Ihlombe elivuthiwe yisimo esibuhlungu okufanele siphathwe ngokushesha.
Eminyakeni engaphezu kwengu-150 eyedlule, incazelo yehlombe elifriziwe yabonakala kuqala ezincwadini zezokwelapha. Naphezu kokuqwashisa isikhathi eside salesi simo esidabukisayo, nokho, asikaqondi ngokuphelele ukugula kwayo futhi, ezimweni eziningi, azi ukuthi yini okubangela lokho.
Iyini Inhlanzi Ehlutshiwe?
Ihlombe elinyenekile noma i-adhesive capsulitis yinkinga evimbela ukuhamba kwehlombe.
I-shoulder-like knee, elbow, ne-hip-iyinhlangano ehlangene. Isihlanganisi sehlombe (umjoqo we-glenohumeral) sakhiwe i-capsule egcwala imijondolo ehlanganisa amathanga ehlombe ndawonye. Uma lokhu kuhlangene kugubha, njengoba kwenzeke ngehlombe elifriziwe , kuba darn ebuhlungu ukuhambisa ihlombe lakho.
Imiphumela evela ku-biopsy iphakamisa ukuthi ihlombe elifriziwe liqala njengesimo sokuvuvukala esingapheli okulandelwa yi-fibrosis ne-fibroblast ukukhula. Lokhu kukhula cishe kungasetshenziswa kahle. Encwadini ehlobene nayo, ukukhubazeka kwamahlombe afriziwe cishe kufana nesivumelwano sikaDupuytren , nesinye isimo se-fibrotic esithinta iminwe.
Ihlombe elivuthiwe ngokuvamile lihlolwe udokotela ngemva kokuhlolwa ngokomzimba. Ngokuvamile, izindlela zokufanisa izifo ezifana ne-ray zinikeza ukuqinisekiswa okuncane kwalesi sifo sokuxilongwa nakuba i-MRI ne-ultrasound ingabonisa izinguquko ezincane zezicubu ezifana ne-ligament ukuqina.
Ihlombe elinyanyisiwe lithinta phakathi kwamaphesenti amabili kanye namaphesenti angu-5 kubo bonke abantu.
Nakuba kubantu abaningi, lesi simo siphenduka, lesi simo esilimazayo nesicindezelayo yizona ezinezinkinga zokunakekelwa okuyinhloko odokotela nabachwepheshe ngoba kubonakala kunzima ukuphatha.
Izingozi Zengozi Yezintambo Eziqhambileyo
Kubantu abaningi, amahlombe afriziwe yi- idiopathic . (Idiopathic iyinhloko yezokwelapha ekhuluma ngesibanga esingaziwa).
Noma kunjalo, ezinye izinto eziyingozi zingase zibe nendima kulokhu kuhlanganise nalokhu okulandelayo:
- ukulimala kwehlombe
- ukuhlinzwa kwegciwane
- isifo sikashukela
- isifo somlomo wesibeletho entanyeni
- izinkinga ze-thyroid
- ukuvuleka kwenhliziyo
Ukuthola Ukuhlukana Okuhlukile Ngokwengxenye Egcwele
Ngenxa yokuthi ukuxilongwa kwehlombe elibandayo ngokuyinhloko kuxhomeke ekutholeni ukuhlolwa komtholampilo, ukutholakala kwezifo ezihlukile noma ezinye izifo zezinhlanzi kufanele kucatshangelwe. Nasi uhlu lwezifo ezikhona njengamahlombe afriziwe:
- umdlavuza (i- pancoast tumor )
- i-tendonitis
- isifo se-cervical disk ( spondylosis yomlomo wesibeletho noma "i-arthritis yentamo" )
- neuritis brachial
- Milwaukee ihlombe
- ukuhlukunyezwa
- i-Rotator-cuff tendinopathy
- i-osteoarthritis
- i-necrosis yama-avascular yekhanda eliqhakazile
Ukwelashwa Kwamahlombe Aphelile
Ngokuphathelene nokwelapha, kubalulekile ukuhlola ukuthi uphinde ulawule noma yiziphi izici eziyingozi ezingamahlombe afriziwe afana nesifo sikashukela nesifo se-thyroid.
Ngenxa yokuthi ihlombe elibandayo libuhlungu, ukuphathwa ubuhlungu nezidakamizwa ezinjenge-NSAID noma i-steroids kungumqondo omuhle. I-note, i-steroids inikeza ukuphumula kwesikhashana esifakwe emahlombe afriziwe futhi ingafakwa egayeni elihlangene noma elithathwe ngomlomo.
Lapho zonke ezinye ukwelashwa zihluleka, ukuphathwa ngokuhlanganyela kwe-shoulder anesthesia noma ukuhlinzwa kwe-arthroscopic noma ukukhululwa kwe-capsular evulekile kuyindlela yokugcina.
Ngemuva kokuhlinzwa, kubalulekile ukuba uhlanganyele ekuvuseleleni ngokomzimba ukuze ugcine ihlombe elifriziwe eliphindaphindiwe.
Ngisho noma engashiywanga, amahlombe afriziwe ngokuvamile ahamba ngesikhathi futhi ngezinye izikhathi ubuhlungu bungancipha ezinsukwini ezimbalwa nje. Ekugcineni, ngamaphesenti angu-90 kubo bonke abantu, lesi sifo siyakudlulisa. Noma kunjalo, ukwelashwa kungasheshisa ukuphulukisa. Sicela uhlale ukhumbule ukuthi uma kusalashwa kungakapheli, ngezinye izikhathi ihlombe elifriziwe lingadlulela eminyakeni engaba ngu-3.
Uma wena noma umuntu omthandayo ehlushwa yilokho okubonakala sengathi lihlombe elifriziwe, sicela ubheke udokotela ngokushesha. Asikho isizathu sokuhlupheka ikakhulu uma kukhona ukwelashwa.
Inothi, ukwelashwa kwasekuseni kungavimbela ukuqina kwesikhathi esizayo. Ngaphezu kwalokho, udokotela wakho wokunakekela oyinhloko angadinga ukukudlulisela ku-rheumatologist noma udokotela ohlinzayo wamazinyo. Sicela ukhumbule ukuthi udokotela wakho ukhona ukukusiza uphendule imibuzo yakho; Kuhlale kuwumqondo omuhle ukwenza i-aphoyintimenti nodokotela wakho noma kunini lapho unenkinga yokukhathazeka kwezempilo. Okokugcina, uma unesifo sikashukela noma isifo se-thyroid, kuwumqondo omuhle ukugcina lezi zimo zingaphansi kokulawula hhayi kuphela ukuvimbela ihlombe elibandayo kodwa futhi nokuhlala unempilo.
Imithombo ekhethiwe
Isihloko esithi "I-Pathology of Frozen Shoulder" yi-GCR Hand nabambhali abambisene nabo abashicilelwe kuyi-Journal of Bone and Joint Surgery ngo-2007. Ukutholakala ngo-7/19/2015.
Isihloko esibizwa ngokuthi "I-Adhesive Capsulitis Yehlombe" kusukela ku-Ferri's Clinical Advisor 2016 nguFF Ferri. Ifinyelele ngo-7/19/2015.