Maimoatanga Tūke Tēnehi Whai Hua mō te Whakaora Tuturu
Ko te mamae tonu i waho o tō tuke, ka kino haere i te hopu me te hiki, ka pai te urupare ki te maimoatanga tika o te tuke tēnehi. Ahakoa tōna ingoa, ko te nuinga o ngā take o te tuke tēnehi kāore e puta i roto i ngā kaitākaro tēnehi—ko te nekehanga auau o te ringaringa me te ringa ka taea te whakaputa i tēnei āhuatanga noa. E kiia ana hoki ko te epicondylitis taha, ko te tuke tēnehi e pā ana ki ngā uaua e piri ana ki te tuke o waho, ā, ko te maimoatanga whai hua ka aro ki te mamae tonu me ngā take taketake.
I Madison Medical, ka whakaratohia e ā mātou tohunga he aromatawai whānui me te maimoatanga mō te tuke tēnehi. Ka tautuhia e mātou ngā mahi me ngā āhuatanga motuhake e whai wāhi ana ki tō āhua, kātahi ka whakawhanakehia he mahere maimoatanga whaiaro. Mai i te rongoā kua whakaritea ki ngā kōwhiringa whakaora matatau, ka tukuna e mātou he otinga e aro ana ki te pūtake o te whakaora pumau, kaua ki ngā rongoā rangitahi.
Te Maramatanga Tennis Elbow
Ka pāngia ngā uaua e hono ana i ngā uaua torotika o te ringaringa ki te epicondyle taha—te puku wheua kei waho o tō tuke. Ko te uaua torotika carpi radialis brevis (ECRB) te mea tino pāngia. Ko te hopu, te takahuri, me te hiki i ngā nekehanga auau ka hanga i ngā haehae moroiti tere atu i te tere o te whakaora o te uaua, ka arahi ki te mamae me te kore mahi tika.
Ahakoa e kiia ana ko te tendinitis (mumura), ko te tennis elbow he tendinosis - te hekenga o te hanganga collagen o te uaua, kaua ki te mumura tere. He mea nui tēnei rerekētanga nā te mea ko ngā maimoatanga e aro ana ki te mumura anake ka taea te whakarato i te whakaora wā poto noa iho, engari kāore e aro ki te kino o te kiko kei raro.
Ko te tikanga ka pāngia te hunga i waenga i te 30 me te 50 tau te pakeke e tēnei mate, ā, he ōrite te pānga ki ngā tāne me ngā wāhine. Ko ngā mahi e hiahia ana kia nekehia ngā ringa – ngā kaiparau, ngā kaipeita, ngā kāmura, ngā kaipatu mīti, me ngā kaimahi tari – ka pāngia hoki. Ka whai wāhi atu hoki ngā mahi whakangahau tae atu ki te tēnehi, te korowha, me te māra.
Te Mōhio ki ngā Tohu o te Tuke Tēnehi
Ko te mamae o waho o te tuke te tohu matua, ka tīmata mārire, ka kino haere i te roanga o te wā. Ka piki ake te mamae i te nuinga o te wā i te wā e hopu ana, e hiki ana, e takahuri ana rānei—he mamae te huri i ngā kakau tatau, te rūrū ringa, te ringihia mai i te hū, te hiki rānei i te kapu kawhe.
He ngawari te ngākau i te taha o te epicondyle. He maha ngā wā ka heke te kaha o te pupuri, ka uaua ai te pupuri i ngā mea. Ka kite ētahi tūroro i te mamae e horapa ana ki raro i te ringaringa. He mea noa te pakari o te ata.
Ko te tikanga ka pāngia te ringa matua e ngā tohu engari ka pā pea ki tētahi o ēnei. Tata ki te 20% o ngā tūroro ka pāngia ngā tuke e rua. Ki te kore he maimoatanga, ka noho roa te tuke tennis, ā, ka roa pea mō ngā marama, ki ngā tau rānei.
Ngā Take Noa o te Tuke Tēnehi
- Ngā hākinakina raketi: Tēnehi, rāketepōro, paukena—ina koa kāore i te tino pai te tikanga tākaro
- Ngā mahi ā-ringa: Te peita, te mahi paipa, te mahi kāmura, te tapahi mīti
- Mahi rorohiko: Te whakamahi me te pato i te kiore anō kia whakamahia
- Nga mahi a-ringa: Te hopu, te takahuri, te hapai rānei i ngā wā katoa
- Maara: Te kutikuti i te taiepa, te rake, te keri
- Taonga puoro: Ina koa ngā taonga puoro aho
Aromatawai Tātaritanga
Ko te tātaritanga haumanu te tikanga, i runga i te hītori me te whakamātautau. Mā te pā atu ka kitea te ngawari ki te taha o te epicondyle. Mā te whakamātautau ātete i te toronga o te ringaringa me te pupuri ka puta te mamae. Mā te whakataurite ki te ringa kāore i pāngia ka kitea te ngoikore o te kaha.
Kāore e hiahiatia te whakaahua mō ngā take māmā noa, engari ka tonoa pea kia kore ai e kitea ētahi atu āhuatanga, ina kore rānei e pai te urupare o ngā tohu e ai ki te tumanako. Ka taea e te MRI te whakaatu i te pirau o te uaua me te whakakore i ētahi atu mate. Ka taea e ngā hihi-X te whakaatu i te whakapūngā, i ngā huringa wheua rānei i ngā take mau tonu.
Maimoatanga Conservative
Ka pai ake te nuinga o te tūtae tēnehi mā te maimoatanga āta, ahakoa he maha ngā marama ka roa te whakaoranga. Ko te whakarerekētanga o ngā mahi - te whakaiti, te karo rānei i ngā mahi whakararuraru - te tūāpapa. Kāore e hiahiatia te okiokinga katoa, engari mā te whakarerekē i te huarahi e mahi ai koe i ngā mahi o ia rā ka whakaiti i te taumahatanga.
Ko te arotahi o te whakaora tinana ko ngā mahi whakapakari āhua rerekē e whakatairanga ana i te whakaora o ngā uaua. Mā te totoro i ngā uaua o te ringaringa ka pai ake te ngāwari. Mā te whakaora ā-ringa ka aro ki te taumahatanga o ngā uaua e whai wāhi ana. Mā te kaupapa whakakori tinana kāinga ka mau tonu te ahunga whakamua i waenga i ngā wā whakangungu.
Mā te tautoko e tautoko i ngā mahi. Mā te tautoko ātete e mau ana i raro noa i te tuke ka marara atu ngā kaha mai i te uaua kua whara. Mā ngā whitiki ringaringa ka āwhina mā te whakaiti i te ngohe o ngā uaua. Mā te whakatakotoranga tika o te ergonomic i te mahi ka whakaiti i te taumahatanga.
Kōwhiringa Maimoatanga Arā Atu Anō
Ki te kore e whai hua te maimoatanga matatika, ka taea e ngā kōwhiringa matatau te āwhina. Ka tukuna e ngā werohanga plasma whai-platelet (PRP) ngā matū whakaora kukū tika ki te uaua kua pakaru, ka whakatairanga i te whakatikatika kiko. E tautoko ana ngā rangahau i te whai huatanga o te PRP mō te tennis elbow.
He whakaora poto noa iho ngā werohanga corticosteroid engari kāore pea e pai ake ngā hua mō te wā roa, ā, ka ngoikore pea te uaua ina whakamahia tonutia. Ka whakamahia e mātou me te whakaaro nui ina hiahiatia he whakaora mamae tonu kia pai ai te mahi.
Ka whakaoho te rongoā ngaru wiri extracorporeal i te whakaora i ngā mate pūmau. Ka whakamahia e tēnei maimoatanga kore-whakaeke ngā ngaru oro hei whakatairanga i te rere o te toto me te whakatikatika kiko.
Te aukati i te hokinga mai
Kia ora te tuke tēnehi, me aro atu ki ngā āhuatanga whai wāhi ki te ārai i te hokinga mai. Ko te tikanga tika i roto i ngā hākinakina me ngā mahi mahi ka whakaiti i te mamae o te tuke. Tērā pea ka āwhina ngā whakarerekētanga taputapu—ngā rakete māmā ake, ngā pupuri nui ake, ngā taputapu ergonomic. Mā te hoki mārire ki ngā mahi whakararuraru ka taea te urutau ki ngā kiko.
Mā te totoro me te whakapakari tonu ka ora te ringa. Mā te totoro auau i te ringaringa ka ārai i te kikī. Mā ngā mahi whakakori tinana rerekē i ia wā ka mau tonu te pakari o ngā uaua. Mā te wawaotanga wawe i te tohu tuatahi o te hokinga mai o ngā tohu ka ārai i te hokinga mai o te uaua.
Mā ngā aromatawai ergonomic o te wāhi mahi ka tautuhia ngā āhuatanga mōrearea mō te hokinga mai o te whara. Mā te whakarerekē i te whakatakotoranga o te teihana mahi, te okioki auau, me te whakamahi i ngā tikanga tika mō ngā mahi auau ka ārai i te whara anō.
Mā te mārama he maha ngā marama e pau ana mō te whakaora katoa ka āwhina i te whakatakoto i ngā tumanakohanga pono. Mā te manawanui i te wā e ora ana ka ārai i ngā arai kei hoki wawe atu ki ngā mahi. Me whai wā te uaua ki te hanga anō ahakoa kua memeha te mamae.
He aha i whiriwhiria ai a Madison Medical hei rongoā mō te tuke tēnehi?
He tohungatanga whānui ā mātou tohunga ki te rongoā i te epicondylitis taha. Neke atu i te 1,200 ngā tūroro e tirohia ana e Madison Medical ia wiki, he nui ō rātou wheako ki ngā huarahi tiaki me ngā huarahi whakaora. Ka tukuna e mātou te rongoā PRP me te aratohu ultrasound mō te maimoatanga tika.
Ko tā mātou whāinga he whakaora pumau, ehara i te whakatikatika rangitahi. Ka aro atu mātou ki ngā pūtake o te mate, ka whakaako hoki i ngā rautaki ārai. Ko te nuinga o ngā inihua nui e whakaaetia ana i ō mātou wāhi watea i New Jersey.
Mātakihia kia nui ake ai te mōhio
Whiwhi Whakaora Tuke Tuturu
He mea whakarihariha te tuke tēnehi engari ka taea te rongoā. Mēnā ka tiakina tika, ka ea katoa te nuinga o ngā tūroro, ahakoa me manawanui—he maha ngā marama e ora katoa ai. Kaua e tukua te mamae o te tuke kia whakawhāiti i tāu mahi me āu mahi.
Whakapā atu ki a Madison Medical ki te whakarite i tō aromatawai tuke. Ma ā mātou tohunga e tātari tō āhua, ka whakawhanake i tētahi mahere maimoatanga hei whakakore i te mamae me te whakaora i te mahi.