Msuzi wonyezimira ndi chikhalidwe chowawa chomwe chiyenera kuchitidwa mwamsanga.
Zaka zoposa 150 zapitazo, kufotokozedwa kwa mazira ozizira poyamba kunawonekera m'mabuku a zamankhwala. Ngakhale kuti nthawi zambiri timadziwa za vutoli, sitimamvetsa bwino matenda ake ndipo nthawi zambiri sitikudziwa chomwe chimayambitsa.
Kodi Nkhungu Zowonongeka N'chiyani?
Mapewa ofewa kapena zomangiriza capsulitis ndi chikhalidwe chomwe chimachepetsa kayendetsedwe kake ka mapewa.
Paphewa-ngati bondo, chigoba, ndi chiuno-ndi mgwirizano. Mphepete (mapuloteni a glenohumeral) amapangidwa ndi kapsule yodzaza ndi mitsempha yomwe imagwirizanitsa mafupa a mapewa pamodzi. Pamene mgwirizanowu umatuluka, ngati zimachitika ndi mapewa osungunuka , zimakhala zowawa kuti zisunthidwe.
Zotsatira zochokera ku chiwonetsero zimasonyeza kuti mazira amayamba ngati matenda aakulu omwe amachititsa kuti thupi liziyenda motsogoleredwa ndi fibrosis ndi fibroblast kuchuluka. Kuwonjezeka kumeneku kungakhale kosawonongeka. Mwachidziwitso chofanana, matenda a mazira omwe amawoneka ndi mazira amawoneka ngati ofanana ndi Dupuytren , zomwe zimakhudza zala.
Msuzi wonyezimira nthawi zambiri amapezeka ndi dokotala pambuyo poyezetsa thupi. Kawirikawiri, zojambula zojambula ngati x-ray zimapereka umboni wotsimikizirika wa matendawa ngakhale kuti MRI ndi ultrasound zingasonyeze kusintha kosaoneka ngati maselo.
Mazira okonzeka amakhudza pakati pa 2 peresenti ndi 5 peresenti ya anthu onse.
Ngakhale kuti mwa anthu ambiri, vutoli limatha, vutoli ndi lopweteka kwambiri ndilo omwe ali ndi madokotala komanso akatswiri a chipatala chifukwa ndizovuta kuchiza.
Zinthu Zowopsa Zowonjezereka
Kwa anthu ambiri, mazira ozizira ndi adiopathic . (Idiopathic ndichipatala chotanthauzira zokhudzana ndi chifukwa chosadziwika).
Komabe, zina mwazidzidzidzi zimayambitsa vutoli kuphatikizapo zotsatirazi:
- kuvulaza kwina
- kuchitidwa opaleshoni
- matenda a shuga
- matenda a chiberekero a khosi
- mavuto a chithokomiro
- opaleshoni ya mtima yotseguka
Kusiyanitsa Kusiyanitsa kwa Mphepete Mwachangu
Chifukwa chakuti matendawa akugwiritsidwa ntchito makamaka makamaka pa kafukufuku wamakono, matenda osiyana kapena matenda ena a m'magazi ayenera kuganiziridwa. Pano pali mndandanda wa matenda omwe ali ngati mazira ozizira:
- khansa ( chifuwa chachikulu )
- tendonitis
- matenda a chiberekero ( cervical spondylosis kapena "nyamakazi ya khosi" )
- brachial neuritis
- Milwaukee
- kusokonezeka
- zojambula zamatope
- osteoarthritis
- ncrosis ya avascular ya mutu wopondereza
Kuchiza kwa Mphepete Mwachangu
Pankhani ya chithandizo, nkofunika kuti muyambe kupeza matenda ndi chithandizo cha matenda a chithokomiro.
Chifukwa chakuti mapewa ozizira ndi opweteka, kuyang'anira kupweteka ndi mankhwala monga NSAIDs kapena steroids ndi lingaliro labwino. Ndipotu, steroids imapereka mpumulo wafupipafupi wa mapewa osungunuka ndipo imatha kuikidwa m'magazi kapena pamtima.
Pamene mankhwala ena onse amalephera, kuwonongeka kwa mapewa ophatikizidwa pansi pa anesthesia kapena opaleshoni yamakono kapena kutsegulidwa kwapadera ndizosankha zosatha.
Pambuyo pa opaleshoni, nkofunika kuti mutengere mbali yowonongeka mwakuthupi kuti musunge paphewa lachisanu.
Ngakhale kutayika osatembenuzidwa, mapewa ofiira nthawi zambiri amapita nthawi ndipo nthawi zina ululu ukhoza kuchepa mu masiku angapo chabe. Pamapeto pake, 90 peresenti ya anthu onse, matendawa amatha. Komabe, mankhwala amatha kuchiritsa mwamsanga. Chonde pitirizani kukumbukira kuti ngati simukutsatiridwa, nthawi zina mapewa angapangidwe mpaka zaka zitatu.
Ngati inu kapena munthu wina amene mumamukonda akuvutika ndi zomwe zikuwoneka ngati mapewa, chonde onani madokotala mwamsanga. Palibe chifukwa chovutikira makamaka ngati mankhwala alipo.
Zindikirani, chithandizo cham'mawa chingalepheretse kuuma kwa m'tsogolo. Komanso, dokotala wanu wamkulu amafunika kukuthandizani ku rheumatologist kapena opaleshoni ya mafupa. Chonde kumbukirani kuti dokotala wanu alipo kuti akuthandizeni ndikuyankha mafunso anu; Nthawi zonse ndibwino kupanga msonkhano ndi dokotala wanu mukakhala ndi nkhawa. Pomalizira, ngati muli ndi matenda a shuga kapena matenda a chithokomiro, ndibwino kuti zinthu izi zisamangotetezedwa kuti muteteze mazira komanso kuti mukhale ndi thanzi labwino.
Zosankha Zosankhidwa
Mutu wotchedwa "Kufooka kwa Frozen Mbande" ndi GCR Hand ndi olemba omwe analemba nawo mu Journal of Bone and Joint Surgery mu 2007. Anapezeka pa 7/19/2015.
Nkhani yotchedwa "Adhesive Capsulitis ya Mkwati" kuchokera kwa Ferri's Clinical Advisor 2016 ndi FF Ferri. Inapezeka pa 7/19/2015.