Izici zangaphakathi neziqhamuka ezihlobene ne-tendinopathy
I-tendons yizintambo ezinamafutha ezicubu ezihlanganisa imisipha emathanjeni. Ukudluliselwa kwe-tendons kuphuma kumisipha kuya ethambo ukuze amalunga athuthe. Amanye ama-tendon, kodwa hhayi wonke, ahlanganiswa umgogodla. Izindonga zangaphakathi zomgwaqo ziveza inani elincane lokugcoba (i-synovial fluid), okusiza ithenda ukuhamba ngokukhululekile.
Ngokuguga, izintambo ziba nezimo ezincane futhi zenzeke kahle, okwenza zibe lula ukulimala.
Ngokuvamile, kunezinhlobo ezintathu zezinkinga ze-tendon: i- tendinitis , i-tenosynovitis, ne-cyst ganglion. I-tendinitis ukuvuvukala kwethenda. I-tenosynovitis ivuvukala i-tendon sheath. I-cyst ye-ganglion iqoqa uketshezi ngaphakathi kwesikhumba se-tendon.
I-Tendinopathy, igama elisho ukuphazamiseka kwamathenda, ngokuvamile kuvame ukubandakanya i-rotator cuff (ikakhulukazi i-supraspinatus) kanye ne-biceps brachii tendon ehlombe, i-extensor ne-flexor tendons ngaphambili, ithenda le-patella emadolweni, i-tendon yama-Achilles umlenze ophansi, kanye ne-tibialis posterior tendon emagqumeni nasezinyaweni.
Yini Ebangelwa Tendinitis?
Ukuvuvukala kwethethoni kungabangelwa umsebenzi wokuphindaphindiwe, umsebenzi owedlule, ukuzama, ukungabonakali kahle, ukuma okumile (ukuhlala endaweni eyodwa isikhathi eside), ukudlidliza, nanoma yikuphi ukucindezeleka kwendawo. Ngaphansi kwalezi zimo, izintambo zethononi ethintekayo zingabhidliza, kufana nentambo ephoqelekile noma ephawulwe.
Esikhathini esithile, ama-tendon avuthayo anganikezwa ithuba lokuphulukisa abe yinto enzima, engavamile, futhi mhlawumbe ibe buthaka ngokuphelele.
Yini Ebangelwa I-Tenosynovitis?
Ukuvuvukala kwe-tendon sheath kwenzeka lapho ukugcoba kukhiqizwa kunganele, kungaba ngobuningi noma ikhwalithi. Umsebenzi ophindaphindiwe noma owedlule, ukuzikhandla, okungahambi kahle noma ukuma, ukucindezeleka noma ukucindezeleka kwendawo kungabangela ukuthi uhlelo lokugcoba lusebenze kabi, okudala ukungqubuzana phakathi kwethenda ne-tenderon sheath.
Ukunyuka okuphindaphindiwe kwe-tenosynovitis kungabangela ukwakheka kwezicubu ezinamafutha, ukuqina komgogodla, nokunyakaza okungahambi kahle kwe-tendon ethintekile.
Yini Ebangele Ukuthuthukisa I-Ganglion Cyst?
Ama-cysts e-Ganglion aphuma e-capsule ye-joint or the sheath of tendon. I-cyst ye-ganglion iqukethe uketshezi olunjenge-mucous-like efana nomswakama otholakala kuhlangene (i-synovial fluid). Ngokuvamile, ama-cysts e-ganglion atholakala esihlakaleni noma ngezandla kepha angase afike ezinyaweni. Ama-cysts e-Ganglion avame ukuhlotshaniswa nomsebenzi okwandisiwe noma ukunyakaza okuphindaphindiwe.
Izimbangela ze-Intrinsic ze-Tendinopathy
Ngaphandle kwezici eziqhamukayo ezibangelwa i-tendinopathy (i-tendon disorders), abacwaningi basikisela ukuthi ezinye izici zangaphakathi zingase zihlotshaniswe, njengezifo eziwumzimba (ukukhuluphala, isifo sikashukela, ukucindezeleka kwegazi, ukwandisa i-serum lipids, kanye ne- hyperuricemia ). Umfutho wegazi ophezulu uye waxhunyaniswa ngokuthethelela kwe-tendinopathy yabesifazane kuphela. Isifo sikashukela sikhombise ukuhlangana kwezibalo kwamadoda angaphansi kweminyaka engu-44.
Ezinye izifo ezitholakale zihlotshaniswa ne-tendinopathy zifaka izifo zesimiso, izimo ze-neurological, izifo ezithathelwanayo, ukuhluleka okungenangqondo kwe-renal, i-psoriasis, i- systemic lupus erythematosus , i-hyperparathyroidism, ne-hyperthyroidism.
Futhi, njengoba ungalindela, i-tendinopathy ingase ibe umphumela wokuguga kwezinye izimo.
Ukukhishwa kwamathonti e-extensor yeminwe kuyinkimbinkimbi ejwayelekile futhi ekhubazayo ye- arthritis ye- rheumatoid . I-Tenosynovectomy (ukususwa kokuhlinzwa kwe-tendon sheath) kuphumelela kakhulu ekuvimbeleni ukuphuka kwe-tendon kodwa akulula ukubona iziguli ezisengozini. Ukwakhiwa kabusha kwama-tendon aqhekekile kuvame ukuhluleka ukubuyisela ukunyakaza okugcwele.
Imithombo:
I-pathogenesis ye-tendinopathies: ukuvuvukala noma ukuwohloka? Abate M. et al. I-Arthritis Research & Therapy. Juni 30, 2009.
https://arthritis-research.biomedcentral.com/articles/10.1186/ar2723
I-Tendon Disorders. Isikhungo saseCanada seMpilo yezokuPhepha nokuPhepha. CCOH. NgoDisemba 16, 2010.
http://www.ccohs.ca/oshanswers/diseases/tendon_disorders.html
Ganglion Cysts. E-Hand.com. I-Electronic Textbook of Surgery Hand.
http://www.eatonhand.com/hw/hw013.htm
Ukuhlolwa kwe-tendon extensor tendon in arthritis ye-rheumatoid. I-rheumatology. U-Williamson L. et al. Ngo-Okthoba 25, 2000.
https://academic.oup.com/rheumatology/article/40/4/420/1787900/Screening-for-extensor-tendon-rupture-in
I-Tenosynovectomy. MediLexicon.
http://www.medilexicon.com/dictionary/90216