Ingxenyeni Yakho Ebuhlungu Ingase Yenziwe Ngenxa Ye-Arthritis Ehlombe
Ihlangothini lehlombe lihlangene nebhola ne-socket ekuhlanganiseni kwengalo kanye ne-thorax. Isixhumi sehlombe sakhiwa yingxenye yehlombe lehlombe, futhi ibhola lehlangothini lamahlombe liyisiphezu sesithambo lesandla. Lokhu kuhlangene kushukumise ukunyakaza kunanoma yikuphi okunye okuhlangene emzimbeni, kodwa uma ihlombe iba i-arthritic kungaba umthombo wobuhlungu nokukhubazeka.
I-osteoarthritis yiyona ndlela ejwayelekile kakhulu ye- arthritis yehlombe . Ebizwa nangokuthi i-arthritis yokugqoka noma yokuphumula noma isifo esihlangene nesifo esivulekile, i-osteoarthritis ibonakala ngokugqoka okuqhubekayo kwe-cartilage ye-joint. Njengoba ubuso be- cartilage ehlangene buhlanganisiwe, isifuba esingenalutho sibonakala ngaphakathi kwehlombe.
Olunye uhlobo olujwayelekile lwe-arthritis ehlombe yi-rheumatoid arthritis. I-arthritis ye-rheumatoid isimiso se-systemic autoimmune esibangela ukuvuvukala kwezicubu ( synovium ) ezungeze amalunga. Lokhu ukuvuvukala kungadlulela futhi kubhubhise i-cartilage ne-bone ngokuhamba kwesikhathi.
I-arthritis yehlombe igcina iziguli ezingaphezu kweminyaka engu-50 ubudala. Kuvame kakhulu ezigulini ezinomlando wokulimala kwangaphambili, futhi ngokuvamile abantu abangenayo ukulimala nokuhlinzwa okujulile kufanele baphathe nge-arthritis kamuva ekuphileni. Kukhona nesimo sezinto ezifuywayo zofuzo zalesi simo, okusho ukuthi i-arthritis ehlombe ijwayele ukugijima emindenini.
Izimpawu Ze-Arthritis Ehlombe
Izimpawu ze-arthritis ezinamahlombe zivame ukuqhubeka njengoba isimo sibonakala. Okuthakazelisayo nge-arthritis ye-shoulder ukuthi izimpawu azithuthuki njalo njalo ngesikhathi. Ngokuvamile iziguli zichaza izinyanga ezinhle nezinyanga ezimbi, noma izinguquko zampawu ezihambisana nezinguquko zesimo sezulu.
Lokhu kubalulekile ukuqonda ngoba ukuqhathanisa izimpawu ze-arthritis ngosuku oluthile kungase kungabonakali ngokunembile ukuqhubekela phambili kwaleso simo.
Izimpawu ezivame kakhulu ze-arthritis ye-shoulder:
- Ubuhlungu nemisebenzi
- Uhlobo lokunyakaza olulinganiselwe
- Ukugubha kwehlombe
- Ukuvuvukala kokujoyina
- Ukuthambekela okuzungeze ukujoyina
- Umzwa wokugaya noma ukubamba ngaphakathi kokujoyina
Ukuhlolwa kwesiguli esinesifo se-arthritis kufanele siqale ngokuhlolwa ngokomzimba kanye nama-x-rays. Lezi zingasetshenziswa njengesisekelo sokuhlola izivivinyo zamuva futhi zithole ukuqhubeka kwesimo.
Ukwelapha I-Arthritis Ehlombe
Ukwelashwa kwe-arthritis yehlombe kufanele kuqale ngezinyathelo eziyisisekelo, futhi uthuthuke kulabo abathintekayo, mhlawumbe kuhlanganise nokuhlinzwa. Akuzona zonke izindlela zokwelashwa ezifanele bonke abagulayo, futhi kufanele ube nengxoxo nodokotela wakho ukuze anqume ukuthi yiziphi izinyathelo ezifanelekile eziphathelene ne-arthritis yehlombe.
- Ukuguqulwa komsebenzi
Ukunciphisa imisebenzi ethile kungadingeka, futhi ukufunda izindlela ezintsha zokuvivinya umzimba kungasiza. Ukuzivocavoca umzimba kuhle kakhulu ezigulini ezinamahlombe abuthakathaka. - Ukwelashwa Kwemvelo
Ukwehlisa nokuqinisa imisipha ehlangene nehlombe kungasiza ukunciphisa umthwalo ehlombe. Ukuvimbela i- atrophy yemisipha yingxenye ebalulekile yokugcina ukusetshenziswa okusebenzayo kwehlombe.
- Imithi Yokulwa Nezivunguvungu
Imithi yokuhlunguphaza okulwa nokuvuvukala (i-NSAID) imithi kadokotela kanye nokungabhaliseki okusiza ukuphatha ubuhlungu nokuvuvukala. Khuluma nodokotela wakho ngaphambi kokuthatha imithi elwa nokuvuvukala i-arthritis yehlombe. - I-Cortisone Injections
I-Cortisone injection ingasiza ukuncipha ukuvuvukala nokunciphisa ubuhlungu ngaphakathi kokujoyina. Nakuba lokhu kungelapheki i-arthritis ehlombe, kunganciphisa izimpawu futhi kusize ukulawula ubuhlungu. - Izithako ezihlangene (i-Glucosamine)
I-Glucosamine ibonakala iphephile futhi ingasebenza ngempumelelo ekwelapheni kwe-arthritis yehlombe, kodwa ukucwaninga kulezi zithako kunqunyelwe. Iziguli eziningi zithola ukukhululeka okulinganiselayo ne-glucosamine ngezimpawu ze-arthritis ye-shoulder.
- I-Arthroscopy enezinwele
Ngokuqondile indlela i-arthroscopy ephumelelayo ngayo yokwelapha i-arthritis ingabonakala. Ngezinye izimpawu ezithile ze-arthritis yehlombe, kungase kube usizo. - Ukuhlinzwa Kwamahlombe Okuthintekayo
Kule nqubo, i-arthritic cartilage isuswe, futhi ukufakelwa kwensimbi yensimbi kanye neplastiki kufakwe ehlombe. Lokhu kuyindlela enhle kakhulu yokunciphisa ubuhlungu obuhambisana ne-arthritis ehlombe. - Ukushintshwa Kwamahlombe Okuphindaphindiwe
Lokhu kubizwa ngokuthi ukuguqulwa kwamahlombe okuphindaphindiwe ngoba ibhola kanye nesokhethi ziguqulwa; ibhola libekwe ehlombe lehlombe, futhi isokhethi ifakwe phezulu kwethambo lesandla. Le nqubo eguquguqukayo ivumela umsebenzi ongcono futhi kukhona ikhofi engasebenzi engasebenzi.
Ukunquma izinyathelo ezifanele ukwelashwa kungahlukahluka komunye nomunye umuntu, kodwa udokotela ohlinzayo wezinyosi angakusiza ekuqondiseni ngemithi efanelekile kakhulu ngesimo sakho. Ngokuvamile, ngokuqala ngezokwelapha ezilula futhi uthuthuke ekunakekeleni okunye okunamandla njengoba izimpawu ziyaqhubeka ukuqhutshwa kweluleka.
Izwi elivela
I-arthritis yehlombe iyinkinga engavamile kakhulu kune-hip noma emathambo e-arthritis, kodwa uma izimpawu ziphawuleka zingathinta kakhulu izinga lokuphila. Ubuhlungu, ubunzima, nobuthakathaka behlombe yizo zonke izimpawu ezivamile zesifo samathambo. Lapho i-arthritis ye-shoulder ivela, imithi ngokuvamile iqala ngezinyathelo ezilula futhi ingathuthuka ekungeneni kokuhlinzwa.
Imithombo:
> I-Barlow JD, u-Abboud J. "Izinketho zokuhlinzekela isiguli esincane nge-glenohumeral arthritis" Int J Shoulder Surg. 2016 Jan-Mar; 10 (1): 28-36.
> Raynor MB, Kuhn JE. "Ukusebenza kwezici zomlando wesiguli lapho kutholakala ubuhlungu be-shoulder atraumatic: ukubuyekezwa okuhlelekile" J Shoulder Elbow Surg. 2016 Apr; 25 (4): 688-94.