I-tendonitis (futhi i-tendinitis ene-spelled) yisimo esibucayi lapho ama-tendon axhumanisa isisipha ne-bone ashisa.
I-tendons yizintambo ezifubha ze-collagen ezisebenzela njengezinsimbi eziguquguqukayo futhi zizungeze amalunga omzimba. Ziza ngezindlela eziningi nobukhulu, kusukela ezincane ezivumela ukunyakaza kweminwe, kuya ezinkudlwana, njenge-tendon Achilles, esisiza ukuba simi noma sihambe.
Kunezizathu eziningi zokuthi kungani i-tendon ingavuvukala futhi, lapho iyenzeka, ingase ibuhlungu kaningi. Ubuhlungu buvame ukuzwakala kakhulu endaweni yokufaka indawo lapho ithenda ithinta khona ithambo. Kungase futhi izwe kahle lapho i-muscle ne-tendon ixhuma khona.
Izinkinga ze-tendon ezingapheli zivame ukubizwa ngokuthi i- tendinosis noma i-tendonopathy. Lokhu kubhekisela esimweni esithile se-pathologic se-tendon. Lesi simo singabangela ubuhlungu, ukuvuvukala, nokuhamba okulinganiselwe.
Izimbangela
Ngenkathi kunezinkulungwane zamathambo emzimbeni wonke, izimboni ezincane kuphela ezithinteka yi-tendonitis. Lezi zithandane zivame ukuba nemithambo yegazi embalwa, futhi ukungabi khona kwegazi kuvimbela ikhono labo lokuphulukisa ngemuva kokulimala. Izingxenye zethendononi kakhulu ezithintekayo ngalokhu zibizwa ngokuthi yizindawo ezingaphansi komhlaba lapho igazi likhona khona.
I-tendonitis ivame ukubangelwa ukusetshenziswa ngokweqile kwethenda emisebenzini, emidlalweni yezemidlalo noma emisebenzini yansuku zonke. Ngokuvamile kuvame ukuhlotshaniswa nokunyakaza okuphindaphindiwe okunjengokubangelwa umsebenzi womgqa womhlangano noma ezemidlalo njengegalofu noma i-tennis lapho isenzo siphindaphindwa ngokweqile
Ukulimala okuqondile-njengokushaya kwethenda-kungabangela nesifo se-tendonitis. Izifo zokuvuvukala, njenge- arthritis ye-rheumatoid kanye ne-osteoarthritis, nazo zingabangela ukuvutha kwamathenda okungazelelwe (okusheshayo) nokuphikelela okuqhubekayo.
I-tendonitis ivame ukubonakala kubantu abangaphezu kwengu-40 ngengozini nobukhulu bezimpawu ezivame ukwanda ngeminyaka.
Izindawo ezivamile zeTendonitis
I-tendonitis ingenzeka cishe noma yikuphi emzimbeni futhi ngokuvamile ihlukaniswa indawo yayo. Ngenxa yokuthi isimo sihlotshaniswa nokunyakaza okuphindaphinda, sivame ukukubona kubantu abenza imisebenzi ethile ngokujwayelekile noma abenza imisebenzi ethile yemidlalo. Ezinye zezinhlobo ezivamile zihlanganisa:
- I-tendonitis yama-Achilles, ehlanganisa ithoni phakathi kwe-calf muscle nesithende
- I-patellar tendonitis , ngezinye izikhathi ibizwa ngamadolo e-jumper
- I-tendonitis ye-Elbow, eyaziwa ngokuthi i- tennis elbow noma i-golfer's elbow
- I-tendonitis ye-biceps, ehlanganisa ithoni phakathi kwe-bicep ne-shoulder
- I-Rotator cuff tendonitis, eyaziwa ngokuthi ihlombe lomquba noma ihlombe lokudoba
- I-tendonitis yesihenqo, ngezinye izikhathi ibizwa ngokuthi isibindi se-Bowler
Izimpawu nokuxilongwa
I-tendonitis ibonakala ngokubonakala ngokuzumayo kobuhlungu nokuvuvukala futhi akufanele kudidaniswe ne-tendinosis lapho izimpawu zingapheli futhi ziphikelela. Ezimweni eziningi, ukubonakala kwezimpawu kuzoba ngokuzumayo, okuvame ukuhlotshaniswa nokulimala noma isikhathi sokusebenza ngokweqile. Ngezinye izikhathi, izimpawu zizovela kancane kancane futhi zibe nzima kakhulu ngokuhamba kwesikhathi.
Izici ezivame kakhulu ze-tendonitis zihlanganisa:
- Ukuvuvukala kwethenda, ngokuvamile ngokubomvu nokufudumala
- Ukuthambekela ngokuqondile phezu kwethenda
- Ubuhlungu ngokuhamba kwendawo ethintekile
- I-cracking noma i-grating sensation lapho ukuxhuma kususwa
- Ukubukeka kwendwangu noma ubukhulu emthonjeni ngokwawo
- Ukugubha ngenxa yokuvuvukala
Ukuxilongwa ngokuvamile kwenziwa ngokuhlolwa komzimba. Uma imbangela ingacacile noma kunezimo ezenzeka ngokubambisana, udokotela angalawula ukuhlolwa okungeziwe. I-X-ray ne-imagination magnontic resonance (MRI) ngokuvamile ayinakusiza kakhulu ekutholeni ukuxilongwa futhi empeleni isetshenziswa kuphela uma kunokukhathazeka mayelana nokulimala noma ukulimala okuhlangene.
Ukwelapha
Ukuphathwa kwe-tendonitis kuhilela izingxenye ezintathu:
- Ukuvimbela ukuhamba kwethenda ethintekile
- Ukunciphisa ukuvuvukala
- Ukuvuselelwa kwetendon elimele, ehlangene, kanye nemisipha
Ukufeza lokhu, ukujoyina okumele kulimale kumele kuqala kungabi namandla ukukhulula noma yikuphi ukucindezela kuthenda elihluphekile. Iqhwa lingasetshenziswa ezinsukwini zokuqala ukunciphisa ukuvuvukala nobuhlungu. Izidakamizwa ezingekho-steroidal anti-inflammatory, njenge-ibuprofen, zingase zinikeze nokuphumula.
Inhloso eyinhloko yokwelashwa ukuvimbela noma yikuphi ukunyakaza okungase kuqhubekisele phambili isimo. Ngokuya lapho i-tendonitis ikhona khona, kungadingeka ugweme imisebenzi elula, yansuku zonke njengokushayela noma ukuthayipha kuze kube yilapho izimpawu zixazululwe ngokugcwele.
Kubantu abane-tendinosis noma i-tendonitis ephindaphindiwe, izijovo ze-corticosteroid zingasetshenziswa ukuhlinzeka ukuphumula okuphakathi kwesikhashana. Ukusebenzisa ngokweqile kufanele kugwenywe njengoba kungenza buthaka i-tendon ngokuhamba kwesikhathi futhi kwandise ingozi yokuphuka.
Ukwelashwa kungase kusekelwe ukwelashwa ngokomzimba ukuze kusetshenziswe futhi kuhlaziywe indawo ethintekile. Ukubuyisela kuvame ukusheshisa, kaningi ngokubuyiselwa kobubanzi obugcwele bokuhamba.
Ukufaneleka kwe-Prevention of Tendonitis
Ngaphandle kokwelashwa ngokomzimba, uhlelo oluhlelekile lokuzikhandla ekhaya lungasiza ngokugwema i-tendonitis. Inqubo eyodwa ebonakala iyasiza kakhulu uhlobo lokuzivocavoca olubizwa ngokuthi ukuqeqeshwa kokumelana nokuzimela.
Phakathi nemisebenzi yansuku zonke, imisipha yethu isebenza ngokuthola isivumelwano nokukhulula. Ukukhishwa kubizwa ngokuthi isenzo sokugxila; ukukhululwa kuyisenzo se-eccentric.
Ngokuqeqeshwa okunamandla okunamandla, imisipha inenkontileka yokuphakamisa isisindo kodwa kancane kancane ikhishwe ukuze igcine ukungezwani kuze kube yilapho imisipha ivuliwe ngokugcwele. Lesi sinyathelo esincane, esingenasisekelo sikwenza ukwazi ukwakha amandla ngaphakathi nangokuzungezile okuhlangene okuthintekile ngaphandle kokubeka ukucindezeleka okungadingekile kuthenda.
Yisistimu evame ukusetshenziselwa abagijimi ngemuva kokulimala kanzima futhi itholakale inenzuzo kubantu abadala asebekhulile abangalimala kabi.
Izwi elivela
I-Tendonitis ingaba isimo esibuhlungu esivimbela ikhono lakho lokuhlanganyela emsebenzini wakho ojwayelekile noma imisebenzi yokuzilibazisa. Uma usola ukuthi une-tendonitis, hlola nomuthi wakho wezokwelapha bese uqala ukwelashwa ngokushesha.
> Imithombo:
> Murtagh, B. no-Ihm, J. "Ukuqeqeshwa kwe-Eccentric for the Treatment of Tendinopathies." Umbiko wamanje wemithi yezemidlalo. 2013; 12 (3): 175-181.
> Scott, A .; Bachman, L .; kanye nokusheshisa, C. "Tendinopathy: Update on Pathophysiology." I-Journal ye-Orthopedic & Sports Treatment Physical . 2015; 45 (11) : 833-841.