Ubuhlungu behlombe? Lokhu kungaba yi-Shoulder Tendonitis!

Ingabe nawe uzizwa ukuqina ehlombe lakho, ubuhlungu uma uphakamisa ingalo yakho? Ngezinye izikhathi kunzima kangangokuthi awukwazi ngisho nokwenza umsebenzi omncane, akunjalo? Lena inkinga abantu abaningi abanayo. Namuhla, ake sixoxe ngalobu buhlungu ehlombe, obubizwa ngokuthi i-Shoulder Tendonitis.

Kuyini i-Shoulder Tendonitis?

Kalula nje, i-tendinitis yamahlombe ukuvuvukala kwemisipha , uhlobo lwezicubu ezingaphakathi kwehlombe lakho. Cabanga ngehlombe lakho njenge-doorknob. Iqembu lemisipha lisiza ukuligcina lizinzile. Lezi zibizwa ngokuthi imisipha ye-rotator cuff . I-biceps tendon nayo iyasiza kulokhu. Le misipha nemisipha yikhona okubamba ithambo lengalo engenhla, i-humerus , endaweni yayo esokhethini lehlombe, noma i-glenoid .

Manje, uyazi ukuthi le tendonitis ikhula kanjani? Uma kungekho isikhala esanele phakathi kwethambo phezulu kwehlombe lakho (sikubiza ngokuthi i-acromion) kanye nale misipha ye-rotator cuff, imisipha, iqala ukucindezelwa nokucindezelwa. Yilapho-ke lokhu kuvuvukala kwenzeka khona. Uma kunembile, uma imisipha ye-rotator cuff ivuvukala, kubizwa ngokuthi i-rotator cuff tendonitis . Uma i-biceps tendon ivuvukala, kubizwa ngokuthi i-biceps tendonitis . Uyaqonda?

Kuzizwa kanjani uma une-tendinitis yamahlombe?

Ubuhlungu obuzwiwayo bungahlukahluka kuye ngomuntu nomuntu. Nakuba abanye bengase bazizwe njengehlombe eliqinile, abanye bangase babe nobuhlungu obungabekezeleleki. Ngokuvamile, ubuhlungu buqala phezulu ehlombe bese buyehla engalweni. Lobuhlungu bungase bube bubi nakakhulu uma uphakamisa noma uzungeza ingalo yakho. Ezinye izimpawu zifaka:

• Ubuhlungu obungajabulisi nje, njengokungazweli.
• Ihlombe libuhlungu ngisho noma lithintekile (ukuthamba).
• Ubuhlungu buyanda ebusuku futhi kunzima ukulala.
• Kunzima ukugcina izandla zakho zisesimweni esithile.
• Ungase ubone ukuvuvukala okuncane.
• Ububanzi bokunyakaza nokuphakamisa ingalo buyancipha (ukulahlekelwa ukunyakaza).
• Uma ushukumisa ihlombe lakho, uzwa umsindo othi "chofoza".

Cabanga ngoMalume Sugath edolobhaneni lakithi. Usebenza njengombazi. Ngakho-ke, ngenxa yokuthi uphatha izinkuni futhi uzithwala usuku lonke, ihlombe lakhe lokunene belilokhu libuhlungu isikhathi esithile. Akakwazi ukulala ebusuku, futhi lapho ezama ukuphakamisa ingalo yakhe, wenza umsindo "wokungqongqoza". Ingabe kukhona okufana nalokhu okukwehlele?

Kungani i-tendinitis ikhula kuleli hlombe?

Lesi simo sivame ukubangelwa ukulimala kwezemidlalo. Sivame kakhulu kwezemidlalo ezihilela ukunyakaza okude kwekhanda. Nazi izibonelo ezimbalwa:

• I-baseball
• Ukubhukuda
• Imidlalo yerakhethi efana ne-tennis
• Igalofu
• Phakamisa izinsimbe ezisindayo
• I-Volleyball

Ubuchwepheshe obungalungile kule midlalo yisona sizathu esiyinhloko se-tendonitis, ebangelwa ukucindezeleka ngokweqile kwezicubu ezifana nemisipha. Empeleni, akunakushiwo ukuthi lokhu akwenzeki ngoba nje ungeyena umdlali. Abantu abasebenza izandla zabo zingaphezu kwamakhanda abo (isibonelo, labo abenza umsebenzi wokuhlanganisa noma abasebenza ngemishini yokucindezela ngaphezulu) kanye nalabo abaphakamisa izinsimbi nabo basengozini. Akukhona lokho kuphela, kodwa noma ubani angahlakulela lesi simo ngenxa yokusetshenziswa okuphindaphindiwe kwale misipha. Ngezinye izikhathi, imisipha ingenzeka ngale ndlela uma kukhona ukushaywa okuqondile ehlombe noma uma ingalo iwela ingalo yayo yeluliwe.

Ubani osengozini enkulu yalesi simo?

Njengoba sikhula, ukuguquguquka kwemisipha yethu ngokwemvelo kuncipha. Ngakho-ke, ingozi yokuthola i-tendinitis yamahlombe iyanda njengoba iminyaka ikhula. Nazi ezinye izici eziyingozi:

• Ukuzibandakanya kwezemidlalo ezihilela ukunyakaza okuphindaphindiwe (isb., i-baseball, ukubhukuda, ithenisi).
• Ukusebenza emisebenzini edinga ukunyakaza okuphindaphindiwe noma umsebenzi ongaphezulu (isib. abapendi, abathwali bemithwalo, abafuleli).
• Imisebenzi yasekhaya, lokho kusho ukuqhubeka nokwenza izinto ezinjengokushanela, ukukhipha ukhula, kanye nokugunda utshani.
• Ukuba nezinye izimo zempilo ezicindezela imisipha, njenge -arthritis .
• Ukuqala umsebenzi womzimba ngaphandle kokuzifudumeza (hhayi ukuzelula) ngaphambi kokuwenza.

Yiziphi izinkinga ezingaba khona uma zingelashwa?

Uma lokhu kungelashwa kahle, inkinga ingaba yimbi kakhulu. Lokhu kusho izinto ezifana nalezi:

• Ukunyakaza kwezandla kulinganiselwe futhi amandla ayancipha.
• Angikwazi ukulala ebusuku ngenxa yobuhlungu.
• Kuba nzima ukwenza imisebenzi evamile yansuku zonke. Isibonelo, ngisho nezinto ezifana nokufaka izinkinobho noma ukuphakamisa into ephezu kwayo kungaba nzima.

Ukuthola kanjani lokhu?

Uma uya kudokotela, uzoqala ngokukubuza ngomlando wakho wezokwelapha, noma yiziphi izifo zangaphambilini, bese ekwenza ukuhlolwa ngokomzimba. Ngemuva kwalokho, uma kudingeka, uzo-oda ezinye izivivinyo ezimbalwa. Ezinye zalezi zifaka:

• Ama-X-ray
• Izikrini ze-Ultrasound
• Ukuskena kwe-MRI (Ukufanekisa kwe-Magnetic Resonance - Ukuskena kwe-MRI)

Izigaba ze-tendinitis yamahlombe

Udokotela wakho angasebenzisa lezi zigaba ukuhlukanisa isimo sakho:

• Ukusebenzisa i-tendonitis ngokweqile: Ukunyakaza okuphindaphindiwe okuphindaphindiwe kungabeka ingcindezi enkulu ku-rotator cuff yakho. Lokhu kungabangela ukuthi imisipha yonakale, idabuke, noma ide idabuke. Lokhu kungaholela ebuhlungwini nasebuthakathakeni.
• I-Calcific tendonitis: Ngezinye izikhathi, ukuvuvukala kwesikhathi eside kungabangela ukuthi kwakheke ama-calcium deposits ngaphakathi kwe-rotator cuff tendons. Lokhu kungenza kube nzima ukuhambisa ihlombe nokunciphisa amandla.
• Ukudabuka kwe-Rotator cuff: Uma i-tendinitis yamahlombe iba nkulu ngenxa yokuwohloka noma ukudabuka kwemisipha, ingxenye noma yonke i-rotator cuff ingadabuka. Lokhu kungabangela ubuhlungu obukhulu, ubuthakathaka, kanye nokunyakaza okulinganiselwe.

Kuphathwa kanjani lokhu?

Ukwelashwa kwe-tendinitis yamahlombe kuncike ezintweni eziningana, okuhlanganisa iminyaka yakho, uhlobo lwezimpawu zakho, kanye nobunzima besimo sakho. Udokotela wakho angase akuncomele ukuphumula, ukugoqa amahlombe, kanye nama-ice packs, ikakhulukazi uma ukulimala kusha noma kukubi kakhulu. Kukhona nezinye izinketho zokwelapha ngaphandle kokuhlinzwa:

• Imithi elwa nokuvuvukala engeyona eye-steroidal (ama-NSAID): Imithi efana ne -aspirin, i-naproxen , noma i-ibuprofen ingasetshenziswa ukunciphisa ubuhlungu nokuvuvukala. Kodwa-ke, kungcono ukubonana nodokotela ngaphambi kokuyisebenzisa.
• Ukwelashwa ngokomzimba: Udokotela wakho angakudlulisela kudokotela wezokwelapha ngokomzimba . Udokotela wezokwelapha ngokomzimba angakufundisa izinhlobo ezahlukene zokuzivocavoca ngokunyakaza kanye nokuzivocavoca okuqinisayo ukuze kwandiswe ububanzi bokunyakaza kwamahlombe akho.
• Umjovo we-Corticosteroid: Uma unezinhlungu ezingapheli nezinzima emahlombe , unganikezwa umjovo we-cortisone . Lokhu kunganikeza ukukhululeka okusheshayo kobuhlungu.
• Ukwelashwa nge-plasma ecebile ngama-platelet (PRP): Lokhu kuhilela ukufaka i-concentration yama -platelet aqoqiwe, akhishwe egazini lakho, abuyele ehlombe. Kuthiwa lokhu kusheshisa ukuphulukiswa kwenxeba kanye nenqubo yokuphulukiswa.

Kunini lapho kudingeka khona ukuhlinzwa?

Uma udabukile ngokuphelele noma ngokwengxenye i-rotator cuff noma i-biceps tendon yakho, futhi ezinye izindlela zokwelapha zingaziqedi izimpawu zakho, udokotela wakho angase akuncome ukuhlinzwa. Ukuhlinzwa kuhilela ukulungisa i-tendon (ama-tendon) eyonakele nokususa i-bursae evuvukele ebangela ubuhlungu ehlombe lakho.

Kuthatha isikhathi esingakanani ukuphulukiswa?

Isikhathi esithathwayo ukuze kuphole siyahlukahluka kuye ngokuthi ukulimala kubucayi kangakanani. Amacala amancane angaqala ukuphola zingakapheli amasonto amabili kuya kwamane ngokwelashwa okungadingi ukuhlinzwa.Kodwa-ke, ezimweni ezimbi kakhulu, kungathatha izinyanga eziningana. Udokotela wakho angakunikeza umbono ocacile wokuthi kuzothatha isikhathi esingakanani ukululama kuye ngesimo sakho.

Ngingabuyela nini emsebenzini ojwayelekile?

Into ebaluleke kakhulu ukuphumula ihlombe lakho uze ungabi nabuhlungu nezinye izimpawu. Uma ubuyela emsebenzini, kwezemidlalo, noma kweminye imisebenzi, qala kancane kancane nangokucophelela. Zifudumeze kahle ngokuzivocavoca okuguquguqukayo. Nciphisa isikhathi ophakamisa ngaso ingalo yakho ngaphezu kwekhanda lakho, futhi ungawenzi lo msebenzi isikhathi eside kakhulu ngesikhathi. Phumula ngokwanele. Khulisa kancane kancane izinga lakho lomsebenzi ngaphandle kokushesha.

Khumbula, uma ubuyela ekudlaleni usezinhlungwini, ukulimala kungaba kubi kakhulu.

Ingabe lokhu akunakuvinjelwa ukuthi kwenzeke?

Njengoba i-tendinitis yamahlombe ivame ukubangelwa ukusetshenziswa ngokweqile, ukwelashwa okungcono kakhulu ukuvimbela . Kubalulekile ukugwema noma ukushintsha imisebenzi ebangela inkinga. Kubalulekile ukulungisa izimo eziyisisekelo, njengokuma okungafanele noma ubuchwepheshe obubi ngesikhathi semidlalo noma emsebenzini.

Landela le mithetho eyisisekelo ngesikhathi semisebenzi:

• Qala kancane kancane bese ukhulisa kancane kancane izinga lomsebenzi wakho.
• Sebenzisa amandla alinganiselwe kanye nokuphindaphinda okulinganiselwe.
• Uma uzwa ubuhlungu obungavamile, yeka ngokushesha.

Ingabe udinga ukubona udokotela?

Iningi lamacala e-shoulder tendinitis lizophela ngokwalo ngokuhamba kwesikhathi. Kodwa-ke, kuye ngokuthi ubuhlungu bungakanani, kungathatha amasonto kuya ezinyangeni ukuphola. Kulezi zimo, kufanele nakanjani ubone udokotela:

• Uma unezinhlungu eziphazamisa imisebenzi yakho yansuku zonke.
• Uma izindlela zokuzinakekela ekhaya zingabuqedi ubuhlungu.
• Uma lesi sifo siphinde sibuye.
• Uma ihlombe lakho libonakala libomvu futhi livuvukele kanye nomkhuhlane. (Lezi zimpawu zibonisa ukuthi ungase ube nesifo.)
• Uma unezinye izimo zezokwelapha ezandisa ingozi yakho yokutheleleka.
• Uma uthatha imithi ekhulisa ingozi yokutheleleka, njenge -corticosteroids noma ama-immunosuppressants .

Izinto okufanele uzibuze udokotela/udokotela wakho

Uma une-tendinitis yamahlombe, ungase ufune ukubuza udokotela wakho imibuzo efana nale:

• Lobuhlungu buzohlala isikhathi esingakanani?
• Yikuphi ukwelashwa okuncomayo?
• Ucabanga ukuthi ngizodinga ukuhlinzwa?
• Ngizokwazi nini ukuqhubeka nemisebenzi yami evamile (ezemidlalo/emsebenzini)?
• Yini engingayenza ukuze ngivimbele i-tendinitis yamahlombe esikhathini esizayo?

Izinto okufanele uzikhumbule ukuze uziyise ekhaya

Ukuba ne-tendinitis yamahlombe kungaba yinto ekhungathekisayo kakhulu, ikakhulukazi uma ungakwazi ukudlala umdlalo owuthandayo. Kuzodingeka uphumule ihlombe lakho amasonto ambalwa ukuze uvumele i-tendon iphole. Lokhu kungaba nzima, kodwa kubalulekile ukuhlala ngaphandle kwenkundla kuze kube yilapho udokotela wakho ethi kuphephile ukwenza kanjalo. Awufuni ukulimala futhi. Landela imiyalelo kadokotela wakho ngqo, futhi uzobuyela emisebenzini yakho evamile ngokushesha.

Ngakho-ke, uma uzwa ubuhlungu emahlombe, ungabuthathi kalula. Bonana nodokotela ngokushesha bese uthola iseluleko. Ngemuva kwalokho ungalulama ngokushesha bese ubuyela emsebenzini wakho.

Ubuhlungu behlombe , i-tendinitis, i-rotator cuff, ukulimala kwehlombe, ukulimala kwezemidlalo, ukwelashwa ngokomzimba, ijoyinti lehlombe