I-Tendonitis (kunye ne-tendinitis ene-spell) yimeko enzima apho iintambo ezidibanisa i-muscle kunye ne-bone zitshisa.
Iitendon ziyizintambo ze-collagen ezisebenza njenge-anchors eziguquguqukayo kunye kunye neenxa zonke zamalungu omzimba. Ziza ngeendlela ezininzi kunye nobukhulu, ukusuka kwiintwana ezincinci ezivumela ukunyakaza kweminwe, ukuya kwezona zikhulu, njenge-tendon ye-Achilles, esinceda ukuma okanye ukuhamba.
Kukho izizathu ezininzi zokuba kutheni i-tendon isenokutshabalala kwaye, xa iyenzayo, iyakuthi ibuhlungu. Intlungu ibonakala ivakalelwa kakhulu kwiziko lokufaka indawo apho ithenda ithambile kwisithambo. Iyakwazi ukuvakalelwa kakhulu apho i-muscle ne-tendon zidibanisa khona.
Iingxaki zeetonon ezingapheli zibizwa ngokuba yi- tendinosis okanye i-tendonopathy. Oku kubhekisela kwimeko ethile ye-patholog of the tendon. Le meko ingabangela intlungu, ukuvuvukala kunye nokuhamba okukhawulezileyo.
Izizathu
Nangona kukho ikhulu lamathambo kuwo wonke umzimba, iincinci kuphela ezincinci zichaphazeleka yi-tendonitis. Ezi tendon ziba neemitha ezincinci zegazi, kwaye ukungabikho kwegazi kuphazamisa ukukwazi ukuphilisa emva kokulimala. Iindawo zeeton kakhulu ezichaphazelekayo ngolu hlobo zibizwa ngokuba yiindawo eziphantsi kwamanzi apho ukunikezelwa kwegazi kubuthathaka.
I-Tendonitis ibangelwa kukusetyenziswa ngokugqithiseleyo kwethenda kwindlela yokusebenza, i-athletics, okanye imisebenzi yansuku zonke. Ngokuqhelekileyo kuhlobana nokunyuka okuphindaphindiweyo okubangelwa ngumsebenzi womgca wecala okanye imidlalo efana negalufu okanye i-tennis apho isenzo siphindaphinda ngokuphindaphindiweyo
Ukulimala ngokukodwa-njengentlungu kwi-tendon-kunokudala i-tendonitis. Izifo ezivuthayo, ezinjenge- rheumatoid arthritis kunye ne-osteoarthritis, zinokubangela ukuba zenzeke ngokukhawuleza (eziphambili) kunye nokuqhubekayo (ukugula).
I-Tendonitis ibonakala ngokuqhelekileyo kubantu abangaphezu kwama-40 nomngcipheko kwaye ubunzima beempawu zikhula ngokukhula.
Iindawo eziqhelekileyo zeTendonitis
I-Tendonitis inokuthi yenzeke phantse naphi na emzimbeni kwaye iyahlulwa ngokutsha kwayo. Ngenxa yokuba imeko ihambelana nokunyanzela ukunyakaza, sithanda ukuyijonga kubantu abenza imisebenzi ethile ngokuqhelekileyo okanye ababandakanyeka kwimisebenzi ethile yemidlalo. Ezinye zeentlobo eziqhelekileyo ziquka:
- I-tendonitis ye-Achilles, ebandakanya ithethoni phakathi kwe-calf muscle nesithende
- I-patellar tendonitis , ngamanye amaxesha ibizwa ngokuba ngamadolo e-jumper
- I-tendonitis ye-Elbow, eyaziwa ngokuba yi- tennis elbow okanye igolfer's elbow
- I-tendonitis ye-Biceps, ebandakanya ithenda phakathi kwe-bicep kunye nephepha
- I-rotator inkomo ye-tendonitis, eyaziwa njengegxeni le-pitcher okanye i-shoulder frame
- I-tendonitis yesandla, ngamanye amaxesha ibizwa ngokuba ngumkhonto we-Bowler
Iimpawu kunye nokuxilongwa
I-Tendonitis ibonakaliswe ngokubonakala ngokukhawuleza kwentlungu kunye nokuvuvukala kwaye akufanele idideke ne-tendinosis apho iimpawu zingapheli kwaye ziphikelela. Kwiimeko ezininzi, ukubonakala kweempawu kuya kuphazamiseka, ngokuqhelekileyo kudibaniswa nokulimala okanye ixesha lokusebenza ngokweqile. Ngamanye amaxesha, iimpawu ziya kubonakala ngokuthe ngcembe kwaye zibuhlungu ngaphezu kwexesha.
Iinkalo eziqhelekileyo zeetonitis ziquka:
- Ukuvuvuka kwetoni, ngokuqhelekileyo ngokubomvu nokufudumala
- Ukunyamezela ngokuthe ngqo kwi-tendon
- Ubuhlungu kunye nokuhamba kwendawo echaphazelekayo
- Ukuqhekeka okanye ukutsalwa kwegranti xa kuhlanganyelwene
- Ukubonakala kwento okanye umgqomo kwi-tendon ngokwayo
- Ubunzima ngenxa yokuvuvukala
Ukuxilongwa ngokuqhelekileyo kwenziwa ngokuhlolwa komzimba. Ukuba isizathu asicaci okanye kukho iziganeko ezibandakanyekayo, ugqirha unokuyalela iimvavanyo ezongezelelweyo. I-ray-ray kunye ne-imagery magnetic resonance (MRI) ngokubanzi kuncedo ekunokwenzeni ukuxilongwa kwaye kusetyenziswa kuphela ukuba kukho iingxaki malunga nokulimala okanye umonakalo odibeneyo.
Unyango
Unyango lwe-tendonitis luquka izinto ezintathu:
- Ukuthintela ukuhamba kwetoni ethintekileyo
- Ukunciphisa ukuvutha
- Ukubuyiselwa kwetoni elinzakelekileyo, kunye kunye kunye nesisu
Ukufezekisa oku, ukudibanisa okwenzakeleyo kufuneka kuqala ukuba kungenakunyulwa ukukhupha nasiphi na uxinzelelo kwi-tendon ehluphekileyo. Icebo ingasetyenziswa kwiintsuku zokuqala ukunciphisa ukuvuvukala nentlungu. Izidakamizwa ezingekho-steroidal ezichasayo, ezifana ne-ibuprofen, zinokubonelela ngoncedo.
Injongo ephambili yonyango kukuthintela nayiphi na intshukumo enokuthi iqhube phambili. Ngokuxhomekeka apho i-tendonitis ikhona khona, unokufuna ukukhusela imisebenzi elula, yemihla ngemihla efana nokushayela okanye ukuthayipha de iimpawu zizinzileyo.
Kubantu abane-tendinosis okanye i-tendonitis ephindaphindiweyo, ii- injection ze-corticosteroid zingasetyenziselwa ukubonelela ngoncedo olufutshane elifutshane. Ukusetyenziswa ngokugqithiseleyo kufuneka kugwenywe njengoko kunokuthi buthathaka i-tendon ngokuhamba kwesikhathi kwaye kwandisa ingozi yokuphuka.
Unyango lunokuxhaswa ngonyango olwenziweyo ukuze usebenze kwaye uhlaziye indawo echaphazelekayo. Ukubuyiselwa kuthatha ukukhawuleza, ngokuphindaphindiweyo kunye nokubuyiselwa kwethotho epheleleyo.
UkuQinisekisa ukuVimbela iTendonitis
Ukongeza kwonyango lomzimba, inkqubo yokuxhotyiswa kwempilo yendlu ingakunceda ekukhuseleni i-tendonitis. Inkqubo enye ebonakala ibalulekileyo yindlela yokuzivocavoca ebizwa ngokuba ngumsebenzi wokumelana nokukhanyela.
Kwixesha lemihla ngemihla, imisipha yethu isebenza ngokuthengisa kunye nokukhulula. Ukuqhekeka kuthiwa yi-actor action; ukukhululwa yintsebenzo engezantsi.
Ngokuqeqeshwa ngokungaxhasi komzimba, i-muscle inkontileka ukuphakamisa ubunzima kodwa ke ikhuphe ngokukhawuleza ukugcina uxinzelelo kuze kube yilapho imisipha ivuliwe ngokupheleleyo. Isenzo esicothayo, esinyanisiweyo senza ukuba uqinise amandla kunye kunye nokujikeleza udibaniselwano oluchaphazelekayo ngaphandle kokubeka uxinzelelo olungathandekanga kwi-tendon ngokwayo.
Yinkqubo eqhelekileyo isetyenziswe ngabadlali emva kokulimala kakhulu kwaye ifunyaniswe inenzuzo kubadala abadala abakwazi ukulimala.
ILizwi
I-Tendonitis ingaba yimeko ebuhlungu eyenza ukuba ukwazi ukubandakanya umsebenzi wakho wesiqhelo okanye imisebenzi yokuzonwabisa. Ukuba uyakrokrela ukuba une-tendonitis, qwa lasela umgulana wakho wenyama kwaye uqalise kunyango kwangoko.
> Imithombo:
> Murtagh, B. kunye no-Ihm, J. "Uqeqesho lweeNtshukumo zoLonyango lweTendinopathies." Ingxelo yeMithi yeMidlalo yangoku. 2013; 12 (3): 175-181.
> Scott, A .; Bachman, L .; kunye nokukhawuleza, C. "iTendinopathy: Update on Pathophysiology." Umbhalo we-Orthopedic & Sports wePhysical Therapy . 2015; 45 (11) : 833-841.