Igalelo elinyanzelisiweyo liyimeko ebuhlungu ekufuneka iphathwe ngokukhawuleza.
Kwiminyaka engaphezu kwe-150 edlulileyo, inkcazo yecala eliqhenqileyo yabonakala kuqala kwiincwadi zonyango. Nangona ukuqonda ixesha elide le nkalo ebuhlungu, nangona kunjalo, asiyiqondi ngokupheleleyo intsholongwane yayo kwaye, kwiimeko ezininzi, awazi ukuba yintoni ebangela ukuba.
Yintoni Exhambileyo?
Ihlombe elinyanzelwe okanye i-adhesives capsulitis yimeko ebeka umda wokuhamba kwesigxina.
Igalelo-njengendoda, idolo, kunye ne-hip-lihlangene. Umxhelo wegxathu (umxube we-glenohumeral) wenziwe nge-capsule egcwele iigaments ezifakela amathambo emagxa ndawonye. Xa lo mdibaniso utshabalala, njengokuba kwenzeka ngehlombe eliqingqiweyo , kuya kuba buhlungu ukunyusa ihlombe lakho.
Iziphumo ezivela kwi-biopsy zibonisa ukuba ihlombe eliqingqiweyo liqala njengesiqhwala esingapheliyo esilandelwa yi-fibrosis kunye ne-fibroblast. Oku kukhula kungenakunqandwa. Kwinqaku edibeneyo, ukukhubazeka kwegxala eliqingqiweyo kufana nesivumelwano seDupuytren, enye imeko ye-fibrotic echaphazela iminwe.
Ixhepha elinyanzelisiweyo livame ukufunyanwa ngugqirha emva kokuhlolwa komzimba. Ngokuqhelekileyo, iindlela zokucinga zengqondo ezifana ne-x-ray zinika ubungqina obuncinane bolu xilongwe nakuba i-MRI kunye ne-ultrasound ingabonisa utshintsho lwezinto eziphathekayo ezifana ne-ligament yokwanda.
Ihlombe elifuthi lichaphazela phakathi kweepesenti ezi-2 kunye neepesenti ezingama-5 zabantu bonke.
Nangona kuninzi lwabantu, imeko iya kugqithisa, le meko ephosakeleyo neyibuhlungu iyona yezinyango zonyango oluphambili kunye neengcali kuba kubonakala kunzima ukunyanga.
Izinto ezinobungozi beNgxube
Kwabaninzi abantu, ihlombe eliqingqiweyo yi- idiopathic . (Idiopathic yintetho yezonyango ngokubhekiselele kwizizathu ezingaziwa).
Nangona kunjalo, izinto ezinobungozi ezithile zidlala indima kule meko kubandakanywa oku kulandelayo:
- ukulimala kwamagxa
- ukuhlinzwa
- iswekile
- isifo somlomo wesibeleko entanyeni
- iingxaki ze-thyroid
- ukuvulwa kwentliziyo
Ukuxilongwa okungafaniyo kwintsimbi
Ngenxa yokuba ukuxilongwa kwegxala eliqingqiweyo ngokuyinhloko kuxhomekeke kwiziphumo zeemvavanyo zonyango, ukuxilonga ngokuhlukileyo okanye ezinye izifo zentlungu kufuneka ziqwalaselwe. Nalu uluhlu lwezifo ezikhoyo njengamahlombe aqingqiweyo:
- umhlaza (i -tumor )
- i-tendonitis
- isifo sediski yomlomo wesibeleko (i- cervical spondylosis okanye "i-arthritis yentamo" )
- brachial neuritis
- Milwaukee
- ngxakini
- i-rotator-cuff tendinopathy
- osteoarthritis
- i-necrosis ye-avascular yekhanda elixubileyo
Unyango lweNqabileyo eQiweyo
Ngokubhekiselele kunyango, kubalulekile ukuba uhlolwe kuqala kwaye uphathwe nayiphi na ingozi engumngcipheko wamagxa afana nesifo sikashukela nesifo se-thyroid.
Ngenxa yokuba ihlombe eliqingqiweyo libuhlungu, ulawulo lweentlungu kunye neziyobisi ezinjenge-NSAID okanye i-steroids yinto efanelekileyo. I-note, i-steroids inikezela intlungu yexesha elifutshane ukuxhamla ihlombe eliqingqiweyo kwaye inokuthi ijojowe kunye okanye ithathwe ngomlomo.
Xa zonke ezinye unyango zingaphumeleli, ukuphathwa kwegxalaba phantsi kwe-anesthesia okanye ukuhlinzwa ngokugqithisileyo okanye ukukhutshwa kwe-capsular evulekile kukukhetha okugqibela.
Emva kokuhlinzwa, kunyanzelekile ukuba uthathe inxaxheba ekuvuseleleni ngokomzimba ukuze ugcine ihlombe eliqhenqileyo ukuphindaphinda.
Ngaphandle kokushiywa kungagqithwanga, ihlombe eliqingqiweyo lidla ngokuhamba ngexesha kwaye ngamanye amaxesha intlungu ingancipha kwiintsuku ezimbalwa nje. Ekugqibeleni, ngama-90 ekhulwini kubo bonke abantu, isifo sifaka. Nangona kunjalo, unyango lunokuphuthuma ukuphilisa. Nceda ugcine engqondweni ukuba xa ushiywe ungakhange ulandelwe, ngamanye amahlombe anqabileyo angadlulela kwiminyaka emithathu.
Ukuba wena okanye umntu omthandayo unesifo esivela kwimixholwana eqingqiweyo, nceda ubone udokotela ngokukhawuleza. Asikho isizathu sokubandezeleka ngakumbi xa unyango lukhoyo.
Ingqalelo, unyango lwangaphambili lunokuthintela ukuqina komso. Ukongezelela, ugqirha wakho wokunyamekela usenokuba udinga ukukuthumela kwi-rheumatologist okanye ugqirha wamazinyo. Nceda ukhumbule ukuba ugqirha wakho ukhona ukunceda kwaye uphendule imibuzo yakho; Kusoloko kuluvo oluhle lokwenza isiganeko kunye nodokotela wakho nanini na unayo inkxalabo yezempilo. Ekugqibeleni, ukuba unesifo sikashukela okanye isifo se-thyroid, yinto efanelekileyo yokugcina le miqathango phantsi kokulawulwa kungekhona kuphela ukukhusela igalelo eligciniweyo kodwa nokuba uhlale uphilile.
Imithombo ekhethiweyo
I-athikili ebizwa ngokuthi "I-Pathology of Frozen Shoulder" yi-GCR Hand kunye nababhali-mbhali abapapashwe kwiNcwadi yeThambo kunye noPhephalo oluPhezulu ngo-2007. Ifikelele ngomhla we-7/19/2015.
I-athikili ebizwa ngokuthi "I-Capsulitis ye-shoulder" ye-Adrisive Capsulitis "evela ku-Ferri's Clinical Advisor 2016 nguFF Ferri. Kufumaneka ngomhla we-7/19/2015.