Sengoli: Roger Morrison
Letsatsi La Creation: 20 September 2021
Ntlafatsa Letsatsi: 22 Mphalane 2024
Anonim
Adhesive capsulitis: ke eng, matšoao, lisosa le kalafo - Bophelo
Adhesive capsulitis: ke eng, matšoao, lisosa le kalafo - Bophelo

Litaba

Adhesive capsulitis, eo hape e tsejoang e le 'mahetla a hoamisitsoeng', ke boemo boo motho a nang le moeli oa bohlokoa ho sisinyeheng ha mahetla, ho etsa hore ho be thata ho beha letsoho kaholimo ho lehetla. Phetoho ena e ka etsahala kamora nako e telele ea ho se sisinyehe ha lehetla. Boemo bona bo ama lehetla le le leng feela mme bo atile haholo ho basali.

Lefu lena le ka fumanoa ka mekhahlelo e fapaneng, e ka ba:

  • Karolo e batang: Mahlaba a mahetla butle-butle a eketseha nakong ea phomolo, ka ho ba teng ha bohloko bo bohloko maemong a feteletseng a motsamao. Karolo ena e nka likhoeli tse 2-9;
  • Karolo e khomarelang: bohloko bo qala ho kokobela, mme bo bonahala feela ka motsamao, empa mekhatlo mekhatlo eohle e lekanyelitsoe, ka puseletso le scapula. Karolo ena e nka likhoeli tse 4-12.
  • Karolo ea ho senya: e tšoauoa ka ntlafatso e tsoelang pele mahetleng a ho sisinyeha, ho ba sieo ha bohloko le synovitis, empa ka lithibelo tsa bohlokoa tsa capsule. Karolo ena e nka likhoeli tse 12-42.

Ho phaella moo, sebaka se pakeng tsa glenoid le humerus, hammoho le sebaka se pakeng tsa biceps le humerus se fokotsehile haholo, se thibelang ho tsamaea ka mahetla ka ho feletseng. Liphetoho tsena kaofela li ka bonoa tlhahlobong ea litšoantšo, joalo ka li-x-ray libakeng tse fapaneng, ultrasound le mahetla a mahetla, tse kopiloeng ke ngaka.


Matšoao

Matšoao a kenyelletsa bohloko mahetleng le ho thatafalloa ho phahamisa matsoho, ka maikutlo a hore lehetla le khomaretse, 'ho hatsela'.

Liteko tse ka thusang ho khetholla lefu lena ke: X-ray, ultrasound le arthrography, e leng eona ea bohlokoahali hobane e bonts'a phokotso ea mokelikeli oa synovial ka har'a lenonyeletso le phokotso ea libaka tse kahare ho lenonyeletso ka bolona.

Ho fumanoa ho ka nka likhoeli tse 'maloa ho fihlela, hobane qalong motho a ka ba le mahlaba lehetleng feela le meeli e itseng mekhoeng, e ka supang ho ruruha ho bonolo, ka mohlala.

Lisosa

Ha ho tsejoe sesosa sa mahetla a hoammeng, se etsang hore ho be thata ho fumana kalafo le kalafo. Ho lumeloa hore ho satalla ha lehetla ho bakoa ke ts'ebetso ea ho khomarela likhoele kahare ho lenonyeletso, e ka etsahalang kamora ho sithabela lehetleng kapa ho senyeha nako e telele.


Batho ba nang le bothata ba ho sebetsana le khatello ea maikutlo le khatello ea letsatsi le letsatsi ha ba na mamello e nyane ea bohloko mme ba na le monyetla oa ho ba le mahetla a hoamisitsoeng ka mabaka a maikutlo.

Mafu a mang a ka amanang mme a bonahala a eketsa menyetla ea ho khomarela capsulitis ke lefu la tsoekere, lefu la qoqotho, liphetoho tse senyehang mokokotlong oa mokokotlo, maloetse a methapo, ka lebaka la ts'ebeliso ea meriana, joalo ka phenobarbital ho laola ho oa, lefuba le myocardial ischemia.

Kalafo

Kalafo hangata e etsoa ho sebelisoa lipilisi tsa bohloko, li-anti-inflammatories le li-corticosteroids, ntle le linako tsa physiotherapy ho eketsa ho sisinyeha ha mahetla, empa ho na le maemo moo adhesive capsulitis e nang le pheko e itlelang feela, ka ntlafatso e tsoelang pele ea matšoao, le ntle le ho etsa mofuta ofe kapa ofe oa kalafo. kalafo, ka hona ha ho na tumellano kamehla mabapi le mokhoa o motle bakeng sa mokhahlelo ka mong.

Mothapo o moholo oa methapo e nang le ho kenella ha moriana o thethefatsang pelo le ho sebetsana le mahetla ka tlasa anesthesia ka kakaretso ho ka khothaletsoa.


Physiotherapy e lula e bontšoa ebile e na le litholoana tse ntle, ho khothaletsoa ho ikoetlisa ka bohona le ka mafolofolo, ntle le khatello e chesang e thusang ho lokolla metsamao hanyane ka hanyane. Ithute haholoanyane ka kalafo ea adhesive capsulitis mona.

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