Duk abin da ya kamata ku sani game da tendonitis (tendinitis)

Tendonitis, wanda kuma aka sani da tendinitis, wani yanayi ne inda kake da amsa mai kumburi a cikin tendon. Yawancin lokaci ana iya bi da cutar ta hanyar ra'ayin mazan jiya tare da jin daɗi, jiyya ta jiki da kuma motsa jiki na daidaitawa.

Wasu sanannun nau'i na tendinitis sun hada da Achilles tendinitis (tendinitis na tendon Achilles), trochanter tendinitis (tendonitis a waje na hip) da kuma patellar tendinitis (jumper's gwiwa). Sau da yawa, kalmar tendinitis ba a yi amfani da ita ba daidai ba a lokuta da yawa inda ainihin batun lalacewar tendon (tendinosis), wanda ke faruwa sau da yawa fiye da kumburi na tendon.

- Lalacewar tendon da tendinitis ba iri ɗaya ba ne

Yana da mahimmanci a rarrabe tsakanin tendinitis da lalacewar tendon, kamar yadda su biyun suna da alamomi iri ɗaya, amma magani daban-daban. A sassan asibitin mu da ke Vondtklinikkene - lafiyar tsaka-tsakin lokaci, wannan wata ganewar asali ce da muke bincika, kula da gyarawa kusan kullum. Wani abin da ya faru na yau da kullun shine mutane da yawa suna barin ganewar asali ya yi muni da muni kafin su magance matsalar. Wani abin al'ada shi ne cewa kun gwada "magungunan hana kumburi" da yawa ba tare da tasiri ba. Wannan na iya haifar da rashin lafiyar jijiyoyi idan akwai raunin da ya wuce gona da iri (mu nazarci shaidun da ke kewaye da wannan kadan a kasa).

“An rubuta labarin ne tare da haɗin gwiwar, kuma ma’aikatan lafiya masu izini na jama’a sun duba ingancinta. Wannan ya haɗa da duka likitocin likitancin jiki da chiropractors a Ciwon Asibitocin Lafiyar Jama'a (duba bayanin asibiti a nan). Kullum muna ba da shawarar cewa ma'aikatan kiwon lafiya masu ilimi su tantance zafin ku."

tips: Gungura ƙasa zuwa kasan labarin don ganin bidiyo tare da motsa jiki na rigakafin tendinitis a kafada. Tashar tamu ta YouTube ta kuma ƙunshi wasu da dama, shirye-shiryen motsa jiki na motsa jiki na kyauta don yaƙar jijiyoyi a wasu sassan jiki - ciki har da hips.

- Shin da gaske ne tendonitis?

Kalmar tendonitis kalma ce da ake yawan amfani da ita. Aƙalla idan za mu saurari binciken. Yawancin karatu suna nuna gaskiyar cewa mafi yawan tendinitis sune ainihin raunin da ba su da kumburi.Tendinosis).¹ Ana magance wannan, a tsakanin sauran abubuwa, a cikin "Lokaci don watsar da tatsuniyar tendinitis» buga a cikin sanannen mujallar bincike British Medical Journal. Anan, masu binciken sun bayyana dalilin da yasa wannan matsala ce mafi girma fiye da yadda za a fara sauti. Mai yuwuwa, yana iya haifar da raunin jijiya ba waraka da zama na yau da kullun ba.

- Magunguna masu hana kumburi na iya zama marasa amfani

Bayar da shawarar 'tsarin maganin kumburi' ba abin damuwa ba ne ga mafi yawan likitocin idan ya zo ga gunaguni na tendons, amma abin da mutane da yawa ba su sani ba shine rashin amfani da shi ba daidai ba zai iya haifar da raƙuman ƙwayar tsoka da ƙara haɗarin hawaye. Bugu da ƙari, yana iya haifar da mummunan sakamako kamar cututtukan zuciya da koda. Magana daga binciken da ke sama:

"Ya kamata likitoci su gane cewa yanayin jijiyoyi masu zafi da yawa suna da cututtukan cututtuka marasa kumburi" (Khan et al, Mujallar likitancin Burtaniya)

Fassara daga Turanci, wannan yana nufin cewa likitoci dole ne su gane cewa binciken ya nuna cewa raɗaɗi mai raɗaɗi ga jijiyoyi ba su da tsari mai kumburi. Wannan yana nufin cewa, a yawancin gunaguni na tendons, babu alamun halayen kumburi. Akwai adadin binciken da ke nuna cewa ƙara magungunan ƙwayoyin cuta, lokacin da babu kumburi, zai iya haifar da mummunar tasiri. Ana iya fassara NSAIDS zuwa Yaren mutanen Norway azaman magungunan anti-inflammatory marasa steroidal. Daga cikin wasu abubuwa, an rubuta cewa NSAIDS na iya haifar da:

• ulcers

• Hawan jini

• Ciwon zuciya

• Cutar koda

• Daɗaɗa sanin yanayin zuciya

Waɗannan su ne biyar daga cikin yiwuwar illar da aka ambata a cikin binciken "Nonsteroidal anti-mai kumburi kwayoyi: m effects da rigakafin su" wanda aka buga a mujallar "Seminars a arthritis da rheumatism".² Don iyakance haɗarin, yana da mahimmanci don iyakance duka adadin da tsawon lokacin shan magungunan ƙwayoyin cuta.

- NSAIDS na iya rage haɓakar tsoka da gyaran tsoka

A nan mun zo wani batu mai ban sha'awa. Wannan shi ne saboda magungunan da ba na steroidal anti-inflammatory kuma na iya tsoma baki tare da gyaran gyare-gyare na al'ada na jijiyoyi da zaruruwan tsoka. Daga cikin wasu abubuwa, an rubuta cewa:

• Ibuprofen (ibux) yana hana ci gaban tsoka ³

• Ibuprofen yana jinkirta warkar da kashi ⁴

• Ibuprofen yana jinkirta gyaran tendon ⁵

• Diclofenac (Voltaren) yana rage abun ciki na macrophages (mahimmanci don warkar da tsofaffi) ⁶

Kamar yadda kuke gani, babu ƙarancin bincike da ke nuna hakan ba dole ba amfani da magungunan hana kumburi na iya zama mara kyau. Misali, bari mu yi la'akari da yanayin gama gari inda mutum yakan shafa maganin shafawa na voltarol akai-akai, amma a zahiri baya da kumburi a yankin da ake tambaya. Dangane da binciken da ke sama, wannan zai rage abubuwan da ke cikin macrophages. Waɗannan nau'ikan ƙwayoyin farin jini ne waɗanda ke aiki ne na tsarin rigakafi. Suna aiki ta hanyar cinye ƙwayoyin cuta, lalata da lalata ƙwayoyin cuta, da sauran abubuwan da bai kamata su kasance a wurin ba.

"Macrophages suna ba da gudummawa ga gyaran jijiyoyi kuma suna da anti-mai kumburi. Don haka Diclofenac zai iya yin aiki da manufarsa idan ya rage abun ciki na waɗannan fararen jini - kuma ta wannan hanyar yana tsawaita tsawon lokaci da tsananin lalacewar tendon.

Menene tendonitis?

Yanzu mun yi magana da yawa game da gaskiyar cewa mai yiwuwa ba a bincikar tendinitis ba - kuma a zahiri raunin jijiya ne. Amma ba kamar ba su taba faruwa ba. Kumburi a cikin tendon yana faruwa saboda ƙananan hawaye. Wannan ya fi faruwa a lokacin da jijiyar ta yi lodi ta hanyar miƙewa kwatsam da ƙarfi.

- Lokacin da tendinitis shine ainihin rauni na tendon

Hannun Tennis ganewar asali ne wanda ke faruwa akai-akai, har ma a cikin 2024, ana kiransa ɗaya ' Tendonitis na extensor carpi radilis brevis'. Amma bincike ya rubuta, bayan kowace shakka, cewa gwiwar gwiwar hannu ba ta da matakai masu kumburi.⁷ Raunin jijiya ne - ba tendonitis ba. Amma duk da haka ana yin wannan yanayin akai-akai (kuma ba daidai ba) tare da magungunan hana kumburi. Wani abu da muka koya a baya a cikin labarin da zai yi aiki da manufarsa.

Asibitoci masu zafi: Da fatan za a tuntuɓe mu idan kuna da tambayoyi

Namu sassan asibiti a Vondtklikkene (danna ta don cikakken bayyani na asibitocinmu), ciki har da Oslo (Lambert kujeruda Akershus (Sautin Eidsvoll og Dannye itace), yana da ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararru a cikin bincike, jiyya da gyara jin zafi a cikin tsokoki, tendons, jijiyoyi da haɗin gwiwa. Yatsu tuntube mu idan kuna son taimako daga masu ilimin hanyoyin kwantar da hankali na jama'a tare da gwaninta a waɗannan fagagen.

Maganin ciwon jijiyoyi da lalacewar jijiya

Kamar yadda kuka sami kyakkyawar fahimta, yana da matukar mahimmanci mutum yayi bincike kuma ya tantance ko al'amari ne na tendinitis ko tendinosis. Inda ciwon ya kasance zai iya ba da bayani game da ko yana da tendinitis ko lalacewa. Misali, an rubuta cewa duk gwiwar gwiwar wasan tennis raunin jijiya ne (ba tendonitis ba).⁷

- Huta da jin daɗi suna da mahimmanci ga cututtukan guda biyu

Wani abu da za mu iya yarda da shi shi ne cewa hutawa da kulawa da damuwa suna da mahimmanci ga nau'in matsalolin tendon (tendinopathy). Wannan na iya haɗawa da amfani da matsawa yana goyan bayan og sanyaya tare da shirya sanyi. Hakanan za'a iya amfani da tausa da kai don sauƙaƙan alamun arnika gel zuwa wurin mai raɗaɗi kamar yadda ya dace. Duk hanyoyin haɗin suna buɗewa a cikin sabuwar taga mai lilo.

tips: Tallafin gwiwa

Sauƙaƙawar jijiyoyi da raunin jijiya na ɗan lokaci na iya zama da amfani. Hakan ya baiwa yankin zaman lafiya da damar gyara kansa. Anan zaka ga misali na goyon bayan gwiwa wanda za'a iya amfani dashi don tendinitis ko lalacewar jijiya a gwiwa. Danna hoton ko ta don karantawa game da shi.

Cortisone allura don tendinitis?

Cortisone wakili ne mai ƙarfi tare da yawan tasirin sakamako masu illa. Daga cikin wasu abubuwa, an rubuta da kyau cewa allurar cortisone za ta dakatar da gyaran collagen na halitta, wanda hakan ke ba da babbar haɗarin hawaye na tendon a nan gaba. Binciken kwanan nan da aka buga a Jaridar Orthopedic da wasanni na motsa jiki ya yi imanin cewa ya kamata a dakatar da allurar cortisone akan matsalolin tendon (tendinopathy).⁸

- Sakamako mara kyau a cikin dogon lokaci da ƙara haɗarin hawayen tendon

A cikin binciken da sunan "Tabbatar da allurar corticosteroid a cikin tendinopathy?" sun nuna cewa jiyya tare da allurar cortisone yana haifar da mummunan sakamako na dogon lokaci fiye da ba tare da. Suna kuma nuna haɗarin lalata jijiyar da haifar da tsagewar tsoka. A kan wannan, sun yi imanin cewa bai kamata a yi amfani da allurar cortisone a kan tendons kwata-kwata ba. Bugu da ƙari kuma, sun kuma rubuta cewa ya kamata a ba da shawarar motsa jiki da motsa jiki.

Jiyya na jiki na tendinitis da raunin jijiya

Akwai dabaru da yawa na jiyya na jiki waɗanda zasu iya zama masu fa'ida a cikin maganin duka biyun tendinitis da tendinosis. Amma yadda yake aiki zai ɗan bambanta. Waɗannan hanyoyin maganin sun haɗa da, da sauransu:

• Zurfafa gogayya tausa

• Maganin Myofascial

• Jiyya na Tissue Tendon (IASTM)

• Trigger batu far

• Shockwave Mafia

• Harshen

Dabarun tsoka da na jiki suna motsa wurare dabam dabam da ayyukan tantanin halitta. A cikin yanayin tendinitis, dabarun jiyya mai zurfi za su iya rushe ƙuntatawa na myofascial, tabo ta jiki da kuma motsa gyare-gyare - bayan kumburi ya ragu. Lokacin yin aiki da lalacewar tendon, jiyya na iya haifar da haɓakar samar da collagen da sauri da warkarwa. Ta hanyar narkar da tashin hankali na myofascial da kuma tsawaita filayen tsoka, za ku kuma rage nauyin ƙwanƙwasa akan jijiyar.

Jiyya na tendinitis (tendinitis)

• warkad da lokaci: Kimanin makonni 6-18. Matsayin tsanani da farawa magani suna taka muhimmiyar rawa.
• dalilin: Rage kumburi. Ƙarfafa gyare-gyare na halitta.
• matakan: Taimako, sanyaya da duk wani magungunan hana kumburi. Jiyya na jiki da motsa jiki lokacin da kumburi mai tsanani ya ragu.

Kulawa da ƙwayar jijiya na iya ɗaukar lokaci

Yana da mahimmanci a lura cewa jiyya na jiki da gyaran jijiyoyi sau da yawa yana ɗaukar lokaci. Wannan shi ne, a tsakanin sauran abubuwa, saboda nama na tendon ba shi da nauyin gyaran gyare-gyare kamar naman tsoka. Don haka a nan yana da mahimmanci ku lanƙwasa wuyanku kuma ku saurari likitan ku ko likitan ku. Za ku sami darussan gyaran gyare-gyaren da za ku fara da su tun daga farkon lokaci.

Yaya ake gano tendonitis (tendinitis)?

Na farko, likitocin za su shiga cikin tarihin shan kuma su ji ƙarin game da alamun ku da ciwo. Daga nan sai ku matsa zuwa gwajin asibiti da na aiki - inda mai ilimin hanyoyin kwantar da hankali zai bincika, a tsakanin sauran abubuwa:

• Aikin tsoka

• Aikin tendon

• Wurare masu zafi

• Kewayon motsi a cikin haɗin gwiwa

• Gwajin tashin hankali na jijiya

Idan an nuna likita, ko kuma idan mutum bai amsa yadda ake so ga magani ba, yana iya zama dacewa a koma ga hoton bincike. Chiropractors, kamar likitoci, suna da hakkin yin la'akari da gwaje-gwajen MRI da sauran hotunan bincike.

Binciken MRI na tendinitis a cikin Achilles

Kamar yadda aka ambata, yawancin lokuta ba za a buƙaci a tura su don gwajin MRI ba. Amma idan gwajin aikin ya ba da alamun tuhuma na tsagewa, ko makamancin haka, yana iya zama dacewa.

• Mataki na 1: Anan muna ganin tendon Achilles na al'ada.
• Mataki na 2: Yagewar Jijin Achilles - kuma muna ganin yadda tsarin kumburi ya taso tare da tarin ruwa a yankin. Wannan ya zama tushen tushen ganewar asali na Achilles rupture tare da haɗin gwiwa tendinitis (kumburi na tendon).

Horowa da motsa jiki akan tendinitis

Tun da farko a cikin labarin, mun rubuta yadda taimako da hutawa suke da mahimmancin taimako idan yazo da warkar da cututtuka na tendonitis da tendon. Amma yana da mahimmanci a lura cewa wannan ba yana nufin ya kamata ku yi ba 'dakata gaba daya'. Anan, yana da mahimmanci a haɗa dabaru daban-daban da horo don cimma burin. Wannan na iya, a tsakanin wasu abubuwa, ya haɗa da:

• Taimako

• Matakan ergonomic

• Taimako (misali, tallafin matsawa)

• mikewa Darussan

• Sanyi (don rage kumburi)

• Motsa jiki da motsa jiki

• Ƙarfin da aka daidaita (sau da yawa tare da makada)

• rage cin abinci

• Jiyya ta jiki

Amma bari mu dubi horon da aka dace don tendinitis (tendinitis).

Miqewa motsa jiki a kan tendinitis

Ayyukan motsa jiki na haske da motsa jiki na motsa jiki zasu motsa microcirculation a yankin. Bugu da kari, zai kuma taimaka wajen kula da tsawon duka filayen tendon da filayen tsoka. Wannan kuma zai taimaka wajen kula da motsi, yayin da a lokaci guda yana ƙarfafa hanyoyin gyarawa.

Daidaitaccen horon ƙarfi akan tendinitis

Horarwar eccentric da horarwa mai ƙarfi tare da igiyoyin roba nau'ikan nau'ikan ƙarfi ne guda biyu waɗanda suka dace da tendinitis. Anan ya zama ruwan dare don amfani da roba pilates band (wanda ake kira yoga bands) da kananan jiragen ruwa. A cikin bidiyon da ke ƙasa, zaku iya ganin misalin irin wannan shirin horo.

Shawarar mu: Pilates band (150 cm)

BIDIYO: 5 motsa jiki na mikewa a kan tendinitis a kafada

A cikin bidiyon da ke ƙasa ya nuna chiropractor Alexander Andorff ya gabatar da motsa jiki guda biyar da suka dace da tendinitis a cikin kafada. Za a iya yin motsa jiki kowace rana (sau 3-4 a mako). Daidaita adadin maimaitawa bisa yanayin lafiyar ku. Muna samun tambayoyi akai-akai game da wane saƙa ne - kuma ɗaya ce Pilates band (150 cm). Duk hanyoyin haɗi zuwa kayan aikin horo da makamantansu suna buɗewa a cikin sabuwar taga mai lilo.

Jin kyauta don biyan kuɗi kyauta a tasharmu ta youtube (Mahadar tana buɗewa a cikin sabuwar taga mai lilo) don ƙarin shirye-shiryen horo na kyauta (ciki har da shirye-shirye akan sauran nau'in tendinitis). Kuma ku tuna cewa koyaushe muna samuwa don tambayoyi da shigarwa.

Dakunan shan magani: Zaɓinku don maganin zamani

Ma'aikatan likitancinmu da sassan asibitin ko da yaushe suna nufin kasancewa cikin fitattun mutane a cikin bincike, jiyya da gyaran ciwo da raunuka a cikin tsokoki, tendons, jijiyoyi da haɗin gwiwa. Ta danna maɓallin da ke ƙasa, zaku iya ganin bayyani na asibitocinmu - gami da a Oslo (gami da Lambert kujeruda Akershus (Dannye itace og Sautin Eidsvoll). Jin kyauta don tuntuɓar mu idan kuna da wasu tambayoyi ko kuna mamakin wani abu.

Duba bayanin asibiti

Mataki na ashirin da: Duk abin da ya kamata ku sani game da tendonitis (tendinitis)

Rubuta: Masu ba da izini na chiropractors da likitocin motsa jiki a Vondtklinikkene

Binciken gaskiya: Labaran mu koyaushe suna dogara ne akan tushe masu mahimmanci, nazarin bincike da mujallu na bincike - irin su PubMed da Laburaren Cochrane. Da fatan za a tuntuɓe mu idan kun ga wasu kurakurai ko kuna da sharhi.

Bincike da tushe

1. Khan et al, 2002. Lokaci don watsar da tatsuniyar "tendinitis". Yanayin jijiyoyi masu raɗaɗi, yin amfani da yawa suna da cututtukan cututtukan da ba mai kumburi ba. BMJ 2002;324:626.

2. Vonkeman et al, 2008. Nonsteroidal anti-inflammatory kwayoyi: m effects da rigakafin su. Semin Arthritis Rheum. 2010 Fabrairu; 39 (4): 294-312.

3. Lilja et al, 2018. Babban magunguna na magungunan ƙwayoyin cuta suna daidaita ƙarfin tsoka da haɓakar hypertrophic don horar da juriya a cikin matasa. Acta Physiol (Oxf). 2018 Fabrairu; 222 (2).

4. Aliuskevicius et al, 2021. Tasirin Ibuprofen akan Warkar da Ƙwararrun Ƙwararrun Ƙwararru marasa Jiyya. Orthopedics. 2021 Maris-Afrilu; 44 (2): 105-110.

5. Connizzo et al, 2014. Rashin lahani na tsarin isar da Ibuprofen akan maganin jijiya yana dogara da lokaci. Clin Orthop Relat Res. 2014 Agusta; 472 (8): 2433-9.

6. Sunwoo et al, 2020. Matsayin macrophage a cikin tendinopathy da warkarwa na tendon. J Orthop Res. 2020; 38: 1666-1675.

7. Bass et al, 2012. Tendinopathy: Me yasa Bambanci tsakanin Tendinitis da Tendinosis Matsaloli. Int J Ther Massage Jiki. 2012; 5 (1): 14-17.

8. Visser et al, 2023. Kashe Corticosteroid Injection a Tendinopathy? J Orthop Sports Phys Ther. 2023 Nuwamba; 54 (1): 1-4.

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