Samar da kuma maganin gwiwar hannu na wasan tennis

Ma'anar epicondylitis na lateral na humerus

Wanda kuma aka sani da gwiwar hannu ta tennis, nau'in tsokar tsokar extensor carpi radialis, ko kuma kashin bayan wurin da aka haɗa da jijiyar extensor carpi, brachioradial bursitis, wanda kuma aka sani da lateral epicondyle syndrome. Kumburi mai rauni na ƙwayoyin taushi da ke kewaye da lateral epicondyle na humerus saboda rauni mai tsanani da na yau da kullun..

Cututtukan da ke haifar da cutar

Yana da alaƙa da aiki, musamman ma'aikata waɗanda galibi ke juya hannunsu da kuma miƙa gwiwar hannu da haɗin gwiwar hannu da wuyan hannu. Yawancinsu matan gida ne, kafintoci, masu gyaran bulo, masu gyaran famfo, da 'yan wasa.

Dƙungiya

Fitowar da ke gefen ƙasan humerus sune epicondyles na tsakiya da na gefe, epicondyle na tsakiya shine mannewar jijiyar gama gari na tsokoki masu lankwasa na gaba, kuma epicondyle na gefe shine mannewar jijiyar gama gari na tsokoki masu lankwasa na gaba. Farkon tsokar brachioradialis, lankwasa gaba da baya kaɗan. Farkon wurin farawa na extensor carpi radialis longus, extensor carpi radialis brevis tsoka, extensor digitorum majoris, extensor digitorum propria na ƙaramin yatsa, extensor carpi ulnaris, supinator tsoka.

Pathogen

Ciwon condyle yana faruwa ne sakamakon katsewar gwiwa da miƙewa, amma yawancin marasa lafiya suna da saurin farawa kuma gabaɗaya ba su da tarihin rauni a bayyane, kuma ya fi yawa a cikin manya waɗanda ke buƙatar juyawa da hannu akai-akai da kuma miƙa wuyan hannu da ƙarfi. Haka kuma ana iya matsa shi ko kuma a jike shi saboda tsawaitawa ta baya na haɗin wuyan hannu akai-akai da kuma miƙewa da yawa na jijiyar wuyan hannu a lokacin da aka haɗa epicondyle na gefe na humerus lokacin da hannun gaba yake a matsayin lanƙwasa.

Pilimin tauhidi

1. Saboda yawan rauni, epicondyle na gefen tsoka yana yagewa kuma yana zubar da jini, yana samar da hematoma na subperiosteal, sannan ya tsara kuma ya zama mai kauri, wanda ke haifar da periosteitis da hyperplasia na ƙashi na epicondyle na lateral na humerus (galibi a cikin siffar nodule mai kaifi). Binciken biopsy na kyallen cuta shine ischemia na lalacewar hyaline, don haka ana kiransa kumburi na ischemic. Wani lokaci yana tare da tsagewar jakar haɗin gwiwa, kuma membrane na synovial na haɗin gwiwa yana ƙaruwa kuma yana kauri saboda ƙarfafawa na dogon lokaci daga tsoka.
2. Yagewa a wurin haɗewar jijiyar extensor. 
3.kumburi mai rauni ko fibrohistolitis na jijiyar annular. 
4. bursitis na haɗin gwiwa na brachioradial da jijiyar extensor na gama gari.
5. Kumburin synovium na humerus da haɗin radial wanda ya faru sakamakon haɗin humerus da ƙaramin kan radius.
6. Sake kwantar da jijiyoyin humerioradial da kuma rabuwar haɗin gwiwa na proximal radial-ulnar suma na iya faruwa, wanda ke haifar da karkacewar kan radial cephalic. Waɗannan canje-canjen cututtuka na iya haifar da ciwon tsoka, ciwon da ke faruwa a wuri guda, da kuma fitar da zafi daga tsokoki na wuyan hannu zuwa ga hannun dama.

Gabatarwar asibiti

1. Ciwon da ke wajen haɗin gwiwar hannu yana ƙaruwa lokacin da ake juyawa baya, ɗagawa, ja, ƙarewa, turawa da sauran ayyuka, da kuma yin walƙiya ƙasa tare da tsokar da ke ƙara ƙarfin wuyan hannu. Da farko, sau da yawa ina jin zafi da rauni a cikin gaɓɓan da suka ji rauni, kuma a hankali ina jin zafi a wajen gwiwar hannu, wanda galibi yakan tsananta tare da ƙaruwar motsa jiki. (Yanayin ciwon shine ciwo ko ƙaiƙayi)
2. Yana ƙara ta'azzara bayan aiki tukuru kuma yana raguwa bayan hutu.
3. Juyawa a gaban kafada da rauni wajen riƙe abubuwa, har ma da faɗuwa da abubuwa.

Alamomi

1. Epicondyle na Humeral na gefe Ana iya taɓa ɓangaren posterolateral na epicondyle na gefe na humerus, sararin haɗin humeral-radial, cephalic cephalic da gefen gefe na radial neck condyle, kuma tsoka da kyallen nama a gefen radial na sama na hannu suma ana iya taɓa su da ɗan kumburi, taushi ko tauri. Wani lokaci ana iya jin gefunan hyperostosis masu kaifi a epicondyle na gefe na humerus, kuma suna da taushi sosai.
2. Gwajin Mills ya nuna cewa yana da kyau. Lanƙwasa hannunka kaɗan ka yi rabin hannu, ka lanƙwasa wuyan hannunka gwargwadon iyawa, sannan ka ɗaga hannunka gaba ɗaya ka miƙe gwiwar hannunka. Idan ciwo ya faru a gefen haɗin brachioradial lokacin da aka miƙe gwiwar hannu, to yana da kyau.
3. Gwajin juriyar extensor mai kyau: majiyyacin ya matse hannunsa ya lanƙwasa wuyan hannunsa, kuma mai duba ya matse bayan hannun majiyyacin da hannunsa don sa majiyyacin ya ƙi juriya ya kuma faɗaɗa wuyan hannu, kamar yadda ciwon da ke wajen gwiwar hannu yake da kyau.
4. Gwajin X-ray na iya nuna rashin daidaituwar periosteal a wasu lokutan, ko kuma ƙaramin adadin wuraren calcification a wajen periosteum.

Magani

Maganin Conservative:

1. Dakatar da horon motsa jiki na gida da wuri, kuma wasu marasa lafiya za su iya samun sauƙi ta hanyar hutawa ko kuma amfani da na'urar hana motsi ta plaster condyle.
2. Maganin tausa, yi amfani da dabarun turawa da dunkulewa don rage raɗaɗi da rage radadi na tsokoki na extensor na hannu, sannan a yi amfani da dabarun matsi da dunkulewa a kan epicondyle na gefe na humerus da wuraren ciwo na kusa.
3. Maganin Tuina, majiyyaci yana zaune. Likitan yana amfani da birgima da durƙusawa a hankali don yin aiki a baya da wajen gwiwar hannu sannan ya yi aiki a gefen baya na hannun hannu. Likitan yana amfani da ƙarshen babban yatsan hannu don dannawa da shafa Ah Shi (epicondyle na gefe), Qi Ze, Quchi, Hand Sanli, Waiguan, Hegu acupoint, da sauransu. Majiyyaci yana zaune, kuma likita yana cire wurin farawa na majiyyaci na extensor carpi da extensor carpi longus da brevis radialis. Ja da miƙewa, gwiwoyi masu rai. A ƙarshe, yi amfani da hanyar shafa nanar don shafa epicondyle na gefe na gwiwar hannu da tsokoki na extensor na hannun hannu, kuma ana amfani da zafin gida zuwa matakin.
4. Maganin magani, magungunan hana kumburi marasa steroid a baki a matakin gaggawa.
5. Maganin toshewar jijiyoyi: Ana allurar glucocorticoids (kamar allurar betamethasone mai hade) a cikin wurin da ya yi laushi sannan a allurar a cikin wurin saka jijiya da kuma sararin subaponeurosis (kasa da ko daidai yake da sau 3), wanda zai iya yin tasirin hana kumburi da rage zafi, kuma an san cewa betamethasone da ropivacaine ko kuma dacewa da levobupivacaine a matsayin masu aiki da sauri, masu aiki na dogon lokaci, masu yawan hana kumburi, kuma mafi aminci, mafi tsayi lokacin toshewa, mafi ƙarancin guba da kuma mafi ƙarancin jin zafi da ya dace da maganin rufewa na gida.
6. Maganin acupuncture, yankewar yana kusa da saman ƙashi don cire nama mai laushi da ke mannewa a kusa da tsarin ƙashi, a cire tsokar wuyan hannu ta extensor, tsokar yatsan hannu da jijiyar supinator, sannan a cire wukar da jin sassauci. Maganin tiyata: ya dace da marasa lafiya waɗanda ba sa amsawa ga magani mai kyau.

1. Hanyar Body & Meleod, tiyatar ta shafi kusan dukkan kyallen raunuka, ciki har da cire epicondyle na gefe na 2mm, sakin wurin farawa na jijiyar extensor common, yanke wani ɓangare na ƙarshen kusanci na ligament na annular, shigar da haɗin humeroradial cikin synovium, da kuma cire kyallen granulation ko bursa a cikin sararin da ke ƙarƙashin tendinous.

2. Hanyar Nischl, jijiyar extensor da jijiyar extensor carpi longus radialis suna rabuwa a tsayi, an fallasa jijiyar extensor carpi radialis brevis, an cire wurin sakawa daga tsakiyar epicondyle na gefe, an share kyallen jijiyar da ta lalace, an cire wani ɓangare na ƙashi a gaba, sannan a dinka ko a sake gina jijiyar da ta rage da fascia da ke kewaye a kan ƙashi. Ba a ba da shawarar shiga cikin ƙashi ba.

Prognosis

Cutar tana da tsayi kuma tana iya sake dawowa.

Note

1. Kula da dumi da kuma guje wa sanyi;
2. Rage abubuwan da ke haifar da cututtuka;
3. Motsa jiki na aiki;
4. A matakin gaggawa, ya kamata a yi amfani da dabarar a hankali, kuma a hankali tsarin magani zai ta'azzara ga waɗanda suka daɗe suna rashin lafiya, wato, ya kamata a yi amfani da dabarar a hankali tare da tauri, a yi amfani da tauri tare da tauri, sannan a haɗa tauri da tauri.