Ukuqina Kwehlombe: Izimpawu, Izimbangela, Nokwelashwa

Ukuqina kwehlombe yisimo lapho ihlombe lakho liqina futhi libuhlungu, okwenza kube nzima ukunyakaza ingalo yakho ngokujwayelekile. Lokhu kwenzeka lapho inyama ezungezile ihlombe lakho iqina futhi iqinile, kufana nokuthi ihlombe lakho "livaliwe" endaweni.

Igama lezokwelapha lalesi simo yi-adhesive capsulitis. Nakuba kungase kubonakale kukhathaza lapho kwenzeka, ukuqina kwehlombe kuyinto evamile futhi ngokuvamile kuyaphila ngokuhamba kwesikhathi, nakuba kungathatha izinyanga noma ngisho neminyaka ukuze kuphulukiswe ngokuphelele.

Kuyini Ukuqina Kwehlombe?

Ukuqina kwehlombe kwenzeka lapho i-capsule ezungezile ihlombe lakho liqina futhi liqina. Cabanga ngale capsule njengebhegi eliguquguqukayo elizovumela ihlombe lakho ukuba lihambe ngokukhululekile kuzo zonke izinkomba.

Lapho ukuqina kwehlombe kuvela, le capsule iyakhula futhi iqinile, yakha amabhande enyama ezinxantathu ebizwa ngokuthi yi-adhesions. Lezi adhesions zikhawulela ukuthi ihlombe lakho linganyakazela kangakanani, kubangela kokubili ubuhlungu nokuqina.

Isimo ngokuvamile liyaqhubeka ngezigaba ezintathu ezahlukile. Isigaba sokuqala sihlanganisa ubuhlungu nokuqina okuqhubekayo, isigaba sesibili sigcina ukuqina ngokuncane ubuhlungu, futhi isigaba sesithathu sibona ukuthuthuka okuqhubekayo ekuhambeni.

Ziyini Izimpawu Zokuqina Kwehlombe?

Izimpawu eziyinhloko zokuqina kwehlombe zivela kancane kancane futhi zingathinta kakhulu imisebenzi yakho yansuku zonke. Uzobona lezi zinguquko zenzeka kancane kancane ezinyangeni noma ezinyangeni kunokuba ngokuzumayo.

Izimpawu ezivamile zihlanganisa:

• Ubuhlungu obukhulu behlombe obuhlala bukhulu ebusuku
• Ukuqina okukhulu okwenza kube nzima ukuphakamisa ingalo yakho
• Ubunzima ekufinyeleleni emuva noma ngaphezulu
• Ubuhlungu obukhulu phansi kwengalo yakho kuya ehlombe lakho
• Ubunzima bokuphumula ohlangothini oluthintekayo
• Ukulahleka kancane kancane kokuhamba kwehlombe kuzo zonke izinkomba

Ubuhlungu buvame ukuba bukhulu kakhulu esigabeni sokuqala sesimo. Abantu abaningi bayichaza njengokubuhlungu okuqhubekayo, okunzima okungabavusa ebusuku, ikakhulukazi lapho bephendukela ehlombe oluthintekayo.

Njengoba isimo siqhubeka, ubuhlungu bungase bube bukhulu, kodwa ukuqina kuvame ukuba ngokucacile. Ungase uthole imisebenzi elula njengokugqoka ihembe, ukufinyelela ezintweni eziphakeme, noma ukubopha i-bra kube nzima ngokukhethekile.

Ziyini Izinhlobo Zokuqina Kwehlombe?

Kunezinhlobo ezimbili eziyinhloko zokuqina kwehlombe, nokuqonda ukuthi yiluphi uhlobo olulokhu kunikeza isizathu sokuthi lwakhiwa kanjani. Zombili izinhlobo zibangela izimpawu ezifanayo kodwa zinazizathu ezihlukile.

Ukuqina kwehlombe okuyinhloko kwenzeka ngaphandle kwesizathu esicacile noma ukulimala. Lolu uhlobo oluvamile futhi ngokuvamile luvela ngaphandle kokulindelekile, nakuba kungase kuhlobene nezinguquko ze-hormonal noma izici ze-genetic.

Ukuqina kwehlombe okubangelwa yinto ethile kuvela ngemuva kokulimalala, ukuhlinzwa, noma enye inkinga yempilo. Lolu hlobo ngokuvamile luhlobene nokulimala kwehlombe, ukunganyakazi kwengalo isikhathi eside, noma izimo zezokwelapha ezithile njengoshukela noma izinkinga ze-thyroid.

Ziyini Izimbangela Zokuqina Kwehlombe?

Imbangela eqondile yokuqina kwehlombe ayiqondakali ngokuphelele, kodwa izici eziningi zingandisa amathuba akho okuthola lesi simo. Impendulo yokuvuvukala yomzimba wakho idlala indima ebalulekile ekwakheni inyama ehlanganisiwe, enamathelayo evikela ukuhamba kwehlombe.

Izici eziningi zingase zifake isandla ekuqineni kwehlombe:

• Ushukela, okwandisa kakhulu ingozi yakho
• Izinkinga ze-thyroid, kokubili ezisebenza kakhulu nezingasebenzi kahle
• Izingozi ze-hormonal, ikakhulukazi kwabesifazane abangena ekuqaleni komdlavuza
• Ukulimala kwehlombe ngaphambili noma ukuhlinzwa
• Ukunganyakazi kwengalo isikhathi eside ngenxa yokulimala noma ukugula
• Izimo ze-autoimmune njenge-rheumatoid arthritis
• Ubuhlungu benhliziyo noma isifo sobuchopho esithinta ukuhamba kwengalo

Ubudala buphinde budlale indima ebalulekile, ngokuqina kwehlombe okuvamise ukubamba abantu abaneminyaka engama-40 kuya kwengu-60. Abesifazane banamathuba amaningi okuthola lesi simo kunamadoda, mhlawumbe ngenxa yezici ze-hormonal.

Ngezinye izikhathi ukuqina kwehlombe kungase kuvele ngemuva kokulimalala okuncane ongasengazikhumbuli. Ukulimala kubangela ukuvuvukala, futhi uma ihlombe lakho linganyakazi ngokujwayelekile ngesikhathi sokuphulukisa, i-capsule ingase iqine futhi ibe nzima.

Nini Okufanele Ubone Udokotela Ngemuva Kokuqina Kwehlombe?

Kufanele ubheke udokotela uma uhlangabezana nobuhlungu obuqhubekayo behlombe nokuqina okuhlupha imisebenzi yakho yansuku zonke. Ukubheka kwasekuqaleni kungasiza ukukhipha ezinye izimo futhi uqale ukwelashwa okufanele.

Funani ukunakekelwa kwezokwelapha uma uqaphela:

• Ubuhlungu behlombe obuhlala isikhathi esingaphezu kwamasonto ambalwa
• Ukulahleka okukhulu kokuhamba kwehlombe
• Ubuhlungu obuhlupha ubuthongo bakho njalo
• Ubunzima bokufeza imisebenzi yansuku zonke njengokugqoka noma ukufinyelela
• Izimpawu ezibi kakhulu naphezu kokupumula nezinhlungu zokuthengwa ngaphandle komthetho

Nakuba ukuqina kwehlombe kungeyona isimo esiphuthumayo sezokwelapha, ukuthola ukuxilongwa nokwelashwa okufanele kungasiza ekulawuleni izimpawu zakho ngokuphumelelayo. Udokotela wakho angabuye akhiphe ezinye izimo ezingase zibangele izimpawu ezifanayo, njengokubhebhetheka kwe-rotator cuff noma i-arthritis.

Ziyini Izici Zengozi Zokuqina Kwehlombe?

Ukuqonda izici zakho zengozi kungakusiza uthathe izinyathelo zokuvimbela ukuqina kwehlombe noma ukulibamba ngokushesha uma kuvela. Ezinye izici zengozi awukwazi ukuzishintsha, kanti ezinye ungase ukwazi ukuzilawula.

Izici zengozi ezingashintshiwe zihlanganisa:

• Ubudala phakathi kweminyaka engama-40 kuya kwengu-60
• Ukuba owesifazane
• Ukuba noshukela, ikakhulukazi uhlobo lwesibili lweshuqela
• Ukuqina kwehlombe ngaphambili kwesinye ihlombe
• Umlando womndeni wokuqina kwehlombe

Izici zengozi ezingashintshwa zihlanganisa:

• Ukulawulwa okubi kweshuqela egazini kwabantu abaneshuqela
• Izinkinga ze-thyroid ezingalashwanga
• Ukunganyakazi kwengalo isikhathi eside
• Isitayela sokuphila esingasebenzi esibangela ukunganyakazi okuhle kwehlombe

Uma uneshuqela, ukulawula kahle izinga leshuqela egazini kunganciphisa kakhulu ingozi yakho. Abantu abaneshuqela banamathuba amabili kuya kwane okuthola ukuqina kwehlombe, futhi isimo sivame ukuba sibi futhi sihlale isikhathi eside kwabantu abaneshuqela.

Ziyini Izingozi Ezingase Zenzeke Ngemuva Kokuqina Kwehlombe?

Nakuba ukuqina kwehlombe ngokuvamile kuphulukana ngokwalo, izinkinga eziningi zingase zenzeke, ikakhulukazi uma isimo singalawulwa kahle. Lezi zinkinga zingathinta umsebenzi wakho wehlombe isikhathi eside kanye nekhwalithi yokuphila.

Izingozi ezingase zenzeke zihlanganisa:

• Ukulahleka okungapheli kokuhamba kwehlombe
• Ubuhlungu obuhlala njalo obuhlala khona ngisho nangemuva kokubuya kokuhamba
• Ubuthakathaka bemisipha nokuwohloka ngenxa yokungasetshenziswa
• Ukuthuthukiswa kokuqina kwehlombe kwesinye ihlombe
• Ubunzima bokubuyela emazingeni omsebenzi wangaphambili
• Izinkinga zesibili entanyeni, emuva, noma kwesinye isandla ngenxa yokubuyisela

Izindaba ezinhle ukuthi abantu abaningi ekugcineni bayabuya umsebenzi wehlombe olukhulu, nakuba kungathatha iminyaka engu-1-3. Noma kunjalo, abanye abantu bangase babe nokuqina okungapheli noma ubuhlungu obunye ngisho nangemuva kokuba isimo siphelile.

Ngokungavamile, abantu bangase bathuthukise i-complex regional pain syndrome, isimo sobuhlungu obuhlala njalo esingathinta yonke ingalo. Lokhu kuvame ukwenzeka uma ukuqina kwehlombe kunzima noma uma ugwema ukunyakaza ingalo yakho ngokuphelele ngenxa yobuhlungu.

Ukuqina Kwehlombe Kungavikeleka Kanjani?

Nakuba ungakwazi ukuvimbela ngokuphelele ukuqina kwehlombe, ikakhulukazi uma unezici zengozi ezifana noshukela, kunezinyathelo ongazithatha ukuze unciphise ingozi yakho. Ukugcina ukuhamba kwehlombe nokulawula izimo zezempilo eziyisisekelo kuyizindlela eziyinhloko.

Izindlela zokuvimbela zihlanganisa:

• Ukugcina izinga leshuqela egazini lilawulwa kahle uma uneshuqela
• Ukuhlala usebenza futhi ugcine ukuhamba kwehlombe ngokunyakaza okuvamile
• Ukwelapha izinkinga ze-thyroid ngokushesha nangokufanele
• Ukuqeda ukunganyakazi kwengalo isikhathi eside uma kungenzeka
• Ukuqeqesha ukuqina kwehlombe uma unesongo elikhulu
• Ukuthola ukwelashwa ngokushesha ngokulimala kwehlombe

Uma uhlinzwe noma ulimale okudinga ukugcina ingalo yakho iphezulu, sebenzisana neqembu lakho lezokunakekelwa kwezempilo ukuze uqale ukunyakaza kancane ngokushesha uma kuphephile. Ngisho nokunyakazisa okuncane kungasiza ukuvimbela i-capsule yehlombe ukuba iqine.

Ukuzivocavoca okuvamile okuhlanganisa ukuhamba kwehlombe, njengokubhukuda noma i-yoga ebushelelezi, kungasiza ekugcineni ukuqina kwehlombe. Noma kunjalo, gwema ukusetshenziswa okukhulu noma imisebenzi ephindaphindayo ephakeme engase icasule ihlombe lakho.

Ukuqina Kwehlombe Kuxilongwa Kanjani?

Ukuxilongwa kokuqina kwehlombe kuhlanganisa ikakhulukazi ukuhlolwa komzimba nokuxoxa ngezimpawu zakho. Udokotela wakho uzohlola ukuhamba kwehlombe lakho futhi akhiphe ezinye izimo ezingase zibangele izimpawu ezifanayo.

Inqubo yokuxilongwa ngokuvamile ihlanganisa:

• Ukuchaza izimpawu zakho nomlando wakho wezokwelapha
• Ukuhlolwa komzimba kokuhamba kwehlombe lakho
• Ukuhlolwa kokubili ukuhamba okuhle nokusebenza kahle
• I-X-rays ukuze kukhishwe i-arthritis noma ezinye izinkinga ezihlobene amathambo
• I-MRI noma i-ultrasound uma ezinye izimo zithathwa njengokungabaza

Udokotela wakho uzokucela ukuba unyakaze ihlombe lakho ngezinkomba ezahlukene ukuze abone ukuthi unekuhamba kangakanani. Bazonyakaza futhi ihlombe lakho ukuze bahlole ukuhamba okuhle, okusisiza ukukhipha ukuqina kwehlombe kwezinye izimo.

Ukuxilongwa ngokuvamile kuqinisekiswa lapho kokubili ukuhamba kwakho okuhle nokuhamba okuhle kuka dokotela wakho kwehlombe lakho kuvinjelwe kakhulu. Lokhu kuhlukile ekulimala kwe-rotator cuff, lapho ukuhamba okuhle kuvame ukuba okujwayelekile ngisho noma ukuhamba okuhle kuvinjelwe.

Kuyini Ukwelashwa Kokuqina Kwehlombe?

Ukwelashwa kokuqina kwehlombe kugxile ekuqedeni ubuhlungu nokugcina ukuhamba kwehlombe okuningi ngangokunokwenzeka. Indlela ngokuvamile iyashintsha kuye ngokuthi usekuphi esigabeni sesimo.

Izinketho zokwelashwa ezingathintayo zihlanganisa:

• Imithi yokulwa nokuvuvukala ukuze unciphise ubuhlungu nokuvuvukala
• Ukwelashwa komzimba ukuze ugcine futhi uthuthukise ukuhamba kwehlombe
• Ukwelashwa ngokushisa nokubanda ukuze ulawule ubuhlungu
• Ukuqeqeshwa okuhle
• Ukuqhafaza kwe-corticosteroid ngenxa yobuhlungu nokuvuvukala okukhulu

Ngezinye izimo ezinzima, ukwelashwa okwengeziwe kungase kuhlanganise:

• Ukulawulwa ngaphansi kokulala ukuze kuqothulwe i-adhesions
• Ukuhlinzwa kwe-arthroscopic ukuze kususwe inyama ezinxantathu
• I-Hydrodilatation, lapho i-fluid iqhafazwa khona ukuze isondeze i-capsule yehlombe

Abantu abaningi bayathuthuka ngokwelashwa okungathinti, nakuba kudinga isineke njengoba isimo singathatha izinyanga noma iminyaka ukuze siphelele. Udokotela wakho uzosebenza nawe ukuze uthole ukuxuba okufanele kokwelashwa ngokusekelwe ezimpawu zakho nokuthi isimo likuthinta kangakanani impilo yakho yansuku zonke.

Indlela Yokwelapha Ekhaya Ngesikhathi Sokuqina Kwehlombe?

Ukulawula ukuqina kwehlombe ekhaya kuhlanganisa ukuxuba kokulawula ubuhlungu, ukuhamba okuhle, nokuguqulwa kwesitayela sokuphila. Ikhona ukufumana ibhalansi efanele phakathi kokupumula nomsebenzi ukuze ugweme ukwenza izimpawu zibe zimbi.

Izindlela zokwelapha ekhaya eziphumelelayo zihlanganisa:

• Faka uqhekeza izingxenye ezingu-15-20 uma ubuhlungu bukhulu
• Sebenzisa ukushisa ngaphambi kokwelula ukuze ukhulule imisipha
• Thatha imithi yokulwa nobuhlungu ethengekayo ngaphandle komthetho njengoba kuqondiswe
• Yenza ukuqeqeshwa okuhle kokunyakaza njalo
• Phumula ngama-pillows engeziwe ukuze usekele ingalo yakho
• Gwema imisebenzi eyenza ubuhlungu bakho bube bubi

Ukuqina okuhle kubaluleke kakhulu ekugcineni ukuhamba okunayo. Ukuzivocavoca okulula njenge-arm circles, i-wall slides, ne-doorway stretches kungasiza ukuvimbela ukuqina okwengeziwe.

Qaphela isikhundla sakho sokulala, njengoba abantu abaningi abanehlombe eliqinile banezinkinga zokulala. Ukusebenzisa ama-pillows ukusekela ingalo yakho ethintekayo noma ukulala esihlalweni sokulala kungakusiza uthole ukuphumula kangcono.

Khumbula ukuthi ukwelashwa ekhaya kufanele kuhambisane, kungabi yisikhundla sokukhathalela kwezokwelapha. Uma izimpawu zakho zibe zimbi noma azithuthuki ngokwelashwa ekhaya, xhumana nodokotela wakho.

Kufanele Uzilungiselele Kanjani Ukuya Kudockotela?

Ukulungiselela i-aphoyintimenti yakho kungakusiza ukwenza okuningi ngesikhathi sakho nodokotela wakho futhi kuqinisekise ukuthi uthola ulwazi nokukhathalela okudingayo. Ukulungiselela okuhle kuphinde kusize udokotela wakho ukwenza ukuxilongwa okuchaneka.

Ngaphambi kwe-aphoyintimenti yakho:

• Bhala zonke izimpawu zakho nokuthi zaqala nini
• Bala noma yimiphi imisebenzi noma ukuhamba okwenza izimpawu zibe ngcono noma zibe zimbi
• Letha uhlu lwemithi yonke nezinhlanganisela ozithathayo
• Lungiselela imibuzo mayelana nesimo sakho nezinketho zokwelashwa
• Cabanga ukuletha umuntu okuzosiza futhi akusize ukukhumbula ulwazi

Imibuzo ebalulekile yokubuza udokotela wakho:

• Ngingasekuphi esigabeni sokuqina kwehlombe?
• Kungathatha isikhathi esingakanani ukuthuthuka?
• Ziyini izinketho zokwelashwa ezifanele isimo sami?
• Yimiphi imisebenzi engingayigwema?
• Nini okufanele ngixhumane nawe ngezinguquko ezimpawu zami?

Unganqikazi ukucela incazelo uma ungaqondi lutho. Udokotela wakho ufuna ukukusiza ulawule isimo sakho ngokuphumelelayo, futhi ukuxhumana okuhle kubalulekile ngenxa yemiphumela emihle.

Iyini Iphuzu Eliyinhloko Mayelana Nokuqina Kwehlombe?

Ukuqina kwehlombe yisimo esivamile esibangela ubuhlungu nokuqina okukhulu, kodwa kubalulekile ukukhumbula ukuthi ngokuvamile kuyaphila ngokuhamba kwesikhathi nokwelashwa okufanele. Nakuba inqubo yokubuyela esimweni esijwayelekile ingathatha isikhathi eside, abantu abaningi ekugcineni bayabuya umsebenzi wehlombe oluhle.

Izinto ezibaluleke kakhulu okumele uzikhumbule ukuthola ukuxilongwa okufanele kwezokwelapha, ulandele uhlelo lwakho lokwelashwa ngokuqhubekayo, futhi ube nesineke ngenqubo yokwelapha. Ukungenela kwasekuqaleni kungasiza ekulawuleni izimpawu futhi kungavimbela ezinye izinkinga.

Uma unezici zengozi ezifana noshukela, ukusebenzisana eduze neqembu lakho lezokunakekelwa kwezempilo ukuze ulawule lezi zimo kungasiza ekuqedeni ingozi yakho yokuthola ukuqina kwehlombe noma ukuhlangabezana nezingozi uma uthola.

Imibuzo Evamile Ebuzwayo Mayelana Nokuqina Kwehlombe

Ukuqina kwehlombe kuhlala isikhathi esingakanani?

Ukuqina kwehlombe ngokuvamile kuhlala iminyaka engu-1-3, kuqhubeka ngezigaba ezintathu. Isigaba sobuhlungu ngokuvamile sihlala izinyanga ezingu-2-9, silandelwa isigaba esiqinile esiphila izinyanga ezingu-4-12, futhi ekugcineni isigaba sokubuyela esimweni esijwayelekile esiphila izinyanga ezingu-12-42. Noma kunjalo, abanye abantu bangase babe nezimpawu isikhathi eside, ikakhulukazi uma beneshuqela.

Ukuqina kwehlombe kungase kube kuwo womabili amahlombe ngesikhathi esifanayo?

Kuyinto engavamile kokubili amahlombe ukuba athinteke ngesikhathi esifanayo. Noma kunjalo, uma uke waba nokuqina kwehlombe kwelinye ihlombe, unezingozi eziphezulu zokulithola kwelinye ihlombe ngesinye isikhathi esizayo. Lokhu ngokuvamile kwenzeka eminyakeni ehlukene kunokuba kube ngesikhathi esifanayo.

Ngizophinde ngithole ukuhamba okuphelele emuva ehlombweni lami?

Abantu abaningi bayabuya umsebenzi wehlombe olukhulu, abaningi bebuyela ekuhambeni okujwayelekile. Noma kunjalo, abanye abantu bangase babe nokuqina okuncane noma ubuhlungu obunye ngisho nangemuva kokuba isimo siphelile. Ubuningi bokuphulukana kungase kuhluke kuye ngezici ezifana nobudala, impilo yonke, nokuthi ulandela uhlelo lwakho lokwelashwa kangcono kangakanani.

Ukuqina kwehlombe kufana nokuqhekeka kwe-rotator cuff?

Cha, lezi yizimo ezahlukene, nakuba ngezinye izikhathi zingase zenzeke ndawonye. Ukuqina kwehlombe kuqeda i-capsule yehlombe futhi kubangela ukuqina kuzo zonke izinkomba, kuyilapho ukuqhekeka kwe-rotator cuff kuqeda imisipha ethile nama-tendons. Udokotela wakho angakwazi ukukhipha umehluko phakathi kwalezi zimo ngokuhlola nokwenza izithombe uma kudingeka.

Ukuhlupheka noma izici zomzwelo zingabangela ukuqina kwehlombe?

Nakuba ukuhlupheka kungabangeli ukuqina kwehlombe ngokuqondile, kungase kube nomthelela ekucindezelweni kwemisipha futhi kungase kuthinte indlela umzimba wakho opendula ngayo ekuvuvukaleni. Abanye abantu baqaphela ukuthi izimpawu zabo zibe zimbi ngesikhathi sezimo ezihluphekayo. Ukulawula ukuhlupheka ngezindlela zokupumula, ukuzivocavoca, nokulala okwanele kungasiza ekulawuleni izimpawu.