Isimo Esibuhlungu Nokukhubaza
Igalelo liphakathi kwamajoyina anokuchaphazeleka yi- arthritis . Ngenxa ye-arthritis, i-cartilage ejikeleza iziphelo zamathambo edibeneyo yonakaliswe ngenxa yokuvuvukala , ukugqoka nokukrazula, okanye ukulimala. Umxhelo wegxala unamathambo amathathu - i-humerus (ithambo lesisentla), i-scapula (umgca wecala) kunye ne-clavicle (i-collarbone). Inhloko ye-humerus iyangena kwisiseko se-scapula.
Isiseko sibizwa ngokuba yi-glenoid. Ikhuphe yokujikeleza, eyona iqela leemisipha kunye neetoni, gcina ithambo lesangqa kwindawo ephakathi kwesikhokelo.
Amalungu amabini, i-acromioclavicular joint kunye ne-glenohumeral joint, ifomathi. Umxube we-acromioclavicular ukhona apho i-clavicle ihlangana kunye nenkqubo yebony kwi-tip ye-shoulder blade (i-acromion). Umxube we-glenohumeral ukhona apho i-humerus iyangena kwi-scapula.
Iintlobo ze-Arthritis
I-arthritis yegulane ifunyaniswa ngokusekelwe kwimbali yakho yezokwelapha, ukuhlolwa ngokomzimba, kunye ne-x-ray okanye ezinye izifundo zokucinga. Ukuxhamla kunye kunye novavanyo lwe-synovial okhuseleko lunokubonelela ngolwazi oluxabisekileyo lokuxilonga. Zininzi iintlobo ze-arthritis ezinokuchaphazela ihlombe:
- I-rheumatoid arthritis yinto ehamba ngokuzimela , uhlobo lokuvuvukala lwe-arthritis olunokuchaphazela amaqabane omabini.
- Isifo se-arthritis esisemva kwe-post isifo se- osteoarthritis esenza emva kokulimala kwidibene ezichaphazelekayo (kule meko, ihlombe).
- I-articritis ye-Septic okanye i- arthritis echaphazelekayo i-arthritis echaphazelekayo isifo ekudibeneyo. Olu hlobo lwesifo se-arthritis lufuna unyango olukhawulezileyo ukukhusela ukutshabalalisa ngokukhawuleza kokubambisana.
- I-Arthropathy Ngenxa ye-Rotator I-Cuff I-Tear isifo se-arthritis esakhulayo njengengxubevange kwisitya se- rotator . Ngombhobho we-rotator otywebileyo, intloko ye-humerus ayinakubekwa kwindawo yayo efanelekileyo kwi-socket, eyenze ukuba iguqule kwaye ixubhe kwi-acromion. Ukuxubhuka kwethambo kwithambo kunokunxulumana nomonakalo omkhulu.
- I-Avascular necrosis, okanye i- Osteonecrosis, iyaqhubeka xa igazi elixhomekeke kwiNtloko ye-humerus liyanqunyulwa. Ngaphandle kwegazi eliqhelekileyo, iiseli zeethambo ziyafa, ezibangele umonakalo kwiqela elihlangeneyo. Njengoko ithambo elifileyo liwa, intloko ye-humerus ichaphazeleka ekuqaleni, kodwa ekugqibeleni i-glenoid iscket ihileleke. Ukusetyenziswa kohlobo lwe-corticosteroid ephezulu, ukusetyenziswa kotywala ngokugqithiseleyo, isifo se-sickle cell okanye ukuphuka kungenza i-avascular necrosis yamagxa.
Iimpawu zeArthritis
Iimpawu eziphambili ezinxulumene ne-arthritis yexhefu ziyintlungu kunye nokuhamba okuthe ngqo . Intlungu ikhona kumqolo wegxalaba ukuba umxube we-glenohumeral ubandakanyekile kwaye udla ngokubhekiselele njengengxolo ejulile. Intlungu itholakala phezulu kwiphepha xa iqhagamshelo le-acromioclavicular libandakanyeka kwaye liyakwazi ukukhawulela ngaphesheya kwentamo. Ukuba kukho ukubandakanyeka ngokulinganayo, njengokuba kunjalo kwimeko ye-rheumatoid arthritis, lonke ihlombe libuhlungu kumacala omabini omzimba. Uluhlu oluthile lokunyuswa kwegxala lunokuchaphazela imisebenzi eyahlukeneyo yokuphila kwansuku zonke. Kungaba nzima ukuphakamisa ingalo yakho, ukufikelela, okanye ukwenza nayiphi na imisebenzi efuna ezo ntshukumo. Ubunzima obuhlangeneyo kunye ne- crepitus ziyimpawu eziqhelekileyo.
Unyango lwe-Arthritis
I-Conservative, engeyiyo uphezulu yonyango ifanelekile kwi-arthritis yexhepha, ubuncinci ekuqaleni kwaye ukuba isifo siphumelele. Uphulo olucebisayo luqala ngoku:
- Ukuphumla
- Ukwenza imisebenzi yakho
- Ii-NSAID (izidakamizwa ezingabhubhisiyo)
- Injini ye Steroid
- Ukushisa okanye iqhwa
Ukuba ukhetho lwezonyango olungapheliyo luhluleka ukulawula kakuhle iimpawu, kwaye intlungu yakho kunye nokunciphisa ukusebenza kunzima, utyando lunokuqwalaselwa. I-Arthroscopy , ukutshintshwa kwendawo yexhefu (kuquka i-hemiarthroplasty [indawo enye yokubambisana ithathelwe endaweni], ukutshintshwa kwenani elipheleleyo kunye nokuguqulwa kwamagxa onke endaweni ), kunye ne-resection arthroplasty [intloko ye-head or prosthetic isuswa ngenxa yokungasebenzi okanye ukusuleleka).
Imithombo:
IArthritis yeNgxowa. OrthoInfo. Ja nuwari 2013.
http://orthoinfo.aaos.org/topic.cfm?topic=a00222
I-Arthritis. IYunivesithi yaseWashington, i-Orthopedics kunye neMicrosoft Medicine. Ufikelele kwi-12/10/2015.
http://www.orthop.washington.edu/?q=patient-care/shoulder-arthritis.html
I-Kelley's Bookbook yeRheumatology. Elsevier. I-ninth edition. Isahluko 46. Intlungu. UMartin noTnrnhill.