I-osteoarthritis ingathinta noma yikuphi ukujoyina emzimbeni, kuhlanganise nehlombe . I-osteoarthritis yehlombe ingathinta amalunga amabili endaweni yehlombe-ukuhlanganiswa kwe-acromioclavicular kanye nokuhlanganiswa kwe-glenohumeral. Ukuxilongwa kokuqala kanye nokwelashwa kusiza abantu abane-osteoarthritis ehlombe ukuphatha izimpawu zabo.
Izimbangela
Ihlombe ibhekwa njengengxenye ehamba kakhulu emzimbeni, kodwa ngenxa yokuthi uhamba kangakanani , ihlombe lizinzile kakhulu kunamanye amalunga.
Ihlombe liyindawo evamile yokulimala. Ibhola lesandla elingenhla empeleni likhulu kunalesi sikhwama sehlombe esilugcina. Ukuze uhlale uzinzile, ihlombe lisekelwa izicubu, izintambo, nemigqa.
Inqubo eguqukayo ehambisana ne-osteoarthritis ingathinta ihlombe, nakuba ingajwayelekile kunamanye amalunga. Uma i-osteoarthritis iqala ngokuhlangene kwe-glenohumeral, ngokuvamile iwumphumela wokulimala kwangaphambilini. I-osteoarthritis engxenyeni ye-acromioclavicular ingaba buhlungu futhi ibangele izinkinga lapho usebenzisa ijoyina lemisebenzi yansuku zonke.
Ukuxilongwa
Ukuze kuhlolwe i-osteoarthritis yehlombe, umlando wezokwelapha wesiguli, ukuhlolwa ngokomzimba, kanye nama-x-ray kubhekwa. Udokotela uzobheka izibonakaliso ezithile nezimpawu ezithile ngesikhathi sokuhlolwa okungokomzimba kubandakanya:
- ubuhlungu obuthakathaka noma i-atrophy
- isisa ekuthinteni nasekuhluphekeni lapho ukucindezelwa kusetshenziselwa ukujoyina
- ububanzi bokuhamba, bobabili basizwa futhi baziqondisa
- izibonakaliso zokulimala kumisipha, izintambo, imijondolo ezungeze ihlombe
- ubufakazi bokulimala kwangaphambilini
- i-crepitus , inzwa yokugaya lapho ukunyakaza kwehlombe
- Ubufakazi be-x-ray obonisa ukwehlukanisa isikhala esihlangene, izinguquko ezitheni, ukutholakala kwama- osteophyte
Izimpawu
Ubuhlungu yilona uphawu oluvame kakhulu oluhlobene ne-osteoarthritis ye-shoulder.
Ihlombe elithinteka yi-osteoarthritis lidlulela emsebenzini futhi ubuhlungu buyaqhubeka bubi nakakhulu. Kuyathakazelisa ukuqaphela ukuthi:
- uma i-glenohumeral shoulder joint ethintekile, ubuhlungu bubekwe eceleni kwehlombe, futhi izinguquko zezulu zingandisa ubuhlungu obukhulu
- uma ukuhlanganiswa kwe-acromioclavicular ethintekile, ubuhlungu bubekwe phambili ehlombe
Uhlobo oluthile lokunyakaza lenye uphawu oluyinhloko lwe-osteoarthritis yehlombe. Kungase kube nzima ukuthola ishalofu noma ukuphakamisa ingalo yakho ukuze uqhubise izinwele zakho kanye nanoma yimuphi omunye umsebenzi odinga ukuthi uhambise ihlombe. I-crepitus izwa futhi izwakala ngenkathi kuqhutshwa ihlombe. Njengoba i-osteoarthritis ehlombe iqhubeka, ubuhlungu buhlala njalo nanoma yikuphi ukunyakaza kwehlombe. Ubuhlungu buzokwenzeka ebusuku, okwenza kube nzima ukulala.
Ukwelapha
Izindlela zokwelashwa ezihlolwayo zivivinywa ngaphambi kokuhlinzwa ukubhekwa njengesifo se-osteoarthritis. Izinketho zokwelapha zihlanganisa:
- phumula ihlombe
- ushintshe noma ukujwayele ukwenza imisebenzi ejwayelekile ukuze unciphise ubuhlungu
- ukushisa okumanzi kunganikeza ukuphumula kobuhlungu
- imithi kuhlanganise nama- NSAID noma ama- steroid ukujola ukuncipha
- ihlombe iqhwa imizuzu engama-20 kuya kwangu-30, izikhathi ezimbili noma ezintathu ngosuku ukunciphisa ubuhlungu nokuvuvukala
Kunezinketho zokuhlinzwa njengendlela yokugcina yokugcina uma zonke ezinye izifo zihlulekile.
Ingxube ye-glenohumeral ingaba ne-arthroplasty ephelele yamahlombe. Uma ikhanda lesithambo lesiphakamiso siphezu kuphela, inqubo ibizwa ngokuthi i-hemiarthroplasty. Ngokubambisana kwe-acromioclavicular, inqubo evamile yokuhlinzekwa yi-resection arthroplasty (ukususa i-intshi yokugcina ye-clavicle).
Ukuxilongwa okunembile nokwelapha okuqala kusiza ukunciphisa ubuhlungu nokuthuthukisa umsebenzi we-shoulder osteoarthritis isiguli. Izinguquko ezifanele zokwelapha zingenziwa njenge-osteoarthritis ehlombe.
> Imithombo:
> I-Arthritis Yehlombe. Ukuxhumana kwakho kwe-Orthopedic. I-American Academy Yabahlinzeki Bama-Orthopedic. Julayi 2007.
Umhlahlandlela we-Patient osteoarthritis we-Acromioclavicular Joint. eOrthopod.
> I-osteoarthritis. Isikhungo sezempilo se-ADAM.