Ibhubesi Lekhanda
Uhlolojikelele
Ubuhlungu be-tennis elbow buvela ikakhulu lapho izicubu ezinzima, ezifana neentambo zemisipha yengalo, ezibizwa ngokuthi ama-tendon, zinamathele esiqongweni esiqinile ngaphandle kwengalo. Ukuklebhuleka okuncane nokuvuvukala isikhathi eside, okwaziwa ngokuthi ukuvuvukala, kungabangela ukuba i-tendon iphule. Lokhu kubangela ubuhlungu.
I-tennis elbow, eyaziwa nangokuthi i-lateral epicondylitis, yisimo esingabangelwa ukusetshenziswa kakhulu kwemisipha ne-tendon engalweni. I-tennis elbow ivame ukuxhumene nokuphindaphinda kokunyakaza kwenkaba nengalo.
Naphezu kwegama layo, abantu abaningi abayitholi i-tennis elbow abadlali betennis. Abanye abantu banemisebenzi ehilela ukuphindaphinda kokunyakaza okungabangela i-tennis elbow. Lokhu kuhlanganisa abaphangi, abapendi, abathengisi bezinkuni nabathengisi benyama. Kodwa-ke, ngokuvamile i-tennis elbow ayinazizathu ezicacile.
Ubuhlungu be-tennis elbow buvela ikakhulu lapho izicubu ezinzima, ezifana neentambo zemisipha yengalo zinamathele esiqongweni esiqinile ngaphandle kwengalo. Lezi zicubu ziyaziwa ngokuthi ama-tendon. Ubuhlungu bungasakazeka engalweni nasekhanda.
Ukuphumula, imithi yokuhlanza ubuhlungu nokwelashwa komzimba kuvame ukusiza ekuqedeni i-tennis elbow. Abantu abangasisizi lezi zindlela zokwelapha noma abanemizimba ephazamisa impilo yansuku zonke bangase babe nenqubo, njengokuqhuma noma ukuhlinzwa.
Izimpawu
Ubuhlungu be-tennis elbow bungasakazeka kusuka ngaphandle kwenduku lube luye eengalweni nasezandleni. Ubuhlungu nobuthakathaka kungenza kube nzima ukuba: Uxhume izandla noma ubambe into ethile. Uguqule isixhobo senduku. Ubambe ikomityi yekhofi. Xhumana nodokotela uma izinyathelo zokunakekela kwakho njengokuphumula, iqhwa kanye neziphazamisi zobuhlungu zingalunci ubuhlungu nokuthamba kwesandla sakho.
Isikhathi sokubona udokotela
Xhumana nodokotela uma izinyathelo zokunakekela wena uqobo ezinjengokuphumula, uqhekeza uqhwa, kanye neziphazamisi zobuhlungu zingalulamisi ubuhlungu nobuhlungu ehlombe lakho.
Izimbangela
Ubuhlungu be-tennis elbow buhlanganiswa kaningi nokusetshenziswa kakhulu kwamandla kanye nokudinwa kwemisipha. Kodwa-ke imbangela ayiqondakali kahle. Ngezinye izikhathi, ukuqina okuphindaphindwayo kwemisipha yengalo ephakathi esetshenziswa ukulungisa nokuphakamisa isandla kanye nekhanda kuqalisa izimpawu. Lokhu kungabangela ukuphazamiseka kwezinhlanzi ezinamathelayo emisipha yengalo ephakathi ebumbeni elinamathelayo emathanjeni ngaphandle kwehlombe.
Imisebenzi engabangela izimpawu ze-tennis elbow ihlanganisa:
- Ukugembula imidlalo ye-racket, ikakhulukazi ukusebenzisa i-backhand, ngendlela embi.
- Ukusebenzisa amathuluzi okufaka amanzi.
- Ukupenda.
- Ukufaka izikrufu.
- Ukusika ukudla kokupheka, ikakhulukazi inyama.
- Ukusebenzisa i-computer mouse kakhulu.
Ngokuncane, ukulimala noma isimo esithinta izicubu ezihlanganisa umzimba kubangela i-tennis elbow. Ngokuvamile, imbangela ayaziwa.
Izici eziyingozi
Izici ezingandisa ingozi ye-tennis elbow zihlanganisa:
- Ubudala. I-tennis elbow ithonya abantu bazo zonke izigaba zobukhulu. Kodwa kuvame kakhulu kubantu abadala abaneminyaka ephakathi kwama-30 nama-60.
- Umsebenzi. Abantu abanawo imisebenzi ehilela ukuphindaphinda ukunyakaza kwezandla kanye nengalo banesihlahla esikhulu sokuthola i-tennis elbow. Lokhu kuhlanganisa abaphangi, abapendi, abathengisi, abathengisi benyama nabapheki.
- Ezemidlalo ethile. Ukudlala imidlalo ye-racket kukhuphula ingozi ye-tennis elbow. Ukungabi nendlela efanele noma ukusebenzisa imishini embi kukhuphula ingozi nakakhulu. Ukudlala ngaphezu kwamahora amabili ngosuku nakho kukhuphula ingozi.
Ezinye izici ezingandisa ingozi zihlanganisa ukubhema, ukukhuluphala kanye nezinye izidakamizwa.
Ukuxilongwa
Izithombe ze-X-ray, izi-sonogram noma ezinye izinhlobo zokuhlola izithombe zingase zidingeke uma umhlinzeki wokunakekelwa engabaza ukuthi kukhona okunye okubangela izimpawu.
Ukwelashwa
Ukuqina kwe-tennis kuvame ukuphulukana ngokwalo. Kodwa uma imithi yokunciphisa ubuhlungu nezinye izindlela zokunakekela ngokwenu zingasizi, ukuqeqeshwa komzimba kungaba isinyathelo esilandelayo. Inkqubo, njengokuqhuma noma ukuhlinzwa, ingasiza ukuqina kwe-tennis okungaphuli ngezinye izindlela zokwelapha.
Uma izimpawu zihambelana ne-tennis noma nemisebenzi yomsebenzi, uchwepheshe angase ahlole ukuthi udlala kanjani i-tennis noma wenza imisebenzi yomsebenzi noma ahlole imishini yakho. Lokhu ukuthola izindlela ezinhle kakhulu zokunciphisa ukucindezeleka kumaseli alimale.
Umphristi womzimba, umsebenzi noma isandla angafundisa ukuzivocavoca ukuqinisa imisipha nemisipha yengalo. Ibhande le-forearm noma i-brace inganciphisa ukucindezeleka kumaseli alimale.
- Iziqhumo. Izinhlobo ezahlukene zeziqhumo eziqondiswe emsipha othonya ziyasetshenziswa ekwelapheni ukuqina kwe-tennis. Zihlanganisa i-corticosteroids ne-platelet-rich plasma. Okusetshenziswa kancane yi-botulinum toxin A (Botox) noma isisombululo esicasulayo, amanzi ashisayo noma amanzi oluhlaza, aziwa ngokuthi yi-prolotherapy.
Ukuthunga okwomile, lapho i-needle ibhudluza kancane umsipha olimele ezindaweni eziningi, kungasiza futhi.
- Ukugaya i-needle. Le nqubo isebenzisa i-ultrasound ukuqondisa i-needle ngomsipha ohlanzwe kabusha futhi. Lokhu kuqala inqubo entsha yokwelapha emsipha.
- I-ultrasound tenotomy, ebizwa ngokuthi inqubo ye-TENEX. Ngokufana nokugaya i-needle, le nqubo isebenzisa i-ultrasound ukuqondisa i-needle ekhethekile ngesikhumba nakuyingxenye elilimiwe lomsipha. Amandla e-ultrasound avuza i-needle ngokushesha kangangokuthi i-tissue elilimiwe liguquka libe yilwimi. Khona-ke lingasuswa.
- Ukwelashwa kwe-shock wave ye-extracorporeal. Lokhu kwelashwa kuhilela ukuthumela amaza e-shock kumaseli alimale ukuze kuphephe ubuhlungu futhi kusize i-tissue ukuba iphulukane. Ithuluzi elibekwe esikhumbeni linikezela amaza e-shock.
- Ukuhlinzwa. Ngoba izimpawu ezingathuthukanga ngemuva kwezinyanga eziyi-6 kuya kweziyi-12 zezinye izindlela zokwelapha, ukuhlinzwa kokususa i-tissue elilimiwe kungaba yindlela. Ukuhlinzwa kungase kube kuvulekile, okusebenzisa isiqephu esikhulu, esaziwa ngokuthi yi-incision. Noma kungenziwa ngezindwangu ezincane, ezaziwa ngokuthi yi-arthroscopic.
Kungakhathaliseki ukuthi yiluphi ukwelashwa, ukuzivocavoca ukuvuselela amandla nokubuyisela ukusetshenziswa kwe-elbow kubalulekile ekubuyiselweni.
Iziqhumo. Izinhlobo ezahlukene zeziqhumo eziqondiswe emsipha othonya ziyasetshenziswa ekwelapheni ukuqina kwe-tennis. Zihlanganisa i-corticosteroids ne-platelet-rich plasma. Okusetshenziswa kancane yi-botulinum toxin A (Botox) noma isisombululo esicasulayo, amanzi ashisayo noma amanzi oluhlaza, aziwa ngokuthi yi-prolotherapy.
Ukuthunga okwomile, lapho i-needle ibhudluza kancane umsipha olimele ezindaweni eziningi, kungasiza futhi.
Ukuhlinzwa. Ngoba izimpawu ezingathuthukanga ngemuva kwezinyanga eziyi-6 kuya kweziyi-12 zezinye izindlela zokwelapha, ukuhlinzwa kokususa i-tissue elilimiwe kungaba yindlela. Ukuhlinzwa kungase kube kuvulekile, okusebenzisa isiqephu esikhulu, esaziwa ngokuthi yi-incision. Noma kungenziwa ngezindwangu ezincane, ezaziwa ngokuthi yi-arthroscopic.
Kungakhathaliseki ukuthi yiluphi ukwelashwa, ukuzivocavoca ukuvuselela amandla nokubuyisela ukusetshenziswa kwe-elbow kubalulekile ekubuyiselweni.
Umshwana wokuzihlangula: I-August iyinkundla yolwazi lwezempilo futhi izimpendulo zayo azihlanganisi iseluleko sezokwelapha. Njalo thintana nochwepheshe bezokwelapha onelayisensi eduze nawe ngaphambi kokwenza noma yiluphi ushintsho.