Tendonitis ya Wrist Chifukwa Chogwiritsidwa Ntchito Mopitirira Muyeso
De Quervain's tenosynovitis ndi vuto lomwe limayambitsa kupweteka kofanana ndi kuyenda kwa thunthu ndi mkono. Chifukwa cha ululu wa de Quervain ndi kutupa mkati mwa malo omwe ali pamunsi pa thupi. Kutupa uku kumayambitsidwa ndi vuto la tendon lotchedwa stenosing tenosynovitis . Izi zikutanthauza kuti kutupa kumaphatikizapo synovium ndi tendons zomwe zimayendetsa kuyenda kwa thupi.
Nthawi zina vuto limatchedwa d e Quervain's tendinosis, matenda a Quervain, kutumiza mameseji, thumb, kapena thupi lachimake.
Amene Amalandira
DeQuervain's tenosynovitis ndi yowonjezeka kwambiri mu gulu la zaka zapakati pa 30-50 ndipo imawoneka mofala kwambiri mwa amayi. Zitha kugwirizanitsa ndi mimba ndi matenda a chifuwa chachikulu. DeQuervain's tenosynovitis ndi chifukwa chogwiritsa ntchito mkono wochuluka. Kawirikawiri amawonekeranso kwa amayi atsopano monga momwe akunyamulira mwana angapangitse kuti azikwiyitsa. Zitha kuwonanso kwa anthu omwe amagwiritsa ntchito nyundo nthawi zambiri, wamaluwa, okwera masewera ndi anthu omwe amasewera masewera. Zingathenso kupezeka mwa anthu omwe amatha kulemberana mameseji ndi masewera.
Zizindikiro za de Quervain's
Chizindikiro chachikulu cha De Quervain's tenosynovitis ndi kupweteka pambali pa thumba lachifuwa, ndipo ululu ukhoza kuyendetsa pamwamba pake. Kupweteka kumabwera palimodzi pang'onopang'ono kapena pang'onopang'ono. Nthawi zambiri mumakhala woipitsitsa pamene mukugwiritsira ntchito chala chanu chachikulu pamene mumagwira chinachake kapena pamene mukupotoza dzanja lanu.
Mwinanso mukhoza kumva nsomba pamene mukuyesera kusuntha thukuta lanu. Mbali yapachiuno ya dzanja lanu ikhoza kutupa ndipo izi zingakulepheretseni kusuntha.
Kufufuza kwa deQuervain kawirikawiri kumakhala kosonyeza kukoma mtima pazinthu zomwe zimagwiritsidwa ntchito. Izi ndizomwe zimapangidwa ndi extensor pollicis brevis ndi abductor pollicis.
Njira imodzi yomwe mayesero a Finkelstein akuyesa ndi ofunika kwambiri. Mayeso a Finkelstein akuchitidwa popanga chipewa pa thumba lanu lopindika, ndikusuntha dzanja kumbali yaing'ono. Odwala omwe ali ndi dequuvava's tenosynovitis adzakhala ndi ululu ndi njirayi.
Kuchiza kwa de Quervain's Tenosynovitis
Odwala ambiri omwe ali ndi Quervain's tenosynovitis adzawongolera ndi kujambula kansalu ndi jekeseni ya cortisone . Chovalacho chimavala nthawi zonse, masana ndi usiku kwa masabata anai kapena asanu ndi limodzi, kuti athandizire chala chachikulu ndi dzanja. Mukhozanso kutenga mankhwala oletsa-kutupa ndikugwiritsa ntchito phukusi kuti muchepetse kutupa. Pumulani thumbani ndi dzanja lanu ndipo pewani kuchita zinthu zomwe zimapweteka m'matope.
Ngati vutoli likupitirirabe, njira yopaleshoni yopanga malo ochulukirapo amatha kuchitidwa. Panthawi ya opaleshoniyi, minofu yolimba yozungulira ma tendon imadulidwa kuti ikamasulidwe ku tendon. Kuchita opaleshoni kumachitika kawirikawiri kumayambiriro kwa anesthesia koma ikhoza kuchitidwa pansi pa chigawo cha m'deralo, kapena chachikulu . Ngati pali tizilombo tating'ono ting'onoting'ono tomwe timapeza kuti akhoza kuchotsedwa. Pambuyo pa opaleshoni, kupasuka kwagona kwa milungu ingapo, ndipo ntchito zachizolowezi zingayambirenso pang'onopang'ono.
Mudzapatsidwa machitidwe osiyanasiyana olimbitsa thupi kuti mubwezeretse ntchito yanu.
Zovuta za opaleshoni ya manja zimaphatikizapo matenda ndi machiritso. Mitsempha yaing'ono, yomwe imatchedwa nthambi yokhayokha ya mitsempha yamtunduwu, ingakhoze kuonongeka kumatsogolera ku chigawo cha chimfine kumbuyo kwa thupi. Chimodzi mwa zovuta zokhudzana ndi mavuto ndikuti mavitoni amatha kukhala osasunthika, kuchoka pa malo awo omwe amakhala pambali pa mkono, pambuyo pake pamapeto pake pamatulutsira dzanja. Vutoli likhoza kutetezedwa poonetsetsa kuti tizilombo toyambitsa matenda timatsegulidwa pamalo oyenera, komanso pochepetsa mavitamini apadera pambuyo pa opaleshoni.
Zotsatira:
Ilyas AM "de Quervain Tenosynovitis ya Wrist" J. Am. Acad. Ortho. Kukula, December 2007; 15: 757 - 764.
De Quervain's Tendinosis, American Academy of Orthopedic Surgeons, December, 2013.