Inkcazo esisiseko yokulimala okungapheliyo kwenkqubo yeemoto
Ukulimala okungapheliyo kwenkqubo yemoto kubhekiselele kumonzakalo ongapheliyo wezicubu ezibandakanyekayo kwimidlalo (ithambo, idibeneyo, imisipha, i-tendon, i-ligament, i-bursa kunye nemithambo yegazi ehambelanayo kunye nemithambo-luvo) okubangelwa uxinzelelo lwendawo olubangelwa kukuhamba kwexesha elide, ngokuphindaphindiweyo kunye nokuqhubekayo kwaye iintshukumo zomsebenzi.Liqela lezilonda eziqhelekileyo zeklinikhi.Ukubonakaliswa kwe-pathological kwakuyi-hypertrophy kunye ne-hyperplasia njengembuyekezo, ilandelwa yi-decompensation, ukukrazula okuncinci, ukuqokelela kunye nokulibaziseka.Phakathi kwabo, izicubu ezithambileyo zokulimala okungapheliyo zimelelwe yi-tendinopathy kunye ne-cartilage yokulimala okungapheliyo okumelelwa yi-osteoarthritis yeyona nto ixhaphakileyo.
Xa umzimba womntu unezifo ezingapheliyo, okanye utshintsho oluphazamisayo, lunokunciphisa ukukwazi ukulungelelanisa uxinzelelo;Ukukhubazeka kwendawo kunokwandisa uxinzelelo lwasekuhlaleni;Uxinzelelo lwexinzelelo lunokubangelwa ukungakhathaleli emsebenzini, ukungasebenzi kakuhle kwezobugcisa, ukungahambi kakuhle, okanye ukukhathala, zonke izizathu zokulimala okungapheliyo.Abasebenzi kwimizi-mveliso yezandla kunye ne-semi-mechanized, abasebenzi bezemidlalo, abadlali be-theater kunye ne-acrobatic, abasebenzi bedesksi kunye nabasetyhini basekhaya ngabona baxhaphake kakhulu kulolu hlobo lwesifo.Ukushwankathela, iqela lezehlo likhulu kakhulu.Kodwa ukulimala okungapheliyo kunokuthintelwa.Ukwenzeka kunye nokuphindaphinda kufuneka kuthintelwe kwaye kudibaniswe nokuthintela kunye nonyango ukunyusa ukusebenza.Unyango olulodwa aluthinteli, iimpawu zivame ukuphindaphinda, umbhali ophindaphindiweyo, unyango lunzima kakhulu.Esi SIFO sibangelwa ukuvuvukala okungapheliyo okulimazayo, ngoko ke isitshixo sonyango kukukhawulela isenzo esilimazayo, ukulungisa isimo esibi, ukuqinisa amandla emisipha, ukugcina umsebenzi ongenakuthwala ubunzima kunye nokutshintsha i-posture rhoqo ukusabalalisa. uxinzelelo.
Ukuhlelwa kokulimala okungapheliyo kwenkqubo yeemoto
(1) Ukulimala okungapheliyo kwezicubu ezithambileyo: ukulimala okungapheliyo kwemisipha, i-tendon, i-tendon sheath, i-ligament kunye ne-bursa.
(2) Ukulimala kwamathambo okungapheliyo: ngokuyininzi kubhekiselele ekuqhekekeni kokukhathala kwisakhiwo samathambo silungile kwaye kulula ukuvelisa uxinzelelo loxinzelelo.
(3) Ukulimala okungapheliyo kwe-cartilage: kubandakanywa nokulimala okungapheliyo kwe-articular cartilage kunye ne-epiphyseal cartilage.
(4) I-peripheral nerve entrapment syndrome.
Ukubonakaliswa kweklinikhi yokulimala kwenkqubo yemoto engapheliyo
(1) Ubuhlungu bexesha elide kwinxalenye yesiqu okanye umlenze, kodwa akukho mlando ocacileyo wokwenzakala.
(2) Kukho amabala ethenda okanye iindimbane kwiindawo ezithile, ngokufuthi zikhatshwa ziimpawu ezithile ezikhethekileyo.
(3) Ukuvutha kwendawo kwakungabonakali.
(4) Imbali yakutshanje ye-hyperactivity ehambelana nendawo yentlungu.
(5) Ezinye izigulane zinembali yemisebenzi kunye neentlobo zomsebenzi ezinokubangela ukulimala okungapheliyo.
Indima ye-PRP kwingozi engapheliyo
Ukulimala kwezicubu ezingapheliyo sisifo esiqhelekileyo kwaye sihlala sihlala kubomi bemihla ngemihla.Iindlela zonyango zemveli zineengxaki ezininzi kunye nemiphumo emibi, kwaye unyango olungafanelekanga luya kuba nefuthe elibi kwi-prognosis.
IiPlatelets kunye nezinto ezahlukeneyo zokukhula kwi-PRP, kunye nokusebenzisana kwazo, ziye zavula iingcamango ezintsha kule ntsimi ngokubonelela ngenqaku lokunamathisela kwi-cell adhesion, ukukhawuleza inkqubo yokubuyisela umzimba wezicubu, ukunciphisa intlungu, kunye nokubonelela nge-anti-inflammatory and anti- usulelo ukusebenza iimpawu.
Ukunyanzeliswa kwemisipha yinto eqhelekileyo yokulimala kwezemidlalo.Unyango lwesintu lusekelwe kunyango lomzimba: njenge-ice, i-braking, i-massage njalo njalo.I-PRP ingasetyenziselwa njengonyango lwe-adjuvant ye-muscle strain ngenxa yokhuseleko oluhle kunye nokukhuthaza ukuvuselelwa kweeseli.
I-Tendon yinxalenye yokudluliselwa kwenkqubo yokunyakaza, ejongene nokulimala koxinzelelo kunye noxinzelelo olungapheliyo.Izicubu ze-tendon, ezenziwe nge-tendinocytes, i-collagen ye-fibrous kunye namanzi, ayinalo igazi layo, ngoko ke iphilisa ngokukhawuleza emva komonakalo kunezinye izicubu ezixhamlayo.Izifundo ze-Histological zezilonda zibonise ukuba i-tendon eyonakalisiweyo yayingekho ukuvuvukala, kodwa ukuba iinkqubo eziqhelekileyo zokulungisa, kuquka i-fibrogenesis kunye ne-vascularization, yayilinganiselwe.Izicubu ezinqabileyo ezenziwe emva kokulungiswa kokulimala kwe-tendon nazo zinokuchaphazela umsebenzi wayo kwaye zingakhokelela ekuqhekekeni kwe-tendon kwakhona.Iindlela zonyango zemveli zithande ukuba zigcinwe ixesha elide kunye notyando lokuqhambuka kwe-tendon.Indlela esetyenziswa ngokuqhelekileyo yenaliti ye-glucocorticoid yendawo inokunceda ukukhulula iimpawu, kodwa inokukhokelela kwi-tendon atrophy kunye notshintsho lwesakhiwo.Ngophando olongezelelweyo, kwafunyaniswa ukuba izinto zokukhula zidlala indima ebalulekileyo kwinkqubo yokulungiswa kwe-ligament, kwaye ke i-PRP yazama ukukhuthaza okanye ukuncedisa unyango lokulimala kwe-tendon, kunye nesiphumo esibalulekileyo kunye nokuphendula okunamandla.
(Imixholo yeli nqaku ishicilelwe, kwaye asiboneleli nasiphi na isiqinisekiso esicacileyo okanye esichaziweyo sokuchaneka, ukuthembeka okanye ukugqibelela kokuqulathwe kweli nqaku, kwaye abanaxanduva ngezimvo zeli nqaku, nceda uqonde.)
Ixesha lokuposa: Oct-20-2022