Chizindikiro chachitsulo chimakhala chofala kwambiri chomwe chimayambitsa zala kuti zigwire ndi kukakamira mu kanjedza. Nthaŵi zambiri m'mawa, odwala amadandaula kuti amadzutse ndi chala chawo kumanja. Kuwongolera chala kungakhale kowawa ndipo kungayambitse kugwedeza kwapadera komwe kumatulutsa dzina "kuyatsa kwala." Zonse zala zachitsulo ndi zala zazikulu zimakhudzidwa ndi kuyambitsa, ndipo mankhwala onse omwe atchulidwa ndi othandiza kwa chiwerengero chilichonse.
Zizindikiro zimayambira makamaka kwa amayi (pafupifupi 75%) ndipo zimatha kuchitika m'minwe kapena thupi lililonse.
Choyambitsa chala chingakhale chopweteka ndipo chimatha kuchita njira zambiri. Komabe, sichikhalidwe chowopsya moyo; Choncho, chithandizo sichinali chololedwa. Ngati wina asankha, akhoza kukhala ndi zizindikiro, zomwe nthawi zina amakonza yekha.
Zosakaniza, NSAIDs ndi Zowoneka Zosavuta
Odwala omwe ali ndi zizindikiro zochepa angafune kuyamba mankhwala oyamba. Izi zingaphatikizepo mankhwala odzitsutsa pakamwa, otentha kapena ozizira, kutsekemera komanso kuphatikiza.
Kupambana kwa mankhwala osayenerawa kumadalira kukula kwake kwa chiwongolero chala. Anthu ambiri omwe ali ndi zizindikiro zochepa samafuna chithandizo chilichonse. Anthu ambiri omwe ali ndi zizindikiro zowawa kwambiri adutsa mfundoyi pamene njira zosavuta zimathandiza. Izi zikuti, mayesero a mankhwala ophweka ndi oyenera.
Madokotala owerengeka kwambiri adakali ndi zozizwitsa, monga kupambana kwa mankhwalawa kumatsutsana, ndipo nthawi zambiri zidutswa zimayenera kuvala miyezi yambiri kuti zithandize.
Popeza kuti mankhwala ena ali opambana, kupukuta sikugwiritsidwanso ntchito mobwerezabwereza.
Cortisone Injections
Chithandizo chofala kwambiri cha chala chachitsulo chimakhala ndi jekeseni ya steroids (cortisone) mumtambo wa tendon. Cortisone kawirikawiri imachepetsa kutupa mokwanira kuti kubwezeretsanso maselo oyenera.
Kawirikawiri, jekeseni umodzi wa cortisone udzathetsa vutoli kwa kanthawi.
Mpata wa cortisone womwe umathetsa vutoli ndi pafupifupi 50%. Pa chifukwa ichi, anthu ambiri amasankha kuyamba ndi jekeseni ya cortisone. Ngakhale kuti izi sizingathetseretu vutoli, zingakhale zothandiza kwa anthu ambiri.
Zotsatira za jekeseni ya cortisone nthawi zambiri ndizochepa, koma kwa anthu ena, zimakhala zofunikira kwambiri. Ndi chifukwa chake madokotala ena ndi odwala amasankha kudumphira ndikuwongolera kuchipatala chotsimikizika, monga opaleshoni.
Opaleshoni
Kuchita opaleshoni ya chigoba chachitsulo (chomwe chimatulutsidwa ndi chowombera) ndi njira yomweyi yomwe ingakhoze kuchitidwa pansi pa minofu yowonongeka ya m'madera kapena m'dera la mitsempha. Kachilombo kakang'ono (kosakwana makilogalamu awiri) kamapangidwa khungu, ndipo gawo lolimba la tendon sheath limamasulidwa. Izi zimathandiza kuti thambo liziyenda bwino popanda kugwira.
Pambuyo pa kumasulidwa kwachitsulo, chochita cha chala chimalimbikitsidwa, chifukwa izi zidzathandiza kuteteza minofu yosavuta kupanga kupanga opaleshoni. Odwala amalangizidwa kuti asapanikizedwe pa mankhwala ochiritsidwa kwa masabata angapo. Kukhalanso kwathunthu kudzayembekezeredwa.
Opaleshoni yachitsulo yachitsulo ndi yotetezeka, koma pali mavuto otheka. Vuto lalikulu kwambiri ndilo kuti chiwongolero chabowo chikhoza kubwerera ngati mkaka wa tendon sukutulutsidwa mokwanira.
Mavuto ena ndi omwe amatenga matenda, kuuma, ndi kuwonongeka kwa mitsempha ya chala. Mwinamwake mavutowa ndi ochepa, ndipo opaleshoni imapambana kwambiri.
Kodi Njira Yabwino Ndi Yotani?
Palibenso njira yabwino yothandizira nkhono. Pakhala pali umboni wina wosonyeza kuti mankhwala oyambirira opaleshoni amatha kuthamanga kwambiri, monga odwala amakhala ndi kuuma kochepa ndi kutupa m'kamwa. Choncho, madokotala ena opaleshoni amalimbikitsa chithandizo choopsa kwambiri mwa kudumpha pa njira zosavuta ndikupita ku opaleshoni yomweyo.
Komabe, anthu ambiri amafuna kupewa mpeni wopaleshoni.
Pazochitikazi, pali zosankha zabwino zomwe siziphatikizapo opaleshoni. Munthu aliyense ali ndi zolinga zosiyana ndi zofunikira kwambiri, choncho, n'zovuta kunena kuti mankhwala ena ali abwino kwa aliyense. Kambiranani ndi dokotala njira yabwino kwambiri yothetsera vuto lanu.
Zotsatira:
> Fleisch SB, Spindler KP, Lee DH. "Majekeseni a Corticosteroid mu chithandizo cha chala choyambitsa: msinkhu Woyamba I ndi II ndondomeko yowonongeka" J Am Acad Orthop Surg. 2007 Mar; 15 (3): 166-71.
> Adams JE, Habbu R. "Matendinopathies a dzanja ndi dzanja" J Am Acad Orthop Surg. 2015 Dec; 23 (12): 741-50.