Kodi Tendonitis ndi Tendinopathy ndi chiyani?

Kuvulala kwa tendon, ngati chigoba cha golfine, chifukwa cha kutupa ndi kumwa mopitirira muyeso

Tendonitis ndi tendinopathy sizinthu zofanana komanso kudziwa kusiyana kumeneku kumapanga chithandizo chanu.

Mwachidule

Mitsempha yolimba, yosinthasintha ya minofu yonse ya thupi yomwe imagwirizanitsa minofu ndi mafupa ndizovuta. M'maseŵera, amatha kukwiya mosavuta kapena kutengeka ndi zovuta zowonongeka mobwerezabwereza, kapena kuvulala koopsa monga choponderezedwa kapena kuwonongeka kwa kugwa ndi kugunda.

Kodi Tendonitis N'chiyani?

Komanso amatchedwa Tendinitis, tendonitis imatanthawuza kutupa kwa tendons chifukwa zimakwiyitsa ndipo zimawotcha. Chokwanira, -titis, chimatanthauza kutupa. Tendinitis imayambitsa kupweteka kwakukulu, kumangirira komwe kumalepheretsa kusuntha, mosavuta.

Chowopsa kwambiri cha tendinitis kwa othamanga ndi kuvulala kwakukulu komwe kumapangitsa thambo kutambasula kuposa kuyenda kwake komweko ndipo zimayambitsa kupweteka, kutupa ndi kutupa.

Kodi Tendinopathy Ndi Chiyani?

Madokotala amagwiritsa ntchito mawu akuti tendinopathy kufotokozera kuvulala kwamtundu wambiri, monga chigoba cha tenisi, chigoba cha golfer, kuvulala kwa tchire, ndi zina zotero. Akatswiri tsopano akuzindikira kuti kuwonongeka kwa mavitamini kumawoneka chifukwa cha kuwonongeka kwa nthawi yaitali komwe kumachititsa kuti thambo lisasokonezeke popanda kutupa kulikonse komwe kukugwirizana.

Kusiyana pakati pa ziwiri

Kusiyanitsa pakati pa zinthu ziwirizi ndizofunikira chifukwa kutupa kwa tendinitis kumachitidwa mosiyana ndi kuwonongeka kwa tendinopathy (tendinosis).

Kutupa kwa matenda othamanga kwambiri nthawi zambiri kumatulutsa mankhwala ndi mankhwala odana ndi kutupa. Komabe, ngati chovulalacho chimachitika chifukwa cha kutayika kwa thupi, chithandizochi chingakhale chotalika kwambiri ndipo chidzagwiritsidwa ntchito polimbikitsa mphamvu ya tendon ndi kumanganso ziphuphu.

Zomwe Zimayambitsa

Nthawi zina tendinitis kapena tendinopathy ikhoza kukhalapo chifukwa cha masewera osayenera kapena masewera olimbitsa thupi, pomwe ntchito ndi wophunzitsi kapena wophunzitsira ndiyo njira yabwino yothetsera vuto losalephereka.

Kuonetsetsa kuti mukuwotha bwino komanso kumaphatikizapo maphunziro okwanira kumathandizanso kupewa zovulaza za tendon.

Kuvulala koopsa kumakhala chifukwa cha kubwerezabwereza, kupanikizika ndi kupwetekedwa ndi ziwalo zofewa za thupi (minofu, matope, mafupa ndi ziwalo) popanda nthawi yoyenera kuchiritsa. Nthaŵi zina amatchedwa kupwetekedwa mtima, kapena kuvulazidwa mobwerezabwereza.

Chithandizo

Ngati muli ndi phokoso mwadzidzidzi kapena kupweteka mu tendon, ndipo mukuganiza kuti chinthu choyamba chimene mukuyenera kuchita ndicho kusiya ntchito ndi kupuma. Tendonitis idzayankha njira ya RICE (kupuma, ayezi, kuponderezana ndi kukwera). Njira imeneyi imathandiza kuchepetsa kutupa ndi kutupa ndikubweretsa mpumulo wachisoni. Chithandizo choterechi ndizofunikira zonse kuti zibwezeretsedwe ku tendonitis yeniyeni. Tendinitis nthawi zambiri imatsimikiza masiku angapo kupita masabata angapo.

Mwamwayi, zingatenge miyezi iwiri kapena isanu ndi umodzi kuti achiritsidwe kuchokera ku nthawi yayitali ya tendinopathy. Kuvulala kwamtundu wambiri kumakhala mavuto aakulu omwe pang'onopang'ono amaipiraipira chifukwa wothamanga akupitirizabe ntchito ngakhale kuti akumva ululu.

Ngati kupweteka kwa tchupi kumatenga masiku owerengeka ngakhale mutapumula komanso mukusamalidwa bwino, muyenera kuwona katswiri wa zamaphunziro kuti muwone ndikugwiranso ntchito ndi wodwalayo kuti mubwezeretsenso.

Opaleshoni ya thupi angagwiritse ntchito ultrasound kapena njira zina zothandizira kuchiritsa matenda a tendinopathy. Nthaŵi zina, ziphuphu kapena mabotolo angagwiritsidwe ntchito pofuna kuthamangira tendon pamene ikuchiritsa. Njira zowonjezereka za rehab zimaphatikizapo: ultrasound, mankhwala, kusisita, kuphulika kapena kupukuta.

Gawo lomalizira la rehab of tendinopathy limaphatikizapo kulimbikitsa ndi kusinthasintha machitidwe. Phukusi lanu lidzakuthandizani kupeza njira yabwino kwambiri yobweretsera, koma nkofunika kumvetsa kuti kuyambitsa zochitika zilizonse tisanachiritse zingathe kupangitsa kuti vutoli likhale loipitsitsa, motero ndikofunika kutsata malingaliro anu ochipatala kapena dokotala.

Kupewa

Ngati mungathe kudziwa chifukwa cha kuvulala kwa tetoni ndi kukonza, mungathe kupewa mavuto a nthawi yayitali. Ngati ululu wanu umachokera kumagwiritsidwe ntchito, pewani kapena musiye ntchitoyi ndikupeza ntchito yowonjezera. Ngati kupweteka kumachokera ku njira yosauka kapena ergonomics yosavuta, funsani wophunzitsa kapena wophunzitsa kuti aphunzitse luso. Ngati mungathe kuthetsa zinthu zomwe zikukhumudwitsa, muli ndi mwayi wochulukirapo.

Pofuna kupewa kubwezeretsedwa kwa mphamvu ya tendon, ochita masewera ayenera kukhala ndi ndondomeko yomwe imaphatikizapo kuchuluka kwa nthawi ndi nthawi komanso ntchito.

Mitundu Yeniyeni

Mbali zina za thupi zomwe zimayambitsa kuvulala kwa mavitamini zikuphatikizapo:

Zotsatira

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