Lintho tse hloekileng le tse hlollang tse amanang le tendinopathy
Tendons ke lithapo tsa masela a maiketsetso a khomarelang mesifa le masapo. Tendons matla a fetisetsa ho tloha mesifa ho ea ho bone hore litho li tsamaee. Li-tendon tse ling, empa eseng kaofela, li koahetsoe ke sekhahla. Marako a ka hare a sheath a hlahisa li-lubrication tse nyenyane (synovial fluid), e thusang tendon ho falla ka bolokolohi.
Ha botsofali bo ntse bo tsofala, ho ba le maemo a fokolang haholo le ho senya, ho etsa hore ba khone ho tsoa kotsi.
Ka kakaretso, ho na le mefuta e meraro ea mathata a tendon: tendinitis , tenosynovitis, le cyst ganglion. Tendinitis ke ho ruruha ha tendon. Tenosynovitis ke ho ruruha ha lesela la tendon. Cyst ea ganglion ke ho bokella metsi a nang le mokelikeli ka har'a letlalo la tendon.
Tendinopathy, lentsoe le bolelang matšoao a li-tendon, hangata e kenyelletsa sekoti sa rotator (haholo-holo supraspinatus) le li-biceps brachii tendons lehetleng, li-extensor le li-tendon tse ka pele ho moo, tete ea patella ka lengole, tendon ea Achilles leoto le ka tlaase, le tibialis posterior tendon ka maqeba le maoto.
Ke'ng e bakang Tendinitis?
Ho ruruha ha tete e ka 'na ea bakoa ke mosebetsi o pheta-pheta, mosebetsi oa nako e telele, ho ikitlaetsa, boemo bo sa thabiseng, ho ema ka nako e telele (ho lula sebakeng se le seng ka nako e telele), ho sisinyeha, kapa khatello ea lehae leha e le efe. Tlas'a maemo ana, likhoele tsa tendon e amehang li ka arohana, haholo joaloka thapo e senyehileng kapa e sa tsejoe.
Ka nako e telele, litapole tse chesang tse sa fuoeng monyetla oa ho folisa li fetoha tse teteaneng, tse sa tloaelehang, 'me mohlomong li fokolloa.
Ke Eng e Bakang Tenosynovitis?
Ho ruruha ha sesepa sa tendon ho etsahala ha ho hlahisa lihlahisoa ha hoa lekana, ebang ke bongata kapa boleng. Ketsahalo e pheta-pheta kapa e telele, ho ikitlaetsa, boemo bo sa tsitsang kapa boemo bo tsitsitseng, ho sisinyeha kapa khatello ea kelello e ka 'na ea etsa hore tsamaiso ea lubrication e se ke ea sebetsoa, e baka ho ferekana pakeng tsa tendon le tendon sheath.
Metsotso e pheta-pheta ea tenosynovitis e ka etsa hore ho thehoe metsoako ea fibrous, ho fokotseha ha lehlaka le ho fokola ha tete e entsoeng.
Ke Eng e Etsang Hore Ganglion Cyst e Hlaole?
Li-ganglion tsa li-ganglion li tsoa ho tsoa capsule ea selekane kapa sekhahla sa tendon. Cyst ganglion e na le mokelikeli o teteaneng, o kang oa mucous o tšoanang le mokelikeli o fumanoang motsoako (synovial fluid). Ka tloaelo, li-cysts tsa ganglion li fumanoa ka letsoho kapa matsoho empa li ka etsahala maotong hape. Liketsoana tsa Ganglion li atisa ho amahanngoa le mosebetsi o eketsehileng kapa ho tsamaea hape.
Mabaka a ka sehloohong a Tendinopathy
Ntle le lintlha tse hlahelletseng tse bakang tendinopathy (mafu a li-tendon), bafuputsi ba boletse hore lintlha tse ling tsa tlhaho li ka boela tsa amahanngoa, joalo ka mafu a ts'oaetso (botenya, lefu la tsoekere, khatello e phahameng ea mali, eketseha serum lipids le lefu la phekolo ea mali ). Matšoao a phahameng a mali a 'nile a kenngoa ka statistically ho tendinopathy bakeng sa basali feela. Mofuta oa lefu la tsoekere o bontšitse mokhatlo oa lipalo bakeng sa banna ba ka tlaase ho lilemo tse 44.
Maloetse a mang a fumanoeng a amahanngoa le tendinopathy a kenyeletsa mafu a tsamaiso, mafu a tšoaetsanoang, maloetse a tšoaetsanoang, ho se hlole ho e-na le pheko ea renal, psoriasis, systemic lupus erythematosus , hyperparathyroidism le hyperthyroidism.
'Me, joalokaha u ka lebella, tendinopathy e ka' na ea bakoa ke botsofali maemong a mang.
Ho phaella ho li-tendon tse fokolang tsa menoana ke tlhaloso e tloaelehileng le e sitisang ramatiki ea ramatiki . Tenosynovectomy (ho tlosoa ha liphallelo tsa tete ea tendon) e atleha haholo ho thibela thibelo ea tendon empa ha ho bonolo ho tseba bakuli ba kotsing. Ho tsosolosoa ha li-tendon tse senyehileng hangata ha li khone ho tsosolosa ka ho feletseng.
Lisebelisoa:
Pathogenesis ea tendinopathies: ho ruruha kapa ho fokola? Abate M. et al. Pheputso ea ramatiki le Therapy. La 30 June, 2009.
https://arthritis-research.biomedcentral.com/articles/10.1186/ar2723
Mathata a Tendon. Mokhatlo oa Canada oa Bophelo bo Botle le Tšireletso. CCOH. La 16 December, 2010.
http://www.ccohs.ca/oshanswers/diseases/tendon_disorders.html
Ganglion Cysts. E-Hand.com. Electronic Textbook ea Ho Buuoa ka Hand.
http://www.eatonhand.com/hw/hw013.htm
Ho hlahlojoa ha sefuba sa extensor tendon ka ramatiki ea ramatiki. Rheumatology. Williamson L. et al. La 25 October, 2000.
https://academic.oup.com/rheumatology/article/40/4/420/1787900/Screening-for-extensor-tendon-rupture-in
Tenosynovectomy. MediLexicon.
http://www.medilexicon.com/dictionary/90216