UtyandoJulayi 16, 2026🔄 Updated: Jul 16, 2026⏱ 6 min

Isisombululo sentlungu yemisipha yakho - masifunde yonke into malunga notyando lwe-tenotomy.

Creator: Dr. Priya Sammani
Published: 2026-07-15T22:50:47.000Z

Dr. Priya Sammani, MBBS, PG Dip. FMMedical Verification

Ngamanye amaxesha sifumana iintlungu ezingapheliyo kwiindawo ezahlukeneyo zomzimba wethu, ingakumbi kwiindawo ezifana namahlombe, iingqiniba, nezithende, akunjalo? Mhlawumbi ungumntu othanda ezemidlalo. Okanye mhlawumbi ungumntu owenza uhlobo olufanayo lomsebenzi ngamaxesha onke. Isizathu sale ntlungu sinokuba yingxaki kwenye yee-tendon zakho. Namhlanje, siza kuthetha ngendlela ekhethekileyo yonyango ecetyiswa ngoogqirha kwiimeko ezinjalo.

Yintoni i-tenotomy? Ngamafutshane...

Kulungile, masiqale sijonge ukuba zeziphi ii-tendon. Ngamafutshane, zii -bands eziqinileyo, ezifana neentambo ezidibanisa izihlunu zethu namathambo ethu. Ezi tendon zisinceda sishukume, sibaleke, kwaye sitsibe. Ngoko ke xa enye yezi tendon yonakele okanye idumbile, intlungu inokuba nzima ukuyinyamezela.

I-tenotomy lunyango lomsipha owonakeleyo nobuhlungu. Ibandakanya 'ukwahlula' okanye 'ukusika' umsipha. Oku kungenziwa ngenye yeendlela ezimbini:

1. Indlela yenaliti: Ugqirha ufaka inaliti eluswini lwakho aze anyange umsipha owonakeleyo.

2. Indlela yotyando: Kwenziwa umngxuma omncinci eluswini kwaye inxalenye echaphazelekayo ye-tendon isuswe ngotyando.

Nangona olu nyango lunokwenziwa kuyo nayiphi na i-tendon emzimbeni, ludla ngokwenziwa kwezi ndawo zilandelayo:

I-tendon edibanisa izihlunu ze-biceps ezingalweni yakho negxalaba lakho.
Umsipha okwingqiniba.
Imisipha ezinyaweni nasemaqatheni.

Masifumanise ukuba yintoni kanye kanye umahluko phakathi kwezi ndlela zonyango?

Kukho ezinye iindlela zonyango ezifana ne-tenotomy. Abantu abaninzi bayabhidisa ezi ndlela. Makhe sibone ukuba yintoni umahluko.

Indlela yonyango	Kalula nje, kwenzeka ntoni?	Ihlala isetyenziswa
I-Biceps Tenotomy	Ukuze kuncitshiswe iintlungu, i-biceps tendon iyanqunyulwa ngokupheleleyo ize ikhululwe. Emva koko umsipha ushukunyiswa kancinci engalweni.	Intlungu ebuhlungu kwi-biceps tendon yegxalaba.
I-Tenodesis	I-biceps tendon inqunyulwa egxalabeni ize inamathele kwindawo entsha kwithambo lengalo engentla.	Oku kwenzelwa ukwenzakala kwemisipha ye-biceps. Abantu abakhutheleyo kakhulu kwaye abafuni iingalo zabo zibonakale zahlukile bakhetha oku.
I-Tenolysis	Xa i-tendon ibambekile kwaye ingashukumi, isikhongozeli esijikelezileyo siyanqunyulwa ukuze kukhululwe i-tendon. I-tendon ayonakali.	Kwiimeko apho iminwe inamathela khona, njengomnwe we-trigger okanye ubhontsi we-trigger.

Njengoko usenokuba uqaphele, nangona zonke ezi ziindlela zonyango lwemisipha, iindlela kunye neenjongo zahlukile. Ugqirha wakho uza kuxoxa nawe ukuba loluphi unyango olulungele wena.

Zeziphi iimeko ezifuna unyango lwe-tenotomy?

I-tenotomy idla ngokusetyenziswa ukunyanga iintlungu zemisipha ezihlala ixesha elide ezingasabelanga kwezinye iindlela zonyango. Nazi ezinye zemizekelo:

I-Biceps tendinitis: Intlungu yamagxa ebangelwa kukudumba kwe-tendon yemisipha ye-biceps.
I-tendinitis ye-calcific yehlombe: Intlungu ebuhlungu ebangelwa kukufakwa kwe-calcium kwimisipha yehlombe.
Ingqiniba yethenisi okanye ingqiniba yomdlali wegalufa: Intlungu ngaphandle okanye ngaphakathi kwengqiniba.
I-Plantar fasciitis: Intlungu enganyamezelekiyo ezantsi kwesithende xa uvuka kusasa.
Unyawo olugobileyo: Le yimeko apho abanye abantwana bazalwa iinyawo zabo zigobile. Olu nyango lukwasetyenziselwa ukulungisa oku.
Iinzwane zeHammer: Imeko apho iinzwane zigobile embindini kwaye zibukeka ngathi 'yihammer'.
I-Patellar tendinitis: Intlungu kwi-tendon ye-kneecap. Ikwabizwa ngokuba yi-"runner's knee" okanye "jumper's knee."
Ukulimala kwemisipha ye-Achilles: Ukulimala kwemisipha ye-Achilles, eyona misipha inkulu emzimbeni wethu, ephezu kwesithende.

Yintoni eyenziwa ngugqirha ngaphambi kokuba enze i-tenotomy?

Ugqirha akasoze akuthumele kwangoko kwi-tenotomy. Oku kudla ngokuthathwa njengesisombululo sokugqibela. Ngaphambi koko, ezinye iindlela zonyango ezingezizo ezotyando ngokuqinisekileyo ziya kuzanywa.

Khumbula, ayizizo zonke iintlungu ezifuna utyando. Kungcono uzame izinto ezilula kuqala.

Ezi zezona zinto zokuqala ugqirha azicebisayo:

Ukuphumla: Ukuzigcina kude nomdlalo okanye umsebenzi obangela intlungu okwethutyana. Oku kuthetha ukunika imisipha ikhefu.
Umkhenkce kunye nee-NSAID: Ukufaka umkhenkce kwindawo ebuhlungu kunye nokusebenzisa i-NSAID yokunciphisa iintlungu (umz., i-ibuprofen) ecetyiswe ngugqirha wakho kunokunceda ukunciphisa ukudumba kunye nentlungu.
Unyango lomzimba: Oku kubaluleke kakhulu. Ingcali yonyango lomzimba iya kukufundisa imithambo yokuqinisa nokolula izihlunu ezijikeleze i-tendon eyonzakeleyo. Oku kuya kunciphisa uxinzelelo kwi-tendon.
Iinaliti zeCorticosteroid: Ukuba ukudumba kukhulu kakhulu, ugqirha wakho angakufaka inaliti yesteroid kuloo ndawo. Oku kuya kunceda ukunciphisa ukudumba ngokukhawuleza.

Ukuba intlungu yakho ayipheli emva kweenyanga uzama konke oku, ugqirha wakho unokucebisa unyango lwe-tenotomy.

Kwenzeka ntoni ngokwenene ngexesha lonyango lwe-tenotomy?

Njengoko besitshilo ngaphambili, oku kwenziwa ngeendlela ezimbini eziphambili. Ugqirha uza kukhetha enye yezi ndlela zimbini kuxhomekeke kwingxaki yomsipha wakho.

I-Percutaneous Needle Tenotomy

Igama elithi 'Percutaneous' kweli gama lithetha "ngolusu." Olu asilotyando ngqo.

Khawuthelekelele ukuba uneentlungu engqinibeni yakho. Into yokuqala eyenziwa ngugqirha wakho kukufaka i-anesthetic yendawo kuloo ndawo. Emva koko, besebenzisa i-ultrasound scan, bajonga i-tendon yakho eyonakeleyo baze bafake inaliti ekhethekileyo kuyo. Emva koko, basebenzisa inaliti ukwenza imingxunya emincinci kwi-tendon okanye ukususa iindawo ezonakeleyo.

Le yinto emangalisayo. Xa ubangela ukwenzakala okuncinci ngolu hlobo, inkqubo yokuphiliswa kwendalo yomzimba iqala. Umzimba ucinga ukuba kukho ukwenzakala okutsha apho. Ngoko ke, ithumela igazi elingakumbi kunye nezondlo kwindawo leyo. Oku kunika i-tendon ithuba lokukhulisa izicubu ezintsha nokuziphilisa.

I-Tenotomy evulekileyo

Olu lutyando oluncinci. Usenokunikwa i-anesthesia eqhelekileyo okanye i-anesthesia yendawo.

Emva koko ugqirha wenza umngxuma omncinci eluswini aze asuse umsipha owonakeleyo. Emva koko umsipha uyasikwa uze ukhululwe. Oku kukhulula umsipha kwaye kunciphisa iintlungu. Ngamanye amaxesha, xa umsipha usikiwe ngale ndlela, uphinda ukhule ixesha elide kwaye ungaqinanga njengangaphambili.

Ziziphi iingenelo kunye neengozi zale ndlela yonyango?

Njengakwezinye iindlela zonyango, kukho iingenelo kunye neengozi ezincinci.

Zithini iingenelo?

Zombini ezi ndlela zonyango zithathwa njengonyango olukhuselekileyo nolusebenzayo .
Uninzi lwexesha, ezi zinokwenziwa ngokukhawuleza.
Indlela yenaliti ayisiyonkqubo yotyando, ngoko ke umngcipheko uphantsi kakhulu.
Nokuba yenziwe ngotyando, ayingeni kakhulu emzimbeni, ngoko ke kusala isilonda esincinci, esingaphantsi kwe-intshi ezimbalwa ubude.

Ngaba kukho naziphi na iingozi?

Ezi ngozi azenzeki kuwo wonke umntu, kodwa kulungile ukuzazi.

Ukuqaqamba Kwemisipha: Abanye abantu banokuziva bexinezelekile, ingakumbi xa besenza olu nyango kwi-biceps tendon. Nangona kunjalo, uninzi lwabantu aluziva oku. Nokuba baziva njalo, ukungonwabi kuya kuphela ngokuhamba kwexesha.
Izicubu ezibuhlungu: Ukuba izicubu ezibuhlungu zikhula ngaphakathi kwindawo enyangiweyo, zinokubangela intlungu.
Ukuphinda kweempawu: Abanye abantu banokuphinda bave iintlungu emva kweminyaka. Le ngozi iphezulu kakhulu ukuba usebenzisa imisipha yakho kakhulu, okanye ukuba umsebenzi wakho okanye umdlalo wakho ubandakanya ukunyakaza okuphindaphindayo.

Kuthatha ixesha elingakanani ukuchacha emva konyango?

Oku kuya kwahluka ngokuxhomekeke kuhlobo lwe-tenotomy oye wayenza kunye nendawo yonyango. Nangona kunjalo, kubaluleke kakhulu ukungasebenzisi i-tendon okwethutyana emva konyango.

Ngokwesiqhelo, kuya kufuneka uphephe imidlalo kunye nokuzilolonga okunzima kangangeenyanga ezininzi . Ugqirha wakho okanye ugqirha wakho uza kukunika ishedyuli ethile yokuchacha kunye nemiyalelo. Kubalulekile ukulandela le miyalelo ngononophelo ukuqinisekisa ukuba uchacha ngokukhawuleza.

Ufanele uye nini kugqirha?

Ukuba unentlungu okanye into engaqhelekanga emzimbeni wakho, musa ukuyityeshela. Funa ingcebiso kagqirha ngoko nangoko kwezi meko zilandelayo:

Ukuba unale mpawu, bonana nogqirha.

Kwimeko enjalo, yiya kwi-ETU ngoko nangoko.

Intlungu engapheliyo emva kweentsuku ezimbalwa okanye eba mandundu.

Ukudumba okungaqhelekanga.

Ukutshintsha kombala wolusu (ubuluhlaza okwesibhakabhaka, ukuba bomvu).

Ubunzima okanye intlungu xa ushukuma okanye usebenzisa inxalenye yomzimba.

Ukuba ukhe wahlangabezana nomothuko.

Ukuba inxalenye yomzimba enokushukunyiswa ngokuqhelekileyo ayinakushukunyiswa konke konke.

I-tenotomy lunyango olukhuselekileyo nolusebenzayo kwiingxaki ezahlukeneyo ezinxulumene nemisipha kunye neentlungu. Nangona kunjalo, ugqirha wakho kufuneka agqibe ukuba oku kulungile na kuwe. Ngoko ke, vula kwaye unyaniseke kuye malunga nentlungu yakho.

Umyalezo Wokuya Ekhaya

I-tenotomy lunyango oluphumelelayo lweentlungu ezinxulumene nemisipha olungakhange luphendule kwezinye iindlela zonyango.

Oku kungenziwa ngenaliti okanye ngotyando oluncinci.

Olu nyango lusetyenziswa emva kokuba uphumle, unyango lomzimba, kunye namayeza engasebenzi.

Kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngokuchanekileyo ukuqinisekisa ukuba uyachacha ngokupheleleyo emva konyango.

Ukuba unentlungu enxulumene nemicu, musa ukuyityeshela kwaye funa ingcebiso efanelekileyo kugqirha ofanelekileyo.

Utyando lwe-tenotomy, iintlungu ze-tendon, i-biceps tendinitis, i-tennis elbow, i-plantar fasciitis, utyando, i-acupuncture, amathambo namalungu, eSri Lanka, eSinhala

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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