Syndrome a "tennis chigongono": chithandizo cha mankhwala wowerengeka, kokoka

"Tenesi chigongono" (kapena lateral epicondylitis) ndi matenda aakulu yodziwika ndi soreness ndi kutupa m'dera m'zigongono (kutanthauza pa kugwirizana mfundo ndi epicondyle minofu humerus).

The zimayambitsa matenda

Chifukwa cha matenda, "tennis chigongono" ndi zosafunika katundu minofu, ndi tendons wa mkono ndi dzanja. Nthawi zambiri matenda amakhudza osewera tenesi. Othamanga kuchita mobwerezabwereza wonyong'onya chomenyera angakaphe mpira, minofu ndi tendons ukuvutika ndi maganizo yaikulu, chimene chimachititsa chitukuko cha epicondylitis lateral, nthawi zambiri dzanja lamanja.

Disease "tennis chigongono" zimakhudza masewera mafani, komanso anthu amene amachita mobwerezabwereza zolimbitsa thupi (kudula nkhuni, ntchito ndi munthu wrench, golfing, kukhoma kupenta , etc.), kamene kamayambitsa aakulu nkhawa minofu ulnar m'deralo.

Nthawi zina matenda zokhudza madera onse oyandikana mu kufanana: minofu Mitsemphayi, tendons ndi periosteum - bwino zimayamba ndi zinthu zoopsa kapena kuvulala kwa chigongono. Ofananira epicondylitis kawirikawiri pamodzi osteochondrosis a msana khomo lachiberekero ndi thoracic.

"Tenesi chigongono" ndi achilendo theka tennis osewera ndi 14% ya chonse cha anthu. kugonana Female matendawa amakhudza zosakwana hafu amphamvu a anthu (ku gulu zaka 30-50).

Matenda a matenda chigongono

Kudziwa pamaso pa epicondylitis lateral mu thupi angakhale ululu m'dera chigongono kumbuyo padziko mkono dera epicondyle, maburashi kapena zala.

Choyamba, pokhala ululu zazing'ono pang'onopang'ono kuonjezera, kuwonjezeka pa mkulu psinjika nkhonya chanza dzanja nsinga zinthu zina kapena kunyamula zitsulo zazing'ono: mwina ngakhale kukhala makapu ndi madzi. kayendedwe aliyense kumodzi matenda lomwe lili ndi khalidwe mwapang'onopang'ono, kenako kukhala mumamva wozunzikirapo.

"Tenesi m'zigongono," mankhwalawa chomwe kutsatira ndi mankhwala zovuta, n'zosavuta oterewa mu magawo oyambirira a chitukuko, minofu edema ndi kupeza mipata extensor minofu.

"Tenesi chigongono": chithandizo

Chithandizo cha matenda a "tennis chigongono" ikuchitika mu mabuku ndi umalimbana kuchepetsa katundu m'dera m'zigongono, kuchotsa ululu ndi kutupa, wathunthu kusinthika kwa chiwalo akhudzidwa ndi mtima wake. mankhwala ndi kusintha mofulumira adzapereka mwayi yake kwa ogwira ntchito kuchipatala poyamba chizindikiro cha matenda. Kodi kuchitira 'tennis chigongono'? Pa siteji yoyamba ya chiwalo akhudzidwa chofunika kupereka lopuma. Mu ululu mdima zakuwala- kochepa anasonyeza matenda amafuna samomassaj minofu m'dera ndi ntchito kutentha youma.

Wa mankhwala ogwira nonsteroidal odana ndi yotupa ndi analgesic: "Ibuprofen", "Ortofen", "Indomethacin", "Phenylbutazone" "Diclofenac". "Tenesi chigongono" mwaluso ankachitira physiotherapy (laser, electrophoresis novocaine kapena hydrocortisone, ultrasound, sinusoidal mafunde). M'mawa ndi madzulo pa malo chigongono akulimbikitsidwa kugwiritsa ntchito ayodini gululi.

Akukonzekera zilonda dzanja

Kukonza dzanja akhudzidwa kudziwa kumasulira ntchito woyikidwa mu mawonekedwe a eyiti bandeji zotanuka kapena kulimba. "Tenesi chigongono" amachiza mwamsanga pa nkhani ya matayala izi wapadera, amene amathandiza chigongono limodzi kupereka kuchepetsa katundu pa dzanja ndipo chenjerani ndi mitundu yonse ya ngozi. Pakuti pachimake mkono ululu lili pa mpango pa bandeji ake a pulasitala (kwa nthawi ya masabata 3 mpaka 5).

Maphikidwe wa mankhwala

Mankhwalawa matenda bwino maphikidwe kwa mankhwala kutsimikiziridwa, zotsatira za zomwe cholinga chake ndicho ndiyotani pakuchotsa ululu chigongono ndi kutupa m'malo olumikizirana mafupa. Njira ndi comfrey zomera, mizu ndi watsopano masamba wophwanyidwa amene (1: 1) chofunika kulumikiza ku mbali 1/4 uchi anasungunuka 1/4 mbali ya mafuta masamba. Zonsezi ndi zofunika pogaya mpaka yosalala ndi ntchito pa zinkakhala m'dera mu mawonekedwe a kutentha. Kuchokera pamwamba m'pofunika ntchito wosanjikiza wa gauze compress pepala, kukulunga ndi kusiya kwa tsiku. Khalani mankhwala phala mu firiji ayenera kukhala masabata 2-3 kapena mu mufiriji kwa miyezi ingapo. Ngati mankhwalawa pasanapite nthawi, inu angaiwale za matenda monga "tennis chigongono".

Chithandizo kumafuna kuchotsa mankhwala wowerengeka epicondyle kutupa uta chikugwirizana ndi phula la. Kuphika inu ayenera kusema zidutswa ziwiri za anyezi pakati pa amachepetsa kuti adzagwa madontho awiri a paini phula. Onse amachepetsa ayenera kugwiritsidwa ntchito mfundo odwala m'dera epicondyle. The bandeji ayenera atathana ndi kusiya kwa mphindi 30. Chithandizo ayenera kuchitidwa kawiri pa tsiku.

Mkaka compress ndi kutupa chigongono

Good thandizo mkaka compress, kukonzekera zimene chofunika kutenthetsa mkaka kuti 60S⁰ Kutha izo wosweka phula: supuni pa 100 ml ya madzimadzi. Ofunda osakaniza mkaka chofunika kuti mutipatse gauze kukulunga anakhudzidwa limodzi pamwamba chivundikiro zikopa pepala ndipo mumakhala. Compress tchuthi kwa maola 2. Chithandizo nthawi anali masiku 20, kawiri pa tsiku.

"Tenesi chigongono": Ntchitoyi

Monga mankhwala wodwala pang'onopang'ono kuyamba thupi ndi pang'onopang'ono kubwerera ku akatundu wabwinobwino, motero kufulumiza ayambe yake kunyumba. Ndi bwino kuti kulekera minofu, osati kuti kayendedwe mwadzidzidzi, kuti kuunika thupi, zotsatira za zomwe cholinga chake ndicho kulimbikitsa ndi kutambasula minofu ndi tendons kuzungulira bwalo chigongono.

1. Dzanja anamuukitsa kwa mlingo phewa ndi maondo polumikizira. Ndi dzanja linalo mukufuna mokoma kukoka burashi kwa chigongono. Zochita pa theka miniti, kasanu kapena khumi.
2. Ikani pa bondo forearm kuti burashi liliri momasuka. Tenga kulemera la makilogalamu 0,250-0,500 - pang'onopang'ono unakhota ndi kuwongoka mkono pa dzanja la. Chitani kubwereza nthawi 5-10.
3. Tiyenera kukhala pansi, anaika mkono wake pa bondo ake kotero kuti dzanja linali kumathandiza kupeza ngodya zabwino bwino pamwamba. Compress nyundo chogwiririra ndi atembenuza dzanja la kumanzere pang'onopang'ono, ndiye kuti ufulu (5-10).
4. Kuvala gulu mosavuta jombo ndi kutambasula maulendo 20, akukankha zala. Pambuyo yopuma yaing'ono, kubwereza zolimbitsa thupi katatu. Pamene pali osakwanira kukana zala akhoza kuvala magulu awiri zotanuka.
5. Compress ndi tennis mpira mu dzanja pafupifupi 20 nthawi. Chitani chidachitika katatu ndi chiswa yochepa.

Monga ulamuliro, mankhwala a tenesi chigongono amaneneratu 95% yabwino.

Nthawi zina, chithandizo ndiwofatsa ndi osatetezeka ndipo anali amachita opaleshoni.

njira zopewera

Iwo akulimbikitsidwa kupewa matenda:

• ogwira kulimbitsa thupi ndi mphamvu maphunziro zonse: imachitika N'zoonadi, iwo umalimbana kuwongolera mphamvu makhalidwe a magulu minofu, kulimbikitsa zone tendon ulnar tigonjetse kutopa mu tennis;

• kutikita zonse kuphatikizapo luso labwino kusinja, stroking, akusisita;

• ntchito kwanyengo angakhale angelo ndi mafuta;
• anthunzi otulutsirako thukuta - njira ya bwino kuchita zimene tendon ovulalawo; chinawonjezeka kutentha amachititsa maonekedwe a capillaries latsopano, kuwonjezera kagayidwe mu chigongono ovulalawo;
• vitaminization thupi wofunikila kutsegula njira kagayidwe kachakudya pa minofu ndi milingo ma; maofesi ogwira vitamini monga "Unicap", "Centrum", "Vitrum".

Tempering ndondomeko matenda a tendons zedi contraindicated. Izi zingachititse kuphipha yaitali Mitsempha kuposa kuzengereza mankhwala kwa nthawi yosatha.