Kodi n'kovuta kupinda chala chanu? Kodi chimakakamira? Tiyeni tiphunzire za 'Chala Choyambitsa' ichi!

Kodi munadzukapo m'mawa n’kuganiza kuti, “Ayi, chala ichi n’chovuta kuchipinda, chimamveka ngati chatsekeka!” Kapena mumamva phokoso la kudina mukamapinda kapena kuwongola chala chanu? Ngati zimenezo zitachitika ndipo mukumva ngati chala chanu chatsekeka pamalo amodzi, limodzi ndi ululu, mwina muli ndi vuto lotchedwa ‘chala choyambitsa’. Musadandaule, tiyeni tikambirane mwachidule.

Kodi 'Choyambitsa Chala' ndi chiyani?

Mwachidule, 'Choyambitsa Chala' ndi vuto lomwe chala chimodzi kapena zingapo padzanja lanu, nthawi zina chala chachikulu, chimakhala cholimba ndipo chimakhala chovuta kupindika kapena kuwongola. Kunena zoona, chalacho chingamangike pamalo opindika. Ena amati chimatchedwa 'choyambitsa chala' chifukwa chimawoneka ngati mukufuna kukoka choyambitsa mfuti.

Vutoli limachitika pamene minofu ya zala zanu yotchedwa tendons yakhudzidwa. Ma tendons ali ngati mipiringidzo yolimba yomwe imagwirizanitsa minofu yathu ndi mafupa athu. Pakakhala vuto ndi ma tendons awa, zala sizigwira ntchito bwino. Vutoli nthawi zambiri limapezeka mu chala cha mphete . Komabe, limatha kuchitika pa chala chilichonse, kuphatikizapo chala chachikulu.

Kodi zizindikiro za munthu amene ali ndi 'Trigger Finger' ndi ziti?

Ngati muli ndi choyambitsa chala, mutha kukumana ndi chimodzi kapena zingapo mwa zizindikiro izi:

• Phokoso la 'kudina' limamveka mukapinda kapena kuwongola chala. Zimakhala ngati chinachake chikudumpha kuchokera mkati.
• Kumva kulimba komanso kuuma komwe kumayenderana ndi ululu mukapinda chala chanu m'mbali.
• Kupweteka kwambiri kapena kugundana m'dzanja, komwe chala chokhudzidwacho chimayambira. Kupweteka kumeneku kungakhale koipitsitsa mukagwira chinthu mwamphamvu.
• Nthawi zina pangakhale kutupa kapena chotupa chaching'ono chomwe chimamveka ngati chagwira m'dzanja .
• Chala chomwe chimamatira pamalo amodzi chikapindika ndipo sichingathe kuwongoledwanso . Nthawi zina chala chomwe chimamatira chimayenera kuwongoledwa pang'onopang'ono ndi dzanja lina.

Anthu ambiri amakumana ndi zizindikiro izi, makamaka dzanzi ndi kuuma kwa zala zawo, makamaka m'mawa . Pamene tsiku likupitirira, komanso pogwiritsa ntchito zala zawo pang'ono, kuuma kumeneku kumachepa.

N’chifukwa chiyani ‘chala choyambitsa’ ichi chimayamba? Kodi chifukwa chake n’chiyani?

Chifukwa chachikulu cha trigger chala ndi kutupa kapena kutupa kwa minyewa m'zala kapena minofu yozungulira.

Tanena kale kuti minofu ya m'chiuno ili ngati mipiringidzo yomwe imagwirizanitsa minofu ndi mafupa. Minofu iyi imazunguliridwa ndi chipolopolo (ngati chubu chaching'ono ) chotchedwa chipolopolo cha minofu ya m'chiuno.Chimayenda kuchokera mkati. Chigoba cha tendon ichi chimateteza tendon ndikuyisunga pamalo ake.

Tsopano, nayi momwe chala choyambitsa matenda chimakulira: Pamene tendon yatupa ndi kutupa pazifukwa zina, singathe kuyenda bwino mkati mwa tendon sheath. Zili ngati chingwe chomwe chimamatira chikamamatira mu dzenje laling'ono. Nthawi zina, chotupa chaching'ono (nodule) chingapangidwe mu tendon yotupa iyi. Kenako zimakhala zovuta kwambiri kusuntha mkati mwa tendon sheath.

Chifundo chomwe chimapangika mu `tendon` iyi chikuyesera kukodwa mu gawo la `tendon sheath` lotchedwa `A1 pulley` . `A1 pulley` iyi ndi malo opapatiza pamalo ngati ngalande komwe `tendon` imayendera. Ikamamatirira pamenepo, chala chimamva kukodwa ndi phokoso la `click`.

Ndani amene ali ndi mwayi waukulu wokhala ndi 'Trigger Finger'? (Zinthu Zoopsa)

Ngakhale kuti vutoli likhoza kufalikira mwa aliyense, anthu ena ali ndi mwayi waukulu woti adwale matendawa.

• Ndi yofala kwambiri kwa anthu azaka zapakati pa 40 ndi 60 .
• Izi zingachitike kwa anthu omwe nthawi zonse amachita zinthu zomwezo, amagwira zinthu mwamphamvu ndi manja awo, kapena ali ndi ntchito kapena zosangalatsa zomwe zimawavutitsa kwambiri zala zawo . Mwachitsanzo:
• Anthu omwe amalima ndi kugwira ntchito m'minda.
• Anthu ogwira ntchito m'mafakitale komanso ndi zida zamanja.
• Anthu omwe amaimba zida zoimbira (makamaka magitala ndi ma vayolini).
• Anthu omwe amasewera masewera omwe amagwiritsa ntchito ma racket, monga tenisi ndi badminton.
• Anthu omwe ali ndi matenda enaake osatha ali ndi mwayi waukulu wokhala ndi chala choyambitsa matenda:
• Matenda a mafupa - matenda olumikizana mafupa
• Matenda a Nyamakazi - Matenda omwe chitetezo cha mthupi chimaukira mafupa
• Gout - kutupa kwa mafupa komwe kumachitika chifukwa cha kuchuluka kwa uric acid m'magazi.
• Matenda a shuga
• Amyloidosis - mapuloteni osakhazikika m'maselo a minofu
• Matenda a chithokomiro

Kodi dokotala amazindikira bwanji vuto la kusowa kwa madzi m'thupi?

Ngati muli ndi zizindikiro izi, ndi bwino kupita kwa dokotala kuti akakufufuzeni. Dokotala nthawi zambiri amakupimani thupi .

• Dzanja lanu ndi zala zanu zidzayesedwa.
• Mudzafunsidwa za zizindikiro zanu (nthawi yomwe mwakhala nazo, nthawi yomwe zikuipiraipira, zomwe mumachita, ndi zina zotero).
• Dokotala adzapinda pang'onopang'ono ndikuwongolera zala zanu kuti amve phokoso la kugwedezeka ndi momwe zilili zolimba. Mukachita izi, muyenera kuwauza komwe mukumva kupweteka.

Nthawi zambiri, sipafunika mayeso apadera kuti mupeze matenda a chala chomwe chikuyambitsa matendawa. Komabe, nthawi zina, ultrasound kapena X-ray zitha kuchitidwa kuti muwone ngati pali mavuto ena.

Kodi mankhwala a 'Trigger Finger' ndi otani?

Chithandizo cha chala choyambitsa matenda chimadalira momwe zizindikiro zanu zilili zazikulu komanso chala chomwe chakhudzidwa. Musadandaule, nthawi zambiri chimatha kuchiritsidwa ndi mankhwala osavuta.

Mankhwala otsatirawa amagwiritsidwa ntchito kwambiri:

• Kupuma: Ichi ndi chinthu choyamba. Muyenera kupewa zochita, zosangalatsa, ndi zinthu zomwe zimakuvutitsani zala zanu zomwe zimayambitsa vuto la chala kwa kanthawi. Izi zipatsa nthawi yoti minofu ya m'chiuno ichire.
• Kupindika kwa msana: Dokotala wanu angakulangizeni kuti muvale kansalu kakang'ono kuti chala chomwe chakhudzidwacho chikhale pamalo amodzi, nthawi zambiri molunjika. Izi zimapangitsa kuti msana upumule ndipo umathandizanso kuti utambasulidwenso.
• Maseŵero olimbitsa thupi: Dokotala wanu kapena katswiri wa zamaganizo adzakuphunzitsani maseŵero osavuta olimbitsa thupi omwe angakuthandizeni kuwonjezera kusinthasintha kwa minofu yanu.
• Mankhwala oletsa kutupa:
• Kuti muchepetse ululu ndi kutupa, mutha kumwa mankhwala ochepetsa ululu omwe amagulitsidwa ndi dokotala otchedwa NSAIDs (mankhwala oletsa kutupa omwe si a steroidal), monga ibuprofen kapena naproxen.
• Dokotala angaperekenso mankhwala otchedwa corticosteroids, omwe amachepetsa kutupa .
• Nthawi zina, jakisoni wa cortisone ungaperekedwe ku tendon sheath yomwe yakhudzidwa. Izi zingathandize kuchepetsa kutupa ndi ululu mwachangu.

Kumbukirani, ndikofunikira kwambiri kufunafuna upangiri wa dokotala musanamwe mankhwala aliwonse awa.

Kodi opaleshoni ndiyofunikira kuti munthu achiritse chala chake?

Nthawi zambiri, choyambitsa chala chimatha kuchiritsidwa ndi mankhwala osavuta omwe atchulidwa pamwambapa. Komabe, ngati mankhwalawo sathandiza, dokotala wanu angakulangizeni opaleshoni .

Izi zimatchedwa opaleshoni ya ``Trigger finger release`` . Iyi si opaleshoni yaikulu.

• Opaleshoni isanachitike, gawo la mkono lomwe lakhudzidwa limakhala lopanda mphamvu (local anesthetic ) .
• Kenako dokotalayo amachotsa chidendene cha tendon chomwe chakhala chikumangika.Kudula pang'ono kwambiri kumachitika. Izi zimathandiza kuti mtsempha uzitha kuyenda momasuka.
• Iyi ndi njira yochizira odwala osapita kuchipatala , zomwe zikutanthauza kuti mutha kupita kunyumba tsiku lomwelo.

Kodi ndidzamva bwino msanga bwanji nditalandira chithandizo?

Mukangoyamba chithandizo chosagwiritsa ntchito opaleshoni (kupuma, kupumula, kuchita masewera olimbitsa thupi, ndi mankhwala), zizindikiro zanu zimayamba kuchepa pang'onopang'ono. Nthawi yomwe imatenga kuti munthu achire mokwanira imasiyana malinga ndi matenda anu.

Mukachita opaleshoni, nthawi zambiri mumayamba kumva bwino pakatha milungu ingapo . Komabe, zingatenge miyezi ingapo musanabwererenso ku zochita zanu zachizolowezi. Dokotala wanu adzakufotokozerani izi.

Kodi choyambitsa chala chidzachira chokha?

Funso limene anthu ambiri amafunsa ndi ili. Ayi, nthawi zambiri choyambitsa matenda sichimatha chokha. Ngati muli ndi zizindikiro, pitani kwa dokotala ndikupita naye kuchipatala. Mungafunike kupuma, koma dokotala ayenera kusankha zimenezo. Kupanda kutero, kunyalanyaza kungapangitse vutoli kukhala lalikulu kwambiri.

Kodi choyambitsa chala chingaletsedwe?

Ngakhale kuti sizingatheke kupeweratu matendawa, mungachite izi kuti muchepetse chiopsezo chanu:

• Pewani ntchito yomwe imafuna kupsinjika m'manja ndi zala zanu nthawi zonse momwe mungathere.
• Ngati mumasewera masewera kapena kugwiritsa ntchito zida zilizonse kuntchito, dziwani kaimidwe koyenera ndi njira zogwirira ntchito.
• Mukayamba kuchita masewera olimbitsa thupi atsopano kapena masewera olimbitsa thupi, yambani pang'onopang'ono. Musadzikakamize kwambiri nthawi imodzi.
• Ngati mukugwira ntchito zamanja mosalekeza, pumulani pang'ono nthawi ndi nthawi.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati mukuganiza kuti muli ndi zizindikiro za 'chala choyambitsa', makamaka ngati simungathe kupindika kapena kuwongolera chala bwino, onani dokotala. Ngati mwadzidzidzi simungathe ngakhale kusuntha chala, pitani kuchipatala nthawi yomweyo.

Ndi mafunso ati omwe muyenera kufunsa dokotala?

Mukapita kwa dokotala, mungafunse mafunso monga awa:

• Kodi ndili ndi 'chala choyambitsa vuto'? Kapena ndi vuto lina?
• Mukuganiza kuti n’chifukwa chiyani izi zinandichitikira ine?
• Ndi chithandizo chamtundu wanji chomwe chili chabwino kwa ine?
• Kodi ndikufunika opaleshoni?
• Kodi chithandizo nthawi zambiri chimatenga nthawi yayitali bwanji?
• Ndi zinthu ziti zomwe ndiyenera kusamala nazo ndikamachita zinthu zanga za tsiku ndi tsiku?

Kodi 'Trigger Finger' ndi mtundu wa nyamakazi?

Ayi. Ngakhale kuti chala choyambitsa matenda ndi nyamakazi zonse zingayambitse kupweteka ndi kuuma kwa dzanja ndi zala, chala choyambitsa matenda si mtundu wa nyamakazi.

Choyambitsa chala chimayamba chifukwa cha kutupa kapena kutupa kwa tendon kapena tendon sheath .

Matenda a nyamakazi ndi matenda omwe amakhudza minofu ya mafupa . Pakapita nthawi, nyamakazi imapangitsa kuti minofu ya mafupa iwonongeke ndipo mafupa ayambe kukandana.

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

'Chala choyambitsa' ndi 'chala chachikulu choyambitsa' ndi matenda omwewo . Madokotala amagwiritsa ntchito mayina awiriwa kutengera ngati zala zina kapena chala chachikulu chakhudzidwa. Nthawi zina amatchedwanso 'stenosing tenosynovitis'. Mulimonsemo, ndi matenda omwewo ndipo amachiritsidwa mofanana.

Pomaliza, zinthu zingapo zoti muzikumbukira

Choyambitsa chala ndi vuto lomwe limapangitsa chala kukhala cholimba komanso cholimba chifukwa cha kutupa kwa tendon kapena tendon sheath. Chabwino kwambiri ndichakuti ndi vuto lochiritsika . Ngakhale opaleshoni ingafunike, mudzatha kuyambiranso ntchito zanu zachizolowezi komanso zosangalatsa.

Choncho, ngati muli ndi zizindikiro izi - kupweteka, kuuma, dzanzi, phokoso la 'kudina' m'zala zanu - musanyalanyaze . Pitani kwa dokotala nthawi yomweyo ndikupempha upangiri. Iye adzapeza chomwe chikuyambitsa ndikukupatsani chithandizo choyenera.

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