{"id":145,"date":"2022-07-18T19:56:46","date_gmt":"2022-07-18T17:56:46","guid":{"rendered":"http:\/\/apitoxin.sk\/?p=145"},"modified":"2022-07-18T21:22:09","modified_gmt":"2022-07-18T19:22:09","slug":"vceli-jed-na-liecenie-lateralnej-epikondylitidy-tenisovy-laket","status":"publish","type":"post","link":"http:\/\/d.r5.wbsprt.com\/apitoxin.sk\/2022\/07\/18\/vceli-jed-na-liecenie-lateralnej-epikondylitidy-tenisovy-laket\/","title":{"rendered":"V\u010del\u00ed jed na lie\u010denie later\u00e1lnej epikondylit\u00eddy \/tenisov\u00fd lake\u0165\/"},"content":{"rendered":"\n<p><\/p>\n\n\n\n<p>\u010co je later\u00e1lna epikondylit\u00edda?<br>Later\u00e1lna epikondylit\u00edda je tie\u017e zn\u00e1ma ako tenisov\u00fd lake\u0165, \u010do je bolestiv\u00fd stav lak\u0165a, ktor\u00fd vznik\u00e1 v d\u00f4sledku jeho nadmern\u00e9ho pou\u017e\u00edvania. V\u00e4\u010d\u0161inou je to v\u00fdsledkom raketov\u00fdch \u0161portov, ako je tenis, ale nie je to tak, preto\u017ee k tomuto stavu m\u00f4\u017ee vies\u0165 nieko\u013eko in\u00fdch aktiv\u00edt a \u0161portov.<br>Prebieha v d\u00f4sledku z\u00e1palu v ktorejko\u013evek zo \u0161liach, ktor\u00e9 s\u00fa spojen\u00e9 s vonkaj\u0161\u00edmi svalmi predlaktia. A tie\u017e sa to deje kv\u00f4li ur\u010dit\u00e9mu pohybu, ktor\u00fd sa znova a znova opakuje pod rovnak\u00fdm uhlom, \u010do v kone\u010dnom d\u00f4sledku sp\u00f4sob\u00ed po\u0161kodenie \u0161liach a svalov predlaktia. Po ur\u010ditom \u010dase sa lake\u0165 st\u00e1va citliv\u00fdm a bolestiv\u00fdm.<br>Na lie\u010dbu tenisov\u00e9ho lak\u0165a existuje nieko\u013eko mo\u017enost\u00ed lie\u010dby. Do procesu rehabilit\u00e1cie sa v\u00e4\u010d\u0161inou zap\u00e1jaj\u00fa fyzioterapeuti a prim\u00e1ri. Chirurgovia s\u00fa potrebn\u00ed len v ak\u00fatnych pr\u00edpadoch later\u00e1lnej epikondylit\u00eddy.<\/p>\n\n\n\n<p>V\u0161eobecn\u00e1 anat\u00f3mia lak\u0165a<br>Lak\u0165ov\u00fd k\u013ab sa sklad\u00e1 z troch kost\u00ed: humerus \u2013 horn\u00e1 kos\u0165 a vretenn\u00e1 kos\u0165 a lak\u0165ov\u00e1 kos\u0165 \u2013 dve kosti predlaktia. Na dne ramennej kosti je nieko\u013eko kostn\u00fdch hrbol\u010dekov naz\u00fdvan\u00fdch epikondyly, zatia\u013e \u010do; kostn\u00fd hrbol\u010dek pr\u00edtomn\u00fd na later\u00e1lnej strane lak\u0165a je zn\u00e1my ako later\u00e1lny epikondyl.<\/p>\n\n\n\n<p>R\u00f4zne svaly, \u0161\u013eachy a v\u00e4zy s\u00fa zodpovedn\u00e9 za dr\u017eanie tohto lak\u0165ov\u00e9ho k\u013abu na jednom mieste. Later\u00e1lna epikondylit\u00edda zah\u0155\u0148a r\u00f4zne \u0161\u013eachy a svaly predlaktia. Na\u0161e svaly predlaktia pom\u00e1haj\u00fa pri predl\u017eovan\u00ed z\u00e1p\u00e4stia a prstov. \u0160\u013eachy predlaktia sa naz\u00fdvaj\u00fa extenzory, ktor\u00e9 pripev\u0148uj\u00fa svaly ku kosti a s\u00fa pripevnen\u00e9 later\u00e1lnym epikondylom. ECRB (Extensor Carpi Radialis Brevis) je hlavn\u00e1 \u0161\u013eacha, ktor\u00e1 sa priamo podie\u013ea na later\u00e1lnej epikondylit\u00edde.<\/p>\n\n\n\n<p>Ak\u00e9 s\u00fa pr\u00ed\u010diny tenisov\u00fdch lak\u0165ov?<br>Pod\u013ea ned\u00e1vnych \u0161t\u00fadi\u00ed sa zistilo, \u017ee tenisov\u00fd lake\u0165 je v\u00e4\u010d\u0161inou v\u00fdsledkom po\u0161kodenia konkr\u00e9tneho svalu predlaktia. Extensor Carpi Radialis Brevis pom\u00e1ha pri stabiliz\u00e1cii z\u00e1p\u00e4stia po narovnan\u00ed lak\u0165a. St\u00e1va sa to, ke\u010f sa hr\u00e1 tenis. Postupom \u010dasu ECRB zoslabne, \u010do sp\u00f4sob\u00ed mikroskopick\u00e9 trhliny v \u0161\u013eache a z dlhodob\u00e9ho h\u013eadiska vedie k bolesti a z\u00e1palu.<\/p>\n\n\n\n<p>ECRB je tie\u017e vystaven\u00e1 zv\u00fd\u0161en\u00e9mu riziku po\u0161kodenia v d\u00f4sledku jej citlivej poz\u00edcie a \u00falohy. Ke\u010f je lake\u0165 pr\u00edli\u0161 ohnut\u00fd a narovnan\u00fd, sp\u00f4sobuje to oslabenie svalov v d\u00f4sledku neust\u00e1leho trenia o kostn\u00e9 hrbole. M\u00f4\u017eeme teda poveda\u0165, \u017ee \u0161\u013eacha aj svaly ochabuj\u00fa v d\u00f4sledku pokra\u010duj\u00faceho opotrebovania. Pozrime sa na r\u00f4zne faktory, ktor\u00e9 m\u00f4\u017eu sp\u00f4sobi\u0165 later\u00e1lnu epikondylit\u00eddu.<\/p>\n\n\n\n<p>R\u00f4zne aktivity<br>Budete prekvapen\u00ed, ke\u010f zist\u00edte, \u017ee okrem akt\u00edvnych \u0161portovcov m\u00f4\u017eu t\u00fdmto stavom trpie\u0165 aj in\u00ed \u013eudia. Ak\u00e1ko\u013evek aktivita, pri ktorej s\u00fa svaly predlaktia intenz\u00edvne a opakovane pou\u017e\u00edvan\u00e9, m\u00f4\u017ee vies\u0165 k tenisov\u00e9mu lak\u0165u.<br>K tomuto stavu s\u00fa v\u00e4\u010d\u0161inou n\u00e1chyln\u00ed tes\u00e1ri, in\u0161talat\u00e9ri a maliari. R\u00f4zne \u0161t\u00fadie odhalili, \u017ee u m\u00e4siarov, kuch\u00e1rov a pracovn\u00edkov v automobiloch sa \u010dasom prejavia aj pr\u00edznaky tenisov\u00e9ho lak\u0165a.<\/p>\n\n\n\n<p>Faktor veku<br>Pod\u013ea pozorovania sa zistilo, \u017ee v\u00e4\u010d\u0161ina subjektov s tenisov\u00fdm lak\u0165om je vo vekovej kateg\u00f3rii 30 a\u017e 50 rokov. Ale ka\u017ed\u00fd m\u00f4\u017ee ma\u0165 tieto pr\u00edznaky; ktor\u00ed s\u00fa vystaven\u00ed rizikov\u00fdm faktorom \u2013 opakovan\u00e9mu pohybu a nadmern\u00e9mu za\u0165a\u017eovaniu svalov a \u0161liach predlaktia. V\u00e4\u010d\u0161ina tenistov, ktor\u00ed maj\u00fa nespr\u00e1vny v\u00fdstroj a zl\u00fa techniku \u200b\u200b\u00faderov, patriacich do akejko\u013evek vekovej skupiny, m\u00f4\u017ee tento stav vyvin\u00fa\u0165.<\/p>\n\n\n\n<p>Ak\u00e9 s\u00fa pr\u00edznaky later\u00e1lnej epikondylit\u00eddy?<br>Pr\u00edznaky tohto stavu sa nevyskytuj\u00fa naraz, preto\u017ee sa vyv\u00edja postupne. Boles\u0165 za\u010d\u00edna mierne a postupne sa zhor\u0161uje. Preto nesmieme zanedb\u00e1va\u0165 ak\u00fako\u013evek boles\u0165, ktor\u00fa pozorujeme v tejto oblasti. Naj\u010dastej\u0161ie pr\u00edznaky a pr\u00edznaky tenisov\u00e9ho lak\u0165a s\u00fa:<\/p>\n\n\n\n<ul><li>P\u00e1lenie alebo boles\u0165 vo vonkaj\u0161om lakti<br><\/li><li>Citlivos\u0165 pr\u00edtomn\u00e1 na vonkaj\u0161ej strane lak\u0165a<br><\/li><li>Pretrv\u00e1vaj\u00faca boles\u0165 a rann\u00e1 stuhnutos\u0165<br><\/li><li>Slab\u00e1 sila \u00fachopu<br><\/li><li>Bolestivos\u0165 vonkaj\u0161\u00edch svalov predlaktia<br><\/li><li>Boles\u0165 vo vonkaj\u0161om lakti sa zhor\u0161uje pri dr\u017ean\u00ed predmetu.<\/li><\/ul>\n\n\n\n<p>V\u0161etky vy\u0161\u0161ie uveden\u00e9 pr\u00edznaky nazna\u010duj\u00fa, \u017ee je pr\u00edtomn\u00fd akt\u00edvny z\u00e1pal tendinit\u00eddy.<\/p>\n\n\n\n<p><strong>Pr\u00edpadov\u00e1 \u0161t\u00fadia 20 pacientov s later\u00e1lnou epikondylit\u00eddou lak\u0165a pomocou Hwachim (lie\u010dba p\u00e1l\u010divou akupunkt\u00farou) a farmakopunkt\u00fary jedu v\u010dely medonostnej<\/strong><\/p>\n\n\n\n<p>T\u00e1to klinick\u00e1 \u0161t\u00fadia bola zameran\u00e1 na presk\u00famanie \u00fa\u010dinnosti Hwachim (lie\u010dba p\u00e1l\u010divou akupunkt\u00farou) a farmakopunkt\u00fary S-BV (farmakopunkt\u00fara v\u010delieho jedu) pri lie\u010dbe later\u00e1lnej epikondylit\u00eddy.<\/p>\n\n\n\n<p>Na za\u010diatku bolo vybran\u00fdch 33 pacientov s pr\u00edznakmi tenisov\u00e9ho lak\u0165a, no nesk\u00f4r bolo 13 pacientov odstr\u00e1nen\u00fdch z d\u00f4vodu nevyhovuj\u00facich zdravotn\u00fdch z\u00e1znamov. Celkovo bolo teda od janu\u00e1ra 2012 do decembra 2013 lie\u010den\u00fdch 20 pacientov. V\u0161etky vybran\u00e9 subjekty pre\u0161li cez Hwachim na lie\u010dbu later\u00e1lnej epikondylit\u00eddy. A 19 z 20 pacientov bolo lie\u010den\u00fdch S-BV farmakopunkt\u00farou z\u00edskanou z K\u00f3rejsk\u00e9ho farmakopunkt\u00farneho in\u0161tit\u00fatu a TENS (transkut\u00e1nna elektrick\u00e1 nervov\u00e1 stimul\u00e1cia) \u2013 doplnkov\u00e1 lie\u010dba. V\u0161etk\u00fdch 20 pacientov bolo vy\u0161etren\u00fdch pomocou sk\u00f3re VAS (vizu\u00e1lna anal\u00f3gov\u00e1 \u0161k\u00e1la) pri ich prvej a poslednej n\u00e1v\u0161teve, aby sa ur\u010dila \u00farove\u0148 bolesti, ktor\u00fa poci\u0165ovali. Kruskal Wallisov test a Wilcoxon rank test boli uskuto\u010dnen\u00e9 na porovnanie VAS sk\u00f3re prostredn\u00edctvom vhodn\u00fdch \u0161tatist\u00edk.<\/p>\n\n\n\n<p>Zistilo sa, \u017ee sk\u00f3re VAS sa na konci tejto klinickej \u0161t\u00fadie zn\u00ed\u017eilo z 10,00 na 4,00 (P=0,000). Neboli pozorovan\u00e9 \u017eiadne v\u00fdrazn\u00e9 zmeny na z\u00e1klade nieko\u013ek\u00fdch o\u0161etren\u00ed (P=0,246), lokaliz\u00e1cie l\u00e9zie (P=0,076), trvania ochorenia (P=0,705) a veku pacientov (P=0,810). D\u00e1 sa poveda\u0165, \u017ee farmakopunkt\u00fara S-BV a lie\u010dba Hwachim s\u00fa mimoriadne \u00fa\u010dinn\u00e9 pri lie\u010dbe tenisov\u00e9ho lak\u0165a alebo later\u00e1lnej epikondylit\u00edde.<\/p>\n\n\n\n<p><strong>\u00davod<\/strong><br>Later\u00e1lna epikondylit\u00edda je jedn\u00fdm z naj\u010dastej\u0161\u00edch ochoren\u00ed lak\u0165a, ktor\u00fd m\u00e1 r\u00f4zne hlavn\u00e9 pr\u00edznaky; boles\u0165 a citlivos\u0165 pri opakovanom pou\u017e\u00edvan\u00ed extenzorov\u00fdch svalov z\u00e1p\u00e4stia. M\u00f4\u017ee sa vyskytn\u00fa\u0165 u ka\u017ed\u00e9ho \u010dloveka vo veku minim\u00e1lne 12 rokov a maxim\u00e1lne 80 rokov, ale v\u00e4\u010d\u0161ina \u013eud\u00ed vo vekovej kateg\u00f3rii 30 a\u017e 50 rokov trp\u00ed tenisov\u00fdm lak\u0165om. Ako je uveden\u00e9 vy\u0161\u0161ie, nadmern\u00e9 za\u0165a\u017eenie svalov predlaktia a lak\u0165ov\u00e9ho k\u013abu je hlavn\u00fdm d\u00f4vodom later\u00e1lnej epikondylit\u00eddy.<\/p>\n\n\n\n<p>Ale v nieko\u013ek\u00fdch pr\u00edpadoch, ako trauma, m\u00f4\u017ee tie\u017e vies\u0165 k ak\u00e9muko\u013evek poraneniu epikondyl\u00e1rnej oblasti. Vypl\u00fdva to z nezvy\u010dajnej kontrakcie, ktor\u00e1 sp\u00f4sobuje siln\u00fd tlak na ECRB. Diagn\u00f3zu mo\u017eno vykona\u0165 pomocou Cozenovho testu, ktor\u00fd zah\u0155\u0148a pred\u013a\u017eenie z\u00e1p\u00e4stia s ur\u010dit\u00fdm druhom odporu a pos\u00fadenie citlivosti pr\u00edtomnej v later\u00e1lnom epikondyle.<\/p>\n\n\n\n<p>Miestne lek\u00e1rske kliniky vyu\u017e\u00edvaj\u00fa fok\u00e1lne steroidn\u00e9 injekcie, posil\u0148ovacie cvi\u010denia predlaktia, fyzik\u00e1lnu terapiu, sadrov\u00fa dlahu, protiz\u00e1palov\u00e9 lieky, techniky obmedzen\u00e9ho pohybu a dokonca aj oper\u00e1ciu v z\u00e1va\u017en\u00fdch pr\u00edpadoch later\u00e1lnej epikondylit\u00eddy. Postup sa l\u00ed\u0161i od jedn\u00e9ho pacienta k druh\u00e9mu a existuje ve\u013ea diskusi\u00ed t\u00fdkaj\u00facich sa n\u00e1sledkov oper\u00e1cie a obmedzenia pohybu. Preto je d\u00f4le\u017eit\u00e9 zvoli\u0165 vhodn\u00fa lie\u010dbu.<\/p>\n\n\n\n<p>V oblasti k\u00f3rejskej medic\u00edny sa Hwachim a S-BV Pharmacopuncture pou\u017e\u00edvaj\u00fa na zmiernenie bolesti posilnen\u00edm v\u00e4zov a \u0161liach. R\u00f4zne klinick\u00e9 vy\u0161etrenia odhalili p\u00f4sobiv\u00e9 v\u00fdsledky, pokia\u013e ide o pou\u017eitie Hwachim a S-BV Pharmacopuncture na tenisov\u00fd lake\u0165. Pre t\u00fato \u0161t\u00fadiu bol d\u00f4kladne presk\u00faman\u00fd lek\u00e1rsky z\u00e1znam 20 subjektov s later\u00e1lnou epikondylit\u00eddou, ktor\u00ed dostali farmakopunkt\u00faru Hwachim a S-BV, aby sa ur\u010dila praktickos\u0165 farmakopunkt\u00fary Hwachim a S-BV.<\/p>\n\n\n\n<p><strong>Met\u00f3da<\/strong><br>Zoznam 33 pr\u00edpadov later\u00e1lnej epikondylit\u00eddy bol z\u00edskan\u00fd z Semyung University Oriental Medicine Hospital, ktor\u00fd tam bol lie\u010den\u00fd na tenisov\u00fd lake\u0165 Hwachim a S-BV Pharmacopuncture od janu\u00e1ra 2012 do decembra 2013 na oddelen\u00ed akupunkt\u00fary a moxibuscie medic\u00edny. Do tohto v\u00fdskumu bolo zaraden\u00fdch iba 20 pr\u00edpadov a zvy\u0161n\u00fdch 13 pr\u00edpadov bolo vynechan\u00fdch kv\u00f4li zl\u00fdm zdravotn\u00fdm z\u00e1znamom. Vybran\u00fdch 20 pacientov malo pod\u013ea Cozenovho testu ve\u013emi siln\u00e9 bolesti.<\/p>\n\n\n\n<p>Na vykonanie Hwachim boli citliv\u00e9 body riadne sterilizovan\u00e9 alkoholov\u00fdm tamp\u00f3nom a potom bola do periostu v bl\u00edzkosti ECRB vlo\u017een\u00e1 akupunkt\u00farna ihla s d\u013a\u017ekou 40 mm a priemerom 0,30 mm, vyroben\u00e1 spolo\u010dnos\u0165ou Dong-Bang Acupuncture, K\u00f3rea. bod. Okrem toho bola akupunkt\u00fara aplikovan\u00e1 na LI11 (Gokji) a LI10 (Susamli) pod\u013ea pozorovan\u00fdch sympt\u00f3mov. Aby sa zabr\u00e1nilo ak\u00e9muko\u013evek druhu pop\u00e1leninov\u00fdch poranen\u00ed ko\u017ee, na later\u00e1lny epikondyl sa aplikovala vlhk\u00e1 g\u00e1za. Ihla sa potom zahrievala pomocou plynov\u00e9ho hor\u00e1ka umiestnen\u00e9ho takmer 1,5 cm od ko\u017ee. Po tomto o\u0161etren\u00ed bol akupunkt\u00farny bod op\u00e4\u0165 sterilizovan\u00fd tamp\u00f3nom.<\/p>\n\n\n\n<p>Na uskuto\u010dnenie farmakopunkt\u00fary S-BV bola podan\u00e1 injekcia s objemom 0,1 cm3 a\u017e 0,2 cm3 do miesta citlivosti pomocou inzul\u00ednovej strieka\u010dky s objemom 1 cm3. Iba 19 pacientov z 20 dostalo t\u00fato lie\u010dbu, preto\u017ee jeden pacient nechcel podst\u00fapi\u0165 lie\u010dbu farmakopunkt\u00farou. BV podporuje imunitn\u00fd syst\u00e9m, preto\u017ee poskytuje protiples\u0148ov\u00e9, antibakteri\u00e1lne, neurotox\u00ednov\u00e9 \u00fa\u010dinky, imunitn\u00fa cytol\u00fdzu a protiz\u00e1palov\u00e9 vlastnosti. Existuje nieko\u013eko klinick\u00fdch \u0161t\u00fadi\u00ed, ktor\u00e9 potvrdzuj\u00fa pr\u00ednosy farmakopunkcie v\u010delieho jedu pri lie\u010dbe epikondylit\u00eddy.<\/p>\n\n\n\n<p>Fyzik\u00e1lnu terapiu dostalo 19 pacientov prostredn\u00edctvom TENS (transkut\u00e1nny elektrick\u00fd nervov\u00fd stimul\u00e1tor), iba jeden pacient touto lie\u010dbou nepre\u0161iel. TENS sa \u0161iroko pou\u017e\u00edva na lie\u010dbu r\u00f4znych chor\u00f4b, ktor\u00e9 ved\u00fa k bolesti, a je rovnako \u00fa\u010dinn\u00fd pri chronick\u00fdch neurologick\u00fdch a muskuloskelet\u00e1lnych ochoreniach sp\u00f4sobuj\u00facich boles\u0165. Iba 4 pacienti u\u017e\u00edvali aj nejak\u00fd bylinn\u00fd liek. V anamn\u00e9ze pacienta sa nena\u0161iel \u017eiadny in\u00fd typ z\u00e1znamu o lie\u010dbe.<\/p>\n\n\n\n<p>\u00darove\u0148 bolesti sa sk\u00famala pomocou VAS (vizu\u00e1lna anal\u00f3gov\u00e1 stupnica), ktor\u00e1 sa be\u017ene pou\u017e\u00edva na vyhodnotenie v\u0161eobecnej intenzity bolesti. Pomocou tejto stupnice si pacient vyberie \u013eubovo\u013en\u00e9 \u010d\u00edslo od 0 do 10 na ozna\u010denie z\u00e1va\u017enosti pre\u017e\u00edvanej bolesti. Je to jedna z najjednoduch\u0161\u00edch a najpohodlnej\u0161\u00edch v\u00e1h, preto\u017ee je \u013eahko zrozumite\u013en\u00e1 pre pacienta.<\/p>\n\n\n\n<p>Na presk\u00famanie zozbieran\u00fdch \u00fadajov sa pou\u017eila verzia SPSS 12.0K, zatia\u013e \u010do na porovnanie sk\u00f3re VAS sa pou\u017eil Wilcoxonov rank test \u2013 zaregistrovan\u00fd pred za\u010dat\u00edm lie\u010dby a po ukon\u010den\u00ed lie\u010dby. Kruskal Wallisov test pomohol ur\u010di\u0165 spravodliv\u00e9 porovnanie medzi sk\u00f3re VAS pacientov s r\u00f4znym trvan\u00edm ochorenia a r\u00f4znymi vekov\u00fdmi skupinami. V\u00fdznamnos\u0165 pre v\u0161etky pr\u00edpady bola zdokumentovan\u00e1 pri P&lt;0,05.<\/p>\n\n\n\n<p><strong>V\u00fdsledky<\/strong><br>T\u00e1to klinick\u00e1 \u0161t\u00fadia zah\u0155\u0148ala 10 \u017eien a 10 mu\u017eov, z ktor\u00fdch 4 boli vo veku 61 a\u017e 70 rokov, 4 mali 51 a\u017e 60 rokov, 10 malo 41 a\u017e 50 rokov a 2 mali 31 a\u017e 40 rokov. Pod\u013ea Choe et al bolo trvanie ochorenia rozdelen\u00e9 do 4 r\u00f4znych \u0161t\u00e1di\u00ed, hyperak\u00fatne (menej ako 1 t\u00fd\u017ede\u0148), ak\u00fatne (menej ako 1 mesiac), subak\u00fatne (menej ako 6 mesiacov) a chronick\u00e9 (viac ako 6 mesiacov). .<\/p>\n\n\n\n<p>V tomto pr\u00edpade boli iba dvaja pacienti zisten\u00ed v hyperak\u00fatnom \u0161t\u00e1diu, piati v ak\u00fatnom, \u00f4smi v subak\u00fatnom a zvy\u0161n\u00ed piati v chronickom \u0161t\u00e1diu. Zhodou okolnost\u00ed boli v\u0161etci jedinci prav\u00e1ci. A 5 z nich malo boles\u0165 v \u013eavom lakti, zatia\u013e \u010do \u010fal\u0161\u00edch 15 malo boles\u0165 v pravom lakti.<\/p>\n\n\n\n<p>11 pacientom bola podan\u00e1 farmakopunkt\u00fara Hwachim a S-BV 5-kr\u00e1t, 5 pacientom bola podan\u00e1 farmakopunkt\u00fara Hwachim a S-BV 10-kr\u00e1t a zvy\u0161n\u00fdm 4 pacientom bola podan\u00e1 farmakopunkt\u00fara Hwachim a S-BV viac ako 10-kr\u00e1t po\u010das ich prvej n\u00e1v\u0161tevy. Sk\u00f3re VAS sa sk\u00famalo po\u010das ich druhej n\u00e1v\u0161tevy. Zistilo sa, \u017ee po ukon\u010den\u00ed lie\u010dby sa priemer zn\u00ed\u017eil z 10,00 na 4,00.<\/p>\n\n\n\n<p>Porovnanie sk\u00f3re VAS sa uskuto\u010dnilo pod\u013ea po\u010dtu podan\u00fdch o\u0161etren\u00ed: u 11 pacientov sa sk\u00f3re zn\u00ed\u017eilo z 10,00 na 4,27 po 5 o\u0161etreniach, u 5 pacientov sa sk\u00f3re zn\u00ed\u017eilo z 10,00 na 5,00 po 10 o\u0161etreniach a v r. u zost\u00e1vaj\u00facich 4 pacientov sa sk\u00f3re zn\u00ed\u017eilo z 10,00 na 2,00 po viac ako 10 o\u0161etreniach.<\/p>\n\n\n\n<p><strong>Z\u00e1ver<\/strong><br>Na z\u00e1ver m\u00f4\u017eeme poveda\u0165, \u017ee kombinovan\u00fd \u00fa\u010dinok terapie Hwachim a S-BV farmakopunkt\u00farou u 20 subjektov s later\u00e1lnou epikondylit\u00eddou bol dos\u0165 zrete\u013en\u00fd, ke\u010f\u017ee sk\u00f3re VAS sa v priemere zn\u00ed\u017eilo z 10,00 na 4,00 (P=0,000). Nebol v\u0161ak zaznamenan\u00fd \u017eiadny \u0161tatisticky vidite\u013en\u00fd rozdiel v n\u00e1sledkoch terapie na z\u00e1klade frekvencie pod\u00e1van\u00fdch o\u0161etren\u00ed (P=0,246), trvania ochorenia (P=0,705), lokaliz\u00e1cie bolesti (P=0,076) a veku (P=0,810 ). T\u00e1to \u0161t\u00fadia teda dokazuje, \u017ee kumulat\u00edvna lie\u010dba farmakopunkt\u00farou Hwachim a S-BV je pomerne \u00fa\u010dinn\u00e1 pri lie\u010dbe later\u00e1lnej epikondylitidy.<\/p>\n\n\n\n<p><strong>Zdroj:\u00a0<\/strong><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4332005\/\">A Case Study of 20 Patients with Lateral Epicondylitis&#8230;Hwachim (Burning Acupuncture Therapy) and Sweet\u00a0Bee Venom\u00a0Pharmacopuncture<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u010co je later\u00e1lna epikondylit\u00edda?Later\u00e1lna epikondylit\u00edda je tie\u017e zn\u00e1ma ako tenisov\u00fd lake\u0165, \u010do je bolestiv\u00fd stav lak\u0165a, ktor\u00fd vznik\u00e1 v d\u00f4sledku jeho nadmern\u00e9ho pou\u017e\u00edvania. V\u00e4\u010d\u0161inou je to v\u00fdsledkom raketov\u00fdch \u0161portov, ako je tenis, ale nie je to tak, preto\u017ee k tomuto stavu m\u00f4\u017ee vies\u0165 nieko\u013eko in\u00fdch aktiv\u00edt a \u0161portov.Prebieha v d\u00f4sledku z\u00e1palu v ktorejko\u013evek zo \u0161liach, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":149,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_mi_skip_tracking":false,"ngg_post_thumbnail":0},"categories":[7],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.14 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>V\u010del\u00ed jed na lie\u010denie later\u00e1lnej epikondylit\u00eddy \/tenisov\u00fd lake\u0165\/ - apitoxin.sk<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"http:\/\/apitoxin.sk\/2022\/07\/18\/vceli-jed-na-liecenie-lateralnej-epikondylitidy-tenisovy-laket\/\" \/>\n<meta property=\"og:locale\" content=\"sk_SK\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"V\u010del\u00ed jed na lie\u010denie later\u00e1lnej epikondylit\u00eddy \/tenisov\u00fd lake\u0165\/ - apitoxin.sk\" \/>\n<meta property=\"og:description\" content=\"\u010co je later\u00e1lna epikondylit\u00edda?Later\u00e1lna epikondylit\u00edda je tie\u017e zn\u00e1ma ako tenisov\u00fd lake\u0165, \u010do je bolestiv\u00fd stav lak\u0165a, ktor\u00fd vznik\u00e1 v d\u00f4sledku jeho nadmern\u00e9ho pou\u017e\u00edvania. V\u00e4\u010d\u0161inou je to v\u00fdsledkom raketov\u00fdch \u0161portov, ako je tenis, ale nie je to tak, preto\u017ee k tomuto stavu m\u00f4\u017ee vies\u0165 nieko\u013eko in\u00fdch aktiv\u00edt a \u0161portov.Prebieha v d\u00f4sledku z\u00e1palu v ktorejko\u013evek zo \u0161liach, [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"http:\/\/apitoxin.sk\/2022\/07\/18\/vceli-jed-na-liecenie-lateralnej-epikondylitidy-tenisovy-laket\/\" \/>\n<meta property=\"og:site_name\" content=\"apitoxin.sk\" \/>\n<meta property=\"article:published_time\" content=\"2022-07-18T17:56:46+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2022-07-18T19:22:09+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/apitoxin.sk\/wp-content\/uploads\/2022\/07\/laK.png\" \/>\n\t<meta property=\"og:image:width\" content=\"301\" \/>\n\t<meta property=\"og:image:height\" content=\"166\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"admin\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Autor\" \/>\n\t<meta name=\"twitter:data1\" content=\"admin\" \/>\n\t<meta name=\"twitter:label2\" content=\"Predpokladan\u00fd \u010das \u010d\u00edtania\" \/>\n\t<meta name=\"twitter:data2\" content=\"10 min\u00fat\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"http:\/\/apitoxin.sk\/2022\/07\/18\/vceli-jed-na-liecenie-lateralnej-epikondylitidy-tenisovy-laket\/\",\"url\":\"http:\/\/apitoxin.sk\/2022\/07\/18\/vceli-jed-na-liecenie-lateralnej-epikondylitidy-tenisovy-laket\/\",\"name\":\"V\u010del\u00ed jed na lie\u010denie later\u00e1lnej epikondylit\u00eddy \/tenisov\u00fd lake\u0165\/ - apitoxin.sk\",\"isPartOf\":{\"@id\":\"http:\/\/apitoxin.sk\/#website\"},\"datePublished\":\"2022-07-18T17:56:46+00:00\",\"dateModified\":\"2022-07-18T19:22:09+00:00\",\"author\":{\"@id\":\"http:\/\/apitoxin.sk\/#\/schema\/person\/3432b72e01828705a1bdf176a0c88c35\"},\"breadcrumb\":{\"@id\":\"http:\/\/apitoxin.sk\/2022\/07\/18\/vceli-jed-na-liecenie-lateralnej-epikondylitidy-tenisovy-laket\/#breadcrumb\"},\"inLanguage\":\"sk-SK\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\/\/apitoxin.sk\/2022\/07\/18\/vceli-jed-na-liecenie-lateralnej-epikondylitidy-tenisovy-laket\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\/\/apitoxin.sk\/2022\/07\/18\/vceli-jed-na-liecenie-lateralnej-epikondylitidy-tenisovy-laket\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"http:\/\/apitoxin.sk\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"V\u010del\u00ed jed na lie\u010denie later\u00e1lnej epikondylit\u00eddy \/tenisov\u00fd lake\u0165\/\"}]},{\"@type\":\"WebSite\",\"@id\":\"http:\/\/apitoxin.sk\/#website\",\"url\":\"http:\/\/apitoxin.sk\/\",\"name\":\"apitoxin.sk\",\"description\":\"Slovensk\u00fd v\u00fdrobca lapa\u010dov v\u010delieho jedu\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"http:\/\/apitoxin.sk\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"sk-SK\"},{\"@type\":\"Person\",\"@id\":\"http:\/\/apitoxin.sk\/#\/schema\/person\/3432b72e01828705a1bdf176a0c88c35\",\"name\":\"admin\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"sk-SK\",\"@id\":\"http:\/\/apitoxin.sk\/#\/schema\/person\/image\/\",\"url\":\"http:\/\/0.gravatar.com\/avatar\/06dd689f8b2c0a42278f99d7607e0cb1?s=96&d=mm&r=g\",\"contentUrl\":\"http:\/\/0.gravatar.com\/avatar\/06dd689f8b2c0a42278f99d7607e0cb1?s=96&d=mm&r=g\",\"caption\":\"admin\"},\"sameAs\":[\"http:\/\/apitoxin.sk\"],\"url\":\"http:\/\/d.r5.wbsprt.com\/apitoxin.sk\/author\/trix\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"V\u010del\u00ed jed na lie\u010denie later\u00e1lnej epikondylit\u00eddy \/tenisov\u00fd lake\u0165\/ - apitoxin.sk","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"http:\/\/apitoxin.sk\/2022\/07\/18\/vceli-jed-na-liecenie-lateralnej-epikondylitidy-tenisovy-laket\/","og_locale":"sk_SK","og_type":"article","og_title":"V\u010del\u00ed jed na lie\u010denie later\u00e1lnej epikondylit\u00eddy \/tenisov\u00fd lake\u0165\/ - apitoxin.sk","og_description":"\u010co je later\u00e1lna epikondylit\u00edda?Later\u00e1lna epikondylit\u00edda je tie\u017e zn\u00e1ma ako tenisov\u00fd lake\u0165, \u010do je bolestiv\u00fd stav lak\u0165a, ktor\u00fd vznik\u00e1 v d\u00f4sledku jeho nadmern\u00e9ho pou\u017e\u00edvania. 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