Tendonitis okanye iTendinopathy? Naliphi na indlela, Ibuhlungu
I-Golfer's Elbow, ebizwa ngokuba ngu-mediic epicondylitis, ifana ne- tennis elbow kwaye, ukuba udlala igalofu eninzi, unokufumana ubunzima beli phuhliso lokulimala.
Sibanzi
Emva kwexesha ukusetyenziswa ngokuphindaphindiweyo kweengcambu zengalo kunye ne-forearm kungakhokelela kwiinyembezi ezincinci kwiitonti ezibangelwa ubuhlungu kunye nobuthathaka.
Ngokukodwa, i-flex flex wrist, eziyimisipha ezisetyenziselwa ukutsala isandla, zifumaneka kwintendelezo yesundu kwaye zidibanisa kwisithoni esivamile se-flexor , edibanisa kwi-epicondyle ye-medial-ephakathi kwendoda .
Xa i-flexs yekhanda isetyenziswe ngokugqithiseleyo, i-tendon evamile i-flexon iyaba buhlungu kwaye ibuhlungu. Ukuvutha okunjalo kwi-tendon kuthiwa yi "tendinitis."
Tendonitis okanye iTendinopathy
Ngokugqithiseleyo, oogqirha basebenzisa i-tendinopathy yexesha ukuchaza intlungu efana neyetenethi kunye ne-golfer's elbow. Ezi zinto zihlala zixhatshazwa ngenxa yokusetyenziswa kakubi kwexesha elide kunokuba kunokulimala kabuhlungu kubangela ukuvuvukala kwetoni.
Ukwahlukana kubalulekile kuba ukuvuvukala kwetininitis kuthathwa ngokuhlukileyo kunokwentengiso. Ukuvuvukala kwenzakaliso embi ngokukhawuleza kuphendula ngokukhawuleza kumachiza kunye nonyango oluchasayo. Nangona kunjalo, ukuba ukulimala kungenxa ye-tendon isifo sehla, unyango lunokuba luninzi kwaye luya kugxila ekuphuculeni amandla othenda kunye nokwakhiwa kwezicubu.
Iimpawu
Ubunzima obuphakathi kwendlovu ngexesha okanye emva kokusetyenziswa ngokugqithiseleyo ngokuqhelekileyo lubonisa i -epicondylitis yamanzi .
Ubunzima buya kwanda ngexesha lokukhangela kwesibindi kwaye ngokuphindaphindiweyo luya kumisa kwi-forearm. Ngenxa yokuba oku kubakho rhoqo kwiigolfu, kuye kwaziwa ngokuba yi "golfer's elbow".
Ezinye iimpawu zentloko ye-golfer zibandakanya:
- Intlungu ekhethekileyo ngaphakathi kwendlovu, ngokukodwa xa ubamba izinto.
- Ubuthakathaka bentambo kunye neentlungu ngexesha lokuhamba kwesikhumba .
- Ubuthathaka kunye / okanye intlungu xa ulwisana nokubikwa kwensimbi.
Unyango
Isinyathelo sokuqala omele uyenze ukuba i-tendinitis ikhunjulwa kukuba umise imisebenzi eyenza intlungu, ukuphumla ingalo, kwaye ulandele indlela ye- RICE (ukuphumla, iqhwa, ukunyanzelisa nokuphakama). Oku kuya kunceda ukunciphisa ukuvuvukala nokuvuvukala kunye nokubonelela ngeentlungu zentlungu. Oku kubakhokelela ekuphuleni ngaphandle kokuba yingxaki engapheliyo. I-Tendinitis isoloko isombulula kwiintsuku ezimbalwa kwiiveki ezimbalwa.
Ngelishwa, kuthatha ixesha elide-ukususela kwiinyanga ezimbini ukuya kweyesithandathu-ukubuyela kwi-tendinopathy. Uninzi lweziganeko ze-epicondylitis ziba ziingxaki ezingapheliyo eziya kuba zimbi kakhulu kuba umdlali uqhubeka nomsebenzi naphezu kokubuhlungu kwintsimbi.
Nini ukubona iDokotela
Ukuba ubuhlungu bakho bendoda buhlala ngaphezu kweentsuku ezimbalwa nangona uphumle kwaye wenza indlela ye-RICE, kufuneka ubone i-specialist yezobugcisa ukuze uphonononge kwaye, mhlawumbi, uphando lomzimba .
Ingcali yomzimba ingasebenzisa i-ultrasound okanye ezinye iindlela zokunceda ukuphulukisa i-tendinopathy. Kwezinye iimeko, ubuqhekeza okanye ukulungiswa kunokucetyiswa. Inkqubo yakho yokuhlaziya i-epicondylitis yamanzi ixhomekeke kwi-diagnostic ethile kunye nesizathu sokulimala. Iinkqubo eziqhelekileyo zonyango zibandakanya: i-ultrasound, imishanguzo, ukusilalisa, ukuchithwa okanye ukuhlula.
Amachiza anxamnye nokuvuthayo anokuncedisa ukunciphisa ukuvuvukala kunye nentlungu ngexesha leempawu ezinzima zokulimala, kunye neemeko ezingapheliyo okanye ezinzulu, ugqirha wakho unokucinga ukuba usebenzisa iisentile ze-cortisone ukukunceda ukukhululeka.
Ukuba iintlobo zonyango ezingabonakaliyo ziyakunqanda intlungu yalo mqathango, utyando lunokunconywa njengendlela yokugqibela. Isalathisi sesandla sinokunika isiluleko malunga nokunyanga okunokwenzeka kunye neziphumo zokuhlinzwa.
Isigaba sokugqibela sokuhlaziya i-tendinitis kubandakanya ukuqiniswa nokuzivumelanisa nezimo. Kukho umbuzo malunga nokuxhamla kweendlela zokuthambisa i-tendinopathy.
Umgqirha wakho uya kukunceda ukufumana indlela engcono kakhulu, kodwa kubalulekile ukuqonda ukuba ukuqala nayiphi na imisebenzi ngaphambi kokuba ithambo liphilise lingenza ingxaki ibe yimbi, ngoko kubalulekile ukulandela ingcali yakho okanye iingcebiso zonyango.
Ulawulo kunye noKhusela
Njengoko uqala ukusebenzisa ingalo yakho kunye ne-elbow kwimisebenzi, qhubeka usebenzisa indlela ye- RICE yokulawula intlungu kunye nokuvuvukala. Ukuqhayisa i-elbow imizuzu eyi-10-15 ngexesha kuya kunciphisa ukuvuvukala nokuvuvukala, kunye nokunciphisa intlungu. Ukugubungela i-forearm kufuphi ne -bowbow kunokunceda ukukhusela izihlunu ezimazi njengoko ziphilisa.
Ngenxa yokuphindaphinda, musa ukubuyela kwimisebenzi ngokukhawuleza. Yenza imisebenzi yakho yokukhusela eqinisa imisipha rhoqo, nangemva kokuba intlungu yakho isombulula.
Ekugqibeleni, gcinani engqondweni ukuba ingaba ubuhlungu bakho bendoda buvela kwi-tendonitis okanye i-tendinopathy unyango olululo kufuneka lubandakanye ukuphumla. Emva koko, khangela ukuba unokukwazi ukubona isizathu sokulimala kwaye wenze ulungiso. Ukuba ubuhlungu bakho bubuhlungu buvela kukusetyenziswa kakubi, ukunciphisa okanye ukumisa lo msebenzi, kwaye ufumane umsebenzi olandelayo. Ukuba intlungu ivela kwindlela ephosakeleyo okanye i-ergonomics engalunganga, qhagamshelana nomqeqeshi okanye umqeqeshi wokuqeqeshwa kwezakhono. Ukuba unako ukuphelisa izinto eziphosakeleyo, unakho amathuba okubuyisela ngokupheleleyo.
Imithombo:
Coombes, et al. Ukusebenza kunye nokukhuselwa kwee-corticosteroid injections kunye nezinye iinjenge zokulawulwa kwe-tendinopathy: ukuhlaziywa ngokuchanekileyo kwezilingo ezilawulwa ngokungapheliyo. I-Lancet, uMqulu 376, iNdaba 9754, iphepha 1751-1767, 20 Novemba 2010
Jobe, et al. "I-epicondylitis yesikhokelo kunye ne-Medial ye-Elbow" J. Am. Acad. IOrn. Ukugula, uJan 1994; 2: 1 - 8.
Regan, et al. I-Tendinopathies ecaleni kwendoda. DeLee kunye ne-Drez's Orthopedic Sports Medicine. Wesithathu. Philadelphia, Pa .: Saunders Elsevier; 2009.