Ruoko rwako rwunorwadziwa padivi pechigunwe chako here? Ngatikurukurei nezveizvi (De Quervain's Tenosynovitis)!

Dzimwe nguva unomboomerwa here nekuita mabasa ezuva nezuva nekuda kwekurwadziwa padivi pechigunwe cheruoko rwako, paruoko rwako? Kana kuti unonzwa kukwenya kana kupisa paunobata, kudzvanya, kana kufambisa chigunwe chako? Kana uine zviratidzo izvi, ungave uine chirwere chinonzi `(De Quervain's Tenosynovitis)`. Saka, usazvidya moyo. Ngatitaurei nezvazvo zvakadzama, kuti chii, nei zvichiitika, uye kuti zvingarapwa sei.

Chii chinonzi `(De Quervain's Tenosynovitis)`?

Zvichitaurwa zviri nyore, "De Quervain's Tenosynovitis" kuzvimba, zvinoreva kurwadziwa nekuzvimba, kwakakomberedza mitsipa yegunwe rako guru. Dzimwe nguva kunonzi "De Quervain's Tendinosis". Dzimwe nguva vanachiremba vanoshandisa mazita ese ari maviri pachirwere chimwe chete.

Funga nezvazvo, tsandanyama dzedu dzakabatana nemapfupa edu nematishu akasimba, anochinjika, akafanana netambo anonzi matendon . Patinobonderana netsandanyama, ndiwo tendon iyi inodhonza pfupa rinoenderana nayo yoita kuti rifambe. Chigunwe chako chakabatana neruoko rwako nematishu maviri akadaro.

Kazhinji, marunda aya anofamba-famba muchikamu , chakaita segomba kana mugero, chakaapoteredza. Pasina chipingamupinyi. Zvisinei, kana paine ``De Quervain's Tenosynovitis``, nekuda kwechimwe chikonzero, chikamu ichi chakatenderedza tendon iri muchigunwe chako chinozvimba kana kukora. Chii chinoitika ipapo? Paunoshandisa chigunwe chako nechigunwe, tendon inofamba-famba mukati mechikamu ichocho chakazvimba, zvichikonzera kukweshana kwakanyanya . Ndosaka mamwe mafambiro anogona kurwadza uye kunzwa akaomarara. Kurwadziwa uku kunowanzo tanga pasi pechigunwe chako, pedyo nechigunwe chako. Dzimwe nguva, kurwadziwa uku kunogona kutopararira kuruoko rwako.

Mamiriro ezvinhu aya akajairika zvakadii?

Kutaura zvazviri, `(De Quervain's Tenosynovitis)` chirwere chinowanzoitika pakati pekuzvimba kwetendon (`tenosynovitis`). Ongororo dzinoratidza kuti kunyangwe munyika yakaita seAmerica, inobata vanhu vanosvika 1% gore rega rega. Saka, kana uine chimwe chinhu chakadai, yeuka kuti hausi wega.

Ndezvipi zviratidzo zve `(De Quervain's Tenosynovitis)`?

Chiratidzo chikuru chechirwere ichi kurwadziwa padivi reruoko rwako. Kune vamwe vanhu, kurwadziwa uku kunogona kungoerekana kwaitika, asi kune vamwe, kunogona kukura zvishoma nezvishoma nekufamba kwenguva. Kurwadziwa uku kunowanzova:

• Zvinowedzera kana ukashandisa ruoko rwako, ruoko, uye chigunwe chako.
• Inogona kutanga paruoko yopararira kusvika pagunwe guru kana padivi pehuma.
• Marwadzo anowedzera kana ukabatwa kana kudzvanya chimwe chinhu.

Kuwedzera kune kurwadziwa uku kukuru, zvimwe zviratidzo zvakawanda zvinogona kuonekwa:

• Kuzvimba: Unogona kuona kuzvimba pasi pechanza chako nechigunwe chako.
• Ruzha rwekudzvanya kana kunzwa kwe'kudzvanya': Paunozunza chigunwe chako, unogona kunzwa ruzha rwe'kudzvanya' ruchibva muruoko rwako, kana kunzwa sekunge pane chiri kusvetuka mukati.
• Kuoma kana kurasikirwa nekutsvedzerera: Kufamba kwechigunwe chikuru chetsoka kunogona kunzwa sekunge kwakaoma zvishoma, kana sekunge hakusi kufamba zvakanaka.
• Kusanzwa: Unganzwawo sekuti ruoko rwako kana chigunwe chako chave kusanzwa kunzwa.

Sei chirwere ichi chinonzi `(De Quervain's Tenosynovitis)` chichiitika?

Zvichitaurwa zviri nyore, chirwere ichi chinogona kukonzerwa nekutsamwa, kumanikidzwa, kana chero chinhu chinoisa kushushikana kwakanyanya pamatendo echigunwe chako chikuru. Pane zvinhu zvakawanda zvinokonzera izvi:

• Kushandisa chigunwe chikuru kana ruoko zvakanyanya: Paunoramba uchiita mafambiro akafanana.
• Mabasa kana zvinhu zvinovaraidza zvinosanganisira kubata kana kudzvanya kudzokorora: Semuenzaniso, izvi zvinogona kuitika pamabasa epamba, mamwe mabasa, kana zvimwe zvinhu zvinovaraidza.
• Mamwe matambudziko ehutano anokonzera kuzvimba: Semuenzaniso, vanhu vane matambudziko ekuzvimba kwemajoini akadai searthritis vanowanzoita izvi.
• Kurohwa zvakananga pagunwe guru kana ruoko: sekunge kwakakonzerwa netsaona.

Dambudziko iri rinogona kukonzerwa, kunyanya, nemabasa anosanganisira kubata chinhu zvakasimba uye kudzokorora mafambiro akafanana. Heano mimwe mienzaniso:

• Mitambo: Mitambo yakaita setenisi, racquetball, skiing.
• Kushandisa midziyo: Pakushandisa nyundo kana zvimwe zvishandiso zvemaoko.
• Kusimudza vana vadiki: Dambudziko iri rinogona kuitika, kunyanya kuna vanaamai vatsva, kana uchigara uchisimudza mwana wako. Funga nezvekushushikana kwakawanda kunoiswa naamai pagunwe ravo neparuoko pavanenge vachigeza, vachiyamwisa, kana vachibata mwana.
• Kurima: Pakushandisa foshoro, pakudyara zvirimwa.

Ndiani ane mukana mukuru wekuwana chirwere ichi?

Kunyange hazvo chero ani zvake achigona kuva ne "De Quervain's Tenosynovitis", mamwe mapoka ari panjodzi yakakura yekuibata:

• Vakadzi: Chirwere ichi chinowanzoitika kuvakadzi kupfuura varume.
• Vanhu vane makore anopfuura makumi mana.
• Vadzidzisi veKindergarten kana avo vanochengeta vana vadiki.
• Vabereki (kunyanya vanaamai) vane vana vadiki .
• Vanhu vanoita mabasa emaoko kana kuti vanoshanda nemaoko avo nguva dzose.
• Vatambi.

Nzira yekuongorora `(De Quervain's Tenosynovitis)`?

Kana uine zviratidzo izvi, paunoona chiremba, iye achakuongororwa muviri.Izvi ndizvo zvichaitwa nachiremba kuti aone kana chiri chirwere che "De Quervain's Tenosynovitis". Achaongorora chigunwe chako nechanza chako. Zvakakosha kuudza chiremba zvese zvakaita sekuti wakamborwadziwa riini uye kuti basa rerudzii rinoita kuti marwadzo acho anyanye kuipa.

Chii chinonzi `(bvunzo yeFinkelstein)`?

Iyi ndiyo bvunzo inonzi "Finkelstein test", bvunzo inokosha inoshandiswa navanachiremba kusimbisa chirwere chinonzi "De Quervain's Tenosynovitis". Iyi bvunzo iri nyore kwazvo.

1. Tora chigunwe chako wochikotamisa mukati, wobva wavhara nemimwe minwe wokanya mukanyiwa.

2. Wobva waramba uchibata mubato sezvawakaita, kotamisa ruoko rwako pasi (kurutivi rwemunwe mudiki), sekunge uri kukwazisa mumwe munhu.

Kana ukaita izvi, unenge uchimanikidza marunda ari muchigunwe chako chikuru. Kana uine ``De Quervain's Tenosynovitis'', uchanzwa kurwadziwa kwakanyanya munzvimbo inorwadza paunoita ``Finkelstein test'' iyi.

Dzimwe nguva chiremba wako anogona kukuraira kuti upiwe X-ray kuti aongorore zvimwe zvinetso paruoko rwako, zvakaita se osteoarthritis.

Ndeapi marapirwo e `(De Quervain's Tenosynovitis)`?

Mashoko akanaka ndeekuti kune mishonga inoshanda yechirwere ichi. Chiremba wako anowanzo kurudzira mishonga inobatsira kudzora zviratidzo zvako uye kupa tendons nenyama dzakakomberedza nguva yekupora. Mishonga inowanzo shandiswa ndeiyi:

• Kupfeka chishongo kana chishongo chekusimbisa: Izvi zvinobatsira kudzivirira kufamba kweruoko rwako nechigunwe, zvichideredza kumanikidzwa kwetsinga idzodzo. Zvakafanana nekusunga ruoko rwako nebhandi.
• Isa chando muruoko rwako: Kuisa chando kunogona kubatsira kuderedza kuzvimba uye kuderedza marwadzo. Isa jira rechando rakaputirwa nejira rakatetepa panzvimbo inorwadza kwemaminitsi angangoita makumi maviri kakawanda pazuva.
• Zorora: Deredza kushandisa ruoko rwunorwadza zvakanyanya sezvinobvira. Zvikuru, ungangoda kurega zvachose kutamba mitambo kana kuita mafambiro anodzokorora akakonzera chirwere ichi kusvika chapora.
• NSAIDs: Iyi mishonga isiri steroidal inoderedza kuzvimba ( NSAIDs) . Inowanikwa musingatengeswi nechiremba. Zvisinei, usashandise kwemazuva anopfuura gumi usina kupiwa mazano nachiremba.
• Majekiseni eCorticosteroid: Iyi mishonga ine simba inonyorerwa nachiremba kudzora kuzvimba. Dzimwe nguva, chiremba anogona kubaya jekiseni recorticosteroid muchikamu chetendon chinorwadza.

Zvakakosha: Zvakakosha kutevedzera zvese izvi kurapa sezvakarairwa nachiremba wako.

Pane maekisesaizi anogona kuitwa here pakuita izvi? (maekisesaizi eDe Quervain's Tenosynovitis)

Chiremba wako kana nyanzvi yezvekurovedza muviri anogona kukudzidzisa mamwe maekisesaizi akareruka ekubatsira kuwedzera simba uye kuchinjika kweruoko rwako. Chimwe chezviedzo zvinokurudzirwa zvikuru kudzvanya bhora retennis:

• Tora bhora retennis woridzvanya zvinyoro nyoro kwemaminitsi mashoma.
• Zorora maoko ako kwemaminitsi mashoma.
• Kana usinganzwe kurwadziwa, dzvanya bhora zvakanyanya.

Chiremba wako achakuudza kuti unofanira kuita maekisesaizi aya kwenguva yakareba sei uye kangani. Usambofa wakarovedza muviri panguva yekurwadziwa. Kana uchinzwa kurwadziwa paunenge uchiita maekisesaizi, mira woudza chiremba wako.

Kuvhiyiwa kuchadiwa here?

Vanhu vazhinji havadi kuvhiyiwa kweDe Quervain's Tenosynovitis. Chiremba anongokurudzira kuvhiyiwa chete kana mamwe marapirwo asingaderedzi zviratidzo.

Kuvhiyiwa uku kunowanzoitwa kunze kwechipatara. Izvi zvinoreva kuti unogona kuenda kumba zuva rimwe chete. Chiremba anochekwa zvishoma muchikamu chakazvimba chakakomberedza tendon iri muchigunwe chako chikuru. Izvi zvinoita kuti tendon ifambe zvakasununguka. Kana uchida kuvhiyiwa, chiremba wako achakutsanangurira zvakawanda nezvazvo, kusanganisira kuti zvinotora nguva yakareba sei kuti upore.

Ndichanzwa zviri nani kwenguva yakareba sei mushure mekurapwa?

Chiremba wako achakuudza kuti unofanira kurapa De Quervain's Tenosynovitis kwenguva yakareba sei. Vanhu vazhinji vachafanira kupfeka jira rekusimbisa muviri kwemavhiki akati wandei .

Kunyangwe uchinzwa zviri nani, usatange kuita chero chiito chemuviri kusvika chiremba wako ati, "Zvakanaka, ngatitangei." Kana ukamanikidza tsinga dzako zvakare dzisati dzapora zvakanaka, une mukana wekukuvara zvakare.

De Quervain's Tenosynovitis inogona kudzivirirwa here?

Ehe, pane zvatinogona kuita kudzivirira chirwere ichi kuti chisakure kusvika pamwero wakati. Chinhu chikuru ndechekudzivisa kushandisa zvigunwe zvikuru.

• Kana uchitamba mutambo, uchishanda, kana kuita chero chimwe chiitiko chemuviri, dzidza nzira yakakodzera uye pfeka midziyo yekudzivirira kana zvichidikanwa.
• Paunotanga kurovedza muviri kana chiitiko chitsva, tanga zvishoma nezvishoma pane kuita zvakawanda panguva imwe chete.
• Kana uchiita mafambiro akafanana kakawanda, tora nguva yekuzorora.
• Kana ruoko rwako ruchirwadza, kungave panguva yekuita maekisesaizi kana mushure mekuita maekisesaizi, usazviregeredza wozvibvunza kuti, "Chii ichocho?" Usarambe uchiita izvi pasinei nekurwadziwa.
• Ipa muviri wako nguva yekuzorora uye kupora mushure mekuita mabasa akaomarara.

Zvinotora nguva yakareba sei kuti murwere apore?

Zvinogona kutora mavhiki mashoma kuti tendon yako ipore kubva kuDe Quervain's Tenosynovitis. Nguva inotora inoenderana nekuti chii chakakonzera tenosynovitis yako uye kuti zviratidzo zvako zvakakura sei.

Bvunza chiremba wako kuti unogona kutangazve mabasa ako emuviri nguva dzese riini. Kusvika chiremba wako akubvumidza, usadzokere kumitambo, chitandadzo, kana chiitiko chakakonzera chirwere chacho.

Chii chinoitika kana chikasarapwa?

De Quervain's Tenosynovitis chirwere chinorapika, chinowanzo tora nguva pfupi. Zvisinei, kana chikasarapwa, une mukana wekuda kuvhiyiwa uye unogona kusangana nemamwe matambudziko.

Kana ukaramba uchimanikidza marunda ari pachigunwe chako mushure mekunge watanga kuratidza zviratidzo zveDe Quervain's Tenosynovitis, tendon sheath inogona kuputika kana kuti tendon inogona kubvaruka. Izvi hazviwanzoitiki, asi kana zvikaitika, vamwe vanhu vasina kurapwa vanogona kurasikirwa zvachose nekufamba kana kushanda kwechigunwe chavo nechigunwe . Saka, kana uine zviratidzo, iva nechokwadi chekutsvaga rubatsiro rwechiremba.

Ndinofanira kuona chiremba rini?

Enda kuna chiremba nekukurumidza paunonzwa kurwadziwa kana zvimwe zviratidzo zveDe Quervain's Tenosynovitis. Usaregeredza zviratidzo, kunyanya kana zvikawedzera panguva yekurovedza muviri kana mushure mekuita maekisesaizi.

Mibvunzo ipi yaunofanira kubvunza chiremba?

Kana uchienda kunoona chiremba, zvakanaka kubvunza mibvunzo iyi:

• Ndine `(De Quervain's Tenosynovitis)` here, kana kuti pane chimwe chikonzero chekurwadziwa kweruoko rwangu here?
• Ndichapfeka chipfeko chekusimbisa kana simbi kwenguva yakareba sei?
• Ndichada kuvhiyiwa here kuti ndiite izvi?
• Ndingadzokera rini kumabasa angu ekurovedza muviri (semuenzaniso mitambo, basa)?

Muchidimbu (Mharidzo Yekuenda Kumba)

Zvakanaka, saka `(De Quervain's Tenosynovitis)` chirwere chinorwadza chinokonzerwa nekuzvimba kweganda rakatenderedza tendon yegunwe rako guru. Izvi zvinogona kuita kuti zvirwadze uye zviomere kushandisa chigunwe chako chikuru neruoko.

Asi chinhu chakanakisa ndechekuti, inogona kurapwa nekuzorora, kurapwa kuri nyore kumba, uye kupfeka jira rekusimbisa kwemavhiki mashoma.

Kana watanga chimwe chinhu chitsva kana kuti chitandadzo, kana kuti basa rako richikunetsa zvakanyanya, kunyanya zvigunwe zvako zvemaoko, taura nachiremba wako. Iye anogona kukubatsira kudzora zviratidzo zvako uye kudzokera kumabasa aunofarira nekukurumidza uye zvakachengeteka.Saka, chinhu chakanakisa chekuita ndechekutsvaga mazano echiremba nekukasika, pane kutambura nekurwadziwa.

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