Mamiriro Anorwadza uye Anodzivisa
Ipafudzi iri pakati pezvisungo zvinogona kukanganiswa neArthritis . NeArthritis, goroti inoputira kumagumo emapfupa ejoka inokuvara semugumisiro wokuputika , kupfeka-uye-kusvimha, kana kukuvara. Iko mafudzi akabatanidzwa anoumba mapfupa matatu - i-humerus (kumusoro kwesimbi bone), scapula (bandu rebandauko), uye clavicle (collarbone). Musoro wemafuta inosvika mukati mekona ye scapula.
Ichekete inonzi inonzi glenoid. Iko rinokanganisa, iyo iboka remasumbu nematononi, chengeta pfupa resimbi panzvimbo iyo mukati mekona.
Nhengo mbiri, sangano re acromioclavicular pamwe nejenodhemiro, inoumba fudzi. Sangano re acromioclavicular rinowanikwa apo clavicle inosangana pamwe nebony tsuro pamucheto wepafudzi (acromion). Nhengo ye glenohumeral inowanikwa apo inonzi humerus inopindira mumapapapula.
Mhando dzeShoulder Arthritis
Simba reArthritis rinowanikwa kubva munhoroondo yako yezvechiremba, kuongorora muviri, uye x-ray kana zvimwe zvidzidzo zvekufungidzira. Chibvumirano chekubatana uye synovial fluid kuongorora kunogona kupawo ruzivo rwekuongorora ruzivo. Kune marudzi akawanda emarthritis anogona kuchinja pafudzi:
- Rheumatoid arthritis inoratidzira muviri , chirwere chinoputika cheArthritis chinogona kukanganisa mazamu maviri emafudzi.
- Post-traumatic arthritis inonyanya osteoarthritis inowedzera kukuvadza kukuvadzwa kune vakabatanidzwa (munyaya ino, papfudzi).
- Septic arthritis kana chirwere chinokonzera arthritis chirwere cheArthritis chinokonzerwa nehutachiwana muhutano. Rudzi urwu rwemapfudzi arthritis inoda kurapwa nokukurumidza kudzivirira kuparadzwa nokukurumidza kwekubatana.
- Arthropathy Pamusoro pe Rotator Cuff Mushonga inonzi arthritis inokura sechinhu chinokonzerwa nemhepo inotungudza . Nebhokisi rinoputika, mutungamiriri we-humerus haufaniri kubatirwa munzvimbo yawo yakakodzera muchekete, zvichiita kuti ichinje uye ichiputika neacromion. Bvudzi rinoputika pamapfupa rinogona kusanganiswa nehuwandu hwekubatana.
- Avascular necrosis, kana Osteonecrosis, inokura apo ropa rinopa kune musoro we humerus rinobviswa. Pasina ropa rega rega, masero emapfupa anofa, zvichikonzera kukanganisa kubatanidzwa kwepafudzi. Sezvo pfupa rakafa rinoputsika, musoro wemhepo inoshushwa inotanga kuitika pakutanga, asi pakupedzisira denga rekudzivirira rinowanzobatanidzwa. High dose corticosteroid kushandiswa, kudhakwa zvakanyanya, chirwere chengarava, kana kuputsika kunogona kukonzera avascular necrosis yefudzi.
Symptoms of Shoulder Arthritis
Zviratidzo zvikuru zvinosangana nefudzi reArthritis zvinorwadza uye zvishoma zvishoma zvekufamba . Marwadzo acho ari kumashure kwefudzi kana fungidziro ya glenohumeral inobatanidzwa uye inowanzotsanangurwa seguvhu rakadzika. Iyo kurwadziwa iri kumusoro kwepafudzi kana sangano re acromioclavicular rinobatanidzwa uye rinogona kumira kune rumwe rutivi rwomutsipa. Kana pane kuenzanirana kwekubatanidzwa, sezvinowanzoita nheyo yehurmatoid arthritis, yose yepafudzi inorwadza kumativi maviri omumuviri. Nharaunda shoma yekufamba kwepafudzi inogona kuchinja mabasa akasiyana-siyana ehupenyu hwezuva nezuva. Zvinogona kunge zvakaoma kusimudza ruoko rwako, kusvika, kana kuita chero basa rinoda kuti kufamba ikoko. Kuoma kwakasimba pamwe chete uye zvikwangwani zvinowanzove zviratidzo.
Treatment of Shoulder Arthritis
Kuchengetedza, kusakosha-kurapa kunowanzoenderana nehutachiona hwemafupa, pakutanga pakutanga uye kana utachiona hwave huri kutorwa kunze. Kukurudzirwa kurapwa kunotanga ne:
- Zorora
- Pacing mabasa ako
- NSAIDs (nonsteroidal anti-inflammatory drugs)
- Steroid injection
- Kuchena kana kuvhara
Kana kusagadzikana kwemishonga pasina kukwanisa kukwanisa kubudirira kuronga zviratidzo, uye marwadzo ako nekugadzikana kwebasa zvakanyanya, kuvhiyiwa kunogona kuonekwa. Arthroscopy , sangano rebatanidzwa rinoshandiswa (kusanganisira hemiarthroplasty [rimwe ganda rinoshandiswa rinoshandiswa], rose rinotsiviwa, uye reverse arthroplasty [humeral musoro kana prosthetic chikamu chinobviswa nemhaka yekushayiwa chirwere kana kutapukirwa] ndiyo nzira yekuvhiya.
Sources:
Arthritis of the Shoulder. OrthoInfo. January 2013.
http://orthoinfo.aaos.org/topic.cfm?topic=a00222
Akabatisa Arthritis. University of Washington, Orthopedics & Sports Medicine. Yakasvika 12/10/2015.
http://www.orthop.washington.edu/?q=patient-care/shoulder-arthritis.html
Kelley's Textbook yeRheumatology. Elsevier. Ninth edition. Chitsauko 46. Mutsara. Martin naTrrnhill.