Chithandizo chiyenera kuyamba chophweka ndi kupita patsogolo pakufunika
Mankhwala otchedwa calcific tendonitis ndi omwe amachititsa kuti ululu ukhale wowawa, ndipo ukhoza kukhala kukhumudwa chifukwa cha kupsinjika kwa ululu komanso kutalika kwa zizindikiro. Komabe, nkhani sizoipa zonse! Mwachidziwitso, odwala ambiri amapeza mpumulo ndi mankhwala osamalidwa chifukwa cha vutoli. Ndipotu, kafukufuku wasonyeza pafupifupi 75 peresenti kupambana ndi njira zosavuta zothandizira.
Ngakhale kuti nthawi zambiri mankhwala amatenga miyezi 3 mpaka 6, nthawi zambiri amatha kusintha popanda kuchita opaleshoni.
Kawirikawiri vuto lalikulu kwambiri pakuchulukitsidwa kwa calcific tendinitis ndi kukhala ndi chikhulupiriro kuti kuyesetsa kosavuta kuchepetsa zizindikiro, pakapita nthawi, kumawongolera. Kuloleza thupi kuti lidutsane ndi kutupa, ndipo njira yowonongeka pang'onopang'ono yomwe ikuchitika ikhoza kukhala chokhumudwitsa. Maphunziro oyambirira ndi chithandizochi nthawi zambiri zimapangitsa kuchepetsa kupweteka komanso kulola kutentha kukutha.
Zovuta Zambiri
Mapulani a odwala okhala ndi calcific tendonitis ndi ofanana ndi chithandizo cha matenda a impingement m'mapewa, ndi zina zomwe mungasankhe. Chithandizo chiyenera kuyamba ndi njira zosavuta, ndipo pitirizani kuchita zinthu zina zosavuta ngati mankhwala ovuta sakhala othandiza.
- Thandizo la thupi / Zochita: Zochita ndi kutambasula kungathandize kupewa mapewa ouma. Imodzi mwa mavuto ovuta kwambiri okhudzana ndi mavenda a calcifi ndi chitukuko cha chisanu chifukwa cha ululu. Zochita zolimbitsa thupi zingathandize kusintha makina a mapewa ndi kuchepetsa kulemetsa pamatope omwe amakhudzidwa kwambiri ndi mavuto.
- Mankhwala Oletsa Kutentha : Mankhwala oletsa kutupa amatha kuchepetsa ululu wokhudzana ndi matenda a calcific. Palibe kafukufuku wasonyeza kusintha kwakukulu kwa nthawi yomwe zizindikiro zimakhala ndi mankhwalawa, koma odwala akhala akuchepetsa zizindikiro. Musanayambe mankhwala aliwonse atsopano onetsetsani kuti mutsimikiza ndi dokotala mankhwalawa ndi otetezeka kuti mutenge.
- Kugwiritsa Ntchito Kutentha ndi Madzi : Kutentha kwa kutentha kwa madzi kumathandiza kwambiri kupumula kupweteka kuchokera ku calcific tendonitis. Chovala chotsuka chosamba ndi njira yabwino kwambiri yoperekera chikondi. Mabala a glasi angathandize kuchepetsa kutupa kwa tendonitis, ndipo zingakhale zothandiza kwambiri kuchepetsa kupweteka komwe kumayenderana ndi vutoli.
Zosankha Zochepa-Zosafunika
Njira zotsatirazi zothandizira amawonedwa kuti ndizosawonongeke, chifukwa sizikusowa opaleshoni, koma zingafunike kugwiritsa ntchito singano kapena zida zothandizira kuthandizira kuwerengera.
- Cortisone Injections : Cortisone ndi mankhwala amphamvu kwambiri othana ndi kutupa omwe amaperekedwa mwachindunji kwa magwero a ululu (mosiyana ndi mankhwala omwe amatengedwa pakamwa, ayenera kugwira ntchito kudzera mthupi kuti apite kumapewa). Mankhwala a Cortisone angathandize pa kuchepetsa kutupa komanso kuchepetsa ululu kuti alole odwala kugwira ntchito ndi mankhwala. Odwala ambiri amapeza jekeseni wa cortisone yothandiza, ndipo nthawi zina oposa ambiri amafunika kuchipatala. Ngakhale pali mkangano wokhudzana ndi kuchuluka kwa cortisone , ambiri amavomereza kuti imodzi kapena ma shoti awiri ndi oyenera kuchiza.
- Thandizo Lowonjezereka : Njira yotchedwa Shockwave imathandizira kugwira ntchito yotchedwa 'microtrauma' ndipo imachititsa kuti magazi aziyenda kumadera okhudzidwa. Malipoti ambiri pa njira iyi ya chithandizo cha calcific tendonitis amawonetsa bwino-mwinamwake 50 mpaka 70 peresenti ya odwala omwe amatha kutsata pambuyo pa mankhwala amodzi amphamvu kwambiri a shockwave. Mankhwalawa a calcific tendonitis akhoza kukhala opweteka, ndipo kawirikawiri amafunika anesthesia kuti alekerere wodwalayo. Nkhani yabwino ndi yakuti pali chiwerengero chochepetsetsa kwambiri kuchokera ku shockwave treatment. Odwala ambiri amakhala ndi hematoma (kuvulaza) kuchokera kuchipatala, koma ngati pali zovuta zambiri.
- Nsalu Yogwiritsidwa Ntchito Yosasunthika Kusamba : Chosowa ndi njira yomwe imayendetsedwa ndi kupweteka kwa thupi kumalo komweko kapena kuposeratu. Dokotala wanu amatsogolera singano yaikulu mu dipatimenti ya calcium ndipo amayesa kuthamanga, kapena kuyamwa, ndalama zambiri za kashiamu. Mavitamini a calciamu amatha kusintha, koma nthawi zambiri amakhala ngati thanthwe komanso amakhala ngati mankhwala opumira. Kawirikawiri makina a ultrasound angathandize kuonetsetsa kuti malo osungirako singano amatsogoleredwa molondola pa calcid deposit. Majekeseni a saline, Novocaine, kapena cortisone nthawi zina amapangidwa mu kashiamu ya calcium.
Kuchiza Opaleshoni
Chithandizo cha opaleshoni chimakhala chosungidwa kwa odwala omwe sapeza mpumulo ngakhale atakhala ndi miyezi yosavuta. Monga tanenera poyamba, odwala ambiri amapeza mpumulo mwa njira zopanda chithandizo chamankhwala, koma nthawi zina odwala sapeza mpumulo ngakhale atayesedwa. Ochita opaleshoni ambiri amavomereza kuti osachepera miyezi itatu, ngati pasanathe miyezi 6, chithandizo cha mankhwala osayenera ayenera kuyendetsedwa asanayang'ane njira yowonjezereka.
Mankhwala opaleshoni amachitidwa ngati opaleshoni yamakono , ngakhale kuti opaleshoni yotseguka ingathenso kuganiziridwa ngati njira. Njira yachizoloŵezi ndiyo kuyesa kuchotsa zina, ngati sizinthu zonse, pakhomo la calcium, ndi kuyeretsa kutupa kozungulira thambo. Kuphatikizanso, madokotala ena opaleshoni amalimbikitsa kuti atulutse fupa lina kuti apange malo ochulukirapo amtundu wa machiritso, wotchedwa kusokonezeka maganizo . Chotsatira chimodzi cha kuchotsedwa kwa kashiamu ya calcium chikhoza kukhala dzenje kapena chilema mu mthunzi wophimba. Chifukwa chakuti depositi ya calciamu inali mkati mwa tendon, kuchotsa iyo ikhoza kusiya kusiyana. Pa chifukwa chimenechi, nthawi zina dokotala wanu amayenera kukonzanso chigoba chophwanyika cha rotator . Izi zikhoza kupangitsa kuti opaleshoniyo ayambe kuchitapo kanthu kwa nthawi yaitali, monga pangakhale zoletsedwa m'ntchito. Kuchiritsidwa kwathunthu kwa chithandizo cha opaleshoni kungakhale mofulumira ngati masabata asanu ndi limodzi, koma kawirikawiri pamakhala miyezi itatu. Ngati chophimba cha rotator chimafuna kukonzanso opaleshoni chikhoza kupitirira miyezi isanu ndi umodzi.
Zotsatira:
Suzuki K, Potts A, Anakenze O, Singh A. "Ma calcific tendinitis ya chingwe cha rotator: zosankha zosankhidwa" J Am Acad Orthop Surg. 2014 Nov; 22 (11): 707-17. lembani: 10.5435 / JAAOS-22-11-707.
> Ioppolo F, Tattoli M, Di Sante L, ndi al.: Kupititsa patsogolo kachipatala ndi kubwezeretsanso ma calculations mu calcific tendinitis pa mapewa pambuyo pochita mantha kwambiri pakutha pa miyezi isanu ndi umodzi. Arch Phys Med Rehabil 2013; 94 (9): 1699-1706.
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