Kodi phewa lanunso lazizira? Tiyeni tikambirane za 'Frozen Shoulder' (Adhesive Capsulitis)!

Kodi munayamba mwamvapo ngati phewa lanu lazizira mwadzidzidzi, kulephera kukweza dzanja lanu, kapena kuvutika kuchita zinthu zosavuta monga kupesa tsitsi lanu kapena kusintha zovala? Kodi mumadzuka usiku ndi ululu waukulu paphewa lanu, kulephera kutembenukira mbali imodzi, kapena kulephera kuyenda? Izi ndi zomwe nthawi zambiri timazitcha 'Frozen Shoulder'. Ngakhale zingakhale zokhumudwitsa pang'ono, sichoyenera kuopa. Tiyeni timvetse izi mwatsatanetsatane.

Mwachidule, kodi 'Frozen Shoulder' ndi chiyani?

Dzina lina lachipatala la 'Frozen Shoulder' ndi 'Adhesive Capsulitis' . Apa ndi pamene minofu yozungulira phewa lanu imakhala yokhuthala, yolimba, komanso yolepheretsa kuyenda.

Tangoganizirani, cholumikizira cha phewa lathu ndi kuphatikiza kwa mafupa atatu. Ndiko kuti, fupa la mkono wapamwamba (humerus), fupa la phewa ( scapula ), ndi fupa la collarbone (clavicle). Mafupa onsewa amamangiriridwa pamodzi ndikutetezedwa ndi chophimba cholimba, chonga thumba. Ichi chimatchedwa kapisozi ya phewa.

Pamene 'phewa lozizira' likukula, kapisozi iyi imakhuthala pang'onopang'ono, imakhala yolimba, komanso yomata. Ili ngati nsalu yonyowa yomwe imamatirana. Imachepetsanso kuchuluka kwa madzi a synovial omwe amathandiza kuti cholumikizira chiyende. Izi zimapangitsa kuti zikhale zovuta kwambiri kusuntha phewa. Mumachepetsa kugwiritsa ntchito phewa chifukwa cha ululu. Mukapanda kuligwiritsa ntchito kwa nthawi yayitali, kapisozi imakhala yolimba kwambiri. Pamapeto pake, phewa limakhala "lozizira" pamalo amodzi.

Kodi zizindikiro ndi magawo a 'Frozen Shoulder' ndi ziti?

Zizindikiro zazikulu ndi ululu ndi kuuma kwa phewa. Izi zimapangitsa kuti zikhale zovuta kwambiri, nthawi zina zosatheka, kusuntha phewa. Ululu uwu nthawi zambiri umakhala ngati ululu wosasangalatsa komanso wopweteka. Kwa anthu ena, ululuwu umakula kwambiri usiku, zomwe zimapangitsa kuti zikhale zovuta kugona.

Vutoli nthawi zambiri limadutsa m'magawo atatu. Tiyeni tiwone magawo atatuwo.

N’chifukwa chiyani 'Frozen Shoulder' imachitika? Kodi zinthu zoopsa ndi ziti?

Palibe chifukwa chenicheni chomwe izi zimachitikira anthu ena, koma magulu ena ali pachiwopsezo chachikulu chotenga matendawa.

• Zaka ndi jenda: Akazi ndi omwe ali ndi mwayi waukulu wopeza vutoli, ndipo limapezeka kwambiri mwa anthu azaka zapakati pa 40 ndi 60.
• Kulephera kuyenda kwa phewa: Ngati simungathe kusuntha phewa lanu kwa nthawi yayitali pazifukwa zina (monga, mkono wosweka mu pulasitala, sitiroko , kapena opaleshoni), chiopsezochi chimawonjezeka.
• Matenda ena: Palinso mgwirizano pakati pa izi ndi matenda ena. Anthu omwe ali ndi matenda a shuga ali ndi chiopsezo chowonjezeka cha 10% - 20% chokhala ndi 'Frozen Shoulder'. Kuphatikiza apo, anthu omwe ali ndi matenda otsatirawa ali pachiwopsezo chowonjezeka:
• Matenda a mtima
• Matenda a chithokomiro
• Matenda a Parkinson

Kodi dokotalayo amazindikira bwanji izi?

Palibe mayeso enieni a 'Frozen Shoulder'. Chinthu choyamba chomwe dokotala wanu angachite ndikukuyesani thupi.

Kuwunikaku thupi nthawi zambiri kumatha kuzindikira vutoli. Komabe, X-ray, ultrasound, kapena MRI scan zitha kuchitidwa kuti zitsimikizire matenda ena, monga nyamakazi kapena rotator cuff yosweka.

Kodi mankhwala a 'Frozen Shoulder' ndi ati?

Nkhani yabwino ndi yakuti milandu yambiri ya mapewa ouma imatha yokha pakapita nthawi, ngakhale atasiyidwa osachiritsidwa. Komabe, zingatenge nthawi, choncho ndikofunikira kupeza chithandizo kuti muchepetse ululu ndikubwezeretsa mapewa anu kukhala abwinobwino.

Mankhwala osavuta ochepetsa ululu, monga NSAIDs (mankhwala osapweteka a steroidal) monga ibuprofen, angathandize kuchepetsa ululu ndi kutupa. Ngati izi sizikwanira, dokotala wanu angakupatseni mankhwala amphamvu.

Ngati zizindikiro zake zili zazikulu kapena sizikusintha pakapita nthawi, dokotala wanu angakulangizeni njira zina zochiritsira.

• Jakisoni wa Corticosteroid: Jakisoni m'malo olumikizirana mafupa a phewa amatha kuchepetsa ululu mwachangu ndikuwonjezera kuyenda kwa thupi.
• Kutambasuka kwa mafupa: Mu njira iyi, dokotala wanu amaika madzi oyeretsedwa mu kapisozi ya phewa lanu, zomwe zimapangitsa kuti ikule. Izi zimathandiza kuti phewa lanu liziyenda mosavuta.
• Kuchiza thupi: Maseŵera olimbitsa thupi ochitidwa motsogozedwa ndi katswiri angathandize kubwezeretsa phewa kuti ligwire bwino ntchito, koma izi zimathandiza kwambiri pazigawo zina za matendawa.
• Opaleshoni: Izi sizikufunika nthawi zambiri. Komabe, ngati palibe chithandizo china chomwe chimagwira ntchito, dokotala wanu angakulangizeni opaleshoni ya arthroscopic, yomwe imagwiritsa ntchito kamera yaying'ono ndi zida zochotsera minofu iliyonse yomwe yamatirira mkati mwa phewa.

Njira zochepetsera ululu kunyumba

• Ma compress otentha/ozizira: Kuyika botolo la madzi otentha kapena ozizira kungathandize kuchepetsa ululu ndi kutupa. Siyani kwa mphindi 15-20. Muthanso kusinthana pakati pa ziwirizi.
• Chithandizo cha TENS (`Transcutaneous electrical nerve stimulation`): Izi zimaphatikizapo kutumiza mphamvu yamagetsi yotsika kudzera pakhungu pogwiritsa ntchito chipangizo chaching'ono, kuletsa zizindikiro za ululu kufika muubongo. Komabe, muyenera kulankhula ndi dokotala wanu musanagwiritse ntchito chipangizo chamtunduwu.

Masewero osavuta omwe ndi abwino pamapewa

Maseŵero olimbitsa thupi ofatsa a m'mapewa angathandize kuchepetsa vutoli komanso kupewa kuti lisakule. Koma kumbukirani, ndi bwino kufunsa dokotala kapena katswiri wa masewera olimbitsa thupi musanayambe maseŵerowa. Musawachite molimbika kwambiri moti angachititse ululu.

Tenthetsani mapewa anu musanayambe kuchita masewera olimbitsa thupi. Njira yabwino ndi kusamba ndi madzi otentha.

• Kutambasula kwa pendulum: Imani molunjika ndipo lolani mkono wopweteka ulendewere pansi momasuka. Ndi dzanja lina, tsamirani patebulo. Tsopano tembenuzani mkono wopwetekawo mozungulira pang'ono ka 10 kumbali imodzi ndi ka 10 kumbali inayo.
• Kufikira thupi lonse: Ndi dzanja lanu labwino, gwirani chigongono cha mkono womwe ukumva kupweteka. Tsopano kokani mkono womwe ukumva kupweteka pachifuwa chanu kupita mbali inayo. Gwirani kwa masekondi 15-20 mpaka mutamva kutambasula phewa lanu. Chitani izi 10-20 patsiku.
• Tambasulani thaulo: Gwirani thaulo lalitali mamita atatu kuchokera kumbuyo. Ligwireni ndi dzanja lanu labwino mmwamba ndi dzanja lanu lopweteka pansi. Tsopano kokani thaulo mmwamba ndi dzanja lanu labwino. Gwirani kwa masekondi 10 mpaka mutamva kutambasula paphewa la mkono wanu wopweteka.

Kodi mungagone bwanji ndi 'Frozen Shoulder'?

Vuto lalikulu la matendawa ndilakuti ululu umakula usiku. Malangizo awa adzakuthandizani.

• Gwiritsani ntchito pilo yoyenera: Sankhani pilo yomwe imasunga mutu wanu, khosi, ndi msana wanu molunjika.
• Gwiritsani ntchito mapilo owonjezera: Gonani m'mbali momwe simungavutike. Ikani pilo pakati pa manja anu. Izi zidzakuthandizani kuti mapewa anu akhale olunjika.
• Gonani mofunda: Ikani botolo la madzi otentha pamapewa anu musanagone. Izi zidzakuthandizani kuchepetsa ululu ndikukuthandizani kugona bwino.