Chithandizo Chogwira Mtima cha Chigongono cha Osewera Gofu Kuti Apeze Mpumulo Wosatha
Kupweteka kovutirapo mkati mwa chigongono chanu sikumangokhudza masewera anu a gofu—kungapangitse zochita za tsiku ndi tsiku monga kutsegula zitseko, kugwirana chanza, kapena kunyamula zinthu kukhala zosasangalatsa. Chithandizo cha zigongono cha osewera gofu chimathandiza pa epicondylitis yapakati, matenda omwe amayamba chifukwa chogwiritsa ntchito kwambiri minofu ya mkono yomwe imapindika dzanja ndi zala zanu. Ngakhale dzina lake lili loti, vutoli limakhudza anthu ambiri omwe sanasankhepo kalabu ya gofu.
Ku Madison Medical, njira yathu yothandizira gofu ku chigongono imaphatikiza njira zopumulira, njira zochiritsira, ndi masewera olimbitsa thupi kuti achiritse minofu ya tendon yomwe yawonongeka ndikupewa kubwereranso. Tikumvetsa momwe vutoli limakhudzira ntchito yanu ndi zochita zanu, ndipo tadzipereka kukubwezeretsani kuntchito yopanda ululu mwachangu momwe tingathere.
Kumvetsetsa Chigongono cha Osewera Golf
Chigongono cha osewera gofu chimachitika pamene minofu yomwe imalumikiza minofu ya mkono wanu ku fupa mkati mwa chigongono chanu imawonongeka chifukwa chogwiritsa ntchito mopitirira muyeso. Minofu imeneyi imalumikizana ndi epicondyle yapakati, ndichifukwa chake dzina lachipatala ndi epicondylitis yapakati. Vutoli limakula pang'onopang'ono pamene mayendedwe obwerezabwereza amapangitsa kuti minofu ya m'chiuno ing'ambike mwachangu kuposa momwe thupi lanu lingakonzere.
Mosiyana ndi chigongono cha tenisi, chomwe chimakhudza kunja kwa chigongono, chigongono cha gofu chimayambitsa kupweteka mkati. Minofu ya mkono yomwe imakhudzidwa ndi kugwira, kupindika kwa dzanja, ndi kuzungulira kwa mkono imakhudzidwa. Izi zimapangitsa kuti zochita zambiri za tsiku ndi tsiku zikhale zosasangalatsa ndipo zingakhudze kwambiri ntchito ndi zosangalatsa.
Zizindikiro Zofunika Chithandizo cha Chigongono cha Gofu
Chizindikiro chachikulu ndi kupweteka ndi kuuma mkati mwa chigongono chanu, nthawi zambiri kumatambasula mkono wamkati. Ululuwu nthawi zambiri umakula ndi mayendedwe ena—kupindika dzanja lanu, kufinya zinthu, kapena kupotoza mkono wanu. Anthu ambiri amaona kusasangalala kwambiri akamagwirana chanza, kutembenuza zitseko, kapena kukweza dzanja lake ndikuyang'ana mmwamba.
Kuuma kwa chigongono, makamaka m'mawa, nthawi zambiri kumayenderana ndi ululu. Anthu ena amavutika ndi manja ndi zikhadabo, zomwe zimapangitsa kuti zikhale zovuta kugwira zinthu mwamphamvu. Kusanza kapena kunjenjemera komwe kumatuluka mu mphete ndi zala zazing'ono kungachitike ngati mitsempha ya ulnar, yomwe imayandikira malo okhudzidwawo, yakwiya.
Zizindikiro nthawi zambiri zimayamba pang'onopang'ono osati chifukwa cha kuvulala kamodzi kokha. Zingayambe ngati kusasangalala pang'ono panthawi ya zochita zina ndipo zimapita patsogolo kukhala ululu wosalekeza womwe umakhudza kugona ndi ntchito za tsiku ndi tsiku. Zizindikiro zikapitirira nthawi yayitali popanda chithandizo, zimakhala zovuta kuzithetsa.
Zomwe Zimayambitsa ndi Zowopsa
Gofu si chinthu chokhacho—kapena chachikulu—choyambitsa chigongono cha gofu. Zochita zilizonse zomwe zimafuna kugwira mobwerezabwereza, kupindika dzanja, kapena kuzungulira mkono zingayambitse vutoli. Masewera a racket, masewera oponya, masewera olimbitsa thupi, ndi ntchito zokhudzana ndi zida ndi zinthu zomwe zimachitika kawirikawiri. Kupaka utoto, mapaipi, ukalipentala, ndi ntchito zamakompyuta zonse zimapangitsa kuti minofu ya m'chiuno ikhale yovuta mobwerezabwereza.
Njira yolakwika imakulitsa chiopsezo, kaya m'masewera kapena kuntchito. Makamaka mu gofu, makina osagwira bwino ntchito, kugwiritsa ntchito zibonga zolemera kwambiri, kapena kugwira mwamphamvu kwambiri kumawonjezera kupsinjika kwa minofu. Mavuto ofanana ndi omwe amapezeka muzochita zina angayambitse anthu kudwala matenda a epicondylitis.
Ukalamba umagwira ntchito, ndipo vutoli limapezeka kwambiri mwa anthu azaka zapakati pa 40-60. Komabe, othamanga achinyamata ndi ogwira ntchito amatha kukhala ndi chigongono cha gofu, makamaka ngati zochita zawo zimafuna kupsinjika kwakukulu kwa mkono. Kuvulala kwa chigongono komwe kunachitika kale kungapangitse kuti munthu avutike ndi matenda a tendon.
Zochita Zomwe Zingayambitse Elbow ya Golfers
- Masewera: Gofu, baseball/softball (kuponya), tenisi, bowling, kuponya mivi, ndi masewera olimbitsa thupi
- Ntchito: Ntchito za ukalipentala, mapaipi amadzi, utoto, kupha nyama, ndi ntchito zomangira
- Zochita za tsiku ndi tsiku: Kusoka masamba, kugwiritsa ntchito zida, kudula matabwa, ndi kugwiritsa ntchito kompyuta mobwerezabwereza
- Njira yolakwika: Kapangidwe kosayenera pa ntchito iliyonse kumawonjezera kwambiri kupsinjika kwa tendon
- Mavuto a zida: Kukula kolakwika kwa chogwirira, kulemera kwa chida, kapena ergonomics ya malo ogwirira ntchito
Kuzindikira ndi Kuwunika
Kuzindikira chigongono cha gofu nthawi zambiri kumafuna kuyezetsa thupi osati kujambula zithunzi zambiri. Dokotala wanu adzakanikiza pa epicondyle yapakati kuti aone ngati ili yofewa ndipo adzakupemphani kuti mutembenuze dzanja lanu kuti lisabwererenso ku zizindikiro zobereka. Kuyerekeza mkono wanu wokhudzidwa ndi mbali yosakhudzidwa kumathandiza kuwona kufooka ndi kulephera.
Ma X-ray angapangidwe kuti athetse matenda ena monga nyamakazi kapena mafupa, ngakhale kuti sawonetsa kuwonongeka kwa tendon mwachindunji. Ultrasound imatha kuwona kukhuthala kwa tendon, kung'ambika, ndi kutupa, zomwe zimapereka chidziwitso chofunikira pokonzekera chithandizo. MRI nthawi zina imagwiritsidwa ntchito pazochitika zovuta kapena pamene zizindikiro sizikuyankhidwa monga momwe zimayembekezeredwa.
Kufufuza za kayendedwe ka mitsempha kungalimbikitsidwe ngati zizindikiro zikuphatikizapo dzanzi lalikulu kapena kumva kuwawa, zomwe zimathandiza kudziwa ngati kukhudzidwa kwa mitsempha ya ulnar kukufunika chithandizo chapadera.
Njira Zochiritsira Zosasinthika
Chithandizo choyamba cha golf chimayang'ana kwambiri kuchepetsa kutupa ndikuteteza tendon kuti isawonongeke kwambiri. Kupuma ku zochita zopweteka ndikofunikira—kupitiriza kuchita zinthu zopweteka kumachedwetsa kuchira ndikuwonjezera kuwonongeka kwa tendon. Izi sizikutanthauza kuti minofuyo singathe kuyenda bwino koma m'malo mwake kupewa mayendedwe omwe amabweretsa ululu.
Kupaka ayezi kwa mphindi 15-20 kangapo patsiku kumachepetsa kutupa ndipo kumathandizira kuchepetsa ululu. Mankhwala oletsa kutupa omwe amaperekedwa ndi dokotala amathandiza kuthana ndi zizindikiro akagwiritsidwa ntchito motsatira malangizo. Chogwirira champhamvu chomwe chimavalidwa pa mkono wapamwamba chingathandize kuchepetsa kupsinjika kwa tendon yomwe yakhudzidwa panthawi ya ntchito.
Kuchita masewera olimbitsa thupi kumathandiza kuthetsa kusalinganika kwa minofu, kumawonjezera kusinthasintha, komanso kumalimbitsa pang'onopang'ono minofu ya mkono. Kuchita masewera olimbitsa thupi odziyimira pawokha—kuchepetsa pang'onopang'ono kulemera mutanyamula—kwasonyeza kuti kwathandiza kwambiri pakuchiritsa minofu ya m'chiuno. Kutambasula minofu ya mkono kangapo patsiku kumasunga kusinthasintha ndipo kumathandizira kuchira.
Njira Zapamwamba Zochiritsira
Ngati chithandizo chokhazikika sichipereka mpumulo wokwanira, njira zoperekera jakisoni zimapereka njira ina yothandizira. Jakisoni wa corticosteroid amatha kuchepetsa kutupa ndi ululu mwachangu, ngakhale kuti ubwino wake wa nthawi yayitali umakambidwa. Jakisoni wa plasma wolemera m'mapulateleti (PRP) umapereka zinthu zochiritsa kwambiri ku tendon yowonongeka, zomwe zimathandiza kukonza minofu.
Chithandizo cha Shockwave chimagwiritsa ntchito mafunde a acoustic kuti chilimbikitse kuyenda kwa magazi ndi kuchira kwa matenda a tendinopathy osatha. Chithandizo chosavulaza ichi chingaswe minofu ya zipsera ndikulimbikitsa kukonzanso minofu popanda mankhwala kapena jakisoni. Nthawi zambiri pamafunika magawo angapo kuti mupeze zotsatira zabwino.
Kuchotsa singano youma kapena percutaneous tenotomy kumaphatikizapo kulowetsa singano mu tendon yowonongeka kuti ithandize kuchira. Njirazi zimaswa minofu ya zipsera ndikulimbikitsa kuyenda kwa magazi atsopano m'derali, zomwe zingafulumizitse kuchira ngati munthu wakula.
Zosankha Zopangira Opaleshoni
Opaleshoni ya chigongono cha golf siifunikira kawirikawiri—osakwana 10% ya odwala amafunika chithandizo cha opaleshoni. Opaleshoni nthawi zambiri imaphatikizapo kuchotsa minofu yowonongeka kuchokera ku tendon yomwe yakhudzidwa ndikuyikanso minofu yathanzi ku fupa. Pali njira zonse ziwiri zotseguka komanso zowunikira mafupa.
Chithandizo cha opaleshoni chimaganiziridwa ngati zizindikiro zikupitirirabe ngakhale kuti chithandizo chamankhwala cha miyezi 6-12 chikuchitika mosamalitsa. Odwala omwe ali ndi tendon yosweka kapena omwe ntchito zawo zimafuna kubwerera kuntchito zovuta nthawi yomweyo akhoza kukhala oyenerera opaleshoni yoyambirira. Kuchira kumafuna miyezi ingapo yochira.
Chifukwa chiyani Madison Medical for Golfers Elbow Treatment?
Gulu lathu limabweretsa ukatswiri wokwanira pochiza matenda a chigongono. Madison Medical imawona odwala opitilira 1,200 sabata iliyonse, zomwe zimatipatsa chidziwitso chambiri pa matenda a epicondylitis m'njira zosiyanasiyana. Timapereka chithandizo chamankhwala osiyanasiyana kuyambira kuchiza thupi ndi chithandizo chamankhwala mpaka jakisoni ndi mankhwala obwezeretsa.
Njira yathu yolumikizirana imagwirizanitsa chisamaliro pakati pa akatswiri azachipatala, akatswiri azamankhwala amasewera, ndi madokotala a opaleshoni ya mafupa. Timayang'ana kwambiri kuzindikira ndi kukonza zomwe zimayambitsa vuto lanu, osati kungochiza zizindikiro zokha. Mapulani akuluakulu a inshuwaransi amavomerezedwa m'malo athu abwino ku New Jersey.
Yang'anani Kuti Mudziwe Zambiri
Bwererani ku Ntchito Yopanda Ululu
Chigongono cha osewera gofu chimayankha bwino chithandizo choyenera, koma kunyalanyaza vutoli kapena kukakamiza kupweteka nthawi zambiri kumawonjezera vutoli. Kuthandizira msanga kumabweretsa kuchira mwachangu komanso zotsatira zabwino kwa nthawi yayitali. Odwala ambiri amawona kusintha kwakukulu mkati mwa miyezi ingapo ndi chithandizo choyenera.
Lumikizanani ndi Madison Medical kuti mukonze nthawi yowunikira chigongono chanu. Akatswiri athu adzazindikira vuto lanu, adzakufotokozerani njira zomwe mungasankhire chithandizo, ndikupanga dongosolo loyenera kuti muchepetse ululu wanu ndikubwezeretsa magwiridwe antchito anu onse. Kaya ndinu wosewera gofu yemwe akufuna kubwerera ku bwalo kapena munthu amene ntchito yake imafuna kugwira ntchito popanda kupweteka kwa mkono, tili pano kuti tikuthandizeni.