Ubunzima Nokubuhlungu Kwamalungu Ahlangene
Ihlombe elifuthiwe, elibizwa ngokuthi i-adhesive capsulitis, yisimo esibangela ukuvinjelwa kokunyakaza kanye nobuhlungu ekuhlanganyeleni kwehlombe. Isizathu sehlombe elifriziwe ngokuvamile asiziwa, kodwa kunabantu abathile abonakala banamathuba amaningi okuthuthukisa lesi simo. Ihlombe elinyanyisiwe lenza i-capsule ehambisana nomhlanganiso wehlombe ukuze inkontileka futhi idale izicubu ezibomvu .
Abantu abaningi abangajwayele lesi simo bamangala ubuningi obungabangela futhi izimpawu zesikhathi eside zingaqhubeka. Noma kunjalo, kunezindaba ezinhle, njengoba ukwelashwa okufanele kungasebenza ekulawuleni ubuhlungu nokusheshisa ukubuyiswa.
Izimbangela
Ngokuvamile, amahlombe afriziwe ayenakho ukulimala okuhlobene noma okubonakalayo. Noma kunjalo, kunezinye izingqikithi ezijwayelekile ezigulini eziningi ezithuthukisa lesi simo.
- Ubudala & Ubulili
Amahlombe afriziwe ngokuvamile athatha iziguli ezineminyaka engama-40 kuya kwengu-60 ubudala, futhi zivame kakhulu kubantu besifazane kunamadoda. - Izinkinga ze-Endocrine
Iziguli ezinesifo sikashukela ziyingozi kakhulu ekuthuthukiseni ihlombe elibandayo. Okunye okungajwayelekile, njengezinkinga ze-thyroid, kungaholela ekuthuthukiseni lesi simo. Ukuba nehlombe elifriziwe akusho ukuthi kufanele ube nokungajwayelekile kwe-endocrine, kodwa ngokuvamile kuvame ukuhlangana. - Ukuhlukunyezwa Okwesibindi Noma Ukuhlinzwa
Iziguli ezisekela ukulimala kwehlombe , noma ezenziwa ukuhlinzwa ehlombe zingahlakulela ukuhlanganiswa kwamahlombe efriziwe. Uma ukulimala noma ukuhlinzwa kulandelwa ukungafihli isikhathi eside, ingozi yokuthuthukisa ihlombe elifriziwe liphakeme kakhulu.
- Ezinye izimo ezivamile
Izimo eziningana zesimiso ezifana nesifo senhliziyo nesifo sikaParkinson nazo ziye zahlotshaniswa nengozi eyengeziwe yokuthuthukisa ihlombe eliqhwaqwe.
Akekho oqonda ngempela ukuthi kungani abanye abantu behlakulela ihlombe eliqhwaqwe. Ngezinye izizathu ezingaziwa, ukuhlanganiswa kwehlombe kuyaqina futhi i-capsule ejikeleze ihlombe iyakwenziwa inkontileka.
Umhlanganiso wehlombe ibhola kanye nokuhlanganiswa kwesokhethi. Ibhola liyisiphithi sesifuba lesandla (inhloko ekhukhulayo), futhi isokhethi ingxenyeni yehlombe (i-glenoid). Ukuzungeze lokhu kuhlangene kwebhola nokusiketshezi kungumculi wezicubu ezivula umhlanganiso.
Ngokuvamile, ukuhlanganyela kwehlombe kuvumela ukunyakaza okungaphezu kwanoma yikuphi okunye okuhlangene emzimbeni. Uma isiguli siqala ihlombe eliqhwaqwe, iqhwa elizungezile iqhaza lehlombe liyavumelana futhi liqinile. I-capsule ihlanganisa ama-band of scar tissue okuthiwa ukunamathela. Ukwehlukaniswa kwe-capsule kanye nokubunjwa kokunamathela kwenza ihlombe libe nzima futhi ukunyakaza kube buhlungu.
Ukuxilongwa
Isikhalazo esivame kakhulu kubantu abanamahlombe afriziwe ubuhlungu. Ngenkathi bengaqaphela ukuthi kukhona ukunyakaza okukhawulelwe, ukukhathazeka okuvame kakhulu ubuhlungu obuhambisana nalesi simo. Imibandela eminingi yehlombe ibangela ubuhlungu, kuhlanganise nezinkinga ze-rotator cuff , ngakho-ke ihlombe elifriziwe yilinye lezinkinga ezivame ukungenakulinganiswa emathambo. Abantu abaningi abanesibonakaliso sokuthi izinyembezi ziqhekeze ngempela zinamahlombe afriziwe.
Enye yezinselelo ezixilongwa ngazo ukuthi abantu bangakwazi ukukhokhela ihlombe eliqinile elinamahlombe ngokunyakaza amahlombe abo kanye nomgogodla.
Ngakho-ke, abantu abanalesi simo bangakwazi ukuphakamisa ingalo yabo phezu kwekhanda, naphezu kokuthi kufanele bahlangane ngokuqinile iqhwa. Umhloli wakho kufanele ahlole ngokucophelela hhayi ukuthi ingalo yakho ingashukumisela kangakanani, kodwa lapho kuhlangana khona ukunyakaza. Isizathu sokuthi amahlombe afriziwe ngokuvamile angaqondakali ukuthi abantu abahluleki ukuzihlukanisa futhi banqume inani lokunyakaza emhlangothini wezinsizwa zebhola nekhanda.
Izigaba
Amahlombe afriziwe avame ukuqhubeka ngezigaba ezingenakwenzeka. Isiguli esiphezulu sinemibonakalo yehlombe eliqhwaqwe izinyanga ezingu-12-18. Ukuqedela okuphelele kwezimpawu zehlombe elifriziwe kungathatha iminyaka engaba ngu-3.
Izindaba ezinhle ukuthi isigaba esibuhlungu kunawo wonke, esivimbela kakhulu amahlombe afriziwe yiwona owokuqala, ngakho-ke izimpawu zingathuthuka ngokushesha. Kodwa-ke, cishe njalo izinyanga eziningi, uma kungaphezu konyaka, ukuze izimpawu zixazululwe.
Ukwelapha
Ukwelashwa kwamahlombe okuhlanjululwe ngokuyinhloko kuqukethe ukukhululeka kobuhlungu kanye nokwelapha ngokomzimba. Iningi leziguli lithola usizo ngalezi zinyathelo ezilula, nakuba yonke inqubo yokwelapha ingathatha izinyanga eziningana noma ngaphezulu.
Uma elula ungaxazululwa ihlombe elifriziwe, ngesinye isikhathi isiguli sidinga ukuhlinzwa. Le nqubo ibizwa ngokuthi i-arthroscopic capsular release. Ukukhululwa kwe-capsular yokuhlinzeka ngehlombe elifriziwe akudingeki ukuthi kudingekile, kodwa kuyasiza kakhulu ezimweni zehlombe elifriziwe elingaphenduli ukwelashwa nokuvuselela. Uma ukuhlinzwa kwenziwa, ukwelapha okusheshayo ngokomzimba kulandela ukukhululwa kwe-capsular kubaluleke kakhulu. Uma i-rehab ingaqali ngokushesha ngemva kokukhululeka kwe-capsular, ithuba lokubuyiselwa kwamahlombe afriziwe liphakeme kakhulu.
Ukubuyisela
Iziguli eziningi ezinamahlombe afriziwe ziyoba nokulinganiselwa okuncane ekuhambeni kwehlombe, ngisho neminyaka emva kokuba isimo siphendule. Kodwa-ke, lo mkhawulo ukuhamba awuncane, futhi uvame ukuphawula kuphela lapho uhlola ngokucophelela ngokomzimba. Iningi leziguli ezakha ihlombe elifriziwe lizophola ukuhamba kwazo ngezokwelapha nokwelula yedwa.
Imithombo:
Warner, JJ. "Ihlombe elinyanyisiwe: Ukuxilongwa nokuPhathwa" J. Am. I-Acad. I-Ortho. Ukuhlinzwa, ngoMeyi 1997; 5: 130 - 140.