Ukulimala kwe-Tendon, njengegoli le-golfer, elibangelwa ukuvuvukala nokusebenzisa ngokweqile
I-tendonitis kanye ne-tendinopathy akuzona izinto ezifanayo futhi ukwazi ukuthi umehluko uyonquma ukwelashwa kwakho.
Sibutsetelo
Amaqoqo anamandla, nezimo eziguquguqukayo zomzimba womzimba wonke omzimba oxhuma imisipha emathanjeni amathanga. Ezemidlalo, bangase bathukuthele kalula noma bavuke ekucindezelekeni kokunyakaza okuphindaphindiwe, noma ukulimala okunzima njengokuthatha isinyathelo esingenakwenzeka noma impikiswano ekuwa kwamatshe nokushayisana.
Kuyini i-Tendonitis?
Kanti futhi i-Tendinitis, i-tendonitis ibhekisela ukuvuvukala kwamathenda ngoba ithukuthele futhi igwetshiwe. Isixhumi, -isitis, kusho ukuvuvukala. I-tendinitis ingabangela ukujula okujulile, okugubhayo okukhawulela ukuhamba okulula, okunethezeka.
Isizathu esivame kakhulu se-tendinitis kubagijimi kuyingozi ephawulekayo ephoqa ithenda ukuba ilule ngaphezu kwendlela ejwayelekile yokunyakaza futhi ibangela ubuhlungu, ukuvuvukala nokuvuvukala.
Kuyini i-Tendinopathy?
Odokotela basebenzisa igama elithi tendinopathy ukuze bachaze ukulimala okuningi kwetendon, njenge-tennis elbow, igoli le-golfer, ukulimala kwe-tendon, i-Achilles njll. Ochwepheshe manje bayaqaphela ukuthi ukulimala okuvamile kwamathononi kuvame ukubangelwa ukwedlulela isikhathi eside okuholela ekudakaleni kwethenda ngaphandle noma yisiphi ukuvuvukala okuhlobene.
Umehluko Phakathi Kokubili
Ukuhlukana phakathi kwezimo ezimbili kubalulekile ngoba ukuvuvukala kwe-tendinitis kuphathwa ngendlela ehlukile kunokonakala kwe-tendinosis (tendinosis).
Ukuvuvukala ekutheni i-tendonitis ephuthumayo ivame ukuphendula ngokushesha imishanguzo kanye nokwelapha okuvuvukala. Kodwa-ke, uma ukulimala kungenxa yesifo se-tissue swelling, ukwelashwa kungenzeka kube yisikhathi eside futhi kuzogxila ekuthuthukiseni amandla wethenda kanye nokwakha izicubu.
Izimbangela ezivamile
Ngezinye izikhathi i-tendinitis noma i-tendinopathy ingathuthuka ngenxa yezinqubo ezingavumelekile zezemidlalo noma izinkinga ze-biomechanical, lapho kwenzeka ukusebenza nomqeqeshi noma umqeqeshi kuyindlela engcono kakhulu yokuvimbela inkinga engapheli ekuthuthukiseni.
Ukwenza isiqiniseko sokuthi kufudumele kahle futhi kufaka ukuqeqeshwa okulula okwanele nakho kuyasiza ekuvimbeleni ukulimala kwe-tendon ngokweqile.
Ukulimala ngokweqile kungumphumela wokusetshenziswa okuphindaphindiwe, ukucindezeleka nokuhlukunyezwa kwezicubu ezithambile zomzimba (imisipha, amathoni, amathambo namalungu) ngaphandle kwesikhathi esifanele sokuphulukiswa. Ngezinye izikhathi kuthiwa yi-traumatic cumulative, noma ukulimala okuphindaphindiwe kokucindezeleka.
Ukwelapha
Uma unomphefumulo ophuthumayo noma ubuhlungu e-tendon, futhi kuthiwa i-tendinitis into yokuqala okufanele uyenze ukuyeka umsebenzi nokuphumula. I-Tendonitis izophendula indlela ye-RICE (ukuphumula, iqhwa, ukucindezela nokuphakama). Le ndlela isisiza ukwehlisa ukuvuvukala nokuvuvukala futhi ulethe ukuphumula kwesikhashana. Loluhlobo lwezokwelashwa okulondolozayo ngokuvamile luyinto edingekayo yokuphulukisa kusuka ku-tendonitis yeqiniso. I-tendinitis ivame ukuxazulula ezinsukwini ezimbalwa kuya emavikini ambalwa.
Ngeshwa, kungathatha ezinyangeni ezimbili kuya kweziyisithupha ukuphulukisa kusukela ekutheni i-tendinopathy yesikhathi eside. Ukulimala okuningi kwe-tendon kuphenduka izinkinga ezingapheli eziqhubeka zimbi nakakhulu ngoba umgijimi uqhubeka nomsebenzi naphezu kobuhlungu obubuhlungu.
Uma ubuhlungu be-tendon yakho buhlala isikhathi esingaphezu kwezinsuku ezimbalwa naphezu kokuphumula nokwelashwa okulindelekile, kufanele ubone umchwepheshe wezokwelapha wezemidlalo ukuhlolwa futhi usebenze nodokotela wezinto ezibonakalayo ukuze uphinde uvuselele.
Ochwepheshe bezokwelapha bangasebenzisa i-ultrasound noma ezinye izindlela zokusiza ukuphulukisa i-tendinopathy. Kwamanye amacala, izigqoko noma ama-brace angasetshenziswa ukucindezela i-tendon njengoba iphilisa. Izindlela ezijwayelekile zokuvuselela zibandakanya: i-ultrasound, imithi, ukubhusa, ukubhoboza noma ukukhazimula.
Isigaba sokugcina se-tendinopathy sihlanganisa ukuqinisa nokuzivumelanisa nezimo. I-PT yakho izokusiza ukunquma indlela engcono kakhulu yokubuyisela emuva, kodwa kubalulekile ukuqonda ukuthi ukuqalisa noma yikuphi ukuvivinya umzimba ngaphambi kokuba ithethoni iphelile kungenza le nkinga ibe nzima, ngakho-ke kubalulekile ukulandela izincomo zakho noma izincomo zesidokotela.
Ukuvimbela
Uma ungakwazi ukunquma imbangela yokulimala kwethenda futhi wenze ukulungiswa, ungavame ukugwema izinkinga zesikhathi eside. Uma ubuhlungu bakho buvela ekusetshenzisweni ngokweqile, ukunciphisa noma kumise lo msebenzi bese 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.
Ukuvimbela ukubuya kwetendon ukulimala ngokweqile, abagijimi kufanele balondoloze isimiso sokuqeqeshwa esibandakanya ukuqina okuhlukahlukene nobude kanye nohlobo lomsebenzi.
Izinhlobo Ezicacile
Ezinye izindawo zomzimba ezivame ukuthuthukisa ukulimala kwe-tendon zihlanganisa:
- I-Tennis Elbow (i-Epicondylitis kamuva)
- Elbow Golfer (Epicondylitis Ephakathi)
- Achilles Tendinitis
- I-Wrist Tendinitis
- Ukulimala kwe-Tendinitis (nokulimala okungaphezulu kwe-Overuse) ku-Children
- I-Carpal Tunnel Syndrome
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, 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