Chotsani kugaya ndi kupweteka ndi kuyenda kwa mapewa
Periscapular bursitis ndi chifukwa chothetsera ululu wam'mbuyo. Mphuno, yomwe imatchedwanso mapewa, ndi fupa lofunika lomwe limasintha malo ake ndi kuthamanga kwa thupi ndi mapewa. Kuyenda kwa scapula kumbuyo kumakhala kofunikira kwambiri kuntchito ya mapewa ndi msana. Pamene kusuntha kwa mapewa kuli kosazolowereka, kutupa kwakukulu ndi kupweteka kungabweretse.
The Scapula
The scapula imatchedwanso tsamba la mapewa . Pfupa ndi fupa laling'ono lamphongo lomwe limakhala pakhomo la nthiti kumtunda kwanu. Muli ndi fupa limodzi lokhazikika pambali iliyonse ya thupi lanu. Mbali yakunja ya (scalula) ya scapula ili ndi phokoso la paphewa (lotchedwa glenoid), pamene mafupa otsalawo amakhala ngati zipilala zamagulu ambiri m'mapewa ndi m'mbuyo.
Mukasuntha dzanja lanu ndi mmbuyo, scapula imasintha pa nthiti ya nthiti. Gululi laling'ono (lotchedwa scapulothoracic motion) ndilofunikira ku ntchito yachibadwa ya msana ndi mapewa. Pamene scapula sichitha kuyenda bwino, ntchito ya msana ndi mapepala angakhale yovuta.
Bursa Yokongola
Bursa ndi thumba lodzaza madzi mkati mwa thupi lomwe limalola kuyenda kosavuta pakati pa nyumba. Muli ndi zofunikira zofunika kuzunguliridwa kuzungulira thupi lanu kuphatikizapo paphewa , kunja kwa chiuno chanu , ndi patsogolo pa kneecap .
Mbalameyi imalola kuti magulu a mafupa ndi tendon ayende. Pamene bursa ikuwotcha ndi kukwiyitsa , kayendetsedwe kameneka kangakhale kowawa.
Kumtunda kumbuyoko, pali bursae ziwiri zofunika kuzungulira scapula. Zonsezi zimakhala pakati pa mafupa ndi serratus anterior minofu, minofu yofunika yomwe imayendetsa kayendetsedwe kake pamtanda.
Mmodzi mwa matumba a bursa ali pamtunda wa scapula (osati pafupi ndi msana pamunsi mwa khosi), ndipo winayo ali pamunsi pambali ya scapula (pakatikati). Zonsezi kapena mabotolo onsewa angapangidwe mu periscapular bursitis. Kuonjezera apo, mabungwe ena ang'onoang'ono akhala akufotokozedwa pozungulira scapula ndi tendons zozungulira, koma izi ziwoneka kuti ndizo zoyambitsa anthu omwe ali ndi perisipular bursitis.
Kutupa kwa Bursa
Pamene zinyamazi zimakhala zowopsya ndi zokwiya, chikhalidwe chotchedwa bursitis ndicho chotsatira. Bursitis imachitika pamene pali kutupa ndi makulidwe a bursa. Izi zikachitika, kusuntha kwa minofu ndi mapewa kungawonongeke. Zizindikiro zambiri zomwe anthu amapezeka ndi periscapular bursitis zikuphatikizapo:
- Ululu
- Kusokoneza maganizo (crepitus)
- Kuthamanga ndi kuyenda
- Kukoma mtima mwachindunji pazomwe zimakhala zovuta
- Zosakanikirana zosawerengeka
Poyankhidwa, anthu omwe ali ndi bursitis pa scapula angasonyeze kayendetsedwe kosasintha kwa mapewa. Izi zingapangitse kupeza zomwe zimatchedwa "winging" ya scapula, kumene tsamba la pamapewa siligwira mwamphamvu ku nthiti, ndipo limatuluka mwachilendo.
Anthu omwe ali ndi mapiko a scapula amakhala ndi makina osakanikirana omwe ali pamphepete mwa mapewa, chifukwa thumba la mapewa ndilosazolowereka.
Zifukwa za periscapular bursitis zingakhale zosiyanasiyana. Chofala kwambiri, ndi chabe kugwiritsira ntchito mankhwala osokoneza bongo kumene ntchito inayake ikuputa mkwiyo. Izi zingaphatikizepo masewera kapena ntchito zokhudzana ndi ntchito zomwe zimabwera chifukwa chogwiritsa ntchito mobwerezabwereza. Kuvulala koopsa kungayambitsenso periscapular bursitis pamene kuvulala kwina kunayambitsa kutupa kapena kukwiya kwa bursa. Pomalizira, pali zinthu zina zomwe zimakhala zovuta kuti thupi lanu likhale ndi thupi kapena ziphuphu zapakhosi.
Chimodzi mwazofala kwambiri ndi matenda osakaniza mafupa otchedwa osteochondroma. Izi zowonongeka kwa mafupa zingapangitse zowonongeka za scapula zomwe zimayambitsa kukhumudwa kwa bursa.
Kuchiza kwa Bursitis
Chithandizo cha scapular bursitis nthawi zonse chimayamba ndi zosavuta. Anthu ambiri omwe ali ndi vutoli akhoza kupeza mpumulo ndi mankhwala ochepa chabe. Mwamwayi, mankhwala opatsirana kaŵirikaŵiri samafunika kuwongolera vutoli, ndipo si zachilendo kwa wina amene amachitira vutoli kuti akhale ndi zizindikiro zosautsa. Njira zothandizira ndi izi:
- Mpumulo: Choyamba, ndipo nthawi zambiri chofunika kwambiri, kuyendetsa poyendetsedwe ka periscapular bursitis ndikopumitsa bursa yowopsya ndikulola kutupa kukhazikika. Izi nthawi zambiri zimatenga masabata angapo, ndipo zingatheke pokonzanso zochitika zina (monga masewera kapena ntchito zokhudzana ndi ntchito) zomwe zikuwoneka kuti zikulitsa vutoli.
- Ice : Kuthetsa kutupa ndi kumva ululu ndizo zothandiza pakuyang'anira matendawa. Ice ndi chida chothandiza kukwaniritsa zonsezi. Kudziwa momwe mungasamalire bwino kuvulaza kungakuthandizeni kuchepetsa ululu ndi kutupa kwa bursitis.
- Mankhwala Oletsa Kutentha : Mankhwala osagwiritsidwa ntchito ndi mankhwala omwe sagwiritsidwe ndi opaleshoni ndi othandizira kwambiri kuchiza kutentha kwa bursitis. Kawirikawiri, anthu omwe amatenga mankhwalawa ayenera kuwagwiritsa ntchito nthawi zonse masabata angapo kuti athetse kuyankha kotupa. Musanayambe kumwa mankhwala, muyenera kutsimikizira ndi dokotala kuti ndibwino kuti mugwiritse ntchito mankhwalawa.
- Thandizo la thupi : Mankhwalawa ndi imodzi mwa mankhwala othandiza kwambiri pa periscapular bursitis. Pali zifukwa ziwiri zomwe mankhwalawa ali opindulitsa. Choyamba, mankhwala angathandize kuchepetsa zizindikiro za kutupa kwa bursa. Chachiwiri, chithandizo chamankhwala chingakhale chothandiza kwambiri pokonza makina osungira kotero kuti vuto silikhala lopitirira ndi lobwerezabwereza. Kusayenda bwino kwa scapula pa nthiti ya nthiti sikungangowonjezera chitukuko cha bursitis, koma kungayambitsenso kubwereza vuto ngati makina osalongosoka sakuyankhidwa.
- Cortisone Injections : Katemera wa Cortisone ndi othandiza kwambiri kupereka mankhwala amphamvu oletsa kutupa mwachindunji kumalo otsekemera. Mankhwala a cortisone ayenera kukhala ochepa malinga ndi momwe angaperekere jekeseni kwa munthu mmodzi, koma kuchepa kwa mankhwala angakhale othandiza kwambiri. Kwa anthu omwe angafunikire kuchipatala, chithandizo choyenera ndi kuwombera kwa cortisone ndi chizindikiro chakuti opaleshoni imawoneka bwino.
Monga tafotokozera, opaleshoni nthawi zambiri si yofunika, koma ikhoza kukhala yothandiza kwa anthu ochepa omwe samalephera kupeza chithandizo ndi mankhwala omwe tatchulawa. Nthawi zambiri opaleshoni imagwiritsidwa ntchito kwa anthu omwe ali ndi matenda osapitirira malire, monga kukula kwa fupa kapena zotupa, zomwe zimapweteka kwambiri ku bursa.
> Zotsatira:
> Kuhn JE, Mlengi KD, Hawkins RJ. "Symptomatic scapulothoracic crepitus ndi bursitis" J Am Acad Orthop Surg. 1998 Sep-Oct; 6 (5): 267-73.