Kukuthini ukungena kwamadolo, kwenzelwa ntoni kwaye kwenziwa njani
Umxholo
Ukungena kukubandakanya inaliti ene-corticosteroids, i-anesthetics okanye i-hyaluronic acid ukunyanga ukonzakala, ukudumba okanye ukunciphisa iintlungu. Le nkqubo yenziwa, kwiimeko ezininzi, kumalungu afana nedolo, umqolo, inyonga, igxalaba okanye unyawo, nangona inokwenziwa kwimisipha okanye kwimisipha.
Injongo yokungena kukunyanga isifo apho ukwenzakala okanye ukudumba kwenzeka, ngakumbi kweyona meko inzima okanye xa kungakhange kubekho kuphucuka kwezinye iipilisi okanye unyango lwezinto ezisetyenziswa kakhulu kunyango lwe-arthrosis, ukongeza ekuncedeni ukubuyisa i-tendonitis., i-epicondylitis okanye imivumbo eyenzeka ngenxa yokuziqhelanisa nemidlalo, umzekelo.
Nabani na ongena kumalungu ngugqirha.
Yenzelwe ntoni
Nangona zinokwenziwa kwiindawo ezahlukeneyo zomzimba, ezinje ngezihlunu kunye nemisipha, ukungena ngaphakathi kumalungu kuqhelekile. Zinokwenziwa ngeendidi ezahlukeneyo zamayeza, akhethwe ngugqirha ngokwale njongo iphambili, enokuthi ukunciphisa iintlungu, ukunciphisa ukudumba okanye ukunyusa inani le-synovial fluid, engamanzi esebenza njengohlobo lwesithambisi. ngaphakathi kwamalungu.
Ke, ukongeza ekupheliseni iintlungu, ukungena ngaphakathi kuluncedo ekuqhubekeni kokunxiba ngokudibeneyo, ukunciphisa ukudumba kunye nokuphucula ukusebenza kwendibaniselwano, ukuvumela umgangatho wobomi obungcono.
Amanye amayeza anokusetyenziselwa ukungena ngaphakathi:
1. Iintlungu
I-Anesthetics ihlala isetyenziswa kwimeko yeentlungu ezibuhlungu okanye ezingapheliyo kwaye, ngokubanzi, zikhuthaza ukukhululeka kwentlungu kwakamsinya emva kokufakwa kwayo. Ngenxa yempembelelo yangoko kunye neyethutyana, i-anesthetics ihlala isetyenziselwa ukuqinisekisa ukuba umthombo wentlungu ikwangaphakathi kwendibaniselwano, ukuchaza ngcono unyango okanye ucwangciso lotyando, umzekelo.
2. IiCorticoids
Iicorticosteroids zinamandla okuchasana nokudumba kwaye zinokusetyenziswa zodwa okanye ngokudibeneyo ne-anesthetic, ukuze kuliwe iintlungu kunye nokudumba ngaphakathi kwendibaniselwano. Ukungena kweCorticosteroid kuhlala kwenziwa rhoqo kwiinyanga ezi-3 kwaye akukhuthazwa ukuba wenze izicelo ezigqithileyo kwindawo enye, njengoko oku kunokunyusa umngcipheko weziphumo ebezingalindelekanga kwaye zibe yingozi.
Ezinye ze-corticosteroids eziphambili ezisetyenziselwa ukungena kwamalungu e-Methylprednisolone, i-Triamcinolone, i-Betamethasone okanye i-Dexamethasone, umzekelo, kunye nefuthe labo kumdibaniselwano luhlala phakathi kweentsuku ukuya kwiiveki.
3. IHyaluronic acid
I-Hyaluronic acid licandelo le-synovial fluid, esisithambisi sendalo esikhona kumalungu, nangona kunjalo, kwizifo ezithile ezonakalisayo, ezinje nge-osteoarthritis, kunokubakho ilahleko yokuthambisa, ejongene neempawu ezininzi.
Kwezi meko, ugqirha unokufaka le asidi kwi-joint, kwindlela ebizwa ukwenziwa kwe-viscosuplement, Ekwaziyo ukwenza ifilimu ekhuselayo ecothisa ukuqhubela phambili kokunxiba kunye nokuphelisa iintlungu.
Ngokubanzi, unyango luqukethe isicelo se-1 ngeveki, iiveki ezi-3 ukuya kwezi-5, kwaye, nangona isiphumo singekho kwangoko, siqala kancinci malunga neeyure ezingama-48 emva kwenkqubo, iziphumo zaso zihlala ixesha elide, kwaye zinokuhlala iinyanga ezininzi. Jonga iziphumo, ukungqinelana kunye nexabiso leenaliti ze-hyaluronic acid.
Kwenziwa njani
Inkqubo yokungena ingena lula kodwa kufuneka yenziwe kuphela ngugqirha onamava, e-ofisini kagqirha, efuna ukubulala iintsholongwane kulusu kunye nokusetyenziswa kwento engenazintsholongwane.
Ekuqaleni, i-anesthesia yendawo yenziwa emva koko isetyenziswe iyeza, elinokuthi lenziwe ngoncedo lwe-ultrasound okanye uviwo lwe-radiographic, ukumisela ngqo indawo. Inkqubo epheleleyo yokungena ngokudibeneyo ithatha ukusuka kwimizuzu emi-2 ukuya kwemi-5 kwaye nangona ibangela iintlungu, inobulali kwaye iyanyamezeleka.
Emva kwenkqubo, ukubuyiswa ngokupheleleyo kufuneka kubonakale kwiiveki ezi-1 ukuya kwezi-2. Abo benza imisebenzi yomzimba akufuneki babuyele kuqeqesho kwiveki yokuqala kwaye, ukuba kunzima ukuhamba ngaphandle kokuqhwalela, ugqirha unokucebisa ukuba kusetyenziswe iintonga ukunqanda ukonakalisa umqolo okanye elinye idolo.
Ukongeza, emva kokungena umntu kufuneka aqhubeke nokwenza unyango lomzimba, i-hydrotherapy kunye nokomeleza izihlunu ukomeleza izihlunu, ukuphucula ukuhamba kwamalungu achaphazelekayo, ukunciphisa iintlungu, ukwandisa ukuqina kunye nokunciphisa ukuqhubela phambili kwe-arthrosis, oko kuthintela ukubekwa kweprosthesis.
Imiphumela
Emva kwenaliti kwilungu, kuqhelekile ukuba nokudumba kunye nentlungu kwaye yiyo loo nto kucetyiswa ukuba uphumle ukuze iyeza lisebenze. Umngcipheko wosulelo ukhona, kodwa uphantsi kakhulu.
Le nkqubo kufuneka ithintelwe ngabantu abasebenzisa iziyobisi ze-anticoagulant, abanezifo eziphazamisa ukujiya kwegazi ukuze kungabikho bungozi bokuphuma kwegazi, okanye ngabafazi abakhulelweyo kunye nabasetyhini abancancisayo. Ayifanelanga ukwenziwa nakubantu abanee-aleji okanye abanosulelo kwingingqi. Ukongeza, kufuneka isetyenziswe ngononophelo kwiimbaleki, njengoko i-corticosteroids kunye ne-anesthetics inokufunyanwa kuvavanyo lwegazi kwaye zikuluhlu lwamachiza angavumelekanga.