Ingaba nawe unentlungu nokudumba ezandleni zakho nakwiminwe yakho? Isenokuba yi-tenosynovitis!

Ngaba wakha waziva iintlungu ezingaqhelekanga, ukudumba, okanye ubunzima bokushukumisa isandla sakho, isihlathi, okanye umnwe? Le ntlungu inokuba nkulu kangangokuba awukwazi nokwenza imisebenzi yakho yemihla ngemihla. Ukuba unale mpawu, isenokuba ibangelwa yimeko ebizwa ngokuba yi -tenosynovitis . Makhe sithethe ngale nto ngokweenkcukacha namhlanje.

Yintoni iTenosynovitis?

Ngamafutshane, i-tenosynovitis kukudumba, okanye ukudumba, kwe -synovial membrane , i-membrane encinci ejikeleze imisipha yakho. Ngoku usenokuba uzibuza ukuba yintoni le tendon, i-synovial membrane.

Cinga nje, imisipha yakho iqinile, imitya efana nentambo. Ezi zezona zidibanisa izihlunu zakho namathambo akho. Xa uqhoqhoqho okanye ulula umsipha, ithambo elihambelanayo lihamba phakathi kwezi misipha. Ngoko ke ukunceda le misipha ihambe kakuhle, inesigqubuthelo esikhuselayo esijikelezileyo. Eso sigqubuthelo sibizwa ngokuba yi-synovial membrane . Ngaphakathi kwesi sigqubuthelo kukho ulwelo lokuthambisa. Olu lwelo lunceda imisipha ihambe ngokulula ngaphandle kokukhuhlana.

Ngoko ke, ukuba ngesizathu esithile le membrane ye-synovial yonakele, inentsholongwane, okanye iyacaphuka, kuvela ukudumba , oko kuthetha ukudumba, ukuba bomvu, kunye nentlungu. Yiloo nto siyibiza ngokuba yi-tenosynovitis. Ukuba le meko ayinyangwanga kakuhle, ngamanye amaxesha inokukhokelela kwiingxaki ezinkulu. Ke ngoko, ukuba ufumana iimpawu ezinje, kubaluleke kakhulu ukuyiphumza i-tendon echaphazelekayo ide iphole.

Ziziphi iintlobo ze-tenosynovitis?

Oogqirha bahlula le meko ye-tenosynovitis kwiintlobo ezininzi eziphambili:

1. I-Stenosing tenosynovitis: Kulapho i-membrane ejikeleze i-tendon ivuvukala khona, inciphisa indawo yokuba i-tendon ishukume (stenosis) . Oku kwenza kube nzima ukuba i-tendon ishukume kakuhle. Imizekelo yolu hlobo lwemeko ibandakanya i-trigger finger kunye ne -De Quervain's tenosynovitis (intlungu esihlahleni ephuma iye kubhontsi). I-trigger finger inokubangela ukuziva uxinezelekile xa ugoba okanye ulungisa umnwe wakho, kwaye inokubangela ukuba umnwe uvuleke ngequbuliso ngesandi esithi "click".

2. I-tenosynovitis esulelayo: Olu hlobo lwe-tenosynovitis lunokwenzeka ukuba intsholongwane okanye iibhaktheriya zibangela usulelo kwi-tendon sheath. Nokuba yingozi encinci inokubangela olu hlobo losulelo.

3. I-tenosynovitis enokudumba engeyosulelayo: ebangelwa kukuqhubeka nokwenza uhlobo olufanayo lwentshukumo (ukusetyenziswa ngokugqithisileyo) okanyeOlu hlobo lwe-tenosynovitis lunokubangelwa zizifo ezikhusela umzimba ezifana ne-gout kunye ne-rheumatoid arthritis .

Zithini iimpawu ze-tenosynovitis?

Iimpawu eziqhelekileyo zale meko zezi:

• Intlungu kwi-tendon: Isenokuvakala ngathi intlungu iphuma emthanjeni engalweni okanye emlenzeni.
• Ukudumba okujikeleze i-tendon: Indawo echaphazelekayo ingabonakala idumbile kakhulu kunelinye icala.
• Ubunzima bokushukumisa inxalenye yomzimba ngendlela eqhelekileyo: Umzekelo, kwimeko yesandla, kunokuba nzima ukugoba okanye ukolula isandla okanye iminwe yonke.
• Intlungu xa ushukumisa ilungu lomzimba: Intlungu inokuba mandundu xa usebenzisa elo candelo kunaxa umi nje ungashukumi.
• Kusenokubakho utshintsho lwebala okanye ukubomvu kwesikhumba ecaleni kwemisipha: Ngamanye amaxesha indawo inokuba bomvu ize ivakale ifudumele.

"Ndiyamkhumbula uAnti Susila, ohlala ecaleni kwethu. Usebenza kumatshini wokuthunga imini yonke. Kangangexesha elithile ngoku, wayekhalaza ngesandla sakhe sasekunene esibuhlungu. Kuphela xa wasibonisa ugqirha apho wafumanisa ukuba yi-tenosynovitis kaDe Quervain. Kwenzeke kuba wayesoloko esebenzisa isandla sakhe ngendlela efanayo."

Injani i-tenosynovitis?

I-Tenosynovitis yimeko eqhelekileyo nebuhlungu . Ingachaphazela nayiphi na imisipha ekuncedayo ukugoba, ukolula, ukutsala, okanye ukutyhala ingalo yakho. Oku kuthetha ukuba inokuchaphazela zombini izihlunu zakho ze-flexor kunye nezihlunu zakho ze-extensor . Ukongeza kwintlungu, unokufumana kunzima ukuhambisa inxalenye yomzimba echaphazelekayo ngokuqhelekileyo. Le meko idla ngokuchaphazela:

• Ukuya kwiminwe
• Yezandla
• Kwiingalo
• Iinyawo (ingakumbi ezijikeleze amaqatha)

Zithini izizathu ze-tenosynovitis?

Kukho izizathu ezininzi eziphambili zokuba le meko yenzeka:

• Izifo ezichaphazela umzimba ngokwawo: Ezi zizifo apho inkqubo yomzimba wakho yokuzikhusela ihlasela iiseli zomzimba wakho. Ezi zifo zingonakalisa i-synovial membrane kwaye zibangele i-tenosynovitis. Imizekelo: I-Rheumatoid arthritis .
• Ukusebenzisa kakhulu: Ukuphinda intshukumo efanayo ixesha elide kunokukhokelela kwisifo sokusetyenziswa kakhulu . I-Tenosynovitis yenye yeengozi ezinokubakho. Cinga ngayo, umntu ohlala echwetheza kwikhompyutha, edlala isixhobo somculo, epeyinta, echwela, okanye edlala umdlalo ofanayo imini yonke usemngciphekweni.
• Iintsholongwane:Ezinye izifo ezixhaphakileyo zebhaktiriya okanye iintsholongwane zinokusasazeka ziye kwi-synovial membrane kwaye zibangele i-infectious tenosynovitis. Oku kunokwenzeka nokuba kukusikwa okuncinci okanye ukulunywa sisilwanyana.
• Ukulimala: Nakuphi na ukwenzakala okanye ukwenzakala kwimisipha yakho okanye kwindawo engqongileyo kunokubangela i-tenosynovitis. Izinto ezifana nokuwa ngequbuliso okanye ukubethwa kakhulu.

Ngubani osengozini enkulu yokuhlaselwa sesi sifo?

Nabani na unokuba ne-tenosynovitis. Nangona kunjalo, usemngciphekweni omkhulu ukuba unezi meko zilandelayo:

• Irheumatoid arthritis
• Isifo Seswekile (iDiabetes Mellitus)
• Usulelo lwezandla
• Igawuthi
• Isifo se-thyroid
• Isifo sikaDupuytren (imeko apho ulusu lwezandla luqina kwaye iminwe igobe ngaphakathi)
• I-Fibromyalgia ( imeko ebangela iintlungu nokudinwa emzimbeni wonke)

Ziziphi iingxaki ezinokubakho zeTenosynovitis?

Oku ngamanye amaxesha kungaba yimeko enzima, kuba kunokukhokelela kwiingxaki ezahlukeneyo. Yiyo loo nto kubalulekile ukufuna unyango ngokukhawuleza.

• Ukuqina kwamalungu: Ilungu linokuba lukhuni kangangokuba akunakwenzeka ukulishukumisa kakuhle.
• Ukuqhekeka kwemisipha: Imisipha inokuqhekeka ngokupheleleyo.
• Ukufa kwezicubu ze-tendon: Ukunikezelwa kwegazi kwizicubu ze-tendon kunokuncipha kwaye kubangele ukuba ife.
• Ukuncamathela/izicubu zesilonda: Izicubu zesilonda zisenokwakheka zijikeleze i-tendon, nto leyo ethintela intshukumo ye-tendon.
• Imfuneko yokunqunyulwa kwelungu: Ukuba usulelo alunakulawulwa, kwiimeko ezingaqhelekanga, ilungu elichaphazelekayo linokufuneka linqunyulwe. Yiyo loo nto kubalulekile ukuba ungaze ulibale nokuba yinto encinci.

Ifunyanwa njani i-Tenosynovitis?

Xa ubona ugqirha onezi mpawu, uza kuqala akubuze ngeempawu zakho (imbali). Emva koko uza kukuhlola (uvavanyo lomzimba). Ngokukodwa, baza kujonga ukuba ungalishukumisa kangakanani ilungu elichaphazelekayo (uluhlu lwentshukumo). Banokwenza uvavanyo lwegazi okanye olunye uvavanyo ukujonga usulelo okanye iimeko zokudumba.

Zithini iimvavanyo zokuxilonga?

Emva kovavanyo lomzimba, kunokufuneka wenze olunye okanye ngaphezulu kwezi vavanyo zilandelayo ukuqinisekisa ukuxilongwa okanye ukuvavanya ubungakanani bomonakalo:

• Ii-X-reyi: I-X-reyi inokujonga iimpawu zokudumba, ezinje nge-calcifications kwi-synovial membrane, kunye nokudumba. Ingajonga nokuqhekeka kwamathambo.
• Iskeni ye-MRI (Umfanekiso we-Magnetic resonance - i-MRI scan):I-MRI scan ingenziwa ukuze kufunyanwe umfanekiso opheleleyo we-tendon kunye nendawo ejikelezileyo. Oku kungabonisa izicubu ezithambileyo ngokucacileyo.
• I-Ultrasound: Olu luvavanyo lokujonga izicwili ezithambileyo. Lunokubonisa ngokucacileyo ukudumba kunye nokuqokelelana kolwelo olujikeleze i-tendon.
• I-CT scan (CT - computed tomography scan): I-CT scan ingajonga i-tendon, ithambo, kunye nezicubu ezithambileyo ezingqongileyo ngokweenkcukacha ezingaphezulu kune-X-ray.

Inyangwa njani i-Tenosynovitis?

Unyango loku luxhomekeke kwisizathu sesifo. Unyango oluqhelekileyo luquka:

• Phumla kwaye uyeke umsebenzi obangele esi sifo: Le yeyona nto ibalulekileyo. Kubalulekile ukunika i-tendon echaphazelekayo ukuphumla.
• Ukunxiba i-brace okanye i-splint: Oku kunceda ekunciphiseni uxinzelelo kwi-tendon.
• Ukucinezela okushushu okanye okubandayo ukunciphisa iintlungu okanye ukudumba: Oku kufanele kwenziwe njengoko ugqirha emyalele.
• Ii-steroids ezithathwa ngomlomo okanye ii-steroid injections ukunciphisa ukudumba: Ezi zinceda ukunciphisa ukudumba kunye nentlungu ngokukhawuleza.
• Unyango lwezandla: Oku kubandakanya ukuzilolonga kunye nolunye unyango lokunciphisa ukudumba nokubuyisela ukuhamba kwamalungu.
• Utyando: Ukuba imeko ibangelwa lusulelo, okanye ukuba i-tendon ibambekile, utyando lunokufuneka ukuze kukhululwe loo ndawo.

Ugqirha wakho uya kugqiba ukuba loluphi unyango olufunekayo ngokusekwe kubukhali beempawu zakho.

Ngawaphi amayeza asetyenziswa koku?

Uhlobo lwamayeza owadingayo luya kuxhomekeka kwisizathu se-tenosynovitis yakho. Amanye amayeza ugqirha wakho anokuthi akunike wona aquka:

• Ii-antibiotics: Ukuba le meko ibangelwa lusulelo, kuya kufuneka uthathe ii-antibiotics.
• Ii-NSAID (amayeza angengo-steroidal alwa nokuvuvukala): Amayeza okuphelisa iintlungu athengiswa ngaphandle kwemvume kagqirha kunye namayeza okuphelisa ukuvuvukala, anjenge-aspirin kunye ne-ibuprofen, anokunceda ekunciphiseni ukudumba. Kodwa musa ukuwasebenzisa rhoqo ngaphandle kwengcebiso kagqirha.
• IiCorticosteroids: Ezi zinciphisa ukudumba kwaye zinokunikwa njengeenaliti okanye iipilisi.
• Ii-DMARD (amayeza okunciphisa isifo samathambo): Kubantu abanezifo ze-arthritis ezivuthayo ezifana ne-rheumatoid arthritis, la mayeza anciphisa iintlungu kunye nokudumba ngelixa ekhusela amalungu ukuba angawonakali ngakumbi.

Indlela yokunciphisa umngcipheko we-tenosynovitis?

Eyona ndlela ilungileyo yokunciphisa le ngozi kukuphepha ukusebenzisa imisipha yakho ngokugqithisileyo. Ukuba unomsebenzi, umdlalo, okanye umthambo ofuna ukunyakaza okuphindaphindiweyo, nika umzimba wakho ukuphumla ngokwaneleyo phakathi kwezi zigaba.

Kubalulekile nokusebenzisa izixhobo zokhuseleko ezifanelekileyo kumsebenzi owenzayo, nokuzilolonga ngokukhuselekileyo ngaphandle kokubeka uxinzelelo olungeyomfuneko kwimisipha yakho. Umzekelo, ukusebenzisa indlela efanelekileyo yokuma xa uphakamisa iintsimbi, kunye nokusebenzisa imawusi kunye nekhibhodi ekhululekileyo.

Kuthatha ixesha elingakanani ukuchacha kwi-tenosynovitis?

Ingqikelelo yesi sifo idla ngokuba ntle. Ixhomekeke kwisizathu sale meko. Uninzi lwabantu luyaphila ngokupheleleyo baze baqhubeke nemisebenzi yabo yesiqhelo. Kusenokufuneka bahlale kude nomsebenzi obangele le meko okwethutyana. Nangona kunjalo, akusoloko kukho iziphumo zexesha elide emva kokuphola. Nokuba sele betyandiwe, uninzi lwabantu luyaphila kwiiveki ezimbalwa .

Nangona kunjalo, ukuba i-tenosynovitis ibangelwa lusulelo, ixesha lokuchacha lixhomekeke kwizinto ezininzi. Abantu abadala, abantu abanesifo seswekile, isifo semithambo yegazi ejikeleze umzimba (ukuncitshiswa kwemithambo yegazi ezingalweni nasemilenzeni), kunye/okanye isifo sezintso basengozini enkulu yeengxaki kwaye kungathatha ixesha elide ukuba baphile. Ukulibazisa ukuxilongwa okanye unyango lwe-tenosynovitis esulelayo kunokukhokelela kumonakalo ongunaphakade.

Ndingazinyamekela njani?

Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha wakho okanye yogqirha wakho ngokuchanekileyo. Ekubeni uninzi lonyango lwe-tenosynovitis luthatha ixesha ukusebenza, kubalulekile ukuba nomonde kwaye unike umzimba wakho ixesha lokuphola. Musa ukuzenza ngathi uneentlungu uze uye emsebenzini.

Ndifanele ndimbone nini ugqirha?

Ukuba iimpawu zakho ziya zisiba mandundu, okanye ukuba awuziva ngcono emva kweeveki ezimbalwa, qiniseka ukuba ubona ugqirha. Kwakhona, ukuba ubona naziphi na kwezi mpawu zilandelayo, yiya esibhedlele okanye kwigumbi likaxakeka ngokukhawuleza :

• Intlungu enzima kakhulu
• Ukwanda kokudumba
• Ukutsalwa kolwelo olufana nobovu oluvela enxebeni
• Ukusasazeka kombala wolusu
• Umkhuhlane okanye ukubanda
• Ukopha kwindawo otyando kuyo

Ndingayibuza yiphi imibuzo ugqirha?

Xa usiya kugqirha, ungabuza imibuzo efana nale:

• Kuza kufuneka ndiphumze i-tendon ixesha elingakanani?
• Ngaba ukunxiba i-braces kuyanceda?
• Luhlobo luni lweyeza endiza kulithatha?
• Ngaba ndifuna naziphi na iimvavanyo okanye iiskeni ezongezelelweyo?
• Ngaba unyango lomzimba luya kundinceda?
• Ngaba ndiza kufuna utyando?

Okokugqibela, khumbula

I-Tenosynovitis yimeko ebuhlungu enokuba yingozi ukuba ayinyangwa ngokukhawuleza. Nangona kunjalo, uninzi lwabantu luyaphila ngokupheleleyo.. Rhoqo, okudingayo nje lunyango olulula olufana nokuphumla nokunika umzimba wakho ixesha lokuphola. Musa "ukudlala ngentlungu" okanye ubeke umzimba wakho uxinzelelo olungaphezulu kunokuba unako ukumelana nalo. Ukuba uqaphela iimpawu, funa ingcebiso kagqirha ngoko nangoko. Ngaleyo ndlela, ungaphola ngokukhawuleza kwaye ubuyele kwimisebenzi yakho yesiqhelo.

I- Tenosynovitis, i-Tenosynovitis, Intlungu yamalungu, Intlungu yesandla, Intlungu yesandla, Intlungu yeminwe