Chithandizo cha tendinitis wa olowa phewa, zimayambitsa, zizindikiro, matenda

Monga ife msinkhu, minofu thupi ndi mafupa zisathe. Ndi zolimbitsa thupi zimakhala kumeneko microtrauma. Ngati mupereka thupi mpumulo, ndi kwathunthu recoverable. Mu overloads yovuta minofu tiribe nthawi kuti azolowere iwo. Chifukwa ndi malo amene pambuyo nthawi zina likunyonyotsoka. Zikuoneka kusapeza chowawa, stiffness mu malo. zizindikiro zimenezi zimasonyeza kukula kwa tendonitis. Ndi matenda wamba amene nthawi zambiri zimakhudza phewa olowa. Zipangizo za nkhani anafotokoza waukulu matenda zizindikiro zimayambitsa ndi mankhwala.

Tendonitis - Kodi N'chiyani?

Tendonitis - matenda yodziwika ndi chitukuko cha kutupa mu tendons ndi zimakhala. Iwo alumikizana minofu ndi mafupa. Chifukwa ndi kupweteka kwambiri phewa, ndi kuyenda zochepa. Childs, kudwala amawapeza mu akula, makamaka zofala akazi pa kusintha. Pachiopsezo komanso achinyamata amene masewera olimbitsa thupi. Tendonitis wa olowa phewa mu magawo oyambirira amalabadira chithandizo. MwaukadauloZida mitundu ya matenda opaleshoni. Komabe, ngakhale opaleshoni Sizotheka kuti tikwaniritse kuchira bwino za ntchito dzanja.

Chifukwa chachikulu cha matenda

Development wa tendinitis mwina chifukwa chachilengedwe. Nthawi zambiri nthendayo yoyamba zolimbitsa yaitali. Choncho, gulu chiopsezo zikuphatikizapo othamanga ndi anthu, ntchito zokhudzana ndi katundu lalikulu paphewa. Poyamba, kutupa amakhudza minofu supraspinatus, ndiye pang'onopang'ono kufalikira kwa minofu ozungulira ndi olowa kapisozi. Zoyambitsa tendinitis wa olowa phewa ndi mavuto ndi matenda otsatirawa:

• rheumatoid matenda (gout, nyamakazi);
• zoipa kaimidwe;
• kuvulala kwa lamba phewa ;
• otsika chitetezo chokwanira;
• maganizo (pankhani minofu kuphipha);
• nthenda etiology;
• pafupipafupi hypothermia;
• chifuwa mankhwala;
• wonongeka a dongosolo endocrine.

Ichi ndi chifukwa ambiri a matenda. The ndondomeko pathological ndi analumikiza kangapo ngati limodzi ndi comorbidities kapena kusowa chithandizo yake. Pa nthawi zonsezi, malo a kutupa anapanga adhesions. M'kupita kwa nthawi, iwo kukhala ndi kuletsa gulu limodzi kupweteka m'thupi ndi zinthu zinanso zoopsa.

mawonetseredwe matenda

Pa siteji koyamba za matenda thicken tendon, amene anatsagana ndi ululu mitundu ina ya kayendedwe. Nthawi zamakono, ndi kusapeza amalimbikira ngakhale pa mpumulo. Izo zimayambitsa odwala kupweteka kwa dokotala. Kodi wina limapezeka tendinitis wa olowa phewa?

Zizindikiro za matenda akhoza kusanduka mawonetseredwe zinayi zikuluzikulu:

• ululu kusapeza;
• chosokoneza manja sayenda;
• kutupa;
• chiwonongeko cha zimakhala olowa.

Ululu pamene tendinitis zimakhala pachimake ndi obtuse. Izo kumawonjezera pa zolimbitsa thupi.

Sayenda malire kumachitika pamene ulendo wotsatira kuchita gulu lililonse. Pa zina, odwala amadandaula ululu waukulu. Zizindikiro izi zimachitika malinga ndi kutanthauzira kutupa:

• khafu chotupa amakhala ndi kupweteka kwambiri chapamwamba-akunja gawo la phewa, mwina amawala kwa mkono,
• kutupa ang'ono zozungulira minofu kusapeza limodzi ndi gulu dzanja outwards;
• kufala kwa ndondomeko pathological mu minofu subscapularis kumabweretsa ululu ndi kayendedwe phewa mkati;
• tendonitis kukongola tendon minofu alibe zotsatira pa sayenda manja, komanso limodzi ndi nkhawa.

Kuyankha yotupa kumafuna kusindikiza a kapisozi olowa. wochindikala n'kutheka kuti 2 mm. Kutupa limodzi ndi kutupa ndi redness a khungu, kuwonjezeka kutentha pa gawo limeneli.

The ndondomeko pathological kufalikira pa tendons, kumatanthauza mapangidwe adhesions. Pakuti ankaikira tendinitis tendon calcification. Ngakhale kumvetsera stethoscope pamodzi kaŵirikaŵiri lomveka crepitus (crunching, creaking). alibe chitukuko pang'onopang'ono kumabweretsa kupatulira wa tendons si lilibe articular kapisozi chophukacho.

mitundu ya matenda

Malinga ndi kutanthauzira za ndondomeko pathological ndi zifukwa chikuoneka, wolemekezeka:

• Calcific tendinitis wa olowa phewa. Akufotokozera chifukwa mafunsidwe mchere, tendons kuvala kapena akusowa mpweya wabwino zimakhala ndi. kudwala The akuwonetseredwa ndi ululu pamene akusuntha manja.
• Supraspinatus tendonitis. Disease ali yoyamba choipa kwa minofu ya kapisozi pa. fomu iyi limodzi ndi zonse kukoka ululu paphewa.
• Kutupa kwa tendon a minofu kukongola. Kawirikawiri matenda mu osambira ndi osewera tenesi.
• Post-zoopsa tendinitis. Mpatuko pambuyo kuwononga makina a olowa phewa. Choncho, mpaka kuchira bwino zimamuchulukira izo sikuthandiza.

Ndi chikhalidwe cha Inde matenda lagawidwa mitundu iwiri: pachimake ndi aakulu.

njira matenda

odwala ambiri n'komwe za matenda monga "tendinitis". Kodi iwo kuphunzira pambuyo isanayambike zizindikiro ndi kukaonana ndi adokotala. Zifukwa kutsimikizira matenda ndi madandaulo a wodwalayo, mbiri matenda zoona thupi. Pamene anali kumupima, dokotalayo limafufuza tilinazo minofu ndi luso la magulu yogwira.

Pofuna kuthetsa kukayika matenda, kupenda zakonzedwa. Pamafunikanso:

• Kujambula wa phewa olowa;
• m'madera US anasonyeza;
• arthroscopy;
• X-ray;
• CT arthrography.

Kuchokera pa zotsatira analandira dokotala akutsimikiza matenda ndi mankhwala mankhwala.

Kudziwa machenjerero achire

Chithandizo cha tendinitis wa olowa phewa zimadalira kuopsa kwa ndondomeko pathological ndi kunyalanyaza ake. zikunena zonse achire ayenera kutenga malo kuyang'aniridwa zonse katswiri. Mu masiteji koyamba matenda pogwiritsa ntchito njira zotsatirazi:

• physiotherapy;
• utsogoleli wa mankhwala;
• mankhwala thupi;
• wowerengeka azitsamba.

Pamene kutchulidwa chithandizo chosiyanasiyana ndi osamveka, m'pofunika amachita opaleshoni - arthroscopy kapena opaleshoni lotseguka. Kenako, uliwonse njira mankhwala mwatsatanetsatane.

physiotherapy

Chithandizo cha tendinitis wa olowa phewa akuyamba ndi immobilization manja. Kuchepetsa sayenda ake ntchito bandeji wapadera kapena bandeji. Pamene kutupa stihanii maphunziro othandiza physiotherapy. Nthawi zambiri, madokotala mankhwala laser mankhwala ultraviolet, ntchito ndi paraffin ndi muds, electrophoresis kuwonjezera "ligase". ndondomeko izi umalimbana aziyenda bwino magazi chotupa, ndi kuthetsa minofu kuphipha ndi kutupa.

mankhwala

Pofuna kuchepetsa ululu ndi kutupa mu zinkakhala m'dera la mankhwala odana ndi yotupa ntchito. Komabe, si koyenera kuti amachita thandizo mu koyamba maola 48 pambuyo isanayambike nkhawa. Pamene ululu ndi mphamvu kupirira, mukhoza kutenga mankhwala "paracetamol". Ngati pambuyo maola 72 kumverera zosasangalatsa si kuchepa, m'pofunika kuyamba mankhwala omwe si steroidal mankhwala odana ndi yotupa ( "Naiz", "Ketorol", "Nurofen"). The njira ya mankhwala zambiri masiku asanu. Mankhwala ayenera kumwedwa mukatha kudya.

mankhwala Internal ayenera wodzilemekeza ndi m'deralo. Zomwe zikusonyeza pachimake tendonitis wa phewa chithandizo olowa? Mafuta kapena angakhale angelo wapadera ndi bwino kusankha ndi capsaicin ( "Ibuprofen", "Voltaren"). Iwo ntchito matenda otaya magazi kwa kapisozi olowa.

Mu gawo lachiwiri la matenda a matenda nazonso wodzilemekeza ndi jakisoni kuti mukonze M'mimbamo olowa. Kuchita izi, ntchito "lidocaine wa" kapena "Bupivacaine". Jekeseni akhoza kuchepetsa kupanga kolajeni, amene ali ndi udindo kwa elasticity wa tendon lapansi. Choncho, timadzi mankhwala akusonyeza okha exacerbations. Ngati wodwalayo ndi akapezeka ndi tendons tendonitis, zimenezi ali osavomerezeka.

zolimbitsa thupi achire

90% milandu mankhwala thupi amathandiza kuti abwezeretse sayenda manja. Zochita asankhe katswiri pa nkhani za mawonekedwe a matenda. Nkofunika kuti zimamuchulukira olowa owonongeka ndipo pang'onopang'ono bwino, kuwonjezera osiyanasiyana apaulendo.

• Chitani 1. Pamafunika ndodo gymnastic. Ikani lenileni mkono wake. Pamene akugwira chipolopolo mu malo olungama, yesani kufotokoza nthambi wodwala iwo zungulizani mu mlengalenga. Njira iyi, madokotala amalangiza pa matenda "tendinitis minofu supraspinatus wa olowa phewa." Chithandizo mwanjira imeneyi chipereka zotsatira zabwino mu masiku pang'ono.
• Chitani 2: kuviika manja anu pamaso pake. Nyamulani apangidwe mu loko-mmwamba burashi. Zolemba malire kulemera pa mkono wake wabwino. Izo ziyenera "kokani" kwa nthambi odwala.
• Chitani 2. Bend patsogolo kumbuyo kwa mpando. dzanja labwino muyenera kudalira pamwamba. Wodwala amakhalabe udindo uliwonse. Ndiye inu kuyamba kupeta uku cha dzanja akhudzidwa, pang'onopang'ono kuwonjezeka matalikidwe.

Kuchita Zochita izi tsiku ndi tsiku kuchepetsa mawu a zizindikiro zosasangalatsa kutupa tendons.

Maphikidwe a asing'anga ndi tendonitis wa olowa phewa

Chithandizo cha mankhwala matenda kawirikawiri akuwonetsa zotsatira zabwino. Kuti tikwaniritse zotsatira zabwino za mankhwala, madokotala amalangiza mankhwala ndiwofatsa yothandizana maphikidwe kwa asing'anga. Ena mwa anthu otchuka kwambiri;

• Msuzi ku chitumbuwa zakutchire nazo odana ndi yotupa kwenikweni. Kuphika izo muyenera kutsanulira supuni atatu a zouma zipatso chikho madzi otentha, kuika ofunda madzi osamba. Kuti tizikonda zotsatira mankhwala anachokera angagwiritsidwe ntchito pakamwa osati kokha, komanso kugwiritsidwa pa zinkakhala m'dera wothira gauze mu izo.
• The kulowetsedwa wa chikwama m'busa mkati savomereza, koma iye afika Manga kwambiri. Kukonzekera, mungathe kugwiritsa ntchito mfundo monga Chinsinsi m'mbuyomu.
• Wofanana magawo a sarsaparilla ndi ginger wodula bwino muzu kutsanulira madzi otentha. The chifukwa msuzi masana ankadya monga tiyi a.

Nawo maphikidwe anthu sikofunika, ndi kutibwezera chithandizo ndiwofatsa palimodzi zoletsedwa. ayamikira kunyalanyaza dokotala angachite kungasokoneze thanzi ndi matenda adzapitiriza patsogolo.

alowererepo opaleshoni

The chosonyeza chachikulu opaleshoni ndi kupanda mphamvu ya mankhwala ndiwofatsa. Ngati tendinitis ntchito zotsatirazi options opaleshoni:

1. Redressatsiya pogonekedwa ndi mankhwala ambiri. Pa ndondomeko, dotolo "yopuma" ndi kapisozi olowa kubwezeretsa sayenda wake.
2. Arthroscopy. Choyamba, dokotalayo zimapangitsa amacheka ting'onoting'ono pakhungu. Kudzera mwa iwo, ndiye powapatsa zipangizo mpheto, wamkulu amene ndi arthroscope. Pa ndondomeko, katswiri excised mbali zowonongeka ya kapisozi pa. Chithandizo cha tendinitis wa olowa phewa motere losiyana kuchira mofulumira nthawi ndi otsika traumatization. Choncho, madokotala nthawi zambiri amachita chithandizo wake.
3. Kuchotsa salt. Pamene calcined tendinitis chikusonyeza njira ya opaleshoni. Pa ndondomeko, katswiri anayambitsanso masingano awiri olowa kudzera chimene chikutsimikizira leaching wa madipoziti mchere.

Pambuyo pa opaleshoni odwala amafunika konzanso kwa miyezi ingapo, imene ankagwiritsa ntchito njira mankhwala thupi.

zodzitetezera

Chithandizo cha tendinitis wa olowa phewa - njira yaitali. Choncho, Nkwapafupi kupewa chitukuko cha matenda, osati kutenga mankhwala ndi jekeseni. Kodi madokotala kunena za kupewa?

Akatswiri amalangiza kuti aliyense, ngakhale amatopa kwambiri, kuchita kuwala kulimbitsa thupi. ntchito Sport ayenera anasankha amaganizira mbali munthu wa chamoyo. nkhawa mwamphamvu ayenera ziwonjezeke pang'onopang'ono, kulola minofu atengere. Ngati zolimbitsa thupi pali ululu phewa, m'pofunika pofuna thandizo kwa dokotala. matenda oyambirira tendinitis ndi mankhwala woyenera akhoza kupewa mavuto. Pakati pawo, ambiri ndi bursitis. Ndipo tendonitis wa olowa phewa, ndi matenda ena ambiri aetiology ofanana mosavuta kuchitira pa siteji oyambirira.

Pomaliza

Pa matenda a tendinitis ayenera kutsatira malangizo a dokotala. Chofunikira ndi kuletsa ntchito zonse zokhudzana ndi katundu kwambiri pa olowa. Kunyalanyaza malangizo akatswiri zingachititse exacerbation zizindikiro monga Motero, immobilization wathunthu manja.