So ɛyɛ den sɛ wobɛbɔ wo nsateaa? So ɛkyere? Momma yensua saa ‘Trigger Finger’ yi ho ade!

So woasɔre anɔpa na woasusuw pɛn sɛ, “Oo me, nsateaa yi yɛ den yiye sɛ wobɛkotow, ɛte sɛ nea akye!” Anaasɛ wote nnyigyei bi a ɛrebɔ bere a wokotow anaa woteɛ wo nsateaa no? Sɛ ɛba saa na wote nka sɛ wo nsateaa akɔhyɛ baabi biako, a ɛyaw ka ho a, ebia wubenya tebea bi a wɔfrɛ no ‘trigger finger’. Mma ɛnhaw wo, momma yɛnka ho asɛm tiawa.

Dɛn ne ‘Trigger Finger’?

Sɛ yɛbɛka no tiawa a, ‘Trigger Finger’ yɛ tebea a ɛma nsateaa biako anaa nea ɛboro saa a ɛwɔ wo nsa so, ɛtɔ mmere bi a wo nsateaa kɛse no yɛ den na ɛyɛ den sɛ wobɛkotow anaasɛ wobɛteɛteɛ. Sɛ yɛbɛka no pɛpɛɛpɛ a, ebia nsateaa no akɔhyɛ baabi a wɔakotow. Ebinom ka sɛ wɔfrɛ no ‘trigger finger’ efisɛ ɛte sɛ nea worebɔ mmɔden sɛ wobɛtwe trigger no wɔ tuo so.

Saa tebea yi ba bere a ntini a ɛwɔ wo nsateaa mu a wɔfrɛ no ntini ahorow no aka no. Ntini te sɛ nhama a ɛyɛ den a ɛka yɛn ntini ne yɛn nnompe bom. Sɛ ɔhaw bi ba saa ntini yi ho a, nsateaa no ntumi nyɛ adwuma yiye. Wɔtaa hu tebea yi wɔ ring finger no mu . Nanso, ebetumi aba wɔ nsateaa biara mu, a nsateaa kɛse ka ho.

Dɛn ne obi a ɔwɔ ‘Trigger Finger’ ho sɛnkyerɛnne?

Sɛ wowɔ trigger finger a, wubetumi anya saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa:

• Wɔte nnyigyei a ‘ɛbɛbɔ’ nka bere a wokotow anaa woteɛ nsateaa bi no. Ɛte sɛ nea biribi rehuruw afi mu.
• Nkate a ɛyɛ den na ɛyɛ den a ɛyaw ka ho bere a worebɔ nsateaa no akɔ nkyɛn no.
• Ɛyaw a ano yɛ den anaasɛ nsa a ɛbɔ denneennen , baabi a nsateaa a ɛka no fi ase no. Ebia ɛyaw yi bɛyɛ kɛse bere a wokura biribi mu denneennen no.
• Ɛtɔ mmere bi a, ebia akisikuru anaa akisikuru ketewaa bi bɛba a ɛte sɛ nea akɔta nsa no mu .
• Nsateaa a ɛkyere baabi biako bere a wɔabɔ no na wontumi nteɛ no bio . Ɛtɔ mmere bi a, ɛsɛ sɛ wɔde nsa foforo no teɛ nsateaa a akyea no nkakrankakra.

Nnipa pii nya saa sɛnkyerɛnne ahorow yi, titiriw wɔn nsateaa a ɛyɛ mmerɛw na ɛyɛ den, na dodow no ara nya anɔpa . Bere a da no kɔ so, na sɛ wɔde wɔn nsateaa di dwuma kakra a, saa a ɛyɛ den yi taa so tew.

Dɛn nti na ‘nsateaa a ɛkanyan’ yi nyin? Dɛn na ɛde ba?

Nea ɛde nsateaa a ɛkanyan no ba titiriw ne ntini a ɛwɔ nsateaa no mu anaa ntini a atwa ho ahyia no a ɛho ahonhon anaasɛ ɛyɛ hyew .

Yɛadi kan aka sɛ ntini te sɛ nhama a ɛka ntini ne nnompe bom. Wɔde akataso (te sɛ afiri ketewaa bi ) a wɔfrɛ no ntini atwa saa ntini yi ho ahyia.Ɛtu fi mu. Saa ntini a wɔde akata so yi bɔ ntini no ho ban na ɛma ɛkɔ so tra baabi.

Afei, sɛnea nsateaa a ɛkanyan no nyin ni: Sɛ ntini no ho hyehye na ɛho ahon esiane biribi nti a, entumi nkɔ yiye wɔ ntini no kotoku mu. Ɛte sɛ hama bi a ɛkyere bere a akɔhyɛ tokuru ketewaa bi mu no. Ɛtɔ mmere bi a, akisikuru ketewaa bi (nodule) betumi ayɛ wɔ saa ntini a ahonhon yi mu. Afei ɛyɛ den mpo sɛ wobɛkɔ ntini no mu.

Knot a ɛba saa `tendon` yi mu no rebɔ mmɔden sɛ ɛbɛkɔhyɛ `tendon sheath` no fã bi a wɔfrɛ no `A1 pulley` mu . Saa `A1 pulley` yi yɛ beaeɛ teateaa a ɛwɔ beaeɛ a ɛte sɛ tunnel a `tendon` no tu kwan. Sɛ ɛbata hɔ a, nsateaa no te nka sɛ ɛde saa `klik` nnyigyei no abata ho.

Hena na ɛda adi sɛ obenya ‘Trigger Finger’? (Nneɛma a Ɛma Asiane) .

Ɛwom sɛ saa tebea yi betumi aba obiara so de, nanso nnipa binom betumi anya bi.

• Ɛtaa ba nnipa a wɔadi fi mfe 40 kosi 60 so kɛse .
• Eyi betumi ato nnipa a wɔyɛ nneɛma koro no ara bere nyinaa, wɔde wɔn nsa kura nneɛma mu denneennen, anaasɛ wɔwɔ nnwuma anaa anigyede ahorow a ɛde nhyɛso kɛse ba wɔn nsateaa so no so . Nhwɛsoɔ:
• Nnipa a wɔyɛ kua na wɔyɛ adwuma wɔ mfuw mu.
• Nnipa a wɔyɛ adwuma wɔ adwumayɛbea ahorow ne nsaano nnwinnade.
• Nnipa a wɔbɔ nnwinnade (titiriw guitar ne sanku).
• Nnipa a wɔbɔ agumadi a wɔde racket di dwuma, te sɛ tɛnis ne badminton.
• Nnipa a wɔwɔ tebea horow bi a enni sabea nso taa nya trigger finger:
• Osteoarthritis – yareɛ a ɛwɔ nkwaa mu
• Rheumatoid Arthritis – Yareɛ a nipadua no mu tumi a ɛko tia nyarewa no tow hyɛ nkwaa so
• Gout – nkwaa a ɛyɛ hyew a ɛnam uric acid a ɛkɔ soro nti
• Asikreyare a Ɛyɛ Fɛ
• Amyloidosis – protein a ɛwɔ ntini mu a ɛnyɛ ne kwan so
• Thyroid yareɛ

Ɔkwan bɛn so na oduruyɛfo hu sɛ nsateaa a ɛkanyan no?

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn akɔhwɛ wo. Mpɛn pii no oduruyɛfo no bɛyɛ nipadua mu nhwehwɛmu .

• Wɔbɛhwehwɛ wo nsa ne wo nsateaa mu.
• Wobebisa wo wo yare no ho sɛnkyerɛnne (bere tenten a wode anya bi, bere a ɛyɛ den, nea woyɛ, ne nea ɛkeka ho).
• Oduruyɛfo no bɛkotow nkakrankakra na wateɛteɛ wo nsateaa no na wate nnyigyei a ɛrebɔ ne sɛnea ɛyɛ den no. Sɛ woyɛ eyi a, ebehia sɛ woka baabi a wote ɛyaw nka kyerɛ wɔn.

Mpɛn pii no, ɛho nhia sɛ wɔyɛ nhwehwɛmu titiriw biara na ama wɔahu nsateaa a ɛkanyan no. Nanso, ɛtɔ mmere bi a, wobetumi ayɛ ultrasound anaa X-ray de ahwɛ sɛ ɔhaw afoforo wɔ hɔ anaa.

Dɛn ne ayaresa ahorow a wɔde sa ‘Trigger Finger’?

Ayaresa a wɔde sa nsateaa a ɛkanyan no gyina sɛnea wo sɛnkyerɛnne ahorow no mu yɛ den ne nsateaa a ɛka no so. Mma ɛnhaw wo, mpɛn pii no wobetumi de ayaresa a ɛnyɛ den asa.

Wɔde ayaresa a edidi so yi na edi dwuma titiriw:

• Ahomegye: Eyi ne ade a edi kan. Ɛsɛ sɛ wotwe wo ho fi dwumadi ahorow, anigyede ahorow, ne nneɛma a ɛde nhyɛso baa wo nsateaa so a ɛde nsateaa tebea a ɛkanyan no bae no ho. Eyi bɛma ntini no anya bere asa.
• Nsateaa a wɔde kyekyere wo ho: Ebia wo duruyɛfo bɛkamfo akyerɛ sɛ fa ahama ketewaa bi na ama nsateaa a ayɛ no den no akɔ so atra baabi biako, na mpɛn pii no ɛbɛtra baabi a ɛteɛ. Eyi ma ntini no home na ɛboa ma ɛsan trɛw bio.
• Apɔw-mu-teɛteɛ a wɔde trɛw mu: Wo duruyɛfo anaa apɔw-mu-teɛteɛ ho ɔyaresafo bɛkyerɛ wo apɔw-mu-teɛteɛ a ɛnyɛ den bi a ɛbɛboa ma wo ntini ahorow no ayɛ mmerɛw kɛse.
• Nnuru a wɔde ko tia ɔyare mmoawa:
• Sɛnea ɛbɛyɛ a wobɛtew ɛyaw ne ɔfe so no, wubetumi anom nnuru a wɔde kum ɛyaw a wɔtɔn a wɔfrɛ no NSAIDs (Nonsteroidal anti-inflammatory drugs), te sɛ ibuprofen anaa naproxen.
• Oduruyɛfo no nso betumi akyerɛw aduru bi a wɔfrɛ no corticosteroids a ɛtew ɔfe so .
• Wɔ tebea horow bi mu no, wobetumi de cortisone aduru ama ntini a ɛka ho no. Eyi betumi atew ɔfe ne ɛyaw so ntɛm.

Kae sɛ ɛho hia paa sɛ wobɛhwehwɛ aduruyɛ mu afotu ansa na woanom nnuru yi mu biara.

So oprehyɛn ho hia na ama wɔasa trigger finger?

Mpɛn pii no, wobetumi de ayaresa a ɛnyɛ den a yɛaka ho asɛm wɔ atifi hɔ no asa trigger finger yare. Nanso, sɛ saa ayaresa ahorow no mmoa a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ oprehyɛn .

Wɔfrɛ eyi ``Trigger finger release`` oprehyɛn . Eyi nyɛ oprehyɛn kɛse.

• Ansa na wɔbɛyɛ oprehyɛn no, wɔma basa no fã a ayɛ basaa no yɛ mmerɛw (local anesthetic ) .
• Afei oduruyɛfo a ɔyɛ oprehyɛn no yi ntini a ɛkata so no.Wɔyɛ ntwitwiridii ketewaa bi pɛ . Eyi ma ntini no tumi keka ne ho kwa.
• Eyi yɛ ayaresa a wɔde kɔ ayaresabea , a ɛkyerɛ sɛ wubetumi akɔ fie da koro no ara.

Me ho bɛtɔ me ntɛm dɛn wɔ ayaresa akyi?

Sɛ wufi ase sa yare a ɛnyɛ oprehyɛn (ahomegye, nhama a wɔde hyɛ, apɔw-mu-teɛteɛ, nnuru) pɛ a, wo sɛnkyerɛnne ahorow no befi ase ayɛ yiye nkakrankakra. Bere tenten a egye na wo ho atɔ wo koraa no bɛsono a egyina wo tebea no so.

Sɛ wɔyɛ oprehyɛn wie a, mpɛn pii no, wubefi ase ate nka wɔ adapɛn kakraa bi mu . Nanso, ebia ebegye asram pii ansa na woatumi asan afi wo dwumadi ahorow a wotaa yɛ no ase. Wo duruyɛfo bɛkyerɛkyerɛ eyi mu akyerɛ wo.

So trigger finger no ankasa bɛsa?

Eyi yɛ asɛm a nnipa pii bisa. Dabi, mpɛn pii no, trigger finger no n’ankasa nkɔ. Sɛ wowɔ sɛnkyerɛnne ahorow a, akyinnye biara nni ho sɛ kɔ oduruyɛfo nkyɛn na kɔhwɛ wo ho. Ebia ɛho behia sɛ wogye w’ahome kɛkɛ, nanso ɛno yɛ biribi a ɛsɛ sɛ oduruyɛfo si ho gyinae. Anyɛ saa a, sɛ wubu w’ani gu so a, ebetumi ama tebea no asɛe kɛse.

So wobetumi asiw trigger finger ano?

Ɛwom sɛ wontumi nsiw ano koraa de, nanso wubetumi ayɛ nea edidi so yi de atew asiane a ɛwɔ hɔ no so:

• Kwati adwuma a ɛhwehwɛ sɛ wokɔ so hyɛ wo nsa ne wo nsateaa so sɛnea wubetumi biara.
• Sɛ wobɔ agumadi anaa wode nnwinnade biara di dwuma wɔ adwumam a, hu sɛnea wogyina hɔ ne akwan a ɛfata a ɛbata ho.
• Sɛ worefi apɔw-mu-teɛteɛ foforo anaa dwumadi a emu yɛ den ase a, fi ase nkakrankakra. Mpia wo ho denneennen prɛko pɛ.
• Sɛ woreyɛ nsaano adwuma bere nyinaa a, gye w’ahome bere tiaa bi bere ne bere mu.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wususuw sɛ wowɔ ‘trigger finger’ ho sɛnkyerɛnne no bi, titiriw sɛ wuntumi nkotow anaa nteɛteɛ nsateaa bi yiye a, kɔ oduruyɛfo nkyɛn. Sɛ mpofirim ara wuntumi ntutu nsateaa mpo a, kɔ ayaresabea baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu ntɛm ara.

Nsɛm bɛn na ɛsɛ sɛ wubisa oduruyɛfo no?

Sɛ wokɔ oduruyɛfo nkyɛn a, wubetumi abisa nsɛm te sɛ eyinom:

• So mewɔ ‘trigger finger’ ampa? Anaasɛ eyi yɛ ɔhaw foforo bi?
• Wususuw sɛ dɛn nti na eyi too me?
• Ayaresa bɛn na eye ma me?
• So ebehia sɛ wɔyɛ me oprehyɛn?
• Bere tenten ahe na ayaresa taa gye?
• Nneɛma bɛn na ɛsɛ sɛ mehwɛ yiye wɔ ho bere a mereyɛ me da biara da dwumadi ahorow no?

So ‘Trigger Finger’ yɛ ntini mu yare bi?

Dabi Ɛwom sɛ nsateaa a ɛkanyan ne ntini mu yare nyinaa betumi ama nsa ne nsateaa ayɛ yaw na ayɛ den de, nanso nsateaa a ɛkanyan no nyɛ ntini mu yare bi.

Trigger finger no fi ntini anaa ntini a ɛwɔ ntini no mu a ɛho ahonhon anaasɛ ɛyɛ hyew .

Ntini mu yare yɛ yare a ɛka ntini a ɛwɔ nkwaa no mu . Bere kɔ so no, ntini mu yare ma ntini a ɛwɔ nkwaa no mu no sɛe na nnompe no fi ase petepete wɔn ho wɔn ho.

Nsonsonoe bɛn na ɛwɔ ‘Trigger Finger’ ne ‘Trigger Thumb’ ntam?

‘Trigger finger’ ne ‘Trigger thumb’ yɛ tebea koro no ara . Nnuruyɛfo de edin abien yi di dwuma a egyina sɛ ebia nsateaa afoforo anaa nsateaa kɛse no aka no so. Ɛtɔ da bi a wɔsan frɛ no ‘stenosing tenosynovitis’. Ɔkwan biara so no, ɛyɛ tebea koro no ara na wɔsa no ɔkwan koro no ara so.

Awiei koraa no, nneɛma kakraa bi a ɛsɛ sɛ wokae

Trigger finger yɛ tebea a ɛma nsateaa bi yɛ den na ɛyɛ den esiane ntini anaa ntini bi a ɛyɛ hyew nti. Nea eye sen biara ne sɛ ɛyɛ tebea a wotumi sa . Ɛwom sɛ ebia ebehia sɛ woyɛ oprehyɛn de, nanso wubetumi asan afi wo dwumadi ne nneɛma a wode gye w’ani daa no ase.

Enti, sɛ wowɔ saa sɛnkyerɛnne yi bi – ɛyaw, wo ho ayɛ wo den, wo ho ayɛ wo yaw, nnyigyei a ‘ɛbɔ’ wɔ wo nsateaa mu – mmu w’ani ngu so . Kɔ oduruyɛfo nkyɛn ntɛm ara na hwehwɛ afotu. Ɔno na obehu nea ɛde ba no na wama wo ayaresa a ɛfata sen biara.

` trigger nsateaa, nsateaa a wɔde to mu, ntini, nsateaa mu yaw, nsa yaw, stenosing tenosynovitis, nsateaa a wɔde to mu