- Shin ciwon mara ko rauni na jijiya?
- Shin ciwon jijiyoyi ne ko lalacewa?
Tendonitis kalma ce da ake yawan amfani da ita. Yawaita idan ka tambayi binciken. Don haka a nan mun magance wata muhimmiyar tambaya: Tendonitis ko lalacewar tendon?
Binciken da aka yi kwanan nan ya nuna cewa yawancin cututtukan da aka share ba kumburi ba ne (tendinitis), sai dai wani rauni ne da ya wuce kima a cikin jijiyar (tendinosis) - amma duk da haka lamarin ya zama cewa da yawa daga cikin waɗannan masu cutar an kira su da kuskure. tendonitis. Me yasa yake da mahimmanci a rarrabe tsakanin tendinitis ko lalacewar jijiya, ka ce? Haka ne, saboda mafi kyawun magani ga biyun ya bambanta da juna. Don haka daidaitaccen rarrabuwa yana da mahimmanci don samun damar samar da mafi kyawun magani da kuma tabbatar da ingantaccen aiki. A yawancin lokuta, yana iya zama mafita don kauce wa matsala mai tsawo da kuma na yau da kullum.
“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 don magance kumburi a cikin hip. Tashar mu ta YouTube ta ƙunshi shirye-shiryen horarwa da yawa kyauta don sauran nau'ikan tendinitis.
Amma, Shin ina da cutar sankarar fata? Ko?
Ka yi tunanin ciwo, yanayin zafi a yankin, rage ƙarfi da motsi - dukkansu kamar ayyukan yau da kullun suna da mummunan tasiri. Dole ne ya zama alamun tendinitis, ka ce? Kuskure Yawancin karatu (Khan et al 2000 & 2002, Boyer et al 1999) sun nuna cewa waɗannan alamun suna faruwa sau da yawa a cikin tendinosis fiye da tendinitis. Wani ganewar asali wanda sau da yawa kuskuren ake kira tendonitis shine gwiwar hannu na tennis (econdylitis na gefe). Raunin jijiya ne. Binciken bayyani na yau da kullun ya nuna cewa a kusan babu wani bincike (kawai 1) da aka sami takamaiman alamun ƙumburi ko kumburi a lokacin aikin tiyata a kan marasa lafiya waɗanda aka gano tare da gwiwar hannu na wasan tennis / na gefe (Boyer et al, 1999).
“Kalmar epicondylitis tana nuna dalilin kumburi; duk da haka, a cikin duka amma 1 wallafe-wallafen da ke nazarin samfurori na cututtukan cututtuka na marasa lafiya da aka yi wa aiki don wannan yanayin, ba a sami wata shaida mai tsanani ko kumburi ba." - Boyer et al
- Babu matakan kumburi da aka samu a gwiwar gwiwar tennis?
Wani bincike-bincike wanda yayi la'akari da binciken tarihi, binciken immunohistochemical da binciken ƙananan ƙananan ya kammala cewa gwiwar gwiwar hannu (econdylitis na gefe) rauni ne na tendon kuma ba tendonitis ba (Kraushaar et al, 1999). Muna tunatar da ku cewa nazarin bita na tsari da nazarin meta-bincike sune mafi girman nau'ikan binciken bincike.
- Tendinitis a gwiwar hannu ana kiransa wasan tennis ko gwiwar gwiwar golfer (dangane da ko a ciki ko waje na gwiwar hannu)
Menene bambanci tsakanin tendonitis (tendinitis) da raunin tendon (tendinosis)?
Anan za mu yi ƙoƙari mu bayyana bambanci tsakanin yadda tendinitis da yadda tendinosis ke faruwa.
Tendinitis (tendinitis)
Jigilar tendinitis wani kumburi ne na tendon kanta kuma yana faruwa ne saboda ƙananan hawaye waɗanda suka faru lokacin da sashin musculotendinous ya cika da yawa tare da miƙewa mai ƙarfi ko kwatsam. Haka ne, tendinitis shine ganewar asali wanda zai iya rinjayar mutane da yawa, amma bincike ya nuna cewa wannan ganewar asali yana iya yiwuwa har yanzu an wuce gona da iri. Ɗayan nau'i na tendinitis shine trochanter tendinitis (wanda shine tendonitis a cikin kwatangwalo).
Lalacewar tsoka (tendinosis)
Jigilar jijiya (rauni) shine lalacewa na filaye na collagen na tendon don mayar da martani ga yawan wuce gona da iri - a wasu kalmomi, lokacin da yawan amfani ya ci gaba ko da bayan bayyanar cututtuka. Wannan yana haifar da jijiyar baya samun lokaci don warkewa, kuma bayan lokaci muna da rauni mai yawa a cikin tendon (tendinosis). Zai fi kyau a ɗauki alamun da mahimmanci lokacin da suka fara bayyana. Yawancin irin waɗannan cututtuka suna faruwa a kan lokaci. Tambayi kanka: Shin lalacewar ta faru ne kwatsam ko kun san ta wani lokaci?
Kula da matsalolin jijiyoyi
Yana da mahimmanci don bambanta tsakanin tendinitis da tendinosis.
Wataƙila kun riga kun fara fahimtar cewa ana kula da tendinitis da tendinosis ta hanyoyi daban-daban guda biyu. A cikin tendinitis, babban manufar ita ce rage kumburi - kuma kamar yadda muka sani, babu irin wannan kumburi a cikin tendinosis.
- Babu wani tasiri na anti-mai kumburi lokacin da babu kumburi
Wannan yana nufin cewa nau'ikan maganin da ke da tasiri a kan tendinitis ba lallai ba ne su yi tasiri a kan tendinosis. Misali shine ibuprofen. Ƙarshen za ta yi maganin jijiya yadda ya kamata, amma a zahiri za ta hana warkar da ciwon daji (Tsai et al, 2004). Wannan misalin zai iya samun sakamako na dogon lokaci idan mutumin da ya kasance yana da tendinosis an ba da shawarar maganin kashe kumburi maimakon samun magani mai kyau.
- Cortisone don ciwon jijiya?
An nuna allurar Cortisone, cakuda Xylocaine anesthetic da corticosteroid, a cikin binciken don dakatar da warkar da collagen na halitta kuma hakan kai tsaye ne na hawaye na jijiyoyin jijiya da hawaye na gaba (Khan et al, 2000, & Boyer et al, 1999) . A wasu kalmomi, ya kamata ku tambayi kanku da gaske wannan tambayar - shin hakan zai yi amfani? - kafin yin irin wannan allura.
- Haɗarin tsagewar jijiyoyi da lalacewa na dogon lokaci
Cortisone na iya samun sakamako mai kyau na ɗan gajeren lokaci, amma akwai haɗarin tabarbarewar yanayin idan kun kalli shi na dogon lokaci. Don haka me ya sa na ji daɗi nan da nan bayan allura? Da kyau, ɗayan amsoshin ya ta'allaka ne cikin abubuwan: Xylocain. Wani ingantaccen maganin maye wanda zai sanya shi ji kamar zafin cikin gida yana sakin nan da nan, amma ka tuna cewa yana iya zama da kyau ba gaskiya ba - aƙalla cikin dogon lokaci.
Magungunan da ke da kyau ga duka biyun tendonitis da raunin jijiya
Ba zato ba tsammani, akwai wasu nau'o'in jiyya waɗanda ke haɗuwa yayin da ake magance tendinitis da tendinosis. Zurfafa juzu'i tausa ko tausa da kayan aiki (misali Graston) yana da fa'ida a zahiri ga yanayin biyu, amma ta hanyoyi daban-daban guda biyu. A cikin yanayin tendinitis, wannan nau'i na magani zai rage adhesions kuma ya haifar da tabo mai aiki bayan kumburi ya ragu. A cikin raunin tendinosis, maganin zai haifar da aikin fibroblast da samar da collagen (Lowe, 2009). Bugu da ƙari, yawancin tendinitis da raunin jijiya za su sami sakamako mai kyau daga kwantar da hankali kadan - a nan za ku iya matsawa yana goyan bayan og fakitin sanyi zama mai kyau zabi.
tips: Yi amfani da fakitin sanyi da za a sake amfani da su don kwantar da tendon
Ga yawancin mutane, yana iya zama da amfani don samun ɗaya fakitin sanyi mai sake amfani da shi samuwa a cikin injin daskarewa. Wannan fakitin multipack ne (wanda za'a iya amfani dashi duka azaman fakitin sanyi da fakitin zafi). Kuna iya karantawa game da shi ta ko kuma ta danna hoton da ke sama. Mahadar tana buɗewa a cikin sabuwar taga mai lilo.
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.
1. Maganin jijiyoyi (tendinitis)
- warkad da lokaci: 6 zuwa 16 makonni. Dangane da lokacin da aka gano cutar kuma fara magani.
- dalilin: Rage tsarin kumburi.
- matakan: Huta, shakatawa da magungunan kashe kumburi. Yiwuwar tausa mai zurfi mai zurfi bayan kumburin ya ragu.
2. Maganin lalacewar tsoka (tendinosis)
- warkad da lokaci: Makonni 6-10 (idan an gano yanayin a farkon matakin). 3-6 watanni (idan yanayin ya zama na kullum).
- dalilin: Ta da hankali kan warkarwa da kuma gajertar lokacin warkarwa. Jiyya na iya rage kaurin jijiya bayan rauni kuma ya inganta samar da sinadarai don jijiyar ta dawo da karfin ta.
- matakan: Huta, matakan ergonomic, tallafi, shimfidawa da motsi na ra'ayin mazan jiya, kayan aikin nama na tendon (IASTM), maganin matsa lamba, nedicing, motsa jiki eccentric. aikin tsoka / jiyya ta jiki, haɗuwa ta abinci da abinci mai gina jiki (muna biye da waɗannan cikin ƙarin daki-daki cikin labarin).
- kwanaki 100 don samar da sabon collagen
Da farko dai, bari muyi la’akari da wannan bayanin daga wani bincike mai girma: "Daga baya ya kwashe sama da kwanaki 100 yana ajiye sabon collagen" (Khan et al, 2000). Wannan yana nufin cewa yin maganin raunin jijiya, musamman wanda kuka dade na dogon lokaci, zai iya ɗaukar lokaci, amma ku nemi magani daga likitan da aka ba da izini a bainar jama'a (masanin ilimin lissafi, chiropractor ko mai ilimin hanyoyin kwantar da hankali) kuma farawa tare da matakan da suka dace riga a yau. Kuna iya yin yawancin matakan da kanku, amma a wasu lokuta masu tsanani zai iya zama da amfani yin haka Shockwave Mafia, allura da kuma maganin jiki.
"Rarrabe tabo da ƙuntatawa na myofascial na iya ba da gudummawa ga sauri da ingantaccen warkarwa. Amma, ba kamar tsokoki ba, yana iya ɗaukar 'yan jiyya (kusan 4-5) kafin ku fara lura da sakamako mai kyau."
Jiyya da auna kai daga matsalolin tendon (tendinopathy)
Allaha
An shawarci majiyyaci da ya saurari alamun ciwon jiki. Idan jikin ku ya tambaye ku ku daina yin wani abu, to yana da kyau ku saurara. Idan aikin da kuke yi yana ba ku zafi, to wannan ita ce hanyar da jikin ke gaya muku cewa kuna yin "kaɗan kaɗan, sauri kaɗan" kuma ba shi da lokacin murmurewa sosai tsakanin zaman. Ƙananan ƙwayoyin cuta a wurin aiki na iya zama da amfani ƙwarai, don aikin maimaitawa yakamata ku ɗauki hutu na minti 1 kowane minti 15 da hutu na minti 5 kowane minti 30. Haka ne, tabbas maigidan ba zai so shi ba, amma ya fi rashin lafiya kyau.
Ɗauki matakan ergonomic
Mentsarancin saka jari na ergonomic na iya yin babban bambanci. Misali. Lokacin aiki akan bayanai, ƙyale wuyan hannu don hutawa a cikin tsaka tsaki tsakaitaka. Wannan yana haifar da straarancin damuwa ga masu gano wuyan hannu.
Yi amfani da goyan baya a yankin (yiwuwar buga)
Lokacin da aka sami rauni, tabbatar cewa yanki ba a ƙarƙashin shi da irin waɗannan sojojin makami mai ƙarfi waɗanda sune ainihin dalilin matsalar. A dabi'ance isa. Ana yin wannan ta amfani da tallafi a wurin da akwai raunin jijiya ko kuma a wata hanyar, ana iya amfani dashi tare da tef na wasanni ko kuma kashin kinesio.
Daga cikin: Taimakon matsawa ga gwiwa (mahadar tana buɗewa a cikin sabuwar taga)
Mikewa da ci gaba da motsi
Yin shimfiɗa haske a kai a kai da kuma motsi na yankin da abin ya shafa zai tabbatar da cewa yankin yana riƙe da motsi na al'ada kuma yana hana gajarta tsoka mai alaƙa. Hakanan yana iya kara yawan jini a cikin yankin, wanda ke taimakawa tsarin warkarwa na dabi'a.
Yi amfani da sanyaya
Yin buda baki na iya zama mai sauƙin kamuwa da cuta, amma a tabbata ba kwa yin amfani da ice cream fiye da abin da aka ba da shawara kuma ka tabbatar cewa kana da tawul ɗin dafaffen bakin ciki ko makamancinsa a kan kankara. Shawarwarin asibiti yawanci mintina 15 ne a yankin da abin ya shafa, har zuwa sau 3-4 a rana.
Motsa jiki da motsa jiki
Horarwar ƙarfin eccentric da aka yi sau 1-2 a rana don makonni 12 yana da ingantaccen tasiri na asibiti akan gunaguni na tendinosis. An ga cewa tasirin ya fi girma idan an gudanar da motsi a hankali kuma a cikin tsari mai sarrafawa (Mafi et al, 2001).
Samun magani yanzu - kar a jira
Nemi taimako daga likita don “shawo kan matsalar” domin ya fi muku sauƙi aiwatar da matakan ku. Likita zai iya taimakawa tare da maganin matsin lamba, maganin allura, aikin jiki da makamantansu don samar da ingantaccen aiki da sauƙaƙan alamu.
Abinci da abinci
Vitamin C, manganese da zinc duk suna da mahimmanci don samar da collagen - a gaskiya ma, bitamin C yana haifar da abin da ke tasowa zuwa collagen. Vitamin B6 da bitamin E kuma an danganta su kai tsaye ga lafiyar jijiyoyi. Don haka tabbatar da samun abinci mai kyau, iri-iri yana da mahimmanci. Wataƙila yana iya zama wajibi don ɗaukar wasu kari a cikin abinci lokacin da waraka ya faru? Jin kyauta don tuntuɓar masanin abinci mai gina jiki ko makamancin haka.
BIDIYO: Motsa jiki guda 5 akan kumburi a kugu
A cikin bidiyon da ke ƙasa ya nuna chiropractor Alexander Andorff ya gabatar da motsa jiki guda biyar da aka daidaita don duka bursitis da tendinitis a cikin hip. Ana yin motsa jiki da yawa tare da kananan jiragen ruwa. 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.
Takaitawa: - Shin ciwon jijiyoyi ne ko lahani?
En tendonitis ba kullum tendinitis ba ne. A gaskiya ma, ya fi kowa cewa rauni shine raunin jijiya. Muna fatan kun fahimci mahimmancin madaidaicin ganewar asali da sakamako ga mai haƙuri idan ba a yanke shawarar ganewar asali ba akan madaidaicin tushe. Yakamata a yi kokarin gwada maganin ra'ayin mazan jiya da horon gyarawa a koyaushe kafin a yi amfani da wasu matakan da za a bi (alurar rigakafi da tiyata).
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.
Mataki na ashirin da: - Shin ciwon jijiyoyi ne ko lalacewa?
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.
Tushen da bincike: Tendonitis ko lalacewar jijiya?
- Khan KM, Cook JL, Kannus P, et al. Lokaci don yin watsi da labarin '' tendinitis ': Tarihi mai raɗaɗi, yawan amfani da jijiyoyin jiki suna da ilimin rashin lafiyar mai kumburi [Editorial] BMJ. An buga Maris 16, 2002.
- Heber M. Tendinosis da vs. Ciwon ciki. Wasannin Wasanni na Elite.
- Khan KM, Cook JL, Taunton JE, Bonar F. Yin amfani da tendinosis, ba tendinitis sashi na 1: sabon yanayin don wahalar maganin asibiti.
- Boyer MI, Hastings H. Gwiwar wasan tennis: "Shin akwai kimiyya a can?".
- Kraushaar BS, Nirschl RP. Tendinosis na gwiwar hannu (wasan Tennis gwiwar hannu). Siffofin asibiti da kuma binciken tarihin, immunohistochemical, da kuma nazarin microscopy na lantarki.
J Orthop Res. 2004 Mayu; 22 (3): 586-91.
- Rattray F, Ludwig L The Massage Massage Therapy: Fahimtarwa, Ganowa da Kulawa da Yanayi sama da 70. Elora, Ontario: Talus Inc; 2001.
- Lowa W. Ka'idar Massage Orthopedic da Fasaha. Philadelphia, PA: Mosby Elsevier; 2009.
- Alfredson H, Pietila T, Jonsson P, Lorentzon R. Horo mai tsoka mai ɗaukar nauyi na ƙwaƙwalwar maraƙi don lura da cututtukan ƙwaƙwalwar ƙwaƙwalwa na koda.;Am J Sports Med. 1998. 26(3): 360-366.
- Mafi N, Lorentzon R, Alfredson H. Sakamakon gajere na ɗan gajeren lokaci tare da horar da tsoka maraƙin eccentric idan aka kwatanta da horo mai zurfi a cikin binciken da aka yi na multicenter na gaba-gaba a kan marasa lafiya tare da ciwon mara na Achilles na kashin kansa; Wasan Raunin Rashin Tsarin Wasannin motsa jiki na Anee. 2001 9(1):42–7. doi: 10.1007/s001670000148.
