I-Osteoarthritis inokuchaphazela nayiphi na inxalenye emzimbeni, kuquka nehlombe . I-osteoarthritis yehlombe inokuchaphazela amaqabane amabini kwindawo yamagxa-intlangano ye-acromioclavicular kunye ne-glenohumeral joint. Ukuxilongwa kwangaphambili kunye nonyango kunceda abantu abane-osteoarthritis yegxalaba baphatha iimpawu zabo.
Izizathu
Igalelo libhekwa njengeyona nto inokufudukayo emzimbeni, kodwa ngenxa yeendleko zayo , umxhelo awuzinzileyo kunamanye amalunga.
Igalelo liyindawo eqhelekileyo yokulimala. Ibhola yengalo engaphezulu inkulu kunokuba isetekeni lesigxina elibamba. Ukuze uhlale uzinzile, umxhasi uxhaswa yimisipha, i-tendon, kunye neigaments.
Inkqubo yokuguga ehambisana ne-osteoarthritis inokuchaphazela ihlombe, nakuba ingaqhelekanga kunamanye amajoyina. Xa i-osteoarthritis ikhula kwi-joint glenohumeral, ngokuqhelekileyo ibangelwa kukulimala kwangaphambili. I-osteoarthritis kwisixube se-acromioclavicular sinokubuhlungu kwaye ibangela iingxaki xa usebenzisa idibeneyo kwimisebenzi yemihla ngemihla.
Ukuxilongwa
Ukuze kuhlolwe i-osteoarthritis yegxala, imbali yonyango yesigulane, ukuhlolwa ngokomzimba kunye ne-x-ray ziqwalaselwa. Ugqirha uya kukhangela iimpawu ezithile kunye neempawu ngexesha lovavanyo lwangaphandle kuquka:
- ubuthathaka obunamafutha okanye i-atrophy
- ububele kwintsebenzo kunye nentlungu xa uxinzelelo lwenziwa kwifowuni
- uluhlu lwesinyanzelo, bobabini bancediswa kwaye bazithoba
- iimpawu zokulimala kwiimisipha, iintambo, iigaments ejikelezileyo
- ubungqina bokulimala kwangaphambilini
- i-crepitus , i-grating feeling on movement of shoulder
- ubungqina be-x-ray obonisa ukunciphisa indawo edibeneyo, utshintsho kwithambo, ubukho bama- osteophyte
Iimpawu
Ubuhlungu luphawu oluqhelekileyo olunxulumene ne-osteoarthritis.
Ihlombe elichaphazelekayo yi-osteoarthritis libuhlungu ngokusebenza kwaye intlungu iyaqhubeka ihamba phambili. Kuyathakazelisa ukuqaphela ukuba:
- ukuba i-glenohumeral joint joint echaphazelekayo, intlungu isekelwe kumqolo wegxala, kwaye utshintsho lwemozulu lunokunyusa intlungu
- ukuba intsebenziswano ye-acromioclavicular ichaphazelekayo, intlungu ijoliswe ngaphambili kwegxalaba
Uluhlu oluthile lokunyakaza lunye uphawu oluphambili lwe-osteoarthritis. Kungaba nzima ukufikelela kwisifulo okanye uphakamise ingalo yakho ukuze uqhube izinwele zakho kunye nayiphi na enye into efuna ukuba uhambise ihlombe. I-Crepitus ivakalelwa kwaye ivile ngexesha lokunyakaza kwamagxa. Njengamahlombe i-osteoarthritis iyaqhubeka, intlungu iqhubekayo nayiphi na intshukumo. Ubuhlungu buya kwenzeka ebusuku, ukwenza ubuthongo bunzima.
Unyango
Ulwaphulo lwezonyango luzama phambi kokuba unyango luqwalaselwe kwi-osteoarthritis. Izinyango zokwelapha ziquka:
- kuphumla ihlombe
- utshintshe okanye ulungise izinto eziqhelekileyo ukuze unciphise intlungu
- Ukushisa okumanzi kunokwenza uncedo lwentlungu
- amayeza kuquka i- NSAID okanye i- injection steroid ukunciphisa ukuvuvukala
- imizuzu ye-20 ukuya kwe-30 imizuzu yeqhwa, ezimbini okanye kathathu ngosuku ukunciphisa intlungu kunye nokuvuvukala
Kukho iindlela zokugonywa njengesigqibo sokugqibela xa zonke ezinye iindlela zonyango zihlulekile.
Umxube we-glenohumeral ungangena kwi-arthroplasty yesigxina. Ukuba intloko yesifuba sangasentla seyona nto inqatshelwe, inqubo ibizwa ngokuba yi-hemiarthroplasty. Ukubambisana kwe-acromioclavicular, inqubo eqhutywayo yokuhlinzwa yintengiso ye-arthroplasty (ukususa i-intshi yokugqibela yesiqingatha ye-clavicle).
Ukuxilongwa ngokuchanekileyo kunye nonyango lokuqala kukunceda ukunciphisa intlungu kunye nokuphucula umsebenzi wexhepha ye-osteoarthritis isigulane. Utshintsho olulungileyo lwezonyango lunokwenziwa kwinqaba le-osteoarthritis.
> Imithombo:
> IArthritis yeNgxowa. Uxhumano lwakho lweOrpedical. I-American Academy ye-Orthopedic Surgeons. Julayi 2007.
> Isikhokelo soMonde kwi-Osteoarthritis ye-Acromioclavicular Joint. eOrthopod.
> Osteoarthritis. I-ADAM yezeZonyango.