Acromioclavicular joint: isakhiwo, zokugula

iqulunqwa Arthrosis welungu acromioclavicular, ngokuqhelekileyo ngenxa yenkqubo ukwaluphala yendalo. Enye yezizathu ethandwayo ngokwaneleyo ukuqwalasela ukwenzakala ngokudibeneyo ubomi. Umzekelo, kusenokuba dislocation welungu acromioclavicular. Pathology mandundu ezahlukeneyo, umlinganiswa arhabaxa. Kumanqanaba okuqala entlanganweni acromioclavicular sifo inokubuyiselwa ngokukhawuleza. Kumanqanaba kamva kuya kufuna ixesha nomgudu okuphilisa.

Ubume welungu

joint Acromioclavicular yinxalenye emagxeni. Njengabanye, oku kuhambisana ibandakanya nemisipha kunye capsule. Acromion yi appendage elisuke intsimbi kunye liqhagamshelene clavicle. Kuhambisana kwesigubungelo phezulu izihlunu cartilaginous emiphethweni wethambo. Kukho eziliqela iimpawu ezahlula joint acromioclavicular. Movement kuyo xa kuthelekiswa, umzekelo, ihleza okanye ngengqiniba babe namandla awo amancinane. Ukwenzela ukuba ukusetyenziswa kwayo kufuneka ngamandla wendiza iingalo zakhe. Xa deformation of hyaline intlala zochuku akukho angabekwa, oko kudale iintlungu kakhulu. Basimisela luphawu osteoarthritis. Ngokunciphisa imisebenzi lokuyimfihlo kwizikolo zikarhulumente eziqhelekileyo ngokubonelela nemithwalo igxalaba ukuthamba, ibange kwakhona olindelwe esibekwa intlala.

Izizathu ngokoyiswa namalungu

Esona sizathu siphambili ekuphuhliseni osteoarthritis, njengoko kuchaziwe apha ngasentla, loo nto ithathwa yinkqubo yendalo zokuguga ngokudibeneyo. Apho kudibana karhulumente nayo ifuthe elibi sICandelo umthambo enzima. Umzekelo, ukuba umlayishi, ngensimbi, abasebenzi kunye a jackhammer, mgodini rhoqo kwafunyaniswa osteoarthritis welungu acromioclavicular. nomthwalo ezinkulu kwaye rhoqo kukhokelela nokuchongwa kwezifo eselula kakhulu. Esinye isizathu Kubalulekile ukuba uphuhliso osteoarthritis yi yokwenzakala. Kufuneka wazi ukuba akukho monakalo ayilwamkeli ngaphandle kokushiya, azafunyanelwa ndawo. Zonke yokulimala kuchaphazela imeko namalungu, yesantya intshabalalo yabo. Kulo mba, iingcali Siyaleza ngamandla kunye bonke bakuthathele ingqalelo ukunyanga komsipha, yamophula kunye nezinye umonakalo. Iimeko eziyimfuneko ukuze mode alulame yinto ukugcinwa post-traumatic, uxinezeleko ulungiso.

picture clinical

Yonakele acromioclavicular joint asiyi kuba kwaoko uzenza ngayo. iimpawu umonakalo zimi ngolu hlobo lulandelayo:

• Intlungu egxalabeni lakhe.
• Pohrustyvanie ngaphakathi kwiCandelo.
• Ukuqina ngemibutho igxalaba.
• Ukukhathala.

Isibakala sokuba isanda osteoarthritis leyo ezingahambi iimpawu kakhulu, nto leyo kutyelelo kamva ukuya kugqirha. Iingcali bacebisa ukuba angalibali utyelelo ekliniki. Akukho mfuneko yokuba balinde mzuzu xa ilunga acromioclavicular wenzakele eyonakeleyo kunye nokubuyiselwa uya kufuna amanyathelo angqongqo.

Inqanaba lesi sifo

Ukudleka wengcaciso kwi isanda ephelekwa iminqweno intlungu engephi uxinzelelo kummandla clavicle, kwakunye nangexesha intshukumo bamagxa neengalo. Kwezinye iimeko, iintlungu ingahlakazeki kummandla yomqolo wesibeleko. Xa Inqanaba lesibini arthrosis lukhatshwa iimpawu kakhulu ngakumbi. Ngokukodwa, ngobunzulu ukunyuka intlungu kakhulu, kukho iingxaki inkqubo yokuxhela, izandla emva iintloko zabo, emva awelela phezu kwesifuba sakhe. Xa kunjalo, ukuba eyona Ngokuqunjiswa factor izenzo trauma igxalaba xa usenza iintshukumo ezinzima unokuviwa nqakraza i crackle eqhelekileyo.

ekuxilongweni

Ukususela ubhaqo kwangethuba osteoarthritis kuxhomekeke impumelelo zongenelelo zonyango ezilandelayo. Ngethuba loviwo, ugqirha ngeke nje uhlolo zembonakalo yalo mmandla zingundoqo ingxaki. Ukususela incoko ingcali isigulane ufumana enoba umonakalo kule ndawo ngaphambili, kudala kangakanani na isigulane uye waphawula iimpawu zokugula, leyo imithambo kulula kwaye kunzima ukwenza ngezandla zakhe. Kubalulekile kwakhona ukuba ukuchonga isiqwenga eyendawo intlungu.

Kwezinye iimeko, uxilongo ziyimfuneko ukuqhuba irhoxe. Le ibandakanya lokufakela encinci lidocaine okanye enye iintlungu kungena kwisisu ehlangeneyo. Phambi ukudumba emva kokuba kwafa ephawulwe ukuyekwa intlungu. Ukuze ufumane umfanekiso opheleleyo ngakumbi esi sifo, ngokuqhelekileyo umisela uviwo specialist X-ray. It ikuvumela ukuba ukubonisa ngokuchanekileyo ukuba lingakanani na izinga ngentshabalalo ngokudibeneyo. Ngokutsho imisebenzi enxulumene zophando abelwe, evumela ukubuyisela joint acromioclavicular.

unyango

amanyathelo therapeutic baqeshwa ngokungqinelana iqondo intshabalalo ngokudibeneyo. Kuxhomekeka kwimeko nokungahoywa unyango liqulathe banqande okanye nesisa. Inxaxheba kwinqanaba lokuqala, ngokuqhelekileyo recovery umsebenzi joint lwenzeka ngaphandle kokusebenzisa NSAIDs, corticosteroids, kunye namanye amachiza asetyenziswa ukucinezela iintlungu kunye nokudumba. Kungakhathaliseki ukuba ubungqongqo sifo, kucetyiswa ukuba bangenele kwikhondo chondroprotectors yesicelo. La machiza kancane kodwa ngempumelelo kakhulu ukubuyisela intlala ngokuhlangeneyo.

Kwiimeko kakhulu ngakumbi, oogqirha baye babhenela ekusebenziseni unyango ndlongondlongo. In, izinto ezithile steroidal, glucocorticoids (amayeza "Diprospan" "Kenalog") zabelwe ukunciphisa intlungu. La amayeza zikwanceda ukuphelisa nokudumba. Xa iimpawu eliphakathi nokucebisa ziphene NSAID. Abamiselweyo ziziyobisi ezifana "Voltaren", "Diclofenac" "ibuprofen", "Ksefokam".