Ukuchazwa kwe-epicondylitis ye-ateralylitis ye-aumerus
Waziwa nangokuthi yi-tennis elbow, uhlobo lwe-tendon lwe-extensor carpi radialis izicubu zomzimba, noma i-sprain yephuzu lokunamathisela le-extensor carpi tendon, i-brachioradial bursitis, eyaziwa nangokuthi i-epicondyle syndrome. Ukuvuvukala okuhlukumezayo kwezicubu ezithambile ezizungeze i-epicondyyyle yamuva ye-humerus ngenxa yokulimala okungamahlalakhona.
Pathogeneis
Kuhlobene kakhulu nomsebenzi, ikakhulukazi kwabasebenzi abavame ukujikeleza ingalo futhi banwebe futhi baguqule amalunga ama-elbow kanye namalunga nesandla. Iningi lazo lingabafokazi basekhaya, ababazi bezindlu, abahlaseli, abaculi, amapayipi, nabasubathi.
Dkhipha ikhokhi
Ukuvelela ezinhlangothini zombili zokuphela kwe-humerus eziphansi yi-epicondyles ehlala khona kanye ne-epicondyle, i-epicondyyy medic ukunamathiselwa kwe-tendon ejwayelekile yemisipha ye-fleveror ye-forensor ye-forensor izicubu zangaphambili. Iphuzu lokuqala le-brachioradialias umsipha, uguqule ingalo bese ubiza kancane. Iphuzu lokuqala le-extensor carpi radialis longuus, i-extensor Carpi radialis brevis umsipha, i-extensor digiitorum mains, i-extensor idigiitorum propria yomunwe omncane, i-extensor carpi ulnaris, imisipha ye-supinator.
Pu-Athogen
Ukuqala kwe-condoyle kubangelwa yi-sprain ebabayo nokwelula, kepha iningi leziguli linokuqala okuhamba kancane futhi ngokuvamile alinawo umlando osobala wokuhlukumeza, futhi kuvame kakhulu kubantu abadala abadinga ukuzungeza kabusha ingalo. Ingakhubazeka noma ichithwe ngenxa yokwandiswa okuphindaphindwayo kwe-dorsal okuhlangene kwe-wrist kanye nokunwebeka ngokweqile kwe-tendon yesandla lapho kunamathiselwe i-epicondyy ye-amerus lapho ingalo lisendaweni yokubiza lapho kunesikhundla.
Pihhashi
1.Due ekulimaleni okuphindaphindiwe, i-epicondyle yamuva yefayibha idwenguliwe futhi yakha i-hematoma ye-hemorrhelis, bese ihlela futhi ihlehlise futhi ithola amandla e-pericondyle ye-epicondysis ye-auteris). Ukuhlolwa kwezicubu ze-pathological biopsy yi-hyaline degeneriation ischemia, ngakho-ke kubizwa nangekuvuvukala kwe-ischemic. Kwesinye isikhathi kuhambisana nokudabuka kwe-sac ehlanganayo, futhi ulwelwesi lwesifiso lokuhlanganiswa luyandiswa futhi lugqitshwe ngenxa yokukhuthaza isikhathi eside ngomsipha.
2.Thola e-Extensor Tendon okunamathiselwe kwephuzu.
3.Ukuvuvukala okuhlukumezayo noma i-fibrohistolitis ye-ligament ye-annurar.
4. I-Bursitis ye-brachioradial ehlanganisiwe kanye ne-extensor evamile i-tendon.
I-Explations of the DianyIum ye-humerus kanye ne-radial ehlanganisiwe okubangelwa ukufakwa kwe-humerus kanye nenhloko encane yerediyo.
6 Lezi zinguquko ze-pathological zingenza ama-spasms emisipha, izinhlungu zasendaweni, ukukhanyisa izinhlungu ezivela kwizicubu zesandla ezinwetshiwe kuya engalweni.
Isethulo Semitholampilo
1.Ubuhlungu ngaphandle kwe-elbow Joint ukhula lapho isazithalo, ikakhulukazi lapho ujikeleza ukunwetshwa emuva, ukuphakamisa, ukudonsa, ukuqeda, nokukhipha amandla eceleni komsipha we-Wrist Extensor. Ekuqaleni, ngivame ukuzwa ubuhlungu nobuthakathaka emlenzeni olimele, futhi kancane kancane bahlakulela izinhlungu ngaphandle kwe-elbow, ekhula kakhulu ngokwanda kokuzivocavoca. (Uhlobo lobuhlungu lubuhlungu noma ukuqina)
2.Kukhuphuke ngokwengeziwe ngemuva kokuzikhandla futhi wakhululeka ngemuva kokuphumula.
Ukujikeleza kwe-3.Foraearm nobuthakathaka ekubambeni izinto, futhi nokuwa nezinto.
Izimpawu
I-Epicondyle eyi-1.Lantantal Humeral Epicondyle isici esingemuva kwe-epicondyyyyyle ye-Humerus, indawo ehlanganyelwe ye-commoral-radial, i-music izicubu zomgwaqo kanye ne-music ezihlahleni ze-radial yentambo ingahle ibe nokuvuvukala, ubumnene noma ukuqina. Kwesinye isikhathi imiphetho ebukhali yama-hyperostosis ingazwakala nge-epicondyyyle yamuva ye-humerime, futhi ithenda kakhulu.
2.I-Mills Test inethemba. Gobisa ingalo lakho kancane bese wenza inqindi-tist, uguqule i-antist yakho ngangokunokwenzeka, bese ubiza ngokuphelele ingalo yakho bese uqondisa i-elbow yakho. Uma ubuhlungu benzeka ohlangothini lwamuva lokuhlanganiswa kwe-brachioradial lapho i-elbow iqonde, iyabonakala.
Ukuhlolwa kokumelana ne-extensor ukumelana
Ukuhlolwa kwe-4.x-ray kungenzeka ngezikhathi ezithile kukhombisa ukungahambisani ne-periosteall, noma inani elincane lamaphoyinti wokubala ngaphandle kwe-periosteum.
Ukwelapha
Ukwelashwa okulondoloziwe:
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I-2.MASSASSAGE Therapy, sebenzisa amasu wokucindezela kanye nokududuza ukuze ukhulule i-spasm kanye nokukhululeka kobuhlungu kwemisipha ye-extensor ye-forensor, bese usebenzisa ingcindezi yamaphuzu kanye namasu okuxova ama-epicondyle alandela ama-epicondyy.
3. UTuina Therapy, isiguli sihlala. Udokotela usebenzisa ukugoqa okumnene nokuxova ukwenza ngemuva nangaphandle kwe-elbow futhi wabuyisela ohlangothini lwe-dorsal lwengaphambili. Udokotela usebenzisa isithupha sesithupha ukucindezela kanye rub ah shi (i-epicondyle yamuva), i-qi zea, i-quupe, i-acupeint, i-acuunt, i-acupeint, i-tuiguan, i-acup eqala ngayo, futhi i-hand proup, i-carpi rialis yesiguli. Donsela futhi welule, ama-elbows aphile. Ekugcineni, sebenzisa indlela yokuhlikihla ye-ke ye-ke yokuhlikihla i-epicondyyle yamuva ye-elbow kanye nemisipha yokwanda kwengalo, futhi ukushisa kwendawo kusetshenziselwa iziqu.
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I-5 Occlusive ukwelashwa: ama-glucocorticoids (anjengomjovo we-betamethasone) afakwe endaweni yethenda futhi afake isikhala esingu-3), futhi alingana nezikhathi ze-tendon (ngaphansi noma ukuhambisana ne-levobupivaine, I-Long-Enzise I-Thinder TinTiter ye-Thwala, nesikhathi esiphephe kunazo zonke, isikhathi eside kakhulu esivinjelwe, ukusabela okunobuthi obuncane nobuhlungu bokuvuselela imishanguzo ephansi kakhulu ye-occlusion yendawo.
I-6. Ukwelashwa kwe-acupuncture, ukuvela kusondelene nethambo lethambo ukusula izicubu ezithambile ezinamathambo azungeze inqubo yamathambo, ukhiphe umuzwa we-extensor izicubu zomzimba, bese ukhipha ummese ngomqondo wokulangazelela. Ukwelashwa okuhlinza Ukulashwa: Ilungele iziguli ezingaphenduli ekwelashweni okulondoloziwe.
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2. Indlela ye-NISCHL, i-ternon evamile ye-extensor kanye ne-extensor carpi longuus radialis tendon zihlukaniswe ngokuhamba kwesikhathi, i-chetersor carpi radialis brevis tevis tendon, i-tendon tendon ye-cortex ngaphambili iyasuswa, kanye ne-tendon ezungezile kuvuliwe noma kwahlelwe kabusha ethanjeni. Ukubandakanyeka kwe-intra-acticular akuvunyelwe.
Pi-rognonolos
Inkambo yalesi sifo yinde futhi ithambekele ekuphindekeleni.
Nukhala
1.Fay ukunakwa ukuze ufudumele futhi ugweme ukubanda;
2.Izici ze-pathogenic;
Ukuzivocavoca 3. Ukuvivinya umzimba;
4. Esiteji esibuhlungu, inqubo kufanele ibe mnene, futhi inqubo yokwelashwa kufanele ikhule kancane kulabo abagule isikhathi eside, okungukuthi, inqubo kufanele ithathe ngokuqina, nobulukhuni nangokuthamba kufanele kuhlanganiswe.
Isikhathi sePosi: Feb-19-2025
