Ngaba wakha waziva ngathi igxalaba lakho liqandusele ngequbuliso, lingakwazi ukuphakamisa ingalo yakho, okanye linengxaki yokwenza izinto ezilula ezifana nokukama iinwele zakho okanye ukutshintsha impahla? Ngaba uvuka ebusuku unentlungu ebukhali egxalabeni lakho, ungakwazi ukujika uye kwelinye icala, okanye awukwazi ukuhamba? Oku sihlala sikubiza ngokuba yi-'Frozen Shoulder'. Nangona kunokuba yinto ecaphukisayo kancinci, asiyonto yokoyika. Masiyiqonde le nto ngokweenkcukacha.
Ngamafutshane, yintoni 'iFrozen Shoulder'?
Elinye igama lezonyango elithi 'Frozen Shoulder' yi -'Adhesive Capsulitis' . Oku kuxa izicubu ezijikeleze igxalaba lakho ziba nkulu, ziqine, kwaye zithintele intshukumo.
Khawucinge nje, ilungu lethu legxalaba lidityaniswe ngamathambo amathathu. Oko kukuthi, ithambo lengalo ephezulu (ihumerus), ithambo legxalaba ( scapula ), kunye nethambo lekhola (clavicle). Onke la mathambo abanjwe kunye kwaye akhuselwe sisigqubuthelo esomeleleyo, esifana nengxowa. Oku kubizwa ngokuba yi-capsule yegxalaba.
Xa kuvela 'igxalaba eliqandisiweyo', le capsule iyaqina kancinci kancinci, iqine, kwaye inamathele. Ifana nelaphu elimanzi elinamathelana. Ikwanciphisa ubungakanani bolwelo lwe-synovial olunceda ilungu ukuba lityibilike. Oku kwenza kube nzima kakhulu ukuhambisa igxalaba. Unciphisa ukusetyenziswa kwegxalaba ngenxa yentlungu. Okukhona ungayisebenzisi ixesha elide, kokukhona icapsule iba lukhuni. Ekugqibeleni, igxalaba livakala "liqandisiwe" kwindawo enye.
Zithini iimpawu kunye nezigaba ze-'Frozen Shoulder'?
Iimpawu eziphambili ziintlungu nokuqina kwegxalaba. Oku kwenza kube nzima kakhulu, ngamanye amaxesha kungenzeki, ukuhambisa igxalaba. Le ntlungu idla ngokuvakala njengentlungu ebuhlungu neyoyikekayo. Kwabanye abantu, intlungu iba mandundu ebusuku, nto leyo eyenza kube nzima ukulala.
Le meko idla ngokuhamba ngamanqanaba amathathu. Masibone ukuba zeziphi ezo zigaba zintathu.
| Iqonga | Kwenzeka ntoni? (Kwenzeka ntoni?) |
|---|---|
| 1. Inqanaba lokuqandisa | Uva iintlungu nanini na xa ushukumisa igxalaba lakho. Le ntlungu iyanda kancinci kancinci, ingakumbi ebusuku. Umgama wokunyakaza kwegxalaba lakho uyehla kancinci kancinci. Eli nqanaba linokuhlala malunga neenyanga ezi-6 ukuya kwezi-9. |
| 2. Inqanaba eliQhoqisiweyo | Ngeli xesha, iintlungu zinokuncipha kancinci, kodwa ukuqina kwegxalaba kuya kwanda kakhulu. Kuya kuba nzima kakhulu ukwenza izinto ezinjengokuphakamisa ingalo yakho okanye ukuhlikihla umqolo wakho. Eli nqanaba lithatha malunga neenyanga ezi-4 ukuya kwezi-12. |
| 3. Inqanaba lokunyibilikisa | Eli lixesha lokuphiliswa. Ukukwazi ukuhambisa igxalaba kubuyela esiqhelweni kancinci kancinci. Oku kungathatha naphi na ukusuka kwiinyanga ezi-5 ukuya kwiminyaka emi-2. |
Kutheni kukho 'iFrozen Shoulder'? Zithini izinto ezibangela umngcipheko ?
Akukho sizathu sicacileyo sokuba oku kwenzeke kwabanye abantu, kodwa amanye amaqela asengozini enkulu yokuba nakho oku.
- Ubudala kunye nesini: Abafazi banamathuba amaninzi okufumana le meko, kwaye ixhaphake kakhulu kubantu abaphakathi kweminyaka engama-40 ukuya kwengama-60 ubudala.
- Ukuvaleka kwegxalaba: Ukuba awukwazi ukushukumisa igxalaba lakho ixesha elide ngesizathu esithile (umzekelo, emva kokuphuka kwengalo kwisamente, emva kwestroke , okanye emva kotyando ), le ngozi iyanda.
- Ezinye iimeko zonyango: Kukwakho nonxibelelwano phakathi koku kunye nezinye iimeko zonyango. Abantu abanesifo seswekile banomngcipheko ophezulu we-10% - 20% wokuba ne-'Frozen Shoulder'. Ukongeza, abantu abanezi meko zilandelayo zonyango nabo basengozini enkulu:
- Isifo sentliziyo
- Isifo se-thyroid
- Isifo sikaParkinson
Ugqirha uyibona njani le nto?
Akukho vavanyo lukhethekileyo lwe-'Frozen Shoulder'. Into yokuqala ugqirha wakho aza kuyenza kukuxilonga ngokwasemzimbeni.
Ugqirha uza kuyishukumisa ingalo yakho ngeendlela ezahlukeneyo, kwaye angakucela ukuba uyishukumise ngokwakho ingalo yakho ukuze abone ukuba ungayishukumisa kangakanani na kwaye intlungu ivela phi. Ngamanye amaxesha, unokufakwa isibulali-zintlungu egxalabeni lakho ukunciphisa iintlungu nokuvavanya umgama wentshukumo yegxala lakho.
Olu vavanyo lomzimba ludla ngokuxilonga imeko. Nangona kunjalo, i-X-ray, i-ultrasound, okanye i-MRI scan inokwenziwa ukuze kuthintelwe ezinye iimeko, ezifana ne-arthritis okanye i-rotator cuff ekrazukileyo.
Ziziphi iindlela zonyango ze-'Frozen Shoulder'?
Iindaba ezimnandi zezokuba uninzi lweemeko zegxalaba eliqandisiweyo ziyaphela ngokwazo ngokuhamba kwexesha, nokuba azinyangwa. Nangona kunjalo, kungathatha ixesha, ngoko ke kubalulekile ukufumana unyango lokulawula iintlungu kunye nokubuyisela igxalaba lakho esiqhelweni.
Iipilisi zokuthomalalisa iintlungu ezilula, ezifana neeNSAID (iziyobisi ezichasene nokuvuvukala) ezifana neibuprofen, zinokunceda ekunciphiseni iintlungu nokudumba. Ukuba ezi azanelanga, ugqirha wakho unokukunika amayeza anamandla ngakumbi.
Ukuba iimpawu zinzima okanye aziphucuki ngokuhamba kwexesha, ugqirha wakho unokucebisa ezinye iindlela zonyango.
- Inaliti ye-corticosteroid: Inaliti kwilungu legxalaba inokunciphisa iintlungu ngokukhawuleza kwaye yonyuse ukuhambahamba.
- Ukuphakama kwamalungu: Kule nkqubo, ugqirha wakho ufaka amanzi angenazintsholongwane kwikhaphu yakho yamahlombe, nto leyo ebangela ukuba ikhule. Oku kunceda igxalaba lakho lishukume lula.
- Unyango lomzimba: Ukuzilolonga okwenziwe phantsi kwesikhokelo sengcali kunokunceda ukubuyisela igxalaba ekusebenzeni kwalo okuqhelekileyo, kodwa oku kusebenza ngakumbi kumanqanaba athile esi sifo.
- Utyando: Oku akuyomfuneko kwiimeko ezininzi. Nangona kunjalo, ukuba akukho nyango lusebenzayo, ugqirha wakho unokucebisa utyando lwe-arthroscopic, olusebenzisa ikhamera encinci kunye nezixhobo zokususa naziphi na izicwili ezinamathele ngaphakathi egxalabeni.
Iindlela zokunciphisa intlungu ekhaya
- Ukucinezela okushushu/okubandayo: Ukufaka ibhotile yamanzi ashushu okanye abandayo kunokunceda ukunciphisa iintlungu kunye nokudumba. Yiyeke imizuzu eli-15-20. Ungatshintshana phakathi kwezi zimbini.
- Unyango lwe-TENS (`ukuvuselelwa kwemithambo-luvo yombane edluliselwa ngesikhumba`): Oku kuquka ukuthumela umbane osebenza ngombane ophantsi ngesikhumba usebenzisa isixhobo esincinci, ukuthintela imiqondiso yentlungu ukuba ingafikeleli engqondweni. Nangona kunjalo, ngokuqinisekileyo kufuneka uthethe nogqirha wakho ngaphambi kokusebenzisa olu hlobo lwesixhobo.
Ukuzilolonga okulula okulungele amahlombe
Ukuzilolonga emagxeni ngononophelo kunokunceda ekunciphiseni le meko kwaye kuthintele nokuba ingakhuli. Kodwa khumbula, kungcono ukubonana nogqirha okanye ingcali yezonyango ngaphambi kokuba uqale ezi zilolonga. Musa ukuzenza nzima kangangokuba zibangele iintlungu.
Zifudumeze amahlombe akho ngaphambi kokuba uzilolonge. Eyona ndlela ilungileyo kukuhlamba ngamanzi ashushu.
- Ukolula ipendulum: Yima uthe nkqo uze uvumele ingalo ebuhlungu ixhonywe ngokukhululekileyo. Ngesinye isandla, xhoma etafileni. Ngoku jikelezisa ingalo ebuhlungu ngesangqa esincinci izihlandlo ezili-10 kwelinye icala kunye nezihlandlo ezili-10 kwelinye icala.
- Ukufikelela emzimbeni onqamlezileyo: Ngesandla sakho esilungileyo, bamba ingqiniba yengalo ebuhlungu. Ngoku tsala ingalo ebuhlungu esifubeni sakho uye kwelinye icala. Bamba imizuzwana eli-15-20 ude uzive ukolula egxalabeni lakho. Yenza oku izihlandlo ezili-10-20 ngemini.
- Ukolula ithawula: Bamba itawuli malunga neenyawo ezi-3 ubude ukusuka ngasemva. Yibambe ngengalo yakho entle phezulu nengalo yakho ebuhlungu phantsi. Ngoku tsala itawuli phezulu ngengalo yakho entle. Bamba imizuzwana eli-10 ude uzive ukolula egxalabeni lengalo yakho ebuhlungu.
Ungalala njani nge-'Frozen Shoulder'?
Eyona ngxaki inkulu ngesi sifo kukuba iintlungu ziba mandundu ebusuku. La macebiso aza kukunceda.
- Sebenzisa umqamelo ofanelekileyo: Khetha umqamelo ogcina intloko yakho, intamo, kunye nomqolo wakho zithe tye.
- Sebenzisa imiqamelo eyongezelelweyo: Lala ngecala elingabangeli ntlungu. Beka umqamelo phakathi kweengalo zakho. Oku kuya kunceda ukugcina amahlombe akho elungelelene.
- Lala ushushu: Faka ibhotile yamanzi ashushu emagxeni akho ngaphambi kokuba ulale. Oku kuya kunceda ukunciphisa iintlungu kwaye kukuncede ulale ngcono.
Umyalezo Wokuya Ekhaya
- 'Ihlombe eliqandisiweyo' yimeko apho izicubu ezijikeleze igxalaba ziba nkulu kwaye ziqine. Oku akunanto yakwenza nokukhathazeka.
- Oku kudla ngokuba nezigaba ezintathu (ukunamathela, ukunamathela, nokunyibilika). Kuthatha ixesha ukuphiliswa.
- Uninzi lwexesha, le meko iyaphela ngokwayo ngokuhamba kwexesha, kodwa kubalulekile ukufuna unyango lokulawula iintlungu nokubuyisela imeko eqhelekileyo.
- Ukuzilolonga okulula kunye neepilisi zokudambisa iintlungu kunokubonelela ngoncedo olukhulu.
- Ukuba unale mpawu, qiniseka ukuba ubona ugqirha wakho ukuze ufumane uxilongo oluchanekileyo kunye nesicwangciso sonyango.
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