I-Adhesive capsulitis: kuyini, izimpawu, izimbangela kanye nokwelashwa

-Delile

• Izimpawu
• Izimbangela
• Ukwelashwa

I-Adhesive capsulitis, eyaziwa nangokuthi 'ihlombe elifriziwe', yisimo lapho umuntu enomkhawulo obalulekile ekunyakazeni kwamahlombe, okwenza kube nzima ukubeka ingalo ngaphezu kobude behlombe. Lolu shintsho lungenzeka ngemuva kwezikhathi ezinde zokunganyakazi kwehlombe. Lesi simo sithinta ihlombe elilodwa kuphela futhi sivame kakhulu kwabesifazane.

Lesi sifo singatholakala ngezigaba ezahlukene, okungaba:

• Isigaba Sokuqandisa: ubuhlungu behlombe bukhuphuka kancane kancane ekuphumuleni, lapho kukhona khona ubuhlungu obukhulu emikhawulweni eyeqile yokuhamba. Lesi sigaba sithatha izinyanga ezi-2-9;
• Isigaba sokunamathela: ubuhlungu buqala ukuncipha, futhi buvele ngokuhamba kuphela, kepha ukunyakaza konke ukunyakaza kunqunyelwe, ngokunxeshezelwa nge-scapula. Lesi sigaba sithatha izinyanga ezi-4-12.
• Isigaba sokuncipha: ibonakala ngokuthuthuka okuqhubekayo ebangeni lokunyakaza, ukungabikho kobuhlungu kanye ne-synovitis, kepha kunemikhawulo ebalulekile ye-capsule. Lesi sigaba sithatha izinyanga eziyi-12-42.

Ngaphezu kwalokho, isikhala esiphakathi kwe-glenoid ne-humerus, kanye nesikhala esiphakathi kwama-biceps ne-humerus sinciphile kakhulu, esivimbela ukunyakaza okugcwele kwehlombe. Zonke lezi zinguquko zingabonakala ekuhlolweni kwesithombe, njenge-x-ray ezindaweni ezahlukahlukene, i-ultrasound ne-shoulder arthrography, ecelwe ngudokotela.

Izimpawu

Izimpawu zifaka phakathi ubuhlungu ehlombe nobunzima bokuphakamisa izingalo, ngomuzwa wokuthi ihlombe linamathele, 'liqhwa'.

Izivivinyo ezingasiza ukukhomba lesi sifo yilezi: i-X-ray, i-ultrasound ne-arthrography, ebaluleke kakhulu ngoba ikhombisa ukuncipha koketshezi lwe-synovial ngaphakathi kwejoyinti kanye nokwehliswa kwezikhala ngaphakathi kwejoyinti uqobo.

Ukuxilongwa kungathatha izinyanga ezimbalwa ukufinyelela, ngoba ekuqaleni umuntu angaba nezinhlungu kuphela ehlombe kanye nemikhawulo ethile ekunyakazeni, okungakhombisa ukuvuvukala okulula, isibonelo.

Izimbangela

Ayaziwa imbangela yehlombe elineqhwa, okwenza ubunzima bokuthola nokwelashwa kwayo kube nzima. Kukholakala ukuthi ukuqina kwehlombe kungenxa yenqubo yokunamathela okuyindilinga ngaphakathi kwejoyinti, okungenzeka ngemuva kokuhlukumezeka ehlombe noma ukungasebenzi kahle isikhathi eside.

Abantu abanesikhathi esinzima sokubhekana nengcindezi nezingcindezi zansuku zonke abanakubekezelela okuncane izinhlungu futhi maningi amathuba okuba bahlakulele ihlombe elifriziwe ngezizathu ezingokomzwelo.

Ezinye izifo ezingase zihlotshaniswe futhi zibonakale zandisa amathuba okunamathela kwe-capsulitis yisifo sikashukela, isifo se-thyroid, izinguquko eziwohlokayo emgogodleni wesibeletho, izifo zezinzwa, ngenxa yokusetshenziswa kwemithi, efana ne-phenobarbital yokulawula ukuqubuka, isifo sofuba kanye ne-myocardial ischemia.

Ukwelashwa

Ukwelashwa kuvame ukwenziwa kusetshenziswa amaphilisi ezinhlungu, ama-anti-inflammatories kanye ne-corticosteroids, ngaphezu kwezikhathi ze-physiotherapy zokwandisa ukunyakaza kwamahlombe, kepha kunezimo lapho i-adhesive capsulitis inokwelapha okwenzeka ngokuzenzakalela, ngokuthuthuka okuqhubekayo kwezimpawu, ngisho nangaphandle kokwenza noma yiluphi uhlobo lokwelashwa. ukwelashwa, ngakho-ke akuhlali kukhona ukuvumelana mayelana nendlela engcono yesigaba ngasinye.

I-suprascapular nerve block ngokungena kwe-anesthetic yendawo nokuphathwa kwehlombe ngaphansi kwe-anesthesia ejwayelekile nakho kunganconywa.

I-Physiotherapy ikhonjiswa njalo futhi inemiphumela emihle, kunconywa ukuzivocavoca umzimba kanye nokwenziwa okusebenzayo, ngaphezu kokucindezelwa okushisayo okusiza ukukhulula ukunyakaza kancane kancane. Funda kabanzi mayelana nokwelashwa kwe-adhesive capsulitis lapha.