Zvinhu zvepfungwa uye zvekunze zvine chokuita ne tendinopathy
Tendons ndiwo matambo emagetsi ezvisikwa anonamatira misungo kumapfupa. Tendons kutengesa simba kubva musumbu kusvika pfupa kuitira kuti masangano aende. Mamwe maitiro, asi kwete ose, akafukidzwa nehadzi. Madziro emukati emukati anobudisa zvishoma zvigadziri (synovial fluid), iyo inobatsira tete kuti iende pachena.
Nekukwegura, tete dzinoita zvishoma nezvishoma uye dzakasununguka, zvichiita kuti dziwedzere kukuvara.
Kazhinji, pane zvitatu zvetendon zvinetso: tendinitis , tenosynovitis, uye cyst ganglion. Tendinitis ndiko kuputika kwetendon. Tenosynovitis kuputika kwetendon sheath. Krisst ganglion ndiko kuunganidza mvura inenge iri mukati me tendon sheath.
Tendinopathy, izwi rinoreva kushungurudzika kwetendon, kazhinji inosanganisira chikwata chinokanganisa (kunyanya supraspinatus) uye biceps brachii tendons mufudzi, forearm extensor uye flexor tendons muforuti, tete patella mumabvi, Achilles tendon mu gumbo rezasi, uye tibialis posterior tendon mumakumbo netsoka.
Chii Chinokonzera Tendinitis?
Kuvhiringidza kwetendon kunogona kukonzerwa nekuitazve kudzokorora, kushanda kwenguva yakareba, kuedza, kusagadzikana kwekutsvaga, kugadzikana kwepamusoro (kugara mune imwe nzvimbo kwenguva yakareba), kudengenyeka, kana kushungurudzika kupi zvako. Pasi pemamiriro ezvinhu aya, mahwendefa evanhu vanovhiringidzika vanogona kuparadzanisa, zvakadai sedambo rinopera kana risina kuiswa.
Kwekanguva, nguva yakawanda iyo inenge isina kupiwa mukana wekuporesa kuva yakasviba, isina kumira, uye zvichida yakasimba zvachose.
Chii Chinokonzera Tenosynovitis?
Kuvhiringidza kwetendon sheath kunoitika apo kugadzirwa kunogadzirwa hakukwanisi, zvichienderana nehuwandu kana hutano. Kudzokorora kana kuita kwenguva yakareba, kushanda nesimba, kutadza kana kumira kwakasimba, kudengenyeka kana kushungurudzika kwepanyika kunogona kuita kuti kugadzirisa zvirwere zvive kusakosha, zvichiita kuti kupesana pakati pe tendon uye tendon sheath.
Kudzokorora kwemazino gumiosynovitis kunogona kukonzera kuumbwa kwehuturu hwemagetsi, kuwedzerwa kwemukati, uye kufambisa kwechiremera chetoni yakakanganiswa.
Chii Chinokonzera Ganglion Cyst Kukura?
Makondohoni emakondohoni anotumbuka kubva mumuviri wekubatana kana muchero wetendon. Kirasi ye ganglion ine yakasviba, yakasviba-semvura inenge yakafanana nemvura inowanikwa mujoini (synovial fluid). Kazhinji, ma cysts echikwata anowanikwa muhangu kana maoko asi zvinogona kuitika kune tsoka. Gangsty cysts dzinowanzobatanidzwa nekuwedzera kwebasa kana kudzoka zvakare.
Zvinokonzerwa neChirwere cheTendinopathy
Kunze kwezvinhu zvinokonzerwa nekunaka kwemaitiro anokonzera tendinopathy (tendon disorders), vatsvakurudza vakaratidza kuti zvimwe zvinhu zvinokonzerwa zvingangove zvinosanganiswa, zvakadai sezvirwere zvemagetsi (kurema, chirwere cheshuga mellitus, kukonzerwa kweropa, kuwedzera serum lipid, uye hyperuricemia ). Kuwedzera kweropa yepamusoro kwave kuchibatanidza kuwirirana ne tendinopathy kune vakadzi chete. Diabetes mellitus yakaratidza kushamwaridzana kwevarume vane makore pasi pe44.
Zvimwe zvirwere izvo zvakawanikwa zvichibatanidzwa ne tendinopathy zvinosanganisira zvirwere zve-systemic, zvirwere zvehutano, zvirwere zvinotapukira, chirwere chisingaperi chinonzi renal, psoriasis, systemic lupus erythematosus , hyperparathyroidism, uye hyperthyroidism.
Uye, sezvaunogona kutarisira, tendinopathy ingangoguma ekukwegura mune dzimwe nguva.
Kubva kwezvinowedzera kuwedzera kweminwe kunowanikwa uye kunokonzera kusagadzikana kwerheumatoid arthritis . Tenosynovectomy (kubviswa kushandiswa kwetendon sheath) inobatsira zvikuru pakudzivirira tambo inoputika asi hazvisi nyore kuona avo vari pangozi. Kugadziriswa kwekuputsika kwematoni kazhinji kunokundikana kudzorera kuzerera kwakakwana.
Sources:
Pathogenesis ye tendinopathies: kuvhiringidza kana kupera? Abate M. et al. Arthritis Research & Therapy. June 30, 2009.
https://arthritis-research.biomedcentral.com/articles/10.1186/ar2723
Tendon Matambudziko. Canadian Center for Occupational Health and Safety. CCOH. December 16, 2010.
http://www.ccohs.ca/oshanswers/diseases/tendon_disorders.html
Ganglion Cysts. E-Hand.com. The Electronic Textbook of Hand Surgery.
http://www.eatonhand.com/hw/hw013.htm
Kuchengetedza kwekuwedzera kwetendon kuparara mu rheumatoid arthritis. Rheumatology. Williamson L. et al. Gumiguru 25, 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