I-periarthritis yisifo esibangela ukuvuvukala esiya ezinhlobonhlobo ze-periarticular. Ngokuvamile, amalunga amakhulu athathwe. I-periarthritis ye-joint joint ijwayele kakhulu, isencane kakhulu (emva kweminyaka engama-30), ehlobene nokuqapha okusebenzayo noma ukulimala okukhulu. Ngokuvamile amadoda abe ama-rheumatologists, ngoba asebenza emisebenzini edinga ukulayisha njalo emajoyini amahlombe.
Anatomy kanye nezimbangela zesifo
Amalungu axhuma amathambo emasipha futhi avumela ukunyakaza emathanjeni avelayo. Lokhu kwenzeka ngosizo lwemisipha. Amalungu alula noma azinkimbinkimbi anesisindo esifanayo se-periarticular. Lokhu kufaka:
- I-capsule ehlangene. I-capsule ezungeze izakhiwo ze-articular zamathambo avela futhi zakha umgoqo ohlangene ovalwe.
- Imigqa ye-articular. Kunesisindo esinamandla, esixhuma amathambo ngomunye nomunye.
- Tendons. Lesi yisigaba sokugcina semisipha. Kungenxa ngosizo lwezintambo ukuthi imisipha eminyene ifakwe emathanjeni.
- Imisipha. Ingxenyana esemqoka evumela ukuthi kwenziwe izenzo zomzimba emzimbeni womuntu.
Amajoyini ahlangene angakwazi ukunyakaza okukhulu kunamanye amalunga ngenxa yamagciwane namasipha athuthukile.
Izimbangela ze-periatritis zamajoyina amahlombe angakwesokudla nangakwesokunxele yizi:
- Umsebenzi womsebenzi. Abantu abasebenza njengama-plasterers, ababazi, abadwebi, abadlali bezemidlalo, njll bavame ukugula, okungukuthi, labo abasebenza ngokweqile, bavame ukwenza ukunyakaza okuhamba phambili, kanye nokunyakaza kwesandla phezulu.
- Isikhathi esisodwa esithwala ngokweqile ekuhlanganyeleni kwehlombe.
- Ukulimala (ukuwa, ukushaya).
- Izici ze-anatomical ezifakiwe ezinamajoyini ehlombe.
- I- infarction ye-myocardial ehlehlisiwe.
- Ukuphazamiseka kokujikeleza kokuhamba komzimba ekuhlanganyeleni kwehlombe.
Indlela yokwenza ukuxilongwa?
I-periarteritis yehlangene lehlombe ibhekwa yizimpawu ezilandelayo:
- ubuhlungu ekuhlanganyeleni kwehlombe, okuhlale kuqiniswa ekusebenzeni ukuhamba okuholayo-okuholela, ukuphakamisa izandla;
- ukuvinjelwa kokuhamba ngokuhlanganyela lapho kwenziwa ukunyakaza (ukuqina okuhlangene);
- Izinto ezihlangene: ubuhlungu bekhanda nentamo, ubuhlungu kanye nokubuhlungu kwesandla, ukunganaki kweminwe, isizungu.
Ngaphezu kokuqoqa izikhalazo, i-rheumatologist ibeka i-radiology efanele. Izindlela zokuxilonga ezisizayo ziyi-ultrasound, i-CT, i-MRI, i-blood test kanye ne-arthrography.
Indlela yokuphatha i-periarthritis yenhlanganisela yamahlombe?
Ukunciphisa odokotela bezinhlungu kulesi sifo kunqunywe izidakamizwa ezingenayo i-steroidal anti-inflammatory (Ibuprofen, Nimesil, Xefokam, Indomethacin, Diclofenac). Ekubonakalweni okuyinhloko kwesifo sokuthatha izidakamizwa nokuvinjelwa kwesikhashana kokunyakaza ekuhlanganyeleni kukwanele ukutakula ngokugcwele.
Ukuvinjelwa kokunyakaza kufaka ukungasebenzi, okungukuthi ukuchithwa kwe-joint ngokusebenzisa ibhande lokulungisa. Kulesi simo, isiguli kufanele siqonde ukuthi yiziphi ukunyakaza okufanele zigweme ngokweqile. Ngaphandle kwalesi sifo, i-periarthritis ye-joint joint ayikwazi ukwelashwa nganoma yimiphi imithi.
Nge-periarthritis yehlangothini lwehlombe, izindlela zokwelapha zendawo zisebenziswa, njengamafutha okugcoba, i-electrophoresis, i-compress, i-blockades, izinhlelo zokusebenza (i-paraffini, udaka lwezokwelapha), i-hirudotherapy, i-laser therapy. Izinto ezisebenzayo zamafutha okugcoba yizidakamizwa ezingezona izifo eziphikisayo. I-LFK, ukusilisa umzimba kanye nokwelashwa kwemithi kunomthelela ophawulekayo ekwelapheni i-periarthritis yehlangothini lwezintambo, uma nje kuqhutshwa ngemuva kokunconywa kukadokotela futhi ngosizo lwengcweti eqinisekisiwe.