziwe ntoni: Nje ukuba iimpawu zibonakale kuyacetyiswa ukuba kubonwe ugqirha ngokubanzi ukuze kwenziwe uvavanyo ukuqinisekisa ukuba kukho ingxaki esibindini okanye kwinyongo kwaye emva koko, ugqirha unokucebisa olona nyango lufanelekileyo ngokwesifo esifunyenwe.

Uya nini kwagqirha

Intlungu ebuhlungu inokuba luphawu lwezinye izifo ezingahambelani nethambo, umsipha okanye inkqubo yeemvakalelo kwaye, kwezinye iimeko, inokubonisa izifo zentliziyo kunye nemiphunga, ezinje nge-myocardial infarction kunye ne-pulmonary aortic aneurysm. Ke ngoko, kubalulekile ukuba ufune unyango olungxamisekileyo xa ezinye iimpawu zivela, ezinje:

• Iintlungu ezibonisa esifubeni;
• Ukuphefumla okufutshane;
• Ukukhubazeka kwelinye icala lomzimba;
• Ukubila okugqithisileyo;
• Ukukhohlela igazi;
• IPallor;
• Ukunyuka kwentliziyo.

Ukongeza, olunye uphawu ekufuneka ulilumkele luphuhliso lomkhuhlane, othi, xa uvela, ubonakalise usulelo kwaye, kwezi meko, ezinye iimvavanyo zinokucetyiswa ukufumanisa unobangela wale mpawu.