Mawonekedwe a Elbow kuchokera ku Epicondylitis Otsatira, Tendonitis, ndi Tendinopathy
Goli lachitetezo, lomwe limatchedwanso kuti epicondylitis yotsatira, ndilo chifukwa chofala cha masewera othamanga kwa othamanga. Goli lamasitima limatengedwa ngati kuvulala kwapweteka komwe kumachitika pakapita nthawi kuchokera kumagwiritsa ntchito minofu ndi mkono.
Kupweteka kwa utala wa tenisi kumalingaliridwa kuti ndi kofanana ndi misozi yaing'ono ndi kuwonongeka kwa tinthu zomwe zimagwirizanitsa minofu ya mfuti kwa epalondyle yotsatira.
Nthaŵi zambiri ululu wosakanikirana , umakhulupirira kuti uli chifukwa cha tendinopathy m'malo mwa tendinitis.
Mwachidule
Kawirikawiri, madokotala akugwiritsa ntchito mawu akuti tendinopathy kuti afotokoze kupweteka kwakukulu kwa chigoba cha tenisi. Tendinopathy ndi mawu omwe amagwiritsidwa ntchito pofotokozera kuvulala kwa tizilombo chifukwa chogwiritsidwa ntchito mopitirira nthawi yaitali, ndi kuwonongeka kwa tendon osati kuvulaza koopsa komwe kumayambitsa kutentha kwa tendon. Kusiyanitsa ndikofunikira chifukwa kutupa kwa tendinitis kumachitidwa mosiyana ndi tendinopathy. Kutupa mu tendinitis kumayankha mwamsanga mankhwala kapena mankhwala odana ndi kutupa. Komabe, ndi kuvulala kosagwiritsidwa ntchito chifukwa cha kuwonongeka kwa mankhwala, chithandizo chingakhale chotalika kwambiri ndipo chimalimbikitsa kuthetsa mphamvu ya tendon ndi kumanganso makoswe.
Zimayambitsa
M'maseŵera a phokoso, kugwiritsira ntchito mopweteka kwa minofu yotulutsa phokoso, makamaka phokoso la extensor carpi radialis brevis, kuphatikizapo kuchitidwa mobwerezabwereza kungapangitse chiopsezo cha goli la tenisi.
Zina mwa zinthu zomwe zingapangitse chigoba cha tenisi ndi kusowa mphamvu, njira yosauka, komanso kuwonjezeka kwa nthawi yaitali kapena mwamphamvu.
Pali nkhawa ina yokhudza kugwiritsira ntchito zingwe zojambulira zitsulo zomwe zimawombera minofu yapamwamba, zomwe zingapangitse kuti nkhawa zisinthe. Ngakhale kuti ena amakhulupirira kugwiritsira ntchito zikwama zazing'ono zingathe kuchepetsa mpikisano wa tenisi , palibe umboni wotsutsa mfundoyi.
(Onani: Elbow Tennis ikugwiritsidwa ntchito pazinthu zopanda mphamvu ).
Nthawi zina, kuwonongeka kwa tendon kumayambitsidwa ndi zotsatira zomwe zimayambitsa minofu ndi matope kuti ziwonongeke pang'ono.
Zizindikiro
Ululu kunja kwa mphuno, kawirikawiri panthawi kapena pambuyo pogwiritsira ntchito kwambiri, ndilo chizindikiro choyamba cha tetelo la tenisi. Nthawi zina, kukweza kapena kugwira zinthu kungakhale kovuta, ndipo ena amamva kupweteka komwe kumawomba pansi.
Chithandizo
Mpumulo ndiwo mankhwala oyamba a chigoba cha tenisi. Siyani zinthu zonse zomwe zimachititsa ululu ndikugwiritsa ntchito njira ya mankhwala ya RICE kuti achepetse ululu ndi kutupa. Mankhwala othandizira nthawi zambiri amafunika kuthetsa matenda a tendinitis omwe amatha kuthetsa masiku angapo mpaka masabata angapo.
Ngati kupweteka kwa tennis kumakhala chifukwa cha kutayika kwa tendon (tendinopathy), zingatenge kuchokera miyezi iwiri kapena isanu ndi umodzi kuti zibwezeretse. Matenda ambiri a epicondylitis wothandizira amatha kukhala mavuto aakulu omwe amapitirirabe pang'onopang'ono ngati wothamanga akupitirizabe ntchito ngakhale kuti akumva ululu.
Ngati ululu wa elbow umatenga masiku owerengeka ngakhale mutapumula ndi mankhwala oyenera, muyenera kuonana ndi dokotala kuti awonetsetse ndi kutumiza kuchipatala .
Wodwala wathanzi angagwiritse ntchito ultrasound kapena njira zina zothandizira kuchiritsa matenda a tendinopathy.
Kuwongolera kwapadera kwa epicondylitis wotsatira kumadalira chifukwa chenicheni cha kuvulala ndi matenda. Komabe, njira zowonjezera za rehab zimaphatikizapo ultrasound, mankhwala, masewera, braces kapena splints.
Tsamba likachiritsidwa, kulimbitsa thupi ndi kusinthasintha machitidwe kungapangidwe. Wothandizira wanu adzakuthandizani kupeza njira yabwino kwambiri yobweretsera. Kumbukirani kuti kuyambitsa zochitika zilizonse tisanachiritse zingachititse kuti vutoli likhale loipitsitsa, choncho tsatirani malangizidwe anu a mankhwala kapena dokotala.
Mankhwala otsutsa-kutupa angathandize kuchepetsa kutupa ndi ululu m'mawere ena a tendinitis.
Ngati muli ndi vuto lalikulu kwambiri, dokotala wanu angagwiritse ntchito kugwiritsa ntchito jekeseni ya cortisone kuti athetsere vutoli.
Zochita Zolimbitsa Thupi Zingathetsere Mavuto a Sitima ya Tchuthi
Zomwe zachitika posachedwapa pakuthandizidwa kwa utawuni wa tenisi ndi zovulaza zina zamatope, monga Achilles tendonitis zakhala zikugwiritsidwa ntchito pa zochitika zapadera zomwe zimagwiritsa ntchito minofu ndi matope. Kusemphana kwapadera ndizo zomwe minofu imachepa ngati ikugwirizana.
Zochita zosavuta zambiri zakhala zikuwonetsa zotsatira zowonjezereka komanso zowonjezereka kwa odwala ambiri a tennis. Zochitazo ndi kayendedwe kowongoka kogwiritsa ntchito kansalu ka mpira. Zochitazo zimaphatikizapo kupotoza Flexbar ya mphira ndi dzanja limodzi ndikukaniza bar monga momwe imagwiritsira ntchito dzanja lovulala. Chotsatira ndi kuvomereza kwapadera kwa mitsempha yotambasula ya manja pa forearm yavulala. Kafukufuku wina wofalitsidwa bwino anapeza zotsatira zabwino pamene odwala amapanga maulendo asanu pafupipafupi tsiku ndi tsiku ndikuwonjezeka kufika pa zitatu zomwe zimabwereza mobwerezabwereza tsiku ndi tsiku.
- Onani vidiyo ya zochitika pa YouTube.
Kafukufuku akupitiriza kutsimikizira kuti machitidwe ophatikizira ndi othandiza pochiza kuvulala kwa tinthu monga Achilles tendonosis, chigoba cha tenisi ndi goli la golfer.
Chifukwa chakuti vutoli ndilofala, kubwereranso kuntchito sikuyenera kuchitika mofulumira, ndi zochitika zowziteteza zomwe zimatambasula ndi kulimbikitsa minofu iyenera kuchitika nthawi zonse.
Opaleshoni ya Sitima ya Tennis
Ngati mankhwala osamalidwa ndi osagwira ntchito sakugwira ntchito, opaleshoni ikhoza kutchulidwa ngati njira yomaliza. Katswiri wodziwa dzanja angapereke uphungu wokhudzana ndi chithandizo chamankhwala komanso zotsatira za opaleshoni. Kuchokera pamtanda, epicondylitis yosakanizidwa, nthawi zambiri kumakhala kovuta kapena matenda aakulu omwe angapitirire kuwonjezereka ndipo amafunika miyezi yambiri kuchiritsa. Kuzindikira ndi kuchiritsidwa mwamsanga n'kofunika kwa aliyense amene akudwala ululu.
Kupewa
Kaya ululu wanu umakhala wochokera ku tendonitis kapena tendinopathy, chithandizo choyenera chiyenera kuphatikizapo kupumula. Ngati mungathe kudziwa chifukwa cha kuvulala ndikupanga kukonza, ndiko kusuntha kwotsatira. Ngati ululu wanu umachokera kumagwiritsidwe ntchito, pewani kapena musiye ntchitoyi ndikupeza mmalo mwake. Ngati ululu uli wochokera ku masewera osavuta kapena mawonekedwe osauka, funsani wophunzira kapena wophunzitsa kuti aphunzitse luso. Ngati mungathe kuthetsa zinthu zomwe zikukhumudwitsa, muli ndi mwayi waukulu wochira mwamsanga.
Zotsatira
Ophunzira a American Academy of Orthopedic, Odwala Odziwitsa, Tchire Tennis (Patapita Epicondylitis).
Coombes, et al. Kuchita bwino ndi chitetezo cha jekeseni ya corticosteroid ndi jekeseni zina za kayendetsedwe ka tendinopathy: ndondomeko yowonongeka ya mayesero olamuliridwa mosavuta. Lancet, Volume 376, Magazini 9754, masamba 1751 - 1767, 20 November 2010
Jobe, et al. "Epicondylitis Yomaliza ndi Yakale ya Elbow" J. Am. Acad. Ortho. Kupanga, Jan 1994; 2: 1 - 8.
Regan, et al. Matendinopathies pafupi ndi chigoba. DeLee ndi Drez a Orthopedic Sports Medicine. 3rd ed. Philadelphia, Pa .: Saunders Elsevier; 2009.. Idapezeka Jan, 2011