Tendonitis (palinso tendinitis yotchulidwa) ndi mkhalidwe wovuta kwambiri pamene tendons zomwe zimagwirizanitsa minofu ndi mafupa zimatuluka.
Tendons ndi zingwe zogwiritsira ntchito za collageni zomwe zimagwiritsidwa ntchito ngati zida zosinthika komanso zozungulira ziwalo za thupi. Iwo amabwera mu maonekedwe ndi makulidwe ambiri, kuchokera kwa ang'onoang'ono omwe amathandiza kayendedwe ka zala, mpaka zikuluzikulu, monga tendon Achilles, zomwe zimatithandiza kuyima kapena kuyenda.
Pali zifukwa zambiri zomwe tendon ikhoza kutenthedwa, ndipo zikachitika, zimakhala zopweteka. Kupweteka kumakhala kumamveka kwambiri pa tsamba lolowetsamo kumene thambo limagwira ku fupa. Ikhoza kumvetsanso mwamphamvu kumene minofu ndi tendon zimagwirizana.
Matenda otchedwa tendon amatchulidwa kawirikawiri monga tendinosis kapena tendonopathy. Izi zimangotanthauza chikhalidwe china cha matendawa. Matendawa angapangitse ululu, kutupa, ndi kuyenda kochepa.
Zimayambitsa
Ngakhale pali ziwalo mazana ambiri m'thupi, ndi ochepa chabe omwe amakhudzidwa ndi tendonitis. Mitunduyi imakhala ndi mitsempha yochepa ya magazi yomwe imawathandiza, ndipo kusowa kwa magazi kumalepheretsa kuti athe kuchiza pambuyo povulala. Mbali za tendon zomwe zimakhudzidwa kwambiri ndi zotsatirazi zimatchedwa madera a m'madzi omwe magazi amalephera.
Nthawi zambiri tendonitis imayamba chifukwa cha kugwiritsidwa ntchito mopitirira muyeso pa ntchito, masewera, kapena ntchito za tsiku ndi tsiku. Nthawi zambiri zimagwirizanitsidwa ndi makwerero obwerezabwereza monga omwe amachitidwa ndi ntchito ya mzere kapena masewera monga golf kapena tenisi pomwe chinthu chimabwerezedwa mobwerezabwereza
Kuvulaza molunjika-monga kupweteka kwa tendon-kungayambitsenso tendonitis. Matenda opweteka, monga nyamakazi ya nyamakazi ndi osteoarthritis, amatha kuwonjezereka mwadzidzidzi (zovuta) komanso zosalekeza (kutupa).
Tendonitis imapezeka kawirikawiri mwa anthu oposa 40 ndi chiopsezo ndi kuuma kwa zizindikiro zikuwonjezeka ndi zaka.
Malo Amodzi a Tendonitis
Tendonitis ikhoza kuchitika pafupifupi paliponse pamtundu ndipo nthawi zambiri imasankhidwa ndi malo ake. Chifukwa chakuti chikhalidwechi chikugwirizana ndi kubwereza kubwereza, timakonda kuziwona mwa anthu omwe amachita ntchito zina mwachizoloŵezi kapena amachita masewera enaake a masewera. Zina mwa mitundu yofala kwambiri ndi izi:
- Matenda otchedwa Achilles, omwe amagwira ntchito pakati pa mwana wa ng'ombe ndi chidendene
- Patellar tendonitis , nthawi zina amatchedwa maondo a jumper
- Matenda otchedwa Elbow tendonitis, omwe amadziwikanso ngati goli la tenisi kapena golidi ya golfer
- Mankhwala otchedwa "biceps tendonitis", omwe amagwiritsidwa ntchito ndi tetepakati pakati pa bicep ndi shoulder
- Katemera wa Rotator, wotchedwa mapewa a mapepala kapena mapewa
- Matenda otchedwa Wrist, nthawi zina amatchedwa bowler's wrist
Zizindikiro ndi Kuzindikira
Tendonitis imadziwika ndi kupweteka kwadzidzidzi ndi kutupa ndipo sikuyenera kusokonezeka ndi tendinosis momwe zizindikiro zimakhala zosapitirira. Nthaŵi zambiri, maonekedwe a zizindikiro amatha mwadzidzidzi, nthawi zambiri amagwirizanitsidwa ndi kuvulala kapena nthawi yochita zambiri. Panthawi zina, zizindikirozo zidzawoneka pang'onopang'ono komanso zoipitsa panthawi.
Zomwe zimafala kwambiri m'matope zimaphatikizapo:
- Kutupa kwa tendon, kawirikawiri ndi kufiira ndi kutentha
- Chifundo chimadutsa pa tendon
- Ululu ndi kuyenda kwa dera lomwe lakhudzidwa
- Kusokoneza kapena kugunda kwa grating pamene chophatikizidwa chikugwedezeka
- Kuwonekera kwa mtanda kapena phokoso pa tendon yokha
- Kuuma chifukwa cha kutupa
Kudziwa kawirikawiri kumapangidwa ndi kuunika kwa thupi. Ngati chifukwa chake sichiri bwino kapena pali zochitika zinazake, dokotala akhoza kulamula mayeso ena. Zithunzi za X-ray ndi maginito (MRI) zimakhala zosafunika kwambiri pofufuza matenda ndipo zimagwiritsidwa ntchito pokhapokha ngati pali zodetsa nkhaŵa zowonongeka kapena kuwonongeka kwa mgwirizano.
Chithandizo
Chithandizo cha tendonitis chimaphatikizapo zinthu zitatu:
- Kuletsedwa kwa kayendetsedwe kake ka tendon
- Kuchepetsa kutupa
- Kukonzekera kwa tizilombo tovulazidwa, kuphatikizana, ndi minofu
Kuti izi zitheke, gulu lovulazidwa liyenera kukhala lopanda mphamvu kuti lichotse vuto lililonse pamtundu wovuta. Ice lingagwiritsidwe ntchito masiku oyambirira kuti achepetse kutupa ndi kupweteka. Mankhwala osagwiritsidwa ntchito poletsa kutupa, monga ibuprofen, angaperekenso mpumulo.
Cholinga chachikulu cha chithandizo ndi kuteteza kusuntha kulikonse komwe kungapangitse vutoli. Malingana ndi kumene matendawa ali, muyenera kuyesetsa kupewa ntchito zosavuta, za tsiku ndi tsiku monga kuyendetsa kapena kuyimba mpaka zizindikiro zitakhazikika.
Kwa anthu omwe ali ndi tendonitis kapena mavitonitis ochiritsira, jekeseni ya corticosteroid ikhoza kugwiritsidwa ntchito popereka mpumulo wapakatikati. Kugwiritsa ntchito mopitirira muyeso kuyenera kupeŵedwa chifukwa kungathe kufooketsa tendon m'kupita kwa nthawi ndikuwonjezera chiopsezo chotha.
Kuchiza kungathandizidwe ndi mankhwala opatsirana kuti azigwiritsa ntchito ndi kusisita mderalo. Kubwezeretsa kumakhala kofulumira, nthawi zambiri ndi kuyambiranso kayendetsedwe ka kayendedwe kake.
Kupewa Kuthana ndi Tendonitis
Kuphatikiza pa chithandizo chamankhwala, pulogalamu yowonongeka panyumba ikhoza kuthandizira popewera matenda a tendonitis. Njira imodzi yomwe ikuwoneka yopindulitsa ndiyo mtundu wa masewero olimbitsa thupi wotchedwa eccentric resistance resistance.
Pazochitika za tsiku ndi tsiku, minofu yathu imagwira ntchito ndikugwirizanitsa. Mkonziwu umatchedwa kugwira ntchito; kumasulidwa ndizochita zozizwitsa.
Pochita maphunziro osakanizika, minofu imatha kugwira ntchito yolemera koma kenako imamasulidwa kuti ikhale ndi vuto mpaka minofu ikuwonjezeka. Chochita pang'onopang'ono, chosasinthika chimakuthandizani kumanga mphamvu ndi kuzungulirana palimodzi popanda kuika maganizo osayenera pa tendon yokha.
Ndi njira yomwe anthu ambiri amachitira ndi othamanga pambuyo povulazidwa kwambiri ndipo apezeka kuti ndi opindulitsa kwa achikulire omwe sali ovulala kwambiri.
Mawu Ochokera
Tendonitis ikhoza kukhala chikhalidwe chowawa chomwe chimalepheretsa kuti muchite ntchito yanu yachizolowezi kapena zosangalatsa. Ngati mukuganiza kuti muli ndi tendonitis, fufuzani ndi wodwalayo ndipo muyambe kumwa mankhwala nthawi yomweyo.
> Zotsatira:
> Murtagh, B. ndi Ihm, J. "Kuphunzitsidwa kwa Ophunzirira kwa Chithandizo cha Tendinopathies." Nkhani Yamakono Yamakono Yamakono. 2013; 12 (3): 175-181.
> Scott, A .; Bachman, L .; ndi Kuthamanga, C. "Tendinopathy: Update on Pathophysiology." Journal of Orthopedics & Sports Masewera olimbitsa thupi . 2015; 45 (11) : 833-841.