I-Periarthritis ukuvuvukala kwezicubu ezihlangene. I-Periarthritis yehlombe, noma i-periarthritis scapulohumeral, ingenye evame kakhulu. Ziningi izimbangela ezingaba khona. Sikhuluma ngokubala i-periarthritis lapho ukuvuvukala kungenxa yokuba khona kwamakristalu ejoyintini. Ukuphatha ngokuvamile kusekelwe ku-physiotherapy kanye nokunikezwa kwemithi elwa nokuvuvukala.

Incazelo ye-periarthritis

I-Periarthritis yigama lezokwelapha elisetshenziselwa ukuvuvukala okuhlukahlukene okwenzeka emalungeni. Kuthiwa igama elingacacile ngoba ukuvuvukala kungathinta amalunga ahlukene, kube nezimbangela eziningi, futhi kuthinte izakhiwo eziningi endaweni ehlangene.

Ukuvuvukala kungenzeka emalungeni amaningi anyakazayo. Sihlukanisa ikakhulukazi:

• i-periarthritis yehlombe, noma i-scapulohumeral periarthritis;
• i-periarthritis ye-hip, okuvame ukubizwa ngokuthi i-syndrome ebuhlungu ye-trochanter enkulu;
• i-periarthritis yamadolo;
• i-periarthritis ye-elbow;
• i-periarthritis yesandla.

I-periarthritis evame kakhulu yileyo yehlombe ne-hip.

Izinkinga ze-periarthritis

Umsuka we-periarthritis ungahluka kakhulu kuye ngecala. Izimbangela ziningi kakhulu njengoba ukuvuvukala kungathinta izakhiwo ezihlukene zelunga. Singakhuluma nge-periarthritis uma kwenzeka:

• i-bursitis, okuwukuvuvukala kwe-bursae (amaphakethe agcwele uketshezi azungeze amalunga) abandakanyeka ekugcobiseni nasekushibilikeni kwezakhiwo ezihlangene.
• i-tendonitis, noma i-tendinopathy, okuwukuvuvukala okwenzeka emathanjeni (izicubu ezine-fibrous ezihlanganisa imisipha namathambo);
• ukuphuka kwe-tendon, okungenzeka kube ingxenye noma okuphelele;
• i-adhesive capsulitis ewukuvuvukala kwe-capsule ehlangene (imvilophu ene-fibrous ne-elastic ezungeze amalunga);
• ukuvuvukala kwe-ligament, okungukuthi, ukuvuvukala kwemigqa (fibrous, elastic, resistant tissues ezihlanganisa amathambo komunye nomunye);
• Ukubala i-periarthritis okuwukuvuvukala okubangelwa ukuba khona kwamakristalu ehlangene.

Ukuxilongwa kwe-periarthritis

I-Periarthritis ivame ukutholakala ngokuhlolwa ngokomzimba. Uchwepheshe wezokunakekelwa kwempilo uhlola izimpawu ezibonwayo futhi ahlole izimbangela ezingase zibe khona. Ikakhulukazi, uzofunda umlando wezokwelapha futhi athole ukuthi ilunga lingase lihlangabezane nokuhlukunyezwa okuthile.

Ukuze uqinisekise futhi ujulise ukutholakala kwe-periarthritis, ukuhlolwa ngokomzimba kuvame ukuhambisana nokuhlolwa kwe-imaging yezokwelapha. I-x-ray, i-ultrasound, noma i-MRI (i-magnetic resonance imaging) ingenziwa. 

Abantu abathintekayo yi-periarthritis

I-Periarthritis ingenzeka kubantu abaningi. Kodwa-ke, izigameko zalokhu kuvuvukala zikhula ngokuya ngeminyaka.

Isibonelo, ukusabalala kwe-periarthritis ye-hip kulinganiselwa ukuthi phakathi kuka-10% no-25% kubantu abaningi. Isigameko sikhuphuka phakathi kweminyaka engama-40 nengama-60 futhi siphezulu kwabesifazane (isilinganiso sabesifazane abangu-4 abathintekayo kowesilisa oyedwa).

Ubuhlungu bokuvuvukala

I-Periarthritis ibonakala ngokuvela kobuhlungu obuvuthayo obungase bubekwe endaweni noma bukhiphe. Lezi zinzwa ezibuhlungu zingavela phakathi nokunyakaza okuthile.

Ezinye izimpawu

Kuye ngecala, ezinye izimpawu zingase zihambisane nobuhlungu. Izinkinga ekwenzeni ukunyakaza okuthile kungenzeka. Isibonelo, kungenzeka ukuthi uqaphele ukuqina kwehlombe (noma "ihlombe elifriziwe") ngesikhathi se-scapulohumeral periarthritis (i-periarthritis yehlombe).

Ukunganyakazi nokuphumula

Isinyathelo sokuqala ekwelapheni i-periarthritis ngokuvamile ukungasebenzi kahle kwelunga.

Ukwelashwa okulwa nokuvuvukala

Izidakamizwa ezilwa nokuvuvukala zivame ukunqunywa ukukhulula ubuhlungu be-periarthritis. Kuye ngecala, ukwelashwa kungase kusekelwe emithini ye-steroidal eqeda ukuvuvukala (i-corticosteroids) noma izidakamizwa ezingezona ukuvuvukala.

I-Physiotherapy

Izikhathi ze-Physiotherapy zinganikezwa ukuze kubuyiselwe ukuhamba kwamalunga. Zingasekelwe ezinhlelweni zokuzivocavoca eziguquliwe, kanye namanye amasu afana ne-cryotherapy, i-hydrotherapy kanye ne-electrotherapy.

Ukwelapha okuhlinzwa

Ezinhlotsheni ezinzima kakhulu ze-periarthritis futhi lapho ukwelashwa kwangaphambilini kungasebenzi, ukuhlinzwa kungase kucatshangelwe ekuhlanganyeleni okuthintekile.

Ukuvimbela i-periarthritis ngokuyinhloko kusekelwe ekugcineni impilo enempilo nemikhuba emihle yokudla kanye nokuvivinya umzimba njalo.