I-Scapulohumeral Periarthritis

I-Scapulohumeral periarthritis, uma ingelashwa ngesikhathi nangempumelelo, izokwazibangela ukusebenza okuhlangene kwehlombe okulinganiselwe kanye nobubanzi bokunyakaza.Kungase kube nokuzwela okukhulu ekuhlanganyeleni kwehlombe, futhi kungase kukhanye entanyeni nasendololwaneni.Ezimweni ezimbi kakhulu, kungase kube ne-deltoid muscle atrophy yamazinga ahlukene.

Yiziphi Izimpawu ze-Scapulohumeral Periarthritis?

Inkambo yalesi sifo yinde kakhulu.Ekuqaleni, kukhona ubuhlungu be-paroxysmal ehlombe, futhi ubuhlungu obuningi buhlala njalo.Kamuva, ubuhlungu buyaqina kancane kancane futhi buvame ukuphikelela, ubuhlungu bungasakazeka entanyeni nasemilenzeni engaphezulu (ikakhulukazi indololwane).Ubuhlungu bamahlombe buba ncane emini futhi bubucayi ebusuku, futhi buyazwela ekushintsheni kwesimo sezulu (ikakhulukazi kubanda).Ngemuva kokuqina kwesifo, uhla oluhlangene lwehlombe lokunyakaza kuzo zonke izinkomba luzokhawulelwa.Ngenxa yalokho, i-ADL yeziguli izothinteka, futhi ukusebenza kwamalunga endololwane kuzokhawulelwa ezimeni ezinzima.

Umjikelezo we-Scapulohumeral Periarthritis

1. Isikhathi sobuhlungu (izinyanga ezi-2-9 ezihlala njalo)

Ukubonakaliswa okuyinhloko ubuhlungu, okungabandakanya ukuhlangana kwehlombe, ingalo engenhla, indololwane ngisho nomphambili.Ubuhlungu buyaqina phakathi nomsebenzi futhi buthinta ukulala.

2. Isikhathi esiqinile (izinyanga ezi-4-12)

Ngokuyinhloko ukuqina okuhlangene, iziguli azikwazi ukwenza uhla oluphelele lokunyakaza ngisho nangosizo lwesinye isandla.

3. Isikhathi sokuthola kabusha (izinyanga ezi-5-26)

Ubuhlungu nokuqina kwalulama kancane kancane, yonke inqubo yesifo kusukela ekuqaleni kuya ekubuyiseleni cishe izinyanga ezingu-12-42.

I-Scapulohumeral Periarthritis Iyaziphilisa

I-Scapulohumeral periarthritis iyaziphilisa,abantu abaningi bangathuthukiswa ngemisebenzi yansuku zonke lapho izimpawu zithambile.Kodwa-ke, isikhathi sokululama kwemvelo asibikezeli, futhi ngokuvamile kuthatha izinyanga kuya eminyakeni emi-2.Inani elincane labantu abangazivocavoci ngenxa yokwesaba ubuhlungu bazoba nokunamathela kwendawo, okuholela ekulinganiseni okulinganiselwe kokunyakaza okuhlangene kwamahlombe.

Ngakho-ke, iziguli zingakwazi ukuzibhucunga futhi zisebenzise umsebenzi wokwelula imisipha namalunga, ngaleyo ndlela ziqede ukungezwani kwemisipha yendawo kanye ne-spasm, kanye nokukhuthaza ukujikeleza kwegazi.Ngale ndlela, iziguli zingakwazi ukuthuthukisa ukunwebeka kwemisipha nemigqa ezungeze ihlombe, ukuvimbela ukunamathela, nokufeza inhloso yokukhulula ubuhlungu nokugcina umsebenzi ohlangene wehlombe.

Ukungaqondi kahle kwe-Scapulohumeral Periarthritis

Ukungaqondi kahle 1: ukuthembela kakhulu kumaphilisi ezinhlungu.

Izibalo zathola ukuthi iningi lalabo okwaxoxwa nabo abake babhekana nobuhlungu obukhulu behlombe bakhetha ukusebenzisa izidakamizwa ukuze banciphise ubuhlungu nokwelashwa.Kodwa-ke, amaphilisi ezinhlungu angakwazi ukukhulula okwesikhashana noma alawule ubuhlungu endaweni, futhi izimbangela zobuhlungu azikwazi ukwelashwa ngendlela efanele.Kunalokho, kuzobangela ubuhlungu obungapheli.

Ukungaqondi kahle 2: ukwenqaba ukusebenzisa amaphilisi ezinhlungu ngenxa yokwesaba imiphumela engemihle.

Abanye abantu bayenqaba ukusebenzisa amaphilisi ezinhlungu ngenxa yokwesaba imiphumela engemihle ngemva kokukhwabanisa noma i-arthroscopy.Ukuthatha ama-analgesics kunganciphisa ubuhlungu ngemva kokwelashwa, okulungele ukuzivocavoca okusebenzayo nokukhuthazwa kokululama.

Ngaphezu kwalokho, ucwaningo lwamuva luye lwathola ukuthi amanye ama-analgesics angavimbela ukuphindaphinda kokunamathela.Ngakho-ke, ngemva kokukhwabanisa noma ukwelashwa kwe-arthroscopic, kuyadingeka ukusebenzisa ama-analgesics ngendlela efanele.

Ukungaqondi kahle 3: i-scapulohumeral periarthritis ayidingi ukwelashwa, kuzoba ngcono ngokwemvelo.

Eqinisweni, i-scapulohumeral periarthritis ingabangela ubuhlungu behlombe kanye nokungasebenzi kahle.Ukuziphilisa ngokuyinhloko kubhekisela ekukhululekeni kobuhlungu behlombe.Kodwa ezimweni eziningi, ukungasebenzi kahle kusala.

Ngenxa yesinxephezelo somsebenzi we-scapula, iziguli eziningi azizizwa ukulinganiselwa komsebenzi.Inhloso yokwelashwa ukufinyeza inkambo yesifo, ukwandisa ukululama kokusebenza kwamalunga ehlombe, nokuthuthukisa izinga lempilo yeziguli.

Ukungaqondi kahle 4: yonke i-scapulohumeral periarthritis ingalulama ngokuzivocavoca

Izimpawu eziyinhloko ubuhlungu behlombe kanye nokungasebenzi kahle, kodwa akuzona zonke i-scapulohumeral periarthritis ezingabuyiselwa ngokuzivocavoca komsebenzi.

Izimo ezinzima lapho ukunamathela kwehlombe kanye nobuhlungu bubucayi, ukukhwabanisa kuyadingeka ukuze kubuyiselwe imisebenzi yehlombe.Ukuzivocavoca okusebenzayo kuyindlela ebalulekile kuphela yokugcina umsebenzi ngemuva kokukhohlisa.

Ukungaqondi kahle 5: Ukukhohlisa kuzocindezela izicubu ezijwayelekile.

Eqinisweni, ukukhohlisa kuqondise izicubu ezibuthakathaka ezizungeze ilunga lehlombe.Ngokomgomo we-mechanics, ingxenye ebuthakathaka iphuka kuqala ngaphansi kwamandla afanayo okunwebeka.Uma kuqhathaniswa nezicubu ezivamile, izicubu ezinamathelayo zibuthakathaka kakhulu kuzo zonke izici.Inqobo nje uma ukukhohlisa kungaphakathi kobubanzi bemisebenzi yomzimba, kuhlanganisa izicubu zokunamathela.

Ngokusetshenziswa kwezindlela ze-anesthesia, ngemuva kokuba umsipha wehlombe lesiguli ukhululekile, ukukhwabanisa akudingi umzamo omkhulu, futhi umphumela wokuphepha nokwelapha uthuthukiswa kakhulu.Akudingekile ukuba ukhathazeke ngokukhohlisa ngaphakathi kobubanzi obujwayelekile bokuphila, ngoba ijoyinti yehlombe esetshenziswa ukunyakaza kulobu bubanzi.