Matenda ozungulira mavitoni a chala akhoza kukhala ovuta kwambiri. Izi zimatchedwa flexor tenosynovitis kapena matenda a tendon sheath matenda.
Tisanamvetsetse kufunikira kwa opaleshoni ndi kupezeka kwa mankhwala ochiza maantibayoti , kusintha kwa matendawa kunapangitsa kuti munthu asatayike kapena kuti afe. Masiku ano, matendawa akhoza kuchiritsidwa. Koma, pofuna kuteteza kulemala kwakukulu, amafunika kuzindikira mofulumira ndi kuchiritsidwa mwaukali.
Flexor Tendons & Flexor Sheath
Zovuta zovuta ndizozolowera zala zala. Tchutchu ndi kapangidwe kamene kamagwirizanitsa minofu ndi fupa. Pamene minofu ikugwirizanitsa, ntchentche imakoka pfupa. Pankhani ya mgwirizano wa zintchito za zala, pamene mgwirizano wa minofu yapamwamba, zala zimatengedwa ndi tendons mu nkhonya.
Mitundu yothamanga imathamanga mbali imodzi mwa njira yomwe imatchedwa flexor tendon sheath. Mphuno yamtunduwu imakhala ndi zifukwa ziwiri:
- Zimathandiza kuti kuyenda kothamanga kwa tendon. Chifukwa chakuti zala zikuyenda mosalekeza, kuyendetsa bwino n'kofunika kwambiri chifukwa choyenda mofulumira.
- Mphepete mwa mpweya wotsekemera imalepheretsa matopewa kuti "asamangidwe." Kuwongolera kunkachitika ngati mkhalawo sunali kugwira tchupi motsutsana ndi fupa. Zikatero, mavitoni amayendetsedwa molunjika, osagwirana ndi chala, ndipo amatha kupeza njira yogwirira zinthu.
Kutengera kwa Flexor Sheath (Flexor Tenosynovitis)
Kawirikawiri, matenda opatsirana m'mimba amapezeka pambuyo povulazidwa ndi chala, kudulidwa kwakukulu, kapena kupweteka kwambiri.
Ngati mabakiteriya alowa m'chimake, thupi silingakwanitse kulimbana ndi matendawa.
Palibe magazi omwe amachititsa kuti mafuta a synovial amatsitsimutse m'mimba mwa thonje komanso kuti chitetezo cha thupi chimasokonezedwa kwambiri. Zizindikiro za matenda nthawi zambiri zimakhala mkati mwa sabata ya zovulaza ndipo zimadziwika ndi zotsatirazi:
- Kutupa kwa chala
- Chifundo pamtambo wa tendon
- Kusuntha pang'ono ndi chala chomwe chinagwidwa pang'ono
- Ululu ndi kuyesa kusuntha chala
Zizindikiro zimenezi zimatchedwa "Cardinal's cardinal signs," omwe amatchulidwa ndi dokotala yemwe adawafotokozera. Odwala omwe ali ndi zizindikirozi ayenera kuyesedwa ndi dokotala wophunzitsidwa kuti adziŵe matenda opatsirana pogonana. Odwala akhoza kukhala ndi malungo, ntchito yambiri ya magazi, ndi zina zowunikira, koma zizindikiro za thupi zomwe zimafotokozedwa ndi Kanavel ndizofunikira kwambiri pakupeza matenda a matenda a flexor sheath.
Kuchiza kwa Matenda a Flexor Tenosynovitis
Monga tafotokozera kale, sitepe yovuta kwambiri ndikuzindikira vuto mwamsanga ndikuyambitsa mankhwala mwamsanga. Matenda ambiri a flexor sheath adzakhala ndi mabakiteriya omwe amapezeka pamatumba athu, kuphatikizapo staph ndi strep.
Matenda a antibiotic ndi ofunika, koma osati okwanira. Chifukwa thupi limachepetsa magazi ku tendon sheath, maantibayotiki sangathe kufika ku malowa mosavuta. Choncho, opaleshoni amafunikanso kuyeretsa chiwopsezo kuchokera kuchimake.
Kuchita opaleshoni pofuna kuyeretsa mpweya wabwino kumatha kupangidwa mwa kupanga zinthu ziwiri zochepa, imodzi pansi pa chala ndi imodzi pafupi ndi nsonga.
Madzi amchere amatsuka m'kati kuti athetsedwe. Odwala omwe ali ndi kachilombo koyambitsa matenda angapangitse kuti chiweto chonse chiziwonetseke kuti chiyeretsedwe.
Mavuto a Mavuto Amtenda Ovuta
Matenda opweteka kwambiri ndi kuvulala kwakukulu ndipo nthawi zambiri amatenga miyezi kuti athetse bwinobwino. Odwala omwe ali ndi matenda akuluakulu komanso apamwamba sangapitirizebe kuyenda bwinobwino.
Chifukwa chakuti mpweya wotsekemera ndi wofunika kwambiri pa kuyendetsa kwala, ngati kuwonongeka kwa mkamwa kumachitika kapena minofu yowopsya, chikoka chaching'ono sichingabwerere ku 100 peresenti. Odwala angagwiritse ntchito ndi othandizira opereka mankhwala atatha kuthetsa vutoli kuti athandizidwe.
mawu ochokera bwino kwambiri
Matenda a sitiroko ya tendon sheath m'manja ndi zala ndi mavuto aakulu omwe angakhale ndi zotsatira za nthawi yaitali. Kufufuza kofulumira ndi chithandizo n'kofunika kuti muwone kuti matendawa akuchitidwa bwino, kuti akupatseni mwayi wabwino wochira. Ngakhalenso ndi chithandizo choyenera, kuuma, kutupa, ndi kuvutika kumatha nthawi yaitali.
Zotsatira
> Draeger RW ndi Bynum DK. "Flexor Tendon Sheath Infections of the Hand" J Am Acad Orthop Surgery June 2012; 20: 373-382.