Kodi nthawi zina mumamva kupweteka kwambiri m'chigongono, phewa, kapena chidendene? Mwina ululuwu umawonjezeka mukamachita masewera kapena kunyamula zinthu zolemera. Chifukwa cha izi chingakhale vuto ndi imodzi mwa minyewa yanu. Chifukwa chake lero tikulankhula za njira yapadera yothandizira matenda amtunduwu. Izi zimatchedwa tenotomy.
Kodi Tenotomy ndi chiyani?
Mwachidule, tenotomy ndi njira yomwe imagwiritsidwa ntchito pochiza ululu wa tendon (chidutswa cholimba cha minofu chomwe chimagwirizanitsa minofu ndi fupa) m'thupi lanu. Mu njira iyi, dokotala wanu angagwiritse ntchito singano kulowetsa singano pakhungu lanu kuti achiritse tendon yowonongeka. Kapena, angadule pang'ono pakhungu lanu ndikuchotsa chidutswa cha tendon yowonongekayo mwa opaleshoni.
Ngakhale kuti chithandizochi chingachitike pa tendon iliyonse m'thupi, nthawi zambiri chimachitidwa m'malo awa:
- Mnofu womwe umalumikiza minofu ya biceps yanu ndi phewa lanu.
- Mnofu m'chigongono.
- Minofu m'mapazi ndi m'mapazi.
Kusiyana Pakati pa Tenotomy ndi Tenodesis
Njira zonsezi zimagwiritsidwa ntchito pochiza matenda a biceps tendon. Koma pali kusiyana pakati pa ziwirizi. Tangoganizani kuti muli ndi vuto ndi biceps tendon m'mapewa anu.
| Njira yochizira | Momwe mungachitire |
|---|---|
| Tenotomy | Mu njira imeneyi, dokotalayo amadula ndi kulekanitsa dala tendon ya biceps kuti achepetse ululu. Izi zikachitika, minofu ya biceps imasuntha pang'ono pansi pa mkono. Izi zingayambitse kusintha pang'ono kwa mawonekedwe a mkono. |
| Tenodesis | Mu njira imeneyi, dokotala amadula mtsempha wa paphewa ndikuulumikizanso ku dzenje latsopano m'fupa lapamwamba la mkono (humerus). Izi sizisintha mawonekedwe a mkono. |
Njira yoyenera kwa inu imadalira momwe mukuchitira zinthu mwachangu, momwe mukufunira kuchira mwachangu, komanso ngati mukufuna kuti dzanja lanu liwoneke mosiyana mukatha opaleshoni.Ndi bwino kukambirana izi ndi dokotala wanu ndikupanga chisankho.
Ndi matenda ati omwe amachiritsidwa ndi tenotomy?
Mankhwalawa amagwiritsidwa ntchito pa matenda osiyanasiyana okhudzana ndi minofu ya m'thupi. Milandu yodziwika kwambiri ndi iyi:
- Matenda a Biceps tendinitis
- Matenda a calcific a paphewa (kuchuluka kwa calcification mu tendon ya paphewa)
- Chigongono cha tenisi kapena chigongono cha gofu
- Kupweteka kwa mapazi (plantar fasciitis)
- Zofooka za mapazi obadwa nazo, monga phazi la chibonga
- Zala za Hammer - vuto lomwe limapezeka m'zala za zala
- Kupweteka kwa bondo (Patellar tendinitis - Runner's bondo)
- Kuvulala kwa tendon ya Achilles
Kodi mumatani musanachite tenotomy?
Dokotala nthawi zambiri amalangiza kuti achite opaleshoni ya tenotomy pokhapokha ngati njira zina zalephera. Musanachite izi, adzakulangizani kuti muyese njira izi zosagwiritsa ntchito opaleshoni:
- Mpumulo: Pumulani mtsempha mwa kupewa masewera kapena zochita zomwe zimayambitsa ululu.
- Asidi ndi mankhwala ochepetsa ululu: Pakani ayezi kuti muchepetse ululu ndi kutupa ndipo tengani mankhwala ochepetsa ululu (NSAIDs) monga momwe dokotala wanu wanenera.
- Kuchita masewera olimbitsa thupi: Kuchita masewera olimbitsa thupi kuti kulimbikitse ndikuwonjezera kusinthasintha kwa minofu yozungulira tendon yovulala.
- Jakisoni wa Corticosteroid: Mtundu wa jakisoni woperekedwa kuti achepetse kutupa.
Ngati zonsezi sizikuchepetsa ululu wanu, dokotala wanu adzakuuzani za chithandizo cha tenotomy ngati gawo lotsatira.
Kodi chithandizo cha Tenotomy chimachitidwa bwanji?
Chithandizochi chimachitika m'njira ziwiri zazikulu. Njira yomwe mukufuna idzadalira kuchuluka kwa kuwonongeka kwa tendon yanu.
| Njira yochizira | Kufotokozera |
|---|---|
| Njira ya singano (Percutaneous needle tenotomy) | Izi zimaphatikizapo kuyika dzanzi pamalopo ndi mankhwala oletsa ululu ndikuyika singano kudzera pakhungu kupita ku mtsempha. Nthawi zina scan ya ultrasound imagwiritsidwa ntchito kutsogolera singano komwe ikupita. Mwa kupanga mabowo ang'onoang'ono mu mtsempha mwanjira iyi, njira yachilengedwe yochiritsira thupi imalimbikitsidwa. Izi zikutanthauza kuti kuyenda kwa magazi kumaloko kumawonjezeka, zomwe zimathandiza mtsempha kuchira wokha . |
| Kutsegula tenotomy | Iyi ndi opaleshoni yaying'ono. Mutha kugonedwa kapena kugwidwa dzanzi. Dokotala adzakudula khungu pang'ono, kuchotsa mtsempha, ndikuduladula. Mtsempha ukangomasulidwa motere, ululu udzatha kwathunthu. |
Kodi zoopsa za chithandizochi ndi ziti?
Tenotomy nthawi zambiri ndi njira yotetezeka, koma monga njira ina iliyonse yachipatala, pali zoopsa zina zazing'ono.
- Kupweteka m'mimba: Mukamaliza chithandizochi, makamaka pa minofu ya biceps, mutha kukhala ndi kupweteka m'derali. Komabe, izi sizichitika kwa aliyense. Kusasangalala kumeneku kudzachepa pakapita nthawi.
- Minofu ya zipsera: Ngati minofu ya zipsera yapangika mozungulira mtsempha womwe opaleshoniyo inachitikira, ikhoza kupweteka.
- Kubwerezabwereza kwa zizindikiro: Kwa anthu ena, zizindikiro zimatha kubwereranso ngakhale patatha zaka zambiri. Chiwopsezochi chimakhala chachikulu makamaka ngati mupitiliza kugwira ntchito kapena kuchita masewera olimbitsa thupi omwe amaika mphamvu pa mtsempha.
Chofunika kwambiri ndichakuti zoopsazi sizichitika kwa aliyense, koma ndikofunikira kuzidziwa.
Zimatenga nthawi yayitali bwanji kuti munthu achire?
Mukalandira chithandizo, muyenera kupewa kugwiritsa ntchito mtsempha momwe mungathere. Nthawi yochira imasiyana malinga ndi mtundu wa chithandizo chomwe mudalandira komanso komwe mtsempha uli. Dokotala wanu adzakufotokozerani izi mwatsatanetsatane.
Anthu ambiri sadzatha kuchita masewera olimbitsa thupi kapena masewera olimbitsa thupi kwa miyezi ingapo. Onetsetsani kuti mwafunsa dokotala wanu musanayambenso kuchita masewera olimbitsa thupi.
Kodi muyenera kupita kwa dokotala liti?
Pitani kwa dokotala ngati muli ndi zizindikiro izi:
- Ululu womwe sumatha ngakhale patatha masiku angapo, koma umakulirakulira.
- Kutupa.
- Kusintha mtundu wa khungu.
- Ngati kusuntha gawo la thupi kuli kovuta kapena kopweteka.
Ngati mwachita ngozi, kapena ngati simungathe kusuntha chiwalo cha thupi chomwe mungathe kusuntha nthawi zonse, pitani ku Dipatimenti Yothandiza Padzidzidzi (ETU) ya chipatala nthawi yomweyo.
Kuchotsa mafupa a minofu ndi njira yomwe ingathandize kuthetsa mavuto ambiri okhudzana ndi minofu. Ndi njira yotetezeka komanso yachangu yochizira. Ngati muli ndi vuto lofananalo, musazengereze kulankhula ndi dokotala kuti mupeze upangiri woyenera.
Uthenga Wopita Nawo Kunyumba
- Tenotomy ndi njira yochizira ululu wosatha wa tendon womwe sunasinthe ndi njira zina zochizira, monga kupuma ndi kuchita masewera olimbitsa thupi.
- Izi zimachitika m'njira ziwiri zazikulu: kudzera mu singano (percutaneous) ndi kudzera mu opaleshoni yaying'ono (yotseguka).
- Ngakhale kuti nthawi zambiri iyi ndi njira yotetezeka komanso yothandiza, kumbukirani kuti pali zoopsa zina zazing'ono.
- Kupuma n'kofunika kwambiri kuti munthu achire pambuyo pa chithandizo. Ndikofunikira kwambiri kutsatira malangizo a dokotala mosamala.
- Ngati muli ndi ululu wa tendon womwe umakhalapo kwa nthawi yayitali, musaunyalanyaze ndipo funsani upangiri kwa dokotala.











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