Ngaba awukwazi ukwenza imisebenzi yakho yemihla ngemihla ngokufanelekileyo ngenxa yentlungu evela ecaleni kobhontsi wakho, phantsi kwesandla sakho? Ngaba le ntlungu ayinyamezeleki xa uchukumisa into ethile, uyicinezela, okanye mhlawumbi uphakamise umntwana wakho omncinci? Emva koko eli bali liza kuba libaluleke kakhulu kuwe. Namhlanje sithetha ngemeko abantu abaninzi abajongene nayo, kodwa abazi ukuba yintoni kanye kanye, kodwa inokunyangeka ngonyango olulula kakhulu.
Yintoni i-De Quervain's Tenosynovitis?
Ngamafutshane, i-De Quervain's Tenosynovitis kukudumba okubuhlungu kwesingxobo esijikeleze imisipha edibanisa ubhontsi wakho. Ngamanye amaxesha ibizwa ngokuba yi-De Quervain's tendinosis. Omabini la magama abhekisa kwimeko efanayo.
Ngoku makhe sibone indlela yokuyiqonda le nto ngokulula. Khawuthelekelele ukuba izihlunu zomzimba wethu ziqhagamshelwe emathanjeni ngento efana nentambo eqinileyo. Sizibiza ngokuba zii-tendon . Xa uqhagamshelwa isihlunu, le tendon iyolula kwaye ishukumise ithambo elihambelanayo. Kukho i-tendon ezimbini ezinje ezidibanisa ubhontsi wakho esihlahleni sakho.
Ngokwesiqhelo, le misipha ihamba ngaphakathi kwi-sheath yezicubu efana nombhobho. Ihambahamba ngaphandle kweengxaki. Kodwa ukuba ngesizathu esithile esi sheath siyadumba okanye siyaqina, imisipha ayinayo indawo eyaneleyo yokuhamba ngokukhululekileyo. Emva koko, ngalo lonke ixesha usebenzisa ubhontsi wakho, kubakho ukungqubana okukhulu kunye nentlungu enzima . Le ntlungu idla ngokuqala ezantsi kwesithupha kwaye inokusasaza esihlahleni ukuya kwingalo.
Zithini iimpawu? Siyibona njani le nto?
Kukho iimpawu ezibalulekileyo ezinceda ekuchongeni le meko. Makhe sijonge ukuba ziyintoni na.
| Uphawu | Inkcazo ngayo |
|---|---|
| Uphawu oluphambili - intlungu | Le ntlungu yenzeka kwicala lesandla apho kukho ubhontsi. Kwabanye abantu, ingaqala ngequbuliso, ngelixa kwabanye inokunyuka kancinci kancinci. Intlungu iba qatha ngakumbi xa usebenzisa isandla, isandla, okanye ubhontsi, okanye xa ucinezela into ethile (umz., ucinezela ilaphu). |
| Ukudumba | Ungabona ukudumba okuncinci apho kukho intlungu, oko kukuthi, ezantsi kobhontsi. |
| Isandi okanye imvakalelo 'yokukhaba' | Xa ushukumisa ubhontsi wakho, usenokuva isandi sokucinezela okanye isandi 'sokunqakraza'. |
| Ukuziva unzima/ukuba ne-hangover | Ubhontsi usenokuvakala uqinile, ungakwazi ukugoba okanye ukuvuleka kakuhle nangokulula. |
| Ukuba ndindisholo | Ngamanye amaxesha usenokuba nomuzwa wokurhawuzelela esihlahleni sakho okanye kubhontsi wakho. |
Kutheni sinjalo? Zithini izizathu?
Nantoni na ebeka uxinzelelo okanye ukwenzakala kwimisipha ebhontsini ingabangela le meko. Ezona zizathu ziphambili zezi:
- Ukusebenzisa kakhulu isandla nobhontsi: Le meko inokwenzeka xa uqhubeka nokwenza uhlobo olufanayo lokunyakaza.
- Ukwenza uhlobo olufanayo lomsebenzi ngalo lonke ixesha: Eminye imisebenzi okanye izinto ozithandayo zinokubangela oku. Umzekelo, umntu ochitha ixesha elininzi echwetheza kwikhompyutha, umntu ochwela, umntu otyalayo, okanye umntu odlala imidlalo efana netenisi banokuba nethuba elingcono lokuphuhlisa oku.
- Ukudumba kwamalungu: Ukuba unesifo sokudumba kwamalungu esifana nesifo samathambo, oko kungaba yimbangela.
- Ukonzakala ngqo: Ukubetheka okuqinileyo kubhontsi okanye esihlahleni sakho nako kunokubangela le meko.
Le meko ixhaphake kakhulu koomama abatsha. Ingabangelwa kukucinezelwa kwesithupha xa bephakamisa, behlamba, okanye bephethe umntwana. Yiyo loo nto ngamanye amaxesha ibizwa ngokuba "sisithupha sikamama omtsha."
Ngubani osengozini enkulu yokuhlaselwa yile meko?
Nangona nabani na enokuba nale ngxaki, abanye abantu basengozini enkulu kancinci.
- Kwabasetyhini
- Kwabo baneminyaka engaphezu kwama-40 ubudala
- Kwabo banyamekela abantwana kunye nabazali babantwana abancinci
- Kwabo benza imisebenzi yezandla (umz. ukulima, ukuchwela, ukwakha amatye)
- Yabadlali
Uyifumana njani le nto, Gqirha?
Xa usiya kugqirha, uza kuhlola isandla sakho nesandla sakho. Uza kukubuza izinto ezifana nokuba intlungu yaqala nini, uhlobo lomsebenzi owenzayo, kunye nokuba yintoni eyenza intlungu ibe mandundu.
Kukho uvavanyo olulula kakhulu olusetyenziswa ngoogqirha ukufumanisa ngokuchanekileyo esi sifo. Lubizwa ngokuba luvavanyo lweFinkelstein . Nantsi indlela oluqhutywa ngayo:
1. Ugqirha uza kukuxelela ukuba ugobe ubhontsi wakho ngaphakathi uze uwuvale ngeminwe yakho ukuze wenze inqindi.
2. Emva koko, isandla esibambe isiphatho sicelwa ukuba sigobe isihlalo siye kwicala apho umnwe omncinci ukhona (ezantsi).
Ukuba ufumana iintlungu eziqatha ezantsi kobhontsi wakho xa uwugoba ngolu hlobo, kusenokwenzeka ukuba sisifo sikaDe Quervain. Ngamanye amaxesha, i-X-ray inokwenziwa ukujonga ezinye iimeko, ezifana ne-osteoarthritis.
Singenza ntoni ngale nto? Zithini iindlela zonyango?
Ukuze kunyangwe le meko, umsipha kunye nesigqubuthelo sawo kufuneka unikwe ixesha lokuphola. Ugqirha uza kunika unyango oluya kunceda kuloo nto.
| Indlela yonyango | Kwenzeka ntoni kuyo? |
|---|---|
| Ndinxibe i-splint | Uza kunikwa inkxaso ekhethekileyo (i-splint okanye i-brace) ukuze ugcine isihlakala sakho kunye nobhontsi wakho zisendaweni yazo. Oku kunika imisipha ukuphumla. |
| Ukubeka umkhenkce | Ungawufaka umkhenkce ukunciphisa ukudumba kunye nentlungu. Songa iqhekeza lomkhenkce ngelaphu elincinci uze ulibeke kwindawo ebuhlungu malunga nemizuzu engama-20 izihlandlo ezininzi ngemini. |
| Ukuphumla | Oku kubalulekile . Kufuneka uhlale kude nomsebenzi obangele intlungu kangangoko unako. Ukunika isandla sakho ikhefu kubaluleke kakhulu ukuze uphile ngokukhawuleza. |
| Izibulali-ntlungu | Ugqirha wakho angacebisa ii-NSAID, ezinciphisa ukudumba kunye nentlungu. Nangona kunjalo, musa ukuzisebenzisa iintsuku ezingaphezu kwe-10 ngexesha ngaphandle kokubonisana nogqirha wakho. |
| Iinaliti zeCorticosteroid | Ukuba ezinye iindlela zonyango aziyithomalalisi intlungu, ugqirha wakho unokufaka iyeza elinamandla elibizwa ngokuba yi-corticosteroid kwi-tendon sheath evuvukileyo. Oku kunokunciphisa kakhulu ukudumba. |
Ngaba utyando luyimfuneko?
Kwiimeko ezininzi, utyando alufuneki. Ugqirha uya kucebisa utyando kuphela xa olu nyango lungasentla lungancedi. Le yinkqubo encinci kakhulu. Ibandakanya ukwenza umngxuma omncinci kwi-tendon sheath ukuvumela i-tendon ukuba ihambe ngokukhululekileyo.
Kuthatha ixesha elingakanani ukuchacha emva konyango?
Ihlala iphola kwiiveki ezimbalwa. Ukuba kufuneka unxibe i-splint, kuya kufuneka uyinxibe iiveki ezimbalwa.
Eyona nto ibalulekileyo kukuba, nokuba uzive ungcono kancinci, linda ude ugqirha athi, "Kulungile, qala ukusebenza ngoku." Kungenjalo, inokubuya. Musa ukubuyela kwimisebenzi ebangele intlungu ngokukhawuleza.
Kuza kwenzeka ntoni ukuba ayinyangwa?
Isifo sikaDe Quervain sisifo esinyangekayo kakhulu. Nangona kunjalo, ukuba asinyangwa, i-tendon sheath inokonakala, mhlawumbi iqhume, okanye ikrazuke. Ukuba oko kuyenzeka, unokulahlekelwa ngokupheleleyo kukukwazi ukuhambisa ubhontsi wakho nesandla. Ngoko ke musa ukuyityeshela intlungu.
Ngaba le meko ayinakuthintelwa ukuba yenzeke?
Ewe, unako. Okufuneka ukwenze kukunciphisa uxinzelelo kubhontsi wakho nasesihlahleni.
- Ukuba udlala umdlalo okanye wenza umsebenzi, qaphela indlela echanekileyo yokuma kunye nendlela omele usebenze ngayo.
- Xa uqala umthambo okanye umsebenzi omtsha, qala kancinci kancinci.
- Ukuba uqhubeka nokwenza into efanayo, thatha ikhefu ngamanye amaxesha.
- "Musa ukunyamezela intlungu." Ukuba uziva intlungu, yeka umsebenzi uphumle.
- Nika umzimba wakho ixesha lokuphola emva komsebenzi onzima.
Umyalezo Wokuya Ekhaya
- I-De Quervain's Tendinosis yimeko ebangela iintlungu kwicala lesithupha sesandla sakho. Idla ngokubangelwa kukusebenzisa kakhulu isandla.
- Oku kuqheleke kakhulu koomama abanabantwana abancinci, abasebenzi bezandla, kunye nabadlali.
- Abantu abaninzi banokuphila koku ngonyango olulula olufana nokuphumla, umkhenkce, kunye nokunxiba i-splint.
- Ukungayinaki intlungu kunokuyenza imeko ibe mandundu. Ngoko ke ukuba uneempawu, bonana nogqirha ngokukhawuleza.
- Ukulandela imiyalelo kagqirha wakho ngokufanelekileyo kubalulekile ukuze uphile ngokukhawuleza.
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