I-tendonitis yesandla, ebizwa nangokuthi i-tenosynovitis, yinto eqhelekileyo ebonakalisa ukucaphuka kunye nokuvuvukala kweetoni ezijikelezayo. Iintlobo ezininzi zijikeleza isalathisi sesandla. I-tendonitis yesandla ihlala ichaphazela enye yeetoni, kodwa ingaquka ezimbini okanye ngaphezulu.
Ngokuqhelekileyo, i-tendonitis yesandla ivela kwiindawo apho iintambo zihamba ngapha nangapha okanye zidlule kwi-bony evelele.
Ezi ziza kwenzeka ezinokukrakra kwaye zingakhokelela ekuhambeni xa uhambisa isalathisi sesandla.
Isingeniso kwi-Wrist Tendons
Iitendons zizakhiwo ezidibanisa i-muscle kunye ne-bone, kwaye i-tendon zesikhonkwane zidibanisa izihlunu ze-forearm kumathambo esandla kunye neminwe. Ithenda yamanqwanqwa idididiza emathanjeni ahlambulukileyo njengoko idlula nge-joint wrist. Ezi zithenda zeetony zivumela i-tendon ukuba ihambe ngokukhawuleza njengoko isalathisi siqhubela phambili nangaphandle ngendlela ephantsi. I-tendon sheaths ine-fluid ngaphakathi kwesihlamba esibizwa ngokuba yi-synovial fluid, kwaye xa lo mhlaba uphela, le meko ibizwa ngokuthi i-tenosynovitis.
Iitonti ezijikelezayo isihlunu ziyahlula zibe ngamaqela amabini: ezo zangemva kwesikhonkwane (i-extensors) kunye nalabo abaphambili kwiseli (i-flexors). Nayiphi na i-tendon inokucaphuka kwaye ibangele iimpawu zentlungu, kodwa i-tendonitis ivela ngokuqhelekileyo kwiintlobo ezimbalwa eziphathekayo ngenxa ye-anatomy, kunye nemisebenzi ethile eyenziwa ngabantu.
Imiqondiso yeTristonitis yesandla
Isibheno esiqhelekileyo nesigqibeleleyo sezigulane esifumene ne-tendonitis yesandla siyintlungu ekhanda. Ezinye iimpawu zetononitis yesandla ziquka:
- Ukuvuvukala ngeenxa zonke
- Ukufudumala nokubomvu kweetoni
- Ukuvala (i-crepitus) ngokuhamba kweetoni
Ukuxilongwa kwetononitis yesandla kwenziwa ngokukhangela izibonakaliso zeziganeko zalo mqathango. Ukongezelela, kuxhomekeke kwithenda ekhanyekayo, ugqirha unokwenza iimvavanyo ezolula iintlobo ezithile zenkxalabo yokufumana umthombo ochanekileyo wokuvuvukala.
Ngokomzekelo, uhlobo oluthile lwetononitis yesandla lubizwa ngokuba nguDeQuervain's tenosynovitis . Oku ukuvuvukala kwetendon kwisiseko sesithupha. Ngokuqhelekileyo kubonwa koomama abatsha, u-DeQuervain's tenosynovitis ufumanisa uvavanyo oluthile oluthiwa " uvavanyo lukaFinkelstein ," apho isigulane senza intonga kwaye isalathisi sisuswe kwisithupha. Ubuhlungu obuvela kulo mkhwa luxilongo lwolu hlobo lwetononitis yesandla.
Izifundo ezizodwa azikho imfuneko, kodwa i-x-ray inokukunceda ukuvavanya ezinye iimeko ezibangelwa intlungu yesandla. I-ray-ray ingaba luncedo ngokukhethekileyo ekuhloleni i-arthritis okanye i-fractures. Uninzi lwabantu abane-tendonitis yesandla luya kubonakala luqhelekileyo x-ray. Ezinye iimvavanyo ezinjenge-ultrasound kunye ne-MRI zingabonisa i-tendonitis ngokuthe ngqo, njengoko olu vavanyo luza kubonisa ukuqokelela kwamanzi kwi-tendon ehlaziyiweyo. Nangona le mvavanyo ayimfuneko ngokuqhelekileyo, ukuba kukho ukudideka malunga nokuba kunokubangela intlungu, kunokuba luncedo ukuqhubela phambili ukuvavanya ingxaki.
Emva kokuxilongwa kwe-tendonitis, kwenziwe isicwangciso sonyango. Akunjalo wonke umntu onothambo lwe-tendonitis uya kuphathwa ngokufanayo, kwaye ezinye iindlela zonyango zinganceda ngakumbi uhlobo oluthile lwe-tendonitis kunezinye. Oko kwathiwa, uninzi lwezokwelapha luqala ngamanyathelo ambalwa okulula ukulawula ukuvuvukala nokuvumela ukuphulukiswa kwethambo, kwaye kuphela ukuqhubela phambili kumanyathelo angenayo xa ezi zonyango zihluleka ukunciphisa iimpawu zalo mqathango.
Ukuphathwa kweTristonitis
- Ukuchithwa kwempahla: Ukubeka isalathisi kwindawo eqaqambileyo okanye ukuphosa ngokuqhelekileyo kuyinkqubo yokuqala yonyango. I-tendonitis yesibindi yenziwa ngenxa yokucaphukisa ngokuphindaphindiweyo kwetoni kunye nomgudu wayo. Ngokuphumla i-tendon, ukuvuvukala kufuneka kuhla.
- I-Ice Injury : Ukusebenzisa ipakethe ye-ice ngokukhawuleza kwindawo yokuvuvukala kunokuba luncedo. I-tendonitis yesihenqo yesigxina inokunceda ukupholisa ukuvuvukala nokukhuthaza ukuhamba kwegazi kwindawo ye-tendonitis.
- Amachiza okuchasayo : Amachiza angaphiliyo amachiza aya kunceda ukulawula iimpawu zentlungu, kodwa ngokubalulekayo banceda ukuphatha i- tendonitis yesandla ukunciphisa ukuvutha nokuvuvukala kwezicubu ezithambileyo. La mayeza enonyango aya kunciphisa impendulo yokuvuvukala, yinto ebangela intlungu.
- Unyango Lonyango: Unika unyango luhlobo oluthile lonyango olujoliswe kumsebenzi onzima wezandla kunye nesandla, kunye neetoni ezininzi kunye nemigqa ejikeleze kunye nokuxhasa idibeneyo. Nika iingcali zisebenzisa amanqanaba amaninzi ukususela kunye nokuqinisa ukuvuselela ugesi kunye ne-ultrasound. Ukongezelela, isandla somathambo siza kufakela amaqhosha kunye nezixhasi zenkcubeko zokunceda ukulawula ukuhamba kwesandla somnxeba.
- I-Cortisone Injection : I- Cortisone yinkqubo enonyango yokunyuselwa kwintsholongwane ephikisanayo ngokunikezelwa ngesohlwayo ngqo kwisiza sokuvuvukala. Iiliti ze-Cortisone zikhuselekile kodwa zingenza buthathaka emva kwexeshana xa kuninzi ijojo.
Ugqirha: Ukuhlinzwa kwenzeka kuphela xa ezinye iindlela zonyango ziye zahluleka ukusombulula ingxaki. Ukuba kunjalo, indawo yesikhonkwane esixinyiweyo esenza ukuba ukunyakaza kweetononi ezibuhlungu kunye nobunzima zikhutshwe. Izicubu ezivuthayo zingasuswa kunye nomzamo wokwenza indawo engakumbi yethenda ukuhamba ngokukhululekile.
Ukukhusela iingxaki zexesha elizayo
Kukho amanyathelo amanyathelo ongayithatha ukukhusela i-tendonitis yekhanda. Isinyathelo esibaluleke kakhulu ongayithatha kukuba uguqule nayiphi na into ethile ebonakala ibangela ukuba imeko yakho ibe nzima. Oku kunokuthetha ukulungisa indlela ophakamisa ngayo okanye ulungelelanise ukuphatha kwakho. Ukutshintsha isikhundla sezandla zakho xa wenza imisebenzi unokuqinisekisa ukuba akukho toni enye ithatha umthwalo omkhulu.
- Ukugqoka ubuqaqawuli ngexesha lezinto ezicaphukisa i-tendonitis yakho kunokunceda, kodwa oku kunokuba kunzima. Ngokuqinisekileyo, ukuxhaswa okulula okanye ukukhangela kunokuba yindlela elula yokuphepha iimpawu.
- Yilumkele ukuthabatha imithi phambi kwemisebenzi, njengamanye amaxesha oku kunokufihla iimpawu, xa kungcono ukuba ukwazi ukuvavanya xa uqhuba umsebenzi.
- Ukwelula ngobumnene nobushushu phambi komsebenzi unokuqinisekisa ukuba i-tendon ikulungele, kwaye ipakethe yeqho emva koko ingathula naluphi ukuvutha.
Ukuba awukwazi ukugcina ulawulo lweempawu, kusenokuba ixesha lokubona ugqirha wakho.
ILizwi
I-tendonitis yesiqhelo yinto eqhelekileyo eya kuba nakho wonke umntu kwixesha elithile ebomini bakho. Ukuthatha amanyathelo ambalwa ngokukhawuleza kwangaphambili kwimeko kunokunceda ukukhusela iimpawu zibe nzima kwaye zikhubaza.
Ukuba unengxaki ye-tendonitis yesandla, ukusebenza ngonyango lwezonyango zonyango ukuphuhlisa inkqubo yokukhusela iingxaki eziphindaphindiweyo kunokukunceda ukuba wenze imisebenzi omele uyenze ukuze usebenze okanye uzonwabele ukwenza ukuzizonwabisa!
Umthombo:
> I-Adams JE, uHabbu R. "I-Tendinopathies yeSandla neNkhono." Umbhalo we-American Academy of Orthopedic Surgeons. 2015; 12: 741-750.