Isimo Esibuhlungu Nokukhubaza
Ihlombe liphakathi kwamalungu angathinteka yi- arthritis . Njengoba i-arthritis, i-cartilage ehlanganisa ukuphela kwamathambo ehlangene yonakaliswe ngenxa yokuvuvukala , ukugqoka nokudiliza, noma ukulimala. Umhlanganiso wehlombe uqukethe amathambo amathathu - i-humerus (i-bone upper arm), i-scapula (i-shoulder blade), ne-clavicle (i-collarbone). Inhloko ye-humerus ifinyelela ngaphakathi kwesikhala se-scapula.
I-socket ibizwa ngokuthi i-glenoid. Isikhumba se-rotator, esiyiqembu lezintuthwane nama-tendon, gcina ithambo lesandla likhona phakathi kwesikhahla.
Amajoyina amabili, ukuhlanganiswa kwe-acromioclavicular kanye ne-glenohumeral, yakha ihlombe. Ukuhlanganiswa kwe-acromioclavicular kutholakala lapho i-clavicle ihlangana ndawonye nenqubo yebony ehlangothini le-shoulder blade (i-acromion). Umhlanganiso we-glenohumeral utholakala lapho i-humerus ifinyelela khona kwisiteji.
Izinhlobo Ze-Arthritis Ehlombe
I-arthritis yehlombe itholakale isekelwe emlandweni wakho wezokwelapha, ukuhlolwa ngokomzimba, kanye nama-x-ray noma ezinye izifundo ze-imaging. Ukufisa okuhlanganyelwe kanye nokuhlolwa kwe-synovial fluid nakho kunganikeza ulwazi olubalulekile lokuxilonga. Kunezinhlobo eziningana ze-arthritis ezingathinta ihlombe:
- I-arthritis ye-rheumatoid iyimithi engavamile , yokuvuvukala kwe-arthritis engathinta kokubili amalunga ehlombe.
- I-arthritis elandela ukuthungatha isifo se- osteoarthritis esilandelayo ukulimala okuhlangene okuhlangene (kulokhu, ehlombe).
- I-arthritis ye-Septic noma i- arthritis esithathelwanayo i-arthritis ehambisana nokutheleleka kokujoyina. Lolu hlobo lwe-arthritis yehlombe ludinga ukwelashwa ngokushesha ukuvimbela ukubhujiswa okusheshayo kokujoyina.
- I-arthropathy ngenxa ye-Rotator Cuff Inyembezi i-arthritis eqala njengento eyinkimbinkimbi ekwenzeni izinyembezi zokulila . Ngesikhumba se-rotator esiphukile, ikhanda le-humerus lingase lingabanjelwa endaweni yalo efanele engxenyeni, okwenza ukuba liguqule futhi libhebhethekise nge-acromion. Ukuxubha amathambo emathanjeni kungahlotshaniswa nomonakalo omkhulu ohlangene.
- I-necrosis ye-Avascular, noma i- Osteonecrosis, iqala lapho igazi elinikezwa ikhanda le-humerus liyanqunywa. Ngaphandle kokunikezwa kwegazi okuvamile, amangqamuzana amathambo afa, okwenza kube nomonakalo ohlangothini lwehlombe. Njengoba ithambo elifile liwa, ikhanda le-humerus lithinteka ekuqaleni, kodwa ekugcineni isitokisi se-glenoid sihilelekile. Ukusetshenziswa okuphezulu kwe-corticosteroid, ukuphuza utshwala ngokweqile, isifo se-sickle cell, noma ukuphuka kungabangela i-necrosis ye-avascular yehlombe.
Izimpawu Ze-Arthritis Ehlombe
Izimpawu ezisemqoka ezihambisana ne-arthritis yehlombe zibuhlungu nobubanzi obuhambayo bokuhamba . Ubuhlungu bukhona ngemuva kwehlombe uma kubanjwe ukuhlanganiswa kwe-glenohumeral futhi kuvame ukuchazwa njengendlebe ejulile. Ubuhlungu bukhona phezulu kwehlombe uma ukuhlanganiswa kwe-acromioclavicular kuhilelekile futhi kungase kukhishwe kulolu hlangothi entanyeni. Uma kukhona ukubandakanyeka kwe-symmetrical, njengoba ngokuvamile kwenzeka nge-arthritis ye-rheumatoid, lonke ihlombe libuhlungu ezinhlangothini zombili zomzimba. Uhlobo oluthile lokuhamba kwehlombe lungathinta imisebenzi ehlukahlukene yokuphila kwansuku zonke. Kungaba nzima ukuphakamisa ingalo, ukufinyelela noma ukwenza noma yini edingayo lezo zintuthuko. Ubunzima obuhlangene kanye nama- crepitus nazo ziyizimpawu ezivamile.
Ukwelapha I-Arthritis Yezinwele
Ukwelashwa okungaqondakali, okungeyona ukwelashwa ngokuvamile kuvumelekile ukugula i-arthritis, okungenani kuqala futhi uma ukutheleleka kukhishwe. Ukwelashwa okunconywe ngokuvamile kuvalwa nge:
- Ukuphumula
- Phakamisa imisebenzi yakho
- Ama-NSAID (izidakamizwa ezingezona ukuvuvukala)
- Umjovo we-steroid
- Ukushisa noma iqhwa
Uma izinketho zokwelashwa ezingekho emthethweni zihluleka ukulawula izimpawu ngokuphumelelayo, futhi ubuhlungu bakho nokunciphisa kokusebenza kuyingozi, ukuhlinzwa kungacatshangwa. I-arthroscopy , indawo ehlangene ehlangene (kufaka phakathi i-hemiarthroplasty [indawo eyodwa ehlangene ishintshiwe], ukuguqulwa kwamahlombe okuphelele, nokuguqula i- arthroplasty yokuphindaphindiwe [ikhanda eliqhakazile noma isicathulo se-prosthetic sisuswe ngenxa yokuhlinzwa okungehlulekile noma ukutheleleka] yizinketho zokuhlinzwa.
Imithombo:
I-Arthritis Yehlombe. I-OrthoInfo. Januwari 2013.
http://orthoinfo.aaos.org/topic.cfm?topic=a00222
I-Arthritis Ehlombe. University of Washington, Orthopedics & Medicine Ezemidlalo. Ifinyelele ngo-12/10/2015.
http://www.orthop.washington.edu/?q=patient-care/shoulder-arthritis.html
I-Kelley's Bookbook of Rheumatology. Elsevier. Umagazini wesishiyagalolunye. Isahluko 46. Ubuhlungu bezinwele. UMartin noThrnhill.