Chithandizo cha zomatira capsulitis: mankhwala, physiotherapy (ndi ena)

Zamkati

• 1. Mankhwala
• 2. Physiotherapy
• 3. Mitsempha ya suprascapular block
• 4.Kutulutsa madzi
• 5. Opaleshoni

Chithandizo cha zomatira capsulitis, kapena matenda ozizira amapewa, atha kuchitidwa ndi physiotherapy, kuchepetsa ululu ndipo kumatha kutenga miyezi 8 mpaka 12 ya chithandizo, koma nkuthekanso kuti kuchepa kwathunthu kwa vutoli patatha zaka ziwiri kuyambira Zizindikiro., Ngakhale popanda chithandizo chilichonse.

Dokotala angalimbikitse kugwiritsa ntchito analgesics, anti-inflammatories, corticosteroids kapena steroid kulowerera kuti muchepetse ululu, koma physiotherapy imawonetsedwanso ndipo ngati palibe kusintha kwina, opaleshoni ingawonetsedwe.

Adhesive capsulitis ndikutupa kwa phewa komwe kumayambitsa kupweteka komanso kuvuta kwambiri kusuntha mkono, ngati kuti phewa lilidi lachisanu. Matendawa amapangidwa ndi dotolo atasanthula mayeso azithunzi, monga ma X-ray, ultrasound ndi arthrography, zomwe ndizofunikira kuwunika kuyenda kwa phewa.

Chithandizo chitha kuchitika ndi:

1. Mankhwala

Dokotala amatha kupereka mankhwala osokoneza bongo, osagwiritsa ntchito mankhwala opatsirana otupa komanso ma corticosteroids ngati mapiritsi ochepetsa ululu, gawo lalikulu kwambiri la matendawa. Kulowetsa kwa Corticosteroid mwachindunji mgwirizanowu ndi njira yothandiziranso kupweteka, ndipo chifukwa imagwiridwa, pamlingo woyenera, kapena miyezi 4-6 iliyonse, koma palibe mankhwalawa omwe amapatula kufunikira kwa chithandizo chamankhwala, kukhala chothandizira.

2. Physiotherapy

Physiotherapy imalimbikitsidwa nthawi zonse chifukwa imathandiza kuthana ndi ululu ndikubwezeretsa kuyenda kwamapewa. Mu zida za physiotherapy zothandizira kupweteka ndi kupsinjika kwanyengo zitha kugwiritsidwa ntchito kuyendetsa kayendedwe kameneka. Njira zosiyanasiyana zamagetsi zitha kugwiritsidwa ntchito, kuwonjezera pakuchita zolimbitsa thupi (mkati mwa malire a ululu) ndipo zochitika zolimbitsa minofu pambuyo pake ziyenera kuchitidwa.

Nthawi yochira imasiyanasiyana kuchokera kwa munthu wina, koma nthawi zambiri imatenga miyezi ingapo mpaka chaka chimodzi, ndikuwongolera pang'ono kwa zizindikilo. Ngakhale sipangakhale kusintha kwakukulu pakuyenda ndi mkono wokhudzidwa, mgawo loyambirira ndizotheka kuti musapangitse mgwirizano waminyewa mu minofu ya trapezius yomwe imatha kupweteketsa komanso kukhumudwitsa.

Pali njira zina zomwe zingathandize kuthana ndi zolumikizira ndikulimbikitsa matalikidwe, koma sizoyenera kuti wodwalayo ayese kukakamiza cholumikizira kwambiri kuti asunthire mkono, chifukwa izi zitha kubweretsa zoopsa zazing'ono, zomwe kuwonjezera kukulitsa ululu, osabweretsa zopweteka zilizonse. Kunyumba, zolimbitsa thupi zokhazokha zomwe ndi physiotherapist ndizomwe ziyenera kuchitidwa, zomwe zingaphatikizepo kugwiritsa ntchito zida zazing'ono, monga mpira, ndodo (chogwirira tsache) ndi zotanuka (theraband).

Matumba amadzi otentha ndi othandiza kuvala musanatambasule chifukwa amapumitsa minofu ndikuthandizira kutambasula minofu, koma matumba okhala ndi ayezi wosweka amawonetsedwa kumapeto kwa gawo lililonse chifukwa amachepetsa kupweteka. Zina zomwe zingathandize ndi izi:

Zochitikazi ziyenera kuchitidwa katatu kapena kasanu patsiku, kuyambira masekondi 30 mpaka 1 miniti iliyonse, koma physiotherapist imatha kuwonetsa ena malinga ndi zosowa za munthu aliyense.

Onani machitidwe ena osavuta omwe amathandiza kuchepetsa kupweteka kwa m'mapewa mu: Zochita zolimbitsa thupi kuti muchiritse phewa.

3. Mitsempha ya suprascapular block

Dotolo amatha kupanga mitsempha yayikulu kwambiri, muofesi kapena mchipatala, zomwe zimabweretsa mpumulo waukulu, kukhala chosankha ngati mankhwalawo alibe mphamvu ndikupangitsa kuti kulimbitsa thupi kukhale kovuta. Mitsempha imeneyi imatha kutsekedwa, chifukwa imatha kupereka 70% yamapewa, ndipo ikatsekedwa pamakhala kusintha kwakukulu pakumva kuwawa.

4.Kutulutsa madzi

Njira ina yomwe dotolo angawonetse ndi kutalika kwa phewa ndi jakisoni wa mpweya kapena madzimadzi (saline + corticosteroid) pansi pa mankhwala oletsa ululu omwe amathandizira kutalika kwa kaphatikizidwe kamapewa, komwe kumalimbikitsa kupumula kwa ululu ndikuthandizira kuyenda kwa phewa

5. Opaleshoni

Kuchita opaleshoni ndiyo njira yotsiriza yamankhwala, pomwe palibe zizindikiro zakusintha ndi chithandizo chamankhwala, chomwe chimachitika ndi mankhwala ndi mankhwala. Dokotala wa mafupa amatha kupanga arthroscopy kapena kutsekedwa kotsekedwa komwe kumatha kubweza kuyenda kwa phewa. Pambuyo pa opaleshoni munthuyo amafunika kubwerera ku physiotherapy kuti akachiritse mwachangu ndikupitiliza zolimbitsa thupi kuti athe kuchira.