I-Tendonitis noma i-Tendinopathy? Noma yiyiphi indlela, iyabuhlungu
I-Golfer's Elbow, ebizwa nangokuthi i-epicondylitis yomzimba, ifana ne- tennis elbow futhi, uma udlala igalofu enkulu, ungase uhlupheke kulokhu kulimala okulimazayo.
Sibutsetelo
Ngokuhamba kwesikhathi ukusetshenziswa okuphindaphindiwe kwemisipha yengalo kanye nesibindi kungase kuholele ezinyembezini ezincane ezimathangeni eziholela ebuhlungwini obuthakathaka nobuthakathaka.
Ngokucacile, i-flexible i-wrist, eyimisipha esetshenziselwa ukudonsa isandla, ikhona engxenyeni yesundu yesibindi futhi inamathisele kwisithoni esivamile se-flexor , esifaka kwi-epicondyle engaphakathi-ephakathi kwe-elbow .
Lapho i-flexible i-wrist isetshenziswa ngokweqile, i-tendon evamile ye-flexon ishaqeka futhi ibuhlungu. Ukuvuvukala okunjalo kuyi-tendon kubizwa ngokuthi "tendinitis."
I-Tendonitis noma iTendinopathy
Ngokuvamile, odokotela basebenzisa igama elithi tendinopathy ukuze bachaze ubuhlungu obuvamile bokuthi i-tennis elbow negoli lika-golfer. Lezi zivame ukulimala okubangelwa ukuchitha isikhathi eside isikhathi eside kunokuba ukulimala kanzima kubangele ukuvuvukala kwethenda.
Ukuhlukaniswa kubalulekile ngoba ukuvuvukala kwe-tendinitis kuthathwa ngendlela ehlukile kune-tendinopathy. Ukuvuvukala kokulimala okuvame ukuphendula ngokushesha imishanguzo kanye nokwelapha okuvuvukala. Kodwa-ke, uma ukulimala kungenxa yesifo se-tendon senyuka, ukwelashwa kungenzeka kube yisikhathi eside futhi kuzogxila ekuthuthukiseni amandla wethenda kanye nokwakha izicubu.
Izimpawu
Ubuhlungu ngaphakathi kwendwangu ngesikhathi noma ngemuva kokusebenzisa kakhulu ngokuvamile kubonisa i -epicondylitis yomzimba .
Ubuhlungu buyanda ngesikhathi sekhanda lesikhumba futhi ngokuvamile luya esikhwameni . Ngenxa yokuthi lokhu kuvame ukuvela ku-golfers, sekuye kwaziwa ngokuthi 'igoli lika-golfer'.
Ezinye izimpawu zendwangu ye-golfer zihlanganisa:
- Ubuhlungu obucacile ngaphakathi kwendwangu, ikakhulukazi ngenkathi ubamba izinto.
- Ubuthakathaka besibindi nobuhlungu ngesikhathi sekhanda lekhanda .
- Ubuthakathaka kanye / noma ubuhlungu ngenkathi imelana nokubikwa kwensimbi.
Ukwelapha
Isinyathelo sokuqala okufanele uthathe uma i-tendinitis icatshangelwa ukuyeka imisebenzi edala ubuhlungu, ukuphumula ingalo, nokulandela indlela ye-RICE (ukuphumula, iqhwa, ukucindezela nokuphakama). Lokhu kuzokusiza ukwehlisa ukuvuvukala nokuvuvukala kanye nokunikeza ukuphumula kwesikhashana. Lokhu kuvame ukusiza ukutakula ngaphandle kokuthi kube yinkinga engapheli. I-tendinitis ivame ukuxazulula ezinsukwini ezimbalwa kuya emavikini ambalwa.
Ngeshwa, kuthatha isikhathi eside - kusuka ezinyangeni ezimbili kuya kweziyisithupha - ukubuyisela kusuka ekutheni umuntu ahambe kahle. Amacala amaningi e-epicondylitis aphakathi nawo abe yizinkinga ezingapheli eziqhubeka zimbi nakakhulu ngoba umdlali uyaqhubeka nomsebenzi naphezu kobuhlungu bendlebe.
Nini Ukubona Udokotela
Uma ubuhlungu bakho be-elbow buhlala isikhathi esingaphezu kwezinsuku ezimbalwa naphezu kokuphumula nokwenza indlela ye-RICE, kufanele ubone isazi semithi yezemidlalo sokuhlola futhi, mhlawumbe, isazi somzimba .
Udokotela osebenza ngokomzimba angasebenzisa i-ultrasound noma ezinye izindlela zokusiza ukuphulukisa i-tendinopathy. Kwamanye amacala, kungenzeka ukuthi kunconywa ubucwebe noma ubuciko. Inkambo yakho ye-rehab ye-epicondylitis ephakathi ixhomeke ekuxilongweni okucacile kanye nesibangela sokulimala. Izindlela zokwelapha ezivame kakhulu zihlanganisa: i-ultrasound, imithi, ukubhula, ukubhoboza noma ukukhazimula.
Imithi ephikisana nokuvuvukala ingasiza ekunciphiseni ukuvuvukala nobuhlungu phakathi kwezigaba ezinzima zokulimala, futhi ezimweni ezingapheli noma ezinzima, udokotela wakho angase acabange ukusebenzisa i- cortisone imijovo ukusiza ukukhululeka.
Uma izindlela zokwelapha ezingekho emthethweni zingabhubhisi ubuhlungu balesi simo, ukuhlinzwa kunganconywa njengendlela yokugcina. Isazi sesandla singanikeza iseluleko mayelana nemithi engaba khona kanye nemiphumela engenzeka yokuhlinzwa.
Isigaba sokugcina se-rehab for tendinitis sihlanganisa ukuqinisa nokuzivumelanisa nezimo. Kunombuzo othize mayelana nokuhlomula kokuzivivinya kwe-tendinopathy.
Umhlinzeki wakho uzokusiza ukunquma indlela engcono kakhulu, kodwa kubalulekile ukuqonda ukuthi ukuqalisa noma yikuphi ukuvivinya umzimba ngaphambi kokuba ithemponi iphuluke kungenza le nkinga ibe nzima, ngakho-ke kubalulekile ukulandela izincomo zakho noma izincomo zesidokotela.
Ukuphathwa Nokuvimbela
Njengoba uqala ukusebenzisa ingalo yakho ne-elbow ngemisebenzi, qhubeka usebenzisa indlela ye-RICE yokuphatha kokubili ubuhlungu nokuvuvukala. Ukushaya i-elbow imizuzu engu-10-15 ngesikhathi kuzokwehlisa ukuvuvukala nokuvuvukala, futhi kunciphisa ubuhlungu. Ukumboza isikhumba esingaphansi kwesigqoko kungasiza ekuvikeleni imisipha eyalimala ngenkathi ephulukisa.
Ngoba ukuphindaphinda kuvamile, ungabuyeli emisebenzini ngokushesha. Yenza umzimba wakho wokuvimbela oqinisa imisipha njalo, ngisho nangemva kokuba ubuhlungu bakho buxazulula.
Okokugcina, gcina engqondweni ukuthi ngabe ubuhlungu bakho be- elbow buvela ku-tendonitis noma ku-tendinopathy ukwelashwa okusheshayo kufanele kufaka ukuphumula. Okulandelayo, bona ukuthi ungakwazi yini ukucacisa imbangela yokulimala futhi wenze ukulungiswa. Uma ubuhlungu bakho be-elbow buvela ekusetshenzisweni ngokweqile, ukunciphisa noma kumise lo msebenzi, futhi uthole umsebenzi obhalisiwe. Uma ubuhlungu buvela kumasu ompofu noma i-ergonomics engalungile, thintana nomqeqeshi noma umqeqeshi wokuqeqesha amakhono. Uma ungakwazi ukuqeda izici ezicasulayo, unethuba elikhulu lokuthola ngokugcwele.
Imithombo:
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, 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.