Ubuhlungu be-Scapular: izimbangela eziyinhloko ze-9 nokuthi wenzeni

-Delile

• 1. Ukulimala kwemisipha
• 2. I-Bursitis
• 3. I-scapula enamaphiko
• 4. I-Fibromyalgia
• 5. Ukucindezelwa kwesisindo se-Suprascapular
• 6. Ukwephuka kwesikhumba
• 7. Isifo sikaGorham
• 8. I-Crackling scapular syndrome
• 9. Izinkinga zesibindi nenyongo
• Uzoya nini kudokotela

I-scapula, eyaziwa nangokuthi i-scapula, iyithambo eliyisicaba, elingunxantathu, elisengxenyeni engenhla yangemuva, elinomsebenzi wokuzinzisa nokusiza ukuhamba kwamahlombe. Ukucaciswa kwe-scapula nehlombe kuvumela ukuqoqwa kwezingalo futhi kwakhiwa iqoqo lezicubu nemisipha, elibizwa ngokuthi ikhafu ye-rotator.

Kukhona izinguquko kanye nezifo ezithile ezingavela esifundeni se-scapula futhi zidale izinhlungu, njengokulimala kwemisipha, i-fibromyalgia, i-scapula enamaphiko kanye ne-bursitis. Izimbangela zalezi zinguquko nezifo azaziwa njalo, kepha zingahlobana nokuma okungalungile, amandla amakhulu nesisindo ezandleni, kanye nokuhlukumezeka nokwaphuka.

Olunye ushintsho nezifo ezingadala ubuhlungu ku-scapula yilezi:

1. Ukulimala kwemisipha

I-scapula isiza ukuhamba kwehlombe ngemisipha etholakala ngemuva, njengesihlunu se-rhomboid. Le misipha itholakala phakathi kwe-vertebrae yokugcina yomgogodla kanye nemiphetho ye-scapulae, ngakho-ke, amandla omzimba ngokweqile noma ukunyakaza okungazelelwe ngezingalo kungaholela ekunwebeni noma ekunwebeni imisipha, kubangele ubuhlungu esifundeni se-scapular.

Kwezinye izimo, ukulimala emisipheni ye-rhomboid nakho kungadala ukuncipha kwamandla ezandleni nasezinhlungwini lapho kuhanjiswa ihlombe, futhi lezi zimpawu zivame ukunyamalala ngokuhamba kwesikhathi njengoba umzimba ululama.

Okufanele ngikwenze: ekulimaleni okuncane, ukuphumula nokufaka isibanda esibandayo khona lapho kwanele ukuqeda izinhlungu, kepha uma emva kwamahora angama-48 ubuhlungu buqhubeka, ungafaka i-compress efudumele namafutha okulwa nokuvuvukala. Kodwa-ke, uma izimpawu ziba zimbi noma zihlala izinsuku ezingaphezu kwezingu-7, kunconywa ukuthi uthintane nodokotela wamathambo ongancoma ukusetshenziswa kwemithi elwa nokuvuvukala kanye ne-analgesics ukunciphisa ukuvuvukala nokuqeda izinhlungu.

2. I-Bursitis

Esifundeni se-scapula kunamaphakethe oketshezi asebenzela ukuvimbela umthelela wokunyakaza kwengalo, obizwa nge-bursae. Lapho ama-bursae evuvukile abangela isifo esibizwa nge-bursitis futhi sidale ubuhlungu obukhulu, ikakhulukazi ngezinsuku ezibandayo nalapho kuhanjiswa ingalo. Lokhu kuvuvukala kungathinta nendawo yehlombe futhi kubangele nobuhlungu ku-scapula. Bona okuningi mayelana nokuthi yini i-bursitis ehlombe nezimpawu eziyinhloko.

Okufanele ngikwenze: ukukhulula ubuhlungu be-scapular obubangelwa i-bursitis, iqhwa lingasetshenziswa esizeni imizuzu engama-20, ama-2 kuye kathathu ngosuku. Udokotela wamathambo angaphinde ancome amaphilisi ezinhlungu, imishanguzo elwa nokuvuvukala kanye ne-corticosteroids ukuthuthukisa ubuhlungu nokunciphisa ukuvuvukala.

Ngaphezu kwalokho, kubalulekile ukuthi ungenzi umzamo ngengalo, ohlangothini lapho ubuhlungu bukhulu khona, futhi kuyadingeka ukwenza izivivinyo ze-physiotherapy ukuqinisa imisipha yesifunda nokusiza ekwehliseni ukuvuvukala kwendawo.

3. I-scapula enamaphiko

I-scapula enamaphiko, eyaziwa nangokuthi i-scapular dyskinesia, yenzeka lapho ukuma nokunyakaza kwe-scapula kwenzeka ngokungafanele, kunikeze umuzwa wokuthi awukho endaweni, kubangele ubuhlungu nokungaphatheki kahle esifundeni sehlombe. I-scapula enamaphiko ingenzeka ngakolunye uhlangothi lomzimba, noma kunjalo, ivame kakhulu ohlangothini lwesokunene futhi ingabangelwa i-arthrosis, ukuqhekeka okungahlanganisiwe kwe-clavicle, ukukhubazeka kanye nezinguquko emithanjeni yesifuba ne-kyphosis.

Ukuxilongwa kwenziwa udokotela wamathambo ngokuhlolwa komzimba, futhi i-electromyography ingacelwa ukuthi ihlaziye ukusebenza kwemisipha esifundeni se-scapular. Bheka okuningi mayelana nokuthi ukuhlolwa kwe-electromyography kwenziwa kanjani nokuthi kwenzelwe ini.

Okufanele ngikwenze: ngemuva kokuqinisekisa ukuxilongwa, udokotela wamathambo angancoma imishanguzo yokuqeda izinhlungu, noma kunjalo, ezimweni eziningi, kunconywa ukuhlinzwa ukulungisa izinzwa ngemuva kwesifuba.

4. I-Fibromyalgia

I-Fibromyalgia ingesinye sezifo ezivame kakhulu ze-rheumatological, uphawu oluyinhloko lobuhlungu obusakazeke ezingxenyeni ezahlukahlukene zomzimba, kufaka phakathi i-scapula. Imvamisa, abantu abahlushwa i-fibromyalgia bangathola ukukhathala, ukuqina kwemisipha, ukuhayiza ezandleni zabo futhi bangakhula nokudangala nokuphazamiseka kokulala, okuholele ekwehleni kwekhwalithi yempilo.

Lapho kuvela izimpawu, kubalulekile ukuxhumana nodokotela wamathambo ozokwenza ukuxilongwa ngomlando wezinhlungu, okungukuthi, izindawo nobude besikhathi sobuhlungu buzohlolwa. Kodwa-ke, i-rheumatologist ingahle i-oda ezinye izivivinyo, ezinjenge-magnetic resonance imaging noma i-electroneuromyography, ukukhipha ezinye izifo.

Okufanele ngikwenze: i-fibromyalgia yisifo esingelapheki futhi asikho ikhambi, kanti ukwelashwa kusekelwe ekuphumuleni kobuhlungu. I-rheumatologist ingase ikunikeze imishanguzo efana nezithambisi eziphumuza imisipha, njenge-cyclobenzaprine kanye ne-tricyclic antidepressants, njenge-amitriptyline. Amasu we-TENS ne-ultrasound asetshenziswe ku-physiotherapy nawo angasiza ekulawuleni ubuhlungu obubangelwa yi-fibromyalgia. Thola kabanzi mayelana nokuthi i-fibromyalgia iphathwa kanjani.

5. Ukucindezelwa kwesisindo se-Suprascapular

I-nerve suprascapular itholakala ku-brachial plexus, okuyisethi yezinzwa ezibhekele ukunyakaza kwehlombe nengalo, futhi ingashintsha futhi idale ubuhlungu obukhulu ku-scapula.

Ukucindezelwa kwale nzwa ukushintsha okubangelwa ikakhulu ukuvuvukala noma ukuhlukumezeka, okungenzeka ezingozini noma emisebenzini yezemidlalo ephoqa ihlombe kakhulu. Kodwa-ke, ukuminyaniswa kwethambo le-suprascapular kungabuye kuhlotshaniswe nokuqhekeka kwekhafula, eyaziwa kangcono njenge-rotator cuff syndrome. Bona okuningi mayelana nokuthi i-rotator cuff syndrome iyini nokuthi ungayelapha kanjani.

Ubuhlungu be-scapular obudalwa ukucindezelwa kwemizwa ye-suprascapular, bungaba buhlungu kakhulu ebusuku nangezinsuku ezibandayo futhi uma kuhambisana nezinye izimpawu ezinjengokukhathala nobuthakathaka bemisipha kuyadingeka ukubonisana nodokotela wamathambo, ozokhombisa izivivinyo ezifana ne-X-ray I-MRI ukuqinisekisa ukuxilongwa.

Okufanele ngikwenze: ezimweni ezinzima, ukwelashwa kusekelwe ekusetshenzisweni kwama-anti-inflammatories nama-analgesics, ukunciphisa ukuvuvukala nokuqeda ubuhlungu, nokwenza nokwelashwa ngokomzimba. Ezimweni ezisezingeni eliphakeme, udokotela wamathambo angakhombisa ukuhlinzwa ukuze anciphise imizwa ye-suprascapular.

6. Ukwephuka kwesikhumba

Ukuqhekeka kwama-scapular akuvamile, ngoba amathambo amelana nokuhamba okukhulu, noma kunjalo, uma kwenzeka, kungadala ubuhlungu. Lolu hlobo lokwephuka lwenzeka, ikakhulukazi, lapho umuntu ewa futhi eshaya ihlombe futhi, imvamisa, ubuhlungu buvela esikhathini esithile ngemuva kokwenzeka.

Ngemuva kwengozi noma ukuwa okudale ukuhlukumezeka esifundeni se-scapular, kuyadingeka ukuthi ufune usizo kudokotela wamathambo ozocela izivivinyo ezinjenge-X-ray ukubheka ukuthi unephuka yini futhi, uma kukhona, udokotela uzohlaziya ubukhulu kwalokhu kuphuka.

Okufanele ngikwenze: ama-fracture amaningi we-scapular alashwa kusetshenziswa imithi yokuqeda izinhlungu, i-physiotherapy kanye ne-immobilization nge-sling kanye ne-splint, kepha-ke, ezimweni ezinzima kakhulu, kunganconywa ukuhlinzwa.

7. Isifo sikaGorham

Isifo sikaGorham yisifo esingajwayelekile esingenayo imbangela ethile, esidala ukulahleka kwethambo, sibangele ubuhlungu esifundeni esi-scapular. Ubuhlungu be-scapular obudalwa yilesi sifo buqala ngokungazelelwe, buvele ngokuzumayo, futhi umuntu angaba nobunzima bokuhambisa ihlombe. Ukuxilongwa kwenziwa udokotela wamathambo, kusetshenziswa i-computed tomography kanye ne-magnetic resonance imaging.

Okufanele ngikwenze: ukwelashwa kuchazwa ngudokotela wamathambo, ngokuya ngendawo lapho kunesifo khona kanye nezimpawu ezethulwe ngumuntu, nemithi yokusiza ukushintshwa kwamathambo, njenge-bisphosphonates, kanye nokuhlinzwa, kungakhonjiswa.

8. I-Crackling scapular syndrome

I-crackling scapula syndrome yenzeka lapho, lapho ihambisa ingalo nehlombe, kuzwakala ukuqhuma kwesklahla, kubangele ubuhlungu obukhulu. Lesi sifo sidalwa wukuzivocavoca umzimba ngokweqile nokuhlukumezeka ehlombe, kuvame kakhulu kubantu abadala.

Ukuxilongwa kwalesi sifo kwenziwa udokotela wamathambo ngokuya ngezimpawu ezethulwe ngumuntu futhi kunganconywa ukuthi kwenziwe izivivinyo ezinjenge-X-ray noma i-computed tomography, uma kwenzeka udokotela esola ezinye izifo.

Okufanele ngikwenze:ukwelashwa kuqukethe ukusetshenziswa kwemithi ye-analgesic ne-anti-inflammatory, ukuqeda izinhlungu nokunciphisa ukuvuvukala, i-physiotherapy yokuqinisa imisipha ye-scapular ne-kinesitherapy. Ukuqonda kangcono ukuthi yini i-kinesitherapy nokuthi yiziphi izivivinyo eziyinhloko.

9. Izinkinga zesibindi nenyongo

Ukuvela kwezinkinga zenyongo nezinkinga zesibindi, njengamathumba, okungukubunjwa kobofu, isifo sokusha kwesibindi ngisho nomdlavuza yizinkinga zempilo ezingaholela ekubonakaleni kobuhlungu ku-scapula, ikakhulukazi ohlangothini lwesokudla. Lesi sibonakaliso singase sihambisane nezinye izimpawu ezifana nombala ophuzi wesikhumba namehlo, izinhlungu emuva, futhi ohlangothini lwesokunene, isicanucanu, umkhuhlane kanye nohudo.

Ezinye izivivinyo zingakhonjiswa ngudokotela ojwayelekile uma usola ukuthi ubuhlungu besifunda esibuhlungu benziwa yisifo esithile esibindini noma esinyangeni, okungaba yi-ultrasound, i-CT scan, i-MRI noma ukuhlolwa kwegazi, isibonelo.

Okufanele ngikwenze: ngokushesha nje lapho izimpawu zivela kunconywa ukuthi ubonane nodokotela ojwayelekile ukuze kwenziwe izivivinyo ukuqinisekisa ukuthi ngabe kunenkinga yini esibindini noma enyameni futhi ngemuva kwalokho, udokotela angancoma ukwelashwa okufanele kakhulu ngokwesifo esitholakele.

Uzoya nini kudokotela

Ubuhlungu be-scapular bungaba futhi uphawu lwezinye izifo ezingahlobene nethambo, imisipha noma uhlelo lwezinzwa futhi, kwezinye izimo, kungakhombisa izifo zenhliziyo namaphaphu, ezinjenge-acute myocardial infarction kanye ne-pulmonary aortic aneurysm. Ngakho-ke, kubalulekile ukufuna usizo oluphuthumayo lwezokwelapha lapho kuvela ezinye izimpawu, njenge:

• Ubuhlungu obukhonjisiwe esifubeni;
• Ukuphefumula okufishane;
• Ukukhubazeka kolunye uhlangothi lomzimba;
• Umjuluko owedlulele;
• Ukukhwehlela igazi;
• Pallor;
• Ukunyuka kwenhliziyo.

Ngaphezu kwalokho, esinye isibonakaliso okufanele siqashelwe ukuthuthukiswa komkhuhlane, okuthi, lapho uvela, ungakhombisa ukutheleleka futhi, kulezi zimo, kunganconywa ezinye izivivinyo ukuthola imbangela yalesi sibonakaliso.