Zomatira capsulitis wa phewa: zizindikiro zimayambitsa, magawo ndi peculiarities wa chithandizo

Chimodzi mwa zigawo zikuluzikulu za mafupa anthu ndi phewa olowa. Amakhala ndi mafupa atatu: humerus, ndi clavicle ndi scapula Gawo lililonse la fupa ali ndi chipolopolo munali madzi.

About kudwala

Olowa kapisozi - chipolopolo zoletsa kuti mikangano pakati pa mafupa a olowa yokha. Zomatira capsulitis phewa (ICD-10) - kapisozi lawonongeka, amene kumaonekera mwa ululu ndi womangika sayenda wa paphewa. matenda umenewu umatchedwanso "phewa mazira." Chifukwa ngati palibe kanthu akutengedwa mankhwala ake, zikhoza kwathunthu kutaya kuyenda ndi munthu amakhala olumala.

Iwo anazindikiritsidwa zifukwa zingapo zimene zimathandiza kuti chitukuko matenda. Nthawi zambiri, zomatira capsulitis limapezeka pambuyo kuvulala ndiponso kuwonongeka kwa olowa phewa. matenda osiyanasiyana njira kagayidwe kachakudya mu thupi, monga shuga, komanso amathandiza kuti chitukuko cha matenda.

zifukwa

Ndi chofunika kuchiza matenda msana chifukwa zomatira capsulitis pa mapewa ya khateyo chifukwa osteochondrosis khomo lachiberekero kapena thoracic. Ngakhale disruptions m'thupi zimene zimachitika mu thupi mkazi nthawi ya kusintha kwa thupi, zikubweretsa kusintha kagayidwe, mwina kutsogolera chitukuko cha matenda lotchedwa zomatira capsulitis wa paphewa. zifukwa zosiyana.

Ntchito, imene manja ndi zonse anawuka, lolemera kwambiri phewa limodzi imbaenda ku kakulidwe ka matenda. Makamaka anthu pangozi amene anali ndi vuto la mtima, sitiroko ndi matenda ena mtima, komanso opaleshoni. Monga zomatira capsulitis kulimbikitsa kutupa mu chichereŵechereŵe ndipo zimakhala olowa. Izo zimachititsa matenda a dongosolo kupuma.

siteji matenda

Zomatira capsulitis pa mapewa kumachitika mu magawo atatu:

• Poyamba pali ululu m'dera mapewa. Izo zingakhale zamphamvu kwambiri. Ululu si nthawi zonse, kuoneka pafupipafupi. Umalimba ku zolimbitsa thupi kapena akugwira ntchito dzanja. Komanso, pali padzakhala ululu usiku. Kwa kanthawi ululu m'kati. Wodwala amafuna kuti kayendedwe ochepa a nthambi mtima, kufunafuna malo yabwino ake. Nthawiyi ndi yaitali ndithu, za 6-8 miyezi.
• Mu ndime yachiwiri okha kuyenda mwa olowa phewa. Akudwala matenda ngakhale kunyamula dzanja anga okwezeka. Pa nthawi yomweyo sayenda m'manja ndipo chigongono ndi sanaphwanye. Kutalika kwa gawo lino chimadalira pa mankhwala ntchito. Ngati mankhwala kuti chikhale chothandiza, kudzakhala siteji yotsatira.
• Pa gawo lotsiriza la kuchira amapezeka. Olowa akukhala kwathunthu m'manja. Matendawa ukhoza nthawi yaitali - zaka 1,5-4. Odwala ena sangathe kusuntha moyo dzanja.

diagnostics

Komabe, ngati zomatira capsulitis pa mapewa si ankachitira kapena anasankhidwa mankhwala njira yolakwika, matenda akuthamanga chilema.

Pofuna kuyamba mankhwala a matenda, m'pofunika woyamba molondola oterewa, ndipo akhoza kupanga rheumatologist. Matendawa amayamba ndi kumvetsera madandaulo a wodwalayo komanso kuyendera yosavuta. Pa palpation anaulula ululu pa mfundo ina ya paphewa. Wodwala wauzidwa ndi manja onse kumbuyo mutu wake, ndi kuyika manja ake pa lamba, pazipita kutenga manja kwa torso ndi. Kenako, wodwala anatumizidwa tinafotokoza mwatsatanetsatane: X-ray wa olowa phewa, kuyesa kwa magazi. Koma njira yodalirika kudziwa zomatira capsulitis wa phewa - ndi likhale kuphunzira olowa, wotchedwa arthrography. Njira imeneyi zimathandiza kuti tione mmene kuchuluka kwa kapisozi olowa kwenikweni anakana.

Pamene sizachilendo, buku ake ndi 12 ml. Pamene madzi articular kudwala yafupika 2-3 ml.

Dziwani chakuti dokotala wodziwa, ndi popanda njira yokwera matenda kudziwa kuvutika. Iye zifotokoza phewa olowa ndi dera la detects kupatulira ndi kusiya minofu.

ndi matenda "zomatira capsulitis wa phewa" chithandizo chiyani?

mankhwala

Malinga ndi zotsatira za kumupima dokotala lisankha mankhwala mulingo woyenera kwambiri olowa anakhudzidwa. Pali zingapo malo ake:

• Mu gawo loyamba la matenda cropped zizindikiro zigwirizana kumva ululu waukulu. Izi zimatheka ndi kugwiritsa ntchito mankhwala zochizira ululu.
• M'pofunika kulepheretsanso yotupa, chifukwa mwa iwo chifukwa cha mavuto onse. Kuti tichite zimenezi, ambiri amangoti ntchito sanali steroidal mankhwala odana ndi yotupa, monga "diclofenac", "Indomethacin" ndi zina zotero. Chiropractor phewa kapisozi pamene zomatira zingathenso kuthandiza.
• Kugwetsa olowa si chofunika. Kuti akhoza kuwononga, chifukwa yokakamiza malire a ntchito olowa kukupangitsa kukhala kovuta kuti abwerere sayenda wake. kuchira sitepe kubweza. Koma manja kukhala wosamala. Iwo sayenera kubweretsa ululu.
• Pankhani ya kwambiri ululu dokotala intraarticular jekeseni wa corticosteroids mwina mankhwala. Jekeseni akhoza m'malo ndi madyedwe a mapiritsi, koma amayambitsa zotsatira zoyipa zambiri. Kuthetsa ululu awerenge kwa anatseka misewu ya mitsempha suprascapular.

Zomatira capsulitis wa phewa: physiotherapy

Pa siteji ya kuchira akapatsidwa akonzedwa zokambirana zimene zingakuthandizeni kubwezeretsa mafupa zowonongeka anataya kuyenda. Kuti lipole anabweretsa anthu a mtima, muyenera tsiku lililonse, kangapo kuchita Zochita wapadera.

Zolemba malire kukweza manja, kupanga magulu awo rotational, zokwera ndi zotsika. Mungayesere kutapa dzanja lake kumbuyo kwake ndi kuukulunga ndi dzanja zina kenako n'kuwoloka pang'ono matako a. Padzakhala ogwira ya Zochita kuti awathandize kuti minofu kamvekedwe ndiponso kupewa pakutchulidwa ululu. akonzedwa lili ndi Zochita zotsatirazi:

• mutu linapendekeka mmbali;
• mutu ndi zimayenda mu madera osiyana;
• mapewa anawuka ndipo anatsitsanso;

minofu khosi aphunzitsidwe. Kuti tichite zimenezi, mu malo supine, kwezani ndipo tsitsa mutu koma pamene anatola kugwira izo.

Zambiri Zochita kwa khosi ndi phewa chingatithandize kutambasula minofu. Pamene wicking khosi ali osavomerezeka kayendedwe yogwira mutu bwalo.

1. Mumpanduko zolimbitsa alibe kubala ululu. Chitani kugwiritsa iwo okha atakambirana ndi dokotala anu, kuti kuwononga thanzi lawo ndipo sachita cabe chifukwa zimatheka ndi mankhwala. Osati peretruzhdaetsya olowa. Overloading lingaonongeke. Kuonjezera pang'onopang'ono. Pakhale kopita achire kutikitirako laser, maginito mankhwala lamayimbidwe. Mwatsoka, mankhwala awa si nthawi zonse kubweretsa zotsatira ankafuna. Ntchito zimadalira iye, chidwi ndi mmene olowa.
2. Zikatero, ngati dera lalikulu osati chifukwa cha mankhwala a zoyendayenda olowa wabwezeretsedwa kapena unamangidwansowu chidwi, koma osati kwathunthu, ndiye muyenera opaleshoni. M'pofunika kuchita arthroscopy. Opaleshoni imeneyi umalimbana kubwezeretsedwa kwa galimoto ntchito ya olowa phewa.

Phewa kupyoza m'malo osiyanasiyana. Arthroscopy ndi kamera, amene anaikapo mu M'mimbamo olowa amasanthula owawa. MUNDA puncture ena ntchito kumayambiriro chida chapadera. Chili pa olowa plasma ozizira, umene splicing ndi makwinya inathetsedwa.

Pambuyo pa opaleshoni ngati kusuntha nthambi akhoza kukhala momasuka popanda kumva ululu uliwonse.

Zomatira capsulitis wa phewa: mankhwalawa mankhwala wowerengeka

Pamaso kuyambitsa mankhwala njira za makolo, pamafunika kukaonana ndi dokotala.

"Dimexidum" kawirikawiri amagwiritsidwa ntchito psinjika a. Wogwira ozizira buluu dongo, sera kapena paraffin. Camphor osakaniza mowa amalowa mu zilonda phewa. Amagwiritsidwanso ntchito mu wowerengeka mankhwala mpiru ndi dzira azungu, kirimu a mizu burdock ndi batala.

Ndi bwino kuti kumwedwa pakamwa decoction wa zomera zotsatirazi:

• hawthorn;
• liziwawa St. John;
• bulugamu;
• ndimu mankhwala;
• paini masamba.

Imwani ayenera kukhala masabata osachepera 4 zotsatira kuwoneka.

zosokonezeka

Mofanana ndi opaleshoni iliyonse, arthroscopy angapereke zosokonezeka. Izi zikhoza kukhala chifukwa zifukwa zotsatirazi zoipa:

• matenda aakulu amene posachedwapa inasamutsidwa;
• zizolowezi (mowa, chikonga);
• Ola medicaments kuti tifulumizane magazi;
• phewa opaleshoni ported kale.

zosokonezeka zotheka ndi magazi, matenda, kuwonongeka kwa minofu kapena mitsempha zofewa mathero, zoipa zimachitika kuti mankhwala, olowa stiffness, fupa lothyoka.

Muyenera kufunsa dokotala nthawi yomweyo ngati:

• mankhwala ochititsa anapangidwa, koma ululu sanali kuchepa;
• munthu ankanjenjemera ndi malungo, kutanthauza kuti matenda chinayamba;
• dzanzi, kumva kulasalasa mu dzanja ndi phewa;
• kutupa, kutupa, akutuluka magazi puncture ya;
• anali kusanza.

Imachitika kuwawako arthroscopy mwina kwa milungu ingapo, ndipo kuchira kwathunthu kumachitika pasanathe miyezi sikisi.

Kuti achire ntchito anatenga malo wopanda mavuto, tiyenera kutsatira mfundo zotsatirazi:

• mu masiku awiri postoperative zofunika m'dera kutupa kutsatira ayezi ndi kulisunga kwa mphindi 20-30;
• kutenga mankhwala othetsa ululu;
• zikusintha Mavalidwe;
• pambuyo ntchito poyamba kugona ndi pilo pansi mkono wake, osati bwino bedi ndipo pa mpando, mwachitsanzo;
• kuchita thupi amene analimbikitsa ndi dokotala.

Kodi ndingatani kupewa zomatira capsulitis wa phewa? Zoyambitsa ndi chithandizo takambirana.

kupewa

Pali zingapo zodzitetezera kuti zingathandize kuletsa kukula kwa zomatira capsulitis. Nkofunika kukhala bata maganizo. Pewani mavuto, iwo amayambitsa spasms minofu, kulimbikitsa yatsoka a khunyu. Komanso, nkhawa, maganizo kumabweretsa minofu mofulumira kutopa. Kukhoza kupuma.

Pamene ntchito pa kompyuta n'kofunika kukhala. Kaimidwe ayenera kukhala omasuka. Kugwizana foni yanu. Clamping phewa lake ali osavomerezeka pokambirana. Zimenezi zingachititse kuti ululu olowa phewa. Imwani madzi ambiri. Minofu kutopa ndi wochepa otukuka, ngati madzi thupi bwino anakhalabe.

Pomaliza

Capsulitis wa phewa - matenda yaitali. Nthawi zina pa moyo sangathe kwathunthu lichotse kusapeza mu olowa. anthu Capsulitis zambiri odwala wamkulu kuposa zaka 40 ndipo makamaka akazi.