Wake wazizwa sengathi ihlombe lakho liqandisiwe ngokuzumayo, alikwazi ukuphakamisa ingalo yakho, noma liba nobunzima bokwenza izinto ezilula njengokukama izinwele zakho noma ukushintsha izingubo? Ingabe uvuka ebusuku unezinhlungu ezibukhali ehlombe lakho, awukwazi ukujika ohlangothini olulodwa, noma awukwazi ukunyakaza? Yilokhu esivame ukukubiza ngokuthi 'ihlombe eliqandisiwe'. Nakuba kungaba yinto ecasulayo kancane, akuyona into okufanele uyesabe. Ake sikuqonde lokhu ngokuningiliziwe.
Kalula nje, kuyini 'ihlombe eliqandisiwe'?
Elinye igama lezokwelapha elithi 'Frozen Shoulder' lithi 'Adhesive Capsulitis' . Lokhu kwenzeka lapho izicubu ezizungeze ihlombe lakho ziba zinkulu, ziqine, futhi zivimbele ukunyakaza.
Cabanga nje, ihlombe lethu liyinhlanganisela yamathambo amathathu. Okungukuthi, ithambo lengalo engenhla (i-humerus), ithambo lehlombe ( i-scapula ), kanye nethambo le-collarbone (i-clavicle). Wonke la mathambo abanjwe ndawonye futhi avikelwe yisimbozo esiqinile, esifana nesikhwama. Lokhu kubizwa ngokuthi i-capsule yehlombe.
Uma kukhula 'ihlombe eliqandisiwe', leli khephu liyaqina kancane kancane, liqine, futhi linamathele. Lifana nendwangu emanzi enamathelana ndawonye. Liphinde linciphise inani loketshezi lwe-synovial olusiza ilunga ukuba lishelele. Lokhu kwenza kube nzima kakhulu ukuhambisa ihlombe. Unciphisa ukusetshenziswa kwehlombe ngenxa yobuhlungu. Uma ungayisebenzisi isikhathi eside, ikhephu liqina kakhulu. Ekugcineni, ihlombe lizizwa "liqandisiwe" endaweni eyodwa.
Ziyini izimpawu nezigaba ze-'Frozen Shoulder'?
Izimpawu eziyinhloko ubuhlungu nokuqina kwehlombe. Lokhu kwenza kube nzima kakhulu, ngezinye izikhathi kungenzeki, ukuhambisa ihlombe. Lobuhlungu buvame ukuzwakala njengobuhlungu obungajabulisi nobuhlungu. Kwabanye abantu, ubuhlungu buyaqina ebusuku, okwenza kube nzima kakhulu ukulala.
Lesi simo sivame ukudlula ezigabeni ezintathu. Ake sibone ukuthi ziyini lezo zigaba ezintathu.
| Isiteji | Kwenzekani? (Kwenzekani?) |
|---|---|
| 1. Isigaba Sokuqandisa | Uzwa ubuhlungu noma nini lapho ushukumisa ihlombe lakho. Lobuhlungu buyanda kancane kancane, ikakhulukazi ebusuku. Ububanzi bokunyakaza kwehlombe lakho buyehla kancane kancane. Lesi sigaba singahlala cishe izinyanga eziyi-6 kuya kweziyi-9. |
| 2. Isiteji Esiqandisiwe | Phakathi nalesi sikhathi, ubuhlungu bungase bunciphe kancane, kodwa ukuqina kwehlombe kuzokhula kakhulu. Kuzoba nzima kakhulu ukwenza izinto ezifana nokuphakamisa ingalo yakho noma ukuhlikihla umhlane wakho. Lesi sigaba sithatha cishe izinyanga ezine kuya kweziyi-12. |
| 3. Isigaba Sokuncibilikisa | Lesi yisikhathi sokuphulukiswa. Ikhono lokuhambisa ihlombe libuyela kancane kancane esimweni esijwayelekile. Lokhu kungathatha noma yikuphi kusukela ezinyangeni ezi-5 kuya eminyakeni engaba ngu-2. |
Kungani kwenzeka 'i-Frozen Shoulder'? Yiziphi izici eziyingozi ?
Akukho sizathu esiqondile sokuthi kungani lokhu kwenzeka kwabanye abantu, kodwa amanye amaqembu asengozini enkulu yokuba nakho.
- Ubudala nobulili: Abesifazane banamathuba amaningi okuthola lesi simo, futhi sivame kakhulu kubantu abaneminyaka ephakathi kuka-40 no-60.
- Ukungasebenzi kahle kwehlombe: Uma ungakwazi ukuhambisa ihlombe lakho isikhathi eside ngesizathu esithile (isibonelo, ngemva kokuphuka kwengalo efakwe ukhonkolo, ngemva kokuhlaselwa yisifo sohlangothi , noma ngemva kokuhlinzwa), le ngozi iyanda.
- Ezinye izimo zezokwelapha: Kukhona futhi ukuxhumana phakathi kwalokhu nezimo ezithile zezokwelapha. Abantu abanesifo sikashukela banengozi eyengeziwe engu-10% - 20% yokuthola 'i-Frozen Shoulder'. Ngaphezu kwalokho, abantu abanezimo zezokwelapha ezilandelayo nabo basengozini enkulu:
- Isifo senhliziyo
- Isifo se-thyroid
- Isifo sikaParkinson
Udokotela ukubona kanjani lokhu?
Akukho ukuhlolwa okuqondile kwe-'Frozen Shoulder'. Into yokuqala udokotela wakho azokwenza ukukuhlola ngokomzimba.
Udokotela uzoshukumisa ingalo yakho ngezindlela ezahlukene, futhi angase akucele ukuthi ushukumise ingalo yakho wena ukuze ubone ukuthi ungayishukumisa ibanga elingakanani nokuthi ubuhlungu buvela kuphi. Ngezinye izikhathi, umuthi wokubulala izinzwa ungafakwa ehlombe lakho ukuze unciphise ubuhlungu futhi uhlole ububanzi bokunyakaza kwehlombe lakho.
Lokhu kuhlolwa ngokomzimba ngokuvamile kungahlonza lesi simo. Kodwa-ke, kungenziwa i-X-ray, i-ultrasound, noma i-MRI scan ukuze kutholakale ezinye izimo, njenge -arthritis noma i-rotator cuff edabukile.
Yiziphi izindlela zokwelapha i-'Frozen Shoulder'?
Izindaba ezinhle ukuthi izimo eziningi zehlombe eliqandisiwe zizozixazulula ngokwazo ngokuhamba kwesikhathi, noma ngabe zingalashwa. Kodwa-ke, kungathatha isikhathi, ngakho-ke kubalulekile ukuthola ukwelashwa ukulawula ubuhlungu nokubuyisela ihlombe lakho esimweni esijwayelekile.
Imithi yokubulala izinhlungu elula, njenge-NSAID (imithi elwa nokuvuvukala engeyona eye-steroidal) njenge-ibuprofen, ingasiza ekunciphiseni ubuhlungu nokuvuvukala. Uma lokhu kunganele, udokotela wakho angase akunike umuthi onamandla.
Uma izimpawu zinzima noma zingathuthuki ngokuhamba kwesikhathi, udokotela wakho angase ancome ezinye izindlela zokwelapha.
- Umjovo we-Corticosteroid: Umjovo ojoyintini lwehlombe unganciphisa ubuhlungu ngokushesha futhi wandise ukuhamba.
- Ukuvuleka kwamalunga: Kule nqubo, udokotela wakho ufaka amanzi ahlanzekile ekhasepheni lakho lehlombe, okwenza likhule. Lokhu kusiza ihlombe lakho ukuthi linyakaze kalula.
- Ukwelashwa ngokomzimba: Ukuzivocavoca okwenziwa ngaphansi kokuqondiswa uchwepheshe kungasiza ukubuyisela ihlombe ekusebenzeni kwalo okuvamile, kodwa lokhu kusebenza kangcono ezigabeni ezithile zesifo.
- Ukuhlinzwa: Lokhu akudingekile ezimweni eziningi. Kodwa-ke, uma kungekho okunye ukwelashwa okusebenzayo, udokotela wakho angase ancome ukuhlinzwa kwe-arthroscopic, okusebenzisa ikhamera encane namathuluzi ukususa noma yiziphi izicubu ezinamathele ngaphakathi kwehlombe.
Izindlela zokunciphisa ubuhlungu ekhaya
- Ukucindezela okushisayo/okubandayo: Ukufaka ibhodlela lamanzi ashisayo noma abandayo kungasiza ekunciphiseni ubuhlungu nokuvuvukala. Lishiye imizuzu eyi-15-20. Ungashintshanisa phakathi kwalokhu okubili.
- Ukwelashwa kwe-TENS (`ukuvuselelwa kwemizwa kagesi okuguquliwe`): Lokhu kuhilela ukuthumela ugesi ophansi nge-voltage esikhumbeni usebenzisa idivayisi encane, ukuvimba izimpawu zobuhlungu ukuthi zingafiki ebuchosheni. Kodwa-ke, kufanele nakanjani ukhulume nodokotela wakho ngaphambi kokusebenzisa lolu hlobo lwedivayisi.
Ukuzivocavoca okulula okuhle emahlombe
Ukuzivocavoca okuthambile kwamahlombe kungasiza ekunciphiseni lesi simo futhi kuvimbele nokukhula kwaso. Kodwa khumbula, kungcono ukubonana nodokotela noma nochwepheshe wezokwelapha ngaphambi kokuqala lokhu kuzivocavoca. Ungakwenzi kanzima kakhulu kuze kubangele ubuhlungu.
Fudumeza amahlombe akho ngaphambi kokuzivocavoca. Indlela engcono kakhulu ukugeza ngamanzi ashisayo.
- Ukwelula i-pendulum: Yima uqonde bese uvumela ingalo ebuhlungu ilenga ngokukhululekile phansi. Ngesinye isandla, ncika etafuleni. Manje zungezisa ingalo ebuhlungu ngesiyingi esincane izikhathi eziyi-10 ohlangothini olulodwa kanye nezikhathi eziyi-10 kolunye uhlangothi.
- Ukufinyelela umzimba wonke: Ngesandla sakho esihle, bamba ingqiniba yengalo ebuhlungu. Manje donsa ingalo ebuhlungu esifubeni sakho uye kolunye uhlangothi. Bamba imizuzwana eyi-15-20 uze uzizwe welula ehlombe lakho. Yenza lokhu izikhathi eziyi-10-20 ngosuku.
- Ukwelula ithawula: Bamba ithawula elingamamitha amathathu ubude ngemuva. Libambe ngengalo yakho enhle phezulu nengalo yakho ebuhlungu phansi. Manje donsa ithawula ngengalo yakho enhle. Bamba imizuzwana eyi-10 uze uzizwe welula ehlombe lengalo yakho ebuhlungu.
Ungalala kanjani nge-'Frozen Shoulder'?
Inkinga enkulu ngalesi sifo ukuthi ubuhlungu buya bukhula ebusuku. Lawa macebiso azokusiza.
- Sebenzisa umcamelo ofanele: Khetha umcamelo ogcina ikhanda lakho, intamo, nomgogodla wakho kuqondile.
- Sebenzisa imicamelo eyengeziwe: Lala ohlangothini olungabuhlungu. Beka umcamelo phakathi kwezingalo zakho. Lokhu kuzosiza ukugcina amahlombe akho eqondile.
- Lala ufudumele: Faka ibhodlela lamanzi ashisayo emahlombe akho ngaphambi kokulala. Lokhu kuzosiza ekunciphiseni ubuhlungu futhi kukusize ulale kangcono.
Umlayezo Wokuya Nawe Ekhaya
- 'Ihlombe Eliqandisiwe' yisimo lapho izicubu ezizungeze ihlombe ziba ziqinile futhi ziqine. Lokhu akusikho okufanele kukhathazeke ngakho.
- Lokhu kuvame ukuba nezigaba ezintathu (ukunamathela, ukunamathela, nokuncibilika). Kuthatha isikhathi ukuphulukiswa.
- Esikhathini esiningi, lesi simo sizozixazulula ngokwaso ngokuhamba kwesikhathi, kodwa kubalulekile ukufuna ukwelashwa ukulawula ubuhlungu nokubuyisela isimo esijwayelekile.
- Ukuzivocavoca okulula kanye nemithi yokubulala izinhlungu kunganikeza impumuzo enkulu.
- Uma unalezi zimpawu, qiniseka ukuthi ubona udokotela wakho ukuze uthole ukuxilongwa okunembile kanye nohlelo lokwelashwa.
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