Matenda a tendonitis: ndi chiyani, zizindikiro ndi chithandizo
Zamkati
- Zizindikiro za tendonitis paphewa
- Chithandizo chamapewa tendonitis
- Physiotherapy
- Mankhwala
- Kutema mphini
- Opaleshoni
- Zomwe zimayambitsa tendonitis m'mapewa
Matenda a tendonitis ndi kutupa komwe kumayambitsa kupweteka kwambiri komwe kumangowonjezereka ndikumayendetsa mikono. Chithandizo chake chimaphatikizapo kugwiritsa ntchito mankhwala, kuchiritsa thupi, ndipo nthawi zina, kuchitidwa opaleshoni. Matenda a tendonitis amachiritsidwa, koma kukhululukidwa kwathunthu kwa zizindikilo kumatha kutenga miyezi kuti akwaniritse.
Mtundu wambiri wa tendonitis m'mapewa, umaphatikizapo tendon ya supraspinatus minofu. Matenda a tendonitis amatha kusankhidwa malinga ndi mawonekedwe ake, monga:
- Gawo 1: Kupweteka kwambiri, kutuluka pang'ono m'magulu ndi kutupa. Zizindikiro zimawonjezereka mukamagwedeza mkono ndikukhala bwino ndikupuma, ndipo nthawi zambiri zimakhudza achinyamata ambiri;
- Gawo 2: Ululu umakhalabe wokhazikika ndipo ultrasound imawonetsa fibrosis ndikukula kwa subacromial bursa ndi tendinitis ya rotator cuff kapena biceps brachii, ndipo nthawi zambiri imachitika pakati pa zaka 25 mpaka 40;
- Gawo 3: Kuphulika pang'ono kapena kwathunthu kwa chimanga cha rotator kapena biceps brachii, chofala kwambiri pambuyo pa zaka 40.
Kuphulika kwa tendon kumatha kuchiritsidwa ndi mankhwala ndi physiotherapy, ndipo sikofunikira kuchita opaleshoni nthawi yomweyo, izi zimasungidwa pakakhala ululu waukulu komanso kufooka kwa minofu.
Zizindikiro za tendonitis paphewa
Tendinitis ili ndi zizindikiro zazikulu izi:
- Kupweteka kwakanthawi komwe kumapezeka paphewa komwe kumatha kuwoneka modzidzimutsa, kapena kumakulirakulira mukayeserera ndipo kumangoipiraipira usiku chifukwa chakutambasula kwa minofu mutagona;
- Zovuta kukweza mkono pamwamba pamzere wamapewa;
- Kumva kuti ululu wafalikira m'manja monse komanso
- Kuimika kumatha kukhalaponso, ngakhale ndizosowa kwambiri.
Pa biceps tendonitis dera lowawa limangokhala kutsogolo kwa phewa ndipo pamakhala kupweteka popanga zosuntha pamwamba pamutu komanso pomwe munthu wakweza mkono watambasulidwa patsogolo. Kale pamene pali tMakina ozungulira ozungulira endinitis, Zomwe zimapangidwa ndi ma biceps tendon, subscapularis ndi supraspinatus, pamakhala kupweteka m'dera lakumbuyo ndi kotsatira kwa phewa, komwe kumawonjezeka munthu akamayesa kuyenda pamwamba pamutu ndipo kumakhala kovuta kukweza mkono kuti udutse wonunkhiritsa Mwachitsanzo.
Chithandizo chamapewa tendonitis
Chithandizo ndikofunikira kwambiri kuti muchepetse ululu ndikuloleza ntchito za tsiku ndi tsiku zokhudzana ndi ntchito kapena masewera, komanso zimathandizira kupewa kuphulika kwa tendon, komwe kumayambitsa kupweteka ndi kutupa pafupi ndi chigongono. Chithandizo chitha kuchitika ndi:
Physiotherapy ndiyofunikira ndipo imatha kuchitika ndi mapaketi a ayezi, katatu kapena kanayi patsiku, zida zomwe zimathandizira kuchira monga mavuto, ultrasound ndi laser zimawonetsedwa, komanso njira zokulitsira mayendedwe osapweteka, monga kuphatikizika kwamphamvu ndi pendulum ndi zolimbitsa zolimbitsa thupi, kuti thupi liziyenda ndi kulimba.
Physiotherapy ya Paphewa Tendonitis
Nthawi yobwezeretsa imasiyanasiyana malinga ndi munthu wina, koma osachepera miyezi itatu ya chithandizo chamankhwala amafunika.
Dokotala wa mafupa angalimbikitsenso kumwa mankhwala oletsa kutupa, monga Ibuprofen, omwe amagwiritsidwa ntchito kuchepetsa kupweteka ndi kutupa, ndikupaka mafuta odana ndi zotupa, monga Cataflan, paphewa lonse. Milandu yovuta kwambiri, ngakhale ngakhale atayamba physiotherapy palibe kusintha kwakukulu pakumva kuwawa, adokotala amatha kuwonetsa jakisoni wa corticoid mwachindunji paphewa, womwe umakhala ndi mphamvu yolimbitsa thupi komanso yotsutsa-yotupa.
Nazi zitsanzo za mankhwala apanyumba omwe angathandize kuchiza tendonitis.
Kutema mphini kumatha kugwiritsidwanso ntchito kuthetsa ululu wamapewa, ndipo kumatha kuchitidwa kamodzi pamlungu. Chithandizo chamtunduwu ndichothandizirana chabwino ndipo chimatha kubweretsa mpumulo ku zizindikilo tsiku lomwelo, koma sichimachotsa kufunikira kwa chithandizo chamankhwala ndi physiotherapeutic, chifukwa zimathandizana.
Kuchita opaleshoni ya tendonitis m'mapewa kumawonetsedwa pakatha miyezi isanu ndi umodzi mpaka chaka chimodzi cha chithandizo chamankhwala, ndi mankhwala ndi physiotherapy, sikokwanira kukhazikitsa mayendedwe, munjira yokhutiritsa. Kuchita opaleshoni kumawonetsedwanso pakakhala kuphulika kwa tendon, kupweteka komanso kufooka kwa minofu, koma nthawi zambiri, kutuluka kwa tendon mwa anthu opitilira 60 kumathandizidwanso kokha ndi mankhwala ndi physiotherapy, chifukwa chake ndi kwa dokotala kuti apange chisankho.
Onani kutikita minofu komwe mungavomereze komanso zomwe mungadye kuti mupeze msanga muvidiyo yotsatirayi:
Zomwe zimayambitsa tendonitis m'mapewa
Zomwe zimayambitsa tendonitis pamapewa ndizolimba komanso kubwereza kuyesayesa ndi mkono kapena kukhala kwakanthawi kochepa, monga kugona usiku wonse m'mimba, mutu wanu uli pamanja.
Udindowu umayika ma tendon paphewa pomwe tendon imatambasulidwa ndipo mawonekedwe am'mafupa amatha kusokoneza, chifukwa mwa anthu ena ma acromion amatha kukhala ngati 'mbedza', yomwe imatha kuwononga tendon.
Kubwereza kwa mayendedwe, monga pamasewera a volleyball, mwachitsanzo, kumatha kubweretsa kupsinjika kokwanira paphewa, ndikupangitsa mtundu uwu wa tendonitis.
Matendawa nthawi zambiri amavulala chifukwa chogwiritsa ntchito kwambiri mikono yomwe yakwezedwa pamasewera kapena zochitika zina, zomwe zimathandizira kuyambika kwa matendawa. Zina mwazomwe izi zitha kuchitika zimaphatikizapo kusambira, tenisi ndi ntchito monga akalipentala, aphunzitsi ndi ojambula, omwe ndi akatswiri omwe nthawi zambiri amakhala ndi vuto la tendonitis.