Ziziphi ii-injection eziphumelelayo kwi-Tennis Elbow?
Kukho iindlela ezininzi zokunyanga i-tennis elbow . Oogqirha abahlukeneyo kunye nezigulane ezahlukahlukeneyo banokuncoma unyango oluhlukene Isizathu sokuba unokuva iingcebiso ezihlukeneyo kukuba akukho nto imvumelwano malunga nonyango oluphilileyo, kwaye uphando lwezenzululwazi luphikisana. Oko sikuyazi kukuba abantu abaninzi baya kuphucula ngexesha, kungakhathaliseki ukuba yintoni unyango olusetyenziswa ukulawula iimpawu.
Kukho iindidi ezimbalwa ezahlukeneyo zeenjini eziye zasetyenziselwa unyango lwe-tennis elbow, kodwa kuncinci ukubonisa ukuba uhlobo olulodwa lomjovo lungcono kunanoma yiyiphi enye. Enyanisweni, kukho mhlawumbi idatha ebonisa ukuba kwixesha elide, akukho njoyiyo ingaba yonyango olungcono. Nangona kunjalo, izigulane ezininzi zifuna ukuphulukana ngokukhawuleza kwentlungu kwaye ke ziphendulele kwiisenjini ukubonelela ngemfundo yentlungu kwaye uvumele abantu baqhube phambili imisebenzi yabo.
I-elbow ye-Tennis iyimeko ebangela ukuba umonakalo ongapheliyo wethenda kwi-tendon ngaphandle kwe-jointbow. I-tendon ivame ukuba yonakaliswe ngenxa yesimo esingasetyenziswayo , njengemidlalo okanye imisebenzi yomsebenzi. Uhlobo lomonakalo wetonon lubizwa ngokuba yi- tendinosis , okubangela ukucaphuka komthamo ongapheliyo kunye neinyembezi ezincinci. Xa ithenda yonakalisiweyo ihlolwe phantsi kwe-microscope, i-tendon ibonakala ibinomzimba obomvu kunye nokwakheka kwemithambo yegazi-ubungqina benkqubo yokuphilisa engapheliyo.
Izinto ezingabonakali phantsi kwe-microscope bubungqina bokuvuvukala, njengokuba kunjalo ne- tendonitis .
I-Cortisone Injections
Izilwanyana ze-Cortisone zisetyenziselwa iintlobo ezahlukeneyo zeemathambo, kuquka ne-tennis elbow. I-Cortisone yindlela enamandla yokulwa nokuvuvukala, oku kuthetha ukuba kunceda ukulawula ukuvutha.
Ukusetyenziswa kwe-cortisone ekwenzeni i-tennis elbow kuxoxwe ngabanye ngenxa yokuba i-tennis elbow ayibangeli ukuvuvukala kwethenda. Ngoko ke, unyango lwe-tennis elinde ngamachiza elinciphisa ukuvuvukala lixutyushwa.
Iiprojekiti ze-PRP
Iijoyi ze-PRP ziye zaziwa ngokutsha. I-PRP ifutshane "iplasma ecebileyo eplatelet." I-PRP idalwa ngokuhlukanisa igazi lakho kwiindawo ezihlukeneyo. I-PRP iqulethe i-platelet ephezulu, inxalenye yegazi ngokuqhelekileyo iqulethe izinto zokukhula. Ezi zinto zikhula zicingelwa ukuba zivuselele inkqubo yokuphilisa.
Igazi leMigodi yegazi
Iinjongo zegazi ze-Autologous zijonge nje ngegazi lakho. Efana ne-PRP, inkolelo emva kokusetyenziswa kwegazi elizenzekelayo kukuba iilenki zegazi lakho ziza kuvuselela impendulo yokuphilisa kwi-tendon ethintekileyo. Umehluko kuphela phakathi kwegazi le-autologous kunye ne-PRP kukuba iinjenge ezigulisekileyo aziyiyo icandelo elijoliswe kwigazi.
Yiyiphi Injection?
Kukho ubungqina obuhle bokuthi nayiphi na enye yale injection ibhetele kunomnye. Enyanisweni, kwiphando lwakutshanje kwi- Journal of Hand Surgery , ii-injection ezahlukileyo zafaniswa nama-injection ye-saline ( injection ye-placebo ).
Iilenjini ezahlukeneyo zambalwa ukuze izigulana zingakwazi ukuba isisombululo esifumanayo, kwaye zonke izigulana zinegazi elizitshiweyo ukuze bangazi ukuba bafumana i-injection yegazi. Ekugqibeleni, onke amaqela ezigulane abonisa ukuphuculwa (kubandakanywa neqela le-placebo), kwaye akukho namnye wenza ngcono kakhulu kunanoma yiphi enye iqela.
Olu pho nonongo lubonisa ukuba mhlawumbi enye yezona zibalulekileyo iimfuno zokuphulukiswa kwe-tennis elbow ngexesha. Ukuvumela ixesha elithile ukuphilisa linye lonyango oluchanekileyo kwiimeko ezininzi zonyango. Ukuba ijoyiki inokukunceda ukulawula iimpawu zentlungu ye-tennis xa umzimba wakho uphilisa, ndicinga ukuba kunengqiqo.
Ukuphela kwonyango endingayisebenzisiyo yi-PRP. Isizathu kukuba ezi injection zibiza kakhulu kwaye azikabonakali nayiphi na inzuzo phezu kweenjini ezibiza iincinci ezincinci zeendleko. Oko kwathiwa, i-PRP, kunye nazo zonke ezi injections, ngokubanzi zikhuselekile kwaye zifanelekile ukuxoxa nodokotela wakho.
Imithombo:
Wolf JM, et al. "Ukuqhathaniswa kwe-Autologous Blood, Corticosteroid, ne-Saline Injection kwi-Treatment of Lateral Epicondylitis: I-Outlook, i-Randomized, i-Controlled Multicenter Study" J yokuPhupha kwesandla: I-Vol 36, i-8, i-Pg 1269-72, ngo-Agasti 2011.
Drake ML, Ring DC. "Intsopathy ye-Extensor Carpi Radialis Brevis Umthombo: Amaqhinga oNxibelelwano oPhuhliso" J Am Acad Orthop Surg. 2016 Juni; 24 (6): 365-9.