I-Bursitis (kusuka ku-Latin "bursa" - isikhwama) - ukuvuvukala okunamandla noma okungapheli kwesikhwama se-synovial. Imithombo yalesi sifo ingaba ukushaywa, ukuwa, umthwalo osindayo ejoyintini, ukutheleleka, amanxeba nokusikeka. Ukuxilongwa nokwelashwa okufika ngesikhathi kuvame ukuholela ekululameni ngokuphelele.
Ulwazi oluvamile
I-bursa (i-bursa) ingumgodi ogcwele uketshezi ogcwele uketshezi otholakala eduze kwamalunga namathambo, kuyadingeka ukugoqa izicubu zomkhuhlane lapho unyakaza. Cishe zingu-150 zazo emzimbeni. Ziyahlukanisa, zigcoba amalunga phakathi kwamathambo, imisipha, imisipha emajoyintini.
Amaseli we-synovial afaka umgodi we-bursal akhiqiza i-lubricant ekhethekile. Kunciphisa ukungqubuzana phakathi kwezicubu futhi umuntu angahamba kalula.
Ngokuvuvukala kwesikhwama se-synovial, ukukhishwa koketshezi oluhlangene kuyancipha futhi ubuhlungu, ukuqina kokunyakaza, nokubomvu kwesikhumba kuyavela. Hlukanisa phakathi kwe-acute, subacute, bursitis engapheli. Umenzeli we-causative ucacisiwe futhi akacaciswanga. Inqubo yokuvuvukala iholela ekuqongeleleni kwe-exudate. Ngokwemvelo yayo ihlukaniswe - i-serous, i-purulent, i-hemorrhagic.
Nge-bursitis yelungu le-hip, inqubo yokuvuvukala ihlanganisa isikhwama sayo se-synovial. Abesifazane abaneminyaka ephakathi nendawo nasebekhulile bavame ukungenwa yilesi sifo.
Izimbangela zalesi sifo ngokuvamile:
- ubude obuhlukile bomlenze;
- ukungenelela kokuhlinzwa;
- isifo samathambo;
- i-scoliosis, i-arthritis, i-arthrosis yomgogodla we-lumbar;
- "I-Bone spurs" (izinqubo ebusweni bamathambo);
- ukungalingani kwe-hormonal;
- ukufuduka kwekhanda lenhlanganisela;
- ukoma komzimba emzimbeni;
- i-ankylosing spondylitis;
- ukungezwani komzimba;
- ukutheleleka ngegciwane;
- usawoti.
Ngokugijima okukhulu, ukuhamba ngebhayisikili, ukukhuphuka izitebhisi njalo, noma ukuma, kunomthwalo oweqile ejoyinini le-hip, okungaholela ekuguleni.
Izimpawu
Ngokumelene nesizinda se-malaise ejwayelekile, ubuthakathaka buvela:
- ubuhlungu obukhulu nokuzwa okuvuthayo okuvela ngaphandle noma ngaphakathi kwethanga, kukhanya kuya emgodini, okhalweni;
- ukuvuvukala kwesimo esiyindilinga esinobubanzi obungu-10 cm;
- ukuvuvukala kwezicubu;
- ukushisa komzimba okwandisiwe;
- ukubomvu kwesikhumba.
Ngenxa yokuvuvukala, umuntu akakwazi ukugoba, aqonde inqulu. Ubuhlungu buba namandla ekuqaleni, kepha uma ungaqali ukwelashwa, buba buthakathaka ngokuhamba kwesikhathi futhi inqubo iba yindlala.
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Izinhlobo
Eduzane nejoyini le-hip, kune-ilio-scallop, ischial, izimbotshana ze-trochanteric ezinoketshezi:
- Inyoka. Okuvamile kakhulu kunezinye. Ubuhlungu buvela endaweni ephakeme yamathambo engxenyeni eseceleni ye-femur kanye nemisipha ehlanganayo nemisipha. Isiguli sihlangabezana nokuvuvukala, ukungakhululeki lapho sihamba, umkhuhlane, ubuthakathaka. Ekuphumuleni, ubuhlungu buyadamba, kepha lapho umuntu enza umzamo wokukhuphuka izitebhisi, enze ama-squats, kuyaqina. Ngisho nasebusuku, uma elele ohlangothini oluthintekile, ukhathazekile ngobuhlungu. Kuvame ukuzibonakalisa kwabesifazane, izizathu zingaba wukuzivocavoca umzimba ngokweqile, isisindo eseqile, izifo zesistimu ye-endocrine, i-osteoporosis, ukulimala kwe-hip, imikhuhlane, amagciwane.
- I-Ilium-scallop (ithambo). Kubonakala ngokuvuvukala kwesikhala se-synovial esisendaweni yethanga. Abantu abaphila impilo yokuzihlalela basengozini. Izibonakalisa njengokuzwa okubuhlungu emgodini, ithanga langaphakathi, ikakhulukazi lapho lizama ukusukuma, ukuhlala phansi, ukuphakamisa umlenze. Ukuhlupheka kuyaqina ngemuva kokuphumula, ukulala, ukungakwazi ukuhamba, lapho uzama ukuvuka, phakamisa inyonga.
- Ischio-gluteal. Itholakala lapho kunamathiselwe khona imisipha yangemuva kwethanga esihlahleni se-ischial. Isiguli sizwa ubuhlungu ezinqeni, okuba kubi kakhulu uma sihlala esihlalweni, siguqule isinqe, futhi silele ohlangothini oluthintekile. I-ischio-gluteal tuber iyanda. Ukuzwa okungathandeki kubi kakhulu ebusuku.
Ukuxilongwa
Udokotela wamathambo ulalela izikhalazo, ahlole indawo ethintekile, enze ukushaya ngamandla. Wenza ukuxilongwa esebenzisa ukuhlolwa kuka-Aubert - isiguli sibekwa ohlangothini olunempilo futhi sanikela ngokunyakaza okuningi - ukuhoxisa, ukuhola, ukukhulisa, ukwehlisa inyonga. Uma engakwazi ukuzenza ngokuphelele, imbangela yalesi sifo yi-bursitis.
Kwezinye izimo, ubeka i-MRI, i-X-ray, ukuhlolwa kwegazi. Ngemuva kwalokho, ekuqinisekisweni kokuxilongwa, uncoma ukwelashwa.
Ukwelashwa
I-Bursitis iphathwa ngendlela ephelele. Lokhu kungukudla kwemithi ngaphakathi, imijovo, izinto ezingaphandle kanye ne-physiotherapy.
Izidakamizwa ezingezona ukuvuvukala (i-Ibuprofen, Indomethacin, Meloxicam, Celecoxib, Piroxicam, Diclofenac) ziyasiza. Zinciphisa ubuhlungu nokuvuvukala. Kusetshenziswa izinto zehormonal (Prednisolone, Hydrocortisone, Flosterone, Kenalog, Dexamethasone). Kusetshenziswa amaChondroprotectors (Dihydroquercetin plus, Osteo-Vit, Teraflex, Artra), amavithamini, ama-microelements. Ezimweni eziphambili, kunqunywa ama-antibiotic (Cefazolin, Sumamed, Panklav).
Ukuvivinya umzimba kuyelulekwa ukuthi ulinganisele, lapho uhamba, sebenzisa induku, izinduku. Amafutha asetshenziswe phezulu - iCortomycetin, iNise, iDolgit, iVoltaren. Izinyathelo ezingeziwe - i-laser therapy, i-ultrasound, i-electrophoresis, i-inductotherapy, ukushisa okomile, ukufaka isicelo sikapharafini, izivivinyo ze-physiotherapy, ukubhucungwa.
Ezimweni eziphambili, kusetshenziswa ukungenelela kokuhlinzwa - uketshezi oluningi ludonswa ngaphansi kwe-anesthesia yendawo ngesirinji.
I-bursa ethintekile iyasuswa (i-bursectomy) ezimweni ezingavamile, lapho ukubalwa kwenzeka.
Imithi yendabuko isebenzisa ukucindezela kwamakhambi - i-burdock, i-chamomile, i-yarrow, iqabunga leklabishi noju. Phuza isiphuzo esenziwe ngoju no-apple cider uviniga.
Imiphumela kanye nesibikezelo
Ezimweni eziningi, lesi sifo siyelapheka ngokudlulisela ngesikhathi esifanele kochwepheshe nokutholwa kusenesikhathi. Kukhona wonke amathuba okululama, ukunyakaza kuyabuyiselwa futhi ubuhlungu buyanyamalala. Kepha uma i-bursitis iphenduka i-purulent, umuntu angakhubazeka ngenxa yokubhujiswa kwezicubu ze-cartilage.
Izinkinga ezimweni ezithuthukile zingaba - ukukhubazeka kwethanga, ukuhamba okulinganiselwe kokunyakaza, ukungasebenzi kahle kwemithambo yegazi.
Ukuvimbela
Ukuvimbela ukugula, akudingeki ukuthi ulayishe ngokweqile amalunga, ungaphathi izinto ezisindayo, usebenzise izicathulo zamathambo, lawula isisindo, futhi ugweme ukulimala. Ukuzivocavoca umzimba ngokulinganisela, vivinya umzimba futhi uqinise imisipha yethanga lakho. Ungakhohlwa ngokuphumula nokulala kahle, udle kahle, ngaphandle kwemikhiqizo eyingozi, uyeke ukubhema notshwala.
