Kodi simungathe kuchita ntchito zanu za tsiku ndi tsiku bwino chifukwa cha ululu wochokera m'mbali mwa chala chanu chachikulu, pansi pa dzanja lanu? Kodi ululuwu umakhala wosapiririka mukakhudza chinthu, kuchifinya, kapena mwina kunyamula mwana wanu wamng'ono? Ndiye nkhaniyi idzakhala yofunika kwambiri kwa inu. Lero tikulankhula za vuto lomwe anthu ambiri amavutika nalo, koma sakudziwa bwino lomwe kuti ndi chiyani, koma lingachiritsidwe ndi mankhwala osavuta.
Kodi matenda a De Quervain's Tenosynovitis ndi chiyani?
Mwachidule, De Quervain's Tenosynovitis ndi kutupa kopweteka kwa chigoba chozungulira minofu yomwe imalumikiza chala chanu chachikulu. Nthawi zina imatchedwa De Quervain's tendinosis. Mayina onse awiriwa amatanthauza vuto lomweli.
Tsopano tiyeni tiwone momwe tingamvetsetsere izi mosavuta. Tangoganizani kuti minofu m'thupi lathu yalumikizidwa ndi mafupa ndi chinthu chonga chingwe cholimba. Timatcha ma tendons awa. Mukakoka minofu, tendons iyi imatambasula ndikusuntha fupa lofanana. Pali ma tendons awiri ngati awa omwe amalumikiza chala chanu chachikulu ku dzanja lanu.
Kawirikawiri, minofu imeneyi imayenda mkati mwa minofu yomwe ili ngati chubu. Imayendayenda popanda vuto lililonse. Koma ngati pazifukwa zina minofuyi ikufufuma kapena kukhuthala, minofuyi siikhala ndi malo okwanira oti iyende momasuka. Kenako, nthawi iliyonse mukagwiritsa ntchito chala chanu chachikulu, pamakhala kukangana kwakukulu komanso kupweteka kwambiri . Ululuwu nthawi zambiri umayamba pansi pa chala chachikulu ndipo ukhoza kufalikira m'dzanja ndi kumanja.
Kodi zizindikiro zake ndi ziti? Kodi tingazizindikire bwanji izi?
Pali makhalidwe angapo ofunikira omwe amathandiza kuzindikira vutoli. Tiyeni tiwone zomwe zili.
| Chizindikiro | Kufotokozera za izi |
|---|---|
| Chizindikiro chachikulu - ululu | Ululu uwu umachitika m'mbali mwa dzanja pomwe pali chala chachikulu. Kwa anthu ena, ungayambe mwadzidzidzi, pomwe kwa ena ungakule pang'onopang'ono. Ululuwu umakhala woopsa kwambiri mukamagwiritsa ntchito dzanja, dzanja, kapena chala chachikulu, kapena mukakanikiza chinthu (monga kukanikiza nsalu). |
| Kutupa | Mutha kuona kutupa pang'ono komwe kuli ululu, ndiko kuti, pansi pa chala chachikulu. |
| Phokoso kapena kumverera kwa 'tick' | Mukasuntha chala chanu chachikulu, mungamve ngati mukuvutika kapena ngati mukumveka phokoso la 'kudina'. |
| Kumva kuvutika/kuvutika ndi matsire | Chala chachikulu chingamveke cholimba, chosatha kupindika kapena kutseguka bwino komanso mosavuta. |
| Kusanza | Nthawi zina mungamve kupweteka m'dzanja lanu kapena chala chanu chachikulu. |
N’chifukwa chiyani tili ndi izi? Kodi zifukwa zake ndi ziti?
Chilichonse chomwe chimaika kupsinjika kapena kuvulala pa minofu ya chala chachikulu chingayambitse vutoli. Zifukwa zazikulu ndi izi:
- Kugwiritsa ntchito dzanja ndi chala chachikulu mopitirira muyeso: Vutoli lingachitike mukamachita zinthu zomwezo nthawi zonse.
- Kuchita ntchito yofanana nthawi zonse: Ntchito zina kapena zosangalatsa zina zingayambitse izi. Mwachitsanzo, munthu amene amathera nthawi yambiri akulemba pa kompyuta, munthu amene amachita ukalipentala, munthu amene amabzala mbewu, kapena munthu amene amachita masewera monga tenisi ndi amene angayambitse vutoli.
- Kutupa kwa mafupa: Ngati muli ndi vuto la kutupa kwa mafupa monga nyamakazi, zimenezo zingakhalenso chifukwa chake.
- Kuvulala mwachindunji: Kumenyedwa mwamphamvu pa chala chanu chachikulu kapena dzanja kungayambitsenso vutoli.
Vutoli ndi lofala kwambiri pakati pa amayi atsopano. Lingayambitsidwe ndi kupanikizika kwa chala chachikulu ponyamula, kusamba, kapena kugwira mwana. Ndicho chifukwa chake nthawi zina limatchedwa "chala chachikulu cha mayi watsopano."
Ndani amene ali pachiwopsezo chachikulu chotenga matendawa?
Ngakhale aliyense atha kukhala ndi vutoli, anthu ena ali pachiwopsezo chachikulu.
- Kwa akazi
- Kwa iwo omwe ali ndi zaka zoposa 40
- Kwa osamalira ana aang'ono ndi makolo awo
- Kwa iwo omwe amagwira ntchito zamanja (monga ulimi, ukalipentala, zomangamanga)
- Kwa osewera
Kodi mwapeza bwanji izi, Dokotala?
Mukapita kukaonana ndi dokotala, adzafufuza dzanja lanu ndi dzanja lanu. Adzakufunsani zinthu monga nthawi imene ululu unayamba, mtundu wa ntchito yomwe mumagwira, ndi chomwe chikuwonjezera ululuwo.
Pali njira yosavuta kwambiri yoyezera matenda imeneyi yomwe madokotala amagwiritsa ntchito kuti adziwe matendawa molondola. Imatchedwa Finkelstein test . Umu ndi momwe imachitikira:
1. Dokotala adzakuuzani kuti mulowetse chala chanu chachikulu mkati ndikuchitseka ndi zala zina kuti mupange chibakera.
2. Kenako, dzanja lomwe likugwira chogwirira limapemphedwa kuti lipinde dzanja kumbali yomwe chala chaching'ono chili (pansi).
Ngati mukumva kupweteka kwambiri pansi pa chala chanu chachikulu mukachipinda motere, mwina ndi matenda a De Quervain. Nthawi zina, X-ray ingachitike kuti muwone matenda ena, monga osteoarthritis.
Kodi tichite chiyani pa izi? Kodi mankhwala ake ndi otani?
Kuti achire vutoli, mtsempha ndi chophimba chake ziyenera kupatsidwa nthawi kuti zichiritsidwe. Dokotala adzapereka chithandizo chomwe chingathandize pa vutoli.
| Njira yochizira | Kodi chimachitika ndi chiyani? |
|---|---|
| Kuvala chivundikiro chachitsulo | Mudzapatsidwa chithandizo chapadera (chomangira kapena chomangira) kuti dzanja lanu ndi chala chanu zikhale bwino. Izi zimapangitsa kuti minofu ya m'chiuno ikhale yopumula. |
| Kuyala ayezi | Mungathe kugwiritsa ntchito ayezi kuti muchepetse kutupa ndi ululu. Manga ayezi mu nsalu yopyapyala ndikuyiyika pamalo opweteka kwa mphindi pafupifupi 20 kangapo patsiku. |
| Mpumulo | Izi ndizofunikira kwambiri . Muyenera kupewa kuchita zomwe zayambitsa ululu momwe mungathere. Kupumula dzanja lanu ndikofunikira kwambiri kuti muchiritse msanga. |
| Mankhwala opha ululu | Dokotala wanu angakulangizeni mankhwala a NSAID, omwe amachepetsa kutupa ndi ululu. Komabe, musagwiritse ntchito mankhwalawa kwa masiku opitilira 10 popanda kufunsa dokotala wanu. |
| Jakisoni wa Corticosteroid | Ngati mankhwala ena sakuchepetsa ululu, dokotala wanu akhoza kubaya mankhwala amphamvu otchedwa corticosteroid mu tendon sheath yotupa. Izi zingathandize kuchepetsa kutupa kwambiri. |
Kodi opaleshoni ndiyofunikira?
Nthawi zambiri, opaleshoni si yofunikira. Dokotala angalimbikitse opaleshoni pokhapokha ngati njira zomwe zili pamwambapa sizithandiza. Iyi nthawi zambiri imakhala njira yaying'ono. Imafuna kudula pang'ono m'chimake cha tendon kuti tendon iyende bwino.
Kodi zimatenga nthawi yayitali bwanji kuti munthu achire pambuyo pa chithandizo?
Nthawi zambiri imachira mkati mwa milungu ingapo. Ngati muyenera kuvala splint, muyenera kuvala kwa milungu ingapo.
Chofunika kwambiri n’chakuti, ngakhale mutamva bwino pang’ono, dikirani mpaka dokotala atanena kuti, “Chabwino, yambani ntchito tsopano.” Kupanda kutero, zingabwererenso. Musabwererenso ku zochita zomwe zinayambitsa ululu mwachangu.
Kodi chimachitika ndi chiyani ngati sichikuchiritsidwa?
Matenda a De Quervain ndi ochiritsika kwambiri. Komabe, ngati sanachiritsidwe, chigoba cha tendon chingawonongeke, mwina kuphulika, kapena kung'ambika. Ngati zimenezo zitachitika, mungataye mphamvu yosuntha chala chanu chachikulu ndi dzanja lanu kwamuyaya. Choncho musanyalanyaze ululuwo.
Kodi vutoli silingathe kupewedwa kuti lisachitike?
Inde, mungathe. Chomwe muyenera kuchita ndikuchepetsa kupanikizika kwa chala chanu chachikulu ndi dzanja lanu.
- Ngati mukuchita masewera kapena ntchito, dziwani kaimidwe koyenera ndi njira yogwirira ntchitoyo.
- Mukayamba kuchita masewera olimbitsa thupi kapena zochita zina, yambani pang'onopang'ono.
- Ngati mupitiriza kuchita zomwezo, pumulani nthawi ndi nthawi.
- "Musamagwire ntchito yothetsa ululu." Ngati mukumva ululu, siyani ntchitoyo ndipo mupumule.
- Patsani thupi lanu nthawi yoti lichire bwino mukatha kuchita zinthu zovuta.
Uthenga Wopita Nawo Kunyumba
- Matenda a De Quervain's Tendinosis ndi matenda omwe amayambitsa kupweteka mbali ya chala chachikulu cha dzanja lanu. Nthawi zambiri amayamba chifukwa chogwiritsa ntchito dzanja mopitirira muyeso.
- Izi zitha kuchitika makamaka kwa amayi omwe ali ndi ana aang'ono, ogwira ntchito zamanja, komanso othamanga.
- Anthu ambiri amatha kuchira chifukwa cha izi pogwiritsa ntchito njira zosavuta monga kupuma, ayezi, ndi kuvala chivundikiro cha tsitsi.
- Kunyalanyaza ululu kungapangitse kuti vutoli liwonjezeke. Choncho ngati muli ndi zizindikiro, pitani kwa dokotala nthawi yomweyo.
- Kutsatira malangizo a dokotala wanu n'kofunika kwambiri kuti munthu achire msanga.
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