Unyango lwe-adhesive capsulitis: amayeza, i-physiotherapy (kunye nabanye)

Umxholo

• 1. Amayeza
• 2. Umzimba wonyango
• 3. Isithinteli semithambo-luvo esingaqhelekanga
• 4.Ukuhanjiswa kwamanzi
• 5. Utyando

Unyango lwe-adhesive capsulitis, okanye igxalaba syndrome, lunokwenziwa nge-physiotherapy, ukuphelisa iintlungu kwaye kungathatha iinyanga ezili-8 ukuya kwezi-12 zonyango, kodwa kusenokwenzeka ukuba imeko iyancitshiswa malunga neminyaka emi-2 emva kokuqala Iimpawu., Nokuba alukho unyango.

Ugqirha unokucebisa ukuba kusetyenziswe ii-analgesics, anti-inflammatories, i-corticosteroids okanye ukungena kwe-steroid yokuphelisa iintlungu, kodwa i-physiotherapy ikwabonakalisiwe kwaye xa kungekho kuphucuka kwimeko, kungaboniswa utyando.

I-Adhesive capsulitis kukudumba kwegxalaba elidala iintlungu kunye nobunzima obukhulu ekuhambiseni ingalo, ngokungathi igxalaba linqabile. Ukuxilongwa kwenziwa ngugqirha emva kohlalutyo lweemvavanyo zokucinga, ezinje nge-X-ray, i-ultrasound kunye ne-arthrografi, ebalulekileyo ekuvavanyeni ukuhamba kwamagxa.

Unyango lunokwenziwa nge:

1. Amayeza

Ugqirha unokumisela iintlungu, ii-non-steroidal anti-inflammatory drugs kunye ne-corticosteroids ngohlobo lweepilisi zokuphelisa iintlungu, kwinqanaba lesifo. Ukungena ngaphakathi kweCorticosteroid ngokuthe ngqo kwindibaniselwano kukwayindlela yokuphelisa iintlungu, kwaye ngenxa yokuba iyenziwa, ngokomgangatho ophakathi, okanye rhoqo kwiinyanga ezi-4-6, kodwa akukho nalinye kula mayeza alibandakanyi isidingo sonyango lomzimba, oluyimfuneko.

2. Umzimba wonyango

I-Physiotherapy ihlala icetyiswa kuba iyanceda ukulwa iintlungu kwaye ibuyisele ukuhamba kwamagxa. Kwizixhobo ze-physiotherapy zokuthomalalisa iintlungu kunye noxinzelelo olushushu zinokusetyenziselwa ukuhambisa ukuhamba kweli manyano. Iindlela ezahlukeneyo ezinokusetyenziswa zinokusetyenziswa, ukongeza kwimithambo eyoluliweyo (ngaphakathi kwentlungu) kunye nokuzilolonga kwemisipha kamva kufuneka kwenziwe.

Ixesha lokubuyisela liyahluka ukusuka komnye umntu ukuya komnye, kodwa ihlala ihlala kwiinyanga ezimbalwa ukuya kunyaka-1, kunye nokuphucuka okuqhubekayo kweempawu. Nangona kunokubakho ukuphucuka okubonakalayo kuluhlu lokunyakaza ngengalo echaphazelekayo, kwiiseshoni zokuqala kunokwenzeka ukuba zingaphuhlisi iikhontrakthi zemisipha kwimisipha ye-trapezius enokubangela iintlungu ngakumbi kunye nokuphazamiseka.

Kukho iindlela ezithile ezinokunceda ukwaphula ukunamathela kunye nokukhuthaza ukuphakama, kodwa ayikhuthazwa into yokuba isiguli sizame ukunyanzela ukudibana kakhulu ukuhambisa ingalo, kuba oku kunokubangela ukwenzakala okuncinci, ukongeza ekuqaqambiseni iintlungu, ngaba ungazisi ntlungu. Ekhaya, kufuneka kwenziwe kuphela imithambo ekhuthazwa yingcali yomzimba, enokuthi ibandakanye ukusetyenziswa kwezixhobo ezincinci, ezinjengebhola, intonga (isiphatho somtshayelo) kunye neebhendi zelastiki (i-theraband).

Iingxowa zamanzi ashushu ziluncedo ukuzibeka ngaphambi kokwenza ukolula kuba ziyayekelela izihlunu kwaye ziququzelele ukolula kwezihlunu, kodwa iingxowa ezinomkhenkce otyunyuziweyo zibonisiwe ukuphela kweseshoni nganye kuba ziyanciphisa iintlungu. Olunye unweko olunokukunceda zezi:

Olu qeqesho kufuneka lwenziwe kathathu ukuya kwayi-5 ngosuku, luhlala ukusuka kwimizuzwana engama-30 ukuya kwimizuzu eli-1 inye, kodwa i-physiotherapist iya kuba nakho ukubonisa abanye ngokweemfuno zomntu ngamnye.

Jonga ezinye iindlela ezilula zokunceda ekuthomalaliseni iintlungu zamagxa: Kukuzilolonga ukuze ubuyise amagxa.

3. Isithinteli semithambo-luvo esingaqhelekanga

Ugqirha unokwenza ibhloko yesithintelo, eofisini okanye esibhedlele, esizisa isiqabu sentlungu, ukuba lukhetho xa amachiza engenampembelelo kwaye esenza ukuba unyango lomzimba lube nzima. Le luvo lunokuthintelwa, kuba inoxanduva lokubonelela nge-70% yeemvakalelo zamagxa, kwaye xa kuthintelwe kukho ukuphucuka okukhulu kwintlungu.

4.Ukuhanjiswa kwamanzi

Enye into enokuboniswa ngugqirha kukususwa kwegxalaba ngenaliti yomoya okanye ulwelo (i-saline + corticosteroid) phantsi kwe-anesthesia yendawo encedisa ukwandisa iphilisi edibeneyo yegxalaba, ekhuthaza ukukhululeka kwentlungu kunye nokwenza lula ukuhamba kwegxalaba

5. Utyando

Utyando lukhetho lokugqibela lonyango, xa kungekho zimpawu zokuphuculwa konyango olulondolozayo, olwenziwa ngamayeza kunye nonyango lomzimba. Ugqirha wamathambo unokwenza i-arthroscopy okanye ukuphelisa okuvaliweyo okunokubuyisa ukuhamba kwegxalaba. Emva kotyando umntu kufuneka abuyele kwi-physiotherapy ukukhawulezisa ukuphilisa kwaye aqhubeke nokuzolula umzimba ukuze achache ngokupheleleyo.