Periarthritis kuzvimba kwematishu ari mujoini. Periarthritis yepfudzi, kana periarthritis scapulohumeral, ndeimwe yeakanyanya kuwanda. Pane zvakawanda zvinogona kukonzera. Isu tinotaura nezve calcifying periarthritis kana kuzvimba kuri nekuda kwekuvapo kwemakristasi mumubatanidzwa. Kutarisira kunowanzoenderana ne physiotherapy uye kunyorerwa kwemishonga inorwisa-kuzvimba.

Tsanangudzo yeperiarthritis

Periarthritis ishoko rekurapa rinoshandiswa kune zvakasiyana kuzvimba kunoitika mumajoini. Zvinonzi ishoko risiri chairo nekuti kuzvimba kunogona kukanganisa majoini akasiyana, kuve nezvikonzero zvakawanda, uye kukanganisa akawanda majoini mujoini.

Kuzvimba kunogona kuitika mumajoini akawanda anofambiswa. Isu tinosiyanisa kunyanya:

• periarthritis yepfudzi, kana scapulohumeral periarthritis;
• periarthritis yehudyu, iyo inowanzonzi inorwadza chirwere chetrochanter yakakura;
• periarthritis yemabvi;
• periarthritis yegokora;
• periarthritis yeruoko.

Iyo inonyanya kuzivikanwa periarthritis ndiyo yefudzi uye hudyu.

Zvikonzero zve periarthritis

Mabviro eperiarthritis anogona kunge akasiyana zvakanyanya zvichienderana nenyaya. Izvo zvinokonzeresa zvakanyanya kuwanda sezvo kuzvimba kunogona kukanganisa akasiyana majoini. Tinogona kutaura nezve periarthritis kana:

• bursitis, iko kuzvimba kwebursae (homwe dzakazadzwa nemvura dzakatenderedza majoini) inobatanidzwa mukuzora uye kutsvedza kwezvimiro zvejoini.
• tendonitis, kana tendinopathy, iko kuzvimba kunoitika mumatendon (fibrous tissue inobatanidza tsandanyama nemapfupa);
• kuputika kwetendon, iyo inogona kunge isina chikamu kana yakazara;
• adhesive capsulitis inova kuzvimba kwejoint capsule (fibrous and elastic envelope yakatenderedza majoini);
• ligament kuzvimba, kureva, kuzvimba kwemarunda (fibrous, elastic, resistant tissues inobatanidza mapfupa kune mumwe nemumwe);
• Calcifying periarthritis iko kuzvimba kunokonzerwa nekuvapo kwemakristasi mumubatanidzwa.

Kuongororwa kweperiarthritis

Periarthritis inowanzoonekwa nekuongororwa kwepanyama. Nyanzvi yehutano inoongorora zviratidzo zvinoonekwa uye inoongorora zvinogona kukonzera. Kunyanya, achadzidza nhoroondo yezvokurapa uye kuona kana mubatanidzwa wacho ungave wakasangana nekushungurudzika kwakati.

Kuti usimbise uye uwedzere kuongororwa kweperiarthritis, kuongororwa kwepanyama kunowanzowedzerwa nekuongorora kwechiremba imaging. X-ray, ultrasound, kana MRI (magnetic resonance imaging) inogona kuitwa. 

Vanhu vanobatwa ne periarthritis

Periarthritis inogona kuitika muvanhu vakawanda. Nekudaro, kuwanda kwekuzvimba uku kunowedzera nezera.

Semuenzaniso, kupararira kweperiarthritis yehudyu kunofungidzirwa kuva pakati pe10% ne25% muhuwandu hwevanhu. Chiitiko chacho chinowedzera pakati pemakore makumi mana nemakumi matanhatu uye chakakwirira muvakadzi (chiyero chevakadzi 40 vanobatwa kusvika kumurume 60).

Kuzvimba kurwadziwa

Periarthritis inoratidzwa nekuitika kwemarwadzo ekuputika angave ari munharaunda kana kupenya. Izvi zvinorwadza zvinonzwa zvinogona kuoneka pane mamwe mafambiro.

Zvimwe zviratidzo

Zvichienderana nenyaya, zvimwe zviratidzo zvinogona kuperekedza kurwadziwa. Matambudziko pakuita mamwe mafambiro anogona kuitika. Semuenzaniso, zvinokwanisika kuona kuoma kwepfudzi (kana kuti "bendekete rechando") panguva ye scapulohumeral periarthritis (periarthritis yefudzi).

Immobilization uye kuzorora

Danho rekutanga pakurapa periarthritis rinowanzoita immobilization yejoinhi.

Anti-inflammatory treatment

Mishonga inorwisa-kuzvimba inowanzonyorerwa kuti ibvise marwadzo mu periarthritis. Zvichienderana nenyaya yacho, kurapwa kunogona kunge kwakavakirwa pane steroidal anti-inflammatory drugs (corticosteroids) kana isiri-steroidal anti-inflammatory drugs.

Physiotherapy

Physiotherapy zvikamu zvinogona kupiwa kuti uwanezve kufamba kwejoini. Dzinogona kuve dzakavakirwa payakagadziridzwa zvirongwa zvekurovedza muviri, pamwe nemamwe matekiniki akadai se cryotherapy, hydrotherapy uye electrotherapy.

Kuvhiya kurapa

Mumhando dzakanyanya kuoma dzeperiarthritis uye apo kurapwa kwekare kwave kusingashande, kuvhiyiwa kunogona kutariswa mumubatanidzwa wakakanganiswa.

Kudzivirirwa kweperiarthritis kunonyanya kubva pakuchengetedza mararamiro ane hutano ane tsika dzakanaka dzekudya uye kugara uchisimbisa muviri.