Izinto eziphambili ze-intrinsic kunye ne-extrinsic ezinxulumene ne-tendinopathy
Iitendon ziyizintambo zeetyhubhu ezinamathele emathanjeni. I-Tendons ukudlulisela amandla ukusuka kumisipha ukuya kwithambo ukwenzela ukuba amalunga ahambe. Ezinye iithengoni, kodwa kungekhona zonke, zigqutywe ngumtya. Iindonga zangaphakathi zesheath zivelisa inani elincinci lokucoca (i-synovial fluid), elinceda ithamoni ukuba ihambe ngokukhululekile.
Ngokuguga, iifoni ziya kuba ziguquguquke kwaye zixakeke, zibenza zibe nzima ukulimala.
Ngokuqhelekileyo, kukho iintlobo ezintathu zeengxaki zesithoni: i- tendinitis , i-tenosynovitis kunye ne-cyst ganglion. I-Tendinitis ukuvuvukala kwethenda. I-Tenosynovitis ivuvula i-tendon sheath. I-cyst ye-ganglion iqokelelwa ngumthamo ngaphakathi kwetendon sheath.
I-Tendinopathy, igama elithetha ukuphazamiseka kweetoni, ngokuqhelekileyo kubandakanya i-rotator cuff (ngokukodwa i-supraspinatus) kunye ne-biceps brachii tendons ehlombe, i-bundle-extensor kunye ne-flexor tendons kwi-forearm, ithenda ye patella emadolweni, i-tendon ye-Achilles umlenze ophantsi, kunye ne-tibialis post-tendon kwi-ankle kunye neenyawo.
Yintoni eyenza iTendinitis?
Ukuvuvukala kwetoni kungabangelwa ngumsebenzi wokuphindaphinda, umsebenzi odeleyo, ukunyanzeliswa, ukunyamezela, ukuhamba kwimizuzu emininzi (ukuhlala kwindawo enye ixesha elide), ukunyakaza, okanye nayiphi na ingcinezelo yendawo. Ngaphantsi kwezi meko, iifayili zesithoni ezichaphazelekayo zinokudiliza, zinjengeentambo ezitshatyalaliswayo okanye zichithwe.
Ngethuba lexesha, iintoni ezivuthayo ezinganikezwa ithuba lokuphilisa zibe ziqilima, zingenasiphelo kwaye mhlawumbi zibuthathaka.
Yintoni eyenza i-Tenosynovitis?
Ukuvuvukala kwe-tendon sheath kwenzeka xa i-lubrication iveliswa ayinelisekanga, nokuba yimalini okanye ubunjani. Umsebenzi ophindaphindiweyo okanye odeleyo, ukunyanzeliswa, ukungabonakali okanye ukugxininiswa kwesigxina, ukunyanzeliswa okanye uxinzelelo lwengingqi kunokubangela ukuba i-lubrification system ibe yinto engasebenzi, kudala ukungqubuzana phakathi kwetoni kunye ne-tendon sheath.
Ukuphinda okuphindaphindiweyo kwe-tenosynovitis kunokubangela ukubunjwa kweethambo, ukuxubha kwe-sheath, kunye nokungahambi kakuhle kwetoni ethintekayo.
Yintoni ebangela i-Ganglion Cyst ukuphuhlisa?
I-ganglion i-cysts ikhuphuka kwi-capsule yombutho okanye i-sheath ye-tendon. I-cyst ganglion iqukethe i-fluid-like-fluid-like fluid efana ne-fluid efumaneka kwi-joint (synovial fluid). Ngokuqhelekileyo, i-cysts i-ganglion ifunyenwe kwisandla okanye ngezandla kodwa inokuthi ivele ezinyaweni. I-ganglion cysts zidla ngokubandakanya umsebenzi okhulayo okanye ukuphindaphinda.
Intrinsic Causes of Tendinopathy
Ngaphandle kwezinto eziqhelekileyo ezibangelwa i-tendinopathy (i-tendon disorders), abaphandi bancomele ukuba izinto ezithile ezingenakunxulumana nazo zinokudibaniswa, ezifana nezifo ezixubileyo (ukukhuluphala, isifo sikashukela, ukunyamezela kwegazi, ukwandisa i-serum lipids kunye ne- hyperuricemia ). Uxinzelelo lwegazi oluphezulu luhlanganiswe ne-tendinopathy kubasetyhini kuphela. Isifo sikashukela sikhombise ubudlelwane benani labafana abangaphantsi kweminyaka engama-44.
Ezinye izifo ezitholakale zihambelana ne-tendinopathy ziquka izifo zesistim, iimeko zesifo seengxaki, izifo ezithathelwanayo, ukungaphumeleli kwe-renal, i-psoriasis, i- systemic lupus erythematosus , i-hyperparathyroidism kunye ne-hyperthyroidism.
Kwaye, njengoko ungalindela, ukuthambekela kungabangela ukuguga kwezinye iimeko.
Ukuphakanyiswa kwamathambo e-extensor yeminwe yinto eqhelekileyo kunye nokukhubaza ingxaki ye- rheumatoid arthritis . I-Tenosynovectomy (ukususwa ngokukhawuleza kwetaton sheath) kusebenza kakhulu ekukhuseleni ukuphuka kwetonyon kodwa akulula ukufumanisa izigulane zengozi. Ukuphinda kwakhiwe kabusha iintlobo zeentlobo eziqhekekileyo zihlala zihluleka ukubuyisela ukuhamba ngokupheleleyo.
Imithombo:
I-Pathogenesis yeetinopathies: ukuvuvukala okanye ukutshabalalisa? Abate M. et al. Uphando lwe-arthritis kunye neyeza. Juni 30, 2009.
https://arthritis-research.biomedcentral.com/articles/10.1186/ar2723
Izifo zeTendon. Iziko laseKhanada lezeMpilo kunye noKhuseleko. CCOH. Disemba 16, 2010.
http://www.ccohs.ca/oshanswers/diseases/tendon_disorders.html
Ganglion Cysts. E-Hand.com. I-Electronic Textbook of Surgery Hand.
http://www.eatonhand.com/hw/hw013.htm
Ukucima ukutshatyalaliswa kwetaton ekugqibeleni kwi-rheumatoid arthritis. Rheumatology. Williamson L. et al. Oktobha 25, 2000.
https://academic.oup.com/rheumatology/article/40/4/420/1787900/I-screen-for-extensor-tendon-rupture-in
Tenosynovectomy. MediLexicon.
http://www.medilexicon.com/dictionary/90216