Ukwelapha kufanele kuqale ukulula nokuthuthuka njengoba kudingeka
I-tendonitis ye- calcific iyinhloko evamile yobuhlungu behlombe, futhi kungaba ukukhungatheka okunikezwa ubuhlungu obukhulu nobude bezimpawu. Nokho, izindaba akuzona zonke ezimbi! Ngomqondo omuhle, iningi leziguli lithola usizo ngokunakekelwa okwelashwa kwalesi simo. Empeleni, ucwaningo luye lwabonisa amaphesenti angaba ngu-75 impumelelo ngezinyathelo ezilula zokwelapha.
Ngenkathi ukwelashwa kuvame ukuthatha izinyanga ezintathu kuya kwezingu-6, kukhona ukuthuthukiswa okujwayelekile ngaphandle kokuba kwenziwe inqubo yokuhlinzwa.
Ngokuvamile inselelo enkulu kakhulu ekwelapheni kwe-calcific tendinitis inekholo lokuthi imizamo elula yokunciphisa izimpawu, ngokuhamba kwesikhathi, izoholela ekuthuthukiseni. Ukuvumela umzimba ukuba uhambe ngendlela yokuvuvukala, futhi inqubo yokuphulukisa kancane kancane eyenzekayo ingaba yinto ephazamisayo. Izinyathelo zokuqala kanye nokwelashwa ngokuvamile kugxile ekunciphiseni ubuhlungu nokuvumela ukuvuvukala ukuba kunciphise.
Izinyathelo Ezilula
Uhlelo lwezokwelapha lweziguli ezine-tendonitis ye-calcific lifana nokuphathwa kwe- impingement syndrome yehlombe, ngezinye izinketho ezengeziwe. Ukwelashwa kufanele kuqale njalo ngezinyathelo ezithile ezilula, futhi uqhubekele ezinketweni eziningi ezingenayo kuphela uma ukwelashwa okulula kungasebenzi.
- Ukwelashwa ngokomzimba / Ukuzivocavoca: Ukuzivocavoca nokwelula kungasiza ekuvimbeleni ihlombe eliqinile. Enye yezinkinga ezinzima kakhulu ezihambisana ne-calcific tendonitis ukuthuthukiswa kwehlombe elifriziwe ngenxa yobuhlungu. Ukuzivocavoca okuqondile kungasiza ekuthuthukiseni imishini yehlombe futhi kunciphise umthwalo emithanjeni ethinteka kakhulu yizinkinga.
- Imithi Yokulwa Nezikhukhula : Imithi elwa nokuvuvukala ingasiza ukunciphisa ubuhlungu obuhambisana ne-tendonitis ye-calcific. Azikho izifundo eziye zabonisa ushintsho oluphawulekayo ngesikhathi sezimpawu ezihambisana nale mithi, kodwa ngokuqinisekile iziguli ziye zinciphisa izimpawu. Ngaphambi kokuqala noma imuphi umuthi omusha qinisekisa ukuthi uqinisekisa nodokotela wakho ukuthi imithi iphephile ukuthi uthathe.
- Isicelo seHatter and Ice : Ukusetshenziswa kokushisa okumanzi kuyasiza kakhulu ngokuphumula kobuhlungu kusuka ekutheni i-calcific tendonitis. I-washcloth efudumele yindlela ephelele yokuletha lo mfudumalo emahlombe. Amaphakethe e-Ice angasiza ekunciphiseni ukuvuvukala kwi-tendonitis, futhi kungaba usizo kakhulu ukunciphisa ubuhlungu obuhambisana nalesi simo.
Izinketho ezingaphansi kokumangalisa
Izinyathelo ezilandelayo zokwelashwa zibhekwa njengenhlekelele encane, ngoba azidingi inqubo yokuhlinzwa, kodwa zingadinga ukusebenzisa inaliti noma izinsimbi ezikhethekile ukusiza ukubhekana ne-calcific deposit.
- I-Cortisone Injections : I-Cortisone iyi-anti-inflammatory imithi ehlinzeka ngokuqondile emthonjeni wobuhlungu (ngokuphambene nomuthi owathathwa ngomlomo, okumele usebenze ngendlela eya emzimbeni ukuze ufike ehlombe). I-Cortisone injection ingasiza ekubambeni kokunciphisa ukuvuvukala kanye nobuhlungu obunciphisa ukuvumela iziguli ukuba zisebenze ngezokwelapha ngokomzimba. Iziguli eziningi zithola umjovo we-cortisone eziwusizo, futhi ngezinye izikhathi ezingaphezu kweyodwa kudinga ukwelashwa okuphumelelayo. Ngenkathi kukhona impikiswano mayelana nokuthi i-cortisone iningi liphephile , iningi liyavuma ukuthi isibhamu esisodwa noma ezimbili sinengqondo yokwelapha.
- Ukwelashwa Kwe-Shockwave Okungeyona Yomzimba : Ukucutshungulwa kwe-Shockwave kucatshangwa ukuthi kusebenze ngokunciphisa okuthiwa 'i-microtrauma' futhi kuvuselela ukugeleza kwegazi endaweni echaphazelekayo. Imibiko eminingi ngale ndlela yokwelapha i-calcific tendonitis iveze impumelelo-mhlawumbe amaphesenti angu-50 kuya kwangu-70 weziguli eziphuthumayo ngemva kweyodwa yokwelashwa kwe-high-energy shockwave. Lokhu ukwelashwa kwe-calcific tendonitis kungaba buhlungu, futhi ngokuvamile kudinga i-anesthesia ukuze ibekezelelwe isiguli. Izindaba ezinhle ukuthi kunezinga eliphansi kakhulu lokuncintisana okuvela ku-shockwave therapy. Iziguli eziningi zizokwakha i-hematoma (ukulimaza) ekuphulukisweni, kodwa uma kungenjalo kunezinkinga ezimbalwa.
- Inaliti eqondiswayo engenakululwa Ukuhlanza : I-Needling yinkqubo eyenziwa nge-anesthetic yendawo noma isilwane esivamile. Udokotela wakho ohlinzayo uzoqondisa inaliti enkulu emgodini we-calcium futhi azame ukufisa, noma ukuphuza ngaphandle, idiphozi enkulu ye-calcium ngangokunokwenzeka. Ukuvumelana kwe-deposit calcium kuyashintsha, kepha kaningi kunjengedwala futhi kufana nokulwela imithi. Ngokuvamile umshini we-ultrasound ungasiza ukuqinisekisa ukuthi ukufakwa kwesalane kuqondiswa ngokufanele ngqo ku-deposit deposit. Izilonda ze-saline, i-Novocaine, noma i-cortisone ngezinye izikhathi, zenziwa ngaphakathi kwe-deposit calcium.
Ukwelapha Okuhlinzekwayo
Ngokuvamile ukwelapha okuhlinzekwa kugcinwe iziguli ezingatholi usizo ngaphandle kwezinyanga zokwelashwa okulula. Njengoba kushiwo ngaphambili, iningi leziguli lizothola usizo ngokukhetha ukwelashwa okungahambi kahle, kodwa kunezikhathi lapho iziguli zingatholi usizo ngaphandle kwezinyathelo ezifanele zokwelashwa. Odokotela abaningi abahlinzayo bavuma ukuthi okungenani izinyanga ezintathu, uma kungesona izinyanga ezingu-6, ukwelashwa okungenasidingo kufanele kuqhutshwe ngaphambi kokucubungula inketho engavamile.
Ukwelapha okuhlinzwa ngokuvamile kuvame ukuhlinzwa njengama- arthroscopic , ngisho noma ukwelashwa okuvulekile nakho kungabhekwa njengendlela yokukhetha. Indlela evamile ukuzama ukususa ezinye, uma kungenjalo zonke, idizithi ye-calcium, futhi uhlanze ukuvuvukala okuzungeze ithemponi. Ngaphezu kwalokho, abanye odokotela abahlinzayo bancoma ukususa elinye ithambo ukudala isikhala esiningi sethononi yokuphulukisa, okuthiwa ukucindezeleka okungahambi kahle . Omunye umphumela wokususwa kwediphozi ye-calcium kungaba umgodi noma isici kumathononi we-rotator. Ngenxa yokuthi i-calcium deposit yayingaphakathi kwethethoni, ukususa kungashiya igebe. Ngenxa yalesi sizathu, ngezinye izikhathi udokotela wakho ohlinzayo uyophinde akwazi ukulungisa isithononi esonakele se-Rotator . Lokhu kungenza ukutholakala kokuhlinzwa okude isikhathi eside, njengoba kungase kube nemingcele emsebenzini. Ukwelula okugcwele ukwelashwa okuphuthumayo kungashesha njengamaviki angu-6, kodwa kuvame ukuhamba ngezinyanga ezintathu. Uma i-rotator cuff idinga ukulungiswa kokuhlinzwa ukuvuselelwa kungase kube izinyanga ezingu-6 ngesikhathi eside.
Imithombo:
I-Suzuki K, i-Potts A, i-Anakenze O, i-Singh A. "I-tendinitis ye-Calcific ye-rotator cuff: izinketho zokuphatha" J Am Acad Orthop Surg. 2014 Nov; 22 (11): 707-17. doi: 10.5435 / JAAOS-22-11-707.
> I-Ioppolo F, i-Tattoli M, i-Di Sante L, kanye no-: Ukuthuthukiswa kwemitholampilo kanye nokuhlelwa kabusha kwemibono ekubaleni kwe-calcific yehlombe ngemva kokushaywa kwe-wave wave endaweni yokulandelela kwezinyanga ezingu-6: Ukubuyekezwa okuhleliwe nokuhlaziywa kwemeta. I-Arch Phys Med Rehabil 2013; 94 (9): 1699-1706.
> Balke M, Bielefeld R, Schmidt C, Dedy N, Liem D: Ukucacisa i-tendinitis yehlombe: Imiphumela ye-Midterm ngemuva kokwelashwa kwe-arthroscopic. Am J Sports Med 2012; 40 (3): 657-661.