Matenda a tetronitis, omwe amatchedwanso tenosynovitis, ndi omwe amachititsa kuti anthu azikhala okhumudwa komanso otupa kwambiri. Mitundu yambiri imayandikana nawo mbali. Matendawa amatha kukhudza imodzi mwa mavitoni, koma akhoza kuphatikizapo awiri kapena kuposa.
Kawirikawiri, matenda otchedwa tumonitis amapezeka pamapangidwe omwe amatha kugwedezana kapena kudutsa pamphamvu.
Izi ndi malo omwe angathe kukhumudwitsa ndipo zingasokoneze pamene mukugwedeza dzanja.
Chiyambi cha Wrist Tendons
Tendons ndizomwe zimagwirizanitsa minofu ndi mafupa, ndipo matope amatha kugwirizanitsa minofu ya minofu ku mafupa a dzanja ndi zala. Zingwe zamtunduzi zimadutsa m'mphepete mwazitali pamene akudutsa pamanja. Mitsempha ya tendon imalola kuti thambo liziyenda bwino ngati mkono ukugwedezeka mobwerezabwereza. Matenda a tendon amakhala ndi madzi m'kati mwake omwe amatchedwa synovial fluid, ndipo pamene malowa amatha, vutoli limatchedwa tenosynovitis.
Mitundu yambiri yomwe ili pambaliyi imagawidwa m'magulu awiri: kumbuyo kwa mkono (the extensors) ndi omwe ali kutsogolo kwa dzanja (kusintha). Mtedza uliwonse ukhoza kukwiyitsa ndipo umayambitsa zizindikiro za ululu, koma matenda a tendonitis amapezeka mochulukirapo pamatenda angapo omwe amapezeka chifukwa cha kutuluka kwa thupi, komanso ntchito zomwe anthu amachita.
Zizindikiro za Tendonitis Wowona
Kudandaula kwakukulu ndi kosasinthasintha kwa odwala omwe ali ndi tendonitis yamtundu ndi ululu mu dzanja. Zizindikiro zina za tetonitis ya m'manja zimaphatikizapo:
- Kutupa pozungulira chophatikiza cha manja
- Kutentha ndi kuphulika kwa tendons
- Kusakaniza (crepitus) ndi kutuluka kwa tendons
Matenda a tetonitis amapangidwa ndi kuyang'ana zizindikiro za chikhalidwe ichi. Kuonjezera apo, malingana ndi tendon yomwe yatentha, dokotala akhoza kuchita mayesero omwe amatambasula zizindikiro zomwe zimakhudzidwa kuti apeze malo enieni a kutupa.
Mwachitsanzo, mtundu umodzi wa tetonitis wamtundu wotchedwa DeQuervain's tenosynovitis . Izi ndi kutukusira kwa tendon m'munsi mwa thupi. Kawirikawiri amawona azimayi atsopano, DeQuervain's tenosynovitis amapezeka ndi mayeso ena otchedwa " Finkelstein's test ," kumene wodwalayo amamenya chifuwa ndipo dzanja limachotsedwa pa thupi. Kupweteka kumeneku ndiko kuyang'ana kwa mtundu uwu wa tetonitis ya wrist.
Maphunziro apadera sakhala oyenera, koma x-ray ikhoza kuthandizira kufufuza zina zomwe zingayambitse ululu wa dzanja. X-ray ingakhale yothandiza kwambiri pakufufuza za nyamakazi kapena zophulika. Anthu ambiri omwe ali ndi tendonitis wowononga adzakhala ndi maonekedwe a x-ray. Mayesero ena monga ultrasound ndi MRI angasonyeze tendonitis mwachindunji, momwe mayeserowa adzasonyezera kusungunuka kwa madzi kumtunda wovuta kwambiri. Ngakhale kuti mayesowa sali ofunikira, ngati pali chisokonezo chotheka chifukwa cha ululu, zingakhale zothandiza kupitiliza kuwona vuto.
Kamodzi kafukufuku wa tendonitis wapangidwa, ndondomeko ya chithandizo ikhoza kupangidwa. Sikuti munthu aliyense yemwe ali ndi tendonitis wansalu adzapatsidwa chimodzimodzi, ndipo mankhwala ena akhoza kuthandiza kwambiri mtundu wina wa tendonitis kuposa ena. Izi zinati, mankhwala ambiri amayamba ndi zochepa zochepetsera kutupa ndikulola machiritso, ndipo amangopitabe patsogolo ngati mankhwalawa akulephera kuchepetsa zizindikiro za matendawa.
Kuchiza Chida Tendonitis
- Kupanda malire: Kuyika chiuno kapena kuponyedwa m'manja nthawi zambiri kumakhala koyambako. Matenda a tumadzi amayamba chifukwa cha kukwiya kobwerezabwereza kwa tendon ndi mpweya wake. Pogwiritsa ntchito tendon, kutupa kuyenera kuchepa.
- Ikani Kuvulaza : Kugwiritsa ntchito phukusi lachitsulo mosapita m'mbali kumalo a kutupa kungakhalenso kopindulitsa. Mankhwala otchedwa tendonitis amathandiza kuti azizizira ndipo amachititsa kuti magazi aziyenda m'madera osiyanasiyana.
- Mankhwala Oletsa Kutentha : Mankhwala osakanikirana ndi othandizira ena omwe amachititsa kuchepetsa kupweteka amathandiza kuchepetsa ululu, komabe amathandiza kwambiri kuteteza tizilombo toyambitsa matenda kuti achepetse kutupa ndi kutupa kwa tizilombo tofewa. Mankhwalawa amachepetsa kupweteka kwamtunduwu, chomwe chimayambitsa ululu.
- Mankhwala othandiza: Kupereka chithandizo ndi mtundu wapadera wa mankhwala omwe umagwira ntchito yovuta ya dzanja ndi mkono, ndi maviton ambiri omwe amachizungulira ndi kuthandizira mgwirizano. Apereka opaleshoni amagwiritsira ntchito njira zambiri kuchokera kukutambasula ndi kulimbikitsa kuyambitsa magetsi ndi ultrasound. Kuphatikiza apo, wothandizira manja nthawi zambiri amapanga zida ndi zothandizira zomwe zimapangidwa kuti zithetse kayendedwe ka mkono.
- Kupweteka kwa Cortisone : Cortisone ndi njira yowonjezera yotsutsa yotupa yomwe imaperekedwa mwa jekeseni mwachindunji ku tsamba la kutupa. Mankhwala a Cortisone ali otetezeka koma amatha kufooketsa timatoni patapita nthawi ngati jekeseni yambiri imaperekedwa.
Opaleshoni: Opaleshoni imangotheka pamene njira zina zamankhwala zathandizira kuthetsa vutoli. Ngati ndi choncho, malo amtundu wathanzi omwe amachititsa kuti zisamaliro zowawa komanso zovuta zimasulidwe zingathe kumasulidwa. Minofu yotupa ingathe kuchotsedwanso poyesera kupanga malo ochulukirapo kuti thambo liziyenda momasuka.
Kuteteza Mavuto Amtsogolo
Palinso masitepe angapo omwe mungatenge pofuna kupewa kutsekemera kwa tetonitis. Gawo lofunika kwambiri lomwe mungatenge ndikusintha ntchito iliyonse yomwe ikuwoneka kuti ikukuliritsani. Izi zikhoza kutanthauzira kusintha momwe mukukweza kapena kusintha kusintha kwanu. Kusintha malo a manja anu pamene mukuchita ntchito kungathe kuwonetsetsa kuti palibe njira imodzi yomwe imatenga nthawi yambiri.
- Kuvala zozizwitsa pazochitika zomwe zimakhumudwitsa tendonitis yanu zingakhale zothandiza, koma izi zingakhale zovuta. Zoonadi, kumangiriza kapena kuthandizira kungakhale njira yosavuta yopezera zizindikiro.
- Samalani kumwa mankhwala musanayambe ntchito, monga nthawi zina izi zingathe kutseka zizindikiro, pamene zingakhale bwino kuti muwone ngati mukuyang'anira ntchito.
- Kutambasula ndi kutentha pamaso pa ntchito kungathe kuonetsetsa kuti tendons ali okonzeka, ndipo phokoso latatha pambuyo pake lingathetse kutupa kulikonse.
Ngati simungathe kulamulira zizindikiro, nthawi ikhoza kukhala dokotala wanu.
Mawu Ochokera
Matenda othamanga ndi amtundu wamba ndi omwe amapezeka ndi anthu onse pa nthawi ina. Kutenga njira zosavuta kumayambiriro msinkhu kungathandize kuchepetsa zizindikiro kuti zikhale zovuta komanso zolepheretsa.
Ngati muli ndi vuto la tetonitis ya wrist, kugwira ntchito ndi katswiri wa mankhwala kuti mupange ndondomeko yothetsera mavuto omwe angakhalepo angakuthandizeni kuti muzichita ntchito zomwe mukuyenera kuchita kuti mukhale ndi ntchito kapena musangalale kuchita zosangalatsa!
Chitsime:
> Adams JE, Habbu R. "Tendinopathies a Dzanja ndi Wrist." Journal of American Academy of Orthopedic Surgeons. 2015; 12: 741-750.