UTendinitis

Iitendon zizinto ezinemicu edibanisa izihlunu emathanjeni. Xa ezi tendon zidumba okanye zivutha, ibizwa ngokuba yi-tendinitis. Kwiimeko ezininzi, i-tendinosis (tendon degeneration) ikwakhona.

I-tendinitis inokwenzeka ngenxa yokulimala okanye ukusetyenziswa gwenxa. Ukudlala imidlalo kungunobangela oqhelekileyo. I-Tendinitis nayo inokwenzeka ngokuguga njengoko i-tendon ilahlekelwa kukuqina. Izifo zomzimba ngokubanzi (zesystem), ezinje nge-rheumatoid arthritis okanye isifo seswekile, zinokukhokelela kwi-tendinitis.

I-tendinitis inokwenzeka kuyo nayiphi na ithenda. Iindawo ezichaphazeleka ngokubanzi zibandakanya:

• Ingqiniba
• Isithende (Achilles tendinitis)
• Idolo
• Igxalaba
• Ubhontsi
• Isihlahla

Iimpawu ze-tendinitis zingahluka ngomsebenzi okanye unobangela. Iimpawu eziphambili zingabandakanya:

• Intlungu kunye nokuthamba ecaleni kwethoni, zihlala zikufuphi ngokudibeneyo
• Ubuhlungu ebusuku
• Ubuhlungu obubi kakhulu ngokuhamba okanye umsebenzi
• Ukuqina ekuseni

Umboneleli wezempilo uya kwenza uvavanyo lomzimba. Ngexesha loviwo, umboneleli uya kujonga iimpawu zentlungu kunye nokuthantamisa xa izihlunu eziqhotyoshelwe kwithenda zihanjiswa ngeendlela ezithile. Kukho iimvavanyo ezithile zeetoni ezithile.

Ithenda inokutsha, kwaye ulusu phezu kwayo lunokufudumala kwaye lube bomvu.

Olunye uvavanyo olunokwenziwa lunokubandakanya:

• I-Ultrasound
• X-reyi
• IMRI

Injongo yonyango kukhulula iintlungu kunye nokunciphisa ukudumba.

Umboneleli uya kuncoma ukuphumla kwethenda echaphazelekayo ukunceda ukuba iphinde ibuye. Oku kunokwenziwa kusetyenziswa isibhaxana okanye isihlangu seplangana sabakhuseli esisuswayo. Ukufaka ubushushu okanye ukubanda kwindawo echaphazelekayo kunokunceda.

Ukunciphisa iintlungu ezingaphezulu kwe-counter ezifana nee-NSAID ezinjenge-aspirin okanye ibuprofen, nazo zinokunciphisa iintlungu kunye nokudumba. Inaliti zeSteroid kwi-tendon sheath nazo zinokuba luncedo ekulawuleni iintlungu.

Umboneleli unokuphinda acetyise ukuba unyango lomzimba wolule kwaye lomeleze imisipha kunye nethenda. Oku kunokubuyisela amandla e-tendon okusebenza ngokufanelekileyo, ukuphucula ukuphilisa, kunye nokuthintela ukwenzakala okuzayo.

Kwiimeko ezinqabileyo, utyando luyafuneka ukuze kususwe izicwili eziye zavuvukala zijikeleze ithenda.

Iimpawu ziphucula unyango kunye nokuphumla. Ukuba ukwenzakala kubangelwa kukusetyenziswa gwenxa, utshintsho kwimikhwa yokusebenza lunokufuneka ukuthintela ingxaki ukuba ingabuyi.

Iingxaki ze-tendinitis zingabandakanya:

• Ukuvuvukala kwexesha elide kuphakamisa umngcipheko wokulimala ngakumbi, njengokuqhekeka
• Ukubuya kweempawu ze-tendinitis

Biza ukuqeshwa kunye nomboneleli wakho ukuba iimpawu ze-tendinitis zenzeka.

I-tendinitis inokuthintelwa ngu:

• Ukuphepha ukuphindaphinda okuphindayo kunye nokusetyenziswa gwenxa kweengalo nemilenze.
• Ukugcina yonke imisipha yakho yomelele kwaye iguquguquke.
• Ukwenza imithambo yokuzifudumeza ngesantya esihlaziyiweyo phambi kokusebenza ngamandla.

I-calcific tendinitis; I-tendinitis ebandakanyekayo

• I-tendon vs. ligament
• Tendonitis

Biundo JJ. I-Bursitis, i-tendinitis, kunye nezinye iingxaki zangoku kunye namayeza ezemidlalo. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 247.

IGeiderman JM, Katz D. Imigaqo ngokubanzi yokwenzakala kwamathambo. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2018: isahluko 42.