Syndrome ka "ithenisi indololwane": ekwelapheni amakhambi abantu, ukuzivocavoca

"Tennis indololwane" (noma epicondylitis lateral) yisifo esingamahlalakhona libhekene soreness nokuvuvukala endaweni bafike endololwaneni (okungukuthi endaweni uxhumano nemisipha epicondyle humerus).

Izimbangela isifo

Imbangela yale isifo, "ithenisi indololwane" kukhona umthwalo engadingekile imisipha, lo imisipha ye ibhodi lemisindo futhi isandla. Ngokuvamile lesi sifo sithinta abadlali ithenisi. Abasubathi kokwenza okuphindayo yethenisi okuyisidina oshaya ibhola, i-ezicubwini sebunzimeni omkhulu, yini ebangela ukuthuthukiswa epicondylitis lateral, ngokuvamile sangakwesokudla.

Izifo "ithenisi indololwane" kuthinta bezemidlalo hhayi kuphela, kodwa futhi abantu bophezela okuphindaphindiwe umsebenzi (ukusika izinkuni, ukusebenza isikrufu, ezokudlala igalofu nezobuciko bezandla Bambulala, imidwebo , njll), okuyinto kubangela ukucindezeleka okungapheli izicubu ulnar ndawo.

Ngezinye izikhathi lesi sifo ezithinta bonke ezindaweni eziseduze ngokulinganisa: imisipha, nemisipha, imisipha kanye periosteum - kungadalwa ukuhlukumezeka noma ukulimala endololwaneni. epicondylitis Lateral ngokuvamile kuhlangene osteochondrosis yomgogodla wesibeletho thoracic.

"Tennis indololwane" kuyinto eyinqaba isigamu ithenisi abadlali kanye 14% abantu sebebonke. ubulili besifazane lesi sifo sihlasela esingaphansi kwesigamu eqinile lwesintu (eqenjini yobudala engamashumi 30-50).

Ukuxilongwa isifo indololwane

Ukuze sithole khona epicondylitis lateral emzimbeni kungaba ubuhlungu indololwane endaweni emuva kobuso ibhodi lemisindo esifundeni epicondyle, emabhulashini noma iminwe.

Okokuqala, ngokuba ubuhlungu ezincane ukwandisa kancane kancane, banda kokucindezelwa okusezingeni eliphezulu ukuxhawula isibhakela ngesandla ukubamba izinto ezithile noma nokuphakamisa izinsimbi ezincane: kungase kube ngisho mug ngamanzi. Noma yimuphi ukunyakaza elula kule sifo, has a uhlamvu okuqhubekayo, kamuva abe sokuhlushwa babulawa.

"Tennis indololwane," ekwelapheni esakhiwa ekusebenziseni yokwelapha eziyinkimbinkimbi, kulula ukuxilonga kusaqalwa yentuthuko, izicubu edema bese bethola unokungaxhumani extensor kwemisipha.

"Tennis indololwane" Ukwelashwa

Ukwelashwa yalesi sifo of "ithenisi indololwane" wenziwa olunzulu futhi okuhloswe ngazo ukunciphisa umthwalo endaweni indololwane, ukususwa ubuhlungu nokuvuvukala, ukuvuselelwa ephelele isitho ethintekile kanye nokuqinisa yayo. ukwelashwa okuphumelelayo kanye ukululama ngokushesha ngeke ukunikeza ukufinyelela esifike izisebenzi zezokwelapha lapho kuqubuka lesi sifo. Indlela esiphatha ngayo 'ithenisi indololwane'? Ngesikhathi besanda kuqala isitho ethintekile liyadingeka ukunikeza lokuphumula okuphelele. Ngo kalufifi uzwakalise ubuhlungu syndrome zidinga samomassaj imisipha endaweni nokusebenza ekushiseni okuhangulayo.

Eminye yemithi aphumelela nonsteroidal eqeda ukuvuvukala kanye analgesic: "ibuprofen", "Ortofen", "Indomethacin", "Phenylbutazone" "Diclofenac". Physiotherapy "Tennis indololwane" ngempumelelo iphathwa (laser, electrophoresis novocaine noma hydrocortisone, imisindo ephansi, imisinga sinusoidal). Ekuseni nakusihlwa on endaweni indololwane Kunconywa ukusebenzisa igridi iodine.

Ukubeka isandla obukhulu

Ukuze ulungise ingalo ethintekile kufanele nakanjani sebenzisa eziphoqelelwe ngesimo eyisishiyagalombili ngebhandeshi nokunwebeka noma umkaki. "Tennis indololwane" uphulukisa ngokushesha esimweni ngala mathayi ekhethekile, lawo anikeza ukusekela ukuba ilunga indololwane, ukuhlinzeka nokuncipha umthwalo phezu isandla futhi niqaphe zonke izinhlobo ukulimala. Ukuze acute ubuhlungu ingalo imiswe okwesikhashana ku isikhafu at ngebhandeshi wakhe ka usimende (isikhathi 3 kuya 5 amaviki).

Zokupheka of imithi yendabuko

Ekwelapheni lesi sifo kungase kutholakale kahle zokupheka of imithi yendabuko, umphumela okuhloswe ngalo ukususa ubuhlungu indololwane kanye ukunciphisa ukuvuvukala. Indlela ephumelelayo kuyinto comfrey isitshalo izimpande namaqabunga fresh luthuli zazo (1: 1) iyadingeka ukuze uxhume ku-1/4 ingxenye uju elicibilikile 1/4 ingxenye amafutha zemifino. Konke lokhu kuyadingeka ukuze ugaye kuze bushelelezi futhi isicelo kule ndawo eyayithintekile behamba ngendlela ukushisa. Kusukela phezulu kubalulekile ukusebenzisa ungqimba gauze cindezela iphepha, bopha futhi ushiye usuku. Gcina nokunamathisela okwelapha esiqandisini kufanele kube amasonto 2-3 noma efrijini ezinyangeni ezimbalwa. Uma impatho efanele akukholeki ukuthi ngesikhashana nje, ungakwazi ukukhohlwa ngalesi sifo njengoba "ithenisi indololwane".

Ukwelashwa kuhilela ukususwa amakhambi abantu epicondyle ukuvuvukala umnsalo exhunywe kwi-yomsizi netiyela. Ukupheka ke udinga ukuba uthathe amabili izingcezu onion e phakathi neengcezu iconsa ezimbili amathonsi zikaphayini yomsizi netiyela. Bobabili neengcezu kufanele usetshenziswe emalungeni iziguli endaweni epicondyle. Ibhandishi kufanele zixhunywe futhi ushiye imizuzu 30. Ukwelashwa okufanele kwenziwe kabili ngosuku.

Ubisi cindezela ngokumelene indololwane ukuvuvukala

Good usizo ubisi cindezela, ukulungiswa esidingeka ukufudumeza ubisi ukuze 60S⁰ Ukuqedwa ke ochotshoziwe propolis: ithisipuni 100 ml uketshezi. Warm ubisi ingxube liyadingeka impregnate gauze ukugoqa kwakuthinta abasenze ngokuhlanganyela, laba phezulu ikhava isikhumba iphepha bese vimbela. Fitizela ikhefu amahora ama-2. Ukwelashwa isikhathi kwaba ezingu-20, okungenani kabili ngosuku.

"Tennis indololwane": umsebenzi

Njengoba ikhambi isiguli kancane kancane uqale umzimba futhi kancane ukubuyela imithwalo kunokuvamile, kanjalo usheshisa nokuvulwa yayo ekhaya. Kunconywa onga imisipha, hhayi ukwenza ukunyakaza kungazelelwe, ukwenza ukukhanya umsebenzi, umphumela okuyinto kuhloswe ngazo ukuqinisa futhi ngilulekela ezicubwini nasemisipheni endaweni indololwane.

1. Hand ephakanyiswe ezingeni ehlombe agobe esihlakaleni. Nge Ngakolunye uhlangothi ufuna ngobumnene donsa ibhulashi ngase endololwaneni. Yenza phakathi kwesigamu somzuzu izikhathi emihlanu kuya kweyishumi.
2. Nigqoke ibhodi lemisindo amadolo ukuze ehlozini kuthé ngokukhululekile. Thatha esandleni Isisindo 0,250-0,500 kg - kancane goba bese uyaqondisa ingalo ngesikhathi esihlakaleni. Ukuzivocavoca ukuphinda 5-10 izikhathi.
3. Sidinga ukuhlala phansi, wabeka ibhodi lemisindo yakhe edolweni ukuze isandla kwaba at engele kwesokudla kuya ebusweni. Fitizela isibambo isando bese uphendukisa esihlakaleni kwesokunxele kancane, bese ngakwesokudla (5-10).
4. Ukuze agqoke band kalula iraba welulele izikhathi 20, baphokophelele iminwe. Ngemva kwekhefu encane, ukuphinda umsebenzi kathathu. Lapho kukhona ukumelana enganele iminwe zingabekwa imichilo ezimbili nokunwebeka.
5. Fitizela ibhola lethenisi ngesandla izikhathi ezingaba ngu-20. Ukuzivocavoca kwenziwa kathathu ngekhefu iDemo.

Njengomthetho, ukwelapha ithenisi indololwane ibikezela 95% evumayo.

Ezimweni ezingavamile, ukwelashwa ngoludala alukwazi ukuzisiza futhi kwadingeka ukuba iphendukele ukuhlinzwa.

izindlela zokuvimbela

It Kunconywa zokuvimbela lesi sifo:

• ngempumelelo gaphambi futhi ukuqeqeshwa amandla njalo: olwenziwa okunengqondo, balwela ukuthuthukisa ikhwalithi amandla amaqembu kwemisipha, uqinise zone umsipha ulnar simelane bakhathale ithenisi;

• massage njalo kuhlanganise amasu eziyisisekelo: nomkhombe, kuwukuziphulula, bezihlikihla;

• isicelo ukufudumala si amakha namafutha;
• sauna - indlela ngempumelelo uthatha isinyathelo umsipha olimele; lokushisa lenyuka kubangela ukubukeka capillary entsha, ukwandisa umzimba endololwaneni olimele;
• vitaminization umzimba oludingekayo ukuze kusebenze izinqubo umzimba ngesikhathi izicubu kanye namazinga yeselula; ngempumelelo Vitamin izakhiwo ezifana "Unicap", "Centrum", "Vitrum".

Tempering nezinqubo yezifo imisipha is kakhulu contraindicated. Lokhu kungadala i-spasm eside imithambo yegazi, kuka uyephuza ikhambi isikhathi esingenasiphelo.