Scapulohumeral Periarthritis

Scapulohumeral periarthritis, ngati sichimathandizidwa munthawi yake komanso moyenera, chidzaterozimapangitsa kuti mapewa azigwira ntchito molumikizana komanso kusuntha kosiyanasiyana.Pakhoza kukhala kufewa kwakukulu pamapewa, ndipo kumawonekera pakhosi ndi m'kamwa.Pazovuta kwambiri, pangakhale deltoid minofu atrophy ya madigiri osiyanasiyana.

Kodi Zizindikiro za Scapulohumeral Periarthritis Ndi Chiyani?

Njira ya matendawa ndi yayitali.Poyamba, pali ululu wa paroxysmal paphewa, ndipo kupweteka kwambiri kumakhala kosalekeza.Pambuyo pake, ululuwo umakula pang'onopang'ono ndipo nthawi zambiri umapitirira, ululu ukhoza kufalikira ku khosi ndi kumtunda kwa miyendo (makamaka pamphuno).Kupweteka kwa mapewa kumakhala kochepa masana komanso usiku, ndipo kumamva bwino ndi kusintha kwa nyengo (makamaka kuzizira).Pambuyo pa kuwonjezereka kwa matendawa, mapewa ophatikizana amasuntha mbali zonse adzakhala ochepa.Zotsatira zake, ADL ya odwala idzakhudzidwa, ndipo ntchito zawo zolumikizana ndi chigongono sizikhala zocheperako.

Mzere wa Scapulohumeral Periarthritis

1. Nthawi ya ululu (miyezi 2-9)

Chiwonetsero chachikulu ndi ululu, womwe ungaphatikizepo mgwirizano wa phewa, mkono wapamwamba, chigongono komanso ngakhale mkono.Ululuwu umakula kwambiri panthawi ya ntchito ndipo umakhudza kugona.

2. Nthawi yovuta (miyezi 4-12)

Makamaka ndi kuuma kwa mgwirizano, odwala sangathe kupanga maulendo onse ngakhale mothandizidwa ndi dzanja lina.

3. Nthawi yochira (miyezi 5-26)

Ululu ndi kuuma pang'onopang'ono kunachira, njira yonse ya matendawa kuyambira pachiyambi mpaka kuchira ndi pafupifupi miyezi 12-42.

Scapulohumeral Periarthritis Ndi Kudzichiritsa

Scapulohumeral periarthritis imadzichiritsa yokha,anthu ambiri amatha kukhala bwino pochita zinthu za tsiku ndi tsiku zizindikirozo zikachepa.Komabe, nthawi yochira mwachilengedwe siidziwika, ndipo nthawi zambiri imatenga miyezi mpaka zaka ziwiri.Chiwerengero chochepa cha anthu omwe sachita masewera olimbitsa thupi chifukwa choopa ululu adzakhala ndi zomatira zam'deralo, zomwe zimapangitsa kuti pakhale kuyenda kochepa kwa mapewa.

Choncho, odwala akhoza kuchita masewera olimbitsa thupi ndi ntchito zolimbitsa thupi kuti atambasule minofu ndi mafupa, motero amachotsa kupsinjika kwa minofu ya m'deralo ndi kupindika, komanso kulimbikitsa kuyenda kwa magazi.Mwa njira iyi, odwala amatha kupititsa patsogolo kusungunuka kwa minofu ndi mitsempha yozungulira paphewa, kuteteza kumamatira, ndi kukwaniritsa cholinga chochepetsera ululu ndi kusunga mgwirizano wa mapewa.

Kusamvetsetsana kwa Scapulohumeral Periarthritis

Kusamvetsetsa 1: kudalira kwambiri mankhwala opha ululu.

Ziwerengero zinapeza kuti ambiri mwa omwe adafunsidwa omwe adakumana ndi ululu wopweteka kwambiri wa mapewa adasankha kugwiritsa ntchito mankhwala kuti athetse ululu ndi chithandizo.Komabe, mankhwala ochepetsa ululu amatha kuchepetsa kapena kuchepetsa ululu kwa kanthawi kochepa, ndipo zomwe zimayambitsa ululu sizingathetsedwe bwino.M'malo mwake, zidzayambitsa ululu wosatha.

Kusamvetsetsa 2: kukana kugwiritsa ntchito mankhwala opha ululu chifukwa choopa zotsatira zake.

Anthu ena amakana kugwiritsa ntchito mankhwala opha ululu chifukwa choopa zotsatirapo pambuyo pa kusokoneza kapena arthroscopy.Kutenga ma analgesics kumatha kuchepetsa ululu pambuyo pa chithandizo, chomwe ndi chabwino pakuchita masewera olimbitsa thupi ndikulimbikitsa kuchira.

Kuphatikiza apo, kafukufuku waposachedwa wapeza kuti mankhwala ena ochepetsa ululu amatha kuletsa kubwereza kwa zomatira.Chifukwa chake, mutatha kuwongolera kapena kulandira chithandizo cha arthroscopy, ndikofunikira kugwiritsa ntchito analgesics moyenera.

Kusamvetsetsa 3: scapulohumeral periarthritis sifunikira chithandizo, zikhala bwino mwachilengedwe.

M'malo mwake, scapulohumeral periarthritis ingayambitse kupweteka kwamapewa komanso kusagwira bwino ntchito.Kudzichiritsa kumatanthawuza mpumulo wa ululu wa mapewa.Koma nthawi zambiri, kukanika kumakhalabe.

Chifukwa cha malipiro a ntchito ya scapula, odwala ambiri samamva kuchepa kwa ntchito.Cholinga cha mankhwala ndi kufupikitsa njira ya matenda, kuonjezera kuchira mapewa olowa ntchito, ndi kusintha moyo wa odwala.

Kusamvetsetsa 4: matenda onse a scapulohumeral periarthritis amatha kuchira pochita masewera olimbitsa thupi

Zizindikiro zazikulu ndi kupweteka kwa mapewa ndi kukanika, koma si onse a scapulohumeral periarthritis omwe angabwezeretsedwe pogwiritsa ntchito masewera olimbitsa thupi.

Milandu yoopsa yomwe kumamatira kwa mapewa ndi kupweteka kumakhala koopsa, kuwongolera ndikofunikira kuti mubwezeretse ntchito zamapewa.Kuchita masewera olimbitsa thupi ndi njira yokhayo yofunikira yosungira ntchitoyo pambuyo powonongeka.

Kusamvetsetsa 5: Kuwongolera kudzasokoneza minofu yabwinobwino.

M'malo mwake, kuwongolera kumalimbana ndi minofu yofooka kwambiri yozungulira mapewa.Malinga ndi mfundo yamakaniko, gawo lofooka kwambiri limasweka poyamba pansi pa mphamvu yotambasula yofanana.Poyerekeza ndi minofu yachibadwa, minofu yomatira imakhala yofooka kwambiri m'mbali zonse.Malingana ngati kusokoneza kuli mkati mwa zochitika za thupi, kumayendetsa minofu yomatira.

Pogwiritsa ntchito njira za anesthesia, minofu ya paphewa ya wodwalayo itatha kumasuka, kugwiritsira ntchito sikufuna khama lalikulu, ndipo chitetezo ndi machiritso amatha bwino kwambiri.Sikoyenera kudandaula za kusintha komwe kumachitika m'thupi lachibadwa, chifukwa mapewa amagwiritsidwa ntchito kusuntha mosiyanasiyana.