Tendinosis ndi chikhalidwe chodziwika ndi kutupa ndi kupweteka kwa tendon. Nthawi zambiri tendinosis imasokonezeka ndi tendinitis , chikhalidwe chimene chimagawana zizindikiro zambiri zomwe zimasiyana kwambiri ndi zomwe zimayambitsa komanso maonekedwe.
Kusiyana pakati pa Tendonosis ndi Tendonitis
Kusiyana kwakukulu pakati pa tendinosis ndi tendonitis ndi nthawi. Matenda a Tendinosis ndi aakulu ( osapitirira kapena omwe amachitidwa) omwe amachitidwa ndi vuto lobwerezabwereza kapena zovulaza zomwe sizinachiritse.
Mosiyana ndi zimenezi, matenda a tendonitis ndi ovuta (chidzidzimutsa, nthawi yayitali) momwe kutupa kumayambanso kuvulaza mwachindunji ku tendon.
(Kusiyanasiyana kumasonyezedwa ndi zilembo zawo, ndi "-osis" kutanthawuza kuti sizinali zachilendo kapena matenda ndipo "-titis" amatanthawuza kutupa.)
Zizindikiro ndi machitidwe a matendawa amasiyananso:
- Tendinosis siimaphatikizapo kutupa. Zoterezi, pamene zingakhale zopweteka, kawirikawiri sipangakhale kufiira kapena kutentha kwa tizilombo tomwe timayandikana nawo . Poyang'aniridwa ndi microscope, ting'onoting'ono ting'onoting'ono (microtears) ya tendon, koma sipangakhale umboni wa maselo opweteka.
- Tendonitis , mosiyana, amachititsa kutupa ndipo amadziwika ndi kutupa, kufiira, ndi kutentha kuwonjezera pa ululu. Mukawona pansi pa microscope, maselo otupa adzakhalapo. Misozi ndi kuwonongeka zikanakhala zomveka kwambiri.
Kusiyanasiyana kumeneku kumapereka momwe timachitira zinthu ziwirizo ndi kufotokoza zotsatira za omwe akukhudzidwa.
Mitundu ya Tendinosis
Tendinosis ikhoza kuchitika m'matumbo ambiri mthupi lonse, makamaka omwe ali pafupi kwambiri. Nthawi zambiri timawatchula malo awo kapena matchulidwe omwe amakhudza:
- Goli lamasewera (lotchedwanso epicondylitis) ndilo mtundu wa tendinosis womwe umayambitsidwa chifukwa chogwiritsa ntchito mopitirira muyeso. Zimakhudza makamaka matope omwe amagwirizanitsa minofu yam'tsogolo kupita kunja kwake. Matendawa akuwonjezereka kwambiri pamene minofu imabwereza mobwerezabwereza motsutsana ndi zipsinjo za bony za chigoba, zomwe zimapangitsa kuvulaza. Kuphatikiza pa ululu wa mphuno, kufooka kwa chigwirizanochi kumawonekeranso.
- Bondo la Jumper (lomwe limadziwikanso kuti patellar tendinosis) limaphatikizapo tendon yomwe imayambira pa patella (kneecap) ndipo imapitirira kutsogolo kwa bondo kupita ku tibial tubercle (fupa la fupa). Mosiyana ndi kuvulala koopsa, patellar tendinosis imakhudza othamanga ndi ena omwe maondo awo amabwerezabwereza amakhudzidwa ndi kudumpha kapena kubwereza mobwerezabwereza. Sitiyenera kusokonezeka ndi bondo la wothamanga (vuto la kupweteka kwa patellofemoral) limene ululu umayambitsidwa chifukwa cha kugonana kosagwirizana ndi kayendetsedwe ka kachilombo ka pakhosi (ntchafu fupa).
- Matenda otchedwa tendlles amawononga thambo (lotchedwa tendon calcaneal) lomwe limagwirizanitsa minofu ya ng'ombe ku calcaneus (chidendene fupa). Kulimbitsa thupi kwa mwana ndi ng'ombe kumathandiza kuti pakhale vutoli, makamaka kwa anthu okalamba, monga minofu ndi majekiti omwe amagwira ntchito tsiku ndi tsiku zomwe zimapangitsa kuti tendon isinthe ndi kuyambiranso (monga kuyenda kapena kukwera masitepe). Thupi limathamanga chidendene likhoza kuphwanya pa tendon, molimbika kuigwedeza pakapita nthawi.
Kuchiza kwa Tendinosis
Imodzi mwa mankhwala opindulitsa kwambiri a tendinosis ndi mankhwala opatsirana. Mwachidziwitso, kupangika kwapadera kwa mitsempha ya minofu yowonongeka kwawonetsedwa kuti ndi othandiza kuthetsa ululu ndi machiritso oonongeka.
Pa milandu yowopsa kwambiri pomwe pali kupasuka kwapadera (kapena kotheka) kwa tendon, opaleshoni ingasonyezedwe.
Chifukwa tendinosis sichigwirizana ndi kutupa, mankhwala oletsa kutupa mankhwala, jekeseni ya cortisone, ndi cryotherapy (kugwiritsa ntchito madzi oundana) sizingakhale zopindulitsa pamene akuchiza vutoli.
> Chitsime:
> Bass, E. "Tendinopathy: Chifukwa Chosiyana pakati pa Tendonitis ndi Tendinosis Matters." Int J Ther Mass Bod . 2012; 5 (1): 14-17.