Ubunzima nobuhlungu beNkunzi ehlangeneyo
Ihlombe elinyanzelisiweyo, elibizwa ngokuba yi-adhesives capsulitis, yimeko edala ukukhawulelwa kokunyuka kunye nentlungu ehlangene. Isizathu somxholongwane okhuni siyaziwa, kodwa kukho abantu abathile abonakala banakho amathuba okuphuhlisa le meko. Igalelo elinyanzelisiweyo lenza ukuba i-capsule ejikeleze umxhelo wegxalaba kunye neenxeba ezibomvu .
Uninzi lwabantu abangaqhelekanga ngale meko luyamangaliswa ngumlinganiselo wentlungu onokubangela kwaye iimpawu zokuhlala ziqhubeka. Nangona kunjalo, kukho iindaba ezilungileyo, njengoko unyango olufanelekileyo lunokusebenza kakuhle ekulawuleni intlungu kunye nokukhawuleza ukubuyiswa.
Izizathu
Ngokuqhelekileyo, igalelo eliqhenqileyo lenzekile kungekho nzakalo echaphazelekayo okanye ingqiqo. Nangona kunjalo, kukho iindima eziqhelekileyo kwizigulane ezininzi eziphuhlisa le meko.
- Ubudala & Ubulili
Ixhoba elinyanzelisiweyo kakhulu lichaphazela izigulane eziphakathi kweminyaka engama-40 ukuya kweyama-60 ubudala, kwaye zixhaphake kakhulu kubafazi ngaphandle kwamadoda. - Izidumbu ze-Endocrine
Izigulane ezineesifo sikashukela ziyingcipheko ethile ekuphuhliseni igalelo elikhuniweyo. Ezinye izinto ezingekho phantsi kwe-endocrine, ezifana neengxaki ze-thyroid, zingakhokelela ekuphuhlisweni kwesi simo. Ukuba nehlombe eliqingqiweyo akuthethi ukuba kufuneka ube ne-endocrine engafanelekiyo, kodwa kudla rhoqo lo mbutho. - Ukuxhatshazwa kweentlungu okanye ukuhlinzwa
Izigulane ezenza ukulimala kwegxalaba , okanye ukuqhutyelwa ngophahla kwixhoba zingavelisa iqela eligciniweyo. Xa ukulimala okanye utyando lulandelwa lixesha elide elihlangeneyo, umngcipheko wokuphuhlisa igalelo elikhunileyo liphezulu.
- Ezinye iimeko eziqhelekileyo
Iimeko ezininzi ezinjengeesifo senhliziyo kunye nesifo se-Parkinson nazo zidibene nomngcipheko okhulayo wokuhlakulela igalelo eliqhenqileyo.
Akukho mntu uyayiqonda isizathu sokuba abanye abantu bahlakulele igalelo eliluhlaza. Ngenxa yesizathu esingaziwa, umxhelo wegxala uyaqina kwaye i-capsule ejikeleze ihlombe iyagunyaziswa.
Umxhelo wegxala ibhola kunye kunye nentsimbi. Ibhola yintloko yesifuba lesengalo (intloko ehluthayo), kwaye isiseko siyinxalenye yecala lehlombe (i-glenoid). Ujikeleze le ngxube yebhola kunye ne-socket yinto ye-capsule yezicubu ezivula idibeneyo.
Ngokuqhelekileyo, umxhelo wegxala uvumela ukunyuswa okungaphezulu kunoma nayiphi enye inxalenye yomzimba. Xa isigulane senza ihlombe eliqingqiweyo, i-capsule ejikeleze umxhelo wegxala iyaba nekhontrakthi kwaye igxininiswe. I-capsule ifom iindidi zamathambo ezinqamlezo ezibizwa ngokuba zihambelana. Ukuqhekeka kwe-capsule kunye nokubunjwa kwamanyathelo kwenza ukuba umxhasi ube nzima kwaye ukunyakaza kube buhlungu.
Ukuxilongwa
Isikhalazo esona siqhelekileyo sabantu abanamahlombe aqabileyo. Nangona baqonda ukuba kukho inqununu, ukukhathazeka okuqhelekileyo yintlungu ehambelana nale meko. Uninzi lweemeko zengxala zibangele intlungu, kubandakanywa iingxaki zengxube ze-rotator , kwaye ngoko ke umgca wefriji ngenye yeengxaki eziqhelekileyo ezingabonakaliyo kwiimathambo. Abantu abaninzi abaneempawu zentsimbi yokudabuka iinqabileyo ngokwenene banamahlombe anqabileyo.
Enye yemingeni ekuxilongweni kukuba abantu banokuhlawula umxhasi onzima onamahlombe ngokunyusa amahlombe abo kunye nomqolo.
Ngoko ke, abantu abaneli meko banokwazi ukuphakamisa ingalo yabo ngaphezulu, nangona ukuba kufuneka bahlangane ngokuqinileyo. Umhloli wakho kufuneka ahlole ngenyameko ingqalelo nje ukuba ingakanani ingalo yakho ingashukumisa, kodwa apho kubanjwe khona isindululo. Isizathu sokubamba iqabunga eligciniweyo lidla ngokungafumani kakuhle ukuba abantu abahluleki ukuzihlukanisa kwaye baqikelele inani lokunyakaza kwi-ball-and-socket joint joint.
Amanqanaba
Ixhepha elinyanzelisiweyo liqhubela phambili kwiimigangatho eqikelelweyo. Isigulane esiphezulu sinempawu zesigxina esibambileyo kwiinyanga ezili-12-18. Ukugqiba isisombululo seempawu zeqabunga elikhuni lingathatha iminyaka engama-3.
Iindaba ezilungileyo kukuba isigaba esibuhlungu kakhulu, isithintelo soxinzelelo olunqabileyo siqala, kwaye ngoko impawu zingaphuthuka ngokukhawuleza. Nangona kunjalo, phantse iinyanga ezininzi, ukuba ingekho ngaphezu konyaka, ukuba iimpawu zizisombulule.
Unyango
Ukunyangwa kwamahlombe okunyanzelekileyo kubandakanya ngokukhululeka kwentlungu kunye nokonyango. Uninzi lwezigulane lunokufumana uxolo ngala ma nyathelo alula, nangona inkqubo yonyango ingathabatha inyanga eziliqela okanye ngaphezulu.
Ukuba kulula ukulungisa isigxina esibambileyo, ngezinye izigulane kuya kufuneka ukuba utyando. Le nkqubo ibizwa ngokuba yi-arthroscopic capsular release. Ukukhululwa kwe-capsular ye-epsular ye-shoulder shoulder, ayifanelekiyo, kodwa incedo kakhulu kwiimeko zengxowanxu ekhutshiwe engaphenduliyo kunyango kunye nokuhlaziya. Ukuba utyando lwenziwa, unyango olusesikweni olulandelayo emva kokukhululwa kwe-capsular lubaluleke kakhulu. Ukuba i-rehab ayifuni ngokukhawuleza emva kokukhululwa kwe-capsular, ithuba lokubuyela egazini elikhukhulayo liphezulu kakhulu.
Ukubuyisela
Uninzi lwezigulane ezinamahlombe aqhotyoshelweyo ziya kuba nokuncipha okuncinci kwinqanaba lomxhelo, kwaneeminyaka emva kokuba imeko isombulula. Nangona kunjalo, lo mda wokunyakaza uncinci, kwaye ngokuqhelekileyo uyaphawula kuphela xa uhlola uvavanyo olwenziwe ngokucophelela. Uninzi lwezigulane ezihlakulela igalelo elikhuniweyo liza kubuyisa ukuhamba kwazo kunye neyeza kunye nokwelula.
Imithombo:
Warner, JJ. Amacandelo athatywayo: Ukuxilongwa kunye noLawulo "J. Am. Acad. IOrn. Ugqirha, ngoMeyi 1997; 5: 130 - 140.