I-Tendinitis

I-Tendinitis ithinta abantu kuzo zonke izinhlobo zemisebenzi, imisebenzi kanye nokuzilibazisa okubeka umthwalo omkhulu emathangeni abo. Lesi simo esibuhlungu singathinta noma iyiphi i-tendon emzimbeni, kodwa ibonakala kaningi emahlombe, ezindololwaneni, ezihlakaleni, emadolweni nasezithendeni. I-tendinitis engalashwa yenza imisipha ibe maningi amathuba okuthi iphuke noma idabuke ngokuphelele.

Imisebenzi evamile kanye nezemidlalo kubangela izimo eziningi ze-tendinitis, eziye zaholela emagameni ajwayelekile njengendololwane yethenisi, indololwane yegalofu, ihlombe lomganu, ihlombe lombhukudi nedolo lomgijimi. Ukunyakaza okuphindaphindayo kugqama njengenkinga enkulu ngemuva kwalesi simo. Izindaba ezinhle ukuthi amacala amaningi asabela kahle ekuphumuleni okufanele, ukwelashwa ngokomzimba kanye nomuthi odambisa izinhlungu.

Lesi sihloko sisiza abafundi ukuthi baqonde incazelo ye-tendinitis, izimpawu, ukukhetha ukwelashwa namasu okuvimbela. Noma ubani obhekene ne-Achilles tendinitis, ubuhlungu behlombe, noma ukungakhululeki kwendololwane uzothola konke okudingeka akwazi ngalesi simo esivamile esithinta imisipha eminingi emzimbeni.

Iyini i-Tendinitis?

Amathenda ayizintambo eziwugqinsi ezihlanganisa imisipha namathambo futhi zisize imizimba yethu ihambe kahle. 

I-Tendinitis yenzeka lapho imisipha ivuvukala noma ivuvukala ngenxa yokulimala noma ukusetshenziswa ngokweqile. Imisipha yethu ilahlekelwa ukunwebeka njengoba sikhula, okuyenza ibe maningi amathuba okuthi ivuvukele. Ubuhlungu bungakhula noma kuphi lapho kukhona khona imisipha, kodwa buthinta kakhulu indololwane, isithende, idolo, ihlombe, isithupha, nesihlakala. Iziguli eziningi nazo zithola ukuwohloka kwe-tendon (tendinosis) kanye nalokhu kuvuvukala.

Izinhlobo ze-Tendinitis

Abantu bavame ukuqamba izinhlobo ezahlukene ze-tendinitis ngemuva kwezemidlalo noma izitho zomzimba lapho zenzeka khona:

• Indololwane yethenisi: Ubuhlungu obungaphandle kwendololwane
• Indololwane yeGolfer: Ubuhlungu ngaphakathi kwendololwane obudlulela engalweni
• I-Achilles tendinitis: Ubuhlungu besithende obuvela ekuvuvukeni komthambo owugqinsi oxhuma isithende nenkonyane
• I-Rotator cuff tendinitis: Ukuvuvukala kwemisipha ehlangene ehlombe - okuthinta ukunyakaza
• Isandla se-tendonitis: Kuhlanganisa:
  • I-tendonitis yesihlakala: I-tendon eqinile esihlakaleni
  • I-De Quervain's tenosynovitis: Ukuvuvukala kwemisipha yesithupha

Izimpawu ze-Tendinitis

Izimpawu eziyinhloko zihlanganisa: 

• Ubuhlungu obuba bubi kakhulu ngokunyakaza
• Ubumnene emthanjeni othintekile
• Ukuqina ekuseni. 
• Abantu abaningi baqaphela ukuvuvukala eduze kwelunga, ngezinye izikhathi nokushisa noma ukubomvu. 
• Ezinye iziguli zizwa i-grating noma umsindo oklazayo lapho zinyakaza.

Izinkinga ze-Tendinitis

• Ukunyakaza okuphindaphindiwe noma ukunyakaza okuzumayo, okubukhali ngokuvamile kubangela i-tendinitis. 
• Imisebenzi efana nokugijima, ukugxuma, ukuthayipha, noma ukwenza ingadi kungabangela lesi simo. 
• Ukuma okungalungile, indlela engalungile ngesikhathi semidlalo, noma ukuxineka okuphindaphindiwe emsebenzini nakho kungaholela kukho.

Ingozi ye-Tendinitis

Izinto eziningi zingandisa amathuba akho okuthola i-tendinitis. Lokhu kubandakanya:

• Abantu abangaphezu kweminyaka engama-40 basengozini enkulu ngenxa yokuthi imisipha yabo ishintshashintsha kancane. 
• Imisebenzi edinga ukunyakaza okuphindaphindayo, izikhundla ezixakile, noma ukufinyelela phezulu iphakamisa amazinga obungozi. 
• Izimo zezokwelapha ezifana sikashukela, isifo samathambo, kanye ne-gout kwenza imisipha ibe sengozini kakhulu.

Izinkinga ze-tendinitis

I-tendinitis engalashwa ingabangela ubuhlungu obungapheli kanye nokuvuvukala kwesikhathi eside. Izimo ezimbi kakhulu zingase ziholele ekuqhekekeni kwe-tendon okudinga ukuhlinzwa. Iziguli zingase futhi zithole ubuthakathaka bemisipha, ububanzi obulinganiselwe bokunyakaza kanye ne-adhesive capsulitis (ihlombe eliqandisiwe). Ukwelashwa kusenesikhathi kubalulekile ukuze kuvinjelwe izinkinga ezinkulu. 

Ukuxilongwa kwe-Tendinitis

Odokotela bangena ezimpawini ezithile ze-tendinitis ngaphambi kokuphakamisa izindlela zokwelapha ezifanele. 

• Udokotela wakho uhlonza i-tendinitis ejoyintini lakho ngokuhlolwa komzimba nomlando wezokwelapha. Babheka indawo ebuhlungu ukuhlola ukuthamba, ukuvuvukala nokuthi ungahamba kahle kangakanani. 
• Ukufanekisa - Odokotela bangase baphakamise ukuhlolwa kwesithombe okulandelayo:
  • Ama-X-ray akhipha isifo samathambo 
  • Ama-MRI akhombisa ukubukwa okuningiliziwe kwemisipha evuvukele.

Ukwelashwa kwe-Tendinitis

Izinyathelo ezilula zisiza abantu abaningi abane-tendinitis:

• Ukuphumula nokulungiswa komsebenzi ukugwema ukunyakaza okulimazayo
• Iqhwa lipakisha endaweni ethintekile imizuzu eyi-15-20 izikhathi eziningi nsuku zonke
• Amabhandeshi okucindezela ukuze unciphise ukuvuvukala
• Izidakamizwa ezidambisa izinhlungu ezitholakala ngaphandle kwekhawunta zisiza ngokuvuvukala nobuhlungu
• Ukwelapha ngokomzimba: Ukuzivocavoca okulula nokulula kungakwenza uvumelane nezimo, kwakha amandla emathangeni, futhi kudambise nobuhlungu. Abelaphi ingase futhi isebenzise i-ultrasound noma ezinye izindlela zokusiza i-tendon ilulame ngokushesha.
• Isibhamu se-Corticosteroid: Uma ubuhlungu nokuvuvukala kuba nzima, odokotela bangase basebenzise imijovo ye-steroid eduze kwe-tendon ukunciphisa ukuvuvukala. Banikeza lezi ukuze banikeze usizo lwesikhashana.
• Ukungenelela ngokuhlinzwa: Ezimweni ezingavamile, odokotela batusa ukuhlinzwa uma lezi zindlela zokwelapha eziyisisekelo zingasebenzi. Odokotela bayahlinza futhi balungise izicubu ezilimele.

Uzoyibona Nini Udokotela

Hlela i-aphoyintimenti uma:

• Izimpawu zakho zihlala isikhathi esingaphezu kwamasonto ambalwa naphezu kokunakekelwa kwasekhaya. 
• Uzwa ubuhlungu kungazelelwe, obukhulu.
• Awukwazi ukuhambisa ukujoyina kwakho.
• Unayo imfiva noma uqaphele ukubomvu okuphawulekayo nokufudumala endaweni ehlangene.

Prevention

Imisipha yakho idinga ukunakekelwa okufanele. 

• Zifudumeze ngaphambi kokuzivocavoca futhi uhlanganise ukujima okunomthelela omkhulu nokuthambile. 
• Sebenzisa ifomu elilungile futhi kancane wandise ukuthi uzikhandla kangakanani. 
• Amakhefu avamile ngesikhathi semisebenzi ephindaphindwayo kusiza ukunciphisa ubunzima emathangeni akho.

Isiphetho

I-Tendinitis ihlupha abantu abaningi abenza imisebenzi ephindaphindayo noma abahlala bekhuthele. Ngokuvamile kunciphisa amandla nokunyakaza, nakuba ukubhekana nakho kanye nokulungisa imikhuba kuholela emiphumeleni engcono. Ukuphumula, amaphakethe eqhwa, ukwelapha, kanye nezidakamizwa ezilwa nokuvuvukala kusiza ezimweni eziningi. Odokotela bacabangela imijovo noma ukuhlinzwa lapho isimo siba sibi kakhulu. Imikhuba elula njengokufudumala, ukuma okulungile, nokuphumula ngokwanele kungavikela imisipha ekulimaleni. Ukwelashwa okusheshayo kuyingxenye ebalulekile yokululama ku-tendinitis. Izindlela zokwelapha ezilandelanayo zisebenza kahle ezigulini eziningi, futhi azivamile ukudinga ukuhlinzwa.

Imibuzo Evame Ukubuzwa

1. Uyini umehluko phakathi kwe-tendinitis ne-tendinosis?

Imithwalo esindayo engazelelwe idala izinyembezi ezincane emathanjeni aholela ekuvuvukeni, okwaziwa nge-tendinitis. I-Tendinosis ikhula ngendlela ehlukile - imisipha iyancipha ngenxa yokusebenzisa ngokweqile okungapheli. Odokotela manje bayaqaphela ukuthi zonke ngaphandle kweyodwa yalezi zimo ezitholwe njenge-tendinitis empeleni ziyi-tendinosis. I-tendinitis yesiguli ngokuvamile ilulama phakathi namasonto, kodwa i-tendinosis ithatha izinyanga zokwelashwa.

2. I-tendonitis ihlala isikhathi esingakanani?

Amacala amaningi athambile akhombisa ukuthuthuka emavikini angama-2-3. I-tendinitis ebukhali ingaxazulula ngokushesha ezinsukwini ezingu-2-3, kuyilapho i-tendinosis idinga izinyanga ezingu-2-3 ukuze ilulame. Ukubuyiselwa kufinyelela kumaviki angu-4-6 we-tendinitis engapheli kanye nezinyanga ezingu-3-6 ze-tendinosis. Ukungatholakali kahle kwegazi kwethenda ye-Achille kusho ukuthi idinga isikhathi esengeziwe sokululama.

3. I-tendonitis izizwa kanjani?

Ukunyakaza kuqinisa ubuhlungu. Iziguli zibona ukuzwela nokuvuvukala ngezikhathi ezithile endaweni ethintekile. Ukuzwa kwe-grating kungase kwenzeke ngesikhathi sokunyakaza. Lesi simo ngokuvamile sibangela ukuqina kwamalunga futhi sikhawulela ukuhamba.

4. Yini okufanele uyigweme nge-tendonitis?

Hlala kude ne-:

• Ukunyakaza okubangela ubuhlungu ngokuphindaphindiwe
• Imisebenzi ehlanganisa ukuphakamisa okusindayo nokusonta
• Ukuzivocavoca okufaka ingcindezi emathanjeni athintekile
• Izikhathi ezinwetshiwe zokwelula zezinkinga eziningi ze-tendon

5. Ingabe ukuphelelwa amanzi emzimbeni kungabangela i-tendonitis?

Impendulo ithi yebo. Ukwakheka komthambo kuhlanganisa amanzi angaphezu kuka-75%. Ukunwebeka kwethenda kuncipha ngokuphelelwa amanzi emzimbeni, okuholela ekucasukeni. I-hydration enhle isiza ukugcina i-viscosity ye-synovial fluid futhi kunciphisa ukungqubuzana phakathi kwama-tendon nezakhiwo ezizungezile.

UDkt. Praveen Agrawal

MBBS, D.Ortho
Izibhedlela ze-CARE CHL, e-Indore

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