Ingabe ihlombe lakho lizwakala liqinile? Ingabe yilokhu okushoyo uma uthi 'ihlombe eliqandisiwe'?

Ingabe ngezinye izikhathi ukuthola kunzima ukuphakamisa ihlombe lakho noma ukuhambisa ingalo yakho? Ingabe kuzwakala sengathi ihlombe lakho libambekile noma libambekile? Ingabe kubuhlungu uma uzama ukushintsha izingubo, ukukama izinwele zakho, noma ukuphakamisa ingalo yakho ukuze ubambe okuthile? Uma lezi zinto zivamile kuwe, khona-ke ungase ube nesifo esibizwa ngokuthi 'i-Frozen Shoulder' , noma njengoba odokotela besibiza ngokuthi 'i-Adhesive Capsulitis' . Ngakho-ke, ingabe sizoxoxa ngalokhu ngemininingwane ethe xaxa namuhla?

Kuyini 'ihlombe eliqandisiwe'?

Kalula nje, ihlombe eliqandisiwe liyisimo esibuhlungu esenzeka ehlombe lakho. Libonakala ngokulahlekelwa kancane kancane ikhono lokunyakaza ihlombe lakho. Ngokukhethekile, izicubu eziqinile ezizungezile ihlombe lakho (ezibizwa ngokuthi i-Shoulder Joint Capsule) ziyaqina, ziqine, futhi zivuvuke.

Cabanga ngejoyinti lakho lehlombe njengengcezu yethambo elimise okwebhola (elibizwa ngokuthi ikhanda le-humeral) elingena kwelinye ijoyinti lethambo elimise okwebhola (elibizwa ngokuthi i-glenoid). Lokhu yilokho esikubiza ngokuthi ijoyinti lebhola nesokhethi. I-capsule ezungeze lelo joyinti iqukethe imisipha exhumanisa ithambo lengalo engenhla ne-blade yehlombe.

Ngakho-ke uma le (Capsule) iqina futhi iba lukhuni, kuba nzima ukuhambisa ihlombe. Unciphisa nokusetshenziswa kwehlombe ngenxa yobuhlungu. Uma ungayisebenzisi, lelo (Capsule) liyaqina futhi liba lukhuni. Ekugcineni, ihlombe "liba lukhuni" endaweni eyodwa. Yingakho libizwa ngokuthi ihlombe 'eliqandisiwe'.

Ziyini izimpawu zalokhu? Kwenzeka kanjani?

Odokotela bahlukanisa izimpawu zalesi simo 'sehlombe eliqandisiwe' zibe yizigaba ezintathu.

1. Isigaba “Sokuqandisa”

Lesi yisigaba sokuqala. Phakathi nalesi sikhathi, ihlombe lakho lizoqina kancane kancane futhi libe buhlungu uma linyakaza. Ubuhlungu buzokhula kancane kancane. Ubuhlungu bungase bube bubi kakhulu ebusuku. Kancane kancane kuzoba nzima kakhulu ukunyakazisa ihlombe lakho. Lesi sigaba sivame ukuthatha amasonto ayisithupha kuya ezinyangeni ezingaba yisishiyagalolunye.

2. Isigaba “Esiqandisiwe”

Uma ufika esigabeni sesibili, ubuhlungu bungase bunciphe kancane. Kodwa ihlombe lizoqina kakhulu futhi liboshwe. Lokhu kwenza kube nzima kakhulu ukwenza imisebenzi yansuku zonke, njengokugqoka izingubo noma ukukama izinwele zakho. Lesi sigaba singahlala izinyanga ezimbili kuya kweziyisithupha.

3. Isigaba “Sokuncibilika”

Lesi yisigaba sokugcina sokululama. Phakathi nalesi sikhathi, ubuhlungu buyancipha futhi ikhono lokuhambisa ihlombe liyathuthuka kancane kancane. Ihlombe lithola amandla aphelele noma acishe abe sezingeni eliphelele kanye nobubanzi bokunyakaza. Lesi sigaba singahlala kusukela ezinyangeni eziyisithupha kuya eminyakeni emibili.

Cabanga nje, abanye abantu kufanele babhekane nazo zonke izigaba ezintathu: okokuqala, ukubhajwa ubuhlungu, bese kuba ukubhajwa yize ubuhlungu buphela, bese ekugcineni, belulama kancane kancane.

Iyini imbangela eyinhloko yokuthi lokhu 'kuhlushwa yihlombe' kukhule?

Eqinisweni, abacwaningi abakakazi kahle ukuthi yini ebangela ihlombe eliqandisiwe. Kodwa siyazi ukuthi lesi simo sibangelwa ukuthi i-capsule yejoyinti lehlombe ivuvuke, iqine futhi iqine. Ngokuhamba kwesikhathi, izicubu zesilonda, ezaziwa ngokuthi ukunamathela, zakheka ku-capsule. Uketshezi lwe-synovial olusiza ijoyinti lehlombe ukusebenza kahle nalo luyancipha. Konke lokhu ndawonye kunciphisa ikhono lehlombe lokuhamba nokuzungeza ngokukhululeka.

Ubani osengozini enkulu yokuba 'nehlombe eliqandisiwe'?

Abanye abantu banamathuba amaningi okuthola lesi simo. Ake sibheke ukuthi bangobani:

• Ubudala: Lokhu kuvame ukwenzeka kubantu abadala abaneminyaka ephakathi kuka-40 no-60.
• Ubulili: Lesi simo sivame kakhulu kwabesifazane kunakwabesilisa.
• Ukulimala kwehlombe muva nje: Uma uke walimala ehlombe lakho (isibonelo, ukudabuka kwe-rotator cuff, ukuphuka kwe-blade yehlombe, i-collarbone, noma ithambo lengalo elingaphezulu), ukuhlinzwa, noma ukungasebenzi kahle kwehlombe lakho (isibonelo, ukugqoka i-sling), usengozini enkulu yokuthola lesi simo. Lokhu kungenxa yokuthi i-capsule ivame ukuqina lapho ihlombe lingasetshenziswa.
• Isifo Sikashukela: Phakathi kuka-10% no-20% wabantu abanesifo sikashukela baba nehlombe eliqandisiwe.
• Ezinye izimo zempilo: Lezi zifaka phakathi isifo sohlangothi, i-hypothyroidism, i-hyperthyroidism, isifo sikaParkinson, kanye nesifo senhliziyo. Isifo sohlangothi singanciphisa ikhono lokunyakaza ingalo nehlombe lakho, okungaholela ehlombe eliqandisiwe. Abacwaningi abaqiniseki ukuthi ezinye izimo zikuthinta kanjani lokhu.

Odokotela bahlonza kanjani ihlombe eliqandisiwe?

Uma unalezi zimpawu, uma ubona udokotela, uzoqala ngokukubuza ngezimpawu zakho bese ethatha umlando wakho wezokwelapha. Bese bezokwenza ukuhlolwa ngokomzimba kwezingalo zakho namahlombe akho. Nazi ezinye zezinto abazozenza:

• Ihlombe lakho lizoshukunyiswa kusukela kolunye uhlangothi kuya kolunye ukuze kuhlolwe ububanzi bokunyakaza kanye nobuhlungu. Lokhu kubizwa ngokuthi ukuhlolwa "kokuhamba okungashukumi" lapho udokotela eshukumisa ingalo yakho.
• Okulandelayo, uzocelwa ukuthi uphakamise amahlombe akho ukuze ubone ukuthi "i-Active Range of Motion" yakho injani.
• Lezi zigaba ezimbili zokunyakaza ziyaqhathaniswa. Abantu 'abanehlombe eliqandisiwe' banezigaba ezilinganiselwe zokunyakaza okusebenzayo kanye nokungashukumi.

Udokotela wakho uvame uku-oda i-X-ray yehlombe lakho ukuze anqume ezinye izimo, njenge-arthritis. Ihlombe eliqandisiwe ngokuvamile alidingi i-MRI noma i-ultrasound. Kodwa-ke, uma udokotela wakho esola esinye isimo, njengokudabuka kwe-rotator cuff, angase a-oda lezo zivivinyo futhi.

Yiziphi izindlela zokwelapha ezingcono kakhulu 'zehlombe eliqandisiwe'?

Ukwelashwa kwehlombe eliqandisiwe kuvame ukunciphisa ubuhlungu ezigabeni zokuqala. Uma ukunyakaza kungabuyeli esimweni esijwayelekile, ukwelashwa ngokomzimba noma ukuhlinzwa kungadingeka.

Nazi ezinye izindlela zokwelapha ezilula:

• Ukucindezela okushisayo nokubandayo: Lokhu kusiza ekunciphiseni ubuhlungu nokuvuvukala.
• Imithi yobuhlungu nokuvuvukala: Lokhu kufaka phakathi imithi engeyona i-steroidal anti-inflammatory (NSAIDs), njenge-ibuprofen kanye ne-acetaminophen. Udokotela wakho angase futhi akunikeze eminye imithi yokunciphisa ubuhlungu/elwa nokuvuvukala. Imijovo ye-steroid ingasetshenziswa ukulawula ubuhlungu obukhulu nokuvuvukala. Udokotela wakho uzofaka i-corticosteroid, njenge-cortisone, ngqo ehlombe lakho.
• Ukwelashwa Komzimba: Uchwepheshe wezokwelapha ngokomzimba uzokufundisa ukunwebeka kanye nokuzivocavoca okuhlukahlukene kokunyakaza.
• Uhlelo Lokuzivocavoca Ekhaya: Udokotela wakho noma uchwepheshe wezokwelapha angakufundisa ukuzivocavoca ongakwenza ekhaya.
• Ukwelashwa kwe-TENS (Transcutaneous Electrical Nerve Stimulation): Lokhu kuhilela ukusebenzisa idivayisi encane esebenza ngebhethri ukuvimba imizwa yezinzwa nokunciphisa ubuhlungu.

Uma ubuhlungu bakho nokuqina kwamahlombe kungathuthuki ngemva konyaka wokwelashwa okungadingi ukuhlinzwa, udokotela wakho angase ancome ezinye izindlela zokwelapha. Lokhu kufaka phakathi:

• Ukugudluzwa Ngaphansi Kokugaywa Kwezinzwa: Kule nqubo, udokotela uzoshukumisa ihlombe lakho ngenkani ngenkathi ulele. Lokhu kuzokwelula noma kudabule i-capsule yakho yamalunga, kukhulule ukuqina. Lokhu kuzokwandisa ububanzi bokunyakaza kwakho.
• I-Arthroscopy Yamahlombe: Kule nqubo, udokotela wakho uzosika futhi asuse izingxenye eziqinile ze-capsule yakho yamalunga (ukukhululwa kwe-capsular). Bazofaka amathuluzi amancane, angangepensela ngokusebenzisa izimbobo ezincane ezizungeze ihlombe lakho.

Odokotela bavame ukusebenzisa zombili izindlela ndawonye ukuze bathole imiphumela engcono.

Iyini inhloso 'yehlombe eliqandisiwe'? Ingabe lizophola?

Ngokuvamile, ukwelashwa okulula okufana nokwelapha izinhlungu kanye nokuzivocavoca kwamahlombe, ngezinye izikhathi kuhlanganiswe nomjovo we-cortisone, kungabuyisela ukunyakaza kwamahlombe kanye nokusebenza kwawo ngonyaka noma ngaphansi. Ngezinye izikhathi, ngisho nangaphandle kokwelashwa, ububanzi bokunyakaza kwamahlombe kanye nokusebenza kwawo kuyathuthuka kancane kancane ngokuhamba kwesikhathi, kodwa kuyinqubo ehamba kancane kakhulu. Ngokuvamile kuthatha cishe iminyaka emibili ukuthi ukululama okuphelele noma okucishe kuphelele kwenzeke.

Ingabe ihlombe eliqandisiwe lingavinjelwa?

Yebo, ngezinga elithile. Uma ulimele ehlombe lakho elibuhlungu noma okunzima ukulinyakazisa, unganciphisa ingozi yokuba nehlombe eliqandisiwe ngokuqala ukwelashwa ngokomzimba ngokushesha okukhulu . Udokotela wakho wamathambo noma uchwepheshe wezokwelapha ngokomzimba angakha uhlelo lokuzivocavoca oluhambisana nezidingo zakho.

Ekugcineni, kufanele ngithi... (Umyalezo Wokuya Ekhaya)

Ihlombe Eliqandisiwe (i-Adhesive Capsulitis) kungaba yisimo esinzima kakhulu esingathinta impilo yakho yansuku zonke. Ubuhlungu nokuqina kwehlombe lakho kungenza kube nzima noma kungenzeki ukwenza imisebenzi yansuku zonke obuyenza ngaphandle kwezinkinga.

Into ebaluleke kakhulu ukufuna iseluleko sezokwelapha ngaphandle kokubekezelela ubuhlungu uma unalezi zimpawu.

Uma ukwelashwa kwasekhaya, njengokuphumula kanye nemithi yokwelapha izinhlungu, kungasizi, bonana nodokotela. Bangase batuse ukwelashwa ngokomzimba noma ezinye izindlela zokwelapha ezingezona ezokuhlinzwa kuqala. Ukuhlinzwa kuyindlela yokwelapha ihlombe eliqandisiwe elingapholi isikhathi eside. Udokotela wakho angakusiza ukhethe ukwelashwa okukulungele. Ngakho-ke, ungesabi ukufuna iseluleko sezokwelapha ngokushesha.

Ihlombe Eliqandisiwe, Ubuhlungu Behlombe, Ukuqina Kwehlombe, I-Adhesive Capsulitis, Ukuzivocavoca Kwehlombe, Ukwelashwa Komzimba, I-Arthritis