Munwe wako wakakombama pakati here uye zvakaoma kutwasanudza? Izvi zvinogona kunge zviri Boutonniere Deformity!

Wakamboona here, kana kusangana nemunwe wakakombama nenzira isinganzwisisike uye unonetsa kutwasanudza? Pamwe munwe unoita sewakakombama pakati uye wakanamirwa, muromo wacho wakatarisa kumusoro. Izvi zvinogona kuva chiitiko chinonetsa vamwe. Nhasi tichataura nezvechirwere chinoitika muminwe, chinozivikanwa se 'Boutonnière Deformity' mune zvehutano.

Chii chinonzi 'Boutonnière Deformity' iyi?

Zvichitaurwa zviri nyore, Boutonniere Deformity chirwere apo chikamu chepakati chemunwe (kana dzimwe nguva, kazhinji, chigunwe) hachikwanise kutwasuka uye chinonamira panzvimbo yakakombama. Izvi zvinoreva kuti chikamu chepakati chemunwe chakakotama pasi uye hachigone kutwasuka . Panguva imwe chete, chikamu chekupedzisira chemunwe, chikamu chiripo nzara, chakakotama kumusoro uye chinoita sechinongedzo.

Tine chinjo mumunwe wedu. Chinjo chepakati ichocho, kureva kuti, chinjo chechipiri kubva muchanza - mukurapa tinochidana kuti `Proximal Interphalangeal joint` (proximal interphalangeal joint) kana `PIP joint` (PIP joint) muchidimbu - ndicho chisingagone kukotama, uye chinonamira kana chakakotama. Panguva imwe chete, chinjo chekupedzisira chemunwe - tinochidana kuti `Distal Interphalangeal joint` (distal interphalangeal joint) kana `DIP joint` (DIP joint) - chakakotama kumashure uye chakanongedzera kumusoro.

Izvi zvinonzi `boutonniere`, zvinoreva `buri remabuttonhole` muchiFrench. Chikonzero chechirwere ichi ndechekuti kana `tendon`, nyama yakasimba inobatanidza tsandanyama nepfupa, iri pamusoro pemunwe, ikakuvara, kaburi kadiki kanoumbwa pakati pemafibers, seburi remabuttonhole. Ndipo panobva zita racho. Kana `tendon` iyi isingashande zvakanaka, hauzokwanisi kutwasanudza chigunwe chako.

Sei izvi zvichiitika? Ndezvipi zvikonzero?

Chikonzero chikuru che "Boutonnière Deformity" iyi kukuvara kwenyama iri mumunwe kunonzi "central slip tendon". Iyi "tendon" ndiyo inotibatsira kutwasanudza chipfundo chepakati chemunwe. Inomhanya pamusoro pemunwe. Unogona kutoiona pamusoro pechipfundo.

Kukuvara kwetsinga yepakati inotsvedza mutsaona

Kazhinji, mamiriro ezvinhu aya anokonzerwa netsaona. Funga nezvezvinhu zvakaita seizvi:

• Munwe unonamira kana kurohwa zvakasimba: Semuenzaniso, kana uchitamba mutambo wakaita sevolleyball kana netball, bhora rinorova munwe wako nesimba guru. Kana kuti munwe wako unonamira pamusuwo. Mumamiriro ezvinhu akadaro, tsinga inogona kudhonzwa kana kubvaruka.
• Kutyoka kwemunwe: Kana pfupa riri mumunwe rikatyoka, chidimbu chepfupa rakatyoka chinogona kukuvadza tendon.
• Kubuda kwejoini remunwe: Kana joini rabuda, tendon inogonawo kutatamuka nekutsemuka.
• Kuchekwa kana kurohwa kwakasimba nechinhu chakapinza: Kana chigunwe chikachekwa nechimwe chinhu chakaita sebanga, kana chimwe chinhu chinorema chikawira pamunwe, tsinga iyi inogona kukuvara.

Kunyangwe kukuvara kwerudzi urwu rwe "central slip tendon" kuchigona kuitika kune chero ani zvake, kunowanzoitika pakati pevatambi, sezvo vachiwanzo kukuvara mumitambo.

Arthritis nedzimwe zvirwere

Kuwedzera kune tsaona, Boutonniere Deformity inogona kuitika nekuda kwezvimwe zvikonzero zvakawanda:

• Rheumatoid arthritis: Ichi ndicho chikonzero chikuru. Nekuda kwekuzvimba kwenguva refu uye kurwadziwa mumapfundo eruoko, tendon inogona kushaya simba, kutambanudzwa, uye kubvaruka.
• Kukuvara kwekutsva: Dzimwe nguva tsinga inogona kushaya simba uye kutotsemuka nekuda kwekutsva.
• Kuremara kwemaoko akaberekerwa: Kashoma, ichi chingave chirwere chekuzvarwa nacho.
• Zvirwere zve connective tissue: Zvimwe zvirwere zvemajini zvinogona kushayisa simba connective tissue yemuviri. Izvozvo zvinogonawo kuva chikonzero cheizvi.

Zvichitaurwa zviri nyore, kana `central slip tendon` iyoyo ikaneta kana kutyoka, haikwanise kudhonza jointi yepakati (`PIP joint`). Zvakare, inokanganisa mamwe `extensor tendons` anodhonza gointi yetip (`DIP joint`), uye anotanga kudhonza akawanda. Ndosaka kukotama ikoko kusinganzwisisike kuchiitika.

Ndezvipi zviratidzo zveizvi?

Chiratidzo chikuru chechirwere ichi inzvimbo isina kujairika yemajoini emunwe . Izvi zvinoreva:

• Hauzokwanisi kururamisa PIP joint .
• Panguva imwe chete, DIP joint yakakotama kumusoro uye yakatambanudzwa zvakanyanya .

Pamusoro peizvi, unogona kunzwa zvimwe zvinhu zvakaita se:

• Kurwadziwa kwemajoini nekuzvimba.
• Kuomarara kwemajoini kunogona kuwedzera, kunyanya nekufamba kwenguva.

Dzimwe nguva, zviratidzo izvi zvinogona kuonekwa mushure mekukuvadzwa kwechigunwe. Kana kuti zvinogona kuonekwa mushure memavhiki. Zvisinei, kana uine chirwere chakadai searthritis, 'Boutonnière Deformity' iyi inowanzoonekwa. Unogona kutanga waona kuti zvakaoma kukotamisa chigunwe chako zvakanaka.

Chiremba anoziva sei izvi?

Paunoenda kunoona chiremba, vachanyatsoongorora munwe wako. Vachakubvunza nezvezviratidzo zvako uye nhoroondo yako yehutano. Kusagadzikana kweBoutonnière kuri nyore kuona paunokuona. Zvisinei, zvingasava pachena pazvinotanga.

Zvadaro chiremba anogona kuita bvunzo diki inonzi `Elson's test`.

Heino maitirwo azvo: Unokumbirwa kukotamisa minwe yako panzvimbo, seizvi: kona. Ipapo chiremba anodzvanya pasi phalanx yepakati pemunwe wako wekunongedza (kana munwe wakabatwa) uye anokukumbira kuti utwasanudze munwe wako. Kana usingakwanise kutwasanudza munwe wako kuti usarambe uchirwadziwa, vanogona kuona kuti pane dambudziko ne central slip tendon.

Pamusoro pezvo, chiremba anogona kuraira kuti apiwe X-ray . Izvi zvinogona kubatsira kuona kuti kukuvara kwacho kwakakura sei uye chero kukuvara kwepfupa kwacho kwakakura sei. Zvinogonawo kubatsira kuronga kurapwa.

Zvakanaka, zvino mushonga weizvi ndeupi?

Kazhinji, vanachiremba vanotanga kurapa Boutonniere Deformity nenzira dzisiri dzekuvhiya. Kureva, nekurapwa kwakarongeka. Asi chinhu chakakosha ndechekurapwa nekukurumidza . Kana ukamirira kwenguva yakareba kuti urapwe, zvinova zvakaoma kugadzirisa dambudziko iri, kunyangwe nekuvhiyiwa.

Kurapa kwekuchengetedza

Kana chirwere chako chave chichangobva kuitika, chinhu chekutanga chichaita chiremba wako kuisa chibato pamunwe wako . Chibato ichi chichachengetedza PIP joint yako yakatwasuka kwemwedzi mishoma. Izvi zvichapa tendon yakakuvara nguva yekupora. Mushure menguva iyi, uchafanirwa kuita physiotherapy kwemwedzi mishoma. Izvi zvinoreva kuita maekisesaizi akakosha.

Kurapa kwekuvhiyiwa

Zvisinei, kana kukuvara kwacho kwakanyanya, kana kuti chiri chirwere chisingaperi chisina kuvandudzika nekurapwa kusiri kwekuvhiyiwa, ungangoda kuvhiyiwa . Mavanga anogona kuumbwa pamunwe wako, zvichiita kuti unamire panzvimbo isiriyo. Kana kuti chiremba wezvekuvhiya angafanira kubatanidza zvimwe zvezvikamu zvacho zvakare.

Chiremba anogona kuita zvinhu zvakaita seizvi:

• Gadzirisa kana kuvaka patsva tendon yekutsvedza yakakuvara.
• Kuderedza kushushikana kwemamwe marunda e extensor kana kuti kuaisa panzvimbo yakakodzera.
• Kana paine arthritis, `PIP joint` inogona kugadziriswa kana `kubatanidzwa` pamwe chete .

Mushure mekuvhiyiwa, uchafanirwa kupfeka chigunwe chako chesimbi kwemavhiki akati wandei. Mushure mevhiki yekutanga, uchapihwa mamwe maekisesaizi emaoko ekuita. Chiremba wako wemuviri achatungamira chirongwa chako chekurapwa kwemwedzi mishoma inotevera.

Tariro yerudzii inogona kuwanikwa mushure mekurapwa?

Kusasimba kweBoutonniere chirwere chinorapika , asi nguva ndiyo inokosha .Kana uchitsvaga kurapwa nekukurumidza mushure metsaona, kana wakavhiyiwa kana usina, unogona kupora zvizere. Zvisinei, kana ukamirira kwenguva kuti uzive uye utsvage kurapwa kwechirwere ichi, zvinogona kuoma kuti chirapwe.

Uyewo, chikonzero chechirwere ichi chakakosha . Kana uine zvirwere zvenguva refu zvakaita searthritis, kuporesa kunogona kudziviswa. Kukuvara kwakanyanya uye matambudziko ekuzvarwa nawo zvakaoma kugadzirisa nekuvhiyiwa. Dzimwe nguva, vanachiremba vanogona kudzorera kumwe kuchinjika kwejoini remunwe, asi kwete zvese.

Dambudziko iri rinogona kutora mwedzi yakati wandei kuti rirapwe. Rinodawo kuzvipira kukuru kwauri - kunyanya paunotanga kurovedza muviri nemunwe wako. Zvisinei, vanhu vazhinji vanotevera mirairo yakapihwa nechikwata chavo chekurapa vanowana mhedzisiro yakanaka.

Yeuka, kana ukaita tsaona nemunwe wako uye usingakwanise kuufambisa zvakanaka, unofanira kuona chiremba. Nekuti minwe yako midiki, usafunge kuti tsaona yacho idiki. Minwe yako nhengo dzakaoma uye dzakapfava. Kunyangwe tsaona diki inogona kukonzera kukuvara kukuru kupfuura zvaunofunga.

Kukuvadzwa kwetsinga imwe mumunwe wako kunogona kukanganisa mamwe matsinga akabatana nayo. Usati wazviziva, mashandiro chaiwo anokubatsira kufambisa chigunwe chako anogona kukanganiswa. Kuti upore, unofanirwa kugadzirisa zvikamu zvidiki izvi.

Chinhu chakakosha chatinofanira kurangarira kubva munyaya iyi! (Mharidzo Yekuenda Kumba)

Zvakanaka, saka tataura zvakawanda nezveBoutonniere Deformity. Chekupedzisira, hezvino zvinhu zvakakosha zvaunofanira kurangarira:

• Kana chikamu chepakati chemunwe chakakombama uye chikamu chekupedzisira chakanongedzera kumusoro, chinogona kunge chiri `Boutonnière Deformity`.
• Izvi zvinowanzokonzerwa nekukuvara kwemunwe (kunyanya tendon yekutsvedza kwepakati) kana arthritis .
• Zviratidzo zvikuru kurwadziwa, kuzvimba, uye kutadza kutwasanudza chigunwe .
• Zvakakosha kutsvaga rubatsiro rwechiremba nekukurumidza sezvinobvira. Kana chirwere chikanonoka kwenguva refu, ndipo pazvinoomawo kurapa.
• Kurapa kunosanganisira kuvhiya mavanga, physiotherapy, uye dzimwe nguva kuvhiyiwa .
• Nguva uye kuzvipira kwako zvakakosha kuti upore. Tevedzera mirairo yachiremba wako nemazvo.
• Usatore kukuvara kudiki kweminwe yako sechinguva. Enda kuna chiremba nekukasika.

Saka, ndinovimba ruzivo urwu ruchakubatsira. Kana uine chimwe chezviratidzo izvi, usavhunduka woenda kuna chiremba kuti akupe mazano. Kana ukatora mushonga nekukasika, unogona kupora zvakanaka!

Kukanganisika kweBoutonniere , kukotama kwemunwe, kukuvara kwemunwe, tendon inotsvedza pakati, arthritis, kuvhiyiwa kwemunwe, physiotherapy