Unyango lwetononitis of joint joint, causes, symptoms, diagnostic

Njengoko umzimba udala, izihlunu kunye namalungu aphelile. Ngokusebenza rhoqo ngokomzimba, i-microtraumas ikhula kwiifom. Ukuba unika umzimba ukuphumla, zibuyiselwe ngokupheleleyo. Kwiimeko ezidityanisiweyo zokudityaniswa kwemisipha abanalo ixesha lokuzivumelanisa nazo. Ngenxa yoko, kwakha indawo eyenza ihlaziywe emva kwexesha. Kukho ukukhathazeka okubuhlungu, ukuqina kobudlelwane. Iimpawu ezinjalo zibonisa ukuphuhliswa kwe-tendonitis. Esi sifo esiqhelekileyo esisoloko sichaphazela ngokubambisana. Kwizinto eziphathekayo kwinqaku iimpawu eziphambili ze-pathology, izizathu kunye nezindlela zokonyango ziqwalaselwa.

Tendinitis - yintoni na?

I-Tendinitis isifo esibonakaliswe kukuphuhliswa kwenkqubo yokuvuvukala kwiitoni kunye nezicubu. Badibanisa imisipha ngamathambo. Ngenxa yoko, kukho intlungu enzima emagxeni, kwaye ukunyakaza kunqongophele. Ukukhubazeka ngokuqhelekileyo kufunyanwe ukuba ngumntu omdala, ngokuqhelekileyo ngokuqhelekileyo kwabasetyhini ngexesha lokuphela kwesisu. Iqela lomngcipheko libandakanya abantu abaselula abahlala behlala kwimidlalo. I-Tendonitis yamanyathelo emigxeni kwimigangatho yokuqala iyaphathwa kakuhle. Ukuqulunqwa kwezifo zesifo kufuna ukungenelela okutyathwayo. Nangona kunjalo, nangona usebenziso alisoloko luvumela ukubuyiswa okupheleleyo komsebenzi wesandla.

Izizathu ezibalulekileyo zesifo

Uphuhliso lwesithonitis lungenziwa ngenxa yezizathu ezahlukeneyo. Ngokuqhelekileyo isi sifo sandulelwe ngumsebenzi omzimba osisigxina. Ngoko ke, abagijimi kunye nabantu abanomsebenzi wabo ohambelana nomthwalo onzima emagxeni basengozini. Ekuqaleni, ukuvuvukala kukuchaphazela isisundu se-musculoskeletal, kwaye ngokukhawuleza sisasaza kwiisuncu eziseduze kunye ne-capsule yombutho. Ukuqumbisa i-tendonitis yesigxina esiqhawulayo iingxaki ezilandelayo kunye nokuphulwa:

• Izifo ze-rumatoid (gout, arthritis);
• Ukunyanga okungekho;
• Ukulimala kwamabhinqa ehlombe ;
• Umzimba ophantsi;
• Uxinzelelo (xa kuziwa kwi-spasm muscle);
• Izifo zohlobo lwe-etiology;
• I-hypothermia rhoqo;
• Ukuguqulwa kwamanzi kumachiza;
• Ukungaphumeleli kwinkqubo ye-endocrine.

Ezi zizona zizathu eziqhelekileyo zesifo. Inkqubo ye-pathological igxininiswe ngamaxesha amaninzi xa ihamba ne-concomitant pathologies okanye ukungabikho kwonyango olufike ngexesha. Kuzo zonke iimeko, ifom yokumanyanisa kwisayithi sokuvuvukala. Ngokuhamba kwexesha, zikhokelela ekuhambeni okukhawulezileyo kokubambisana, iintlungu kunye nezinye iziphumo eziyingozi.

Ukubonakaliswa kwezonyango

Kwinqanaba lokuqala lesi sifo, i-tendon thicken, ehambelana nentlungu yesifo kwezinye iintlobo zokuhamba. Kwiimeko eziphambili, ukungahambi kakubi akushiyi nakwiindawo zokuphumla. Yiyo intlungu ebuhlungu eyenza izigulane zidibane nodokotela. I-tendonitis yamalungu ehlombe ibonakaliswe njani?

Izibonakaliso zesifo zingancitshiswa zibe zibonakaliso ezine eziphambili:

• Ukukhathazeka okubuhlungu;
• Ukuhamba ukukhubazeka kwesandla;
• Inkqubo yokuvuvukala;
• Ukutshabalaliswa kwezicubu ezidibeneyo.

Ubunzima be-tendonitis bubunzima okanye bubuhlungu. Yandisa ngexesha lomsebenzi.

Ukunciphisa ukuhamba kuyenzeka xa umzamo olandelayo ukwenza nayiphi na intshukumo. Kwimeko yokuzola, izigulana zikhalaza iintlungu. Ngokuxhomekeka kwindawo yokuvuvukala, le miqondiso ilandelayo ivela:

• Ukutshatyalaliswa kweqhekeza kubonakaliswe intlungu ephezulu kwinqanaba eliphezulu elingaphezulu, liyakwazi ukugqithisa kwi-elbow;
• Ukuvuvukala kwe-muscle encinci ihamba kunye nexakeka xa ingalo iqhubekela phambili;
• Ukusasazeka kwenkqubo yesifo kwi- muscular submapular kubangela intlungu ebuhlungu xa igxala lingena ngaphakathi;
• I-Tendonitis ye-tendon ye-biceps muscle ayichaphazeli ukuhamba kwesandla, kodwa ihamba kunye neentlungu.

Ukuphendula okuvuthayo kubandakanya ukutywina i-capsule ehlangeneyo. Ubungakanani balo bunokufikelela kwi-2 mm. Ukuvuvukala kuhamba kunye nokuvuvukala nokubomvu kwesikhumba, ukwanda kweqondo lokushisa kule ndawo.

Inkqubo ye-pathological, eyenza i-tendon, ikhokelela ekubunjweni kwemigqaliselo. I-tendinitis, ukubalwa kwamathambo kuqhelekileyo. Xa uphulaphule umdibaniselwano kunye ne-phonendoscope, ukucwenga (ukudibanisa, ukuvumba) kudlalwa. Ukuphuhliswa kohlengahlengiso kuqhubela phambili ekuthotyeni kwamathambo, ukuhlukana kwe-capsule ehlanganyelweyo akupheli.

Iintlobo zezifo

Ngokuxhomekeke kwimeko yendawo yokugula kunye nezizathu zokubonakala kwayo, zikhona:

• I-tendonitis ye-calcific yehlangeneyo. Kuvela ngenxa yokufakela i-salts, ukunyuka kweetoni okanye ukusilela kwe-oksijini kwimizimba. I-Pathology ibonakaliswe yintlungu xa ihamba ingalo.
• I-tendonitis eyingozi. Esi sifo sandulela ukulimala kwi-capsule ye-muscle. Le fomu ihamba kunye neentlungu zokubamba rhoqo ehlombe.
• Ukuvuvukala kwe- biceps tendon . Njengomthetho, ifunyanwe kwi-swimmers kunye nabadlali be-tennis.
• I-postonumatic tendonitis. Ukuphuhlisa emva kokulimala komonakalo kwiqela elihlangeneyo. Ngoko ke, ngaphambi kokuba abuyele ngokugcwele, akufanele ilayishwe.

Ngokwemvelo yesifo, isifo sahlula iifom ezimbini: sisisigxina kwaye singapheliyo.

Iindlela zokuxilonga

Izigulane ezininzi aziyazi malunga nokuxilongwa, njenge "tendonitis." Yintoni, bafunda emva kokubonakala kweempawu zesifo kwaye batyelele ugqirha. Isizathu sokuqinisekisa ukuxilongwa kwezikhalazo zezigulane, imbali yekliniki kunye nokuhlolwa komzimba. Ngethuba loviwo, ugqirha uhlola ulwaphulo lweemisipha kunye nemeko yokuhamba.

Ukukhuphela ukungathandabuzeki kokuxilongwa, uviwo olongezelelweyo lubekwe. Iquka:

• I-MRI yehlangeneyo;
• Iindawo ezichaphazelekayo eziphezulu;
• Arthroscopy;
• Roentgenogram;
• CT arthrography.

Ngokusekelwe kwiziphumo, ugqirha uyaqinisekisa ukuxilongwa kwaye ubeka unyango.

Inkcazo yeendlela zokwelapha

Ukunyangwa kwetithonitis kwendibano yexanduva kuxhomekeke ekuqinikeni kwenkqubo yokugula kunye nokunyanzelwa kwayo. Zonke izicwangciso zokwelapha kufuneka zibe phantsi kolawulo oluqhubekayo lwenzululwazi. Kwizigaba zokuqala zesifo, ezi ndlela zilandelayo zisetyenziswa:

• Physiotherapy;
• Ukusetyenziswa kwamachiza;
• Ukuqhuba unyango;
• Izigulane zabantu.

Xa uluhlu oluchazwe lonyango lubonakala lungasebenzi, umntu kufuneka athathe inxaxheba kwindlela yokungenelela - i-arthroscopy okanye i-cavitary operation. Emva koko, qwalasela inketho nganye yonyango ngokubanzi.

Physiotherapy

Ukunyangwa kwetithonitis yomxhelo wexanduva kuqala ngokungafihli kwesandla. Ukunciphisa ukuhamba kwayo, sebenzisa i-bandage ekhethekileyo okanye i-bandage. Xa ukuvuvukala kuncedisa, i-physiotherapy iyasebenza ngempumelelo. Uninzi lwamaxesha amaninzi, oogqirha banika unyango lwe-laser, i-ultraviolet, izicelo neparfini kunye nodaka, i-electrophoresis kunye nokongezwa kwe "Lidazy." Ezi nkqubo zijolise ekuphuculeni ukujikeleza kwegazi kwilonda, ukususwa kwe-muscle spasm kunye nokuvuvukala.

Amachiza

Ukunciphisa intlungu kunye nokuvuvukala kwindawo echaphazelekayo, izidakamizwa ezichasayo ziyasetyenziswa. Nangona kunjalo, umntu akufanele aphendulele kuncedo lwabo kwiiyure ezingama-48 zokuqala emva kokuqala ukuphazamiseka. Xa intlungu engenawo amandla okunyamezela, unako ukusela ipilisi ye "Paracetamol." Ukuba emva kweeyure ezingama-72 ukungazinzi kungaphumeleli, kuyimfuneko ukuqalisa unyango ngamachiza angenayo i-steroidal anti-inflammatory (Naise, Ketorol, Nurofen). Inkqubo yonyango idla imihla emihlanu. Iziyobisi kufuneka zithathwe emva kokutya.

Ulwaphulo lwangaphakathi kufuneka luncediswe kunye nommandla wendawo. Uthini lwe-tendonitis echaphazelekayo ehlangeneyo lubandakanya? I-ointment okanye iigels ezikhethekileyo kufuneka zikhethwe nge-capsaicin ("Ibuprofen", "Voltaren"). Zisetyenziselwa ukucwangcisa ukuhamba kwegazi kwisikhwama sokubambisana.

Kwinqanaba lesibini lesi sifo, unyango luye wongezwa ngamagciwane ayenziwe ngokuthe ngqo kumbindi ohlangeneyo. Ukwenza oku, sebenzisa i- "Lidocaine" okanye "Bupivacaine." Izigulane zinceda ukunciphisa umkhiqizo we-collagen, ojongene nokunyaniseka kweetoni. Ngako oko, unyango lwe-hormone lusekwe kuphela ngokuxakeka. Ukuba isigulane sifumaneka nge-tendonitis ye-tendon, olo hlobo lunyango alucebisi.

Ukuqeqeshwa ngokomzimba

Kwi-90% yamatyala, ukusebenzisa unyango kunceda ukubuyisela ukuhamba kwesandla. Ukuzivocavoca kufuneka kukhethwe ngutitshala oqwalasela uhlobo lwesifo. Kubalulekile ukuba ungayithinteli idibaniso elimelekileyo, kodwa ngokukhawuleza uhlakulele, ukwandisa ukuphakama kwamanyathelo.

• Ukuzivocavoca 1. Uzakufuna intonga yokuzivocavoca. Yifake kwisandla somda. Ngenkathi ubambe i-projectile kwindawo eqinileyo, zama ukuchaza isangqa emoyeni ngesigulo esigulayo. Olu hlobo loogqirha lincoma ukuba ixilongwe "ye-tendonitis yesisu esiphezulu sehlangeneyo". Unyango ngale ndlela linika iziphumo ezintle kwiintsuku ezimbalwa.
• Ukuzivocavoca 2. Beka izandla zakho phambi kwakho. Phakamisa izandla ezifakwe kwi-lock. Umthwalo ophezulu unyanzelekile kwisandla esipheleleyo. Umele "udonsa" emva kwakhe kwilungu eligulayo.
• Ukuzivocavoca 2. Hlala phambili phambi kwesihlalo. Isandla esinempilo kufuneka sithembele kummandla. Isigulana sihlala kwindawo engabonakaliyo. Emva koko qalisa ukuguqula ukusuka ecaleni ukuya kwelinye icala ngesandla esonakalisiweyo, ukwandisa ukuphakama kwancinci.

Ukwenza uqeqesho olunjalo imihla ngemihla kukuvumela ukunciphisa ukubonakaliswa kweempawu ezingathandekiyo ekuvukeleni kweetoni.

Ukupheka kweentlobo zonyango kunye ne-tendinitis yehlangeneyo

Unyango olunamachiza esi sifo lubonisa iziphumo ezilungileyo. Ukufumana impembelelo engcono yokwelapha, oogqirha bancoma ukuba bancedise unyango olulondolozayo kunye nemigqaliselo yonyango labantu. Ngezantsi zizithandwa kakhulu kubo:

• Ukuchithwa kweentaka zeentaka kuneempembelelo ezichasayo. Ukuze wenze oko, kufuneka utyhale iipunipoli ezintathu zamabriji omisiwe ngeglasi yamanzi abilayo, uyibeke kwindawo yokuhlambela amanzi. Ukuphucula umphumo, iyeza lingasetyenziswanga ngomlomo kuphela, kodwa lisetyenziswe kwindawo echaphazelekayo ehambelana ne-gauze.
• Ukuxuthwa kwesikhwama semalusi ngaphakathi kungathathi, kodwa kuvela icompress ephezulu. Ukupheka, ungasebenzisa imigaqo efanayo kunye neresiphi yangaphambili.
• Iingxenye ezilinganayo ze-sassaparilla kunye neengcambu ze-ginger zithathwa ngamanzi abilayo. Umhluzi obangelwayo emini udla njengetayi.

Ukuthatha umdla omkhulu kwiirephepheni zelizwe akuyimfuneko, kwaye ukutshintsha indawo yokunyanga ngokunyanzeliswayo kunqatshelwe. Ukunganakwa kweziphakamiso zegqirha kunokuchaphazela impilo yakho, kwaye eso sifo siya kuqhubela phambili.

Inyango yokuphanda

Isalathiso esona sikhulu sokwenziwa komsebenzi kukusebenza okwaneleyo kwonyango olulondolozayo. Kwi-tendonitis, ukhetho olulandelayo lusetyenziswa:

1. Ukulungiswa phantsi kwe-anesthesia jikelele. Ngethuba le nkqubo, ugqirha "iinyembezi" i-capsule yombutho wokudibanisa ukubuyisela ukuhamba kwayo.
2. Arthroscopy. Okokuqala, udokotela ohlinzayo wenza izinto ezincinci esikhumbeni. Ngaloo nto, emva koko uvelisa i-apparatus for manipulation, eyona nto iphambili ye-arthroscope. Ngethuba le nkqubo, ingcali ingabandakanyi iindawo ze-capsule. Ukunyangwa kwetithinitis kwendibaniselwano yegxina ngale ndlela kubonakaliswa ngokukhawuleza kwesoxesha kunye nokukhathazeka okuncinci. Ngoko ke, oogqirha banqwenela ukuncedwa lwakhe ngoncedo.
3. Ukususwa kweetyu. Ngokubalingisa i-tendinitis le ndlela ekhoyo yokungenelela kokusebenza iboniswa. Ngethuba le nkqubo, iingcali zifaka ezimbini iinaliti zibe zidibaniselwano, apho iityuzithi zihlanjululwa khona.

Emva kokuhlinzwa, izigulana zifuna ukulungiswa kweenyanga eziliqela, ngexesha lokusetyenziswa kweyeza unyango.

Amanyathelo okukhusela

Ukunyangwa kwetithonitis yomxhelo wexhefu yinkqubo ende. Ngoko ke, kulula ukukhusela ukuphuhliswa kwesi sifo, kunokuba uthathe amayeza kunye namayeza. Kuthetha ntoni oogqirha malunga nokuthintela?

Iingcaphephe zincoma ukuba ngaphambi kokuba naluphi na, nangaphandle kokuzivocavoca kakhulu, yenza lula ukufudumala. Umdlalo kufuneka ukhethwe ngokuhambelana namakhono omzimba ngamnye. Ubungakanani bomthwalo kufuneka bonyuswe ngokuthe ngcembe, ukunika izihlunu amandla okuzilungelelanisa. Ukuba, emva kokusebenza ngokomzimba, kukho intlungu ehlombe, kufuneka ufune uncedo kumgqirha. Ukuxilongwa kwangaphambili kwe-tendonitis kunye nokunyanga okufanelekileyo kunokukhusela ukuphuhliswa kweengxaki. Phakathi kwabo, i-bursitis yinto eqhelekileyo. Yaye i-tendonitis yehlangeneyo, kunye nezinye izifo ze-etiology efana neyona ndlela kulula ukuyiphatha kwisigaba sokuqala.

Isiphelo

Ngexesha lokunyanga kwetonitis, landela imiyalelo yesigqirha. Imfuno enyanzelisayo kukuphela kwayo yonke imisebenzi ehambelana noxinzelelo oludityanisiweyo kwidibeneyo. Ukunganakwa kweziphakamiso zengcali kungabangela ukwanda kweempawu, ngenxa yoko, ukuchithwa okupheleleyo kwesandla.