Iziphi izilonda eziphumelelayo ku-Tennis Elbow?
Kunezinketho eziningi zokwelapha i-tennis elbow . Odokotela abahlukene neziguli ezahlukene bangase batusa izindlela zokwelapha ezahlukene. Isizathu sokuthi ungase uzwe lezi zincomo ezihlukile ukuthi akukho ukuvumelana okuncane mayelana nokuthi imuphi ukwelashwa okungcono kakhulu, futhi ucwaningo lwesayensi luyaphikisana. Lokho esikwaziyo ukuthi abantu abaningi bayoba ngcono ngesikhathi, kungakhathaliseki ukuthi imithi isetshenziselwa ukulawula izimpawu.
Kunezinhlobo ezimbalwa ezihlukahlukene zokujova eziye zasetshenziswa ekwelapheni i-tennis elbow, kodwa kuncane ukusikisela ukuthi uhlobo olulodwa lomjovo lungcono kunezinye. Eqinisweni, mhlawumbe kukhona idatha eyengeziwe yokuphakamisa ukuthi esikhathini eside, akukho mjovo ongase ube ukwelashwa okungcono kakhulu. Kodwa-ke, iziguli eziningi zifuna usizo oluphuthumayo lobuhlungu futhi ngenxa yalokho ziphendukela ezigayeni ukuze zinikeze imfundo yobuhlungu futhi zivumele abantu ukuba baqale imisebenzi yabo.
I-elbow Tennis yisimo esibangela ukulimala okungapheli kwamathenda emthonjeni ongaphandle kwehlangothini lomgodi. I-tendon ivame ukulimala ngenxa yesimo sokusebenzisa ngokweqile , njengezemidlalo noma imisebenzi yomsebenzi. Uhlobo lomonakalo we-tendon lubizwa ngokuthi i- tendinosis , okubangela ukucasuka kwetendon okungapheli kanye nezinyembezi ezincane. Uma ithethoni ewonakele ihlolwe ngaphansi kwe-microscope, i-tendon ibonakala sengathi inamaqabunga amancane kanye nokwakhiwa kwemikhumbi yegazi - ubufakazi bezinqubo zokuphulukisa okungapheli.
Okungabonakali ngaphansi kwe-microscope ubufakazi bokuvuvukala, njengalokho kunjalo nge- tendonitis .
I-Cortisone Injections
I-Cortisone injection isetshenziselwa izimo ezihlukahlukene zamathambo, kuhlanganise ne-tennis elbow. I-Cortisone iyi-anti-inflammatory imithi enamandla, okusho ukuthi kusiza ukulawula ukuvuvukala.
Ukusetshenziswa kwe-cortisone ekwelapheni i-tennis elbow kuye kwabuzwa abanye ngoba i-tennis elbow ibanga ukuvuvukala kwethenda. Ngakho-ke, ukwelashwa kwe-tennis ne-medication okunciphisa ukuvuvukala kuxoxwa ngakho.
I-PRP Injections
Ama-injection we-PRP asanda kudumile. I-PRP ilula "iplasma ecebile eplatelet." I-PRP idalwe ngokuhlukanisa igazi lakho ezingxenyeni ezahlukene. I-PRP iqukethe ukuxhuma okuphezulu kwamaplatelet, ingxenye yegazi ejwayelekile ngokwezinto ezikhulayo. Lezi zici zokukhula zicatshangelwa ukuthi ngokwemvelo zikhuthaza inqubo yokuphulukisa.
I-Autologous Blood Injections
I-Autologous blood injection imane nje ijola igazi lakho. Ngokufanayo ne-PRP, inkolelo esetshenziselwa ukusetshenziswa kwegazi le-autologous ukuthi ukujova kwegazi lakho kuzothuthukisa impendulo yokuphulukisa emathangeni athintekile. Umehluko kuphela phakathi kwe-autologous igazi ne-PRP ukuthi izijovo ze-autologous aziyona ingxenye egxilisiwe yegazi.
Iyiphi Injection?
Akubekho ubufakazi obuhle bokuthi noma iyiphi yalezi zijovo zingcono kunezinye. Eqinisweni, ocwaningweni lwamuva ku- Journal of Hand Surgery , ama-injection ahlukene afaniswa namajojo we-saline ( injection ye-placebo ).
Izijovo ezahlukene zahlanganiswa ngakho iziguli azikwazi ukuthi yisiphi isixazululo abazitholayo, futhi zonke iziguli zinegazi ezidonsa ukuze zingazi ukuthi zithola umjovo wegazi. Ekugcineni, wonke amaqembu omuthi abonise ukuthuthukiswa (kufaka phakathi iqembu le-placebo), futhi akekho okwenzile kakhulu kunanoma yiliphi elinye iqembu.
Lolu cwaningo lubonisa ukuthi mhlawumbe esinye sezidingo ezibaluleke kakhulu ekuphulukiseni i-tennis elbow isikhathi. Ukuvumela isikhathi somzimba ukuphulukisa kungaba enye yezokwelapha eziphumelelayo kakhulu ezimweni eziningi zezokwelapha. Uma umjovo ungasiza ukulawula izimpawu zokuhlunguphazwa kwe-tennis ngesikhathi umzimba wakho uphulukisa, ngicabanga ukuthi kunengqondo.
Ukwelashwa okuphela mina engingawusisebenzisi ngu-PRP. Isizathu ukuthi lezi zijovo ziyabiza kakhulu futhi azikaze zibonise noma yiziphi izinzuzo ngaphezu kwamajojo ezibiza ingxenye encane yezindleko. Lokho kusho, i-PRP, nayo yonke le mijovo, ngokuvamile iphephile futhi inengqondo ukuxoxa nodokotela wakho.
Imithombo:
Wolf JM, et al. "Ukuqhathaniswa kwe-Autologous Blood, Corticosteroid, ne-Saline Injection ku-Treatment of Lateral Epicondylitis: Isifundo Esibucayi, Esihleliwe, Esilawulwa Ngama-Multicenter" J of Hand Surg: Vol 36, Iss 8, Pg 1269-72, Agasti 2011
Drake ML, Ring DC. "Ukungenwa kwe-intensopathy ye-Extensor Carpi Radialis Brevis Umthombo: Izindlela Zokuxhumana Eziphumelelayo" J Am Acad Orthop Surg. 2016 Jun; 24 (6): 365-9.