Ingaba isihlathi sakho sibuhlungu ecaleni kobhontsi wakho? Makhe sithethe ngale nto (De Quervain's Tenosynovitis)!

Ngaba ngamanye amaxesha unengxaki yokwenza imisebenzi yemihla ngemihla ngenxa yentlungu ecaleni kwesithupha sesandla sakho, kwindawo yesandla sakho? Okanye ngaba uziva ukurhawuzelelwa okanye ukutsha xa uchukumisa, ucinezela, okanye ushukumisa ubhontsi wakho? Ukuba unale mpawu, usenokuba nesifo esibizwa ngokuba yi-`(De Quervain's Tenosynovitis)`. Ngoko ke, ungakhathazeki. Makhe sithethe ngaso ngokweenkcukacha, ukuba yintoni, kutheni senzeka, kwaye singasisusa njani.

Yintoni i-`(De Quervain's Tenosynovitis)`?

Ngamafutshane, "i-De Quervain's Tenosynovitis" kukudumba, okuthetha intlungu nokudumba, okujikeleze imisipha kubhontsi wakho omkhulu. Ngamanye amaxesha ibizwa ngokuba yi-"De Quervain's Tendinosis". Oogqirha ngamanye amaxesha basebenzisa omabini la magama kwimeko efanayo.

Cinga nje, izihlunu zethu ziqhagamshelwe emathanjeni ethu zii-tissue eziqinileyo neziguquguqukayo, ezifana neentambo ezibizwa ngokuba zii-tendon . Xa siqhagamshelwa sisihlunu, yi-tendon le itsala ithambo elihambelanayo ize iyenze ishukume. Ubhontsi wakho uqhagamshelwe esihlahleni sakho zii-tendon ezimbini ezinjalo.

Ngokwesiqhelo, la ma-tendon ajikeleza kwi- sheath , efana nomngxuma okanye umngxuma, ejikeleze wona. Ngaphandle kokuphazamiseka. Nangona kunjalo, kwimeko ye-"De Quervain's Tenosynovitis", ngesizathu esithile, esi sheath sijikeleze i-tendon kubhontsi wakho siyavuvukala okanye sibe ngqindilili. Kwenzeka ntoni ke? Xa usebenzisa ubhontsi wakho nesandla sakho, i-tendon ijikeleza ngaphakathi kweso sheath sivuvukileyo, nto leyo ebangela ukungqubana okungakumbi . Yiyo loo nto ezinye iintshukumo zinokuba buhlungu kwaye zivakale ziqinile. Le ntlungu idla ngokuqala ezantsi kwebhontsi lakho, kufutshane nesandla sakho. Ngamanye amaxesha, le ntlungu inokusasazeka nakwingalo yakho.

Ixhaphake kangakanani le meko?

Enyanisweni, i-`(De Quervain's Tenosynovitis)` yimeko eqhelekileyo phakathi kokudumba kwemisipha (`tenosynovitis`). Uphando lubonisa ukuba nakwilizwe elifana neMelika, ichaphazela malunga ne-1% yabemi minyaka le. Ngoko ke, ukuba unento efana nale, khumbula ukuba awuwedwa.

Zithini iimpawu ze-`(De Quervain's Tenosynovitis)`?

Uphawu oluphambili lwale meko yintlungu kwicala le-radial lesandla sakho. Kwabanye abantu, le ntlungu inokuvela ngequbuliso, ngelixa kwabanye, inokuvela kancinci kancinci ngokuhamba kwexesha. Le ntlungu idla ngokuba:

• Iyakhula xa usebenzisa isandla sakho, isihlathi, nobhontsi.
• Ingaqala esihlahleni ize isasazeke ukuya kutsho kubhontsi okanye kwicala lebunzi.
• Intlungu iyanda xa uchukumisa okanye ucinezela into ethile.

Ukongeza kule ntlungu iphambili, ezinye iimpawu ezininzi zinokubonwa:

• Ukudumba: Ungabona ukudumba ezantsi kwesandla sakho nakubhontsi wakho.
• Isandi okanye imvakalelo 'yokunqakraza': Xa ushukumisa ubhontsi wakho, usenokuva isandi 'sokunqakraza' siphuma esihlahleni sakho, okanye uzive ngathi kukho into etsiba ngaphakathi.
• Ukuqina okanye ukulahleka kobuthambile: Iintshukumo zobhontsi omkhulu zinokuvakala ngathi ziqinile kancinci, okanye ngathi azihambi kakuhle.
• Ukuba ndindisholo: Usenokuvakalelwa kukuba isihlathi sakho okanye ubhontsi wakho uya kuba ndindisholo.

Kutheni le nto `(De Quervain's Tenosynovitis)` isenzeka?

Ngamafutshane, le meko inokubangelwa kukucaphuka, uxinzelelo, okanye nantoni na ebeka uxinzelelo olungafanelekanga kwimisipha yonyawo lwakho olukhulu. Kukho izinto ezininzi ezibangela oku:

• Ukusebenzisa kakhulu ubhontsi okanye isihlahla: Xa uqhubeka nokwenza iintshukumo ezifanayo.
• Imisebenzi okanye izinto ozithandayo ezibandakanya ukubamba okanye ukucinezela ngokuphindaphindiweyo: Umzekelo, oku kunokwenzeka kwimisebenzi yasekhaya, eminye imisebenzi, okanye ezinye izinto ozithandayo.
• Ezinye iimeko zempilo ezibangela ukudumba: Umzekelo, abantu abaneengxaki zokudumba kwamalungu ezifana ne-arthritis banamathuba amaninzi okuba nale ngxaki.
• Ukubetheka ngqo kubhontsi okanye esihlahleni: ngokungathi kwenzeke ingozi.

Le meko inokubangelwa, ngakumbi, yimisebenzi ebandakanya ukubamba into ngokuqinileyo nokuphinda iintshukumo ezifanayo. Nazi imizekelo embalwa:

• Imidlalo: Imidlalo efana netenisi, iracquetball, ukuskiya.
• Ukusetyenziswa kwesixhobo: Xa usebenzisa ihamile okanye ezinye izixhobo zesandla.
• Ukuphakamisa abantwana abancinci: Le meko inokwenzeka, ingakumbi koomama abatsha, xa uhlala uphakamisa umntwana wakho. Cinga ngoxinzelelo umama alubeka kubhontsi wakhe nasesihlahleni xa ehlamba, etyisa, okanye ephethe umntwana.
• Ukulima: Xa usebenzisa ifosholo, xa utyala izityalo.

Ngubani onokuba nethuba elikhulu lokufumana le meko?

Nangona nabani na enokuba ne-"De Quervain's Tenosynovitis" kodwa amaqela athile asemngciphekweni omkhulu wokuba nayo:

• Abafazi: Le meko ixhaphake kakhulu kubafazi kunakumadoda.
• Abantu abangaphezu kweminyaka engama-40 ubudala.
• Ootitshala besikolo sabantwana abancinci okanye abo banakekela abantwana abancinci.
• Abazali (ingakumbi oomama) abanabantwana abancinci .
• Abantu abenza imisebenzi yezandla okanye abasebenza ngezandla zabo rhoqo.
• Abadlali bezemidlalo.

Ungayixilonga njani i-`(De Quervain's Tenosynovitis)`?

Ukuba unale mpawu, xa ubona ugqirha, uza kwenza uvavanyo lomzimba.Le yindlela ugqirha aza kufumanisa ngayo ukuba yi-"De Quervain's Tenosynovitis". Uza kuhlola ubhontsi wakho nesandla sakho. Kubaluleke kakhulu ukuxelela ugqirha iinkcukacha ezifana nokuba ukhe waba nale ntlungu nini kwaye loluphi uhlobo lomsebenzi olwenza intlungu ibe mandundu.

Yintoni `(uvavanyo lweFinkelstein)`?

Olu vavanyo "lweFinkelstein", uvavanyo olukhethekileyo olusetyenziswa ngoogqirha ukuqinisekisa imeko ethi "De Quervain's Tenosynovitis". Luvavanyo olulula kakhulu.

1. Thatha ubhontsi wakho uwugobe ngaphakathi, uze uwuvale ngeminwe yakho uze uxove intlama.

2. Emva koko, ugcine isiphatho sinjengoko sasinjalo, goba ingalo yakho ezantsi (ngasemnweni omncinci), ngokungathi uphakamisela umntu isandla.

Xa usenza oku, ubeka uxinzelelo oluthile kwimisipha yonyawo lwakho olukhulu. Ukuba une-"De Quervain's Tenosynovitis", uya kuziva intlungu ebukhali kwindawo ebuhlungu xa usenza olu vavanyo lwe-"Finkelstein".

Ngamanye amaxesha ugqirha wakho unokuyalela i-X-ray ukujonga ezinye iingxaki esihlahleni sakho, njenge-osteoarthritis.

Ziziphi iindlela zonyango ze-`(De Quervain's Tenosynovitis)`?

Iindaba ezimnandi zezokuba kukho unyango olusebenzayo kwesi sifo. Ugqirha wakho uhlala ecebisa unyango olunceda ukulawula iimpawu zakho kwaye lunike imisipha kunye nezicubu ezingqongileyo ixesha lokuphola. Unyango oluqhelekileyo lolu:

• Ukunxiba i-splint okanye i-brace: Oku kunceda ekuthinteleni imisipha yesandla sakho nobhontsi, kunciphisa uxinzelelo kuloo misipha. Kufana nokuba isandla sakho sibotshelelwe ngebhanti.
• Faka umkhenkce esihlahleni sakho: Ukusebenzisa umkhenkce kunokunceda ekunciphiseni ukudumba nokunciphisa iintlungu. Beka ipakethe yomkhenkce egqunywe ngelaphu elincinci kwindawo ebuhlungu malunga nemizuzu engama-20 izihlandlo ezininzi ngemini.
• Ukuphumla: Nciphisa ukusetyenziswa kwengalo ebuhlungu kangangoko unako. Ngokukodwa, unokufuna ukuyeka ngokupheleleyo ukudlala imidlalo okanye ukwenza iintshukumo eziphindaphindayo ezibangele imeko ide iphole.
• Ii-NSAID: Ezi ziziyobisi ezichasene nokuvuvukala ezingezizo ii-steroidal ( ii-NSAID) . Zifumaneka ngaphandle kwemvume kagqirha. Nangona kunjalo, musa ukuzisebenzisa iintsuku ezingaphezu kwe-10 ngaphandle kwengcebiso kagqirha.
• Iinaliti zeCorticosteroid: La ngamayeza anamandla anikwe ngugqirha ukulawula ukudumba. Ngamanye amaxesha, ugqirha unokunika inaliti yecorticosteroid kwi-tendon sheath ebuhlungu.

Kubalulekile: Kubalulekile ukulandela zonke ezi ndlela zonyango njengoko ugqirha wakho eyalele.

Ngaba kukho imithambo enokwenziwa ngenxa yoku? (Imithambo ye-`De Quervain's Tenosynovitis`)

Ugqirha wakho okanye ingcali yezonyango ingakufundisa ukuzolula okulula kunye nokuzilolonga ukunceda ukonyusa amandla kunye nokuguquguquka kwesandla sakho. Enye yezona ndlela zicetyiswayo kukucinezela ibhola yetenisi:

• Thatha ibhola yetenisi uze uyicinezele kancinci imizuzu embalwa.
• Phumla izandla zakho imizuzu embalwa.
• Ukuba awuva ntlungu, yicinezele kancinci ibhola.

Ugqirha wakho uza kukuxelela ukuba kufuneka uzenze ixesha elingakanani kwaye kangaphi ezi zivivinyo. Ungaze uzilolonge ngenxa yentlungu. Ukuba uziva iintlungu ngelixa usenza naluphi na uhlobo lomthambo, yeka uxelele ugqirha wakho.

Ngaba utyando luza kufuneka?

Uninzi lwabantu aludingi kutyando lweDe Quervain's Tenosynovitis. Ugqirha uya kucebisa utyando kuphela ukuba ezinye iindlela zonyango azizithomalalisi iimpawu.

Olu tyando ludla ngokuba yinkqubo yokulaliswa ngaphandle kwesibhedlele. Oku kuthetha ukuba ungaya ekhaya ngaloo mini inye. Ugqirha wenza umngxuma omncinci kakhulu kwisingxobo esidumbileyo esijikeleze i-tendon kubhontsi wakho omkhulu. Oku kuvumela i-tendon ukuba ihambe ngokukhululekileyo. Ukuba udinga utyando, ugqirha wakho uza kukuchazela ngakumbi ngalo mba, kuquka nokuba kuza kuthatha ixesha elingakanani ukuphola.

Ndiza kuziva bhetele nini emva konyango?

Ugqirha wakho uza kukuxelela ukuba kufuneka unyange ixesha elingakanani iDe Quervain's Tenosynovitis. Uninzi lwabantu kuya kufuneka banxibe i-splint okanye i-brace kangangeeveki ezininzi .

Nokuba uzive ungcono kancinci, ungaqali naluphi na uhlobo lomsebenzi womzimba de ugqirha wakho athi, "Kulungile, masiqalise." Ukuba ubeka uxinzelelo kwimisipha yakho kwakhona ngaphambi kokuba iphole kakuhle, unamathuba amaninzi okulimala kwakhona.

Ngaba iDe Quervain's Tenosynovitis inokuthintelwa?

Ewe, zikho izinto esinokuzenza ukuthintela ukuba le meko ingaphuhli ngandlela thile. Eyona nto iphambili kukuphepha ukusebenzisa kakhulu oobhontsi kunye nezandla.

• Ukuba udlala umdlalo, usebenza, okanye wenza nawuphi na omnye umsebenzi womzimba, funda indlela efanelekileyo kwaye unxibe izixhobo zokuzikhusela ukuba kuyimfuneko.
• Xa uqala umthambo omtsha okanye umsebenzi, qala kancinci kunokuba wenze okuninzi ngaxeshanye.
• Ukuba wenza iintshukumo ezifanayo ngokuphindaphindiweyo, thatha ikhefu ngamanye amaxesha.
• Ukuba isihlathi sakho sibuhlungu, nokuba ngexesha lomsebenzi womzimba okanye emva kwawo, musa ukusibetha ngoyaba uzibuze, "Yintoni leyo?" Musa ukuqhubeka usenza loo nto nangona uneentlungu.
• Nika umzimba wakho ixesha lokuphumla nokuchacha emva komsebenzi onzima.

Kuza kuthatha ixesha elingakanani ukuphiliswa?

Ngokwesiqhelo kungathatha iiveki ezimbalwa ukuba imisipha yakho iphiliswe kwi-De Quervain's Tenosynovitis. Ixesha elithathayo lixhomekeke ekubeni yintoni ebangele i-tenosynovitis yakho kunye nokuba iimpawu zakho zinzima kangakanani.

Buza ugqirha wakho ukuba ungaqhubeka nini nemisebenzi yakho yesiqhelo yomzimba. De ugqirha wakho akunike imvume, ungabuyeli kwimidlalo, kwizinto ozithandayo, okanye kwimisebenzi ebangele le meko.

Kuza kwenzeka ntoni ukuba ayinyangwa?

I-De Quervain's Tenosynovitis yimeko enokunyangwa, idla ngokuba yeyokwexeshana. Nangona kunjalo, ukuba ayinyangwa, kusenokwenzeka ukuba udinge utyando kwaye unokufumana ezinye iingxaki.

Ukuba uqhubeka nokufaka uxinzelelo kwimisipha ebhontsini lakho emva kokuba uqalise ukuba neempawu zeDe Quervain's Tenosynovitis, i-tendon sheath inokuqhekeka okanye i-tendon ikrazuke. Oku kunqabile, kodwa ukuba kuyenzeka, abanye abantu abanganyangwanga banokulahlekelwa ngokusisigxina kumgama wokunyakaza okanye ukusebenza kwisithupha sabo nasesihlahleni . Ke ngoko, ukuba uneempawu, qiniseka ukuba ucela ingcebiso kugqirha.

Ndifanele ndimbone nini ugqirha?

Bonana nogqirha ngokukhawuleza nje ukuba uzive iintlungu okanye ezinye iimpawu zeDe Quervain's Tenosynovitis. Musa ukuzityeshela iimpawu, ingakumbi ukuba ziya zisiba mandundu ngexesha okanye emva komthambo.

Yeyiphi imibuzo omele uyibuze ugqirha?

Xa usiya kugqirha, kungcono ukubuza le mibuzo:

• Ngaba ndine-`(De Quervain's Tenosynovitis)`, okanye kukho enye into ebangela intlungu esihlahleni sam?
• Kuza kufuneka ndinxibe i-splint okanye i-brace ixesha elingakanani?
• Ngaba ndiza kufuna utyando ngenxa yoku?
• Ndingabuyela nini kwimisebenzi yam eqhelekileyo yomzimba (umz. ezemidlalo, emsebenzini)?

Ngamafutshane (Umyalezo Wokuya Ekhaya)

Kulungile, ngoko ke `(De Quervain's Tenosynovitis)` yimeko ebuhlungu ebangelwa kukudumba kwesingxobo esijikeleze imisipha kubhontsi wakho omkhulu. Oku kunokwenza kube buhlungu kwaye kube nzima ukusebenzisa ubhontsi wakho omkhulu kunye nesandla.

Kodwa eyona nto ilungileyo kukuba, inokuhlala inyangwa ngokuphumla, unyango olulula lwasekhaya, kunye nokunxiba i-splint okanye i-brace iiveki ezimbalwa.

Ukuba uqalise umsebenzi omtsha okanye into oyithanda kakhulu, okanye ukuba umsebenzi wakho ubeka uxinzelelo olungakumbi ezandleni zakho, ingakumbi oobhontsi bakho nezandla zakho, thetha nogqirha wakho. Angakunceda ulawule iimpawu zakho kwaye ubuyele kwimisebenzi oyithandayo ngokukhawuleza nangokukhuselekileyo.Ngoko ke, eyona nto ilungileyo kukufuna ingcebiso kagqirha ngoko nangoko, kunokuba ubandezeleke yintlungu.

Intlungu kabhontsi , iintlungu zesandla, iDiquanes tenosynovitis, i-tendonitis, iintlungu zesandla, iingxaki zesandla nesandla, unyango