I-tendinitis yamadolo: izimbangela zemfundo, ukwelashwa kwasekhaya

I-Tendinitis ibizwa ngokuthi ukuvuvukala kwethenda, uma ihunyushwe isuselwa kusiLatini. I-tendinitis yamadolo ibonakala ngokutholakala kwenqubo yokuvuvukala eyenziwe ngaphakathi kwemigudu ye-patella.

Ukuvuvukala okunjalo kuyelapheka ngosizo lwendabuko, indlela yabantu kanye nokuhlinzwa. Kuzosiza ukubuyiswa kokwelapha okuvivinya umzimba kahle.

I-tendonitis yamadolo - kuyini?

Ukwephuka kwemicroscopic fiber okubangela ukuvuvukala kubangelwa ukugcwala ngokweqile ngokomzimba. Ngakho-ke, lesi sifo singahle sithinte abagijimi, ikakhulukazi abagijimi.

Inqubo yokuvuvukala ikhula ngenxa yokuzifudumeza okungafanele kwenziwe noma ukungakunaki, ukungayinaki imithetho yezokuphepha, ukulimala lapho uwe futhi ushaya.

I-tendinitis yamadolo ibuye ithinte abantu umsebenzi wabo ohlotshaniswa nokugcwala kwemilenze isikhathi eside. Ukuvuvukala okunjalo kutholakala ngisho nasezinganeni nasebekhulile.

Lesi sifo singelapheka ngokuphelele. Kepha uma ufuna usizo lwezokwelapha kusenesikhathi, kuzobonakala ukuthi kusenesikhathi kangakanani isigaba. Ngakho-ke, inkambo yokwelashwa ifinyeziwe, empeleni, nesikhathi sokululama.

Izimbangela zalesi sifo

Ukuqala kokuvuvukala kokuhlangana kwamadolo kuvame ukuhlotshaniswa nesilonda esivele sikhona se-tendon bursa, kanye nesheath tendon. Lezi zifo zinamanye amagama - i-tendobursitis ne-tendovaginitis. Kunezimbangela eziningi zamadolo tendonitis.

Okungukuthi:

1. Ukulayisha ngokweqile noma imithwalo esindayo ende.
2. Ukulimala ngomthelela, ukuwa. Kulokhu, kwakhiwa ama-microtraumas amaningi, okuholela ekuvukeleni.
3. Ukuba khona kwezifo ezithathelwanayo ze-fungal noma i-bacterial nature.
4. Izifo ezikhona zesistimu: isifo sikashukela, isifo samathambo kanye ne-polyarthritis, i-gout, i-arthrosis deformans, i-lupus erythematosus.
5. Ukungezwani komzimba nemithi.
6. Ukwehluka komzimba - ubude obuhlukile bezitho ezingezansi, ubukhona bezinyawo eziphansi.
7. Ukusetshenziswa njalo kwezicathulo ezingathandeki ezisezingeni eliphansi.
8. Ukuhamba okwandisiwe kokuhlangana kwamadolo, kuthuthukise ukungazinzi kwayo.
9. Isimo esibi, i-scoliosis, i-osteochondrosis.
10. Amasosha omzimba abuthakathaka.
11. Ukuguqulwa kwamathenda ngenxa yokuguga.
12. Ukutheleleka nge-helminths.
13. Ukungalingani kwezicubu zemisipha.

Ukwelashwa kwesikhathi eside ngama-glucocorticosteroids kungaphazamisa ukuvela kwe-tendonitis. Ngokuya ngesizathu sokuqala kwalesi sifo, sihlukaniswe saba yisifo esithathelwanayo nesingathathelani.

Ukuhlonza imbangela ethile kuzonquma ukunemba nohlobo, ukunemba kokwelashwa, lapho inkambo yokwelashwa nokutakula khona, isikhathi sabo sizoncika khona.

Izimpawu zokugula

Izimpawu eziyinhloko eziveza lesi sifo kubonakala ku:

• izinzwa ezibuhlungu zomlingiswa okhalayo ngesikhathi sezulu esishintshayo;
• ngokungazelelwe, kanye nokuqala okungazelelwe kobuhlungu emadolweni, kanye nezitho nezicubu eziseduze;
• ukungasebenzi kwamadolo;
• ukuzwa kobuhlungu obukhali nobunzima lapho ushaya iphalathi ngesikhathi sokuhlolwa;
• ushintsho kumbala wesikhumba kuya kupinki ogqamile endaweni ethintekile;
• ukuvuvukala, ukuvuvukala;
• ukwenzeka kokuqubuka noma ukuncwina emadolweni lapho unyakaza;
• ukwanda kokushisa komzimba kwezinye izimo.

Ubuhlungu obucijile bungabonakala lapho uzama ukusukuma endaweni yokuhlala, ukugoba umlenze, noma ukukhuphuka izitebhisi. Noma uhamba, ikakhulukazi ukugijima. Lezi zimpawu zimbi kakhulu ikhwalithi yempilo, ziphazamisa ezemidlalo.

I-symptomatology echaziwe kulula ukuyibona ngenkathi kuhlolwa umlenze wesiguli, ikakhulukazi lapho kuhlolwa indawo yesifo: ukuxhumana kwemigudu ne-patella. Uma inqubo yokuvuvukala iqhubeka ngokujulile endaweni ebekiwe, ubuhlungu buyanda njengoba bufakwa ezicutshini.

Ukuxilongwa kwalesi sifo

I-tendonitis yamadolo itholakala ngemuva kokwenza lezi zenzo ezilandelayo:

1. Ukuhlola okubonakalayo.
2. Ukuqoqa i-anamnesis.
3. Ukubanjwa, ukulungiswa nokuhlaziywa kwezikhalazo phakathi nayo.
4. I-X-ray. Uzobonisa ubukhona besifo kuphela esigabeni sesithathu noma sesine. Kulesi simo, izimbangela ze-tendinosis zizobonakala - i-chondrosis, i-arthritis, i-bursitis.
5. I-CT neMRI. Lezi zinqubo zizokhomba ukuqhuma kwe-ligament okungenzeka futhi zibonise izilonda ezidinga ukuhlinzwa.
6. I-Ultrasound izobona izinguquko zangaphakathi ku-ligament, ukuncipha kwayo okungenzeka.

Ukuphambuka kokujwayelekile ngesikhathi sokuhlolwa kwelabhorethri kuyabonakala nge-tendonitis esithathelwanayo yedolo elihlangene. Ukuxilongwa okungaqondakali kuveza isigaba esithile sesifo, izilonda zemisipha nendawo esiqondile.

Indlela yokwelashwa, ubude bayo kanye nesidingo sokungenelela kokuhlinzwa kuxhomeke ekufundeni kwezinyathelo nezinqubo zokuxilonga.

Ukwelashwa kwe-tendinitis

Ukwelashwa kwe-tendonitis kuhilela ukusetshenziswa kwezidakamizwa. Ungasebenzisa izindlela zomdabu. Kuyasiza nge-tendonitis yedolo elihlangene, ukwelashwa ngokomzimba ngesethi yokuzivocavoca. Ukuhlinzwa kwesinye isikhathi kuyadingeka.

Ukwelashwa kwezidakamizwa

I-tendinitis yamadolo ingaphathwa kahle ngokulondolozwa ezigabeni ezimbili zokuqala. Lesi sifo singabuye sehlulwe esigabeni sesithathu. Isinyathelo sokuqala sokwelashwa ukukhubaza isitho, ukusinikeza isimo sokuphumula. Esigabeni sokuqala, udinga ukunciphisa ukusebenza kwamadolo, sebenzisa induku lapho unyakaza.

Ukuze unciphise umthwalo ku-patella ligament, gqoka i-orthosis. Ukusetshenziswa kwe-orthosis yisixazululo esihle kakhulu, kuhamba njengokungezelela ekwelashweni okuyinkimbinkimbi kwezifo zamadolo, futhi kuyindlela enhle yokuvimbela ukulimala kwemisipha ngesikhathi sokugijima, imithwalo yamandla nomsebenzi womzimba.

Ukwelashwa ngemithi:

1. Ukudambisa izinhlungu kumisa ukuqala kobuhlungu.
2. Ama-anti-inflammatories anganciphisa ukuvuvukala aqede nobuhlungu. Imvamisa le mithi ifakwa eqenjini le-NSAID: Ibuprofen, Ketorol, Diclofenac (Voltaren). Ngakho-ke, kuyadingeka ukuthi ukhathazeke ngesimo sepheshana lamathumbu bese udla kahle. Izidakamizwa zithathwa ngemuva kokudla, noma ngabe ama-NSAID asetshenziswa ngokwezihloko ngendlela yokugcoba nama-gel. Kwesinye isikhathi udokotela uzokunika imijovo. Kufanele zenziwe ngumsebenzi wezempilo kuphela. Ukuhlolwa kokuphendula okweqile kuyadingeka ngaphambi kokusetshenziswa. Ama-NSAID anqunyelwe isikhathi esiyizinsuku ezinhlanu kuya emavikini amabili.
3. Uma izidakamizwa ezingenhla zinganikeli umphumela oyifunayo, imijovo ye-corticosteroids isetshenziswa kanye ne-plasma. Imijovo ye-Corticosteroid inhle kakhulu ekunciphiseni ubuhlungu nokuvuvukala. Kodwa-ke, azikwazi ukugwazwa isikhathi eside ukugwema ukuqhekeka kwemisipha. Imijovo yePlasma iqukethe amaseli egazi, ama-platelets. Imijovo enjalo iyindlela entsha yokwelapha. Ithuthukisa ukuvuselelwa kwezicubu ezilimele.
4. Imithi elwa namagciwane. Uma ukuhlolwa kukhombisa imvelaphi yebhaktheriya ye-tendinitis yamadolo, udokotela uzonquma ukuthi aphuze noma ajove inkambo yama-antibiotic i-Amoxicillin (Augmentin), i-Cefazolin noma ezinye izidakamizwa ezifanayo.

Izindlela zendabuko

Umuthi ohlukile usetshenziswa phezulu, ungena esikhunjeni, noma usebenze ngaphakathi ngendlela yoketshezi kanye ne-decoctions. Zisiza ukuqeda izinhlungu futhi zinciphise nokuthuthuka kokuvuvukala.

Kusho ukusetshenziswa kwangaphakathi:

1. I-ginger eqoshiwe kufanele ixutshwe ne-sarsaparil ngezilinganiso ezilinganayo (isipuni ngasinye), yenziwe njengetiyi elula futhi iphuzwe kabili ngosuku.
2. Faka i-curcumin esicongweni sommese ekudleni ngenkathi upheka. Into eqeda ubuhlungu. Ibuye ibe nezakhiwo ezilwa nokuvuvukala.
3. Thela amagremu ama-50 wokwahlukanisa kwamantongomane nge-vodka enanini lama-500 ml. Phikelela amasonto ama-2,5. Thatha amaconsi angama-20 kathathu ngosuku.
4. Brew bird cherry ngokugeza ngamanzi. Ungasebenzisa amajikijolo omile (thatha isipuni esisodwa), uzodinga amathathu amasha. Udinga ingilazi yamanzi. Phuza njengetiyi ejwayelekile.

Kusho ukusetshenziswa kwasendaweni:

• Ukuhlikihla ngeqhwa kuze kube yimizuzu engama-20.
• Cindezela ijusi le-aloe, yenza izingcindezi ngokufakwa kwayo. Ngosuku lokuqala, faka ukucindezela izikhathi ezi-5 (njalo emahoreni ama-2,5 - 3), bese - ebusuku.
• Amafutha e-Arnica angasiza ekunciphiseni ukuvuvukala aqede nobuhlungu. Kufanele igcotshwe kathathu ngosuku.
• Kufakwe ama-ginger lotions. Thela amanzi abilayo angama-400 ml ngaphezulu kwezipuni ezimbili zomkhiqizo. Phikelela 30 - 40 imizuzu. Faka ama-lotions izikhathi ezi-3 ngosuku imizuzu eyi-10.
• Ukwelashwa kokuqhathanisa kuzosiza ukuvuselela imicu eyonakele futhi kwandise ukugeleza kwegazi. Kuyadingeka ukushintshanisa ukukhuhlwa kweqhwa ngokufudumeza okusanhlamvu okushisayo okuthelwe kusokisi noma esikhwameni.

Ukusetshenziswa kwamakhambi abantu kuyasebenza ezigabeni zokuqala, kanye nasendleleni engapheli yamadolo tendinitis. Kodwa ngaphambi kokusebenzisa le ndlela, udinga ukuxhumana nodokotela.

Ukungenelela kokusebenza

Umsebenzi wenziwa ukususa izicubu ezilimele ezingakwazi ukubuyiselwa. Ukungenelela kokuhlinzwa kunqunyelwe esigabeni sesine, lapho kutholakala ukuphuka okuphelele kwemisipha noma kutholakala ukukhala okuyingxenye.

Ukungenelela kokuhlinzwa kuhlukaniswe izinhlobo ezimbili:

• vula. Kwenziwa ngqo ngokusikwa kwangaphandle kwezicubu ezigcwele;
• i-arthroscopic. Ukungenelela ngobumnene. Enye yezinhlobonhlobo zokuhlinzwa kwe-endoscopic.

Ukuhlinzwa okuvulekile kuzosusa ama-cysts nokunye ukukhula okufanayo. Kwesinye isikhathi odokotela abahlinzayo kufanele benze imishanguzo engezansi kwepatella. Ngenxa yalokho, ukuvuselelwa kuyasebenza.

Odokotela benza ukwakhiwa kabusha kwethenda ukugcina imisipha yethanga isebenza kahle. Imvamisa ngesikhathi sokuhlinzwa, odokotela abahlinzayo kufanele banciphise isigxobo esingezansi se-patella. Ukususwa (kwesinye isikhathi okuyingxenye) yomzimba kaGoff nakho kungenzeka.

Ukuhlinzwa kwenziwa nge-tendinitis yamadolo ebangelwa yi-vasoconstriction (stenosing tendonitis). I-purulent tendovaginitis ivela njengenkinga ehambisanayo. Udinga ukupompa okuphuthumayo kobovu, obuthola esikhaleni semisipha. Ukululama kwenzeka ezinyangeni ezintathu.

Ukuzivocavoca Knee Tendinitis

Odokotela banamathela kakhulu ekuvivinyweni kwe-physiotherapy ekwelapheni izigaba zokuqala, zesibili ze-tendonitis zamadolo. Iqoqo lokuzivocavoca linqunywe njengendlela yokuvimbela lesi sifo. Aqinisa imisipha yamathanga kahle futhi athuthukise nokwelula kwezicubu zemisipha.

Ukuzivocavoca:

1. Ulele ohlangothini lwakho, udinga ukuphakamisa izitho ezingezansi phezulu ngangokunokwenzeka. Ukuphindaphinda kahlanu kulungile ukwenza okokuqala. Ungakhuphula inani lezimpinda ngokuhamba kwesikhathi.
2. Kusuka endaweni ephakeme, phakamisa umlenze oqonde endaweni ebheke phansi phansi. Phinda - kuze kube kahlanu ngomlenze ngamunye.
3. Yima ufulathele udonga. Udinga ibhola. Kudinga ukulungiswa phakathi kwamadolo futhi kukhanywe.
4. Ukuhlala esihlalweni, udinga ukugoba amadolo akho kulandelwe ukuqondiswa.

Ungasebenzisa futhi ukuhamba, ushwiba imilenze yakho. Ukuzivocavoca nge-Physiotherapy kuhlala izinyanga ezimbalwa kuze kube yilapho isitho sesibuyele kokujwayelekile.

Izinyathelo zokuvimbela

I-tendinitis kulula ukuyivimbela kunokwelapha.

Ngakho-ke, kungcono ukulandela lezi zincomo:

• kubalulekile ukufudumeza kahle ngaphambi kokuzivocavoca ngakunye nokwenza umsebenzi osindayo womzimba. Imisipha yemilenze idinga ukufudumala;
• zama ukugwema ukulayisha ngokweqile amalunga edolo;
• uma udinga ukuphakamisa izinsimbi, kungcono ukugcina amadolo egobile;
• gwema ukuwa nokuqubuka endaweni yamadolo;
• lawula isisindo somzimba wakho, udle kahle;
• lahla amakhilogremu engeziwe nemikhuba emibi;
• musa ukuqala izifo ezithathelwanayo.

Ukulandela wonke amathiphu kuzovimbela noma kuvimbele i-tendinitis yamadolo ekuguleni futhi.

Izinkinga nemiphumela yalesi sifo

Ukunganakwa kwesikhathi eside kwezimpawu zesifo kuholela emiphumeleni elandelayo:

• ukuqhekeka okuphelele noma okuyingxenye yamathambo wehlangothini lamadolo;
• ukuzwa ubuhlungu obungapheli. Ukunyakaza okujwayelekile ngokuzayo kukhishiwe.

Izinkinga zilashwa ngokuhlinzwa. Kukhona ingozi yokukhubazeka okuncane. Ukuze uvimbele ukukhula kwezinkinga, udinga ukubona udokotela ngokushesha okukhulu ezimpawu zokuqala.

Ukwelashwa kwe-tendinitis yehlangothini lamadolo ngeke kuthathe isikhathi nemali eningi uma ukuvakashelwa kukadokotela bekufika ngesikhathi.

Ifomu elinganakiwe lesi sifo lisho inkinga kanye nesisombululo esisheshayo. Ukuze ugweme lesi sifo, kunconywa kakhulu ukuvimbela i-tendonitis futhi uthathe impilo yakho ngokungathi sína kakhulu.

Bukela ividiyo: Tendon Talk - The different phases of tendinitis tendonitis using a model. (Disemba 2024).