Ukuhlinzwa ngendololwane yethenisi

Indololwane yethenisi ibangelwa ukwenza ukunyakaza kwengalo okuphindaphindayo nokunamandla. Kwakha izinyembezi ezincane, ezibuhlungu ematendeni endololwaneni yakho.

Lokhu kulimala kungadalwa ithenisi, eminye imidlalo ye-racquet, nemisebenzi efana nokuguqula isikrufu, ukuthayipha isikhathi eside, noma ukusika ngommese. Imisipha yendololwane engaphandle (elandelanayo) ilimala kakhulu. Amathenda angaphakathi (medial) nangemuva (ngemuva) nawo angathinteka. Isimo singaba sibi kakhulu uma imisipha iphinda ilimale ngokuhlukumezeka kwamathenda.

Lo mbhalo ukhuluma ngokuhlinzwa ukulungisa indololwane yethenisi.

Ukuhlinzwa ukulungisa indololwane yethenisi kuvame ukuhlinzwa ngaphandle. Lokhu kusho ukuthi ngeke uhlale esibhedlela ubusuku bonke.

Uzonikezwa umuthi (wokuthambisa) ukukusiza uphumule futhi kukwenze uzele. Umuthi we-numbing (i-anesthesia) unikezwa engalweni yakho. Lokhu kuvimba ubuhlungu ngesikhathi sokuhlinzwa kwakho.

Ungahle uvuke noma ulale nge-anesthesia ejwayelekile ngesikhathi sokuhlinzwa.

Uma uhlinzeka ngokuhlinzwa, udokotela wakho ohlinzayo uzokwenza ukusika okukodwa phezu kwethenda yakho elimele. Ingxenye engenampilo yethenda iyasuswa. Udokotela ohlinzayo angalungisa imisipha esebenzisa okuthile okubizwa ngokuthi ihange le-suture. Noma, ingahle ithungelwe kwamanye amathoni. Lapho ukuhlinzwa sekuphelile, ukusika kuvalwa ngemithungo.

Kwesinye isikhathi, ukuhlinzekwa ngendololwane yethenisi kwenziwa kusetshenziswa i-arthroscope. Leli ithubhu elincanyana elinekhamera encane nokukhanya ekugcineni. Ngaphambi kokuhlinzwa, uzothola imithi efanayo neyokuhlinzwa okuvulekile ukukwenza uphumule futhi uvimbele izinhlungu.

Udokotela ohlinzayo usika i-1 noma i-2 encane, futhi ufaka ububanzi. Ububanzi bunamathiselwe kokuqapha ividiyo. Lokhu kusiza udokotela wakho ohlinzayo abone ngaphakathi kwendawo yendololwane. Udokotela ohlinzayo ususa ingxenye engeyona impilo yethenda.

Ungadinga ukuhlinzwa uma:

• Ngike ngazama ezinye izindlela zokwelashwa okungenani izinyanga ezintathu
• Ingabe unobuhlungu obukhawulela umsebenzi wakho

Ukwelashwa okufanele uzame kuqala kufaka:

• Ukukhawulela umsebenzi noma ezemidlalo ukuphumuza ingalo yakho.
• Ukushintsha imishini yezemidlalo oyisebenzisayo. Lokhu kungabandakanya ukushintsha usayizi wokubamba werakethi lakho noma ukuguqula uhlelo lwakho lokuzijwayeza noma isikhathi.
• Ukuthatha imithi, njenge-aspirin, ibuprofen, noma i-naproxen.
• Ukwenza izivivinyo zokudambisa izinhlungu njengoba kunconywe udokotela noma owelapha ngokomzimba.
• Ukwenza izinguquko emsebenzini ukuze uthuthukise indawo yakho yokuhlala nokuthi uyisebenzisa kanjani imishini emsebenzini.
• Ukugqoka izihlakala zezindololwane noma izinsimbi zokuphumula imisipha yakho kanye nemisipha.
• Ukuthola isibhamu somuthi we-steroid, njenge-cortisone. Lokhu kwenziwa udokotela wakho.

Izingozi ze-anesthesia nokuhlinzwa ngokujwayelekile yilezi:

• Ukusabela emithini noma ezinkingeni zokuphefumula
• Ukopha, amahlule egazi, noma ukutheleleka

Izingozi zokuhlinzwa ngendololwane yethenisi yilezi:

• Ukuphela kwamandla engalweni yakho
• Ukwehla kobubanzi bokunyakaza endololwaneni yakho
• Isidingo sokwelashwa isikhathi eside
• Ukulimala kwemizwa noma imithambo yegazi
• Isibazi esibuhlungu uma usithinta
• Isidingo sokuhlinzwa okwengeziwe

Kumele:

• Tshela udokotela ohlinzayo ngayo yonke imithi oyiphuzayo, kuhlanganise naleyo ethengwe ngaphandle kwemithi kadokotela. Lokhu kufaka amakhambi, izengezo, namavithamini.
• Landela imiyalelo emayelana nokumisa okwesikhashana izinciphisi zegazi. Lokhu kufaka phakathi i-aspirin, ibuprofen, (Advil, Motrin), ne-naproxen (Naprosyn, Aleve). Uma uthatha i-warfarin (i-Coumadin), i-dabigatran (i-Pradaxa), i-apixaban (i-Eliquis), i-rivaroxaban powder (i-Xarelto), noma i-clopidogrel (i-Plavix), khuluma nodokotela wakho ohlinzayo ngaphambi kokuma noma ukushintsha indlela oyithatha ngayo le mithi.
• Buza udokotela wakho ukuthi yimiphi imithi okufanele uyithathe ngosuku lokuhlinzwa kwakho.
• Yeka ukubhema, uma ubhema. Ukubhema kunganciphisa ukwelashwa. Cela usizo kumhlinzeki wakho wezempilo.
• Tshela udokotela wakho ohlinzayo uma unomkhuhlane, umkhuhlane, umkhuhlane, noma okunye ukugula ngaphambi kokuhlinzwa kwakho.
• Landela imiyalelo mayelana nokungadli noma ukuphuza noma yini ngaphambi kokuhlinzwa.
• Fika esikhungweni sokuhlinzwa lapho udokotela wakho ohlinzayo noma umhlengikazi ekutshele lokho. Qiniseka ukuthi ufika ngesikhathi.

Ngemuva kokuhlinzwa:

• Indololwane yakho nengalo yakho cishe kuzoba nebhandeshi eliwugqinsi noma isinqamu.
• Ungaya ekhaya lapho imiphumela yokuthamba iphela.
• Landela imiyalelo yokuthi ungasinakekela kanjani isilonda sakho nengalo yakho ekhaya. Lokhu kufaka phakathi ukuthatha umuthi ukunciphisa izinhlungu ekuhlinzweni.
• Kufanele uqale ukuhambisa ingalo yakho ngobumnene, njengoba kunconywe udokotela wakho ohlinzayo.

Ukuhlinzwa ngendololwane yethenisi kudambisa izinhlungu kubantu abaningi. Abantu abaningi bayakwazi ukubuyela kwezemidlalo nakweminye imisebenzi esebenzisa indololwane kungakapheli izinyanga ezi-4 kuye kwezi-6. Ukuhambisana nokuvivinya umzimba okunconyiwe kusiza ukuqinisekisa ukuthi inkinga ngeke isabuya.

I-lateral epicondylitis - ukuhlinzwa; I-lateral tendinosis - ukuhlinzwa; I-lateral tennis elbow - ukuhlinzwa

I-Adams JE, uSteinmann SP. Ama-tendinopathies e-Elbow kanye ne-tendon aqhekeka. Ku: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, Cohen MS, eds. Ukuhlinzwa Kwesandla SikaGreen. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 25.

Impisi JM. Ama-tendinopathies e-Elbow kanye ne-bursitis. Ku: Miller MD, Thompson SR, ama-eds. UDeLee noDrez's Orthopedic Sports Medicine: Izimiso kanye Nokuzijwayeza. Umhla wesi-4. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 65.