Ukubuka konke okuyisisekelo kokulimala okungapheli kwesistimu yemoto
Ukulimala okungapheli kwesistimu ye-motor kubhekisela ekulimazeni okungapheli kwezicubu ezithintekayo kwezemidlalo (ithambo, i-joint, imisipha, i-tendon, i-ligament, i-bursa kanye nemithambo yegazi ehlobene nezinzwa) okubangelwa ukucindezeleka kwendawo okubangelwa ukuma kwesikhathi eside, okuphindaphindiwe nokuqhubekayo futhi ukunyakaza komsebenzi.Kuyiqembu lezilonda zomtholampilo ezivamile.Ukubonakaliswa kwe-pathological kwakuyi-hypertrophy kanye ne-hyperplasia njengesinxephezelo, kulandelwa ukubola, ukukhala okuncane, ukunqwabelana nokubambezeleka.Phakathi kwazo, ukulimala okungapheli kwezicubu ezithambile ezimelelwe i-tendinopathy kanye nokulimala okungapheli okumelelwe i-osteoarthritis yizona ezivame kakhulu.
Lapho umzimba womuntu unezifo ezingapheli, noma izinguquko eziwohlokayo, zinganciphisa ikhono lokuzivumelanisa nokucindezeleka;Ukukhubazeka kwendawo kungandisa ukucindezeleka kwendawo;Ukugxila ekucindezelekeni kungabangelwa ukunganaki emsebenzini, ukungakwazi ukusebenza kahle kwezobuchwepheshe, ukuma okungalungile, noma ukukhathala, okuyizimbangela zokulimala okungapheli.Abasebenzi bezimboni zezandla nezisetshenziswa kancane, abasebenzi bezemidlalo, abadlali bemidlalo yaseshashalazini kanye ne-acrobatic, izisebenzi zedeski kanye nomama basekhaya yibona abathambekele kakhulu kulolu hlobo lwesifo.Ukufingqa, iqembu lezigameko likhulu impela.Kodwa ukulimala okungapheli kungavinjelwa.Ukwenzeka nokuphindaphinda kufanele kuvinjwe futhi kuhlanganiswe nokuvimbela nokwelashwa ukuze kwandiswe ukusebenza kahle.Ukwelashwa okukodwa akuvimbeli, izimpawu zivame ukubuyela emuva, umbhali ophindaphindiwe, ukwelashwa kunzima kakhulu.Lesi SIFO sibangelwa ukuvuvukala okulimazayo okungapheli, ngakho-ke isihluthulelo sokwelashwa ukukhawulela isenzo esilimazayo, ukulungisa isimo esibi, ukuqinisa amandla emisipha, ukugcina umsebenzi ongenasisindo we-joint futhi uguqule ukuma njalo ukuze uhlakaze. ukucindezeleka.
Ukuhlukaniswa kokulimala okungapheli kwesistimu yemoto
(1) Ukulimala okungapheli kwezicubu ezithambile: ukulimala okungapheli kwemisipha, i-tendon, i-tendon sheath, i-ligament kanye ne-bursa.
(2) Ukulimala kwethambo okungapheli: ikakhulukazi kubhekisela ekwephukeni kokukhathala esakhiweni samathambo kuhle futhi kulula ukukhiqiza ukugxila kokucindezeleka.
(3) Ukulimala okungapheli kwe-cartilage: kufaka phakathi ukulimala okungapheli kwe-articular cartilage kanye ne-epiphyseal cartilage.
(4) I-peripheral nerve entrapment syndrome.
Ukubonakaliswa komtholampilo kokulimala okungapheli kwesistimu yemoto
(1) Ubuhlungu besikhathi eside engxenyeni yesiqu noma isitho, kodwa akukho mlando osobala wokuhlukumezeka.
(2) Kunamabala amathenda noma uquqaba ezingxenyeni ezithile, ngokuvamile ezihambisana nezimpawu ezithile ezikhethekile.
(3) Ukuvuvukala kwendawo kwakungabonakali.
(4) Umlando wakamuva we-hyperactivity ehlobene nesayithi lobuhlungu.
(5) Ezinye iziguli zazinomlando wemisebenzi nezinhlobo zomsebenzi ezingase zidale ukulimala okungapheli.
Indima ye-PRP ekulimaleni okungapheli
Ukulimala kwezicubu okungapheli kuyisifo esivamile futhi esivamile ekuphileni kwansuku zonke.Izindlela zokwelapha zendabuko zinezinkinga eziningi kanye nemiphumela emibi, futhi ukwelashwa okungalungile kuzoba nomthelela omubi ku-prognosis.
Ama-platelet kanye nezici ezihlukahlukene zokukhula ku-PRP, kanye nokusebenzisana kwabo, baye bavula imibono emisha kulo mkhakha ngokuhlinzeka ngephoyinti lokunamathisela lokunamathela kweseli, ukusheshisa inqubo yokubuyisela umzimba wezicubu, ukunciphisa ubuhlungu, nokuhlinzeka ngokulwa nokuvuvukala nokulwa nokuvuvukala. izakhiwo ezisebenzayo zokutheleleka.
Ukuqina kwemisipha kuwukulimala okuvamile kwezemidlalo.Ukwelashwa kwendabuko kusekelwe ekwelapheni ngokomzimba: njengeqhwa, ukubhuleka, ukubhucunga nokunye.I-PRP ingasetshenziswa njenge-adjuvant therapy yokucindezeleka kwemisipha ngenxa yokuphepha kwayo okuhle nokukhuthaza ukuvuselelwa kweseli.
I-Tendon iyingxenye yokudlulisela yesistimu yokunyakaza, ejwayele ukulimala nokucindezeleka okungapheli.Izicubu ze-tendon, ezakhiwe ngama-tendinocyte, i-fibrous collagen namanzi, azinawo ukunikezwa kwegazi okukodwa, ngakho-ke uphulukisa kancane ngemva kokulimala kunezinye izicubu ezixhumeneyo.Ucwaningo lwe-Histological of the izilonda lubonise ukuthi ama-tendon awonakele awazange abe nokuvuvukala, kodwa ukuthi izinqubo ezijwayelekile zokulungisa, kuhlanganise ne-fibrogenesis kanye ne-vascularization, zazilinganiselwe.Izicubu ezibomvu ezakhiwe ngemva kokulungiswa kokulimala kwe-tendon nazo zingathinta umsebenzi wayo futhi zingase ziholele ekuqhumeni kwe-tendon futhi.Izindlela zokwelapha zendabuko zivame ukugcinwa isikhathi eside futhi zihlinzekwe ukuphuka kwe-tendon acute.Indlela evame ukusetshenziswa yomjovo wendawo we-glucocorticoid ingasiza ekudambiseni izimpawu, kodwa ingaholela ekuwohlokeni kwe-tendon kanye nezinguquko zesakhiwo.Ngocwaningo olwengeziwe, kutholakale ukuthi izici zokukhula zidlala indima ebalulekile ekulungiseni i-ligament, bese i-PRP izama ukukhuthaza noma ukusiza ukwelashwa kokulimala kwe-tendon, ngomphumela ophawulekayo nokuphendula okuqinile.
(Okuqukethwe yile ndatshana kuphrintwe kabusha, futhi asinikezeli nganoma yisiphi isiqinisekiso esicacile noma esishiwoyo sokunemba, ukwethembeka noma ukuphelela kokuqukethwe okuqukethwe kulesi sihloko, futhi asinasibopho ngemibono yalesi sihloko, sicela uqonde.)
Isikhathi sokuthumela: Oct-20-2022