I-elbow bursitis, ebizwa nangokuthi i-olecranon bursitis, ibangela uketshezi ukuqoqa esikhwameni esisebuseni, esibizwa nge-olecranon bursa. Abantu bangabheka i-bursitis ye-elbow njengendwangu yokugcoba ngemuva kwe-elbow. Ngokuvamile lokhu kubonakala kungabikho ndawo, noma kungenzeka bakhumbule okuthile okwaholela ekuqaleni kwezimpawu zabo. I-elbow bursitis ivame kakhulu lapho abantu bekhulile, bebona njalo amadoda, futhi kaningi emandleni abo amakhulu.
I-elbow bursitis yilona uhlobo oluvame kakhulu lwe-bursitis . I-bursa iyisicubu esicathulayo, esinjengesigqabha esivame ukuvumela ukunyakaza okubushelelezi kumabonakude ovelele, njengokungathi iphuzu le-elbow. Lapho i-bursa iba yilapho igcwele igesi. Lokhu kungabangela ubuhlungu nokuvuvukala okubonakalayo ngemuva kwesigqoko.
Izimbangela ze-Bursitis
I-bursa yamafomu we-elbow uma ungumntwana omncane, nakuba engekho lapho uzalwa. Isizathu sokwakheka kokubambezeleka kubhekwa ukuthi siwumphumela wesifuba esathuthukayo. Njengoba ithambo le-olecranon liqina ngokwengeziwe futhi liqhubekile, umzimba uphenduka ngokudala i-bursa ukuvikela indawo kanye nokuvumela ukugoqa ngokushelelekile komhlanganiso we-elbow. I-olecranon bursa isilinganiselwa ku-6cm ubude, futhi ingavulela usayizi omkhulu kunebhola yegolfu.
I-elbow bursitis ingalandela ingozi eyingozi, efana nokuwa ngemuva kwesigqoko, noma kungase kubonakale sengathi ivela ngaphandle.
Abantu abaphumula izikhala zabo ezindaweni ezikhuni bangase baqhubekise isimo bese benza ukuvuvukala kuvelele. I-bursitis ye-elbow enegciwane, ebizwa nangokuthi i-septic bursitis, ingenzeka ngemuva kokulimala lapho isikhumba ngemuva kwesigqoko sinqunywe noma sigcwele. Uma amabhaktheriya angangena ku-bursa, ukutheleleka kungabangela i-bursitis enegciwane.
Izimpawu ze-Elbow Bursitis
Izimpawu ezivamile ze-elbow bursitis zihlanganisa:
- Ubuhlungu obuzungeze ngemuva komlenze
- Ukuvuvukala ngqo phezu kwebony elivelele lephoyinti lendonga
- Uhlobo olulinganiselwe lokuhamba kwe-elbow
Ukuxilongwa
Kunezinye izimo ezingabangela ubuhlungu be-elbow nokuvuvukala, futhi lokhu kufanele kubhekwe njengesifo esitholakalayo.
Udokotela wakho angavamise ukuxilonga i-elbow bursitis ekuhlolweni, kepha i-x-ray ingenziwa ukuze kuqinisekiswe ukuthi umhlanganiso we-elbow ujwayelekile. I-MRI ayidingekile ukuhlolisisa i-elbow bursitis, futhi iyokwenziwa kuphela uma kunokungaqiniseki mayelana nokuxilongwa.
Kwezinye izimo zesistimu, i-elbow bursitis ingabonakalisa njengesibonakaliso saleso simo. Ukuze unciphise izimpawu ze-bursitis, leso simo esiyinkimbinkimbi singase sidinge ukwelashwa, ngakho-ke kubalulekile ukuba udokotela wakho ahlole lezi zimo. Ezinye zezinkinga zesistimu ezingabangela i-olecranon bursitis zihlanganisa i-arthritis, i-gout, i-pseudogout, ne-chondrocalcinosis. Uma unesinye salezi zimo, kufanele uvumele udokotela wakho wazi, ngoba kungashintsha izincomo zokwelapha nge-bursitis yakho.
I-Bursitis e-Infected Elbow
Cishe amaphesenti angu-20 abantu abathintekayo abane-elbow bursitis abanesifo ngaphakathi kwe-bursa, lokhu kubizwa ngokuthi i-elbow bursitis noma i-septic bursitis.
Iziguli ezinezimo zokuvuvukala, ezifana ne-gout kanye ne- rheumatoid arthritis , zinethuba eliphakeme lokuthuthukisa i-elbow bursitis.
Okulandelayo yizibonakaliso zokutheleleka ngaphakathi kwe-bursa. Uma uhlangabezana nalezi zimpawu, kufanele uqaphele udokotela wakho ukuze akwazi ukuhlola ukuthi kungenzeka yini i-elbow bursitis enegciwane:
- Fever
- Ama-chill noma ama-sweats
- Ukubomvu okuzungeza emuva kwegoli
- Uphuka esikhumbeni (izimpande / ukusikeka) ezungeze indawo evuvukile
Uma kunokungaqiniseki uma ukutheleleka kukhona ku-bursa evuvukile, isampula yetshezi ingatholakala ku-bursa evuvukile futhi ihlaziywe ebhodini. Udokotela wakho angakwazi ukukhipha umthamo oketshezi ukuze ubone amabhaktheriya.
Ngaphezu kwalokho, amangqamuzana egazi amhlophe aphezulu namaglucose e-bursa fluid angabonakalisa ukutheleleka.
Izinketho zokwelapha
Ngokuvamile, ukuphatha i-elbow bursitis kufezwa ngezinyathelo ezithile ezilula. Kubalulekile ukuthi abantu abavelele baqonde ukuthi lokhu kulimala kwenzeka ngenxa yokuvuvukala ku-bursa. Ngakho-ke, ukuphumula i-elbow nokuvimbela ukucindezelwa ngemuva kwendwangu kubaluleke kakhulu ekwelapheni okuphumelelayo. Uma abantu beqhubeka nemisebenzi efanayo eholele ekuthuthukiseni i-bursitis, inkinga cishe ayinakuhamba.
Ukukhipha uketshezi kusuka e-bbowitis ye-elbow kuyinkinga, ikakhulukazi uma kungekho ukutheleleka kwe-bursa. Kulesi simo, ukubeka inaliti emgqonyeni kungangenisa amabhaktheriya futhi kuholele ekuthuthukiseni i-bursitis enegciwane, okuyinto enzima kakhulu ukuphatha.
Izwi elivela
I-elbow bursitis cishe ingabangela ukungakhululeki, kodwa wazi ukuthi abantu abane-elbow bursitis bavame ukuthuthukisa ngemithi elula. Ngezinye izikhathi imbangela ye-bursitis izocaca, ngezinye izikhathi kubonakala sengathi ivela ngaphandle. Iziguli eziningi zihlukumezeka kakhulu ngokubonakala kwesikhumba ngemuva kwesigqoko sabo, kunokuba kube nzima kakhulu izimpawu. Kodwa-ke, uma izimpawu ziba nzima kakhulu kunezindlela zokwelapha ezingasiza ekunciphiseni ukuvuvukala. Ukwelashwa okuvamile nokuhlinzwa kufanele kuhanjiswe ngokucophelela njengoba i-elbow bursitis ingenwa igciwane, futhi ingaba yinto ephindaphindiwe. Imithi elula kufanele ihlolwe uma kungenzeka.
Umthombo:
Aaron DL, et al. Izinhlobo Ezijwayelekile Eziyisikhombisa Ze-Bursitis: Ukuxilongwa Nokuphathwa. " J Am Acad Orthop Surg ngoJuni 2011; 19: 359-367.