Acromioclavicular ngokuhlanganyela: isakhiwo, zokugula

Arthrosis we ngokuhlanganyela acromioclavicular iyakhiwa, ngokuvamile ngenxa yemvelo inqubo yokuguga. Omunye ethandwa izizathu ngokwanele ukuba ucabangele ukulimala ngokuhlanganyela kukho konke ukuphila. Ngokwesibonelo, kungase kube dislocation we ngokuhlanganyela acromioclavicular. Pathology esiwohlozayo ezahlukene, uhlamvu ukuvuvukala. Ngo kusaqalwa joint isifo acromioclavicular kungenziwa zibuyiswe ngokushesha. Ezigabeni kamuva lokho kuzodinga isikhathi esiningi nokuzikhandla ukuze sikwazi ukuphulukisa.

Isakhiwo ngokuhlanganyela

ngokuhlanganyela Acromioclavicular siyingxenye ye ehlombe. Njengezinye, lokhu kuhambisana kuhilela nemisipha futhi capsule. Acromion kuyinto neseleko ezisabalele kusukela lomshini bese ixhunywe clavicle. Kuhambisana kwesembozo phezulu izicubu cartilaginous at emaphethelweni ithambo. Kunezindlela eziningana izici ezihlukanisa ngokuhlanganyela acromioclavicular. Movement therein njengoba kuqhathaniswa, isibonelo, hip noma indololwane babe amplitude amancane. Ngakho ukuthi ukusetshenziswa kwalo kumelwe kube wendiza kakhulu izingalo zakhe. Lapho ukusonteka of hyaline uqwanga ngomshikisho akuyona angabekwa, ke kuphakamisa sebuhlungwini obunzima. Ziyakwazi uphawu osteoarthritis. Ngokunciphisa imisebenzi amortization esimweni esejwayelekile ukuhlinzeka ukuthambisa imithwalo ehlombe, uhola futhi thinning ungqimba uqwanga.

Izizathu kokunqotshwa emalungeni

Isizathu esiyinhloko ukuthuthukiswa osteoarthritis, njengoba kushiwo ngenhla, kubhekwa nqubo engokwemvelo yokufunda ukuphila bafake ngokuhlanganyela. Eslphambanweni isimo futhi ongemuhle umzimba esindayo. Ngokwesibonelo, Loader, ngensimbi, abasebenzi nge a jackhammer, abavukuzi njalo kutholakala ukuthi uphethwe i-osteoarthritis we ngokuhlanganyela acromioclavicular. overloads elikhulu futhi njalo kungaholela ukuhlonza isifo at ayesemncane. Esinye isizathu esibalulekile ngokulinganayo sokuthuthukiswa osteoarthritis kuyinto ukulimala. Udinga ukwazi ukuthi akukho umonakalo aluphumeleli ngaphandle kokushiya nokuncane. Zonke ukulimala kuthinte isimo emalungeni, kuyashesha nokubhujiswa kwabo. Kule ndaba, ochwepheshe batusa kakhulu nazo zonke ukunakekela aphathe Ukwenyela, waphuka nomunye umonakalo. Izimo ezidingekile imodi evamile wokutakula ngokugcinwa ukucindezeleka kwangemva kwenhlekelele, ukucindezeleka ukulungiswa.

emitholampilo isithombe

Ezilimele acromioclavicular ngokuhlanganyela akuyona ngokushesha kwenza ngokwayo wazizwa. izimpawu umonakalo zimi kanje:

• Ubuhlungu e kwehlombe lakhe.
• Pohrustyvanie ngaphakathi ukuhambisana.
• Ukuqina ukunyakaza ehlombe.
• Ukukhathala.

Iqiniso lokuthi esigabeni sokuqala osteoarthritis akuyona ephelezelwa izimpawu ezinamandla, kuphumele ukuvakashelwa kamuva udokotela. Ochwepheshe batusa ukuba alibale emtholampilo. Akubalulekile ukulinda isikhathi lapho ngokuhlanganyela acromioclavicular is zonakala futhi ifake isandla ekubuyiselweni kwalo kuyodinga ukuba kuthathwe izinyathelo ezinqala.

nesigaba lesi sifo

Osteoarthritis ukuhambisana lapho besanda kuqala ephelezelwa ezincane ubuhlungu emizweni e ingcindezi esifundeni clavicle, kanye ngesikhathi ukunyakaza emahlombe futhi izingalo. Kwezinye izimo, ubuhlungu Zingase zande zisakazekele nakwezinye endaweni yomgogodla wesibeletho. Ngo esiteji arthrosis yesibili kuhambisana izimpawu ezinamandla kakhudlwana. Ikakhulukazi, ukushuba inyuka ubuhlungu kakhulu, zikhona nobunzima kule nqubo ye sigqoka, izandla ngemuva kwamakhanda abo, emuva wawela phezu esifubeni. Kuleso simo, uma oyinhloko letsintsa isici izenzo ukuhlukumezeka ehlombe lapho wenza ukunyakaza eziyinkimbinkimbi ungezwakala ngokucindezela a Crackle ejwayelekile.

ukuhlola

Kusukela ukuthola ngesikhathi esifanele osteoarthritis incike impumelelo okwalandela ezelaphayo. Phakathi, udokotela ngeke nje ukuhlolwa okubonakalayo endaweni inkinga. Kusukela ingxoxo onguchwepheshe nesineke uthola ukuthi umonakalo kule ndawo phambi, esingakanani isiguli uye waphawula izimpawu zokugula, okuyinto umzimba kukhona lula futhi okuyinto okunzima ukuba enze ngezandla zakhe. Kubalulekile futhi ukuba baqaphele futhi icebo ubuhlungu kwasendaweni.

Kwezinye izimo, uphethwe owengeziwe kuyadingeka ukuqhuba iJerusalema livinjezelwe. Siqukethe ethula inani elincane lidocaine noma ezinye izinzwa phakathi komgodi ngokuhlanganyela. Ephambi kwezinduna ukuvuvukala emva ukuvinjelwa kwasho ukumisa ubuhlungu. Ukuze uthole isithombe egcwele lesi sifo, ngokuvamile uqoka Uchwepheshe-X-ray luhlolo. It ikuvumela ukuba ukunquma ngokunembile kabanzi degree of ukubhujiswa ngokuhlanganyela. Ngokusho kocwaningo ezihlobene babelwa, okuvumela ukubuyisela ngokuhlanganyela acromioclavicular.

ukwelashwa

izinyathelo zokwelapha aqokwa ngokuhambisana degree of ukubhujiswa ngokuhlanganyela. Kuye kwenzeka ngokunganaki yokwelashwa ingase ithwale imvelo nolaka noma emnene. Ngo esigabeni sokuqala, ngokuvamile ngokuhlanganyela emsebenzini wokutakula kwenzeka ngaphandle kokusebenzisa ama-NSAID, corticosteroids, nezinye izidakamizwa esetshenziswa ukucindezela ubuhlungu nokuvuvukala. Kungakhathaliseki kobukhulu isifo, kutuswa ukuba ibhekane inkambo chondroprotectors isicelo. Le mithi kuthiwa kancane kodwa kakhulu ngempumelelo ukubuyisela uqwanga ngokuhlanganyela.

Ezimweni ezimbi kakhulu, odokotela aye ayisebenzisa kaningi ukusetshenziswa ukwelashwa nolaka. Ikakhulukazi, ejenti steroidal, glucocorticoids (imithi "Diprospan" "Kenalog") abelwa ekunciphiseni izinhlungu. Le mishanguzo futhi usize ukuqeda edema. Ngo izimpawu ngokulinganisela futhi bancome NSAID umjovo. Aqokwe izidakamizwa ezifana "Voltaren", "Diclofenac" "ibuprofen", "Ksefokam".