Samuwar da kuma kula da gwiwar gwiwar wasan tennis

Ma'anar epicondylitis na gefe na humerus

Har ila yau, an san shi da gwiwar hannu na wasan tennis, ƙwayar tsoka na tsokar carpi radialis extensor, ko sprain na abin da aka makala na jijiyar carpi, brachioradial bursitis, wanda kuma aka sani da ciwon epicondyle na gefe. Traumatic aseptic kumburi daga cikin taushi kyallen takarda kewaye da gefen epicondyle na humerus saboda m, na kullum rauni..

Pathogenesis

Yana da alaƙa da sana'a, musamman ma a cikin ma'aikata waɗanda galibi suna jujjuya hannun gaba da mikawa da kuma sassauta haɗin gwiwar gwiwar hannu da wuyan hannu. Yawancin su matan gida ne, kafintoci, masu aikin bulo, masu gyaran kafa, masu aikin famfo, da ’yan wasa.

Drukuni

Shahararrun ɓangarorin biyu na ƙananan ƙarshen humerus sune epicondyles na tsakiya da na gefe, na tsakiya na tsakiya shine abin da aka makala na yau da kullum na tsokoki masu sassaucin ra'ayi na gaba, da kuma epicondyle na gefe shine abin da aka makala na yau da kullum na tsokoki na extensor na gaba. Mafarin farawa na tsokar brachioradialis, jujjuya hannun gaba da ɗanɗana. Mafarin farawa na extensor carpi radialis longus, extensor carpi radialis brevis tsoka, extensor digitorum majoris, extensor digitorum propria na dan yatsa, extensor carpi ulnaris, tsoka mai juyayi.

Pathogen

Farkon maƙarƙashiya yana faruwa ne ta hanyar tsautsayi mai tsanani da kuma mikewa, amma yawancin marasa lafiya suna jinkirin farawa kuma gabaɗaya ba su da tarihin raunin da ya faru, kuma ya zama ruwan dare a cikin manya waɗanda suke buƙatar maimaita jujjuya hannun hannu da kuma mika wuyan hannu da ƙarfi. Hakanan za'a iya murƙushewa ko murɗawa saboda maimaita ƙwanƙolin haɗin gwiwa na wuyan hannu da kuma wuce gona da iri na miƙar wuyan wuyan hannu a abin da aka makala na gefen epicondyle na humerus lokacin da goshin ya kasance a cikin matsayi.

Pilimin lissafi

1.Due zuwa maimaita rauni, a kaikaice epicondyle na tsoka fiber ya tsage da kuma zub da jini, forming wani subperiosteal hematoma, sa'an nan shirya da ossifying, sakamakon periosteitis da kashi hyperplasia na gefe epicondyle na humerus (mafi yawa a cikin nau'i na kaifi gefen nodule). Pathological nama biopsy jarrabawa ne hyaline degeneration ischemia, don haka shi ne kuma ake kira ischemic kumburi. Wani lokaci yana tare da hawaye na jakar haɗin gwiwa, kuma membrane synovial na haɗin gwiwa yana yaduwa kuma yana daɗaɗawa saboda dogon lokaci mai ƙarfafa tsoka.
2.Yaga wurin abin da aka makala ajin extensor. 
3.kumburi mai rauni ko fibrohistolitis na ligament annular. 
4. bursitis na brachioradial hadin gwiwa da extensor gama gari.
5.Kumburi na synovium na humerus da haɗin gwiwa na radial wanda ke haifar da haɗin gwiwa na humerus da ƙananan kai na radius.
6. An kwantar da ligament na humerioradial ligament da kuma rabuwa mai sauƙi na haɗin gwiwa na radial-ulnar na kusa zai iya faruwa, wanda ya haifar da raguwa na radial cephalic head. Wadannan sauye-sauye na cututtuka na iya haifar da ƙwayar tsoka, ciwon daji, zafi mai zafi daga tsokoki na wuyan hannu zuwa ga goshi.

Bayyanar asibiti

1. Jin zafi a waje na haɗin gwiwar gwiwar hannu yana ƙaruwa lokacin da ake nunawa, musamman ma lokacin da ake juya baya, ɗagawa, ja, ƙarewa, turawa da sauran ayyuka, da kuma haskakawa ƙasa tare da tsoka mai extensor na wuyan hannu. A farkon, sau da yawa ina jin zafi da rauni a cikin raunin da ya ji rauni, kuma a hankali na ci gaba da ciwo a waje na gwiwar hannu, wanda yawanci ya tsananta tare da karuwar motsa jiki. (Yanayin ciwon shine ciwo ko tingling)
2.Ana kara tsanantawa bayan an yi aiki da shi kuma ana samun sauki bayan an huta.
3. Jujjuyawar hannu da rauni a cikin riƙe abubuwa, har ma da faɗuwa da abubuwa.

Alamu

1.Lateral humeral epicondyle The posterolateral al'amari na a kaikaice epicondyle na humerus, da sarari na humeral-radial hadin gwiwa, da cephalic cephalic da a kaikaice gefen radial wuyan condyle iya zama palpated, da musculosis da nama nama a kan radial gefen na babba goshi, da kumburi iya zama m. Wasu lokuta ana iya jin gefuna masu kaifi na hyperostosis a gefen epicondyle na humerus, kuma suna da taushi sosai.
2.The Mills gwajin ne tabbatacce. Lankwasa hannunka kaɗan ka yi rabi-hannun hannu, jujjuya wuyan hannu gwargwadon iko, sannan ka jujjuya hannunka sosai sannan ka daidaita gwiwar hannu. Idan ciwo ya faru a gefen gefen haɗin gwiwa na brachioradial lokacin da aka daidaita gwiwar hannu, yana da kyau.
3.Positive extensor resistance test: majiyyaci ya damke hannunsa ya dunkule wuyan hannu, sai mai binciken ya danna bayan hannun mara lafiya da hannunsa don sa majiyyaci ya yi tsayin daka da kuma mika wuyan hannu, kamar ciwon da ke wajen gwiwar gwiwar yana da kyau.
4.X-ray jarrabawa na iya nuna lokaci-lokaci rashin daidaituwa na periosteal, ko ƴan adadin calcification maki a wajen periosteum.

Magani

Maganin Conservative:

1. Dakatar da horo na gida na ƙarfafawa da wuri, kuma wasu marasa lafiya na iya samun sauƙi ta hanyar hutawa ko filasta na gida.
2.Massage far, yi amfani da turawa da fasaha na kneading don kawar da spasm da jin zafi na tsokoki na extensor na gaba, sa'an nan kuma yi amfani da ma'auni da fasaha na kneading a kan gefen epicondyle na humerus da wuraren zafi na kusa.
3. Tuina farfesa, mai haƙuri yana zaune. Likitan yana amfani da mirgina a hankali da durkushewa don yin aiki a baya da wajen gwiwar gwiwar hannu da amsawa tare da gefen dorsal na hannun gaba. Likita yana amfani da titin yatsan yatsa don dannawa da shafa Ah Shi ( epicondyle na gefe), Qi Ze, Quchi, Hand Sanli, Waiguan, Hegu acupoint, da dai sauransu. Mara lafiya yana zaune, kuma likitan ya kwashe majinyacin wurin farawa na extensor carpi da extensor carpi longus da brevis radialis. Ja da mikewa, gwiwar hannu kai tsaye. A ƙarshe, yi amfani da hanyar shafa na tonar don shafa epicondyle na gefe na gwiwar hannu da tsokoki na gaba na gaba, kuma ana amfani da zafin gida har zuwa matakin.
4. Drug magani, na baka wadanda ba steroidal anti-kumburi kwayoyi a cikin m mataki.
5. Magani mara kyau: glucocorticoids (kamar fili betamethasone injection) an allura a cikin ma'auni mai laushi da kuma allura a cikin wurin shigar da tendon da sararin subaponeurosis (kasa da ko daidai da sau 3), wanda zai iya taka rawar anti-mai kumburi da analgesic sakamako, da fili betamethasone da ropivacaine ko kuma yarda da sauri tare da levoacting a halin yanzu. babban titer anti-mai kumburi, kuma mafi aminci, mafi tsayi lokacin toshewa, mafi ƙarancin amsa mai guba da mafi ƙanƙancin raɗaɗin daidaitawar ƙwayoyi don ɓoyewar gida.
6. Maganin acupuncture, ƙaddamarwa yana kusa da saman kashi don ba da nama mai laushi a kusa da tsarin kashi, dredge tsokar wuyan hannu, extensor tsoka tsoka na yau da kullum da tendon na baya, da kuma fitar da wuka tare da ma'anar sako-sako. Maganin tiyata: dace da marasa lafiya waɗanda ba su amsa maganin ra'ayin mazan jiya.

1. Hanyar Jiki & Meleod, aikin ya haɗa da kusan dukkanin kyallen takarda na rauni, ciki har da ƙaddamarwar 2mm epicondyle na gefe, sakin ma'anar farawa na extensor na kowa na yau da kullum, wani ɓangaren ɓangaren ɓangaren na ƙarshen ƙarshen annular ligament, shigar da haɗin gwiwa na humeroradial a cikin haɗin gwiwa na humeroradial a cikin sararin samaniya ko rushewar burbushin sararin samaniya.

2. Hanyar Nischl, hanyar hadar da Carpi Longsor Radialis jijiyoyin, da degensorar raunin da fastocinsu ke damuna ko sake ginawa akan kashi. Ba a ba da shawarar shiga tsakani ba.

Prognosis

Yanayin cutar yana da tsawo kuma yana iya sake dawowa.

Note

1.Bi da hankali don samun dumi kuma kauce wa sanyi;
2.Reduce pathogenic dalilai;
3.Aikin motsa jiki;
4. A cikin mataki mai tsanani, dabarar ta zama mai laushi, kuma a hankali dabarun magani ya kara tsananta wa wadanda suka dade ba su da lafiya, wato dabarar ta kasance mai laushi da tauye, da tausasawa, sannan a hade tauye da laushi.