Lahla ukugaya nobuhlungu ngokunyakaza kwehlombe
I-bursitis ye-Periscapular iyimbangela enhle yezinhlungu ezingemuva. I-scapula, ebizwa nangokuthi i-shoulder blade, iyithambo elibalulekile elishintsha isikhundla salo ngokunyakaza okusemzimbeni nasemahlombe. Ukunyakaza kwe-scapula engxenyeni engenhla kubalulekile ekusebenzeni okujwayelekile kwehlombe kanye nomgogodla. Uma ukunyakaza kwamagxa ehlombe kungavamile, ukuvuvukala okuphawulekayo nobuhlungu kungabangela.
I-Scapula
I- scapula nayo ibizwa ngokuthi i-shoulder blade . Ithemba liyisithambo esine-triangular elihlezi ngaphandle komgqa wokudoba emhlane wakho ongenhla. Unesithambo esisodwa esisodwa esihlangothini ngasinye somzimba wakho. Ingxenyeni yangaphandle (lateral) ye-scapula iqukethe isixhumi sehlangothini lwehlombe (okuthiwa i-glenoid), kanti lonke ithambo likhonza njengamaphoyinti okunamathisela amaningi ehlombe nasemisipha yangemuva.
Njengoba uhambisa ingalo yakho emuva, i-scapula iyashintsha ku-cage cage. Lokhu kuhamba okumangalisayo (okubizwa ngokuthi ukunyakaza kwe-scapulothoracic) kubalulekile ekusebenzeni okujwayelekile komgogodla nokuhlanganiswa kwehlombe. Uma i-scapula ingagxili ekuhambeni okudidiyelwe, umsebenzi wokuhlanganiswa komgogodla kanye nehlombe kungabangela inkinga.
I-Scapular Bursa
I-bursa iyisaka eligcwele amanzi egijima emzimbeni evumela ukunyakaza okuhle phakathi kwezakhiwo. Une-bursae ebalulekile ehlakazekile emzimbeni wakho kufaka phakathi kokuhlangene kwehlombe , ngaphandle kwe-hip yakho , naphambi kwe-kneecap .
Lezi zimbongolo zivumela ukunyakaza kwe-gliding phakathi kwamathambo nama-tendon. Uma i- bursa igxuma futhi icasuliwe , lezi zintuthuko ezijwayelekile zingaba buhlungu.
Esimeni esingenhla, kune-bursae ebalulekile emayelana ne-scapula. Zombili lezi zikhumba ze-bursa ziphakathi kwamathambo kanye nesifo se-serratus sangaphakathi, isisindo esibalulekile esilawula ukunyakaza okunamandla ebhodini lesifuba.
Enye yezikhwama ze-bursa itholakala engxenyeni engenhla ye-scapula (hhayi kude nomgogodla phansi kwentamo), kanti enye ikhona engxenyeni engezansi ye-scapula (phakathi nendawo). Kungakhathaliseki ukuthi lezi zikhwama zombili ze-bursa zingabandakanyeka ku-bursitis ye-periscapular. Ngaphezu kwalokho, ezinye izinhlobo eziningi ze-bursae ziye zachazwa eduze kwe-scapula nezintambo ezizungezile, kodwa lezi zimbonakaliso zibonakala ziyisisekelo esiyinhloko kubantu abane-bursitis ye-periscapular.
Ukuvuvukala kwe-Bursa
Lapho lezi zitshalo zivutha futhi zicasuliwe, isimo esibizwa ngokuthi i-bursitis ngumphumela. I-Bursitis ivela uma kukhona ukuvuvukala nokuqina kwe-bursa. Uma lokhu kwenzeka, ukunyakaza kwemisipha namahlombe kungabangela ukungahambi kahle. Izimpawu ezivame kakhulu kubantu abatholakala ukuthi bane-bursitis ye-periscapular zihlanganisa:
- Ubuhlungu
- Izinzwa zokugaya (i-crepitus)
- Ukunciphisa ngokunyakaza
- Ukuthambekela ngokuqondile phezu kwe-bursa e-scapular
- Ama mechanical engavamile
Uma kuhlolwe, abantu abane-bursitis ye-scapula bangabonisa ukunyakaza okungajwayelekile kwekhasi lehlombe. Lokhu kungaholela ekutholeni okubizwa ngokuthi "i-winging" ye-scapula, lapho ihlombe lehlombe lingabanjwanga ngokuqinile emgodini wezintambo, futhi lihamba ngendlela engavamile.
Abantu abanamaphiko we-scapula ngokuvamile banamashini angavamile ehlangothini lwehlombe, ngoba isikhwama sehlombe sibeke ngendlela engavamile.
Izimbangela ze-bursitis ye-periscapular zingahlukahluka. Okuvame kakhulu, kungumuthi wokusebenzisa ngokweqile lapho umsebenzi othize ubangela ukucasula kwi-bursa e-scapular. Lezi zingabandakanya imisebenzi yezemidlalo noma imisebenzi ehlobene nokusetshenziswa okuphindaphindiwe. Ukulimala okudabukisayo kungabangela ne-bursitis ye-periscapular uma ukulimala okuthile kubangele ukuvuvukala noma ukucasula ku-bursa. Okokugcina, kunezimo ezithile lapho ama-anatomy angavamile noma amathambo angabangela ukucasuka ku-bursa.
Enye yezinto ezivame kakhulu ukukhula kwethambo elibi elibizwa nge-osteochondroma. Lezi zikhula zethanga ezinobungozi zingabangela ukucabangela kwesikhala esiholela ekucaseni kwe-bursa.
Ukwelashwa kwe-Bursitis
Ukwelashwa kwe-bursitis e-scapular njalo kuqala ngezinyathelo ezilula. Abantu abaningi abanalesi simo bangathola ukukhululeka ngezokwelapha ezimbalwa ezilula. Ngenhlanhla, ukwelashwa okungajwayelekile kuyadingeka ukulungisa inkinga, futhi akuyona into engavamile kumuntu ophethe lesi simo ukuze abe nezimpawu eziqhubekayo zokungahambi kahle. Izinyathelo zokwelapha zihlanganisa:
- Ukuphumula: Okokuqala, futhi ngokuvamile okubaluleke kakhulu, isinyathelo ekulawulweni kwe-bursitis e-periscapular ukuphumula i-bursa ecasulayo futhi uvumele ukuvuvukala kuhlale phansi. Lokhu ngokuvamile kuthatha amasonto ambalwa, futhi kungenziwa ngokuguqula noma yimuphi umsebenzi othile (njengokuthi umsebenzi wezemidlalo noma umsebenzi ohlobene nomsebenzi) obonakala ukwandisa lesi simo.
- Iqhwa : Ukunciphisa ukuvuvukala nobuhlungu bokulawula kuyindlela ewusizo ekuphathweni kwalesi simo. Iqhwa iyithuluzi eliwusizo lokufeza kokubili le misebenzi. Ukwazi ukuthi kufanele uqede kahle ukulimala kungakusiza kanjani ukuphatha ubuhlungu nokuvuvukala okuhlobene ne-bursitis.
- Imithi Yokuvimbela Ukuvuvukala : Imithi engeyona-steroidal anti-inflammatory iyindlela yokwelapha ewusizo kakhulu yokulawula ukuvuvukala kusuka kubursitis. Ngokuvamile, abantu abathatha le mithi kufanele basebenzise njalo amasonto ambalwa ukusiza ukuvimba ukuphendula okuvuvukala. Ngaphambi kokuthatha noma yimiphi imithi, kufanele uqinisekise nodokotela wakho ukuthi kuphephile ukuthi usebenzise le mithi.
- Ukwelashwa Kwemvelo : Ukwelashwa ngokwemvelo empeleni kungenye yezokwelapha eziwusizo kakhulu kwe-bursitis ye-periscapular. Kunezizathu ezimbili zokuthi ukwelashwa kuyazuzisa. Okokuqala, ukwelashwa kungasiza ukukhawulela izimpawu zokuvuvukala kwe-bursa. Okwesibili, ukwelashwa ngokomzimba kungasebenza kakhulu ekuthuthukiseni imishini ye-scapular ngakho inkinga ayiqhubeki njalo iphinde iqhubeke. Ukunyakaza okungavamile kwe-scapula emgodini wezintambo akukwazi nje ukuholela ekuthuthukiseni kwe-bursitis, kodwa kungaholela ekuphindeni kwenkinga uma lezi zimishini ezingavamile zingakhulumi.
- Ama- injection e-Cortisone : Ukujola kwe-Cortisone kuyasiza kakhulu ukuletha umthamo onamandla wokulwa nokuvuvukala ngqo kwisayithi lokuvuvukala. Ama-injection ka-Cortisone kufanele alinganiselwe ngokwemingaki yokujola okunikezwa umuntu, kodwa ngokulinganiselwa okulinganiselwe kungasiza kakhulu. Kubantu abangase badinga ukwelashwa okuphuthumayo, ukwelashwa okuphumelelayo ngokudubula kwe-cortisone kuyisibonakaliso sokuthi ukuhlinzeka cishe kuyasebenza.
Njengoba kuphawuliwe, ukuhlinzwa akuvamile ukudingeka, kodwa kungasebenza kubantu abambalwa abahluleka ukutholwa impumuzo ngemithi eshiwo ngenhla. Ngokuvamile ukuhlinzwa kusetshenziselwa abantu abanezinhlobo ezingavamile ze-scapular anatomy, ezifana nokukhula kwamathambo noma izicubu, okwenza ukucasuka ngokuqondile ku-bursa.
> Imithombo:
> Kuhn J, Plancher KD, Hawkins RJ. "I-Symptomatic scapulothoracic crepitus ne-bursitis" J Am Acad Orthop Surg. 1998 Sep-Oct; 6 (5): 267-73.