I-Tendinosis yisimo esibonakala ngokuvuvukala nobuhlungu be-tendon. I-Tendinosis ivame ukudideka nge- tendinitis , isimo esinezimpawu eziningi ezifanayo kodwa sihluke kakhulu ekubambeni nasekubukeni kwayo.
Umehluko Phakathi kwe-Tendonosis ne-Tendonitis
Umehluko omkhulu phakathi kwe-tendinosis ne-tendonitis yisikhathi. I-Tendinosis iyimpilo engapheli (ephikisanayo noma ephindaphindiwe) ebangelwa ukuhlukunyezwa okuphindaphindiwe noma ukulimala okungapheli .
Ngokuphambene nalokho, i-tendonitis iyingozi (isimo esingazelelwe, esifushane) lapho ukuvuvukala kubangelwa ukulimala ngqo kwi-tendon.
(Ukungaboni kahle kubonakala ngezigcawu zabo, "-sosis" okusho okungavamile noma okugulayo futhi "-itis" okusho ukuvuvukala.)
Izimpawu kanye namaphethini esi sifo nazo ziyahlukahluka:
- I-Tendinosis ayifaki ukuvuvukala. Njengoba kunjalo, kuyilapho kungaba buhlungu, kaningi akukho ukubomvu noma ukufudumala kwezicubu ezithambile eziseduze. Uma ihlolwe ngaphansi kwe-microscope, izinyembezi ezincane (microtears) ye-tendon zingabonakala, kodwa bekungekho ubufakazi bamaseli avuthayo.
- I-Tendonitis , ngokuphambene, ibangela ukuvuvukala futhi ibonakala ngokuvuvukala, ubomvu nokufudumala ngaphezu kobuhlungu. Uma ibonakala ngaphansi kwe-microscope, amaseli avuthayo abekhona. Izinyembezi kanye nokulimala kwakuyobe sekukhulunywa kakhulu.
Lezi zingxabano zisitshela indlela esiphatha ngayo lezi zimo ezimbili futhi sibikezela imiphumela yabathintekayo.
Izinhlobo ze-Tendinosis
I-Tendinosis ingenzeka ezintanjeni eziningi emzimbeni wonke, ikakhulukazi lezo ezungeze amalunga amakhulu. Sivame ukubhekisela kubo ngendawo yabo noma ithenda eliyithintayo:
- I-elbow tennis (eyaziwa ngokuthi i-lateral epicondylitis) yindlela ye-tendinosis ebangelwa ukusetshenziswa ngokweqile. Lokhu kuthinta ikakhulukazi izintambo ezixhuma imisipha yangaphambili kuya ngaphandle kwehlangothini. Lesi simo siqhutshwa phambili njengoba isisindo sigxuma ngokuphindaphindiwe ngokumelene nezibhamu ze-bony ze-elbow, okubangela ukugqoka nokuphumula. Ngaphandle kobuhlungu besikhumba, ubuthakathaka bokubamba nabo buvame ukubonakala.
- I-jumper knee (eyaziwa nangokuthi i-patellar tendinosis) ihilela ithoni eqala i-patella (kneecap) iphinde iphinde ibheke phambili emadolweni ku-tubercle ye-tibial (ithambo le-shin). Ngokumelene nokulimala kanzima, i-patellar tendinosis ithinta abagijimi nabanye abagugu abaphindaphindiwe ngokuphindaphinda noma ukuphakamisa okuphindaphindiwe. Akufanele kudidaniswe ngodolo lomgijimi (i-patellofemoral pain syndrome) lapho ubuhlungu obubangelwa ukuxhumana okungavamile nokuhamba okungajwayelekile kwe-patella kwi-femur (ithambo lesithambo).
- I-Achilles tendinosis ithinta i-tendon (ebizwa ngokuthi i-tendon calcaneal) exhuma imisipha yamathole ku-calcaneus (ithambo lesithende). Ama-Achilles ne-tightness tightness angakwazi ukufaka lesi simo, ikakhulukazi kubantu asebekhulile, njengama-microtear ama-muscle nama-tissue ama-microtear ngokusebenzisa imisebenzi yansuku zonke eyenza i-tendon iguqule futhi ibuyele (njengokuhamba noma ukugibela izitebhisi). I-Bone ehloma isithende ingabuye ibuye ibhekane ne-tendon, iphumelele ngokuyiqeda ngokuhamba kwesikhathi.
Ukwelashwa kwe-Tendinosis
Enye yezokwelapha eziwusizo kakhulu kwe-tendinosis iwukwelapha ngokomzimba. Ngokucacile, ukuchotshozwa okwenziwe nge-tendon-tisson ewonakele kuboniswe ukuthi kuyasebenza ekunciphiseni ubuhlungu nokuphulukisa izicubu ezilimazayo.
Ezimweni ezimbi kakhulu lapho kutholakala khona ukwehlukana okuncane (noma cishe) kwethenda, ukuhlinzwa kungaboniswa.
Ngenxa yokuthi i-tendinosis ayihlotshaniswa nokuvuvukala, izidakamizwa ezilwa nomlomo ovuvukala, izilonda ze-cortisone, kanye ne-cryotherapy (ice application) ayinakuzuzisa kakhulu uma uphatha lesi simo.
> Umthombo:
> Bass, E. "I-Tendinopathy: Kungani Ukungafani Phakathi Kwe-Tendonitis Ne-Tendinosis". Int J Ther Mass Bod . 2012; 5 (1): 14-17.