Mahetla a hoammeng

Lehetla le batang ke boemo boo mahetla a leng bohloko 'me a lahleheloang ke motsamao ka lebaka la ho ruruha.

Motsoako oa lenonyeletso la mahetla o na le mesifa e tšoarellang masapo a mahetla. Ha capsule e ruruha, masapo a mahetla a sitoa ho tsamaea ka bolokolohi lenonyellong.

Boholo ba nako, ha ho na lebaka la mahetla a hoamisitsoeng. Basali ba lilemo li 40 ho isa ho tse 70 ba amehile haholo, leha ho le joalo, banna le bona ba ka fumana boemo boo.

Mabaka a kotsi a kenyelletsa:

• Lefu la tsoekere
• Mathata a qoqotho
• Liphetoho lihormonng tsa hau, joalo ka nakong ea ho ilela khoeli
• Kotsi ea mahetla
• Ho buuoa ka mahetla
• Bula opereishene ea pelo
• Lefu la mokokotlo la mokokotlo oa molala

Matšoao a mantlha a lehetla le hoammeng ke:

• Ho fokotsa ho sisinyeha ha lehetla
• Bohloko
• Ho thatafala

Mahetla a batang ntle le lebaka le tsejoang a qala ka bohloko. Bohloko bona bo u sitisa ho tsamaisa letsoho. Ho hloka motsamao hona ho ka lebisa ho satalatseng esita le motsamao o fokolang. Ha nako e ntse e ea, ha u khone ho etsa lintho tse kang ho fihla hloohong kapa kamora hao.

Mofani oa hao oa tlhokomelo ea bophelo o tla botsa ka matšoao a hau mme a hlahlobe lehetla la hau. Hangata ho hlahlojoa ho etsoa feela ka tlhahlobo ea bongaka ha o sa khone ho potoloha lehetla.

O kanna oa ba le x-ray mahetleng. Sena ke ho netefatsa hore ha ho na bothata bo bong, joalo ka ramatiki kapa li-depositi tsa calcium. Ka linako tse ling, tlhahlobo ea MRI e bonts'a ho ruruha, empa mefuta ena ea liteko tsa ho nka litšoantšo hangata ha e hlokehe ho fumana lehetla le leqhoa.

Bohloko bo phekoloa ka li-NSAID le liente tsa steroid. Liente tsa Steroid le kalafo ea 'mele li ka ntlafatsa motsamao oa hau.

Ho ka nka libeke tse 'maloa ho bona tsoelo-pele. Ho ka nka nako e telele joalo ka likhoeli tse 9 ho isa selemong hore o fole ka botlalo. Phekolo ea 'mele e matla' me e hloka ho etsoa letsatsi le leng le le leng.

Ha e sa alafatsoe, boemo boo hangata bo ea ntlafala ka bo bona nakong ea lilemo tse peli ntle le ho sisinyeha hanyane.

Lisosa tsa kotsi tsa mahetla a hoammeng, joalo ka ho khaotsa ho ilela khoeli, lefu la tsoekere kapa mathata a qoqotho le tsona li lokela ho phekoloa.

Ho buuoa ho buuoa haeba kalafo e sa sebetseng e sa sebetse. Tsamaiso ena (arthroscopy ea mahetla) e etsoa tlasa anesthesia. Nakong ea ts'ebetso opereishene ea 'mele e ea lokolloa (e sehiloe) ka ho tlisa lehetla ka ho sisinyeha ho felletseng. Ho buuoa ka li-arthroscopic ho ka sebelisoa ho khaola likhoele tse thata le ho tlosa lisele tse bohale lehetleng. Kamora 'opereishene, u ka fumana li-pain block (shots) e le hore u tsebe ho phekoloa.

Latela litaelo tsa ho hlokomela lehetla la hau lapeng.

Kalafo ea kalafo ea 'mele le li-NSAID hangata li khutlisetsa ts'ebetso le ts'ebetso ea lehetla pele selemo se fela. Le ha e sa alafshoe, lehetla le ka ntlafala ka bo lona ka lilemo tse peli.

Kamora ho buuoa ho khutlisa ho sisinyeha, o tlameha ho tsoela pele ka kalafo ea 'mele ka libeke kapa likhoeli tse' maloa. Sena ke ho thibela lehetla le hoammeng hore le se ke la khutla. Haeba u sa tsamaisane le kalafo ea 'mele, lehetla le hoammeng le ka khutla.

Mathata a ka kenyelletsa:

• Ho tiea le bohloko li ntse li tsoela pele le kalafo
• Letsoho le ka robeha haeba lehetla le sisinyeha ka matla nakong ea ts'ebetso

Haeba u e-na le bohloko ba mahetla le ho satalla 'me u nahana hore u na le lehetla le hoammeng, ikopanye le mofani oa hau bakeng sa phetisetso le kalafo.

Kalafo ea kapele e ka thusa ho thibela ho satalla. Bitsa mofani oa hau haeba u ba le mahlaba a mahetla a fokotsang motsamao oa hau nako e telele.

Batho ba nang le lefu la tsoekere kapa ba nang le mathata a qoqotho ba ke ke ba khona ho ba le mahetla a hoamisoa haeba ba ka laola maemo a bona.

Adhesive capsulitis; Mahetla a mahetla a hoamisoa

• Boikoetliso ba li-Rotator
• Cuff ea Rotator - ho itlhokomela
• Ho buuoa ka mahetla - ho tsoa

• Ho ruruha ho kopaneng ha mahetla

American Academy of Orthopedic Surgeons webosaete. Mahetla a hoammeng. orthoinfo.aaos.org/en/diseases--conditions/frozen-shoulder. E ntlafalitsoe ka Hlakubele 2018. E fihlile ka la 14 Hlakola 2021.

Barlow J, Mundy AC, Jones GL. Lehetla le thata. Ka: Miller MD, Thompson SR, lihlopha. DeLee, Drez, & Miller's Orthopedic Sports Medicine: Melao-motheo le Tloaelo. La 5th. Philadelphia, PA: Elsevier; 2020: khaolo ea 51.

Finnoff JT, Johnson W.Bohloko ba maoto le matsoho a kaholimo le ho se sebetse hantle. Ka: Cifu DX, ed. Phekolo ea 'mele ea Braddom le Tlhabollo. La 6th. Philadelphia, PA: Elsevier; 2021: khaolo ea 35.

Moea oa Miller RH, Azar FM, Throckmorton TW. Likotsi tsa mahetla le setsoe. Ka: Azar FM, Beaty JH, bahlophisi. Masapo a sebetsang a Campbell. La bo14 la ed. Philadelphia, PA: Elsevier; 2021: khaolo ea 46.