Lahla ukugaya kunye nentlungu ngokunyakaza kwamagxa
I-bursitis ye-Periscapular iyona nto ibangela ukuba buhlungu buhlungu. I-scapula, ebizwa ngokuba ngumthi wehlombe, ithambo elibalulekileyo elitshintsha isikhundla salo ngomzimba ophezulu kunye nokunyathela. Isiphakamiso sempapula kumqolo osemqoka sibaluleke kumsebenzi oqhelekileyo wegxala kunye nomgudu. Xa ukunyakaza kwamagxa asemagxeni akuqhelekanga, ukuvuvukala okukhulu kunye nentlungu kunokubangela.
ISpapula
I- scapula ikwabizwa ngokuba ngumgca . Amathambo yithambo elinjengxantathu ehleli ngaphandle kwembambo yentambo ephezulu. Unesithambo esisinye se-sapapular kwicala ngalinye lomzimba wakho. Icala langaphandle (latal) le-scapula liqule isiseko sehlangeneyo (ebizwa ngokuba yi-glenoid), ngelixa elinye ithambo likhonza njengamanqaku okunamathisela amaninzi emagxeni nasemisipha yangemva.
Njengoko uhambisa ingalo yakho nangemuva, i-scapula iyashintsha kwi-cage cage. Le ntshukumo ebizwa ngokuba yi-scapulothoracic motion) ibaluleke kakhulu kumsebenzi oqhelekileyo wesigxina kunye nomxhelo. Xa i-scapula ingayigxina kwishukumo esilungelelanisiweyo, umsebenzi womgudu kunye nomxhelo wegxina unokuba yingxaki.
I-Scapular Bursa
I-bursa isigxoba esigcwele amanzi ngaphakathi emzimbeni ovumela ukunyakaza okuphazamisayo phakathi kwezakhiwo. Unomdaka obalulekileyo ohlakazekile emzimbeni wakho kubandakanyeka ekuhlanganyeleni kwegxala , ngaphandle kwe-hip yakho , naphambi kwe-kneecap .
Ezi zinyango zivumela ukunyakaza kwezinto ezijikelezayo phakathi kwamathambo kunye neetoni. Xa i- bursa igxuma kwaye icatshukiswa , ezi ntshukumo eziqhelekileyo zingaba buhlungu.
Kwiphepha elingentla, kukho ezimbini ezibalulekileyo ze-bursae malunga ne-scapula. Zomabini ezi zigrafu ziphakathi kwamathambo kunye ne-serratus yangaphakathi yomzimba, isistim esibalulekileyo esilawula ukunyakaza kwe-scapular eludongeni lwesifuba.
Enye yeembotyi ze-bursa zisekhoneni eliphezulu le-scapula (kungekude nomgudu osezantsi entanyeni), enye enye ikhona kwicala eliphantsi le-scapula (phakathi kwe-back). Kokunye okanye zombini ezi zikhuni ze-bursa zingabandakanywa kwi-bursitis ye-periscapular. Ukongezelela, inani leminye ye-bursae encinci lichazwe malunga ne-scapula kunye neentlobo ezijikelezayo, kodwa ezi zimbini zibonakala ziyizona zinto ziphambili kubantu abane-bursitis ye-periscapular.
Ukuvuvukala kweBursa
Xa ezi ziqhumane zivutha kwaye zicaphukisa, imeko ebizwa ngokuba yi-bursitis yiphumo. I-Bursitis ivela xa kukho ukuvuvukala nokuqina kwe-bursa. Xa oku kwenzekayo, ukunyakaza kwezihlunu kunye nehlombe kungabangela ukungahambi kakuhle. Iimpawu eziqhelekileyo kubantu abafumene i-bursitis ye-periscapular ziquka:
- Ubuhlungu
- Ukuvala (i-crepitus)
- Ukutshintsha ngokunyakaza
- Ukunyamezela ngokuthe ngqo kwi-bursa ye-scapular
- Iimpawu zokungaqhelekanga
Xa uhlolisiswa, abantu abane-bursitis yesi-scapula bangabonisa ukunyuka okungavamile kwecala lomxhelo. Oku kunokukhokelela ekufunyaneni okubizwa ngokuthi "i-winging" yesi-scapula, apho umgca wegxala awugcinwanga ngokukhawuleza kwintambo yembambo, kwaye ibonakala ngokungaqhelekanga.
Abantu abanamaphiko e-scapula banomatshini ongaqhelekanga wokudibanisa umxhelo, ngenxa yokuba isiseko sefayili sinemeko engavumelekanga.
Iimbangela ze-bursitis ye-periscapular ingahluka. Eyona nto ixhaphakileyo, yindlela yokusebenzisa i-syndrome engaphantsi kwendawo apho umsebenzi othile ubangela ukucasula kwi-bursa. Ezi zibandakanya imisebenzi yezemidlalo okanye imisebenzi enxulumene nokusetyenziswa ngokuphindaphindiweyo. Ukulimala okubuhlungu kungabangela i-bursitis ye-periscapular xa ukulimala okwenziwe kubangelwa ukuvuvukala okanye ukucaphukisa kwi-bursa. Ekugqibeleni, kukho ezinye iimeko apho i-anatomy engaqhelekanga okanye i-tumor tumors ingabangela ukucasuka kwi-bursa.
Enye yezona zinto ziqhelekileyo kukukhula kwethambo elibi elibizwa nge-osteochondroma. Ezi zihlunu ezinobunzima zingabangela iziqulatho kwi-scapula ekhokelela ekucasweni kwe-bursa.
Unyango lweBursitis
Unyango lwe-bursitis echanekayo uqala rhoqo ngamanyathelo alula. Uninzi lwabantu abaneli meko lunokufumana ukukhulula ngeendlela ezimbalwa zokwelapha. Ngenhlanhla, unyango olungenakunqabile ludinga ukuba lulungiswe ingxaki, kwaye akuqhelekanga kumntu ojongene nale meko ukuba abe nemiqondiso engapheliyo. Amanyathelo okunyanga aquka:
- Ukuphumla: Eyokuqala, kwaye ngokuqhelekileyo ibaluleke kakhulu, inyathelo ekulawuleni i-bursitis ye-periscapular i-bursa ekhutshweyo kwaye ivumela ukuvuvukala ukuba kuhlale. Oku kufuthi kuthatha iiveki ezimbalwa, kwaye ziyakwenziwa ngokuguqula nantoni na into ethile (njengemidlalo okanye imisebenzi ehlobene nomsebenzi) obonakala ngathi yandisa imeko.
- Iqhwa : Ukunciphisa ukuvuvukala kunye nentlungu yokulawula kuyimilinganiselo encedo ekulawuleni le meko. I-Ice iyithuluzi eluncedo ukufezekisa le mibini. Ukukwazi ukusela ngokukhawuleza ukulimala kunokukunceda ukulawula intlungu kunye nokuvuvukala okuhambisana ne-bursitis.
- Amachiza anokukhuselisa : Amachiza angaphiliyo aphikisayo ayanceda kakhulu unyango ukulawula ukuvuvukala kwi-bursitis. Ngokuqhelekileyo, abantu abathabatha la mayeza kufuneka basebenzise rhoqo kwiiveki ezimbalwa ukuze bancede ukuvimba ukuphendula okuvuthayo. Ngaphambi kokuba uthathe nawaphi na amayeza, kufuneka uqinisekise ngogqirha wakho ukuba ukhuselekile ukuba usebenzise la mayeza.
- Ulwaphulo lweMpilo : Ukwelapha ngokwenyama kuyona yonyango oluluncedo kakhulu lwe-bursitis ye-periscapular. Kukho izizathu ezibini ukuba unyango luncedo. Okokuqala, unyango lunokunceda ukukhawulela iimpawu zokuvuvukala kwe-bursa. Okwesibini, unyango lwezonyango lunokuba luncedo kakhulu ekuphuculeni i-mechanical scapular ukwenzela ukuba ingxaki ayiqhubeki kwaye iphindaphindiweyo. Ukunyakaza okungaqhelekanga kwe-scapula kwi-cage cage ayikwazi nje ukukhokelela ekuphuhlisweni kwe-bursitis, kodwa kunokukhokelela ekuphinda kubuyele ingxaki ukuba ezi zixhobo ezingavumelekanga.
- I-Cortisone Injections : Ii-injection ze-Cortisone zinceda kakhulu ukuhambisa i-dose enamandla yokulwa nomlilo ngqo kwisiza sokuvuvukala. Iilenjini ze-Cortisone kufuneka zilinganiselwe ngokwemingxikwane eninzi eyenziwa kumntu, kodwa kumanqanaba amancinci anganceda kakhulu. Kubantu abanokufuna unyango oluphandwayo, unyango oluyimpumelelo ngebhokisi le-cortisone luphawu lokuba ukuhlinzwa kunokwenzeka ukuba kusebenze.
Njengoko kubonisiwe, ukuhlinzwa akusoloko kuyimfuneko, kodwa inokusebenza kubantu abambalwa abahluleka ukufumana uncedo ngezibonelelo ezikhankanyiweyo. Uphando luvame ukusetyenziswa kubantu abanobunzima obungavamile, njengokwanda kwethambo okanye izidumbu, obangela ukucasula ngokuthe ngqo kwi-bursa.
> Imithombo:
> Kuhn JE, Plancher KD, Hawkins RJ. "I-Symptomatic scapulothoic crepitus ne-bursitis" J Am Acad Orthop Surg. 1998 Sep-Oct; 6 (5): 267-73.