Tennis Elbow
Pfupiso
Kurwadziwa kwechikona chetennis kunoitika kunyanya uko tishu dzakasimba, dzakaita setumbuka, dzemhasuru dzefuremu, dzinozivikanwa setendon, dzinobatanidzwa nehuro hwemwongo kunze kwechikona. Misodzi midiki nekukura kwenguva refu, kunozivikanwa sekuzvimba, kunogona kukonzera kuti tendon iparare. Izvi ndizvo zvinokonzera kurwadziwa.
Chikona chetennis, chinozivikanwawo se lateral epicondylitis, chirwere chinogona kubva pakushandiswa kwakanyanya kwemhasuru nematendon muchikona. Chikona chetennis kazhinji chinoenderana nekuita zvinhu zvakawanda zvechigunwe nechigunwe.
Pasinei nezita rayo, vanhu vazhinji vanowana chikona chetennis havatambi tennis. Vamwe vanhu vane mabasa anobatanidza kufamba-famba kwakawanda kunogona kukonzera chikona chetennis. Izvi zvinosanganisira plumbers, painters, carpenters nebutchers. Zvisinei, kazhinji chikona chetennis hachina chikonzero chakajeka.
Kurwadziwa kwechikona chetennis kunoitika kunyanya uko tishu dzakasimba, dzakaita setumbuka, dzemhasuru dzefuremu dzinobatanidzwa nehuro hwemwongo kunze kwechikona. Tishu idzi dzinozivikanwa setendon. Kurwadziwa kunogona kupararira mufuremu nechigunwe.
Kudzora, mishonga yekurwadziwa ne physiotherapy kazhinji inobatsira kuderedza chikona chetennis. Vanhu avo aya kurapwa haana kubatsira kana avo vane zviratidzo zvinokanganisa hupenyu hwezuva nezuva vangave nechirongwa, sekushanda kana kuvhiya.
Zviratidzo
Kurwadziwa kwechikoka chetennis kunogona kufamba kubva kunze kwechikoka richipinda muhudyu nemaoko. Kurwadziwa nekushaya simba zvinogona kuita kuti zviome ku:
- Kukwazisana kana kubata chinhu.
- Kutendeukira knob yemusuwo.
- Kubata kapu ke kofi. Taura nachiremba kana matanho ekutarisira kwemunhu oga akadai sekuzorora, ice uye mushonga wekurwadziwa asingaderedzi kurwadziwa nekushaya simba kwechikoka chako.
Nguva yekunoona chiremba
Taura nachiremba kana matanho ekudzitira iwe pachako akadai sekuzorora, chando, nemishonga inoderedza marwadzo asingaderedzi marwadzo netsitsi yako yegomba.
Zvinokonzera
Tennis elbow inowanzobatanidzwa nekushandisa zvakanyanya uye kukuvara kwemhasuru. Asi chikonzero hachizivikanwi zvakanaka. Dzimwe nguva, kuomerera kwenguva refu kwemhasuru dze forearm dzinoshandiswa kururamisa uye kukwidza ruoko neruoko kunotangisa zviratidzo. Izvi zvinogona kukonzera kukanganiswa kwemafiber ari mutendon inobatanidza mhasuru dze forearm kune bhonzo riri kunze kwegaro.
Mabasa anogona kukonzera zviratidzo zve tennis elbow anosanganisira:
- Kutamba mitambo yekurova, kunyanya kushandisa backhand, neimhando yakaipa.
- Kushandisa zvishandiso zve plumbing.
- Kupenda.
- Kutyaira screws.
- Kukanya zvekudya zve kubika, kunyanya nyama.
- Kushandisa computer mouse zvakanyanya.
Kakawanda, kukuvara kana mamiriro anoita kuti connective tissues emuviri ikanganiswe anokonzera tennis elbow. Kazhinji, chikonzero hachizivikanwi.
Zvinhu zvinokonzera njodzi
Zvinhu zvinogona kuwedzera njodzi yekukuvara kwemabvi kunosanganisira:
- Age. Kukuvara kwemabvi kunokanganwa vanhu vemazera ese. Asi kazhinji kunoitika kune vakuru vane makore ari pakati pemakore makumi matatu nemakore makumi matanhatu.
- Basa. Vanhu vane mabasa anoda kuita zvinhu zvakawanda nemaoko nemabvi vane mukana mukuru wekuwana kukuvara kwemabvi. Izvi zvinosanganisira plumbers, painters, carpenters, butchers nemakuki.
- Mitambo chaiyo. Kutamba mitambo ine raketi kunowedzera njodzi yekukuvara kwemabvi. Kusava nechimiro chakanaka kana kushandisa michina yakaipa kunowedzera njodzi zvakanyanya. Kutamba kwemaawa anopfuura maviri pazuva kunowedzerawo njodzi.
Zvimwe zvinhu zvinogona kuwedzera njodzi zvinosanganisira kusvuta, kuva mafuta uye mishonga chaiyo.
Kuongorora
Kuongororwa kwakadai se-X-ray, sonograms kana mamwe marudzi ekuongorora mifananidzo kunogona kudiwa kana mushandi wehutano achifungidzira kuti chimwe chinhu chingave chiri kukonzera zviratidzo izvi.
Kurapa
Tennis elbow kazhinji inozorodza yoga pachayo. Asi kana mishonga yekurwadziwa nemamwe matanho ekutarisira pachako zvisingabatsiri, physiotherapy ingave nhanho inotevera. Maitiro, akadai sejekiseni kana kuvhiya, angabatsira tennis elbow isina kurapa nemamwe kurapa.
Kana zviratidzo zvine chekuita ne tennis kana mabasa ebasa, nyanzvi ingatarisa maitiro aunozviita sei tennis kana mabasa ebasa kana kuongorora michina yako. Izvi ndezvekuwana nzira dzakanakisa dzekuderedza kushushikana pane tishu yakakuvadzwa.
Munhu anorapa muviri, basa kana ruoko anogona kudzidzisa maekisesaizi ekusimbisa tsandanyama nematendon ari mu forearm. Forearm strap kana brace ingaderedza kushushikana pane tishu yakakuvadzwa.
- Zvijekiseni. Marudzi akasiyana ezvijekiseni mukati metendon yakakuvadzwa anoshandiswa kurapa tennis elbow. Anosanganisira corticosteroids ne platelet-rich plasma. Zvisingawanzo shandiswa ndeye botulinum toxin A (Botox) kana mhinduro inokonzera kutsamwa, kana mvura yashuga kana mvura yemunyu, inozivikanwa se prolotherapy.
Dry needling, umo tsono inobaya zvinyoro nyoro tendon yakakuvadzwa munzvimbo dzakawanda, inogonawo kubatsira.
- Needle fenestration. Maitiro aya anoshandisa ultrasound kuendesa tsono kuburikidza netendon yakanyorova zvakare ne zvakare. Izvi zvinoita kuti pave nekurapa kutsva mu tendon.
- Ultrasonic tenotomy, inonzi TENEX procedure. Kufanana ne needle fenestration, maitiro aya anoshandisa ultrasound kuendesa tsono chaiyo kuburikidza neganda uye mukati mechikamu chakakuvadzwa che tendon. Simba reUltrasonic rinokungurutsa tsono nekukurumidza zvekuti tishu yakakuvadzwa inoshanduka kuva mvura. Ipapo inogona kubviswa.
- Extracorporeal shock wave therapy. Kurapa uku kunosanganisira kutumira mafungu ekukuvadza kutishu yakakuvadzwa kuderedza kurwadziwa uye kubatsira tishu kurapa. Chishandiso chakaiswa paganda chinopa mafungu ekukuvadza.
- Kuvhiya. Nezviratidzo zvisina kuvandudzwa mushure memwedzi 6 kusvika ku12 yekurapa kwakasiyana, kuvhiya kubvisa tishu yakakuvadzwa kungave sarudzo. Kuvhiya kungave kwakavhurika, kunoshandisa kucheka kukuru, kunozivikanwa se incision. Kana kunogona kuitwa kuburikidza nemavharo madiki akawanda, anozivikanwa se arthroscopic.
Pese paine kurapa, maekisesaizi ekudzoreredza simba uye kudzoreredza kushandiswa kwe elbow zvakakosha pakurapa.
Chiziviso: August ipuratifomu yemashoko ehutano uye mhinduro dzayo haisi zano rekurapa. Gara uchibvunza nyanzvi yezvekurapa ine rezinesi pedyo newe usati waita chero shanduko.
Yakagadzirwa muIndia, kune nyika