Inkcazo ye-EPICOWPTIS ye-humers
Kwabizwa ngokuba yiTennis Elbow, i-thendon ye-tendoon ye-Sersor CarPris Mercle, okanye i-Spring yendawo enamathiselwe i-CarPi Teson, iBrachioradial Bussitis, ekwabizwa ngokuba yi-EPICOSTORE. I-ASEPUTIC i-ASEptic Ukuvuvukala kwezicubu ezithambileyo ezijikeleze i-Epicondy ye-humersus ngenxa yokulimala okungapheliyo, ukulimala okungapheliyo.
Patogenesis
Inxulumene ngokusondeleyo emsebenzini, ngakumbi abasebenzi abasoloko bejikeleza umphambili kwaye bandise kwaye baguqule umanyano kunye namandla amajuba. Uninzi lwazo ngabafazi basekhaya, abachweli, abachweli, abaqinileyo, abaplumbers, kunye neembaleki.
Disysect
Amacala omabini esiphelo esisezantsi se-humersus yi-Epicondys yeMedical kunye ne-Epicondys, kunye ne-Epicondy ye-Stendor ye-Stendor ye-Shendor ye-Stendon ye-Suplorm ye-Suprisorm ye-Suplorm. Indawo yokuqala yendawo yeBrachioradis, iguqulwe umphambili kwaye iqhelene kancinci. Indawo yokuqala ye-Sernsnris Ridailas, i-Ussoor Carpri radiaisis reevis, i-Cissoor Gigithis, iDissoor yeDijithior Prouper, i-ICRENSRORGINA IlNaris, umsipha wesiphene.
Pi-athogen
Ukuqala kwe-condelec kubangelwa yi-splect ye-EUTOCO kwaye ukolula, kodwa uninzi lwezigulana zinokuhamba kancinci kwaye ngokubanzi azinambali ngokucacileyo, kwaye zixhaphakile kubantu abadala abafuna ukujikeleza umphambili kwaye bandise i-wirist ngamandla. Ingancitshiswa okanye ikhutshiwe ngenxa yolwandiso lwe-dorsal ophindaphindiweyo lwe-Wrist kunye nokuhamba ngokugqithisileyo kwe-Wrist Teon ngokuncamathisela i-epicondy ye-humersus xa i-waltiorm ikwindawo yokusebenza.
PI-Onshology
1.Due ukulimala okuphindaphindiweyo, i-Epicondy ye-fiber yemisipha iqwenga kwaye ikhutshelwe i-hematoma ye-periosterias kunye ne-charperplasia ye-humersus (ubukhulu becala kwi-nodrele yomphetho). Uviwo lwe-bipological bissopy biopsy vageneration ischemia, ke ikwabizwa ngokuba yi-ISChemic ukuvuvukala. Ngamanye amaxesha ihamba kunye neenyembezi ze-SAC, kwaye i-membrane ye-dibang ye-nodibaniso iyanda kwaye ityhutywe ngenxa yokukhuthaza ixesha elide ngumsipha.
2.Tear kwindawo ye-Undernsor Prondon.
3.I-oxdumatic ukuvuvukala okanye i-fibrohistoligis ye-ligament ye-annan.
4. Iziphumo ze-brachioradial joent kunye ne-kwandion tendon eqhelekileyo.
5.inflamim ye-humeris ye-humersus kunye ne-radial dibanise ezibangelwa kukuqulunqwa kwe-humerus kunye nentloko encinci yerediyo.
6. Ukucuthwa kwe-humerioradial ligamente kunye nokwahlukanisa ngobulali be-proximal radial-racimar ye-proxial yenzeke, kukhokelela ekusasazeni intloko ye-radial ka-radial ka-radial ka-radial ka-radrhalical. Olu tshintsho lwendalo lunokubangela i-spasm yemisipha, iintlungu zasekhaya, iintlungu ezivuthayo kwimisipha eyandisiweyo ye-Wrist.
Inkcazo yekliniki
1.Iintlungu ezingaphandle komdibaniso we-elbow zikhulisa xa usondela, ngakumbi xa ujikeleza umva, ukuphakamisa, ukutyhala, ukutyhala, kwaye ukuphefumla, kunye nokuhla kwe-wirnskor imisipha ye-Wrist. Ekuqaleni, bendisoloko ndiziva iintlungu kunye nobuthathaka kwigumbi elonzakeleyo, kwaye ngokuthe ngcembe bahlakulela iintlungu ngaphandle kwe-elbow, elona likhulu kakhulu ngokunyuka komthambo. (Uhlobo lwentlungu lubuhlungu okanye lubambe)
2.it ikhule emva kokuzibhokoxa kwaye ikhululwe emva kokuphumla.
3. Ukujikeleza kwephanyazo kunye nobuthathaka bezinto ezibambe izinto, kwaye nokuwa ngezinto.
Imiqondiso
I-EPICOSTONE EPUROSTONLE I-POSTALDOLL INDAWO YOKUZIPHATHA KWE-EPUERS, ISIQINISEKISO SE-RUGHHALIN NE-CORCHALIN NEEMPENDULO YEMPAHLA YOKUGQIBELA I-FREAL ENYE YOKUZIPHATHA, UKUTHENGA OKANYE NOBUCHULE. Ngamanye amaxesha imiphetho ebukhali ye-hyperostosisis inokuziva kwi-Epicondy ye-humersus, kwaye inethamsanqa kakhulu.
2.Uvavanyo lwe-Mills ilungile. Igoba umphambili wakho kancinci kwaye wenze i-fist-fist, iqhekeze isandla sakho kangangoko kunokwenzeka, emva koko uqhagamshele ngokupheleleyo kwaye usebenzise i-elbow yakho. Ukuba iintlungu zenzeka ecaleni kwecala le-brachioradial xa i-elbow inyibilikile, ilungile.
Uvavanyo lokuthintela ulwazi oluchasene noko: Isigulana siphembelele inqindi kwaye saguqula isiqhulo saso, kwaye umvavanyi wabumba umva wesandla sakhe ukuze enze isigulana, njengentlungu engaphandle kwe-elbow ilungile.
UVIWO LWE-FAY-RAY-RAY unokubonisa ukungangqinelani kwe-prooition, okanye inani elincinci lamanqaku okubalwa ngaphandle kwe-periosteum.
Unyango
Unyango lolondolozo:
1. Yima uqeqesho lwasekhaya lokukhuthaza kwangoko, kwaye ezinye izigulana zinokukhululeka ngokuphumla okanye ekuphumleni kwe-plance.
2.Unyango lokunyanga, sebenzisa iindlela zokuphelisa ukunciphisa i-SPASSM kunye nentlungu yokuphendulwa kwezinto zangaphambili zengxowa-mali, emva koko usebenzise uxinzelelo lwendawo ye-humersus kunye neibambiso zentlungu ezikufutshane.
3. UTuina Unyango, isigulana sihlala. Ugqirha usebenzisa ukuntywila okuthambileyo kunye nokuxovula ukwenza ngasemva nangaphandle kwe-elbow kunye nokuphinda-phinda kwicala le-dorsal. Ugqirha usebenzisa incam yesithupha ukucinezela kwaye uhlole i-Ah Shi (i-Gicular Epice), kwaye ugqirha we-quipoint, i-quchu, i-riguint, i-ruiguation i-ruvialus kunye ne-rees radiilis. Tsala kwaye wolule, i-elbows ephilayo. Okokugqibela, sebenzisa indlela ye-daar yerabha yokuhlikihla i-Epicondy ye-elbow kunye nezihlunu ezahluliweyo zecala, kunye nobushushu bendawo zisetyenziselwa ukuya kwinqanaba.
I-4. Unyango lweziyobisi, i-oral engeyiyo i-steroidal anti-i-intiya-i-insurolagemes kwinqanaba le-tendet.
I-5. Unyango lwe-GlucoCorticoids (ezinjengeliti ye-theameThasone) ifakwe kwindawo yokufakelwa kwe-tendolmaric kunye ne-ropivalone kunye ne-ropivalone okanye ilingane okanye ilingane okanye ilingane ne-ropivaivaivaivaivaivaid njengangoku Ukusebenza ngokukhawuleza, ukubambela ixesha elide, i-Anti-Intity ye-Anti-i-Intity ye-Entiremmanged, kunye nexesha elikhuselekileyo, elinetyhefu elinetyhefu, ubuncinci benetyhefu kunye neyona ntlungu iphantsi ye-occound yokufumana i-occound yokufumana i-ofisi yendawo yengingqi.
I-6. Unyango lwe-Acupuncture, i-themonion isondele kwi-tishu ye-adhes ejikeleze inkqubo yethambo, i-terensor yomnwe womsipha, i-terinator yomnwe womsipha, kwaye ikhuphe isitshixo semfesane. Unyango lonyango: Ilungele izigulana ezingaphenduli kunyango lolondolozo.
1. I-Meeod "yindlela ebandakanya phantse kuzo zonke izicubu ze-lesion, kubandakanya isiseko se-temorand ye-proximal, ukupakishwa kwendawo ye-romeraradial e-proximal, kunye nokususwa kwezicubu ze-granciam, kunye nokutsalwa kwezinto eziphathwayo indawo.
I-2. Indlela yeNischl, i-tendon eqhelekileyo ye-Carpide i-farvis farvisis, inqaku le-thegenes licinyiwe, inxalenye ye-feen ye-feen icinyiwe, kwaye i-thendon yentsalela kwaye ikhutshiwe I-Fascia ifunyanwe okanye iphinde yenziwe kwakhona kwithambo. Ukubandakanyeka kwe-intra kukukhuthazeka.
Prognosis
Isifundo sesi sifo side kwaye sineflethi yokuphindaphinda.
Ni-ote
I-1.Pay ithathele ingqalelo ifudumele kwaye ithintele ukubanda;
2.Reduce Izinto zePathogenic;
Ukuzilolonga;
4. Kwinqanaba elinobunzima, ubuchule kufuneka bube nobulali, kwaye indlela yokunyanga iphazamisa abo bagungqileyo, oko kukuthi, ubuchule buqine ngokuthamba, kunye nokuthamba kunye nokuthamba kuya kudityaniswa.
IXESHA LOKUQALA: FEB-19 ukuya ku-1525