Ingabe nawe unobuhlungu obuhlabayo obuhlabayo obuzwayo lapho wenza imisebenzi yasekhaya, udlala ikhilikithi, noma uphakamisa ihlombe lakho nje? Ingabe lobu buhlungu bukhulu kangangokuthi awukwazi ngisho nokulala ebusuku? Ngenkathi abantu abaningi becabanga ukuthi lokhu kumane kuwukuklwebheka noma ukudabuka kwemisipha, imbangela yalokhu kungaba yisimo esibizwa ngokuthi i-Shoulder Bursitis. Leli gama lingase libe lisha kuwe, kodwa lesi yisimo esivame kakhulu kunalokho esikucabangayo. Ngakho-ke, ake sixoxe ngalokhu ngendlela elula necacile namuhla.
Kalula nje, kuyini i-Shoulder Bursitis?
Ukuze siqonde lokhu, ake siqale sibheke ihlombe lethu. Cabanga ngehlombe lethu njengomshini osebenza njalo, onezingxenye eziningi ezihamba ndawonye. Kuleli lunga, kunezikhwama ezincane, ezigcwele uketshezi ezisiza ukuvimbela amathambo nemisipha ukuthi ingagudlani futhi inyakaze kalula ngaphandle kokulimaza. Kwezokwelapha, lezi zikhwama zibizwa ngokuthi i-bursa .
Manje, ngenxa yesizathu esithile, isibonelo, ingozi, noma ngenxa yokusebenza okuqhubekayo, lesi sikhwama se-bursa siyacasuka, silimale futhi sivuvuke. Lokhu kuvuvukala kwesikhwama se-bursa yilokho esikubiza ngokuthi i-Bursitis . Uma lokhu kwenzeka ehlombe, sikubiza ngokuthi i-Shoulder Bursitis . Igama eliqondile odokotela abalinika lokhu yi -Subacromial Bursitis .
Kalula nje, ukuvuvukala komcamelo ovikelayo phakathi kwamathambo nemisipha yehlombe. Lokhu kuvuvukala yikho okukwenza uzizwe ubuhlungu, ukuqina, kanye nobunzima bokuphakamisa ingalo yakho.
Yiziphi izinhlobo eziyinhloko ze-Shoulder Bursitis?
I-Shoulder Bursitis ingahlukaniswa ngezinhlobo ezintathu eziyinhloko. Uhlobo ngalunye lunesiqalo kanye nohlobo oluhlukile kancane.
| Uhlobo lwe-Bursitis | Incazelo elula |
|---|---|
| I-Bursitis Engapheli | Lolu uhlobo oluvame kakhulu. Igama elithi "chronic" lisho isikhathi eside noma esiphindaphindayo. Lesi simo sibangelwa ukusetshenziswa ngokweqile noma ukulimala okuphindaphindiwe. Ubuhlungu buyafika, buhambe, futhi bubuye. |
| I-Bursitis Ebukhali | Lesi yisimo esiphuthumayo nesiphuthumayo. Ngokuvamile sibangelwa ingozi noma ukuwa. Ubuhlungu buvame ukuba bukhulu. |
| I-Bursitis Ethelelanayo (Engavikelekile) | Lesi yisimo esibi kakhulu. Sivela lapho ukutheleleka okuvela kwenye indawo emzimbeni kungena e-shoulder bursa ngegazi. Lokhu kungabangela ukuthi ihlombe libe bomvu, libe nomkhuhlane futhi libe buhlungu. |
Ziyini izimpawu zalesi simo?
Izimpawu ze-shoulder bursitis zingahluka kancane kumuntu nomuntu, kodwa kunezinye izimpawu ezivamile.
- Ubuhlungu behlombe: Lolu uphawu oluyinhloko. Abanye abantu bazizwa besinda, njengokungathi kukhona okubambeke ehlombe labo. Abanye bangase bezwe ubuhlungu obuhlabayo, obuhlabayo lapho bephakamisa ingalo yabo noma eceleni.
- Ukuvuvukala: Ingaphandle lehlombe lingase libonakale livuvukile.
- Ukuqina: Ubunzima bokushukumisa amahlombe akho uma uvuka ekuseni, uzizwa uqinile.
- Ukunyakaza okulinganiselwe: Ubuhlungu bungenza kube nzima ukuphakamisa noma ukwehlisa ingalo yakho ngokuphelele. Kungaba nzima nokwenza imisebenzi elula njengokukama izinwele zakho noma ukugqoka izingubo.
- Ukuzwela ekuthinteni: Ihlombe lizwakala libuhlungu ngisho noma lithintwa noma licindezelwe kancane. Abanye abantu abakwazi ngisho nokulala ohlangothini olubuhlungu ebusuku.
- Ubomvu noma ukufudumala kwesikhumba: Ikakhulukazi uma kukhona ukutheleleka (i-bursitis ethelelanayo), isikhumba esizungeze ihlombe singase sibe bomvu futhi sizizwe sifudumele uma usithinta.
Into ebalulekile ukuthi lobu buhlungu bungakhula kancane kancane noma buqale ngokuzumayo. Kwabaningi, ubuhlungu buyaqina ebusuku, ngoba ihlombe licindezelekile ngenkathi belele.
Kungani sithola i-Shoulder Bursitis? Yiziphi izinto eziyingozi?
Kunezimbangela ezimbili eziyinhloko ze-shoulder bursitis: ukulimala kanye nokusetshenziswa ngokweqile kwehlombe .
Cabanga ngomdlali wekhilikithi ophonsa ibhola njalo. Noma umbazi oshaya ibhola usuku lonke. Uma wenza ukunyakaza okufanayo ngokuphindaphindiwe, i-bursa ehlombe lakho icindezelwa futhi ihlikihlwe njalo. Ngemva kwesikhathi esithile, ayitholi isikhathi sokuphola. Yilapho iqala khona ukuvuvukala.
| Amaqembu ezingozi kanye nezimbangela | Izibonelo |
|---|---|
| Ukunyakaza okuphindaphindiwe | Abantu abadlala imidlalo efana nekhilikithi, ithenisi, i-volleyball, i-badminton, abapendi, ababazi, abalimi, kanye nalabo abahlanganyela ekuphakamiseni izinto ezisindayo. |
| Ukulimala | Ukushaya ihlombe, ukuthola ukushaywa kanzima ehlombe, noma ukuphakamisa into esindayo ngokuzumayo bese kulimala ihlombe. |
| Ezinye izimo zezokwelapha | Abantu abane-arthritis evuvukalayo, njenge-rheumatoid arthritis kanye ne-gout , nabo basengozini enkulu, njengabantu abanesifo sikashukela, isifo se-thyroid, kanye nesifo sezinso esingamahlalakhona. |
| Izifo | Ukutheleleka ngamagciwane (ukutheleleka kwe-staph) okwenzeka kwenye indawo emzimbeni, isibonelo, esikhumbeni, kusakazekela ehlombe ngegazi. |
Kwenzekani uma lokhu kunganakwa?
I-shoulder bursitis ivame ukuba yisimo esingelapheka ngokwelashwa okufanele. Kodwa-ke, uma une-bursitis engapheli, okusho ukuthi ubuhlungu buyafika budlule, bungabangela umonakalo ohlala njalo ku-bursa. Ngokuhamba kwesikhathi, ibanga lokunyakaza kwehlombe lingancishiswa, futhi isimo esibizwa ngokuthi i-frozen shoulder singase sikhule.
I-Septic bursitis, ebangelwa ukutheleleka ngamagciwane , idinga ukwelashwa ngokushesha . Uma ingelashwa, amagciwane angasakazeka emzimbeni wonke futhi abangele isimo esibi nesisongela ukuphila esibizwa ngokuthi i-sepsis . Nakuba kuyivelakancane kakhulu, kubalulekile ukuqaphela.
Udokotela ukuxilonga kanjani lokhu?
Uma uya kudokotela onesifo samahlombe, into yokuqala azokwenza ukukubuza imibuzo nokuhlola ihlombe lakho.
- Ungalishukumisa kangakanani ihlombe lakho? (Ububanzi bokunyakaza)
- Uzwa kuphi ubuhlungu?
- Ingabe kukhona ukuvuvukala noma ukubomvu?
Ngemva kokuhlola lezi zinto, ungathunyelwa kulezi zivivinyo ukuze uqinisekise isimo futhi ubone ukuthi zikhona yini ezinye izimbangela.
- I-X-ray yamahlombe: Hlola ukuthi amathambo aqhekekile, aphukile noma aphumile yini.
- I-MRI noma i-Ultrasound scan: Lokhu kungabona ngokucacile izinto ezifana nokuvuvukala esikhwameni se-bursa kanye nomonakalo emisipheni.
- Ukufutha kwamalunga: Uma kusolwa ukuthi kukhona ukutheleleka ngamagciwane noma i-gout , udokotela angasebenzisa inalithi encane ukukhipha uketshezi oluthile esikhwameni se-bursa bese eluthumela elabhorethri ukuze luhlolwe.
- Ukuhlolwa kwegazi: Hlola ukutheleleka emzimbeni.
Yiziphi izindlela zokwelapha lokhu?
Izindaba ezinhle ukuthi isikhathi esiningi, i-shoulder bursitis ingelapheka ngaphandle kokuhlinzwa, ngokwelashwa okulula.
1. Ukuphumula
. . , . .
2. Amaphakethe eqhwa
Amaphakethe eqhwa angasiza ekunciphiseni ubuhlungu nokuvuvukala. Songa iphakethe leqhwa ngethawula elincane bese ulifaka endaweni ebuhlungu cishe imizuzu eyi-15 izikhathi eziningana ngosuku. Ungafaki iqhwa ngqo esikhumbeni, njengoba lokhu kungalimaza isikhumba.
3. Izibulala-zinhlungu
Ngokweseluleko sikadokotela wakho, ungaphuza imithi yokubulala izinhlungu efana neParacetamol noma ama-NSAID (imithi elwa nokuvuvukala engeyona eye-steroidal). Lokhu kuzonciphisa ubuhlungu nokuvuvukala.
Okubalulekile: Ungazisebenzisi lezi zinhlobo zemithi yokubulala izinhlungu njalo izinsuku ezingaphezu kweziyi-10 ngaphandle kokubonisana nodokotela wakho.
4. Imijovo ye-Corticosteroid
Uma ubuhlungu bukhulu futhi ukwelashwa okulula kunganele, udokotela wakho angase anqume ukufaka i-steroid ngqo ku-bursa. Lokhu kunganciphisa ngokushesha ukuvuvukala futhi kunikeze ukukhululeka okukhulu kobuhlungu.
5. Ukwelashwa Komzimba (PT)
Uma ubuhlungu sebuphelile, kubalulekile ukufuna usizo kudokotela we-physiotherapist. Uzokunikeza izivivinyo ezithile zokuqinisa imisipha ehlombe lakho nokwandisa ukuguquguquka. Lezi zivivinyo ngeke zisize nje kuphela ukubuyisela ihlombe lakho endaweni yalo evamile, kodwa futhi zizosiza ukuvimbela lesi simo ukuthi singaphinde sivele esikhathini esizayo.
6. Ama-antibiotic
Uma une-bursitis ethelelanayo, uzonikezwa ama-antibiotic nakanjani. Kubaluleke kakhulu ukuthatha umthamo ophelele womuthi ngenani lezinsuku udokotela wakho azinikezayo. Ungayeki ukuthatha umuthi ngoba nje uzizwa ungcono.
Ingabe ukuhlinzwa kuzodingeka?
Ukuhlinzwa akuvamile ukudingeka ngenxa ye-shoulder bursitis. Udokotela uzocabangela ukuhlinzwa kuphela uma ubuhlungu bukhulu ngokwanele ukukuvimbela ekwenzeni imisebenzi yakho yansuku zonke futhi kungekho okunye ukwelashwa okusebenzayo. Lokhu kuhlinzwa kuvame ukwenziwa ngokuhlinzwa kwe-keyhole okubizwa ngokuthi i-shoulder arthroscopy .
Lesi simo singavinjelwa kanjani ukuthi singaphinde sibuye?
Bathi, “Ukuvimbela kungcono kunokwelapha.” Ngakho-ke, kunezinto ezilula ongazenza ukuvimbela i-Shoulder Bursitis.
- Zifudumale kahle ngaphambi kokuqala ukuzivocavoca noma umsebenzi: Yenza ukuzivocavoca okwelula imisipha ehambisana nehlombe.
- Qinisa imisipha yakho yamahlombe: Ngaphansi kokuqondiswa ngumelaphi wezokwelapha ngokomzimba, yenza izivivinyo zokuqinisa amahlombe ezifanele umdlalo noma umsebenzi wakho.
- Phumula: Uma wenza umsebenzi okhathaza amahlombe akho isikhathi eside, phumula isikhashana phakathi kwawo.
- Ungalwi nobuhlungu: Uma ihlombe lakho libuhlungu, ungenzi “into ebuhlungu.” Lokho kuzokwenza izinto zibe zimbi kakhulu. Ubuhlungu buyisibonakaliso somzimba wakho kuwe, “Ngidinga ikhefu.” Lalela.
Kufanele ubonane nini nodokotela?
Uma unesinye noma ngaphezulu kwalezi zimpawu ezilandelayo, qiniseka ukuthi ubona udokotela.
- Uma ubuhlungu emahlombe bubuhlungu kangangokuthi awukwazi ukwenza imisebenzi yakho yansuku zonke noma ukulala ebusuku.
- Uma ubuhlungu bungapheli ngemva kwezinsuku ezimbalwa ngokwelashwa okulula kwasekhaya (ukuphumula, iqhwa).
- Uma uzizwa ubuthakathaka ehlombe noma engalweni yakho.
- Uma ihlombe lakho libomvu futhi livuvukele, kanye nezimpawu ezifana nomkhuhlane kanye nokubanda (lokhu kungaba uphawu lokutheleleka ngamagciwane, ngakho funa iseluleko sezokwelapha ngokushesha).
Kujwayelekile ukuzwa ubuhlungu noma ukuqina ehlombe lakho ngemuva kokwenza umsebenzi wasegcekeni noma ukudlala umdlalo. Kodwa uma ubuhlungu buhlala izinsuku ezingaphezu kwezimbalwa, ungabunaki njengento ehlukile. Ngokubona udokotela ngesikhathi esifanele, ukuthola ukuxilongwa okufanele kanye nokwelashwa, ungalulama ngokushesha futhi ubuyele emisebenzini yakho evamile.
Umlayezo Wokuya Nawe Ekhaya
- I-Shoulder Bursitis ukuvuvukala kwesikhwama esifana nomcamelo esibizwa ngokuthi 'i-bursa' esihlanganyelweni sehlombe. Lokhu kungabangelwa ingozi noma ukusetshenziswa ngokweqile kwehlombe.
- Uphawu oluyinhloko ubuhlungu behlombe, ikakhulukazi lapho uphakamisa ingalo. Ukuvuvukala, ukuqina, kanye nokunyakaza okulinganiselwe nakho kuvamile.
- Ukwelashwa okungcono kakhulu kwalokhu ukuphumula. Kubalulekile ukunikeza ihlombe lakho isikhathi sokululama ngokuziqhelelanisa nemisebenzi ebangela ubuhlungu.
- Uma ihlombe lakho libomvu futhi livuvukele kanye nezimpawu ezifana nomkhuhlane kanye nokubanda, kungaba ukutheleleka ngamagciwane. Ngakho-ke bonana nodokotela ngokushesha.
- Ukungazinaki izinhlungu kungenza isimo sibe sibi kakhulu, ngakho-ke uma ubuhlungu emahlombe buhlala izinsuku ezingaphezu kwezimbalwa, funa iseluleko sezokwelapha.
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