Periarthritis ndi kutupa kwa minofu yolumikizana. Periarthritis pamapewa, kapena periarthritis scapulohumeral, ndi imodzi mwazofala kwambiri. Pali zifukwa zambiri zomwe zingatheke. Timalankhula za calcifying periarthritis pamene kutupa kumachitika chifukwa cha kukhalapo kwa makhiristo mu mgwirizano. Kasamalidwe kaŵirikaŵiri amatengera physiotherapy ndi mankhwala oletsa kutupa.

Tanthauzo la periarthritis

Periarthritis ndi mawu azachipatala omwe amagwiritsidwa ntchito kutanthauza kutupa kosiyanasiyana komwe kumachitika m'malo olumikizirana mafupa. Amanenedwa kuti ndi mawu osatchulika chifukwa kutupa kumatha kukhudza ziwalo zosiyanasiyana, kukhala ndi zifukwa zingapo, komanso kukhudza magawo angapo olumikizana.

Kutupa kumatha kuchitika m'magulu ambiri osunthika. Timasiyanitsa makamaka:

• nyamakazi ya paphewa, kapena scapulohumeral periarthritis;
• periarthritis ya m'chiuno, yomwe nthawi zambiri imatchedwa ululu waukulu wa trochanter;
• periarthritis ya bondo;
• periarthritis ya chigongono;
• periarthritis ya dzanja.

Matenda a nyamakazi omwe amapezeka kwambiri ndi mapewa ndi m'chiuno.

Zifukwa za periarthritis

Chiyambi cha periarthritis chikhoza kukhala chosiyana kwambiri malinga ndi vuto. Zomwe zimayambitsa zimachulukirachulukira chifukwa kutupa kumatha kukhudza magawo osiyanasiyana a olowa. Titha kulankhula za periarthritis ngati:

• bursitis, komwe ndi kutupa kwa bursae (matumba odzaza madzi ozungulira mafupa) omwe amaphatikizidwa ndi mafuta ndi kutsetsereka kwa ziwalo.
• tendonitis, kapena tendinopathy, ndiko kutupa komwe kumachitika mu tendon (minofu ya fibrous yomwe imagwirizanitsa minofu ndi mafupa);
• kuphulika kwa tendon, komwe kungakhale pang'ono kapena kwathunthu;
• zomatira capsulitis ndi kutupa kwa kapisozi olowa (fibrous ndi zotanuka envelopu kuzungulira mfundo);
• kutupa kwa ligament, ndiko kuti, kutupa kwa mitsempha (fibrous, zotanuka, minofu yosagwirizana yomwe imagwirizanitsa mafupa wina ndi mzake);
• Kuwerengetsa periarthritis komwe ndi kutupa komwe kumachitika chifukwa cha kukhalapo kwa makhiristo mu mgwirizano.

Kuzindikira kwa periarthritis

Periarthritis nthawi zambiri imapezeka poyang'ana thupi. Katswiri wazachipatala amawunika zomwe zazindikirika ndikuwunika zomwe zingayambitse. Makamaka, adzaphunzira mbiri yachipatala ndikuwona ngati olowawo angakhale atakumana ndi zoopsa zinazake.

Kuti atsimikizire ndi kuzama matenda a periarthritis, kuyezetsa thupi nthawi zambiri kumawonjezeredwa ndi kuyezetsa kujambula kwachipatala. X-ray, ultrasound, kapena MRI (magnetic resonance imaging) ikhoza kuchitidwa. 

Anthu omwe amakhudzidwa ndi periarthritis

Periarthritis imatha kuchitika mwa anthu ambiri. Komabe, kuchuluka kwa kutupa uku kumawonjezeka ndi zaka.

Mwachitsanzo, kufalikira kwa periarthritis m'chiuno kukuyembekezeka kukhala pakati pa 10% ndi 25% mwa anthu ambiri. Zomwe zimachitika zimawonjezeka pakati pa zaka 40 ndi 60 ndipo zimakhala zazikulu mwa amayi (chiwerengero cha amayi a 4 omwe amakhudzidwa ndi mwamuna mmodzi).

Kupweteka kotupa

Periarthritis imadziwika ndi kupezeka kwa ululu wotupa womwe ukhoza kukhala wokhazikika kapena wotulutsa. Zowawa zowawazi zimatha kuwoneka pamayendedwe ena.

Zizindikiro zina

Malingana ndi momwe zimakhalira, zizindikiro zina zikhoza kutsagana ndi ululu. Mavuto pochita mayendedwe ena amatha kuchitika. Mwachitsanzo, ndizotheka kuzindikira kuuma kwa phewa (kapena "mapewa oundana") panthawi ya scapulohumeral periarthritis (periarthritis ya phewa).

Kusasunthika ndi kupuma

Gawo loyamba pochiza matenda a nyamakazi nthawi zambiri ndi kusasunthika kwa olowa.

Chithandizo choletsa kutupa

Mankhwala oletsa kutupa nthawi zambiri amaperekedwa kuti athetse ululu wa periarthritis. Kutengera ndi vutolo, chithandizo chikhoza kukhala chochokera ku steroidal anti-inflammatory drugs (corticosteroids) kapena non-steroidal anti-inflammatory drugs.

Physiotherapy

Magawo a physiotherapy atha kuperekedwa kuti ayambitsenso kuyenda kwa olowa. Zitha kukhazikitsidwa pamapulogalamu ochita masewera olimbitsa thupi, komanso njira zina monga cryotherapy, hydrotherapy ndi electrotherapy.

Chithandizo cha opaleshoni

Mu mitundu yoopsa kwambiri ya periarthritis komanso pamene chithandizo cham'mbuyomu sichinagwire ntchito, opaleshoni ikhoza kuganiziridwa pamagulu okhudzidwa.

Kupewa matenda a periarthritis kumadalira makamaka kukhala ndi moyo wathanzi ndi kudya bwino komanso kuchita masewera olimbitsa thupi nthawi zonse.