Ingabe uvame ukubhekana nobuhlungu ngaphandle kwendololwane yakho? Mhlawumbe uzwa lobu buhlungu uma uphakamisa inkomishi yetiye, uvula umnyango, noma umane uxhawula umuntu? Nakuba abantu abaningi becabanga ukuthi lokhu kuyinto evamile, kungaba uphawu lwesimo esibizwa ngokuthi 'i-Tennis Elbow'. Naphezu kwegama elithi 'tennis', lesi akusona isifo esithinta abadlali be-tennis kuphela. Eqinisweni, abantu abayisishiyagalolunye kwabayishumi abanalesi simo abasitholi ngenxa ye-tennis. Ngakho ake sifinyelele emnyombweni waso.
Kalula nje, iyini i-Tennis Elbow?
I-Tennis Elbow ukulimala komsipha osendololwaneni yakho. Umsipha uyizicubu eziqinile ezixhumanisa imisipha yethu namathambo ethu, njengentambo. Imisipha esengalo yakho inamathele ngemuva kwendololwane yakho ngumsipha onjengalona. Uma senza ukunyakaza okufanayo ngokuphindaphindiwe, njengentambo edonswa endaweni efanayo ngokuphindaphindiwe, lomsipha uqala ukudabuka okuncane. Ngokuhamba kwesikhathi, lo monakalo uyanda futhi ukuvuvukala kwenzeka kuleyo ndawo. Yilokho esikubiza ngokuthi ubuhlungu.
Ngokwezokwelapha, lokhu kubizwa ngokuthi i-Lateral Epicondylitis . Ake sichaze leli gama:
- I-lateral isho 'ngaphandle'.
- I-epicondyle iyingxenye encane yethambo efana ne-knob engaphandle kwendololwane.
- Igama elithi "itis" lisho "ukuvuvukala."
Ngakho-ke, kafushane nje, lokhu kuyi-tendonitis eyenzeka ngaphandle kwendololwane.
Naphezu kwegama, ubani ongenza lokhu?
Uma uzwa leli gama, wonke umuntu ucabanga ukuthi lokhu kuyinto eyenzeka kubasubathi kuphela. Kodwa akulona iqiniso lelo. Noma ubani obamba into eqinile ngezandla zakhe futhi enze noma yini ehilela ukusonta ibunzi lakhe angaba nalesi simo.
Cabanga ngabantu abanjengalaba:
- Ababazi: Ngoba bahlala besebenzisa amathuluzi anjengesando nesaha.
- Abapendi: Ngoba bahambisa ibhulashi emuva naphambili ngendlela efanayo.
- Omama basekhaya benza imisebenzi yasekhaya: ukusonta izingubo, ukuhlikihla amakhokhonathi, ukuphakamisa amabhodwe asindayo.
- Abantu abasebenza emahhovisi: Ngoba basebenzisa igundane lekhompyutha ngendlela efanayo usuku lonke.
- Abapheki: Uma usika imifino ngemimese, uphakamisa amapani anzima.
- Abantu abadlala izinsimbi zomculo njenge-violin.
Noma ubani angathuthukisa i-Tennis Elbow. Lokhu kusho ukuthi ukulimala kokucindezeleka okuphindaphindiwe , okusho ukuthi ukulimala okubangelwa ukuphinda isenzo esifanayo.
Unayo i-tennis elbow? Hlola lezi zimpawu
Esikhathini esiningi, lezi zimpawu ziqala kancane kancane. Ekuqaleni, kungase kube nobuhlungu obuncane, obungase bukhule kancane kancane. Ake sibheke izimpawu eziyinhloko.
| Isibonakaliso | Kuzwakala kanjani lokho? |
|---|---|
| Ubuhlungu bendololwane | Ubuhlungu buzwakala kakhulu eduze kweqhubu elingemuva kwendololwane. Kwabanye, bungazwakala njengokusha, kanti kwabanye, bungazwakala njengobuhlungu obuhlabayo. |
| Ukubamba okubuthakathaka | Uma ubamba ipeni noma inkomishi, uvula umnyango, noma uxhawulana, ungase uzizwe sengathi awunawo amandla ezandleni zakho. Ungase ulahle ngisho nezinto ezandleni zakho. |
| Ukusabalalisa ubuhlungu | Ngezinye izikhathi, ikakhulukazi ebusuku, lobu buhlungu bungasakazeka kusukela endololwaneni kuye engalweni kuya esihlakaleni. |
| Ukuba ndikindiki nokuvuvukala esandleni | Uma uvuka ekuseni, ungase ukuthole kunzima ukwelula noma ukugoba ingalo yakho. Ngezinye izikhathi ungase uqaphele nokuvuvukala okuncane eduze kwendololwane. |
Into ebaluleke kakhulu ukuthi, uma uzwa ubuhlungu obunje isikhathi esingaphezu kwesonto, ungabunaki. Ukuya kudokotela ngokushesha okukhulu kuzokwandisa izinketho zakho zokwelashwa futhi kusheshise inqubo yokuphulukiswa.
Yiziphi izinto ezingabangela ingozi yokuthuthukisa i-Tennis Elbow?
Nakuba noma ubani engaba nalesi simo, abanye abantu basengozini enkulu.
- Ubudala: Lesi simo sivame kakhulu kubantu abangaphezu kweminyaka engama-40 ubudala.
- Umsebenzi: Kulabo abenza ukunyakaza okuphindaphindiwe ngesandla, njengoba sixoxile ngaphambili.
- Phakamisa izinsimbe ezisindayo:Kulabo abaphakamisa njalo izinsimbi ezingaphezu kwamakhilogremu angu-20-22.
- Ukubhema: Ukubhema kunciphisa ukuphakelwa kwegazi ezicutshini zomzimba, okunciphisa inqubo yokuphulukiswa.
- Ukukhuluphala ngokweqile: Isisindo somzimba esiningi sibeka ingcindezi eyengeziwe emalungeni nasematheni.
- Eminye imidlalo: Kulabo abadlala imidlalo efana ne-tennis, i-badminton, ne-squash.
Udokotela ukubona kanjani lokhu?
Uma uya kudokotela wakho, uzoqala ngokukubuza ngezimpawu zakho. Ubuhlungu buqale nini, yiziphi izikhathi zosuku ozizwa bubuhlungu kakhulu, futhi yini eyenza bube ngcono? Ngemuva kwalokho uzohlola isandla sakho.
- Ngicindezela isandla sami endaweni ebuhlungu.
- Isandla sakho, indololwane, kanye nesihlakala sakho kugobile futhi kweluliwe ngezindlela ezahlukene.
- Udokotela uzama ukungiphoqa ukuthi ngihambise isandla sami ngokumelene nokucindezela.
Esikhathini esiningi, lokhu kuhlolwa kungahlonza lesi sifo. Kodwa-ke, ngezinye izikhathi, ukuze kugwenywe ezinye izinkinga, ungathunyelwa ezivivinyweni ezinjengalezi:
- I-X-ray: Ukuhlola ezinye izinkinga zamathambo, njenge-arthritis.
- I-Ultrasound Scan: Ukubona ngokucacile ukuthi kukhona yini umonakalo noma ukuqhekeka komsipha.
- I-MRI Scan: Lokhu kusetshenziselwa ukubona isimo sezicubu ngokucacile, ikakhulukazi uma ezinye izindlela zokwelapha zingazange zisize.
- I-EMG (i-Electromyography): Uma kukhona ukusola ukuthi imbangela yobuhlungu ukucindezelwa kwemizwa, lolu vivinyo lwenziwa ukuze luqinisekiswe.
Kulungile, manje ake sixoxe ngokwelashwa.
Into engcono kakhulu nge-tennis elbow ukuthi isikhathi esiningi ayidingi ukuhlinzwa. Ingelashwa ngokwelashwa okulula. Ukwelashwa kungahlukaniswa izingxenye ezimbili.
1. Izinto okufanele uzenze kuqala
Ungaqala lezi zinto ekhaya. Ibizwa ngokuthi indlela ye-RICE.
- R - Ukuphumula: Lena yinto ebaluleke kakhulu. Yeka ngokuphelele umsebenzi obangela ubuhlungu. Ukuvula isandla sakho kunika imisipha ithuba lokuphola.
- I - Iqhwa: Faka iqhwa endaweni ebuhlungu. Beka ama-ice cubes esikhwameni se-polythene, ugoqe ngendwangu, bese uyishiya imizuzu eyi-15-20. Yenza lokhu izikhathi eziningana ngosuku. Lokhu kuzonciphisa ubuhlungu nokuvuvukala.
- C - Ukucindezela: I-brace/strap ekhethekile ingasetshenziswa ukusiza ekunciphiseni ingcindezi emisipheni nokunikeza i-tendon ikhefu.
- E - Ukuphakama: Gcina ingalo yakho ingaphezulu kwesilinganiso senhliziyo yakho noma nini lapho kungenzeka. Ungabeka umcamelo phezulu.
2. Ukwelashwa kwezokwelapha
Uma izindlela zokwelapha zasekhaya zingasizi, udokotela wakho angakuthumela kulezi zinhlobo zokwelapha.
| Indlela yokwelapha | Kwenzekani ngalokhu? |
|---|---|
| Ama-Painkiller | Ungasebenzisa amaphilisi noma amajeli e-NSAID (isib. i-Ibuprofen, i-Diclofenac) ukunciphisa ukuvuvukala njengoba udokotela wakho ekuyalele. Kodwa-ke , ungalokothi uqhubeke nokusebenzisa lokhu ngaphandle kokubonisana nodokotela. |
| Ukwelashwa Komzimba | Lokhu kubaluleke kakhulu. Udokotela wezokwelapha uzokufundisa izivivinyo ezikhethekile zokuqinisa imisipha esandleni sakho nokwandisa ukuguquguquka. Lokhu kungasiza futhi ekuvimbeleni lesi simo ukuthi singaphinde senzeke. |
| Ukwelashwa Nge-Plasma Ecebile Ngama-Plasma (PRP) | Lokhu kuyindlela entsha yokwelapha. Bathatha ingxenye yegazi lakho, bahlukanise amaseli abizwa ngokuthi ama-platelet anamandla okuphulukisa, bese bewafaka endaweni eyonakele yengqiniba yakho. Kufana nomzimba wakho uphulukisa inxeba ngamandla awo. |
| Imijovo ye-Corticosteroid | Lezi imijovo enamandla enciphisa ukuvuvukala. Nakuba zingase zinikeze ukukhululeka kobuhlungu ngokushesha, zingase zingasebenzi kahle esikhathini eside, ngakho odokotela abazincomi kuwo wonke umuntu. |
| Ukuhlinzwa | Ukuhlinzwa kunconywa kuphela kulabo abangazange babe nokuthuthuka ngemva kwezinyanga eziyi-6-12 zokwelashwa okunye futhi abanobuhlungu obukhulu. Lokhu kuhilela ukususa ingxenye ye-tendon eyonakele kanye nokunamathisela kabusha ingxenye ephilile ethanjeni. |
Uyini umehluko phakathi kwe-Tennis Elbow ne-Golfer's Elbow?
Abantu abaningi bayadideka laba ababili. Bobabili baluhlobo lokulimala okunamandla kakhulu endololwaneni. Kodwa indawo yobuhlungu ihlukile.
- I-Tennis Elbow (i-Lateral Epicondylitis): Ubuhlungu buvela ngaphandle kwendololwane.
- I-Golfer's Elbow (Medial Epicondylitis): Ubuhlungu buvela ohlangothini lwangaphakathi lwendololwane.
Kalula nje, uma uphendula isandla sakho bese welula ingalo yakho, ubuhlungu obuzwayo ohlangothini lwesithupha sakho bubizwa ngokuthi i-Tennis Elbow. Ubuhlungu obuzwayo ohlangothini lomunwe wakho omncane bubizwa ngokuthi i-Golfer's Elbow.
Umlayezo Wokuya Nawe Ekhaya
- I-elbow yethenisi yisimo esenzeka lapho umsipha ongemuva kwengqiniba ulimele ngenxa yokunyakaza okuphindaphindiwe. Akugcini kubadlali bethenisi.
- Imbangela eyinhloko yobuhlungu ukusebenzisa isandla ngaphandle kokuphumula. Ngakho-ke, ukuphumula kuyindlela engcono kakhulu neyokuqala yokwelapha.
- Uma ubuhlungu bendololwane buqhubeka isikhathi esingaphezu kwesonto, noma bukhulu ngokwanele ukukuvimbela ekwenzeni imisebenzi yansuku zonke, kufanele nakanjani ubone udokotela.
- Abantu abaningi bangalulama ngokuphelele ngokwelashwa ngokomzimba kanye nokwelashwa okulula. Ukuhlinzwa akuvamile.
- Ukungazinaki izinhlungu kungenza isimo sibe sibi kakhulu. Ngakho-ke, lalela umzimba wakho. Uma uzwa ubuhlungu, kuwuphawu lokuthi uyeke.
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