U-Elbow Pain kusuka ku-Lateral Epicondylitis, i-Tendonitis, ne-Tendinopathy
I-elbow tennis, ebizwa nangokuthi i-epicondylitis lateral, iyimbangela evamile yobuhlungu be-elbow kubadlali. I-elbow tennis ibhekwa njengengozi yokulimala ehamba phambili eyenzeka ngokuhamba kwesikhathi kusukela ekusetshenzisweni okuphindaphindiwe kwemisipha yengalo nengaphambili.
Ubuhlungu bebhola le-tennis kucatshangwa ukuthi buhlobene nezinyembezi ezincane nokulimala emathanjeni afaka imisipha ye-forearm kuya epicondyle ye-lateral ye-elbow.
Ezimweni eziningi ubuhlungu obungapheli , bukholakala ukuthi bubangelwa ukuthambekela kwe- tendinopathy kune-tendinitis.
Sibutsetelo
Ngokuvamile, odokotela basebenzisa igama elithi tendinopathy ukuze bachaze ubuhlungu be-classic ye-tennis elbow. I-Tendinopathy yigama elisetshenziselwa ukuchaza ukulimala kwetendon ngenxa yokusebenzisa ngokweqile isikhathi eside, nokuwohloka kwethenda esikhundleni sokulimala okukhulu okubangela ukuvuvukala kwethenda. Ukuhlukaniswa kubalulekile ngoba ukuvuvukala kwe-tendinitis kuthathwa ngendlela ehlukile kune-tendinopathy. Ukuvuvukala ku-tendinitis ngokuvamile kuyaphendula imithi noma ukwelashwa okulwa nokuvuvukala. Kodwa-ke, ngokulimala okungapheli ngenxa yesifo sezulu, ukwelashwa kungenzeka kube yisikhathi eside futhi kugxile ekuthuthukiseni amandla wethenda kanye nokwakha izicubu.
Izimbangela
Emidlalweni ye-racket, ukusetshenziswa kabi kwemisipha ye-forearm, ikakhulukazi i-extensor carpi radialis brevis, kanye nomthelela ophindaphindiwe kungandisa ingozi ye-tennis elbow.
Ezinye izici ezingase zibe nomthelela emgqeni we-tennis zihlanganisa ukungabi namandla, izindlela ezimbi, nokwanda esikhathini noma ukuqina komdlalo.
Kunokukhathazeka okuthile mayelana nokucindezeleka kwezintambo zokudonsa okuholela ekuqhumeni okuphezulu kwamathonya emisipha ye-forearm, okungase kwandise ukucindezeleka emathangeni. Nakuba abanye bakholelwa ukuthi ubukhulu be-racket bamba ubukhulu bungenza ukunciphisa i- tennis elbow , kukhona ubufakazi obuncane bokusekela le mbono.
(Bheka: U- Elbow Tennis Uxhunyaniswe Nezobuchwepheshe Awukwazi Ukulinganisa Usayizi ).
Kwezinye izimo, ukulimala ku-tendon kubangelwa umthelela oqondile okubangela ukuthi imisipha namathenda aphule kancane.
Izimpawu
Ubuhlungu ngaphandle kwe-elbow, ngokuvamile ngesikhathi noma ngemva kokusebenzisa kakhulu, kuyisibonakaliso sokuqala kwebhola le-tennis. Kwezinye izimo, ukuphakamisa noma ukubamba izinto kungase kube nzima, kanti abanye babe nobuhlungu obuvutha phansi ingalo.
Ukwelapha
Ukuphumula kungukuqala kokwelashwa kwe-tennis elbow. Misa yonke imisebenzi eyenza ubuhlungu futhi usebenzise indlela yokwelapha ye- RICE ukuze unciphise ubuhlungu nokuvuvukala. Imithi yokwelashwa yilawo wonke okudingekayo ukuze kutholakale ngokugcwele i-tendinitis ejwayele ukuxazulula ezinsukwini ezimbalwa kuya emavikini ambalwa.
Uma ubuhlungu be-tennis ubuhlungu bubangelwa ukuwohloka kwethenda (tendinopathy), kungathatha ezinyangeni ezimbili kuya kweziyisithupha ukubuyisela ngokugcwele. Izimo eziningi ze-lateral epicondylitis ziba nezinkinga ezingapheliyo eziqhubeka ziba zimbi nakakhulu uma umdlali eqhubeka nomsebenzi naphezu kobuhlungu bendlebe.
Uma ubuhlungu be-elbow buhlala isikhathi esingaphezu kwezinsuku ezimbalwa naphezu kokuphumula nokuphathwa ngendlela efanele, kufanele ubone udokotela wokuhlola nokudluliselwa kokwelashwa ngokomzimba .
Udokotela osebenza ngokomzimba angasebenzisa i-ultrasound noma ezinye izindlela zokusiza ukuphulukisa i-tendinopathy.
I-rehab ethize ye-epicondylitis yangomuso ixhomeke esiyimbangela esiqondile yokulimala nokuxilongwa. Kodwa-ke, izindlela zokuvuna ezivamile kakhulu zihlanganisa i-ultrasound, imithi, ukusikhipha, ama-braces noma ama-splints.
Uma ithethoni seliphulukisiwe, ukuqinisa nokuzivumelanisa nezimo kungase kubekiwe. Udokotela wakho uzokusiza ukunquma indlela engcono kakhulu yokuvuselela. Khumbula ukuthi ukuqalisa noma yikuphi ukuzivocavoca ngaphambi kokuba ithemponi iphuluke kungenza le nkinga ibe nzima, ngakho-ke landela izincomo zakho noma izincomo zedokotela.
Imithi elwa nokuvuvukala ingasiza ekunciphiseni ukuvuvukala nobuhlungu kwezinye izimo ze-tendinitis.
Uma unenkinga enkulu noma eyinkimbinkimbi, udokotela wakho angase acabange ukusebenzisa i- cortisone injection ukusiza ukukhululeka.
Ukuzivocavoca kwe-Eccentric Kungase Kunciphise I-Tennis Elbow Pain
Ukuthuthukiswa kwamuva ekwelapheni i-tennis elbow kanye nezinye ukulimala kwe-tendon, njenge- Achilles tendonitis igxile ekuzivocavoca okuqondile okubhekene nemisipha kanye namathoni. Iziphambano zomsakazo yizo lapho imisipha ikhula khona njengezivumelwano.
Ukuzivocavoca okulula okuye kwabonisa imiphumela ethembisayo futhi esheshayo yabaningi ababhekene ne-tennis elbow. Ukuzivocavoca kuyisimo esilula se-crystal sensor ukunyakaza usebenzisa ibha ye-rubber ye-flexible. Ukuvivinya umzimba kuhilela ukuguqula i-Flexbar yerabha ngesandla esisodwa futhi imelane ne-bar njengokungabonakali kokusebenzisa ingalo emele. Umphumela wukuqhaqhazela kwezingqimba zamasundu okuqhakaziza kwesibindi esihlokweni esilimele. Ucwaningo oluthile oluthole kahle lwathola imiphumela emihle lapho iziguli zenza izinhla zokuphindaphinda ezinhlanu ngosuku ngalunye futhi zikhuphukele eziphindeni eziyishumi nanhlanu zokuphindaphinda nsuku zonke ngokuhamba kwesikhathi.
- Buka ividiyo yomsebenzi ku-YouTube.
Ucwaningo luyaqhubeka lusekela umbono wokuthi ukuzivocavoca umzimba kusebenza kahle ekwelapheni ukulimala kwetendon njenge-Achilles tendonosis, i-tennis elbow kanye ne-golfer's elbow.
Ngoba ukuphinda kwalesi simo kuvamile, buyela emisebenzini akufanele kwenzeke ngokushesha kakhulu, futhi umzimba wokuzivikela owelula nokuqinisa imisipha kufanele wenziwe njalo.
Ukuhlinzwa kwe-Tennis Elbow
Uma lezi zindlela zokwelashwa ezizimele futhi ezingenasidingo zingasebenzi, ukuhlinzwa kunganconywa njengendlela yokugcina. Isazi sesandla singanikeza iseluleko mayelana nemithi engaba khona kanye nemiphumela engenzeka yokuhlinzwa. I-epicondylitis engakaphenduliwe engakapheli, ivame ukungena noma isimo esingapheli esingase siqhubeke sibi kakhulu futhi sidinga izinyanga eziningi ukuphulukisa. Ukuxilongwa ngokushesha nokwelapha kubalulekile kunoma ubani ozwa ubuhlungu obukhulu.
Ukuvimbela
Kungakhathaliseki ukuthi ubuhlungu bakho bendwangu buvela ku-tendonitis noma ku-tendinopathy, ukwelashwa okusheshayo kufanele kufaka ukuphumula. Uma ungakwazi ukunquma imbangela yokulimala futhi wenze ukulungiswa, lokho kuyisinyathelo sakho esilandelayo. Uma ubuhlungu bakho buvela ekusetshenzisweni ngokweqile, ukunciphisa noma kumise lo msebenzi bese uthole ukufaka endaweni. Uma ubuhlungu buvela emaphakathini aphansi emidlalo noma ifomu elibi, thintana nomqeqeshi noma umqeqeshi wokuqeqesha amakhono. Uma ungakwazi ukususa izici ezicasulayo, unethuba elikhulu lokuthola okusheshayo nokugcwele.
Imithombo
I-American Academy Yabahlinzeki Bama-Orthopedic, Ulwazi Lomguli, I-Tennis Elbow (i-Lateral Epicondylitis).
Coombes, et al. Ukusebenza nokuphepha kwemilenze ye-corticosteroid nezinye izijovo zokuphathwa kwe-tendinopathy: ukubuyekezwa okuhlelekile kokuhlolwa okulawulwa ngokungahleliwe. I-Lancet, uMqulu 376, Issue 9754, Amakhasi 1751 - 1767, ngo-20 Novemba 2010
UJobe, et al. "I-epicondylitis yesikhashana futhi ephakathi kwe-Elbow" J. Am. I-Acad. I-Ortho. Ukuhlinzwa, Jan 1994; 2: 1 - 8.
Regan, et al. Ama-tendinopathie azungeze i-elbow. DeLee kanye ne-Drez's Orthopedic Sports Medicine. I-3rd ed. Philadelphia, Pa .: Saunders Elsevier; 2009.. Ifinyelele ngoJan, 2011