Gushiraho no kuvura inkokora ya tennis

Ibisobanuro bya epicondylitis yinyuma yigitereko

Bizwi kandi nk'inkokora ya tennis, imitsi ya tendon ya extensor carpi radialis imitsi, cyangwa sprain ya point attachment ya extensor carpi tendon, brachioradial bursitis, izwi kandi nka syndrome ya epicondyle. Ihahamuka rya aseptike yumubiri woroshye ukikije epicondyle yinyuma yigitereko kubera igikomere gikabije, karande.

Indwara

Bifitanye isano cyane nakazi, cyane cyane mubakozi bakunze kuzunguruka ukuboko no kwagura no guhinduranya inkokora hamwe nintoki. Abenshi muribo ni abagore bo murugo, ababaji, ababumba amatafari, abadoda, abapompa, nabakinnyi.

Dissect

Ibyamamare kumpande zombi zimpande zo hepfo yigitereko ni epicondyles yo hagati na kuruhande, epicondyle yo hagati ni uguhuza imitsi isanzwe yimitsi ya flexor yimitsi, naho epicondyle yinyuma ni uguhuza imitsi isanzwe yimitsi yagutse yikiganza. Intangiriro yimitsi ya brachioradialis, hindura ukuboko kandi uvuge gato. Intangiriro yo kwagura carpi radialis longus, kwagura carpi radialis brevis imitsi, extensor digitorum majoris, extensor digitorum propria y'urutoki ruto, extensor carpi ulnaris, imitsi ya supinator.

Pathogen

Intangiriro ya condyle iterwa no kurakara cyane no kurambura, ariko abarwayi benshi bafite gutangira buhoro kandi muri rusange nta mateka agaragara y’ihahamuka, kandi bikunze kugaragara ku bantu bakuze bakeneye kuzunguruka ukuboko no kwagura ukuboko ku ngufu. Irashobora kandi kunyeganyezwa cyangwa guterwa bitewe no kwaguka inshuro nyinshi kwaguka kwamaboko no kurambura bikabije imitsi yintoki ku mugereka wa epicondyle yuruhande rwigitereko mugihe ukuboko kwaribwo buryo bwo kuvuga.

Pimyitozo ngororamubiri

1.Bitewe no gukomeretsa inshuro nyinshi, epicondyle yinyuma ya fibre yimitsi irashwanyagurika kandi ikamena amaraso, ikora hematoma ya subperiosteal, hanyuma igategura kandi ossifike, bikavamo periosteitis hamwe na hyperplasia yamagufa ya epicondyle yinyuma yigitereko (cyane cyane muburyo bwa node ityaye). Isuzuma rya pathologiya tissue biopsy ni hyaline degeneration ischemia, bityo nanone yitwa ischemic inflammation. Rimwe na rimwe, biherekejwe n'amosozi y'isaho ihuriweho, kandi synovial membrane y'urugingo iragwira kandi ikabyimba bitewe no kumara igihe kirekire imitsi.
2. Kurira kuri extensor tendon attachment point. 
3.guhahamuka cyangwa fibrohistolitis ya ligament ya buri mwaka. 
4. bursite ya brachioradial ihuriweho na extensor isanzwe ikunda.
5.Gutwika synovium yigitereko nigitereko cya radial biterwa no guhuza igitereko numutwe muto wa radiyo.
6. Kuruhura ligamenti ya humerioradial no gutandukanya byoroheje guhuza radial-ulnar yegeranye nabyo birashobora kubaho, bikavamo kwimura umutwe wa cephalic. Izi mpinduka zindwara zirashobora gutera imitsi, ububabare bwaho, kumurika ububabare buva mumitsi yagutse yintoki kugeza kumaboko.

Kwerekana ivuriro

1.Ububabare bwo hanze yinkokora bwiyongera mugihe cyo kuvuga, cyane cyane iyo kuzunguruka umugongo winyuma, guterura, gukurura, kurangiza, gusunika nibindi bikorwa, no kumurika hepfo kumitsi yimitsi yintoki. Ku ikubitiro, akenshi numva ububabare n'intege nke mumubiri wakomeretse, kandi buhoro buhoro nkura ububabare hanze yinkokora, ahanini bikabije no kwiyongera kwimyitozo ngororamubiri. (Imiterere y'ububabare ni ububabare cyangwa gutitira)
2.Byongerewe nyuma yo gukora kandi bikoroherwa nyuma yo kuruhuka.
3.Kuzunguruka mbere nintege nke mugufata ibintu, ndetse no kugwa nibintu.

Ibimenyetso

1.Icyerekezo cya humeral epicondyle Uruhande rwinyuma rwicyerekezo cya epicondyle yinyuma yigitereko, umwanya wikibanza cya humeral-radial, cephalic cephalic hamwe nuruhande rwuruhande rwa condyle ijosi rya radiyo irashobora gutoborwa, kandi imitsi hamwe nuduce twinyama kuruhande rwa radiyo yububasha bwo hejuru nabyo birashobora guterwa no kubyimba byoroheje. Rimwe na rimwe, impande zikarishye za hyperostose zirashobora kumvikana kuri epicondyle yinyuma yigitereko, kandi zirangwa n'ubwuzu.
Ikizamini cya Mills ni cyiza. Hindura ukuboko kwawe gato hanyuma ukore kimwe cya kabiri, uhindure ukuboko uko bishoboka kwose, hanyuma uvuge neza ukuboko kwawe hanyuma ugorore inkokora. Niba ububabare bubaye kuruhande rwuruhande rwa brachioradial mugihe inkokora igororotse, nibyiza.
3.Ikizamini cyiza cyo kwaguka: umurwayi yamufashe agafuni maze ahinduranya ukuboko, maze umugenzuzi akanda ikiganza cy’umurwayi n’ukuboko kwe kugira ngo umurwayi arwanye kandi anagure ukuboko, nk’ububabare bwo hanze y’inkokora ni bwiza.
Isuzuma rya X-ray rishobora rimwe na rimwe kwerekana periosteal idasanzwe, cyangwa umubare muto wo kubara hanze ya periosteum.

Umuti

Kuvura abagumyabanga:

1. Hagarika imyitozo yaho yo gukangura hakiri kare, kandi abarwayi bamwe barashobora kuruhuka kuruhuka cyangwa condyle ya plaster yaho.
2.Ubuvuzi bwa massage, koresha uburyo bwo gusunika no gukata kugirango ugabanye spasm nububabare bwimitsi yimitsi yagutse yikiganza, hanyuma ukoreshe igitutu cya point hamwe nubuhanga bwo gukata kuri epicondyle yinyuma yigitereko hamwe nububabare hafi.
3. Ubuvuzi bwa Tuina, umurwayi aricara. Muganga akoresha kuzunguruka no gukata neza kugirango akore inyuma no hanze yinkokora no kwisubiraho kuruhande rwa dorsal yukuboko. Muganga akoresha urutoki kugirango akande kandi akubite Ah Shi (epicondyle kuruhande), Qi Ze, Quchi, Hand Sanli, Waiguan, Hegu acupoint, nibindi. Umurwayi aricaye, kandi umuganga akuramo aho umurwayi atangirira ya carpi na extensor carpi longus na brevis radialis. Kurura kandi urambure, inkokora nzima. Hanyuma, koresha uburyo bwo guswera noneho kugirango usige epicondyle yuruhande rwinkokora hamwe n imitsi yaguka yikiganza, kandi ubushyuhe bwaho bukoreshwa kurwego.
4. Kuvura ibiyobyabwenge, imiti yo mu kanwa itari steroidal anti-inflammatory murwego rukomeye.
5. Ubuvuzi bwihariye: glucocorticoide (nko gutera inshinge za betamethasone) baterwa mumasoko hanyuma bagaterwa mumwanya wa enteron hamwe na subaponeurose (munsi cyangwa inshuro 3), bishobora gukinisha anti-inflammatory na analgesic, hamwe na betamethasone hamwe na ropivacaine cyangwa bihuza na levobupivacaine. igihe cyizewe, kirekire cyane cyo guhagarika, byibuze uburozi nububabare buke bwo kongera imiti ihuza imiti.
. Ubuvuzi bwo kubaga: bubereye abarwayi batitabira kwivuza.

.

. igufwa. Uruhare rwimbere muri arctular ntabwo rushyigikiwe.

Prognose

Inzira yindwara ni ndende kandi ikunda kugaruka.

Note

1. Witondere gukomeza gushyuha no kwirinda gukonja;
2.Gabanya ibintu bitera indwara;
3. Imyitozo ikora;
4.Mu cyiciro gikaze, tekinike igomba kwitonda, kandi tekinike yo kuvura igomba kwiyongera buhoro buhoro kubarwayi barwaye igihe kirekire, ni ukuvuga ko tekinike igomba kuba yoroshye hamwe no gukomera, gukomera hamwe nubwitonzi, no gukomera no koroshya bigomba guhuzwa.