Gushiraho no kuvura inkokora ya tennis

Ibisobanuro bya epicondylitiliya ya humerus

Uzwi kandi nka Tennis Inkota ya Tennis, Tendon Yagushimishije Karpi Radialis Imitsi, cyangwa sprain yumugereka wa Carpi Tendon, Burtite Gutwika aeptique ya aeptlam ya tissumes yoroshye ibikije epicondyle ya humerus kuberako igikomere gikaze, kidakira.

PATHHOTASIS

Bifitanye isano rya bugufi, cyane cyane kubakozi bakunze kuzenguruka ukuboko no kwagura no kuzinduza inkokora nintoki. Abenshi muribo ni abagore bo mu rugo, ababaji, kubumba amatafari, fireteri, abanyamanli, n'abakinnyi.

Dibasike

Icyamamare ku mpande zombi zimpera zo hepfo ya humerusi ni epicondyle yo hagati kandi yinyuma ni umugereka usanzwe wimitsi ya flexor yumutsima wimitsi yo kwagura ukuboko. Intangiriro yimitsi ya brachioradialis, flex ukuboko kandi ikamera gato. Intangiriro yo kwagura Carpi radial ndende, yagura Carpi radial brevis, yagura digitari ya porpite, yagura umuyoboro wa tarpi ulnaris, imitsi ya tarpi.

Pathogen

Igitako cya conditle giterwa na storain ikaze kandi irambuye, ariko abarwayi benshi bafite itara rigaragara kandi muri rusange bafite amateka akenewe yo guhatira ukuboko inshuro nyinshi amaboko kandi bakagura iyindirimbo zihamye. Irashobora kandi gukomera cyangwa gukumirwa kubera kwagura inzira ya dorsal yasubiwemo akantu hamwe no kurambura cyane kuboko kumugereka wa humerus mugihe ukuboko gukomeye iyo ari kumwanya uhagaze.

Pathology

. Ikizamini cya Tissue cya Biopsy ni Hyaline Degeneration Ischemia, ni ko na byo bitwa ischemic. Rimwe na rimwe, ni iherekejwe n'amarira y'ikikoni cing, kandi inzara ya sinovial yo guhuriza hamwe iragwira kandi yijimye kubera gukangura iminsi mikuru n'imitsi.
2.Tiar kuri Byagutse Tendon. 
3.gutwika gutwikwa cyangwa fibrohistolidilitiliya ya ligamele isanzwe. 
4. Burtitis yingingo ya brachioradial na kwagura tendon isanzwe.
5.Umukino wa Synovium wa Humerus na Radial hamwe biterwa no guhuza Umusaruro n'umutwe muto wa radiyo.
6. Kuruhura Ramioradial Ramioradial kandi Gutandukanya Byoroheje Bya Raximal Radial Radial-Ulnar ihuriweho nayo irashobora kubaho, bikavamo kwigabanya umutware wa Kefali. Iyi mpinduka ya patologiya irashobora gutera imitsi, ububabare bwaho, ububabare bukabije buva mumitsi yagutse ikagera kumuboko.

Kwerekana amavuriro

1.Ububabare hanze yinkokora bukabije iyo biranga, cyane cyane kurambura inyuma, guterura, gukurura, gusunika hasi, no kumurika kumanuka ku mitsi ya Wrist. Mu ntangiriro, akenshi numva ububabare n'intege nke mu ngingo zakomeretse, kandi buhoro buhoro zitera ububabare hanze y'inkokora, ahanini bikabije hamwe no kongera imyitozo. (Imiterere yububabare ni ububabare cyangwa gutitira)
2.Binshingerewe nyuma yo gukora kandi yorohewe nyuma yo kuruhuka.
3.Haritm kuzunguruka n'intege nke mu gufata ibintu, ndetse ukagwa nibintu.

Ibimenyetso

1.Ibitekerezo byinshi byikigereranyo cyihariye cya epicondyle ya humerus, hamwe na ceint ya raphal, hamwe nimpande z'umubiri na paphali, ubwuzu cyangwa ubwuzu. Rimwe na rimwe, impande zikarishye za Hyperossosi zirashobora kumvikana kuri epicondyle iri kuruhande rwa Humerus, kandi ni ubwuzu cyane.
2. Ikirangantego cyumuryango ni cyiza. Fata amaboko yawe gato hanyuma ukore igice-gice, flex ukuboko gushoboka, hanyuma uvuge rwose ikiganza cyawe kandi ugorora inkokora yawe. Niba ububabare bubaho kuruhande rwimyenda ya Brachioradial mugihe inkokora igororotse, ni nziza.
3.Ibizamini byo gukumira kwagura: Umurwayi yaka umuriro agafuni, ahindura ukuboko kwe, maze abasuzuma bahagurukiye ikiganza cye kugira ngo umurwayi akureho kandi akangure ukuboko hanze y'inkokora ari mwiza.
4.x-ray ikizamini irashobora rimwe na rimwe kwerekana ibitagenda neza, cyangwa umubare muto wibintu byo kubara hanze ya perosteum.

Kwivuza

Ducuruza abantu:

1. Hagarika imyitozo yaho ikangurutse hakiri kare, kandi abarwayi bamwe barashobora kubozwa mu kiruhuko cyangwa plaster yaho igabanya compatle.
2.Umuvugizi, Koresha uburyo bwo gusunika no guteka kugirango ugabanye spasm nububabare bwimitsi yagura umunwa, hanyuma ukoreshe umuvuduko ukabije kuri epicondyle yinyuma ya humerus hamwe nububabare bwegereye.
3. Ubuvuzi bwa Tuina, umurwayi yicaye. Muganga akoresha ubwitonzi no guteka kugirango akore inyuma no hanze yinkokora kandi yisubiraho kuruhande rwa dorsal kuruhande rwibiganza. Muganga akoresha igikumwe cyo gukanda no gusiba ah shi (epicondyle ya Ah (Epicondyle), Quchi, umurwayi aratandukana, kandi wa muganga warayobye, nibindi byagutse Carpi Loveus na Brevis radial. Kurura no kurambura, ubaho inkokora. Hanyuma, koresha uburyo bwo guturika kugirango usige Epicondyle yinyuma yinkokora hamwe n'imitsi yo kwagura ukuboko, kandi ubushyuhe bwaho bukoreshwa murwego.
4. Kuvura ibiyobyabwenge, umunwa utari umunwa urwanya ibiyobyabwenge muri infpemmatory muri stade ikaze.
5. Kuvura neza: Glucocorticoide (nko guhuza betathasone inshinge) ziterwa no guteranya amayeri kandi zikaba zirimo stamethasone na ropivaine na leptupianie cyangwa ihuza na legobupivacie kuri ubu bamenyekanye nka Gukora vuba, gukina igihe kirekire, imitwe minini yo kurwanya induru, hamwe nigihe cyizewe, kirekire cyane cyane cyo guhagarika uburozi nububabare buke bwo gusubiranamo ibiyobyabwenge kubibazo byaho.
6. Kuvura Acupuncture, gutenguha biri hafi yuburyo bwo gukuramo amagufwa yoroshye hafi yuburyo, Dredge yagura imitsi, hanyuma akuramo icyuma, akuramo icyuma bukabije. Guvura ubwiti: Birakwiriye abarwayi batitabira ubuvuzi bugamije.

1. Uburyo bwumubiri & Meleod, igikorwa kirimo imyenda hafi ya byose umwanya wa subtondi.

2. Uburyo bwa Nischl, kwaguka muri karpi ndende ya Carpi Long Reditois, hakuweho muri Tendon Carisse Fascia iranyeganyezwa cyangwa yubatswe kumagufwa. Intra-articular intangarugero ntabwo ashyigikiwe.

Prognose

Inzira yindwara ni ndende kandi ikunda kwisubiraho.

Note

1.Uzitondera gukomeza gushyuha no kwirinda gukonja;
2.
3. Imyitozo ngororamubiri;
4. Muri gahunda ikaze, tekinike igomba kwitonda, nubuhanga bwo kuvura bukwiye kwiyongera ku barwayi kuva kera, ni ukuvuga ko tekinike igomba kuba yoroshye hamwe no gukomera, gukomera no kwiyoroshya no kwiyoroshya bigomba guhuzwa.