Ngokuvamile kuqala ngokubunzima ukuhambisa ihlombe lakho. Ungase uzizwe ubuhlungu obukhulu futhi obuhlungu endaweni yakho yehlombe. Ungabona futhi ukuthi unenkinga ekhulayo nemisebenzi yansuku zonke ehilela ukuphakamisa izingalo zakho, njengokugubha izinwele zakho noma ukufinyelela into ephaketheni eliphezulu. Ungase ube nobunzima obukhulu behlombe lapho ulele.
Uma lezi zimpawu zizwakala zijwayele, ungaba nesimo esibizwa ngokuthi "ihlombe elifriziwe" -naziwa nangokuthi i-adhesive capsulitis. Ngenkathi ungase ungaboni, amahlombe afriziwe avame kakhulu ezigulini ze-thyroid.
Ake sibheke ihlombe elifriziwe , kanye nezimbangela zalo, izimpawu, nokuthi zitholwa kanjani, futhi ziphathwa kanjani.
Izimbangela Zamahlombe Aphelile
Akucaci ukuthi yini ebangela ngokuqondile amahlombe afriziwe , kodwa kubonakala sengathi evame kakhulu kwabesifazane abaneminyaka engama-40 no-60.
Ezinye izici eziyingozi noma izimbangela ezingase zibe yizinhlanzi ezifakwe efrijini zihlanganisa:
- Ukuba nesimo se-endocrine esifana nesifo sikashukela noma isifo se-thyroid, kuhlanganise kokubili i-hyperthyroidism ne-hypothyroidism.
- Ukuba nokulimala kwehlombe, ukuhlinzwa kwegciwane, ukuhlukunyezwa kwehlombe, noma ihlombe elingenakulinganiswa.
- Ukuba nokuhlinzwa okuvimbela ihlombe lakho, njengokuhlinzwa kwebele noma ukuhlinzeka ngenhliziyo evulekile.
- Izinguquko ze-Hormonal, ezifana nokuziqeda kwezimoto kanye nokuyeka esikhathini.
- Isifo socervical disk entanyeni
Izimpawu Zokwenziwe Ngamahlombe
Izimpawu zehlombe ezinamafutha ngokuvamile zikhula kancane ngokuhamba kwesikhathi, futhi zikhula kancane kancane. Ngokuvamile, kubonakala ngobuhlungu obukhulu phakathi nezinyanga ezimbalwa. Lesi simo sihamba ngezigaba ezintathu ezihlukene, izimpawu ezahlukene zibonakala esigabeni ngasinye:
- Isiqhwaga -Isiteji samaqhwa ngokuvamile siyisigaba esibuhlungu kunazo zonke, ubuhlungu obukhulu kakhulu endaweni yakho ye-shoulder ehlombe. Kwezinye izimo, ungase ube nobuhlungu obungena phansi engxenyeni yakho engaphezulu. Ukuhamba kwehlombe lakho kubangela ubuhlungu, futhi ungaba nobuhlungu ngenkathi ulele. Ukuhamba kwakho kokuhamba emahlombe nakho kuyancishiswa.
- Isiteji esinefriji - Ngesikhathi sesithwathwa esibandayo, ukuhamba kwehlombe lakho kunomkhawulo nakakhulu futhi ihlombe lakho liba lukhuni. Kungaba nzima ukuphakamisa izingalo zakho, noma ukuhambisa izingalo zakho emuva. Ngokuhamba kwesikhathi, ihlombe lingaba lukhuni kangangokuthi cishe akunakwenzeka ukuhamba. Ungabona ukunciphisa ubuhlungu, noma kunjalo, njengoba ihlombe lakho lihamba kancane.
- Isiteji sokuthungatha - Phakathi nesigaba sokuqhafaza, ngokuvamile uzoba nobuhlungu obuncane, ngokuthuthukiswa ekuhambeni kwakho kokuhamba ngokuhamba kwesikhathi.
Ukwelashwa Kwamahlombe Aphelile
Enye yezinselele ekuphatheni amahlombe afriziwe ukuthola ukuhlolwa okuqondile. Kwezinye izimo, amahlombe afriziwe aphutha njengamahlombe e- Rotator , ngakho-ke ukuhlonza okunembile kubalulekile ekunakekeleni okufanele.
Ihlombe elivuthiwe ngokuvamile lizixazulula ngokwayo ngokuhamba kwesikhathi, kodwa lokhu kungahlanganisa iminyaka eminingana yobuhlungu nokuhamba okukhawulelwe kuze kube yilapho ihlombe libuyela ejwayelekile. Kwezinye izimo, uhla olugcwele lokuhamba ehlombe aluphindeli libuyele evamile.
Ochwepheshe bathole ukuthi kulabo abathintekayo abafakwe amaqabunga aqhathaniswa futhi bahlolwe ngaphambili, umjovo we-cortisone ngqo ekuhlanganyeleni okufriziwe kungasiza ukubuyisela ibanga lokunyakaza, futhi kungasiza ukusheshisa isikhathi sokuphulukisa ngokuphawulekayo.
(Qaphela: odokotela abaningi abaphakamisi ukwelashwa ngokomzimba okhathazekile ngalesi sikhathi, njengoba kungenza kube nzima kakhulu isimo futhi kukhulise ukutakula. Kodwa-ke ochwepheshe batusa ukwelula ngokuhambisana nokwelashwa kwe-cortisone.)
Kwezinye izimo, imishanguzo yobuhlungu njengezidakamizwa ezingekho emthethweni (non-steroidal antiinflammatory drugs) (NSAIDs) kanye nokwelapha ngokomzimba / ukuvivinya ekhaya kunganconywa. Lokhu ukwelashwa kungasiza ekubuyiseleni ububanzi bokuhamba nokukhulula ubuhlungu, kodwa kungathatha isikhathi eside njengonyaka ukuze uthole ukukhululeka okugcwele.
Ukwelashwa kwehlombe elifriziwe kuyisinqumo sokugcina, kodwa kungase kulandelwe uma ezinye izinketho zingasebenzi. Ukuhlinzwa-okuvame ukuqhutshwa i-arthroscopically-kugxile ekususeni izicubu ezibomvu nokunamathela ehlombe.
Ukuhlinzwa okulandelayo, isikhathi sokwelapha ngokomzimba ngokuvamile kuyadingeka ukubuyisela nokugcina uhla lwezinyathelo ehlombe.
Izwi kusuka
Kunezinketho ezimbalwa ezithembisayo zokuqala zokucabangela amahlombe afriziwe. Zihlanganisa ukugqugquzela kagesi okuguquguqukayo (TENS), okuye kwaboniswa ukuthi yandisa kakhulu ukunyakaza. Ukwelashwa kwama-low-power laser kanye nokushisa okujulile (ukwelashwa kwe-diathermy) nokwelula kungase kuhlinzeke nokuphumula.
> Imithombo:
> Maund E, Craig D, Suekarran S, et al. "Ukuphathwa Kwamahlombe Aphelile: Ukubuyekezwa Okuhlelekile Nezindleko-Ukuphumelela Ukuhlolwa." Ukuhlolwa kwezeMpilo kwezeMpilo, No. 16.11. I-Southampton (UK): I-NIHR Yezincwadi Zamabhuku; 2012 uMar.
> Ikhasi P, I-Labbe A. I-CAPSULITIS EPHAKATHI: YISEBENZISA UBUFAKAZI BOKUQALA IZINDLELA ZAKHO. I-North American Journal of Sports Therapy Physical: NAJSPT. 2010; 5 (4): 266-273.