I kut leh kut zungtangah pawh na leh hliam i nei em? Tenosynovitis a ni thei!

I kut, i kutphah, a nih loh leh i kut zungtang tihchet harsa tak tak, natna mak tak tak i nei ngai em? He natna hi a nasat em avangin nitin hnathawh pawh i ti thei lo. Heng symptoms te hi i neih chuan tenosynovitis tih natna vang pawh a ni thei. Hemi chungchang hi vawiinah hian chipchiar zawkin han sawi ila.

Tenosynovitis hi eng nge ni?

A awlsam zawngin, tenosynovitis chu i ruhro (tendons) hual veltu membrane te tak te, synovial membrane -a inflammation, a nih loh leh a hring (swelling) a ni. Tunah chuan he tendon, synovial membrane hi eng nge a nih i ngaihtuah mai thei.

Ngaihtuah teh, i tendon te hi a nghet a, rope ang maia band a ni. Hengte hi i ruh leh i ruh inzawmkhawmtu a ni. Muscle i contract emaw, i sei emaw chuan a ruh inmil chu heng tendons kaltlangin a kal thin. Chuvangin heng tendon te hi a kal awlsam theih nan an chhehvel ah hian venhimna khuh an nei a ni. Chu khuhna chu synovial membrane an ti a . He membrane chhungah hian lubricating fluid a awm a. He fluid hian tendon te chu a inhnim hrual lovin awlsam taka a kal theih nan a pui thin.

Chuvangin, eng emaw chhan vanga he synovial membrane hi a chhiat, a infect emaw, a irritated emaw a nih chuan inflammation a awm a, chu chu a hring, a sen, leh a na tihna a ni. Chu chu tenosynovitis kan tih chu a ni. Hetiang dinhmun hi uluk taka enkawl a nih loh chuan a chang chuan harsatna lian tak a thlen thei a ni. Chuvangin, hetiang symptoms i neih chuan a natna tendon chu a dam hma loh chuan chawlh hahdam a pawimawh hle.

Tenosynovitis chi hrang hrangte chu engte nge ni?

Doctor-te chuan he tenosynovitis natna hi chi hrang hrangah an thliar hrang a:

1. Stenosing tenosynovitis: Hei hi tendon chhehvel membrane a inflamed a, tendon kal theihna tur hmun a tihtlem (stenosis) . Hei hian tendon chu mumal taka kal a ti harsa hle. Hetiang chi natna entirnan trigger finger leh De Quervain’s tenosynovitis (kutphah natna, kut zungtang thlenga radiate) te hi a ni. Trigger finger hian i kut zungtang i ben emaw, i dinglam emaw hian tightness a siam thei a, "click" sound nen finger chu a snap open nghal thei bawk.

2. Infectious tenosynovitis: Hetiang tenosynovitis chi hi virus emaw bacteria emaw ten tendon sheath-a infection a thlen chuan a awm thei. Hliam tenau tak pawh hian he natna chi hi a thlen thei a ni.

3. Noninfectious inflammatory tenosynovitis: chetna chi khat tih chhunzawm zel (overuse) emawHetiang tenosynovitis hi autoimmune natna gout leh rheumatoid arthritis te vang a ni thei .

Tenosynovitis natna lan chhuahna chu engte nge ni?

Hetiang natna lan chhuah dan tlangpui chu:

• Tendon-a natna: I kut emaw, i ke emaw vein-a natna chu a radiate ang maiin a lang thei.
• Tendon vel a hring: A natna hmun chu a sir lehlamah a hring zawkin a lang thei.
• Taksa peng pakhat chu a tih dan pangngaia chelh harsa: Entirnan, kut lam thilah chuan kut emaw kut zungtang zawng zawng ben emaw, dinglam emaw a harsa thei.
• Taksa peng pakhat sawn laiin natna: Ding mai mai aiin chu peng chu hman hian a na zawk thei.
• Tendon dungah vun rawng a danglam emaw, a sen emaw a awm thei: A châng chuan a hmun chu a sen a, a lum thei bawk.

"Kan bula awm Aunt Susila hi ka hre reng a. Nilengin sewing machine-ah hna a thawk a. Hun engemaw chen chu a kut dinglamah a kutphah na vangin a lo complain tawh a. Doctor hnena a entir khan De Quervain-a tenosynovitis a ni tih a hrechhuak chauh a ni. Chutiang bawka a kut a hman chhunzawm zel avangin a thleng a ni.

Tenosynovitis hi eng ang nge a nih?

Tenosynovitis hi natna tlanglawn tak, hrehawm tak a ni . I kut ben, extend, pull emaw pushing emaw puitu tendon eng pawh a nghawng thei. Hei hian i flexor muscle leh i extensor muscle te a nghawng thei tihna a ni . Natna bakah hian taksa peng natna vei chu a pangngaia sawn harsa i ti thei bawk. He natna hian a nghawng tam ber chu:

• Kut zungtangte hnenah chuan
• Kut tan
• Wrists tan chuan
• Ke (a bik takin ke ruh vel) .

Tenosynovitis hi engte nge ni?

Hetiang dinhmun a lo awm chhan lian tak tak engemaw zat a awm a:

• Autoimmune diseases: Heng natnate hi i taksa ngeiin i taksa cell a beih nasat em emna natna a ni. Heng natnate hian synovial membrane a tichhe thei a, tenosynovitis a thlen thei bawk. Entirnan: Rheumatoid arthritis .
• Overuse: Hun rei tak chhunga thil tih ang chiah kha tih nawn leh hian overuse syndrome a thlen thei a ni. Tenosynovitis hi hliam awm thei zinga pakhat a ni. Ngaihtuah teh, computer-a type reng emaw, musical instrument tum reng emaw, painting emaw, thingrem hna thawk reng emaw, nilengin infiamna khata khel reng emaw chu hlauhawmah a awm a ni.
• Hri kai theihna: 1.1.Bacteria emaw virus emaw natna tlanglawn thenkhat chu synovial membrane-ah a darh thei a, infectious tenosynovitis a thlen thei bawk. Hei hi hliam tenau emaw, rannung seh emaw atang pawhin a thleng thei.
• Trauma: I tendon emaw a chhehvel emaw a hliam emaw trauma emaw a awm chuan tenosynovitis a thlen thei. Tlu nghal emaw, vuak na tak emaw ang chi thil.

Tute nge he natna vei theihna sang zawk?

Tu pawhin tenosynovitis an vei thei. Mahse, heng natna te hi i neih chuan i risk a sang deuh hlek a ni:

• Rheumatoid arthritis natna a ni
• Zunthlum (Diabetes Mellitus) natna a ni.
• Kut natna hrik kai
• Gout tih hi a ni
• Thyroid natna a ni
• Dupuytren’s disease (kutphaha vun a thim a, kut zungtang chu chhung lam hawia a inher chhuak) .
• Fibromyalgia ( taksa pum puia natna leh hahna thlentu) .

Tenosynovitis natna avanga harsatna awm thei te chu engte nge ni?

Hei hi a chang chuan natna khirh tak a ni thei a, harsatna hrang hrang a thlen theih avangin. Chuvang chuan a rang thei ang bera inenkawlna zawn a pawimawh.

• Joint stiffness: Joint chu a nghet lutuk a, a sawn tha thei lo.
• Tendon rupture: Tendon hi a chhe vek thei.
• Necrosis of the tendon tissue: Tendon tissue-a thisen kalna chu a tlahniam a, a thih phah thei a ni.
• Adhesions / scar tissue: Tendon chhehvelah hian Scar tissue a lo awm thei a, chu chuan tendon kalna a tikhawtlai thei a ni.
• Tan chhuah a ngai: Infection control theih a nih loh chuan, a tlem berah chuan a ke ruh chu tan a ngai mai thei. Chuvang chuan thil tenawm tak pawh ngaihthah ngai lo a pawimawh.

Engtin nge Tenosynovitis hi an hriat theih?

Heng symptoms nei doctor i hmuh chuan i symptoms (history) chungchang a zawt hmasa ang che. Tichuan a enfiah ang che (physical exam). A bik takin, a natna ruh (range of motion) chu eng chen nge i kal theih tih an enfiah ang. Infection emaw inflammatory condition emaw enfiah nan thisen test emaw test dang emaw an ti thei bawk.

Diagnostic test te hi engte nge ni?

Taksa enfiah hnuah, a hnuaia test pakhat emaw a aia tam emaw i neih a ngai mai thei a, chu chu i natna hriat chian nan emaw, a chhiatna a thlen nasat dan tehna atan emaw a ni thei:

• X-rays: X-ray hian inflammation chhinchhiahna a zawng thei a, chu chu synovial membrane-a calcification awm, leh swelling te hi a ni. Ruh ruh tliak a zawng thei bawk.
• MRI scan (Magnetic resonance imaging - MRI scan) hmanga tihchhuah a ni a:MRI scan hmangin tendon leh a chhehvel thlalak kimchang tak hmuh theih a ni. Hei hian soft tissue te chu chiang takin a lantir thei a ni.
• Ultrasound: Hei hi soft tissue en nana test a ni bawk. Tendon chhehvela swelling leh fluid accumulation chiang takin a lantir thei.
• CT scan (CT - computed tomography scan): CT scan hian X-ray aiin tendon, ruh leh a chhehvel soft tissue te chu chipchiar zawkin a en thei a.

Tenosynovitis hi engtin nge enkawl a nih?

Chumi enkawl dan chu natna thlentuah a innghat a ni. Enkawlna hman tlanglawn tak takte chu:

• Chawlh hahdam leh natna thlentu thiltih tihtawp: Hei hi a pawimawh ber a ni. Tendon natna chu chawlh hahdamna pek a pawimawh hle.
• Brace emaw splint emaw bun: Hengte hian tendon-a pressure tihziaawmna kawngah a pui thin.
• Compress lum emaw, vawt emaw hmangin natna emaw, a hring emaw tihziaawmna: Hei hi doctor-in a tih angin tih tur a ni.
• Inflammation tihziaawmna turin oral steroid emaw steroid injection emaw: Hengte hian hliam leh natna tihziaawmna a ti awlsam hle.
• Hand therapy: Hei hian exercise leh enkawlna dangte a huam a, chu chuan ruh natna a tihziaawm a, ruhte chu a tichak lehzual a ni.
• Surgery: He natna hi infection avanga lo awm a nih chuan, emaw, tendon a tang a nih chuan, chu hmun chu chhuah tir turin operation neih a ngai mai thei.

I natna lan chhuah dan nasat dan a zirin i doctor chuan eng enkawlna nge i mamawh tih a rel ang.

Hemi atan hian eng damdawi nge hman?

Damdawi i mamawh chi hrang hrang pawh i tenosynovitis awm chhan a zirin a innghat bawk ang. I doctor-in damdawi a pek theih ṭhenkhat chu:

• Antibiotics: Hetiang dinhmun hi infection avanga lo awm a nih chuan antibiotics i ei a ngai dawn a ni.
• NSAIDs (non-steroidal anti-inflammatory drugs): Over-the-counter pain reliever leh anti-inflammatory drugs, aspirin leh ibuprofen te hian swelling tihziaawmna kawngah a pui thei a ni. Mahse damdawi lam thurawn tel lo chuan ei chhunzawm zel suh.
• Corticosteroids: Hengte hian inflammation a tiziaawm a, injection emaw pill emaw angin pek theih a ni.
• DMARDs (Disease-modifying antirheumatic drugs): Rheumatoid arthritis ang chi inflammatory arthritis condition nei tan chuan heng damdawi te hian natna leh hliam a tihziaawm rualin ruh natna a tichhe zual thei lo bawk.

Engtin nge tenosynovitis vei theihna tihziaawm theih ang?

Hetiang hlauhawmna tihtlem dan tha ber chu i tendon hman tam lutuk loh hi a ni. Hnathawh, infiamna, exercise i neih chuan che nawn leh ngai i neih chuan i taksa chu a inkar ah chawlh hahdam tawk pe rawh.

I hnathawhna atana himna hmanraw dik tak hman a pawimawh bawk a, him taka exercise lak a pawimawh a, i tendon-ah a tul lo taka stress dah lovin exercise i tih a pawimawh bawk. Entirnan, rit phurh hunah posture dik tak hman te, mouse leh keyboard nuam tak hman te.

Tenosynovitis atanga dam leh theih nan eng chen nge hun a duh?

Hetiang dinhmun hi a prognosis hi a tlangpuiin a tha hle. A natna chhan ah a innghat. Mi tam zawk chu an dam chhuak vek a, an thiltih pangngai an thawk leh ta a ni. Chu natna thlentu thiltih aṭanga rei lo tê chu an inthiarfihlim a ngai mai thei. Mahse, a dam leh hnuah chuan hun rei tak chhung nghawng a nei lo tlangpui. Surgery neih pawhin mi tam zawk chu kar tlemte chhungin an dam leh thin .

Mahse, tenosynovitis hi natna hrik avanga lo awm a nih chuan a dam hun chhung hi thil engemaw zatah a innghat a ni. Kum upa lam, zunthlum vei, peripheral vascular disease (kut leh kea thisen kalna kawng a zim), leh/ emaw kal natna nei te hi harsatna an neih theihna a sang zawk a, an dam leh theih nan hun rei zawk an hmang thei bawk. Infectious tenosynovitis hmuhchhuah emaw enkawl emaw tihkhawtlai chuan chhiatna nghet tak a thlen thei a ni.

Engtin nge ka in enkawl ang?

A pawimawh ber chu i doctor emaw surgeon emaw thupek dik taka zawm hi a ni. Tenosynovitis enkawlna tam zawk hian hnathawh nan hun a duh avangin dawhthei taka awm a, i taksa hi a dam theih nan hun pek a pawimawh hle. Natna nei anga inlan mai mai suh la, hna thawk turin kal mai mai suh.

Engtikah nge Doctor ka hmuh ang?

I natna lan chhuah dan a na zual a nih chuan, a nih loh leh kar engemaw zat hnuah i rilru a hahdam lo a nih chuan Doctor pan ngei ngei tur a ni. Tin, a hnuaia symptoms te hi i hmuh chuan damdawi in emaw emergency room emaw ah kal nghal rawh :

• Natna nasa tak a ni
• A hring (swelling) a pung
• Hliam atanga pus ang chi tui chhuak
• Vun rawng danglam darh zel
• Khawsik emaw, khawsik emaw
• I surgery na hmuna thisen chhuak

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor hmu tura i kal hian zawhna hrang hrang i zawt thei ang:

• Eng chen nge tendon hi ka chawlh tir ang?
• Brace bun hian a pui dawn em?
• Eng ang damdawi nge ka ei a ngai dawn?
• Test emaw scan dang emaw ka mamawh em?
• Physics therapy hian min pui dawn em ni?
• Surgery ka mamawh dawn em?

A tawp berah chuan hre reng ang che

Tenosynovitis hi natna khirh tak a ni a, enkawl vat loh chuan a hlauhawm thei hle. Amaherawhchu, mi tam zawk chu an dam chhuak vek a ni.. Vawi tam tak chu i mamawh chu enkawlna awlsam tak tak, chawlh hahdam leh i taksa dam theihna hun pek te hi a ni. "play through the pain" emaw, i taksaah a tuar theih aia tam strain dah emaw suh. Symptoms i hmuh chuan doctor thurawn la nghal rawh. Chutiang chuan i dam thuai thei a, i thiltih pangngaiah i kir leh thei bawk.

` Tenosynovitis, Tenosynovitis, Joint na, Kut na, Kut na, Kut na