Mapumidwe Pambuyo pa Dzanja
Cyst yamkono wamakono ndi kutupa komwe kawirikawiri kumapezeka pozungulira dzanja kapena mkono. Cyst ganglion ndi capsule yodzaza madzi; iwo sali odwala khansa, sadzafalikira, ndipo pamene amakula kukula, sangathe kufalikira kumbali zina za thupi lanu. Magulu a Ganglion akhoza kuchitika kumbuyo kwa dzanja kapena pambali pa dzanja. Akafika kumbuyo kwa dzanja, amatchedwa dorsal ganglion cyst.
Pamene zimachitika pamtundu wa kanjedza zimatchedwa volar ganglion cysts.
Magulu a Ganglion sali "makutu owona enieni," koma amayamba ngati zikopa zamadzimadzi zomwe zimachokera ku mbali zing'onozing'ono za dzanja, kapena kuchokera m'madzi amkati omwe ali pamphepete mwake . Pamene madzimadzi, otchedwa synovial fluid , akuthawa kuchokera m'mipata iyi, akhoza kupanga kapangidwe ka thumba komwe timawatcha khungu la ganglion. Madzi amadzimadziwa mumtsinje wa ganglion ndi ofanana ndi madzi omwe amapezeka mkati mwa chiwalo kapena mkati mwa mkaka wa tendon. Magaziwa ndi gelatinous, ndipo amayang'ana ndipo amawoneka ngati odzola.
Mapumpha ndi Mabomba a Dzanja ndi Wrist
Ndikofunika kukhala ndi chithandizo cha mtundu uwu ndi dokotala kuti muwonetsetse kuti ndi ganglion cyst chabe. Ngakhale kuti zinyama zambiri ndi ziphuphu za dzanja ndi mkono ndi kansalu za ganglion (ndizofala kwambiri), palinso zinthu zina zomwe zimakhala ndi mankhwala osiyanasiyana. Matenda ena monga lipoma kapena chimfine chotupa, matenda, carpal bossing ( bone spur ), ndi zinthu zina zingayambitse zilonda kuzungulira dzanja.
Magulu a Ganglion akhoza kukhala ofewa, koma kawirikawiri ndi maonekedwe a chimwala chimene chimadetsa odwala. Chotupacho sichiyenera kugwirizana ndi khungu, ndipo khungu liyenera kukhala labwino. Chiyeso chimodzi kuti mupeze khungu la ganglion ndikutenga kuwala, monga kuwala kwaching'ono, motsutsana ndi chimwala. Gulu lamtundu wa ganglion lidzawunikira, kutanthauza kuti kuwala kudzadutsa mumtsinje womwe ukusonyeza kuti sizowona.
Kuchiza kwa Ganglion Cyst
Nthawi zina, ziphuphu zamakono zimachoka popanda mankhwala, kapena zimatha kuyamba kukula kapena kukula. Mphunoyi imakhala mtundu wa njira imodzi yokha yomwe imayambira mumadzimadzi mosavuta, koma satha kuthawa. Gulu la ganglion likakhala lokwanira, liyamba kuyika zovuta pazomwe zili pafupi. Kupsyinjika kumeneku kungayambitse zizindikiro zowawa , ndipo nthawi zambiri izi zimachotsedwa.
Pali njira zingapo zothandizira pa khungu lamakono. Kuyika singano mu cyst ganglion ndi kuyembekezera madzimadzi akhoza kugwira ntchito. Komabe, gelatinous madzi m'kati mwa mphutsi sikuti nthawi zonse imadutsa mwa singano bwino kwambiri. Kuwonjezera pamenepo, mankhwalawa amachoka kumbuyo, ndipo ganglion ikubwerera pafupifupi 50 peresenti ya nthawiyo. Ubwino wokhetsa chida ndikuti ndi njira yosavuta yochitira, ndipo mwayi wa vuto ndiloling'ono kwambiri. Chokhumudwitsa ndi chakuti mwayi wobwereza ndi wapamwamba kwambiri.
Njira ina, yomwe ena amaitcha mwambo, ena amawatcha kuti ndi ovuta, ndikuphwanya chipolopolo cha cylion ndi chinthu cholimba monga buku. Izi zimatulutsa phokoso, ndipo zimaphwanya chikwama cha thumba. Ngakhale kuti anthu ambiri amadziwa chithandizochi, sichikuwoneka kuti n'chovomerezeka monga momwe zingathetseretu zina mwa zovuta za mankhwala.
Ndipotu, pali kawirikawiri kafukufuku wa mafupa omwe ali pambali pa mkono wokhudzana ndi kuyesayesa kwamphamvu kuti awonongeke.
Chithandizo choopsa kwambiri kwa kansalu kotsalira kapena kowopsya kameneka ndi kuchotsa ndi kupaleshoni. Panthawi ya opaleshoni, khungu lamakono ndilokwezeretsa, kuphatikizapo thumba lozungulira madziwo. Kuphatikiza apo, kugwirizana kwa gawo lophatikizana kapena tendon lomwe linapereka madziwa kungathe kukhalapo. Ngakhale kuti kawirikawiri izi ndizothandiza, pang'ono peresenti ya ganglion yamtundu wochotsedwa ikhoza kubwerera. Chithandizo cha opaleshoni chafotokozedwa bwino ngati njira yotsegulira opaleshoni (kupyolera mu kapangidwe ka khungu) komanso monga njira zamagetsi.
Ochita opaleshoni osiyana amavomereza njira zawo zoyenera.
Potsirizira pake, akatswiri ambiri amanja ndi manja amasonyeza kuti palibe mankhwala omwe angapangidweko. Ngakhale anthu ena sakonda kuyang'ana kwa khungu la ganglion, ndipo anthu ena samva bwino, ziphuphu sizingakhale zovulaza, ndipo odwala ambiri amamva bwino atatsimikiziridwa kuti chifuwacho sichidzachititsa vuto lililonse. Makamaka ndi cylars za voliyoni, chithandizochi chingakhale chovuta, ndipo mavuto omwe amakhalapo monga matenda, kutupweteka kwa tendon, ndi kubwereranso kwa chidachi zonse zikhoza kuchitika. Ngati chida chitha kulekerera, akatswiri ambiri amauza kuti asiye okha.
> Zotsatira:
> Mutu L, Gencarelli JR, Allen M, Boyd KU. "Chithandizo cha ma ganglion wristanti: ndondomeko yowonongeka komanso meta" J Kupanga Mankhwala Am. 2015 Mar; 40 (3): 546-53.e8.