Ukwelashwa kwe-adhesive capsulitis: imithi, i-physiotherapy (nokunye)

-Delile

• 1. Imithi
• 2. I-Physiotherapy
• 3. Isigaxa sezinzwa esikhulu
• 4.I-Hydrodilation
• 5. Ukuhlinzwa

Ukwelashwa kwe-adhesive capsulitis, noma iqhwa syndrome ehlombe, kungenziwa nge-physiotherapy, ukudambisa izinhlungu futhi kungathatha izinyanga eziyi-8 kuye kwezingu-12 zokwelashwa, kepha futhi kungenzeka ukuthi kunciphiswe ngokuphelele isimo cishe eminyakeni emi-2 ngemuva kokuqala izimpawu., noma ngabe alukho uhlobo lokwelashwa.

Udokotela angancoma ukusetshenziswa kwe-analgesics, anti-inflammatories, i-corticosteroids noma ukungena kwe-steroid ekudambiseni izinhlungu, kepha i-physiotherapy nayo iyakhonjiswa futhi uma kungekho ukuthuthuka esimweni, kungahlinzekwa ukuhlinzwa.

I-Adhesive capsulitis ukuvuvukala kokuhlangana kwehlombe okubangela ubuhlungu nobunzima obukhulu bokuhambisa ingalo, kube sengathi ihlombe empeleni lifriziwe. Ukuxilongwa kwenziwa udokotela ngemuva kokuhlaziywa kokuhlolwa kwe-imaging, njenge-X-ray, i-ultrasound kanye ne-arthrography, okubalulekile ukuhlola ukuhamba kwehlombe.

Ukwelashwa kungenziwa nge:

1. Imithi

Udokotela angakunika ama-analgesics, izidakamizwa ezingezona ukuvuvukala kanye ne-corticosteroids ngesimo samaphilisi wokudambisa izinhlungu, esigabeni esibi kakhulu sesifo. Ukungena kwe-Corticosteroid ngqo ejoyinini nakho kuyindlela yokuphumula kobuhlungu, futhi ngoba kuyenziwa, ngokwesilinganiso esiphakathi, noma njalo ezinyangeni ezi-4-6, kodwa ayikho neyodwa yale mithi esishiya isidingo sokwelashwa ngokomzimba, ukuhambisana.

2. I-Physiotherapy

I-Physiotherapy ihlala inconywa ngoba iyasiza ukulwa nobuhlungu nokubuyisa ukunyakaza kwamahlombe. Kumishini ye-physiotherapy yokudambisa izinhlungu nokucindezela okufudumele kungasetshenziswa ukwenza lula ukuhamba kwalokhu kuhlangana. Amasu ahlukahlukene wezandla angasetshenziswa, ngaphezu kokuzivocavoca umzimba (ngaphakathi komkhawulo wezinhlungu) futhi izivivinyo zokuqinisa imisipha kamuva kufanele zenziwe.

Isikhathi sokululama siyahlukahluka sisuka komunye umuntu siye komunye, kepha imvamisa ihlala ezinyangeni ezimbalwa kuye onyakeni ongu-1, ngokuthuthuka okuqhubekayo kwezimpawu. Yize kungahle kungabi khona ukuthuthuka okuphawulekayo ebangeni lokunyakaza ngengalo ethintekile, ngezikhathi zokuqala kungenzeka ukuthi kungathuthukiswa izinkontileka zemisipha emisipheni ye-trapezius engadala ubuhlungu obukhulu nokungakhululeki.

Kunamasu athile angasiza ekuqedeni ukunamathela futhi athuthukise ukuphakama, kepha akunconywa ukuthi isiguli sizame ukuphoqa ukujoyina kakhulu ukuze kunyakaziswe ingalo, ngoba lokhu kungadala ukuhlukumezeka okuncane, okungezelela ekubhebhethekiseni ubuhlungu, ungalethi noma yibuphi ubuhlungu. Ekhaya, kufanele kwenziwe izivivinyo kuphela ezinconywe yi-physiotherapist, ezingafaka ukusetshenziswa kwemishini emincane, efana nebhola, induku (isibambo somshanelo) namabhande okunwebeka (i-theraband).

Izikhwama zamanzi ezishisayo zilusizo ukuzibeka ngaphambi kokwenza imisipha ngoba ziyayekelela imisipha futhi zenze nokwelula imisipha, kepha izikhwama ezineqhwa elichobozekile zikhonjisiwe ukuphela kweseshini ngayinye ngoba zinciphisa izinhlungu. Okunye ukunweba okungasiza kunguku:

Lokhu kuzivocavoca kufanele kwenziwe kathathu noma kayi-5 ngosuku, kuhlala kusuka kumasekhondi angama-30 kuye kumzuzu owodwa lilinye, kepha udokotela womzimba uzokwazi ukukhombisa abanye ngokuya ngezidingo zomuntu ngamunye.

Bona ukuzivocavoca okulula okusiza ukuqeda ubuhlungu behlombe ku: Ukuzivocavoca umzimba ukuze uthole ukululama kwehlombe.

3. Isigaxa sezinzwa esikhulu

Udokotela angenza i-nerve block enkulu, ehhovisi noma esibhedlela, okuletha ukukhululeka okukhulu kobuhlungu, kube inketho lapho izidakamizwa zingenamthelela futhi zenze ukwelashwa komzimba kube nzima. Le nerve ingavinjelwa, ngoba inesibopho sokuhlinzeka ngama-70% wezinzwa zehlombe, futhi lapho ivinjiwe kuba nokuthuthuka okukhulu ebuhlungwini.

4.I-Hydrodilation

Enye indlela udokotela angayibonisa ukuthi ukunqunywa kwehlombe ngomjovo womoya noma uketshezi (usawoti + i-corticosteroid) ngaphansi kwe-anesthesia yendawo esiza ukwelula i-capsule ehlangene ehlangene, ekhuthaza ukukhululeka kobuhlungu futhi isize ukuhamba kwehlombe

5. Ukuhlinzwa

Ukuhlinzwa kuyindlela yokugcina yokwelashwa, lapho kungekho zimpawu zokuthuthuka ngokwelashwa okulondolozayo, okwenziwa ngemithi nangokwelapha ngokomzimba. Udokotela wamathambo angenza i-arthroscopy noma ukukhwabanisa okuvaliwe okungabuyisa ukuhamba kwehlombe. Ngemuva kokuhlinzwa umuntu udinga ukubuyela ekwelashweni ukuze asheshe aphulukise futhi aqhubeke nokuzivocavoca umzimba ukuze alulame ngokuphelele.