Ngaba igxalaba lakho livakala liqinile? Ngaba yiloo nto uthetha ngayo xa uthetha 'ngegxalaba eliqandisiweyo'?

Ngaba ngamanye amaxesha ukufumanisa kunzima ukuphakamisa igxalaba lakho okanye ukuhambisa ingalo yakho? Ngaba uziva ngathi igxalaba lakho libambekile okanye libambekile? Ngaba kuyabuhlungu xa uzama ukutshintsha impahla, ukukama iinwele zakho, okanye ukuphakamisa ingalo yakho ukuze ubambe into ethile? Ukuba ezi zinto ziqhelekile kuwe, usenokuba unesifo esibizwa ngokuba yi -'Frozen Shoulder' , okanye njengoko oogqirha besibiza ngokuba yi- "Adhesive Capsulitis" . Ngoko ke, singathetha ngale nto ngokweenkcukacha ezithe vetshe namhlanje?

Yintoni 'iFrozen Shoulder'?

Ngamafutshane, igxalaba eliqandisiweyo yimeko ebuhlungu eyenzeka kwigxalaba lakho. Ibonakaliswa kukulahlekelwa kancinci kancinci kwamandla okushukumisa igxalaba lakho. Ngokukodwa, izicubu eziqinileyo ezijikeleze igxalaba lakho (elibizwa ngokuba yiShoulder Joint Capsule) ziyaqina, ziqine, kwaye zivuthe.

Khawuthelekelele ilungu lakho legxalaba njengeqhekeza lethambo elimile okwebhola (elibizwa ngokuba yi-humeral head) elingena kwelinye iqhekeza lethambo elimile okwebhola (elibizwa ngokuba yi-glenoid). Oku sikubiza ngokuba lilungu lebhola nesokethi. I-capsule ejikeleze elo lungu inee-ligaments ezidibanisa ithambo lengalo ephezulu ne-blade yegxalaba.

Ngoko ke xa le `(Capsule)` iqina kwaye iqina, kuba nzima ukuyishukumisa igxalaba. Unciphisa nokusetyenziswa kwegxalaba ngenxa yentlungu. Xa ungayisebenzisi, loo `(Capsule)` iyaqina kwaye iba ngqindilili. Ekugqibeleni, igxalaba "liyaqina" kwindawo enye. Yiyo loo nto ibizwa ngokuba ligxalaba 'eliqinisiweyo'.

Zithini iimpawu zoku? Kwenzeka njani?

Oogqirha bahlula iimpawu zale meko 'yokuqanduselwa kwamagxa' zibe ngamanqanaba amathathu.

1. Inqanaba "lokuqandisa"

Eli linqanaba lokuqala. Ngeli xesha, igxalaba lakho liya kuba lukhuni kancinci kancinci kwaye libe buhlungu xa lishukuma. Intlungu iya kwanda kancinci kancinci. Intlungu inokuba mandundu ebusuku. Kuya kuba nzima ngakumbi ukushukumisa igxalaba lakho kancinci kancinci. Eli nqanaba lidla ngokuthatha iiveki ezintandathu ukuya kwiinyanga ezisithoba.

2. Inqanaba "Eliqandisiweyo"

Xa ufikelela kwinqanaba lesibini, iintlungu zisenokuphela kancinci. Kodwa igxalaba liza kuba lukhuni kakhulu kwaye lixinene. Oku kwenza kube nzima kakhulu ukwenza imisebenzi yemihla ngemihla, efana nokunxiba impahla okanye ukukama iinwele zakho. Eli nqanaba lingathatha iinyanga ezimbini ukuya kwezintandathu.

3. Inqanaba "lokunyibilika"

Eli linqanaba lokugqibela lokuchacha. Ngeli xesha, iintlungu ziyancipha kwaye amandla okushukumisa igxalaba ayaphucuka kancinci kancinci. Igxalaba lifumana amandla apheleleyo okanye aphantse aphelele kunye nomgama wokunyakaza. Eli nqanaba lingathatha iinyanga ezintandathu ukuya kwiminyaka emibini.

Khawucinge nje, abanye abantu kufuneka bahlangabezane nazo zonke ezi zigaba zintathu: okokuqala, ukubambelela kwiintlungu, emva koko ukubambelela nangona iintlungu ziphela, kwaye ekugqibeleni, ukuchacha kancinci kancinci.

Yintoni ebangela ukuba eli 'gxalaba liqandisiweyo' likhule?

Enyanisweni, abaphandi abakayazi kakuhle into ebangela ukuba igxalaba liqandiswe. Kodwa siyazi ukuba le meko ibangelwa kukuba i-capsule yegxalaba ivuvukale, ityebe, kwaye iqine. Ekuhambeni kwexesha, izicubu zesilonda, ezaziwa ngokuba kukunamathela, ziyakheka kwi-capsule. Ulwelo lwe-synovial olunceda igxalaba lisebenze kakuhle nalo luyancipha. Konke oku kunye kunciphisa amandla egxalaba okushukuma nokujikeleza ngokukhululekileyo.

Ngubani osengozini enkulu yokuba 'negxalaba eliqandisiweyo'?

Abanye abantu banamathuba amaninzi okuba nale meko. Makhe sijonge ukuba bangoobani:

• Ubudala: Oku kwenzeka kakhulu kubantu abadala abaphakathi kweminyaka engama-40 ukuya kwengama-60 ubudala.
• Isini: Le meko ixhaphake kakhulu kwabasetyhini kunamadoda.
• Ukwenzakala kwegxalaba kutshanje: Ukuba ukhe wenzakala egxalaba lakho (umzekelo, ukukrazuka kwe-rotator cuff, ukwaphuka kwe-blade yegxalaba, i-collarbone, okanye ithambo lengalo ephezulu), utyando, okanye ukungasebenzi kwegxalaba lakho (umzekelo, ukunxiba i-sling), usemngciphekweni omkhulu wokufumana le meko. Oku kungenxa yokuba i-capsule idla ngokuqina xa igxalaba lingasetyenziswa.
• Isifo seswekile: Phakathi kwe-10% kunye ne-20% yabantu abanesifo seswekile baba nehlombe eliqinileyo.
• Ezinye iimeko zempilo: Ezi ziquka istroke, i-hypothyroidism, i-hyperthyroidism, isifo sikaParkinson, kunye nesifo sentliziyo. Istroke sinokuthintela amandla okushukumisa ingalo negxalaba lakho, nto leyo enokubangela ukuba igxalaba lakho libe lukhuni. Abaphandi abaqinisekanga ukuba ezinye iimeko zikuchaphazela njani oku.

Oogqirha bayixilonga njani igxalaba eliqandisiweyo?

Ukuba unale mpawu, xa ubona ugqirha, baya kuqala bakubuze ngeempawu zakho baze bathathe imbali yakho yezonyango. Emva koko baya kwenza uvavanyo lomzimba lweengalo zakho namagxa akho. Nazi ezinye zezinto abaya kuzenza:

• Igxalaba lakho liza kushukunyiswa ukusuka kwelinye icala ukuya kwelinye ukujonga ukuba kukho intshukumo engakanani na kunye neentlungu. Oku kubizwa ngokuba luvavanyo "lokuhamba ngokungashukumiyo" xa ugqirha eshukumisa ingalo yakho.
• Okulandelayo, uza kucelwa ukuba unyuse amahlombe akho ukuze ubone ukuba injani i-"Active Range of Motion" yakho.
• Ezi zigaba zimbini zentshukumo ziyathelekiswa. Abantu abane-'igxalaba eliqandisiweyo' banezigaba ezilinganiselweyo zentshukumo esebenzayo nezingashukumiyo.

Ugqirha wakho uhlala eyalela i-X-ray yegxala lakho ukuze aqinisekise ukuba akukho zimo zimbi, ezifana nesifo samathambo. Igxala eliqandisiweyo alidingi MRI okanye i-ultrasound. Nangona kunjalo, ukuba ugqirha wakho urhanela ukuba kukho enye imeko, efana nokukrazuka kwe-rotator cuff, unokuyalela ezi mvavanyo.

Zeziphi iindlela zonyango ezilungileyo 'zokufumana ihlombe eliqandisiweyo'?

Unyango lwegxalaba eliqandisiweyo ludla ngokunciphisa iintlungu kwizigaba zokuqala. Ukuba intshukumo ayibuyeli kwisiqhelo, unyango lomzimba okanye utyando lunokufuneka.

Nazi ezinye iindlela zonyango ezilula:

• Uxinzelelo olushushu nolubandayo: Olu ncedo ekunciphiseni iintlungu nokudumba.
• Amayeza entlungu nokudumba: La aquka amayeza angengo-steroidal anti-inflammatory (NSAIDs), afana ne-ibuprofen kunye ne-acetaminophen. Ugqirha wakho angakunika nezinye izithomalalisi zentlungu/amayeza okudumba. Iinaliti ze-steroid zingasetyenziselwa ukulawula iintlungu eziqatha kunye nokudumba. Ugqirha wakho uza kufaka i-corticosteroid, efana ne-cortisone, ngqo kwilungu lakho lamagxa.
• Unyango Lomzimba: Ingcali yonyango lomzimba iya kukufundisa ukolula umzimba kunye nokuzivocavoca ngeendlela ezahlukeneyo zokunyakaza.
• Inkqubo yokuzilolonga ekhaya: Ugqirha wakho okanye ingcali yezonyango ingakufundisa imithambo onokuyenza ekhaya.
• Unyango lwe-TENS (Transcutaneous Electrical Nerve Stimulation): Oku kubandakanya ukusebenzisa isixhobo esincinci esisebenza ngebhetri ukuvimba imithambo-luvo kunye nokunciphisa iintlungu.

Ukuba intlungu yakho kunye nokuqina kwamagxa akho akuphucuki emva konyaka wonyango olungelulo utyando, ugqirha wakho unokucebisa ezinye iindlela zonyango. Ezi ziquka:

• Ukulawulwa Ngaphantsi kwe-Anesthesia: Kule nkqubo, ugqirha uza kukwenza ulale aze ashukumise igxalaba lakho ngamandla. Oku kuya kolula okanye kukrazule i-capsule yakho yamalungu, kukhulule ukuqina. Oku kuya kwandisa uluhlu lwakho lokushukuma.
• I-Arthroscopy Yamagxa: Kule nkqubo, ugqirha wakho uza kusika aze asuse iindawo eziqinileyo ze-capsule yakho yamalungu (ukukhululwa kwe-capsular). Baza kufaka izixhobo ezincinci, ezinobukhulu bepensile ngokusebenzisa imingxunya emincinci ejikeleze igxalaba lakho.

Oogqirha badla ngokusebenzisa zombini ezi ndlela kunye ukuze bafumane iziphumo ezingcono.

Iyintoni imbono 'yegxalaba eliqandisiweyo'? Ngaba liya kuphola?

Amaxesha amaninzi, unyango olulula olufana nonyango lweentlungu kunye noqheliso lwamagxa, ngamanye amaxesha ludityaniswe nenaliti ye-cortisone, lunokubuyisela intshukumo yamagxa kunye nokusebenza kwawo kunyaka okanye ngaphantsi. Ngamanye amaxesha, nokuba akukho nyango, uluhlu lwentshukumo yamagxa kunye nokusebenza kwawo luyaphucuka kancinci kancinci ngokuhamba kwexesha, kodwa yinkqubo ecothayo kakhulu. Ngokwesiqhelo kuthatha malunga neminyaka emibini ukuba umntu aphile ngokupheleleyo okanye aphile phantse ngokupheleleyo.

Ngaba igxalaba eliqandisiweyo lingathintelwa?

Ewe, ukuya kuthi ga kwinqanaba elithile. Ukuba unesilonda egxalabeni lakho esibuhlungu okanye esinzima ukusishukumisa, unganciphisa umngcipheko wokuba negxala eliqandisiweyo ngokuqala unyango lomzimba ngokukhawuleza . Ugqirha wakho wamathambo okanye ingcali yonyango lomzimba inokwenza inkqubo yokuzilolonga eyenzelwe iimfuno zakho.

Okokugqibela, kufuneka ndithi... (Umyalezo Wokuya Ekhaya)

Igxalaba eliqandisiweyo (i-Adhesive Capsulitis) inokuba yimeko enzima kakhulu enokuchaphazela ubomi bakho bemihla ngemihla. Intlungu nokuqina kwegxalaba lakho kunokwenza kube nzima okanye kungenzeki ukwenza imisebenzi yemihla ngemihla obuyenza ngaphandle kweengxaki.

Eyona nto ibalulekileyo kukufuna ingcebiso kagqirha ngaphandle kokunyamezela iintlungu ukuba unezi mpawu.

Ukuba unyango lwasekhaya, olufana nokuphumla kunye neyeza lokudambisa iintlungu, aluncedi, bonana nogqirha. Basenokucebisa unyango lomzimba okanye olunye unyango olungelulo utyando kuqala. Utyando lukwayindlela yokuthintela igxalaba eliqandisiweyo elingapholiyo ixesha elide. Ugqirha wakho unokukunceda ukhethe unyango olulungele wena. Ngoko ke, ungoyiki ukufuna ingcebiso yezonyango ngokukhawuleza.

Igxalaba Eliqandisiweyo, Intlungu Yamagxa, Ukuqina Kwamagxa, I-Adhesive Capsulitis, Ukuzilolonga Kwamagxa, Unyango Lomzimba, I-Arthritis