Wake wazizwa ubuhlungu obungabekezeleleki ehlombe lakho ngokuzumayo? Ingabe bukhulu kangangokuthi awukwazi ngisho nokwenza izinto ezilula njengokuphakamisa ingalo yakho, ukushintsha izingubo, noma ukukama izinwele zakho? Ingabe ubuhlungu bukhulu kangangokuthi buyakuvusa ngisho nasebusuku? Imbangela yalokhu ayaziwa kwabaningi, kodwa kungaba yisimo esibuhlungu kakhulu. Yilokho esikhuluma ngakho namuhla. Ngokwezokwelapha, lesi simo sibizwa ngokuthi iCalcific Tendonitis .
Kalula nje, iyini i-Calcific Tendonitis?
Kulungile, ake sikubeke kalula lokhu. Sinezicubu eziqinile emzimbeni wethu ezixhumanisa imisipha namathambo. Lokhu yilokho esikubiza ngokuthi i-tendon. I-Calcific Tendonitis yilapho kwakheka khona ama-calcium deposits ngaphakathi kwala ma-tendon.
Cabanga ngakho njenge-limescale ekhula ngaphakathi kwepayipi lamanzi ngokuhamba kwesikhathi. Yileyo ndlela i-calcium ekhula ngayo ngaphakathi kwale misipha. Lawa ma-calcium deposits angakheka endaweni eyodwa noma ezindaweni eziningi. Njengoba lokhu kukhula, noma kuvuvukala ngandlela thile, kungabangela ubuhlungu obungabekezeleleki.
Nakuba lesi simo singase senzeke kunoma yimuphi umsipha emzimbeni, sivame ukubonakala ehlombe . Uhlelo lomsipha ehlombe lubizwa ngokuthi "i-Rotator cuff". Ngakho-ke yilo "Rotator cuff" oluthinteka kakhulu.
Ingabe lokhu kuhlukile ku-Rotator Cuff Tendonitis kanye ne-Frozen Shoulder?
Yebo, zonke lezi zimo ezintathu zihlobene nehlombe, kodwa zihlukile komunye nomunye.
- I-Rotator Cuff Tendonitis: Lokhu ukuvuvukala kwemisipha ehlombe. Kungabangela nokuvuvukala kwezikhwama ezincane ezigcwele uketshezi ezibizwa ngokuthi i-bursae ezisiza imisipha ukuthi inyakaze. I-Calcific Tendonitis ayithinti ngqo i-bursa, kodwa ingabangela nokuthi ivuvuke ngenxa yokufakwa kwe-calcium.
- Ihlombe Eliqandisiwe: Lokhu kwenzeka lapho ihlombe liqandisiwe futhi liqina, okuvimbela ukunyakaza kwengalo. Ngezinye izikhathi, isimo esibizwa ngokuthi i-Calcific Tendonitis singase sibangele `(Ihlombe Eliqandisiwe)`.
Ubani okungenzeka kakhulu ukuthi athole lesi simo?
Abantu abaneminyaka ephakathi kuka-40 no-60 basengozini enkulu yokuthola lesi simo. Kutholakale nokuthi sivame kakhulu kwabesifazane kunabesilisa. Kodwa-ke, singavela kunoma ubani. Asihlotshaniswa nanoma yimuphi umsebenzi noma umsebenzi othize.
Kodwa lesi akusona isimo esivamile kakhulu. Ngaphansi koyedwa kubantu abayishumi abafuna ukwelashwa ubuhlungu behlombe banalesi simo.
Yiziphi izigaba ze-Calcific Tendonitis?
Lesi simo senzeka ngezigaba ezintathu eziyinhloko. Ukuqonda lokhu kuzokusiza ukuthi uqonde kangcono ubuhlungu obuzwayo.
| Isiteji | Kwenzekani kulesi sigaba |
|---|---|
| 1. Isigaba sangaphambi kwe-calcific | Lesi yisigaba sokuqala. Phakathi nalesi sikhathi, izinguquko ziqala ukwenzeka ezingeni lamaseli ezicutshini zemisipha. Ubuhlungu buvela lapho isandla sishukunyiswa, futhi ububanzi bokunyakaza kwesandla buqala ukulinganiselwa. |
| 2. Isigaba se-Calcific | Kungalesi sigaba lapho i-calcium ikhishwa khona emangqamuzaneni, futhi lawo ma-calcium deposit esiwakhulume ngawo aqala ukwakheka. Ngemva kwesikhashana, umzimba uqala ukuzimunca ngokwawo la ma-deposit. Abantu abaningi bazizwa ubuhlungu obukhulu kakhulu phakathi nalesi sikhathi sokumunca. |
| 3. Isigaba Sangemva Kwe-Calcific | Lesi yisigaba sokuphulukiswa. Phakathi nalesi sikhathi, izicubu zemisipha ezinempilo zikhula emuva lapho kwakukhona khona i-calcium deposits. Ubuhlungu buyancipha kancane kancane, futhi ukunyakaza esandleni kuqala ukubuyela esimweni esijwayelekile. |
Ngakho-ke ingabe lolu uhlobo lwesifo samathambo?
Cha. Lolu akulona uhlobo lwesifo samathambo. Lezi zimbili zihluke ngokuphelele.
I-Calcific Tendonitis ukuvuvukala kwemisipha . Kodwa i-arthritis ukuvuvukala nokulimala kwamalunga . Ngezinye izikhathi lesi simo singadidaniswa nohlobo lwe-arthritis olubizwa ngokuthi i-calcium pyrophosphate dihydrate deposition disease (CPPD, noma i-pseudogout). Ngoba lokho kuhilela nokubekwa kwamakristalu e-calcium ngaphakathi kwamalunga. Kodwa kuyinto ehlukile ngaphakathi kwamalunga. Lokhu kwenzeka ngaphakathi kwamalunga.
Yiziphi izimpawu eziyinhloko zalesi simo?
Abanye abantu bangase babe nama-calcium deposits ngaphandle kobuhlungu. Kodwa-ke, uma la ma-deposits evuvukala, kungase kuvele izimpawu.
- Ubuhlungu obungazelelwe nobunzima obungacabangeki ehlombe.
- Ubuhlungu obukhulu lapho ushukumisa ihlombe.
- Ubuhlungu buyanda kuze kufike lapho ungakwazi ukulala ebusuku .
- Ubunzima bokwenza izinto ezifana nokuphakamisa ingalo yakho noma ukuyibeka ngemuva komhlane wakho, okusho ukwehla kokunyakaza .
- Ubuhlungu obungazwakala ngisho nalapho kuthintwa indawo ye-rotator cuff yehlombe.
Udokotela uhlonza kanjani lokhu?
Uma uya kudokotela wakho, uzoqala ngokukubuza ngezimpawu zakho. Ngemuva kwalokho uzohlola ihlombe lakho abone ukuthi ungashukumisa ingalo yakho ibanga elingakanani.
Ngemva kwalokho, ungathunyelwa kwezinye izivivinyo ukuqinisekisa lesi simo nokuhlola ezinye izimo zezokwelapha.
- Ukuhlolwa kwe-X-ray: Lena yindlela elula nesobala kakhulu yokubona ukuthi kukhona yini i-calcium deposits emithanjeni.
- Ukuskena nge-ultrasound: Lokhu kungasiza futhi ekuhloleni ama-calcium deposits kanye nesimo semisipha.
- Ukuskena kwe-MRI: Ngezinye izikhathi kungadingeka ukuskena kwe-MRI ukuze kuhlolwe kabanzi umonakalo we-tendon noma ezinye izinkinga.
Yiziphi izindlela zokwelapha lokhu?
Izindaba ezinhle ukuthi iningi labantu abaneCalcific Tendonitis lingalulama ngaphandle kokuhlinzwa . Kunezindlela eziningana zokwelapha.
| Indlela yokwelapha | Kalula nje, kuhilelani lokho? |
|---|---|
| Iziqeda-zinhlungu kanye nemithi yokulwa nokuvuvukala (ama-NSAID) | Imithi efana ne-Ibuprofen ne-Naproxen ingasiza ekulawuleni ubuhlungu nokuvuvukala, kodwa ungayisebenzisi ngaphandle kweseluleko sikadokotela. |
| Imijovo ye-steroid | Uma ubuhlungu nokuvuvukala kukhulu, udokotela wakho angakunika umjovo we-steroid ngqo ehlombe. Lokhu kungakunikeza impumuzo esheshayo. |
| Ukwelashwa Komzimba | Uma ubuhlungu sebuphelile, kwenziwa izivivinyo ezikhethekile kanye nokwelashwa ngaphansi kokuqondisa kochwepheshe bezokwelapha ukuze kubuyiselwe ukunyakaza kwamahlombe kanye namandla. |
| Ukwelashwa Nge-Shockwave (ESWT/RSWT) | Lokhu kuhilela ukuthumela amaza omsindo anamandla aphezulu (amaza okushaqeka) ukuze kuhlukaniswe ama-deposit e-calcium, okusheshisa inqubo yokuphulukiswa. |
| Ukwelashwa nge-lavage | Kulokhu, udokotela, esebenzisa umshini we-ultrasound, ufaka izinaliti ezimbili eqhubu le-calcium. Inaliti eyodwa ifaka isixazululo se-saline kanti enye isusa izinhlayiya ze-calcium ezincibilikisiwe. |
| I-Ultrasound Yokwelapha | Idivayisi ephathwa ngesandla isebenzisa amaza omsindo avame kakhulu ukusiza ekuhlukaniseni ama-calcium deposits. |
| Ukuhlinzwa | Uma kungekho okunye ukwelashwa okuphumelelayo, ezimweni ezimbi kakhulu, kwenziwa ukuhlinzwa ukuze kususwe lawa ma-calcium deposits. Kodwa-ke, lokhu kuyadingeka kuphela kumaphesenti amancane eziguli, cishe u-10%. |
Ingabe ubuhlungu bungalawulwa ekhaya?
Yebo, ngaphezu kokwelashwa ngudokotela, kunezinto eziningana ongazenza ekhaya ukuze ulawule ubuhlungu.
- Phumula: Phumula ihlombe lakho uma libuhlungu. Gwema ukuphakamisa izinto ezisindayo noma ukwenza umsebenzi ongaphezulu.
- Ukucindezela okushisayo nokubandayo: Abanye abantu bathola impumuzo emanzini ashisayo, kanti abanye bathola impumuzo emaphaketheni eqhwa. Bheka ukuthi yini ekusebenzela kahle. Kodwa ungafaki iqhwa ngqo esikhumbeni sakho, lisonge ngendwangu.
- Ama-painkiller njengoba eyalelwe udokotela wakho: Uma udokotela wakho ewayalele, thatha ama-painkiller ngesilinganiso esibekiwe.
Okubalulekile:Uma uzwa ubuhlungu obungazelelwe, obukhulu ehlombe lakho, ukungazweli engalweni yakho, noma uma ubuhlungu bungapheli ezinsukwini ezimbalwa, bona udokotela wakho ngokushesha.
Ingabe lobu buhlungu bungabuya?
Yebo, ngezinye izikhathi izimpawu zeCalcific Tendonitis zingaphinde zibuye. Abanye abantu bangahlala izinyanga noma ngisho neminyaka ngaphandle kwezinkinga ngaphambi kokuba ubuhlungu bubuye. Ngakho-ke, uma uke waba nalesi simo ngaphambili, kuwukuhlakanipha ukubona udokotela ukuze ahlolwe njalo. Ezimweni eziningi, lesi simo singalapheka ngokushesha. Kodwa-ke, kubalulekile ukuthola ukuxilongwa okufanele kanye nokwelashwa.
Umlayezo Wokuya Nawe Ekhaya
- I-Calcific Tendonitis yisimo esibuhlungu kakhulu esibangelwa ukugcinwa kwe-calcium ngaphakathi kwemisipha yehlombe.
- Lolu akulona uhlobo lwesifo samathambo.
- Uphawu oluyinhloko ubuhlungu behlombe obuvela ngokuzumayo, bube bubi kakhulu ebusuku, futhi bube bukhulu kangangokuthi akunakwenzeka ukushukumisa ingalo.
- Ezimweni eziningi, lesi simo singalapheka ngokuphelele ngaphandle kokuhlinzwa, ngokwelashwa okufana nemijovo, imithi, kanye nokwelashwa ngokomzimba.
- Uma unezinye zalezi zimpawu, ungazinaki. Bona udokotela wakho ngokushesha ngangokunokwenzeka ukuze uthole ukuxilongwa okufanele nokwelashwa.
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