Zomatira capsulitis: ndi chiyani, zizindikiro, zoyambitsa ndi chithandizo

Zamkati

• Zizindikiro
• Zoyambitsa
• Chithandizo

Adhesive capsulitis, yemwenso amadziwika kuti 'phewa lowundana', ndizomwe zimachitika kuti munthuyo ali ndi vuto lofunikira poyenda phewa, zomwe zimapangitsa kuti zikhale zovuta kuyika mkonowo pamwamba pamapewa. Kusintha uku kumatha kuchitika nthawi yayitali osakhazikika paphewa. Vutoli limakhudza phewa limodzi lokha ndipo limafala kwambiri mwa azimayi.

Matendawa amatha kupezeka m'magulu osiyanasiyana, omwe angakhale:

• Yozizira gawo: kupweteka kwamapewa pang'onopang'ono kumawonjezeka pakapuma, ndikumakhala ndi ululu wopweteka poyenda kwambiri. Gawo ili limatenga miyezi 2-9;
• Gawo lomatira: ululu umayamba kuchepa, ndipo umangowonekera ndikungoyenda, koma mayendedwe mayendedwe ake onse ndi ochepa, ndi chipukuta misozi ndi scapula. Gawo ili limatenga miyezi 4-12.
• Gawo lotaya: yodziwika ndi kusintha kosunthika kwamayendedwe amapewa, kusowa kwa ululu ndi synovitis, koma ndi zoletsa zofunikira za kapisozi. Gawoli limatenga miyezi 12-42.

Kuphatikiza apo, malo pakati pa glenoid ndi humerus, komanso malo pakati pa biceps ndi humerus amachepetsedwa kwambiri, omwe amalepheretsa kuyenda kwathunthu. Kusintha konseku kumatha kuwonedwa pakuwunika zithunzi, monga ma x-ray m'malo osiyanasiyana, ma ultrasound ndi mawonekedwe amapewa, ofunsidwa ndi dokotala.

Zizindikiro

Zizindikiro zimaphatikizapo kupweteka paphewa komanso kuvuta kukweza mikono, ndikumverera kuti phewa lakakamira, 'kuzizira'.

Mayesero omwe angathandize kuzindikira matendawa ndi awa: X-ray, ultrasound ndi arthrography, yomwe ndi yofunikira kwambiri chifukwa imawonetsa kuchepa kwa madzi amadzimadzi mkati mwa cholumikizira ndikuchepetsa m'malo omwe mulowa.

Matendawa atha kutenga miyezi ingapo kuti afike, chifukwa koyambirira munthuyo amatha kumva kupweteka paphewa komanso kuchepa kwa mayendedwe, zomwe zitha kuwonetsa kutupa kosavuta, mwachitsanzo.

Zoyambitsa

Zomwe zimayambitsa phewa lachisanu sizidziwika, zomwe zimapangitsa kuti matenda ake azisankhidwa ndi chithandizo chovuta. Amakhulupirira kuti kuuma kwa phewa kumachitika chifukwa cholumikizira ulusi mkati mwa cholumikizira, chomwe chitha kuchitika pambuyo povulala pamapewa kapena kulephereka kwanthawi yayitali.

Anthu omwe amakhala ndi nthawi yovuta kuthana ndi kupsinjika ndi zovuta za tsiku ndi tsiku amakhala ndi kulekerera kochepa kwa zopweteka ndipo amatha kukhala ndi phewa louma chifukwa cha malingaliro.

Matenda ena omwe amatha kulumikizidwa ndikuwoneka kuti akuwonjezera mwayi wa zomatira capsulitis ndi matenda ashuga, matenda a chithokomiro, kusintha kwa msana kwa khomo lachiberekero, matenda amitsempha, chifukwa chogwiritsa ntchito mankhwala, monga phenobarbital kuti athetse kugwidwa, chifuwa chachikulu ndi myocardial ischemia.

Chithandizo

Chithandizochi chimagwiritsidwa ntchito pogwiritsa ntchito mankhwala opha ululu, anti-inflammatories ndi corticosteroids, kuwonjezera pa magawo a physiotherapy kuti awonjezere kuyenda kwamapewa, koma pamakhala milandu pomwe zomatira capsulitis zimatha kuchira zokha, ndikukula kwa zizindikilo, ngakhale osachita mtundu uliwonse wa mankhwala. chithandizo, chifukwa chake sipagwirizana nthawi zonse njira yabwino pagawo lililonse.

Mitsempha ya suprascapular yolowerera yolowerera m'mankhwala osokoneza bongo am'deralo komanso kusokoneza phewa pansi pa anesthesia ingalimbikitsidwenso.

Physiotherapy imawonetsedwa nthawi zonse ndipo imakhala ndi zotsatira zabwino, kulimbikitsidwa kungokhala ndi zochita zolimbitsa thupi ndikulimbikitsidwa, kuphatikiza pama compress otentha omwe amathandizira kumasula mayendedwe pang'onopang'ono. Dziwani zambiri zamankhwala othandizira kumata capsulitis apa.