Ukwelashwa nokuvikelwa tendinitis we ngokuhlanganyela ehlombe, izimbangela, izimpawu, uphethwe

Njengoba sikhula, imisipha somzimba nezihlanganiso zingagugi. Nge ukuvivinya umzimba njalo kwezicubu khona microtrauma. Uma ukunikeza umzimba ukuphumula, ke ibuyiselwe esimweni ngokugcwele. Ngo overloads ezibucayi imisipha awunaso isikhathi ukuzivumelanisa nazo. Umphumela iyindawo lapho ngemuva kwesikhathi esithile lukhumuzeka. Kubonakala ukungakhululeki ubuhlungu, ukuqina kwamalunga. Lezi izimpawu zibonisa ukuthuthukiswa tendonitis. Yisifo ezivamile avame kuthinta joint ehlombe. Mathiriyeli isihloko uchaza isifo main izimpawu, izimbangela kanye lokwelatshwa.

Tendonitis - Luyini?

Tendonitis - isifo libhekene ukuthuthukiswa ukuvuvukala kule imisipha nezicubu. Zikuxhuma imisipha ukuba amathambo. Umphumela nobuhlungu obukhulu ehlombe, futhi ukunyakaza elinganiselwe. Ngokuvamile, zokugula sitholakale lapho isikhulile, ezivamile ikakhulukazi abesifazane ngesikhathi nambili kuya kwabadala. Engozini futhi kuhlanganisa nentsha ababonisa njalo. Tendonitis we ngokuhlanganyela ehlombe kusaqalwa ukuphendula kahle ekwelashweni. amafomu Advanced lesi sifo kudingeka uhlinzwe. Nokho, ngisho nokuhlinzwa akwenzeki ngaso sonke isikhathi ukufeza ukufukulwa aphelele esandla umsebenzi.

Isizathu esikhulu lesi sifo

Kutfutfukiswa tendinitis kungenzeka ngenxa yezizathu eziningi. Ngokuvamile lesi sifo kwandulelwe umsebenzi isikhathi eside. Ngakho-ke, iqembu ingozi kuhlanganisa abasubathi nabantu, umsebenzi ihlobene umthwalo sina ehlombe. Ekuqaleni, yisishiso kuthinta imisipha supraspinatus ke kancane kancane usabalala zezicubu ezizungezile futhi egobolondweni lelunga. Avuse tendinitis we ngokuhlanganyela ehlombe yilezi ezilandelayo izinkinga neziyaluyalu:

• isifo samathambo (sifo, samathambo);
• ukuma okubi;
• ukulimala of kwebhande ehlombe ;
• amasosha omzimba ongaphakeme;
• ukucindezeleka (uma kuziwa imisipha spasm);
• ezithathelwanayo isifo omsakazo;
• hypothermia njalo;
• umzimba wakho uxabana ne izidakamizwa;
• ukungasebenzi ohlelweni endocrine.

Lena yimbangela ejwayelekile kakhulu lesi sifo. Inqubo sokugembula is wawuhlanganisa izikhathi eziningana uma kuhambisana comorbidities noma ukungabi ukwelashwa esifike ngesikhathi. Kuzo zonke lezi zimo, isayithi ukuvuvukala kwakhiwa ukuvuvukala. Ngokuhamba kwesikhathi, wona aholela kwezithibelo ukunyakaza ngokuhlanganyela, ngihlala ngisezinhlungwini nezinye izingozi.

ukubonakaliswa emitholampilo

Ngesikhathi sokuqala isifo ukushwaqa umsipha, okuyinto kuhambisana ubuhlungu izinhlobo ezithile ukunyakaza. Ezimweni eziphambili, ukuqaleka iqhubeka ngisho uphumule. Kubangela iziguli ezinzima ubuhlungu ukubona udokotela. Ikhona yini enye indlela ivela tendinitis we ngokuhlanganyela ehlombe?

Izimpawu zesifo zingancishiswa ukubonakaliswa ezine eziyinhloko:

• ubuhlungu ukungakhululeki;
• ukuphazamiseka ukuhamba izandla;
• ukuvuvukala;
• ukubhujiswa kwezicubu ngokuhlanganyela.

Ubuhlungu lapho tendinitis kungaba kokubili oyingozi futhi obtuse. It kwandisa ngesikhathi umzimba.

Mobility komkhawulo kwenzeka uma umzamo wokugcina ukwenza noma iyiphi inhlangano. Lapho esephumule, iziguli esekhala ubuhlungu ngcono. Izimpawu ezilandelayo zenzeka kuye kwasendaweni ukuvuvukala:

• cuff lesion libhekene nobuhlungu obukhulu engxenyeni engenhla elingaphandle ehlombe, kungase akhipha kuya ingalo;
• ukuvuvukala encane imisipha isiyingi ukungakhululeki ihambisana isandla ukunyakaza phandle;
• ukusabalala inqubo sokugembula kule imisipha subscapularis kuholela sebuhlungwini obunzima ne ehlombe ukunyakaza ngaphakathi;
• tendonitis biceps umsipha imisipha akunamthelela zomphakathi the izandla, kodwa futhi ephelezelwa ukungakhululeki.

Impendulo ukuvuvukala kuhilela ukubekwa uphawu kwabangu-egobolondweni lelunga. Uhlonze lwalo kungenzeka afika kwangu-2 mm. Ukuvuvukala kuhambisana ukuvuvukala kanye ububomvu kwesikhumba, ukwanda lokushisa ngalesi ingxenye.

Inqubo sokugembula zibhebhetheka ku imisipha, kubandakanya ukwakheka ukuvuvukala. Ukuze ejwayelekile ka tendinitis umsipha calcification. Nakuba ukulalela ilunga IselulekoSesihenqo ngokuvamile crepitus ezwakalayo (crunching, creaking). ukuthuthukiswa ukonakala kancane kancane kuholela thinning we imisipha kungukuthi ayifakiwe articular capsule ukudabuka.

izinhlobo izifo

Kuye kwasendaweni yenqubo sokugembula kanye nezizathu ukubukeka kwayo, ovelele:

• tendinitis Calcific we ngokuhlanganyela ehlombe. Utfutfukisa ngenxa usawoti sebethule, imisipha ukugqoka noma ukuntula oxygen emisipheni. I zokugula livezwa sebuhlungwini obunzima lapho ezihambayo ezandleni zakhe.
• Supraspinatus tendonitis. Izifo landulelwa ngukulimala imisipha capsule. Leli fomu kuhambisana njalo ubuhlungu edonsa ehlombe.
• Ukuvuvukala umsipha imisipha biceps. Ngokuvamile sifo e-ababhukudi nabadlali ithenisi.
• tendinitis Kwangemva Kwenhlekelele. Utfutfukisa ngemva umonakalo mechanical joint ehlombe. Ngakho-ke, kuze kube yilapho umuntu alulame ngokugcwele overload akusiyo zinkulu.

Ngu ubunjalo Yiqiniso isifo ihlukaniswe izinhlobo ezimbili: oyingozi futhi ezingalapheki.

izindlela ukuxilongwa

Iziguli eziningi akuzona fana aware of ukuxilongwa ezifana "tendinitis". Kuyini abakufundayo lapho kuqala izimpawu kanye ngokufuna usizo lodokotela. Kunemininingwane ephelele yezizathu ngoba eqinisekisa uphethwe kukhona izikhalazo isiguli, umlando emitholampilo behlolwa. Phakathi, udokotela uhlola nozwela muscle ikhono ukunyakaza asebenzayo.

Ukuze kuqedwe ukungabaza uphethwe, ukusihlola umiswa. Kuhlanganisa:

• MRI ehlombe ngokuhlanganyela;
• izindawo US-abathintekayo;
• arthroscopy;
• -X-ray,
• CT arthrography.

Ngokusekelwe imiphumela udokotela etholwe kuqinisekisa Ihlahlubo linqume ukwelashwa.

Ukuze sithole amacebo zokwelapha

Ukwelashwa nokuvikelwa tendinitis we ngokuhlanganyela ehlombe incike kobukhulu inqubo sokugembula nokunganakwa yayo. Zonke ezelaphayo okufanele kwenzeke ngaphansi ebhekiwe of onguchwepheshe. Ezigabeni zokuqala zesifo usebenzisa izindlela ezilandelayo:

• Physiotherapy;
• ukuphatha izidakamizwa;
• ikhasi lesikhwama sasekhaya;
• amakhambi abantu.

Lapho efakwe ohlwini zokwelapha ayizwakali, kubalulekile iphendukele ukuhlinzwa - arthroscopy noma ukuhlinzwa evulekile. Ngokulandelako, cabangela indlela ngayinye ukwelashwa kabanzi.

Physiotherapy

Ukwelashwa nokuvikelwa tendinitis we ngokuhlanganyela ehlombe iqala immobilization esandleni. Ukuze ubeke umkhawulo ukuhamba alo angasebenzisa ibhandishi ekhethekile noma ibhandishi. Lapho ukuvuvukala stihanii Physiotherapy aphumelela ngendlela ekhethekile. Ezimweni eziningi, odokotela linqume ukwelashwa laser, oku-ultraviolet, izinhlelo zokusebenza ngolwazi lokuphequlula kaphala- muds, electrophoresis lokwengeza "ligase". Lezi zinqubo okuhloswe ngayo ukwenza ngcono kwegazi lesion, khulula imisipha spasm nokuvuvukala.

imithi

Ukuze wehlise ubuhlungu futhi asetshenziswa nokuvuvukala kwendawo ethintekile izidakamizwa eqeda ukuvuvukala. Nokho, asikho isidingo iphendukele usizo lwabo lokuqala amahora angu-48 lapho kuqala ukungakhululeki. Lapho izinhlungu zithi akukho amandla okukhuthazela, ungathatha iphilisi "paracetamol". Uma ngemuva kwamahora 72 umuzwa ongamuhle akuyona abohle, kubalulekile ukuba uqale ukwelashwa nge-non-steroidal izidakamizwa eqeda ukuvuvukala ( "Naiz", "Ketorol", "Nurofen"). Inkambo yokwelashwa ngokuvamile izinsuku ezinhlanu. Izidakamizwa kufanele kuthathwe ngemva kokudla.

Ukwelapha Kwangaphakathi kufanele eyayihambisana sendawo. Okusikisela tendonitis acute ehlombe ukwelashwa ngokuhlanganyela? Wamafutha noma si ekhethekile kungcono ukukhetha nge capsaicin ( "ibuprofen", "Voltaren"). Zisetshenziswa kulesetayelekile ukugeleza kwegazi ukuze egobolondweni lelunga.

In esigabeni ukwelapha lesi sifo yesibili nayo kulekelelwa imijovo ezenza niqonde ingaphakathi ngokuhlanganyela. Ukuze wenze lokhu, sebenzisa "lidocaine" noma "Bupivacaine". Imijovo kunganciphisa ukukhiqizwa collagen, okuyinto unomthwalo kuyaqina we umsipha. Ngakho-ke, ukwelashwa i-hormone kuphela wabonisa for exacerbations. Uma isiguli sekutholakele ukuthi sine- tendonitis imisipha, ukwelashwa okunjalo is hhayi Kunconywa.

umsebenzi zokwelapha

Ngo-90% amacala, ukubhucunga nokunyakazisa umzimba kusiza ukubuyisela zomphakathi the isandla. Bonisa umkhethe yini onguchwepheshe ngokuphathelene ukuma sifo. Kubalulekile ukuba overload joint ezilimele, futhi kancane kancane ke, okwandisa ububanzi motion.

• Ukuzivocavoca 1. Kuthatha induku Gymnastic. Ukubeke nobude bengalo. Nakuba ephethe igobolondo sesimweni uqotho, zama ukuchaza esitho egulayo baze ubiyela emoyeni. Lo msebenzi, odokotela batusa ngesikhathi uphethwe "tendinitis imisipha supraspinatus we ngokuhlanganyela ehlombe." Ukwelashwa ngale ndlela kuveza imiphumela emihle ezinsukwini ezimbalwa.
• Isifundo 2: Cwilisa izandla zakho phambi kwakhe. Phakamisa eligoqiwe shayela Ilokhi-up. isisindo Maximum engalweni ezinhle. Kumelwe "udonse" ngoba ithambo ogulayo.
• Ukuzivocavoca 2. Bend phambili ngemuva kwesitulo. isandla Good udinga ancike ebusweni. Isiguli uhlala yisiphi isimo. Khona-ke uqala ufake ngapha nangapha yengalo ethintekile, kancane kancane zandise izinto kwawo namandla awo.

Buciko zalezi umzimba nsuku zonke ukuze unciphise inkulumo izimpawu abuhlungu ukuvuvukala imisipha.

Ungadliwa of abelaphi bendabuko futhi tendonitis we ngokuhlanganyela ehlombe

Ukwelashwa lokhu nemithi isifo ngokuvamile ibonisa imiphumela emihle. Ukuze kuzuzwe ukusebenza best of the izidakamizwa, odokotela batusa yokwelapha olandelanayo umphelelisi izindlela zika abelaphi bendabuko. Kepha abanye balabo abayobe ethandwa kakhudlwana:

• Umhluzi kusuka cherry zasendle possesses umphumela anti-inflammatory. Ukupheka ke udinga uthele ezintathu wezipuni omisiwe amajikijolo inkomishi amanzi abilayo, wafaka amanzi okugeza amanzi afudumele. Ukuze uthuthukise umphumela izidakamizwa etholakala ingasetshenziswa ngomlomo nje kuphela, kodwa futhi isetshenziswa endaweni ethintekile oswakanyiswe gauze kuwo.
• I ukumnika of esikhwameni sikamalusi ngaphakathi abayamukeli, kodwa uthola ukugoqa okukhulu. Ukuze silungiselele, ungasebenzisa izimiso ezifanayo iresiphi odlule.
• ukwabelana alinganayo sarsaparilla ne-ginger impande uthele amanzi abilayo. I kwaphumela umhluzi emini iphuzwe itiye.

Hileleka zokupheka zabantu akudingekile, futhi esikhundleni sawo ukwelashwa ngoludala ngokuphelele akuvumelekile. izincomo Ukunganakwa udokotela ibe nomthelela ongemuhle nezempilo kanye nezifo uzoqhubeka intuthuko.

kokungenela kuhlinzwa

Inkomba esemqoka ukuhlinzwa ukungabi ukusebenza yokwelapha olandelanayo. Uma tendinitis isetshenziswa okulandelayo ukuhlinzwa:

1. Redressatsiya ngaphansi izinzwa jikelele. Ngesikhathi inqubo, udokotela "amakhefu" egobolondweni lelunga ukubuyisela ukuhamba kwakhe.
2. Arthroscopy. Okokuqala, lo dokotela kwenza sebeziqhumbuza ezincane esikhumbeni. Ngabo ke ethula amadivayisi zokukhwabanisa, eyisikhulu phakathi okuyinto arthroscope. Ngesikhathi inqubo, onguchwepheshe excised izingxenye ezilimele we capsule. Ukwelashwa nokuvikelwa tendinitis we ngokuhlanganyela ehlombe ngale ndlela kuyahluka okusheshayo kwesikhathi yokutakula futhi traumatization ongaphakeme. Ngakho-ke, odokotela abahlinzayo ngokuvamile ziphendukela azomsiza.
3. Ukususwa nosawoti. Lapho calcined tendinitis esibonisa lokhu ukukhetha ukuhlinzwa. Ngesikhathi inqubo, onguchwepheshe wethula izinaliti ezimbili ngokuhlanganyela ngokusebenzisa elibamba leaching of usawoti imali.

Ngemva iziguli nokuhlinzwa kudingeka nokuvuselelwa izinyanga eziningana, phakathi kwesikhathi lapho kusetshenziswa izindlela ukuze athole ukwelashwa komzimba.

izinyathelo

Ukwelashwa nokuvikelwa tendinitis we ngokuhlanganyela ehlombe - inqubo eside. Ngakho-ke, kulula ukuvimbela ukuthuthukiswa isifo, kunokuba ukuthatha imithi futhi imijovo. Yini odokotela bathi ngokuvimbela?

Ochwepheshe batusa ukuba umuntu, ngisho kucindezela kakhulu, ingabe Amazing ukukhanya. imisebenzi Ezemidlalo Kufanele kukhethwe ikhumbula izici ngamunye umzimba. ukucindezeleka umfutho kufanele landa kancane kancane, okuvumela imisipha ukuzivumelanisa. Uma lo msebenzi ngokomzimba kukhona ubuhlungu ehlombe, kubalulekile ukufuna usizo lukadokotela. ekuhlonzweni ka tendinitis nokwelashwa abanekhono kungaba ligweme izinkinga ezingase zivele. Phakathi kwabo, lo esivame kakhulu bursitis. Futhi tendonitis we ngokuhlanganyela ehlombe, nezinye izifo eziningi aetiology efanayo kulula aphathe ngendlela efanele usaqala.

isiphetho

Phakathi ekwelapheni tendinitis kufanele ulandele imiyalo udokotela. Imfuneko ukuyeka yonke imisebenzi ehlobene umthwalo ngokweqile phezu ngokuhlanganyela. Ukungayinaki iseluleko lochwepheshe kungabangela exacerbation izimpawu ngenxa yalokho, le immobilization ephelele isandla.