Amahlombe ashubile yiyona imbangela evamile yobuhlungu behlombe , kodwa ngokuvamile kuvame ukubhekwa njengesimo se- rotator cuff . Amahlombe afriziwe ahluke ne-rotator cuff tendonitis noma i-rotator cuff izinyembezi, kanti kuyilapho kokubili kungabangela ubuhlungu obukhulu, ihlombe elifriziwe liholela ekuhlanganyeleni okuqinile. Iziguli ezinamahlombe afriziwe zinciphisa ukuhamba komzimba, futhi zivame ukukhononda ngobuhlungu obukhulu, ngisho nemisebenzi elula.
Amahlombe afriziwe avame ukutholakala neziguli ezi:
- Abesifazane
- Abaphakathi obudala (40-60)
- Ngaphandle kwesizathu esicacile
Isitatimende sokugcina sikhona ngoba ngokuvamile abantu baqala ukungahambi kahle kancane kancane. Ngezinye izikhathi iziguli zizokhumbula umcimbi owenziwe okokuqala lapho beqaphela izimpawu, kodwa lokhu ngokuvamile umsebenzi omncane. Eqinisweni, le misebenzi cishe ayisona imbangela yamahlombe afriziwe, kodwa kunalokho umsebenzi wokuqala owenziwe lapho isiguli siqala ukuqinisa ukuqina kombuthano.
Izimbangela
Kunezimo eziningana ezibonakala ziyizicabangela zeziguli ukuthuthukisa ihlombe elifriziwe. Lezi zimo zibonakala kakhulu kakhulu ezigulini ezitholakala ukuthi zinamahlombe afriziwe, kepha azihlali zikhona ngeziguli ezinamahlombe afriziwe.
Ezinye zalezi zimo zifaka:
- Ukungahleleki kwe-Endocrine: Isimo esivame kakhulu esibonakala ezigulini ezivame ukuthuthukisa ihlombe elifriziwe yizinto ezingavamile ze-endocrine . Eqinisweni, ezinye iziguli ezinamahlombe afriziwe azikwazi ukungajwayelekile kwe-endocrine, futhi ngemuva nje kokuthola ukuthi unamahlombe afriziwe abathola isimo esibucayi.
Okungajwayelekile kakhulu kune- diabetes nezimo ze-thyroid (kokubili i- hyperthyroidism ne- hypothyroidism ibonakala). Iziguli ezihlakulela ihlombe elifriziwe ngokuzenzekelayo zixoxa nodokotela wazo wokunakekelwa okuyinhloko uma ukuhlolwa okuqhubekayo kuyadingeka kulezi zinhlobo ezingavamile.
- Immobilization: Isizathu sesibili esivame kakhulu sehlombe elifriziwe ngenxa yokuphoqeka noma ukuhlukunyezwa. Ngokuvame ukubizwa ngokuthi "eyesibili" ihlombe elifriziwe (ngokungafani nehlombe eliyisisekelo elibandisiwe) lezi zimbangela ziwumphumela wokulimala okubuhlungu, ukuhlinzwa, noma esinye isizathu sokuthi ihlombe lingenakulinganiswa. Ezinye iziguli ezinamahlumela ehlombe zingase zihlakulele lesi simo. Enye imbangela evamile yehlombe eliqhwaqisiwe lesibili ngemuva kokuhlinzwa kokuqhutshwa kombhobho .
- Izinkinga Ze-Neurologic: Izinkinga ze- neurologic, njengezifo zikaPasinson , zingase zibe khona kuziguli ezinokuthuthukiswa kwehlombe elifriziwe. Okungavamile kakhulu kuneziguli ezinezinkinga ezingapheliyo, izimo ze-neurologic zingaba yingozi yokuthuthukiswa kwalesi simo.
- Izifo ze-Cardiac: Ukukhubazeka kwe-cardiac, kuhlanganise nezifo ze-coronary disease nezinye izimo zenhliziyo, kungaholela ekuthuthukiseni ihlombe elifriziwe.
Ngenkathi lezi zimo zingenza umuntu angene kakhulu ekuthuthukiseni ihlombe eliqhwaqwe, iqhaza elivame kakhulu ihlombe elifriziwe yi "idiopathic," futhi eyaziwa ngokuthi indlela enhle yokuthi, "asazi ukuthi kungani."
Ukwelapha
Ihlombe elinyanyisiwe lingase libe isimo esicasulayo kakhulu. Ngokuvamile kubonakala sengathi akuveli ndawo, izimpawu zehlombe elifriziwe zingathatha iminyaka ukuxazulula ngokuphelele. Izigaba zamahlombe afriziwe aphuthuka ukuqhubeka. Izindaba ezinhle ukuthi ubuhlungu buvame ukuthuthuka phakathi nezinyanga ezimbalwa, inselele ngokuvamile ukubuyiswa kokuhamba okungathatha iminyaka.
Ngokuvamile, nge ukwelashwa ngokomzimba nezinye izifo, iziguli zingakwazi ukululama ngokugcwele kule nkinga. Ubuhlungu bungathatha izinyanga ukuxazulula, ukunyakaza kungase kungabuyeli ngokuphelele, kodwa umsebenzi cishe uhlale uthuthuka kuya evamile.
Ezinye izindaba ezinhle ukuthi ukuhlinzwa akudingeki ukuthi kuthuthukiswe kule nkinga.
Imithombo:
I-Warner JJ. "Uhlombe oluvuthiwe: Ukuxilongwa Nokuphathwa" J Am Acad Orthop Surg Meyi 1997 vol. 5 cha. 3 130-140