I-tendinitis

AmaTendon ayizakhiwo ezinemicu ehlanganisa imisipha namathambo. Lapho la mathenda evuvukala noma evuvuka, kubizwa ngokuthi yi-tendinitis. Ezimweni eziningi, i-tendinosis (ukwehla kwethenda) nayo ikhona.

I-tendinitis ingenzeka ngenxa yokulimala noma ukusetshenziswa ngokweqile. Ukudlala imidlalo kuyimbangela evamile. I-tendinitis nayo ingenzeka ngokuguga njengoba i-tendon ilahlekelwa ukuqina. Izifo zomzimba wonke (systemic), ezifana nesifo samathambo noma isifo sikashukela, nazo zingaholela ku-tendinitis.

I-tendinitis ingenzeka kunoma iyiphi i-tendon. Izindawo ezivame ukuthinteka zifaka:

• Indololwane
• Isithende (Achilles tendinitis)
• Amadolo
• Amahlombe
• Isithupha
• Isihlakala

Izimpawu ze-tendinitis zingahluka ngomsebenzi noma imbangela. Izimpawu eziyinhloko zingafaka:

• Ubuhlungu nobumnene eceleni kwethenda, imvamisa eduze kwesihlanganisi
• Ubuhlungu ebusuku
• Ubuhlungu obubi kakhulu ngokuhamba noma umsebenzi
• Ukuqina ekuseni

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba. Ngesikhathi sokuhlolwa, umhlinzeki uzobheka izimpawu zobuhlungu nobumnene lapho imisipha enamathiselwe kuthenda isuswa ngezindlela ezithile. Kunezivivinyo ezithile zamathenda athile.

I-tendon ingavutha, futhi isikhumba phezu kwayo singafudumala futhi sibomvu.

Olunye uvivinyo olungenziwa lubandakanya:

• I-Ultrasound
• I-X-ray
• I-MRI

Umgomo wokwelashwa ukunciphisa izinhlungu nokunciphisa ukuvuvukala.

Umhlinzeki uzoncoma ukuphumula ithoni ethintekile ukuyisiza ilulame. Lokhu kungenziwa kusetshenziswa i-splint noma i-brace esikhiphekayo. Ukufaka ukushisa noma ukubanda endaweni ethintekile kungasiza.

Ukudambisa izinhlungu ezithengiswa ngama-counter njengama-NSAID afana ne-aspirin noma ibuprofen, kunganciphisa nobuhlungu nokuvuvukala. Imijovo ye-Steroid emgodleni we-tendon nayo ingaba wusizo olukhulu ekulawuleni ubuhlungu.

Umhlinzeki futhi angaphakamisa ukwelashwa ngokomzimba ukwelula nokuqinisa imisipha nethenda. Lokhu kungabuyisa ikhono le-tendon lokusebenza kahle, kuthuthukise ukuphulukiswa, futhi kuvimbele ukulimala okuzayo.

Ezimweni ezingavamile, kudingeka ukuhlinzwa ukuze kususwe izicubu ezivuthayo ezizungeze i-tendon.

Izimpawu ziyathuthuka ngokwelashwa nokuphumula. Uma ukulimala kubangelwa ukusetshenziswa ngokweqile, kungadingeka ushintsho emikhubeni yokusebenza ukuvimbela inkinga ukuthi ingabuyi.

Izinkinga ze-tendinitis zingafaka:

• Ukuvuvukala kwesikhathi eside kuphakamisa ingozi yokulimala okuqhubekayo, njengokuqhekeka
• Ukubuya kwezimpawu ze-tendinitis

Shayela i-aphoyintimenti nomhlinzeki wakho uma kwenzeka izimpawu ze-tendinitis.

I-tendinitis ingavinjelwa ngu:

• Ukugwema ukunyakaza okuphindaphindwayo nokusetshenziswa ngokweqile kwezingalo nemilenze.
• Ukugcina yonke imisipha yakho iqinile futhi iguquguquka.
• Ukwenza izivivinyo zokuzifudumeza ngesilinganiso esivulekile ngaphambi kokusebenza ngamandla.

I-calcific tendinitis; I-tendinitis ye-Bicipital

• I-Tendon vs. ligament
• I-tendonitis

UBiundo JJ. I-Bursitis, i-tendinitis, nezinye izifo ze-periarticular nemithi yezemidlalo. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 247.

UGeiderman JM, Katz D. Izimiso ezijwayelekile zokulimala kwamathambo. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 42.