Scapular pain: 9 zoyambitsa zazikulu ndi zomwe muyenera kuchita

Zamkati

• 1. Kuvulala kwa minofu
• 2. Bursitis
• 3. Scapula wamapiko
• 4. Fibromyalgia
• 5. Kupanikizika kwa mitsempha ya Suprascapular
• 6. Wosweka wovulala
• 7. Matenda a Gorham
• 8. Matenda osokoneza bongo
• 9. Mavuto a chiwindi ndi ndulu
• Nthawi yoti mupite kwa dokotala

Scapula, yomwe imadziwikanso kuti scapula, ndi fupa lathyathyathya, laling'ono, lomwe lili kumtunda kwakumbuyo kwakumbuyo, komwe kumagwira ntchito yolimbitsa ndikuthandizira kuyenda kwamapewa. Kulongosola kwa scapula ndi phewa kumalola kusunthika kwa manja ndipo amapangidwa ndi seti ya minofu ndi minyewa, yotchedwa khafu yovundikira.

Pali zosintha komanso matenda ena omwe amatha kubwera kudera la scapula ndikupweteka, monga kuwonongeka kwa minofu, fibromyalgia, mapiko a scapula ndi bursitis. Zomwe zimayambitsa kusintha ndi matendawa sizodziwika nthawi zonse, koma zimatha kukhala zokhudzana ndi mayendedwe olakwika, mphamvu yochulukirapo komanso kulemera mmanja, komanso kupsinjika ndi kusweka.

Zosintha zina ndi matenda omwe angayambitse kupweteka kwa scapula ndi awa:

1. Kuvulala kwa minofu

Scapula imathandizira kuyenda kwamapewa kudzera minofu yomwe ili kumbuyo, monga minofu ya rhomboid. Minofuyi ili pakati pamiyala yomaliza ya msana ndi m'mbali mwa scapulae, chifukwa chake, kulimbitsa thupi kwambiri kapena kusunthira mwadzidzidzi ndi mikono kumatha kubweretsa kutambasula kapena kutambasula kwa minofuyo, ndikupweteketsa m'dera lachilendo.

Nthawi zina, kuvulala kwa minofu ya rhomboid kumathandizanso kuti muchepetse mphamvu m'manja ndi kupweteka poyendetsa phewa, ndipo zizindikirazo nthawi zambiri zimasowa pakapita nthawi thupi likapezanso bwino.

Zoyenera kuchita: povulala pang'ono, kupumula ndikupaka chimfine pamalo pomwepo ndikokwanira kuthetsa ululu, koma ngati pambuyo pa maola 48 ululu ukupitilirabe, mutha kupaka mafuta ofunda a compress ndi mafuta odana ndi zotupa. Komabe, ngati zizindikiro zikukulirakulira kapena kupitilira masiku opitilira 7, tikulimbikitsidwa kukaonana ndi sing'anga yemwe angalimbikitse kugwiritsa ntchito mankhwala opatsirana ndi zotupa kuti achepetse kutupa ndikuchotsa ululu.

2. Bursitis

M'chigawo cha scapula pali matumba amadzimadzi omwe amateteza kuyendetsa mkono, wotchedwa bursae. Bursae ikatupa imayambitsa matenda otchedwa bursitis ndikupweteka kwambiri, makamaka masiku ozizira kwambiri komanso posuntha mkono. Kutupa uku kumakhudzanso dera lamapewa ndikupangitsa kupweteka kwa scapula. Onani zambiri za bursitis paphewa ndi zizindikilo zazikulu.

Zoyenera kuchita: kuti muchepetse kupweteka kwapadera komwe kumayambitsidwa ndi bursitis, ayezi amatha kugwiritsidwa ntchito pamalowo kwa mphindi 20, 2 kapena 3 patsiku. Dokotala wa mafupa angalimbikitsenso mankhwala opha ululu, mankhwala oletsa kutupa ndi ma corticosteroids kuti athetse ululu ndikuchepetsa kutupa.

Kuphatikiza apo, ndikofunikira kuti musayesetse mkono, mbali yomwe ululu umapweteka kwambiri, ndipo ndikofunikira kuchita zolimbitsa thupi zolimbitsa minofu ya m'derali ndikuthandizira kuchepetsa kutupa kwa malowa.

3. Scapula wamapiko

Scapula yamapiko, yomwe imadziwikanso kuti scapular dyskinesia, imachitika pomwe kuyika ndi kusuntha kwa scapula kumachitika molakwika, ndikupatsa chidwi chokhala kunja, kuchititsa kupweteka komanso kusapeza bwino m'deralo. Scapula yamapiko imatha kuchitika mbali zonse za thupi, komabe, imafala kwambiri mbali yakumanja ndipo imatha kuyambitsidwa ndi arthrosis, kuphulika kophatikizana kwa clavicle, kufooka komanso kusintha kwa mitsempha ya chifuwa ndi kyphosis.

Matendawa amapangidwa ndi dokotala wa mafupa kudzera pakuwunika kwakuthupi, ndipo electromyography itha kupemphedwa kuti iwunikenso momwe minofu imagwirira ntchito m'chigawo chosavuta. Onani zambiri zamomwe mayeso a electromyography amachitikira ndi zomwe amapangira.

Zoyenera kuchita: atatsimikizira kuti ali ndi vutoli, a orthopedist amatha kulangiza mankhwala kuti athetse ululu, komabe, nthawi zambiri, opaleshoni yokonzanso mitsempha kumbuyo kwa chifuwa imalimbikitsidwa.

4. Fibromyalgia

Fibromyalgia ndi amodzi mwamatenda ofala kwambiri a rheumatological, chizindikiro chake chachikulu chomwe chimafala kwambiri m'malo osiyanasiyana amthupi, kuphatikiza scapula. Nthawi zambiri, anthu omwe ali ndi vuto la fibromyalgia amatha kutopa, kulimba kwa minofu, kulasalasa m'manja komanso atha kukhala ndi nkhawa komanso kusowa tulo, zomwe zimawononga moyo.

Zizindikiro zikawonekera, ndikofunikira kukaonana ndi rheumatologist yemwe adzakupatseni matendawa kudzera m'mbiri ya zowawa, ndiye kuti, madera komanso kutalika kwa ululu kuyesedwa. Komabe, rheumatologist itha kuyitanitsa mayeso ena, monga kujambula kwa maginito kapena ma electroneuromyography, kuti athetse matenda ena.

Zoyenera kuchita: fibromyalgia ndi matenda osachiritsika ndipo alibe mankhwala, ndipo chithandizo chimazikidwa pakumva kupweteka. Rheumatologist atha kupereka mankhwala monga opumulitsira minofu, monga cyclobenzaprine ndi tricyclic antidepressants, monga amitriptyline. Njira za TENS ndi ultrasound zomwe zimagwiritsidwa ntchito pa physiotherapy zitha kuthandizanso kuchepetsa ululu womwe umayambitsidwa ndi fibromyalgia. Pezani zambiri za momwe fibromyalgia imathandizidwira.

5. Kupanikizika kwa mitsempha ya Suprascapular

Mitsempha ya suprascapular yomwe ili mu brachial plexus, yomwe ndi mitsempha yomwe imayambitsa kuyenda kwa phewa ndi mkono, ndipo imatha kusintha ndikusintha kwambiri scapula.

Kupanikizika kwa mitsempha iyi ndikusintha komwe kumachitika makamaka chifukwa cha kutupa kapena kupsinjika, komwe kumatha kuchitika pangozi kapena mumasewera omwe amakakamiza phewa kwambiri. Komabe, kupanikizika kwa mitsempha ya suprascapular kungathenso kugwirizanitsidwa ndi kuphulika kwa khafu, yotchedwa matenda a rotator. Onani zambiri zamatenda a rotator cuff ndi momwe angachitire.

Kupweteka kwam'maso komwe kumachitika chifukwa cha kupsinjika kwa mitsempha ya suprascapular, kumatha kukulirakulira usiku komanso masiku ozizira kwambiri ndipo ikayanjanitsidwa ndi zizindikilo zina monga kutopa ndi kufooka kwa minyewa ndikofunikira kukaonana ndi dokotala wa mafupa, yemwe angawonetse mayeso monga X-ray ndi MRI kutsimikizira matendawa.

Zoyenera kuchita: povuta kwambiri, chithandizo chimadalira kugwiritsa ntchito anti-inflammatories ndi analgesics, kuti muchepetse kutupa ndikuthana ndi ululu, komanso kuchiritsa. M'magwiridwe antchito, dotolo angasonyeze kuchitidwa opaleshoni kuti asokoneze mitsempha ya suprascapular.

6. Wosweka wovulala

Zovulala zam'mimbazi ndizochepa, chifukwa ndimafupa olimba komanso osunthika kwambiri, komabe, zikachitika, zimatha kupweteka. Kuphulika kwamtunduwu kumachitika, makamaka, pamene munthu agwa ndikumenya phewa ndipo, nthawi zambiri, kupweteka kumatuluka kwakanthawi zitachitika.

Pambuyo pangozi kapena kugwa komwe kwadzetsa vuto m'derali, ndikofunikira kupeza thandizo kwa dokotala wamankhwala yemwe angafunse mayeso monga X-rays kuti awone ngati mwathyoledwa ndipo, ngati alipo, adokotala awunika kukula kwake za kusweka uku.

Zoyenera kuchita: ma fracture ambiri amathandizidwa pogwiritsa ntchito mankhwala kuti athetse ululu, physiotherapy komanso kutha mphamvu ndi gulaye ndi ziboda, komabe, pamavuto akulu kwambiri, opaleshoni ingalimbikitsidwe.

7. Matenda a Gorham

Matenda a Gorham ndimavuto osowa popanda chifukwa chenicheni, omwe amachititsa kuti mafupa atayike, ndikupweteketsa m'deralo. Kupweteka kwam'maso komwe kumachitika chifukwa cha matendawa kumayamba mwadzidzidzi, kumawonekera mwadzidzidzi, ndipo munthuyo atha kukhala ndi vuto kusuntha phewa. Matendawa amapangidwa ndi dokotala wa mafupa, pogwiritsa ntchito computed tomography ndi kujambula kwa maginito.

Zoyenera kuchita: Chithandizochi chimafotokozedwa ndi dokotala wa mafupa, kutengera komwe matenda ali komanso zisonyezo zomwe munthuyo wapereka, komanso mankhwala othandizira mafupa, monga bisphosphonates, ndi opaleshoni, atha kuwonetsedwa.

8. Matenda osokoneza bongo

Matenda otchedwa scapula syndrome amapezeka pamene, posuntha mkono ndi phewa, phokoso la scapula limamveka, ndikupweteka kwambiri. Matendawa amayamba chifukwa chakulimbitsa thupi kwambiri komanso kupsinjika m'mapewa, pofala kwambiri kwa achinyamata.

Kuzindikira kwa matendawa kumapangidwa ndi a orthopedist kutengera zomwe zimaperekedwa ndi munthuyo ndipo atha kulimbikitsidwa kukayezetsa monga X-rays kapena computed tomography, ngati dokotala akukayikira matenda ena.

Zoyenera kuchita:Chithandizochi chimakhala ndi kugwiritsa ntchito mankhwala osokoneza bongo komanso oletsa kutupa, kuti athetse ululu ndikuchepetsa kutupa, physiotherapy yolimbitsa minofu yolimba komanso kinesitherapy. Kumvetsetsa bwino kuti kinesitherapy ndi chiyani komanso zochitika ziti zazikulu.

9. Mavuto a chiwindi ndi ndulu

Maonekedwe am'mimba am'mimba ndimatenda a chiwindi, monga zotupa, zomwe zimapanga mafinya, matenda a chiwindi komanso khansa ndizovuta zomwe zimatha kubweretsa kupweteka kwa scapula, makamaka kumanja. Chizindikiro ichi chitha kuperekanso zizindikilo zina monga khungu lachikaso ndi maso, kupweteka kwa msana, kumanja, mseru, malungo ndi kutsekula m'mimba.

Mayeso ena atha kuwonetsedwa ndi asing'anga ngati mukuganiza kuti kupweteka m'deralo kumayambitsidwa ndi matenda ena m'chiwindi kapena ndulu, mwina ultrasound, CT scan, MRI kapena kuyesa magazi, mwachitsanzo.

Zoyenera kuchita: Zizindikiro zikangowonekera ndikulimbikitsidwa kuti mukawone dokotala aliyense kuti akayesedwe kuti atsimikizire ngati pali vuto m'chiwindi kapena ndulu ndipo pambuyo pake, adotolo amalangiza chithandizo choyenera kwambiri malinga ndi matenda omwe apezeka.

Nthawi yoti mupite kwa dokotala

Kupweteka kwam'mimba kumatha kukhalanso chizindikiro cha matenda ena omwe sagwirizana ndi mafupa, minofu kapena dongosolo lamanjenje ndipo, nthawi zina, amatha kuwonetsa matenda amtima ndi m'mapapo, monga infarction ya myocardial infarction ndi pulmonary aortic aneurysm. Chifukwa chake, ndikofunikira kufunafuna chithandizo chamankhwala mwadzidzidzi pakawonekera zina, monga:

• Zowawa zotupa pachifuwa;
• Kupuma pang'ono;
• Kufa kwa mbali imodzi ya thupi;
• Thukuta lopambanitsa;
• Kutsokomola magazi;
• Zovuta;
• Kuchuluka kwa kugunda kwa mtima.

Kuphatikiza apo, chizindikiro china choyenera kusamala ndi kukula kwa malungo, omwe, akawoneka, atha kuwonetsa kuti ali ndi matenda ndipo, munthawi imeneyi, mayesero ena atha kulimbikitsidwa kuti adziwe chomwe chimayambitsa chizindikirochi.