Ululu ndi Kutupa kwa Wrist Tendons
Matenda otchedwa intersection syndrome ndi chikhalidwe cha kutupa kwa tendon kumbuyo kwa nsonga ndi mkono. Kupweteka kwa matenda a intersection kumakhala pafupifupi masentimita 4 pamwamba pa kumbuyo kwa mgwirizano wamanja kumene zikoka ziwiri zikuluzikulu zimasunthira (kuwongolera) zala zimadutsa. Matenda a intersection ndi mtundu wa tetonitis ya wrist .
Matenda a intersection amapezeka kwambiri kwa othamanga omwe amachita masewera olimbitsa thupi.
Masewera omwe anthu ambiri othamanga amakumana nawo amatenga mpikisano. Ulendo woyendayenda umabwereza mobwerezabwereza ndipo umapangitsa kuti phokoso likhale lopweteka kwambiri.
Zizindikiro za Matenda Otsutsana
Zizindikiro za matenda a intersection ndizovuta kwambiri. Odwala omwe akudandaula nthawi zonse amakhala ndi zizindikiro zomwezo. Zizindikirozi zimakhala tsiku limodzi kapena awiri mutatha kubwerezabwereza, monga masewera kapena masewera olima. Kawirikawiri vutoli limapanga mpikisano wokwera mpikisano tsiku limodzi kapena awiri pambuyo pa zovuta zolimbitsa thupi. Zizindikiro zofanana za matenda a intersection zikuphatikizapo:
- Kupweteka ndi chikondi cha phokoso la manja
- Kutupa kwa tendons
- Kusungunuka kwagaya (crepitus) ndi kusuntha kwala zala
M'madera osavuta omwe matendawa sakudziwika bwino, jekeseni wa mankhwala am'deralo m'deralo angakhale othandiza popanga chitsimikizo chotsimikizirika. Anthu amene athandizidwa ndi matendawa pambuyo potsatira jekeseni mwachindunji pamatendawa amayamba kutsimikiziridwa.
Kuchiza kwa Intersection Syndrome
Kuchiza kwa matenda a intersection nthawi zonse kumakhala kosavuta ndi zosavuta zina. Chofunika kwambiri, timakonda kupumula, ndipo izi zikutanthauza kupewa ntchito ndi mkono wokhudzidwa kwa masiku osachepera 3-5 pamene kutupa kumachoka. Osati kupumula chikhalidwecho chimawonjezera zizindikiro ndi kuwonjezera zizindikiro.
Othamanga ayenera kuonetsetsa kuti zizindikirozo zathetsa, ngati kubwerera msanga masewera asanakwane kudzatha kubweretsanso vutolo.
Mankhwala a matenda a intersection ayenera kuphatikizapo:
- Mpumulo: Anthu ambiri amapindula pogwiritsira ntchito chigoba cha manja kuti apumitse mafupa osachepera masiku asanu. Malo abwino kwambiri a chophatikizira cha wowonjezera wonyezimira wasonyezedwa kukhala owonjezereka pafupifupi madigiri 15. Zochitika zomwe zimayambitsa kupweteka kwa zizindikiro ziyenera kupeŵedwa. Njira zambiri zosinthira zingathandize kuthetsa nkhawa pazinthu zomwe zimakhudzidwa.
- Ice : Dzira lingathandize kuthetsa zizindikiro za kutupa. Kugwiritsidwa ntchito kwa madzi kungakhale kopindulitsa kwakukulu komwe kunaperekedwa malo ophiphiritsira a kutupa kwa anthu omwe ali ndi matenda a intersection. Poyerekeza ndi zikhalidwe zina zomwe zili mkati mwathupi ndi icing ndi zopindulitsa, izi ndizochitika momwe ndingapezere zotsatira.
- Mankhwala Oletsa Kutentha : Maphunziro afupipafupi omwe amatsutsana ndi zotupa amathandizanso kuthetsa zizindikiro. Ngakhale kuti mankhwala osokoneza bongo nthawi yayitali ayenera kugwiritsidwa ntchito mosamala, kawirikawiri kaye kawiri ka mankhwalawa kangathandize kuchepetsa kutupa ndipo kumayambitsa kuchepa kwakukulu kwa zizindikiro.
Chizindikiro chitakhala bwino, othamanga ayenera pang'onopang'ono kubwerera kuntchito kuti athetse vutoli. Ngakhale ngati palibe kupweteka pamene mukuchita ntchito, mofulumira kubwerera kungabweretse kutupa kumene sikukuwoneka masiku angapo. Choncho, ntchito zoyambirirazi pamene wothamanga akubwera kuchokera kuchipatala ndizofunika kwambiri. Kukhala ndi masewera olimbitsa thupi kapena wophunzitsi wodziwa bwino akuyang'anira izi kubwerera ku masewera angathandize kuchepetsa zizindikiro.
Muzochitika zina zosavuta, chithandizo chamanyazi chikhoza kuganiziridwa. Nthawi zina jekeseni ya cortisone imagwiritsidwa ntchito pothandizira.
Nthawi zina, opaleshoni yoyeretsa kutupa ingaganizidwe. Komabe, odwala ambiri amatha kukhala ndi masabata awiri a mankhwala ochepa. Pazifukwa zovuta kwambiri, njira yokha opaleshoni (kuyeretsa) ya tendon ikhoza kuchitidwa. Pa opaleshoni, minofu iliyonse yosaoneka bwino, yotchedwa fascia, ikhoza kumasulidwa kuchokera kumtunda kuti isabweretse vutoli. Uthenga wabwino, ndikuti pafupifupi odwala onse akhoza kuchira popanda kuchitidwa opaleshoni ya vuto ili.
Zotsatira:
Adams JE, Habbu R. "Matendinopathies a Dzanja ndi Wrist" J Am Acad Orthop Surg. 2015 Dec; 23 (12): 741-50.