Kodi dzanja lanu limapweteka m'mbali mwa chala chanu chachikulu? Tiyeni tikambirane za izi (De Quervain's Tenosynovitis)!

Kodi nthawi zina mumavutika kuchita zinthu za tsiku ndi tsiku chifukwa cha kupweteka m'mbali mwa chala chachikulu cha dzanja lanu, m'dera la dzanja lanu? Kapena mumamva kupweteka kapena kutentha mukakhudza, kufinya, kapena kusuntha chala chanu chachikulu? Ngati muli ndi zizindikiro izi, mwina muli ndi vuto lotchedwa `(De Quervain's Tenosynovitis)`. Chifukwa chake, musadandaule. Tiyeni tikambirane mwatsatanetsatane za vutoli, kuti ndi chiyani, chifukwa chake limachitika, komanso momwe tingalithetsere.

Kodi `(De Quervain's Tenosynovitis)` ndi chiyani?

Mwachidule, ``De Quervain's Tenosynovitis'' ndi kutupa, komwe kumatanthauza kupweteka ndi kutupa, kuzungulira minofu ya chala chanu chachikulu. Nthawi zina kumatchedwa ``De Quervain's Tendinosis''. Madokotala nthawi zina amagwiritsa ntchito mayina onse awiri pa vuto lomwelo.

Taganizirani izi, minofu yathu imalumikizidwa ndi mafupa athu ndi minofu yamphamvu, yosinthasintha, yonga chingwe yotchedwa tendons . Tikagwirana minofu, ndi tendons iyi yomwe imakoka fupa lofanana ndi ilo ndikupangitsa kuti lisunthe. Chala chanu chachikulu chimalumikizidwa ku dzanja lanu ndi tendons ziwiri zotere.

Kawirikawiri, minofu imeneyi imayenda mozungulira m'chimake , chomwe chili ngati dzenje kapena ngalande, mozungulira iwo. Popanda chopinga chilichonse. Komabe, pankhani ya ``De Quervain's Tenosynovitis``, pazifukwa zina, chimake ichi chozungulira mtsempha wa chala chanu chimatupa kapena kukhuthala. Ndiye chimachitika ndi chiyani? Mukagwiritsa ntchito chala chanu chachikulu ndi dzanja, mtsempha umayenda mozungulira m'chimake chotupacho, zomwe zimapangitsa kuti pakhale kukangana kwambiri . Ndicho chifukwa chake mayendedwe ena amatha kukhala opweteka komanso olimba. Ululuwu nthawi zambiri umayamba pansi pa chala chanu chachikulu, pafupi ndi dzanja lanu. Nthawi zina, ululuwu ukhoza kufalikira mpaka ku mkono wanu.

Kodi vutoli ndi lofala bwanji?

Ndipotu, `(De Quervain's Tenosynovitis)` ndi matenda ofala pakati pa kutupa kwa tendon (`tenosynovitis`). Kafukufuku akusonyeza kuti ngakhale m'dziko ngati America, limakhudza pafupifupi 1% ya anthu chaka chilichonse. Chifukwa chake, ngati muli ndi vuto lotere, kumbukirani kuti simuli nokha.

Kodi zizindikiro za `(De Quervain's Tenosynovitis)` ndi ziti?

Chizindikiro chachikulu cha vutoli ndi kupweteka mbali ya dzanja lanu. Kwa anthu ena, ululu uwu ungabwere mwadzidzidzi, pomwe kwa ena, ungayambe pang'onopang'ono pakapita nthawi. Ululu uwu nthawi zambiri umakhala:

• Zimawonjezeka mukamagwiritsa ntchito dzanja lanu, dzanja lanu, ndi chala chanu chachikulu.
• Ikhoza kuyambira padzanja ndikufalikira mpaka chala chachikulu kapena mbali ya mphumi.
• Ululu umawonjezeka mukakhudza kapena kufinya chinthu.

Kuwonjezera pa ululu waukulu uwu, zizindikiro zina zingapo zingawonekere:

• Kutupa: Mungaone kutupa pansi pa dzanja lanu ndi chala chachikulu.
• Phokoso la 'kudina' kapena kumva: Mukagwedeza chala chanu chachikulu, mungamve phokoso la 'kudina' kuchokera m'dzanja lanu, kapena kumva ngati chinachake chikudumpha mkati.
• Kuuma kapena kutaya kusalala: Kusuntha kwa chala chachikulu cha chala kumatha kumveka ngati kukuuma pang'ono, kapena ngati sikukuyenda bwino.
• Kusanza: Mungamvenso ngati dzanja lanu kapena chala chanu chachikulu chayamba kusanza.

N’chifukwa chiyani `(De Quervain's Tenosynovitis)` imeneyi imachitika?

Mwachidule, vutoli lingayambitsidwe ndi kukwiya, kupanikizika, kapena chilichonse chomwe chimayambitsa kupsinjika kosafunikira pa minofu ya chala chanu chachikulu. Pali zinthu zingapo zomwe zimayambitsa izi:

• Kugwiritsa ntchito chala chachikulu kapena dzanja mopitirira muyeso: Mukapitiriza kuchita mayendedwe omwewo.
• Zochita kapena zosangalatsa zomwe zimaphatikizapo kugwira kapena kufinya mobwerezabwereza: Mwachitsanzo, izi zitha kuchitika ndi ntchito zapakhomo, ntchito zina, kapena zosangalatsa zina.
• Matenda ena omwe amayambitsa kutupa: Mwachitsanzo, anthu omwe ali ndi matenda otupa mafupa monga nyamakazi amakhala ndi mwayi waukulu wopeza izi.
• Kumenyedwa mwachindunji pa chala chachikulu kapena chala chachikulu: ngati kuti chachitika chifukwa cha ngozi.

Vutoli lingayambitsidwe, makamaka, ndi zochita zomwe zimaphatikizapo kugwira chinthu mwamphamvu ndikubwereza mayendedwe omwewo. Nazi zitsanzo zingapo:

• Masewera: Masewera monga tenisi, racquetball, skiing.
• Kugwiritsa ntchito chida: Mukagwiritsa ntchito nyundo kapena zida zina zamanja.
• Kukweza ana aang'ono: Vutoli limatha kuchitika, makamaka kwa amayi atsopano, mukanyamula mwana wanu nthawi zonse. Taganizirani kuchuluka kwa nkhawa zomwe mayi amaika pa chala chake chachikulu ndi dzanja lake akamasambitsa, kuyamwitsa, kapena kugwira mwana.
• Kulima: Mukagwiritsa ntchito fosholo, mukabzala zomera.

Ndani amene ali ndi mwayi waukulu wopeza vutoli?

Ngakhale kuti aliyense akhoza kukhala ndi ``De Quervain's Tenosynovitis'', magulu ena ali pachiwopsezo chachikulu chotenga matendawa:

• Akazi: Matendawa amapezeka kwambiri mwa akazi kuposa amuna.
• Anthu opitilira zaka 40.
• Aphunzitsi a sukulu ya ana aang'ono kapena omwe amasamalira ana aang'ono.
• Makolo (makamaka amayi) omwe ali ndi ana aang'ono .
• Anthu omwe amagwira ntchito zamanja kapena amagwira ntchito ndi manja awo nthawi zonse.
• Othamanga.

Kodi mungazindikire bwanji `(De Quervain's Tenosynovitis)`?

Ngati muli ndi zizindikiro izi, mukapita kwa dokotala, adzakuyesani thupi.Umu ndi momwe dokotala adzadziwire ngati ndi matenda a De Quervain's Tenosynovitis. Adzayang'ana chala chanu chachikulu ndi dzanja lanu. Ndikofunikira kwambiri kuuza dokotala tsatanetsatane monga nthawi yomwe mwakhala ndi ululu uwu komanso mtundu wa ntchito yomwe imapangitsa ululuwo kukhala woipa kwambiri.

Kodi `(mayeso a Finkelstein)` ndi chiyani?

Iyi ndi mayeso a ``Finkelstein``, mayeso apadera omwe madokotala amagwiritsa ntchito kutsimikizira matenda a ``De Quervain's Tenosynovitis``. Ndi mayeso osavuta kwambiri.

1. Tengani chala chanu chachikulu ndikuchipinda mkati, kenako chitsekeni ndi zala zina ndikukanda mtanda.

2. Kenako, mutasunga chogwiriracho momwe chinalili, pindani dzanja lanu pansi (kulunjika ku chala chaching'ono), ngati kuti mukugwedeza wina.

Mukachita izi, mukukakamiza minofu ya chala chanu chachikulu chakuphazi. Ngati muli ndi ``De Quervain's Tenosynovitis'', mudzamva kupweteka kwambiri m'dera lopweteka mukachita ``Finkelstein test'' iyi.

Nthawi zina dokotala wanu angakupatseni X-ray kuti aone ngati pali mavuto ena pa dzanja lanu, monga osteoarthritis.

Kodi mankhwala a `(De Quervain's Tenosynovitis)` ndi ati?

Nkhani yabwino ndi yakuti pali mankhwala othandiza pa vutoli. Dokotala wanu nthawi zambiri amalangiza mankhwala omwe amathandiza kuchepetsa zizindikiro zanu ndikupatsa minofu ndi minofu yozungulira nthawi yoti ichire. Mankhwala odziwika kwambiri ndi awa:

• Kuvala chogwirira kapena chogwirira: Izi zimathandiza kuti dzanja lanu ndi chala chanu zisamayende bwino , zomwe zimathandiza kuchepetsa kupanikizika kwa minofuyo. Zili ngati kumangidwa kwa dzanja lanu ndi chingwe.
• Ikani ayezi m'dzanja lanu: Kupaka ayezi kungathandize kuchepetsa kutupa ndikuchepetsa ululu. Ikani paketi ya ayezi wokutidwa ndi nsalu yopyapyala pamalo opweteka kwa mphindi pafupifupi 20 kangapo patsiku.
• Kupuma: Chepetsani kugwiritsa ntchito mkono wopweteka momwe mungathere. Makamaka, mungafunike kusiya kwathunthu kuchita masewera olimbitsa thupi kapena kuchita mayendedwe obwerezabwereza omwe adayambitsa vutoli mpaka litachira.
• NSAIDs: Izi ndi mankhwala oletsa kutupa omwe si a steroidal ( NSAIDs) . Amapezeka mumsika wamankhwala. Komabe, musawagwiritse ntchito kwa masiku opitilira 10 popanda upangiri wa dokotala.
• Jakisoni wa Corticosteroid: Awa ndi mankhwala amphamvu omwe dokotala amawapatsa kuti achepetse kutupa. Nthawi zina, dokotala angapereke jakisoni wa corticosteroid m'chimake cha tendon chopweteka.

Chofunika: Ndikofunikira kutsatira njira zonse izi monga momwe dokotala wanu wanenera.

Kodi pali masewera olimbitsa thupi omwe angachite pa izi? (Masewera a `De Quervain's Tenosynovitis`)

Dokotala wanu kapena katswiri wa zamaganizo angakuphunzitseni kutambasula ndi kuchita masewera olimbitsa thupi mosavuta kuti akuthandizeni kuwonjezera mphamvu ndi kusinthasintha kwa dzanja lanu. Chimodzi mwazochita zolimbitsa thupi zomwe zimalimbikitsidwa kwambiri ndi kufinya mpira wa tenisi:

• Tengani mpira wa tenisi ndikuufinya pang'onopang'ono kwa mphindi zingapo.
• Pumulani manja anu kwa mphindi zingapo.
• Ngati simukumva kupweteka kulikonse, finyani mpirawo mwamphamvu pang'ono.

Dokotala wanu adzakuuzani nthawi komanso kangati muyenera kuchita masewera olimbitsa thupi awa. Musachite masewera olimbitsa thupi chifukwa cha ululu. Ngati mukumva kupweteka pamene mukuchita masewera olimbitsa thupi, siyani ndipo muuzeni dokotala wanu.

Kodi opaleshoni idzakhala yofunikira?

Anthu ambiri safunika opaleshoni ya De Quervain's Tenosynovitis. Dokotala angalimbikitse opaleshoni pokhapokha ngati njira zina zothandizira sizikuchepetsa zizindikiro.

Opaleshoni iyi nthawi zambiri imakhala yochitidwa kunja kwa thupi. Izi zikutanthauza kuti mutha kupita kunyumba tsiku lomwelo. Dokotala wa opaleshoniyo amadula pang'ono kwambiri m'chimake chotupa chozungulira mtsempha wa chala chanu chachikulu chakuphazi. Izi zimathandiza kuti mtsemphawo uzitha kuyenda momasuka. Ngati mukufuna opaleshoni, dokotala wanu wa opaleshoniyo adzakufotokozerani zambiri za izi, kuphatikizapo nthawi yomwe ingatenge kuti muchiritsidwe.

Kodi ndidzakhala bwino nthawi yayitali bwanji nditatha kulandira chithandizo?

Dokotala wanu adzakuuzani nthawi yomwe muyenera kuchiza matenda a De Quervain's Tenosynovitis. Anthu ambiri amafunika kuvala chogwirira chapadera kapena chothandizira kwa milungu ingapo .

Ngakhale mutamva bwino pang'ono, musayambe kuchita masewera olimbitsa thupi mpaka dokotala wanu atakuuzani kuti, "Chabwino, tiyeni tiyambe." Ngati muyikanso mphamvu pa minofu yanu isanachiritsidwe bwino, mungakhale ndi mwayi wovulala kachiwiri.

Kodi Tenosynovitis ya De Quervain ingapewedwe?

Inde, pali zinthu zomwe tingachite kuti vutoli lisakule kwambiri. Chofunika kwambiri ndi kupewa kugwiritsa ntchito kwambiri zala zazikulu ndi zala za m'manja.

• Ngati mukuchita masewera, ntchito, kapena kuchita masewera olimbitsa thupi, phunzirani njira yoyenera ndikuvala zida zodzitetezera ngati pakufunika kutero.
• Mukayamba kuchita masewera olimbitsa thupi kapena zochita zina, yambani pang'onopang'ono m'malo mochita zinthu zambiri nthawi imodzi.
• Ngati mukuchita mayendedwe omwewo mobwerezabwereza, pumulani nthawi ndi nthawi.
• Ngati dzanja lanu likupweteka, kaya panthawi yochita masewera olimbitsa thupi kapena mutatha, musanyalanyaze ndi kudabwa kuti, "Ndi chiyani chimenecho?" Musapitirize kuchita izi ngakhale mukumva ululu.
• Patsani thupi lanu nthawi yopuma ndikuchira mukatha kuchita zinthu zovuta.

Zitenga nthawi yayitali bwanji kuti munthu achire?

Nthawi zambiri zimatenga milungu ingapo kuti tendon yanu ichiritse matenda a De Quervain's Tenosynovitis. Nthawi yomwe imatenga imadalira chomwe chinayambitsa tenosynovitis yanu komanso momwe zizindikiro zanu zilili zoopsa.

Funsani dokotala wanu nthawi yomwe mungayambirenso kuchita masewera olimbitsa thupi. Mpaka dokotala wanu atakupatsani chilolezo, musabwererenso ku masewera, zosangalatsa, kapena zochita zomwe zinayambitsa vutoli.

Kodi chimachitika ndi chiyani ngati sichikuchiritsidwa?

Matenda a De Quervain's Tenosynovitis ndi matenda ochiritsika, nthawi zambiri amakhala a kanthawi kochepa. Komabe, ngati sanachiritsidwe, mungafunike opaleshoni ndipo mungakhale ndi mavuto ena.

Ngati mupitiriza kukakamiza minofu ya chala chanu chachikulu mutayamba kudwala matenda a De Quervain's Tenosynovitis, chigoba cha minofu ya chala chanu chikhoza kuphulika kapena minofu ya chalacho ikhoza kung'ambika. Izi sizichitika kawirikawiri, koma ngati zitachitika, anthu ena omwe sanalandire chithandizo amatha kutaya mphamvu yoyenda kapena kugwira ntchito bwino pa chala chawo chachikulu ndi dzanja . Chifukwa chake, ngati muli ndi zizindikiro, onetsetsani kuti mwapeza upangiri wa dokotala.

Kodi ndiyenera kupita kwa dokotala liti?

Pitani kwa dokotala mukangomva kupweteka kapena zizindikiro zina za matenda a De Quervain's Tenosynovitis. Musanyalanyaze zizindikirozo, makamaka ngati zikuipiraipira panthawi yochita masewera olimbitsa thupi kapena mutatha kuchita masewera olimbitsa thupi.

Ndi mafunso ati omwe muyenera kufunsa dokotala?

Mukapita kwa dokotala, ndi bwino kufunsa mafunso awa:

• Kodi ndili ndi `(De Quervain's Tenosynovitis)`, kapena pali chifukwa china chomwe chimayambitsa kupweteka kwa dzanja langa?
• Kodi ndiyenera kuvala chivundikiro kapena chogwirira cha tsitsi kwa nthawi yayitali bwanji?
• Kodi ndifunika opaleshoni pa izi?
• Kodi ndingabwerere liti ku zochita zanga zachizolowezi zolimbitsa thupi (monga masewera, ntchito)?

Mwachidule (Uthenga Wopita Nawo Kunyumba)

Chabwino, ndiye kuti `(De Quervain's Tenosynovitis)` ndi matenda opweteka omwe amayamba chifukwa cha kutupa kwa chigoba chozungulira tendon ya chala chanu chachikulu. Izi zingapangitse kuti zikhale zopweteka komanso zovuta kugwiritsa ntchito chala chanu chachikulu ndi dzanja.

Koma chabwino kwambiri ndichakuti, nthawi zambiri imatha kuchiritsidwa ndi kupuma, mankhwala osavuta kunyumba, komanso kuvala chogwirira kapena chothandizira kwa milungu ingapo.

Ngati mwayamba ntchito yatsopano kapena chizolowezi chanu, kapena ngati ntchito yanu ikupangitsani kutopa kwambiri m'manja mwanu, makamaka zala zanu zazikulu ndi zala zanu, lankhulani ndi dokotala wanu. Iye angakuthandizeni kuthana ndi zizindikiro zanu ndikubwerera ku zochita zomwe mumakonda mwachangu komanso mosamala.Choncho, chinthu chanzeru kwambiri kuchita ndikupempha upangiri wa dokotala nthawi yomweyo, m'malo movutika ndi ululu.

Kupweteka kwa chala chachikulu , kupweteka kwa dzanja, Diquanes tenosynovitis, tendonitis, kupweteka kwa dzanja, matenda a dzanja ndi dzanja, chithandizo