Chithandizo cha epicondylitis mankhwala chigongono wowerengeka. Epicondylitis wa chigongono olowa: zimayambitsa, zizindikiro, chithandizo

Ulnar epicondylitis amatanthauza gulu la zotupa yotupa zachilengedwe osachiritsika, akuwuka mu dongosolo minofu ndi mafupa. akatswiri Poslovam mu pathogenesis matendawa ndi zofunika makamaka zinthu ziwiri - minofu kuwonongeka ndi wotsatira kutupa.

zambiri

The epicondylitis ulnar ndi matenda a chikhalidwe yotupa, isanafalikire makamaka minofu ya pawiri komanso mafupa mkono. Akatswiri kudziwa mtundu pachimake ndi boma-pachimake cha matenda. Pachimake epicondylitis zambiri akufotokozera chifukwa cha kuwonongeka makina, ndi ululu ali osiyana. Subacute mawonekedwe ndi nthawi asymptomatic, ukugwira kusapeza mu zinkakhala m'dera pa nthawi ya thupi.

Gawo

Mu mankhwala amakono, zochokera zinkakhala m'dera, ndi allocated wamkati (medial) ndi wakunja (lateral), epicondylitis. Pansipa tikambirana lililonse chimake mwatsatanetsatane.

Ambiri lateral epicondylitis wa chigongono olowa. Zifukwa kugona mu chitukuko cha overloads ake okhazikika ndi kuvulala kwa tendons. Odwala zambiri amadandaula kuwawa ndi kayendedwe flexion manja, amene angamupatse akunja phewa m'deralo. Kusapeza kawirikawiri izi pansi zala psinjika mu nkhonya kapena ochiritsira chanza. ululu Mwamsanga pa mpumulo. Akatswiri akuchenjeza kuti ngati si ankachitira mu chigongono limodzi nthenda ya chikhalidwe ichi kungachititse zotsatira zoipa kwambiri.

Medial chimake matenda zikutanthauza ndi yotupa ndondomeko m'minofu, amene ali ndi udindo extension wotsatira kupinda maburashi. Monga ulamuliro, mtundu wa kudwala amawapeza anthu, zinthu mwachindunji imakhudzana ndi minofu wonyong'onya ntchito dzanja (mwachitsanzo, zovala). Ndi mtundu uwu wa ululu matenda anamva makamaka kumbali lamkati la olowa.

zifukwa

Epicondylitis imatengedwa matenda sekondale, bvuto lalikulu la zotsalira bwino anamvetsa chitukuko. Malinga ndi akatswiri, kudwala izi akufotokozera chifukwa cha kuwonongeka mawotchi kwa tendons zomwe zimadzetsa mikangano mwachindunji pa fupa kwambiri. madokotala ena kuitana zinthu zina n'zothandiza epicondylitis wa chigongono olowa. The zimayambitsa matenda, malingana ndi iwo, chinayambira kutupa periosteum, kapena vuto pambuyo osteochondrosis.

Madokotala ndacha magulu angapo a odwala amene kwambiri angayambe matenda. Izi makamaka monga alimi, omanga ndi masewera basi. Kumene, ntchito limodzi kapena dera lina la ntchito lingachititse chiyambire matendawa. Komabe, flexion zonse ndipo anayamba ukugwirizana chigongono ndi katundu lolingana pa dzanja lokha atha kuyambitsa mapangidwe kudwala.

zizindikiro

Epicondylitis kuwonetseredwa kwenikweni ululu. Poyamba, pali kusapeza mu chigongono pa katundu wina. magulu onse kungokhala chete si chifukwa zomverera mawu opweteka amalola dokotala kuti akatsimikizire nyamakazi kapena nyamakazi. Nthawi zambiri wodwalayo kovuta kusonyeza chimodzimodzi kumene ululu.

Khalidwe la mawonekedwe akunja ndi matenda chizindikiro chanza. Monga zimaonekeratu dzina, wodwalayo amakhala kusapeza pa kugwirana chanza yachibadwa. Komanso, ululu kumachitika pamene inu amayesa kuuchotsa kapu ya tiyi.

Choncho amakhala ndi epicondylitis kunja chigongono olowa. Zizindikiro za mitundu mkati mwa matenda ofanana, koma amasiyana kutanthauzira. Kudwala kumaonekera malo otchedwa medial epicondyle la fupa phewa, ndi ululu yokha ukapezeka kokha pamene kayendedwe lotsutsa (flexion ndi pronation wa mkono ndi).

diagnostics

Matenda a matenda akuyamba ndi mafunso zambiri wodwalayo. dokotala n'chakuti pamene zizindikiro chinayamba chachikulu kaya yoyamba zoopsa makina, kusapeza n'lakuti kodi kayendedwe.

Kenaka anafufuza mwachindunji chigongono olowa. Matenda a chikhalidwe ichi nthawi zonse kugwiritsa ntchito njira zinchito matenda (X-ray, ultrasound, Kujambula). Pokhapokha njira zonsezi, dokotala wanu angakulangizeni mankhwala oyenera.

mankhwala

Choyamba tisaiwale kuti mankhwala akhoza kuyamba yekha atakambirana ndi katswiri. Suyenera kudziletsa medicate. Chinthu ndi kuti zimenezi zambiri umatha ndi chitukuko cha mavuto aakulu kwambiri. Chithandizo cha epicondylitis wa chigongono mankhwala wowerengeka komanso ayenera kuperekedwa moyang'aniridwa ndi achipatala.

Chithandizo cha matenda zambiri akuyamba ndi kusintha chifanizo cha moyo wa wodwala. Mwachitsanzo, nthambi akhudzidwa ayenera mosalekeza kukhala mu mpumulo wake, ayenera sanaletse kayendedwe mwadzidzidzi n'zothandiza maonekedwe cha ululu wopweteka. Othamanga kwa nthawi yaitali analimbikitsa kusiya kaye kukambiranako atasinthana maudindowo. Mwatsoka, ili Sizotheka, kotero odwala ayenera kuchitapo kanthu za m'dera. Pakuti zolinga zimenezi lero ndi wapadera zipangizo zolimbana ndi wotchuka amatulutsa pulasitala.

mankhwala zikusonyeza kuti kugwiritsa ntchito mankhwala odana ndi yotupa mu mawonekedwe a mafuta ndi miyala (mankhwala "diclofenac", "Ibuprofen"). Nthawi zina, jakisoni m'dera la corticosteroids pamodzi ndi mankhwala opha ntchito.

Ikani zokambirana zapadera

Kodi kuchitira epicondylitis wa chigongono? Achire Zochita anasonyeza kuti kwambiri polimbana ndi matenda. Poyamba, n'kofunika kusankha kuchita pulogalamu ogwira. N'chifukwa chake mu nkhani iyi popanda thandizo dokotala wodziwa ndi chofunika kwambiri. Komanso, kudzikonda ntchito ndi cholakwika Zochita likhoza kuwononga thupi. Kokoka matenda Cholinga chake ndi munthawi yomweyo anatambasula ndi zosangalatsa minofu ndi tendons.

Chithandizo cha epicondylitis mankhwala chigongono wowerengeka

Odwala zambiri amachita mankhwala pamene mankhwala ndi ntchito yapadera alibe zotsatira zabwino. Ili pansipa ndi options ambiri mankhwala.

1. N'kumawotha dongo. Chinsinsi ichi ali osavomerezeka ntchito vuto la kutupa pachimake. 200 ml ya madzi otentha ayenera wothira 200 ga buluu dongo (izo chogulitsidwa wina ogulitsa mankhawala) ndi chifukwa misa kusintha kosangalatsa mu ziwiri wosanjikiza gauze. Compress akhoza sanasunge kuposa mphindi 30, ndiye ayenera m'malo. magawo awa angathe kuchitidwa katatu pa tsiku kwa sabata imodzi.
2. Mkaka compresses. Mkaka ndi kutenthetsa 60 ° ndi kupasuka phula m'menemo (supuni imodzi kwa pafupifupi 100 ml ya madzimadzi). Ndiye muyenera zilowerere mkaka gauze bandeji, kukulunga anakhudzidwa olowa. Mtundu uwu wa mapaketi ayenera kubwereza kawiri pa tsiku.
3. Laurel mafuta. 4 supuni minced mu leafs blender ayenera wothira 200 ga mafuta masamba ndi anatsanulira mu chidebe womata. osakaniza bwino kunena mu kutentha kwa sabata imodzi. Ndiye iwo ayenera kuzitikita mu zinkakhala m'dera kapena ntchito compresses.

Chithandizo cha epicondylitis mankhwala chigongono wowerengeka, monga ulamuliro, likukhalira kuti kwambiri. Mulimonsemo, ngakhale mankhwala uyu sayenera kuchita popanda kufunsa dokotala.

Pomaliza

Epicondylitis mwangwiro mankhwala. Mmisiri waluso sikovuta oterewa, kenako amalangiza mankhwala oyenera. Pankhani ya tsankho munthu mankhwala ena dokotala kawirikawiri amapereka chithandizo epicondylitis mankhwala chigongono wowerengeka. Tikhoza kunena kuti odwala ambiri kufunafuna kuchira kwathunthu. Chinthu chachikulu - nthawi yabwino katswiri ndi kutsatira malangizo ake onse.