Bvisa kugaya nekurwadziwa nekufamba kwemafudzi epafudzi
Periscapular bursitis ndiyo inokonzera kukonzera kurwadziwa kwepamusoro. Iyo sopapula, iyo inonziwo mazamu epafudzi, ifupa rinokosha rinoshandura nzvimbo yayo nepamusoro pomuviri nemafudzi epfudzi. Kufemerwa kwe scapula kumusoro kumashure kunonyanya kukosha kumabasa ose epafudzi uye musana. Apo kufamba kwemafudzi epafudzi kusina kujairika, kupisa kukuru nekurwadziwa zvinogona kuitika.
The Scapula
Iyo sopapula inonziwo mapepa . Ifupa rinenge rutsva rakagadzirwa nechetatu rakagara pane kunze kwembambo yembambo iri kumusoro kwako kumashure. Iwe une pfupa rimwe rinoputika kune rumwe rutivi rwomuviri wako. Iko kwekunze (lateral) yechipfapula ine chitubu chekubatana kwepafudzi (inonzi glenoid), asi mamwe mapfupa anoshanda sechibatanidza mapepa mazhinji emapfudzi uye mushure mushure.
Sezvaunotambanudza ruoko rwako uye kumashure, sopapula inoshanduka pamubota. Ichi chinyorwa chinonzi (scapulothoracic motion) chinonyanya kukosha kumabasa akaenzana emusana uye pamwe chete. Apo sopapula haifaniri kufamba mumagariro akabatanidzwa, basa remupaka uye musangano pamwe chete rinogona kuva dambudziko.
The Scapular Bursa
A bursa is fluid filled bag mukati momuviri unobvumira kufamba kwakanaka pakati pezvivakwa. Iwe unokosha kubhururuka wakapararira pamuviri wako kunosanganisira mubatanidzwa wepafudzi , kunze kwechiuno chako , uye pamberi pemabhedha .
Izvi zvinobvumira kubhururuka kwemafupa pakati pemapfupa nematononi. Apo bursa inopisa uye inogumbuka , kufamba uku kwakajairika kungava kunorwadzisa.
Mukumusoro kwekumusoro, kune mabhiri maviri anokosha anosvika pane scapula. Zvose izvi mabhesa mabhesi ari pakati pemapfupa uye serratus anterior muscle, musungo unokosha unodzora kufamba kwechikwata pamadziro echifuva.
Imwe yebhasa mabhesi iri pamucheto wepamusoro we scapula (kwete kure nechepamusoro pamucheto wemutsipa), uye imwe yacho iri pakona yekona ye scapula (mukatikati-kumashure). Zvimwe zvacho kana mabhesi aya maviri anogona kubatanidzwa mu periscapular bursitis. Mukuwedzera, mamwe mabhusa maduku akave akarondedzerwa mukati me scapula uye maitiro akakomberedzwa, asi aya maviri anoita seanonyanya kukanganisa kune vanhu vane periscapular bursitis.
Kuvhiringidza kweBursa
Apo izvi zvinoputika zvichitsvaira uye zvinotsamwiswa, chirwere chinonzi bursitis ndicho chigumisiro. Bursitis inowanikwa apo kune kuvhara uye kuwedzera kwe bursa. Apo izvi zvinenge zvichiitika, kufamba kwemisungo uye mapepa emafudzi kunogona kutungamirira kukusava. Zviratidzo zvinowanzoonekwa nevanhu zvinoratidzwa ne periscapular bursitis dzinosanganisira:
- Pain
- Kukuya manzwiro (crepitus)
- Kushambira nekufamba
- Unyoro hwakananga pamusoro pezvakaitwa bursa
- Abnormal scapular mechanics
Kana kuongororwa, vanhu vane bursitis ye scapula vanogona kuratidza kufamba kusina kujairika kwemafudzi epafudzi. Izvi zvinogona kutungamirira kune kuwanikwa kunonzi "winging" ye scapula, apo mafudzi acho haafaniri kusungirirwa kumbambo dzembambo, uye inobuda pachena.
Vanhu vane mapapiro emapapapula vanowanzova nemagetsi asinganzwisisiki akabatanidza mafudzi, nokuti zvigadziko zvepafudzi zvinowanzosarudzwa.
Zvinokonzera periscapular bursitis zvinogona kuva zvakasiyana. Kazhinji inowanzoonekwa, inongova kunyanya kushandiswa kwechirwere apo chimwe chiitiko chinokonzera kushungurudzika ku burap scularular. Izvi zvinogona kusanganisira mabasa emitambo kana mabasa ane chokuita nekudzokorora kushandiswa. Kukuvadzwa kunorwadza kunogonawo kukonzera periscapular bursitis apo kukuvadzwa kwakananga kwakakonzera kupisa kana kutsamwira ku bursa. Pakupedzisira, kune mamwe mamiriro ezvinhu apo maitiro asina kunaka kana mapfupa emapfupa anogona kukonzera kutsamwa ku bursa.
Chimwe chezvinyanya kukosha ndechebenign bone growth inonzi osteochondroma. Izvi zvinokonzera kufema kwemapfupa zvinogona kukonzera maitiro kubva pane scapula inotungamirira kutsamwa kwebasa.
Kurapa kweBursitis
Mushonga we scapular bursitis nguva dzose unotanga nematanho ari nyore. Vanhu vazhinji vane chirwere ichi vanogona kuwana ruzivo nemishonga shoma shoma. Nenzira yakanaka, kurapa kusingaiti kunowanzodikanwa kugadzirisa chinetso chacho, uye hazvishamisi zvikuru kune mumwe munhu anobata chirwere ichi kuti arambe achiratidza zviratidzo zvekusagadzikana. Matanho ekurapa anosanganisira:
- Zororo: Yokutanga, uye kazhinji inonyanya kukosha, inotungamira mukutungamira kwe periscapular bursitis ndeyokudzima bursa yakatsamwirwa uye kubvumira kubvumira kugadzikana. Izvi zvinowanzoita masvondo mashomanana, uye zvinogona kuitwa kuburikidza nekugadzirisa chero basa ripi zvaro (rakadai semutambo kana basa rine chokuita nebasa) rinoita sekunowedzera mamiriro acho ezvinhu.
- Ice : Kupera kwekuvhiringidzika uye kurwadziwa kunotora matanho anobatsira mukutarisira kwechiitiko ichi. Ice ndiyo chinhu chinobatsira kuita zvose izvi. Kuziva kugadzirisa zvakanaka kukuvara kunogona kukubatsira kugadzirisa marwadzo uye kuzvimba kunobatanidza bursitis.
- Anti-Inflammatory Medication : Mishonga isiri-steroidal anti-inflammatory inobatsirawo kurapwa kunodzora kuvhiringidza kubva ku bursitis. Muzhinji, vanhu vanotora mishonga iyi vanofanira kuishandisa nguva dzose kwemavhiki mashomanana kuti vabatsire kuvhiringidza kupindura. Usati watora mishonga ipi, iwe unofanirwa kusimbisa nachiremba wako kuti zvakachengeteka kuti iwe ushandise mishonga iyi.
- Kurapa Kwepanyama : Kurapa kwepanyama kunonyanya imwe yemishonga inobatsira ye periscapular bursitis. Pane zvikonzero zviviri zvekuti kurapa kunobatsira. Chokutanga, kurapwa kunogona kubatsira kuderedza zviratidzo zvekuvhiringidza kwebhasa. Chechipiri, kurapa kwepanyama kunogona kubudirira pakuvandudza magapular mechanics kuitira kuti dambudziko rirege kuramba riripo uye richidzoka. Kubva kushamwaridzana kushandiswa kwepapapula pamubhedha wembambo hakugoni kungotungamirira kukurudzirwa kwebursitis, asi kunogona kutungamirira pakudzoka kwechinetso kana izvi zvisiri izvo zvisingagadziriswi.
- Cortisone Injections : Majekiseni eCortisone anobatsira chaizvo kupa mushonga unopesana neukuvhiringidza zvakananga panzvimbo yekuvhiringidza. Cortisone injections inofanira kunge isina kukwana maererano nehuwandu hwekujekesa hupi kune mumwe munhu, asi pakuderera zvishoma kunogona kubatsira. Mune vanhu vanogona kunoda kurapwa, kuporerwa kwakanaka necortisone kuputika chiratidzo chekuvhiya kunowanzobudirira.
Sezvakataurwa, chirwere hachiwanzodikanwa, asi chinogona kubudirira muvanhu vashomanana vanokundikana kuwana ruzamuro nemishonga inotaurwa. Kuvhiya kunowanzoshandiswa kune vanhu vane mararamiro asina kufanana anokwana, akadai sefupa kukura kana tumarara, zvichikonzera kutsamwisa zvakananga ku bursa.
> Sources:
> Kuhn JE, Plancher KD, Hawkins RJ. "Symptomatic scapulothoracic crepitus uye bursitis" J Am Acad Orthop Surg. 1998 Sep-Oct; 6 (5): 267-73.