Kodi Mukuvutika Kupinda Kapena Kuwongola Chala Chanu? Kumvetsetsa 'Choyambitsa Chala' ndi Nirogi Lanka

Kodi munadzukapo m'mawa mukuganiza kuti, “Ayi, chala changa chimamveka cholimba komanso chovuta kupinda!” kapena mwina mumamva phokoso lomveka bwino la 'kutuluka' kapena 'kudina' nthawi iliyonse mukayesa kuwongola kapena kupinda chala chanu? Ngati izi zikugwirizana ndi ululu kapena kumva kuti chala chanu chikukakamira pamalo amodzi, mwina mukukumana ndi zomwe zimatchedwa 'Trigger Finger' kuchipatala. Musadandaule; tiyeni tifotokoze mwachidule za vuto ili ndi Nirogi Lanka.

Kodi 'Trigger Finger' kwenikweni ndi chiyani?

Mwachidule, Trigger Finger (kapena stenosing tenosynovitis) ndi vuto lomwe chala chanu chimodzi kapena zingapo—kapena nthawi zina chala chanu chachikulu—chimakhala chovuta kuchisuntha, kupindika, kapena kuwongola. Nthawi zina, chalacho chimatha kutsekeka pamalo opindika. Vutoli limatchedwa chifukwa chakuti kumva kugwedezeka kumamveka ngati kukoka chowombera mfuti.

Izi zimachitika chifukwa cha mavuto a minofu ya zala zanu. Minofu ya zala ndi yolimba, yofanana ndi chingwe yomwe imagwirizanitsa minofu yanu ndi mafupa anu, imagwira ntchito ngati ma pulleys kuti isunthe zala zanu. Minofu imeneyi ikakumana ndi vuto, kuyenda kwa chala chanu kumachepa. Ngakhale kuti nthawi zambiri zimakhudza chala cha mphete , imatha kuchitika pa chala chilichonse kapena chala chachikulu.

Kodi zizindikiro za 'Trigger Finger' ndi ziti?

Ngati muli ndi Trigger Finger, mutha kukumana ndi chimodzi kapena zingapo mwa izi:

• Kumva 'kudumpha' kapena 'kudina' mukasuntha chala chanu, ngati kuti china chake chikudumpha mkati.
• Ululu, kuuma, kapena kutsekeka pamene mukupindika kapena kuwongola chala.
• Kupweteka kapena kumva ngati chala chakhudzidwa chili pansi, makamaka mukayesa kugwira chinthu mwamphamvu.
• Kutupa kooneka kapena chotupa chaching'ono m'dzanja lanu pafupi ndi pansi pa chala chokhudzidwacho.
• Chala chikukakamira m'malo opindika , zomwe zingafunike kuti mugwiritse ntchito dzanja lanu lina kuti muchiwongole pang'onopang'ono.

Kwa anthu ambiri, zizindikiro izi—makamaka kutsekeka ndi kuuma—zimakhala zovuta kwambiri m'mawa . Pamene tsiku likupita ndipo mukuyamba kugwiritsa ntchito manja anu, kuuma nthawi zambiri kumachepa.

N’chifukwa chiyani ‘Trigger Finger’ imachitika? Kodi chifukwa chake n’chiyani?

Chifukwa chachikulu cha Trigger Finger ndi kutupa kapena kutupa kwa tendon kapena chidendene choteteza chomwe chili mozungulira.

Monga tanenera, minyewa imagwira ntchito ngati zingwe zolumikiza minofu ndi mafupa. Mminyewa iliyonse imadutsa mu chivundikiro choteteza, chonga chubu chotchedwa tendon sheath , chomwe chimasunga minyewa pamalo ake ndikuthandiza kuti iyende bwino.

Choyambitsa chala chimayamba pamene tendon yatupa ndi kutupa , zomwe zimapangitsa kuti zikhale zovuta kuti iyende bwino kudzera m'chimake—monga ulusi womangiriridwa womwe ukuvutika kudutsa m'bowo lopapatiza. Nthawi zina, chotupa chaching'ono (nodule) chimapangika pa tendon, zomwe zimapangitsa kuti zikhale zovuta kwambiri kuti tendon igwedezeke.

Chiphuphuchi nthawi zambiri chimagwidwa pa 'A1 pulley,' gawo lopapatiza la chipolopolo. Pamene tendon imamatirira pa pulley iyi, mumamva kugwedezeka kwapadera ndi kutsekeka kwa chala.

Ndani ali pachiwopsezo cha 'Trigger Finger'? (Zinthu Zoopsa)

Ngakhale aliyense atha kukhala ndi vutoli, pali zinthu zina zomwe zimawonjezera chiopsezo chanu:

• Zaka: Zimapezeka kwambiri mwa anthu azaka zapakati pa 40 ndi 60 .
• Zochita: Ntchito kapenaZosangalatsa zomwe zimaphatikizapo kugwira mobwerezabwereza, kugwedeza zida, kapena kupondereza zala kwambiri. Zitsanzo zikuphatikizapo:
• Kulima kapena kukonza malo.
• Kugwira ntchito m'fakitale kapena kugwiritsa ntchito zida zamanja.
• Kusewera zida za nyimbo (makamaka gitala kapena vayolini).
• Masewera a racket monga tenisi kapena badminton.
• Matenda osatha: Mavuto ena azaumoyo amakupangitsani kukhala pachiwopsezo chachikulu, monga:
• Matenda a mafupa (osteoarthritis ) (matenda otupa ndi kung'ambika kwa mafupa ).
• Matenda a Nyamakazi (kumene chitetezo cha mthupi chimaukira mafupa).
• Gout (kutupa komwe kumachitika chifukwa cha kuchuluka kwa uric acid m'thupi).
• Matenda a shuga.
• Amyloidosis (mapuloteni osakwanira).
• Matenda a chithokomiro.

Kodi dokotala amazindikira bwanji vuto la 'Trigger Finger'?

Ngati mukukumana ndi zizindikiro izi, ndi bwino kupita kwa dokotala kuti akakuwunikireni bwino. Matendawa nthawi zambiri amapangidwa kudzera mu kuyezetsa thupi .

• Dokotala wanu adzayang'ana dzanja lanu ndi zala zanu.
• Adzakufunsani za zizindikiro zanu—monga nthawi yomwe zinayamba, chomwe chimazipangitsa kukhala zovuta, komanso momwe zimakhudzira zochita zanu za tsiku ndi tsiku.
• Dokotala adzayang'ana chala chanu pamene mukuchipinda ndikuchiwongolera kuti aone ngati chili chopindika, chotupa, kapena chotsekeka. Muyenera kusonyeza komwe mukumva kupweteka.

Nthawi zambiri, sipafunika mayeso apadera kuti mupeze matenda a Trigger Finger. Komabe, dokotala wanu nthawi zina angakulangizeni kuti muone ngati pali matenda enaake.

Kodi mankhwala a 'Trigger Finger' ndi otani?

Chithandizo cha Trigger Chala chimadalira kuopsa kwa zizindikiro zanu komanso chala chomwe chakhudzidwa. Dziwani kuti milandu yambiri imatha kuchiritsidwa bwino ndi chithandizo chosagwiritsa ntchito opaleshoni.

Njira zoyambira zochizira ndi izi:

• Mpumulo: Iyi ndi njira yanu yoyamba yodzitetezera. Muyenera kupuma pang'ono ku zochita, zosangalatsa, kapena ntchito zobwerezabwereza zomwe zimakupangitsani kutopa kuti minofu yanu ipumule.
• Kuboola kwa fupa: Dokotala wanu angakulangizeni kuti muvale fupa laling'ono kuti chala chomwe chakhudzidwacho chikhale chokhazikika, nthawi zambiri chowongoka. Izi zimapatsa tendon yanu mpumulo wofunikira kuti muchepetse kukwiya ndikulola kuti ichiritsidwe.
• Maseŵero olimbitsa thupi: Dokotala wanu kapena katswiri wa zamaganizo adzakutsogolerani pa maseŵero olimbitsa thupi osavuta omwe amapangidwira kuti minofu yanu ikhale yosinthasintha.
• Mankhwala oletsa kutupa:
• Mungagwiritse ntchito mankhwala a NSAID (mankhwala osagwiritsa ntchito ma steroid oletsa kutupa) monga ibuprofen kapena naproxen, omwe amapezeka mu kauntala, kuti athandize kuchepetsa ululu ndikuchepetsa kutupa.
• Dokotala wanu angakupatseninso mankhwala a corticosteroid , omwe ndi mankhwala amphamvu oletsa kutupa.
• Nthawi zina, jakisoni wa cortisone ukhoza kuperekedwa mwachindunji mu tendon sheath yomwe yakhudzidwa kuti ipereke mpumulo mwachangu ku kutupa ndi ululu.

Kumbukirani nthawi zonse, ndikofunikira kufunsa dokotala musanayambe kumwa mankhwala atsopano.

Kodi opaleshoni ndiyofunikira pa 'Trigger Finger'?

Matenda ambiri a chala choyambitsa matenda amachira bwino ndi mankhwala osavuta omwe atchulidwa pamwambapa. Komabe, ngati mankhwala awa sapereka mpumulo, dokotala wanu angakulangizeni opaleshoni .

Njirayi imatchedwa 'kutulutsa chala cha trigger', ndipo ndi ntchito yosavuta komanso yaying'ono.

• Opaleshoni isanachitike, dzanja lanu lidzasanduka lakuda pogwiritsa ntchito mankhwala oletsa ululu am'deralo .
• Dokotalayo adzadula pang'ono kwambiri m'chimake cha tendon chomwe chakhudzidwa. Izi zimapangitsa kuti tendon ikwerenso momasuka.
• Iyi ndi njira yochizira odwala osapita kuchipatala , zomwe zikutanthauza kuti mutha kubwerera kunyumba tsiku lomwelo.

Kodi ndidzamva bwino msanga bwanji nditalandira chithandizo?

Ngati muyamba chithandizo chosagwiritsa ntchito opaleshoni (kupuma, kupumula, kuchita masewera olimbitsa thupi, ndi mankhwala), muyenera kuyamba kuona kusintha pang'onopang'ono kwa zizindikiro zanu. Nthawi yomwe imafunika kuti muchiritse mokwanira imasiyana malinga ndi vuto lanu.

Ngati mukuchita opaleshoni, nthawi zambiri mumayamba kuona kusintha mkati mwa milungu ingapo . Komabe, zingatenge miyezi ingapo kuti mubwerere ku zochita zanu zonse zachizolowezi. Dokotala wanu adzakambirana nanu za nthawi yomwe mukuyembekezera.

Kodi 'Trigger Finger' idzatha yokha?

Funso limeneli ndi lofala kwambiri. Ayi, chala choyambitsa vutoli nthawi zambiri sichitha chokha. Ngati mukukumana ndi zizindikiro, ndikofunikira kuonana ndi dokotala kuti akuwunikireni. Ngakhale mungafunike kupuma kokha, katswiri ayenera kusankha izi. Kunyalanyaza vutoli kungayambitse kuipiraipira pakapita nthawi.

Kodi ndingapewe 'Trigger Finger'?

Ngakhale simungathe kuletsa izi kwathunthu nthawi zonse, mutha kuchepetsa chiopsezo chanu potsatira malangizo awa:

• Pewani ntchito zobwerezabwereza zomwe zimakuvutitsani manja ndi zala zanu.
• Ngati mumasewera masewera kapena kugwiritsa ntchito zida zina kuntchito, onetsetsani kuti mukugwiritsa ntchito njira zoyenera komanso makina oyenera a thupi.
• Mukayamba kuchita masewera olimbitsa thupi atsopano kapena kuchita masewera olimbitsa thupi, yambani pang'onopang'ono. Pewani kupsinjika mwadzidzidzi komanso mwamphamvu.
• Ngati mumagwira ntchito nthawi yayitali yogwira ntchito ndi manja, pumulani nthawi zonse kuti mupumule manja anu.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati mukukhulupirira kuti mukukumana ndi zizindikiro za chala choyambitsa vuto, makamaka ngati mukuvutika kupinda kapena kuwongolera chala, chonde konzani nthawi yokumana. Ngati mwadzidzidzi mukupeza kuti simungathe kusuntha chala chanu, funsani chithandizo mwamsanga ku dipatimenti yothandiza anthu mwadzidzidzi.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Mukapita kwa dokotala, ganizirani kufunsa mafunso otsatirawa:

• Kodi ndili ndi 'Trigger Finger', kapena pali chifukwa china chomwe chimayambitsa zizindikiro zanga?
• Mukuganiza kuti n’chiyani chinayambitsa vutoli?
• Kodi njira zabwino kwambiri zochiritsira matenda ndi ziti?
• Kodi opaleshoni ingakhale yofunikira?
• Kodi nthawi zambiri chithandizochi chimatenga nthawi yayitali bwanji?
• Kodi ndiyenera kukumbukira chiyani pamene ndikupitiriza ntchito zanga za tsiku ndi tsiku?

Kodi 'Trigger Finger' ndi mtundu wa nyamakazi?

Ayi. Ngakhale kuti 'Trigger Finger' ndi nyamakazi zonse zingayambitse kupweteka ndi kuuma m'manja ndi zala, 'Trigger Finger' si mtundu wa nyamakazi.

'Choyambitsa Chala' chimayamba chifukwa cha kutupa kapena kutupa kwa tendon kapena chigoba chake .

Matenda a nyamakazi ndi matenda omwe amakhudza minofu mkati mwa mafupa . Pakapita nthawi, nyamakazi imayambitsa kuwonongeka kwa minofu ya mafupa, zomwe zingayambitse kukangana pakati pa mafupa.

Kodi kusiyana pakati pa 'Trigger Finger' ndi 'Trigger Thumb' ndi kotani?

'Chala Choyambitsa' ndi 'Chala Chachikulu Choyambitsa' amatanthauza vuto lomwelo . Madokotala amangogwiritsa ntchito mawu osiyanasiyana kutengera ngati chala chachikulu kapena chala china chakhudzidwa. Nthawi zina izi zimatchedwa 'stenosing tenosynovitis' . Mosasamala kanthu za dzina, ndi vuto lomwelo ndipo limachiritsidwa mofanana.

Mfundo zomaliza zomwe muyenera kuziganizira

Choyambitsa chala ndi vuto lomwe limakhudza kutupa kwa tendon kapena chigoba chake, zomwe zimapangitsa kuti chala chitsekeke, chikhale chopweteka, kapena chikhale chovuta kuchisuntha. Chofunika kwambiri kukumbukira ndi chakutiVutoli ndi lochiritsika. Ngakhale opaleshoni ikufunika, mwina mudzatha kubwerera ku zochita zanu zatsiku ndi tsiku komanso zosangalatsa pambuyo pake.

Choncho, ngati muwona zizindikiro monga kupweteka kwa zala, kuuma, kutsekeka, kapena kumva 'kudina', musanyalanyaze. Pitani kwa dokotala mwachangu kuti akakuwunikireni. Adzazindikira chomwe chikuyambitsa ndikupereka chithandizo choyenera kwa inu, chomwe chabweretsedwa kwa inu ndi Nirogi Lanka.

Mawu Ofunika: chala choyambitsa, kutseka chala, tendon, kupweteka kwa chala, kupweteka kwa chikhatho, stenosing tenosynovitis, kutseka chala