I kutpui sir lamah i kut a na em? He (De Quervain-a Tenosynovitis) chungchang hi han sawi ila!

I kut zungpui lam, kutphah hmuna na vangin nitin hnathawh i harsat fo thin em? A nih loh leh, i kutpui i khawih emaw, i hrual emaw, i chet emaw hian tingling emaw, burning sensation emaw i nei em? Heng symptoms te hi i neih chuan `(De Quervain’s Tenosynovitis)` tih natna i nei thei a ni. Chuvangin, lungngai suh. A chungchang chipchiar takin sawi ila, eng nge a nih, engvangin nge a lo awm tih leh engtin nge kan tihbo theih ang.

`(De Quervain-a Tenosynovitis)` tih hi eng nge ni?

A awlsam zawngin, ``De Quervain's Tenosynovitis'' hi i ke ruh lian tak (tendons) vel a inflammation a ni a, chu chu natna leh hliam tihna a ni. A chang chuan ``De Quervain-a Tendinosis'' an ti bawk. Doctor-te chuan natna inangah hming pahnih hi an hmang \hin.

Ngaihtuah teh, kan ruhte chu kan ruhte nêna inzawm tlat, hruihrual ang chi tissue chak tak, inthlak danglam thei, tendons . Muscle kan contract hian he tendon hian a ruh inmil chu a hrual a, a ti che a ni. I kutpui chu chutiang tendon pahnih hmangin i kutphah nen a inzawm a ni.

A tlangpuiin, heng tendon te hi sheath , cavity emaw tunnel ang maia awm, an chhehvelah an kal kual thin. Engmah tibuaitu awm lovin. Mahse, ``De Quervain's Tenosynovitis`` a nih chuan eng emaw chhan vangin i kutpui chhunga tendon vel he sheath hi a hring emaw a thim emaw a ni. Chuti a nih chuan eng nge thleng? I kutpui leh i kutphah i hman hian, chu hrual hring chhungah chuan tendon chu a kal kual a, chu chuan extra friction a siam a ni . Chuvangin chetna thenkhat chu a na thei a, a khauh thei bawk. He natna hi i kutpui bul, i kutphah bulah a intan tlangpui. A châng chuan, he natna hi i kut hmawr thlengin a darh thei bawk.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Dik tak chuan `(De Quervain’s Tenosynovitis)` hi tendon inflammation (`tenosynovitis`) zingah hian a awm fo thin. Survey-ah chuan America ang ramah pawh kum tin mipui 1% vel a nghawng tih a tarlang. Chuvangin, hetiang thil i neih chuan nangmah chauh i ni lo tih hre reng ang che.

`(De Quervain-a Tenosynovitis)` natna lan chhuah dan chu engte nge ni?

Hetiang dinhmun chhinchhiahna ber chu i kutphah radial lam a na a ni. Mi thenkhat tan chuan he natna hi a lo thleng thut thei a, thenkhat tan erawh chuan hun kal zelah a lo thang zauh zauh thei thung. He natna hi a tlangpuiin:

• I kut, i kutphah leh i kutpui i hman hian a pung a ni.
• Kutphah atanga tan a, kutpui emaw, hmai sir emaw thlengin a darh thei.
• Thil i khawih emaw, i hrual emaw hian a na zual thin.

He natna ber bakah hian natna dang engemaw zat hmuh tur a awm thei bawk:

• Swelling: I kutphah leh i kutpui hnuai lamah a hring tih i hmu mai thei.
• ‘click’ ri emaw, hriatna emaw: I kutpui i han vawrh hian i kutphah atanga ‘click’ ri lo chhuak i hre thei a, a chhungah thil pakhat a zuang lut ang maiin i hre thei bawk.
• A nghet emaw, a hrual loh emaw: Ke ruh lian tak chetna chu a nghet deuhin a lang thei a, a che tha lo ang maiin a lang thei bawk.
• Numbness: I kutphah emaw, i kutpui emaw a numb ang maiin i hre thei bawk.

Engvangin nge hetiang `(De Quervain-a Tenosynovitis)` hi a lo awm?

A awlsam zawngin, he dinhmun hi i ke ruh lian tak (tendons)-a rilru hahna, pressure, emaw, thil eng emaw avanga lo awm thei a ni. A chhan lian tak tak engemaw zat a awm a:

• Thumb emaw wrist emaw hman tam lutuk: Movement inang i tih chhunzawm zel chuan.
• Thiltih emaw, tihlimna emaw, thil tih nawn leh emaw, hrual emaw a tel: Entîr nân, inchhung hnathawh emaw, hna ṭhenkhat emaw, a nih loh leh hobby ṭhenkhatah emaw hetiang hi a thleng thei a ni.
• Hriselna lama natna dang, inflammation thlentu: Entirnan, inflammatory joint conditions, arthritis ang chi nei te hian hetiang hi an vei tam zawk.
• Thumb emaw wrist emaw direct-a vuakna: accident atanga lo chhuak ang maiin.

Hetiang dinhmun hi a bik takin thil pakhat khauh taka chelh a, chutiang bawka chetna ang chiah tih nawn lehna thiltih avanga lo awm thei a ni. Entirna tlemte chu hetiang hi a ni:

• Infiamna: Tennis, racquetball, skiing te ang chi infiamna.
• Hmanraw hman dan: Hammer emaw kut hmanna dang emaw hman hunah.
• Naupang te te chawi sang: Hetiang dinhmun hi a awm thei a, a bik takin nu thar tan chuan i naute i chawi sang reng hian a awm thei a ni. Nuin naute a inbual hian, chaw a pek hunah, a nih loh leh a kuah lai hian a kutpui leh a kutphah a stress nasat zia hi han ngaihtuah teh.
• Gardening: Shovel hman lai te, thlai phun lai te.

He natna hi tuin nge vei tam zawk?

Tu pawhin ``De Quervain's Tenosynovitis'' hi an vei thei a, mahse pawl thenkhat chu an vei theihna chance a sang deuh hlek a ni:

• Hmeichhia: Hetiang dinhmun hi mipa aiin hmeichhiaah a tam zawk.
• Kum 40 chunglam mite.
• Kindergarten zirtirtu emaw naupang tê enkawltu te.
• Nu leh pa (a bik takin nu) naupang tê tê nei .
• Kut hnathawk emaw, kut hmanga hnathawk reng reng emaw.
• Infiammi te.

Engtin nge `(De Quervain-a Tenosynovitis)` hi kan hriat theih ang?

Heng symptoms te hi i neih chuan Doctor i hmuh hunah physical exam a ti ang.Hetiang hian doctor chuan De Quervain-a Tenosynovitis a nih leh nih loh a hre thei ang. I kutpui leh i kutphah a enfiah ang. Doctor hnenah hian engtikah nge he natna hi i neih tawh tih leh eng hna nge i natna tizual tih te chipchiar taka hrilh a pawimawh hle.

`(Finkelstein test)` tih hi eng nge ni?

Hei hi ``Finkelstein test`` a ni a, doctor-te'n ``De Quervain's Tenosynovitis`` a nih thu finfiah nan an hman thin test bik a ni. Test awlsam tak a ni.

1. I kutpui chu la la, chhung lam hawiin ben la, i kut zungtang dang hmangin khar la, dough chu knead rawh.

2. Tichuan, kutkawr chu a awm ang angin dah la, i kutphah chu hnuai lamah (kut zungtang te tak te lam hawiin) ben la, mi pakhat hnenah i kut i phar ang maiin.

Chutianga i tih chuan i ke ruh lian tak (tendons) te chu pressure engemaw zat i siam tihna a ni. ``De Quervain's Tenosynovitis'' i vei chuan he ``Finkelstein test'' i tih hian a natna hmunah hian natna nasa tak i nei ang.

A châng chuan i doctor chuan i kutphah lama harsatna dang, osteoarthritis ang chite enfiah nân X-ray a order thei bawk.

`(De Quervain-a Tenosynovitis)` enkawl dan tur chu engte nge ni?

Thu lawmawm tak chu he natna hi enkawlna tha tak tak a awm tih hi a ni. I doctor chuan i natna lan chhuah dan control thei tur leh tendon leh a chhehvel tissue te dam theihna hun pe thei tur enkawlna a rawt tlangpui ang. Enkawlna hman tlanglawn ber berte chu:

• Splint emaw brace emaw bun: Hei hian i kutphah leh i kutpui chu a tichak lo va , chutiang tendon-a pressure chu a ti tlem a ni. Band-a i kut an khih ang mai a ni.
• Ice your wrist: Ice hnawih hian a hring a tiziaawm thei a, natna a tiziaawm thei bawk. Ice pack puan te tak tea khuh chu a natna hmunah minute 20 vel ni khatah vawi tam tak dah la.
• Chawlh hahdam: Kut na tak chu a theih ang anga hman tlem tur a ni. A bik takin, infiamna khelh emaw, i natna thlentu chetna tih nawn fo emaw chu a dam hma loh chuan i chawlhsan vek a ngai mai thei.
• NSAIDs: Hengte hi non-steroidal anti-inflammatory drugs ( NSAIDs) te an ni. Over-the-counter-a lei theih a ni. Amaherawhchu, damdawi lam thurawn tel lova ni 10 aia rei hman loh tur a ni.
• Corticosteroid injection: Hei hi damdawi chak tak, doctor-in inflammation control nana a pek a ni. A châng chuan doctor chuan corticosteroid injection chu tendon sheath na takah a pe thei bawk.

Pawimawh: Heng enkawlna zawng zawng hi doctor-in a tih angin zawm vek a pawimawh hle.

Hei atan hian exercise tih theih a awm em? (`De Quervain-a Tenosynovitis` exercise te)

I doctor emaw physical therapist emaw chuan i kutphah chakna leh inthlak danglam theihna tihpun nan stretch leh exercise awlsam tak tak a zirtir thei che a ni. Exercise duh ber pakhat chu tennis ball squeeze hi a ni:

• Tennis ball la la, minute engemaw zat chu zawi zawiin hrual rawh.
• I kut chu minute engemaw zat chawlh tir rawh.
• Natna i hriat loh chuan ball chu tlem tal hrual la.

I doctor chuan heng exercise te hi eng chen nge i tih tur tih leh eng chen nge i tih tur tih a hrilh ang che. Natna hmangin exercise lak ngai suh. Exercise eng pawh i tih laiin natna i neih chuan chawlhsan la, doctor hnenah hrilh rawh.

Surgery neih a ngai dawn em ni?

Mi tam zawk chuan De Quervain’s Tenosynovitis vangin operation an mamawh lo. Doctor chuan enkawlna dangin natna lan chhuahna a tihziaawm loh chuan operation tih chauh a rawt ang.

He surgery hi outpatient procedure a ni tlangpui. Chumi ni vek chuan in lamah i haw thei tihna a ni. Surgeon chuan i ke ruh lian tak (tendon) vel a, a hring hring (swellen sheath) chu a cut tlem hle a. Hei hian tendon chu zalen zawkin a kal thei a ni. Surgery i mamawh a nih chuan i surgeon chuan a chungchang hi a hrilhfiah belh ang che, a dam theih nan eng chen nge a mamawh dawn tih pawh a sawi tel bawk ang.

Engtiang chiahin nge enkawl hnuah ka dam leh ang?

I doctor chuan De Quervain’s Tenosynovitis hi eng chen nge i enkawl tur tih a hrilh ang che. Mi tam zawk chuan kar engemaw zat chhung chu splint emaw brace emaw an vuah a ngai dawn a ni .

Tlemin i rilru a hahdam deuh a nih pawhin i doctor-in, "Okay, i tan ang" a tih hma loh chuan taksa tihchakna engmah ti tan suh. I tendon te chu a dam tha hmaa pressure i dah leh chuan i hliam leh theihna a sang zawk.

De Quervain-a Tenosynovitis hi a veng thei ang em?

Ni e, he dinhmun hi eng emaw chen a lo awm loh nan kan tih theih tur a awm. A pawimawh ber chu kutpui leh kutphah hman tam lutuk loh hi a ni.

• Infiamna i khelh emaw, hnathawh emaw, taksa tihchakna dang emaw i tih chuan technique dik tak zir la , a tul chuan invenna hmanrua bun rawh.
• Exercise thar emaw, thiltih thar emaw i tan dawnin, vawi khatah thil tam tak tih ai chuan zawi zawiin tan la rawh.
• Movement inang chiah i tih nawn fo chuan a chang chuan chawlh la rawh.
• I kutphah a na a nih chuan, taksa tihchak lai emaw, i tih zawh hnu emaw pawh nise, ngaihthah suh la, "Eng nge chu chu?" Hrehawm tak karah pawh ti chhunzawm suh.
• I taksa chu chawlh hahdamna hun pe la, thawhrimna nasa tak hnuah a dam leh theih nan hun pe rawh.

Eng chen nge a dam theih ang?

De Quervain’s Tenosynovitis atanga i tendon a dam theih nan kar tlemte a ngai tlangpui. Eng chen nge a rei tih hi i tenosynovitis chhan leh i symptoms nasat danah a innghat a ni.

I taksa tihchakna pangngai i thawh leh theih hun tur chu doctor zawt rawh. I doctor-in okay a pek che hma loh chuan, i natna thlentu infiamna, hobby leh activity-ah kir leh tawh suh.

Enkawl loh chuan eng nge thleng ang?

De Quervain-a Tenosynovitis hi enkawl theih a ni a, a tlangpuiin hun rei lote chhung a ni. Mahse, enkawl loh chuan operation i mamawh zawk a, harsatna dang i nei thei bawk.

De Quervain’s Tenosynovitis symptoms i neih tan hnua i kutpui chhunga tendons te chu pressure i pek chhunzawm zel chuan tendon sheath chu a chhe thei a, tendon chu a chhe thei bawk. Hei hi a tlem hle a, mahse a thleng a nih chuan enkawl loh mi thenkhat chuan an kutpui leh kutphah-a range of motion emaw function emaw chu a hloh vek thei a ni . Chuvangin, symptoms i neih chuan doctor thurawn la ngei ngei tur a ni.

Engtikah nge Doctor ka hmuh ang?

De Quervain’s Tenosynovitis natna emaw, natna dang emaw i hriat veleh doctor pan nghal rawh. Symptoms te hi ngaihthah suh, a bik takin taksa tihchak lai emaw, taksa tihchak hnu emawa a nasat chuan.

Doctor hnenah eng zawhna nge i zawh tur?

Doctor hmu tura i kal dawnin heng zawhnate hi zawh a tha ang:

• `(De Quervain-a Tenosynovitis)` ka nei em, a nih loh leh ka kut natna chhan dang a awm em?
• Eng chen nge splint emaw brace emaw ka bun a ngai dawn?
• Hemi atan hian operation ka mamawh dawn em ni?
• Engtikah nge ka taksa tihchak dan pangngai (e.g. infiamna, hnathawh) ah ka kir leh theih ang?

A tawi zawngin (Take-Home Message) .

Okay, chuvangin `(De Quervain’s Tenosynovitis)` hi i ke ruh lian tak a tendon vel sheath inflammation avanga natna hrehawm tak a ni. Hei hian i ke ruh lian leh kutphah hman a ti na thei a, a ti harsa thei bawk.

Mahse a tha ber chu, chawlh hahdam, in lama enkawlna awlsam tak, leh kar tlemte chhung splint emaw brace emaw vuah hmangin a dam thei fo thin.

Thiltih thar emaw, hobby thar emaw i tan tawh a nih chuan, emaw, i hna hian i kut, a bik takin i kutpui leh i kutphah a tihbuai belh chuan i doctor nen inbia ang che. I natna lan chhuah dan tur enkawl turin a pui thei che a, i thil tih nuam tak takte chu rang tak leh him taka i tih leh theih nan a pui thei che a ni.Chuvangin, tih tur fing ber chu, natna karah tuar ai chuan, damdawi lam thurawn lak nghal hi a ni.

` Kutpui na, kutphah na, Diquanes tenosynovitis, tendonitis, kut na, kut leh kut natna, enkawl dan