Ngaba unengxaki yokugoba okanye yokulungisa umnwe wakho? Ukuqonda 'iTrigger Finger' ngeNirogi Lanka

Ngaba wakha wavuka kusasa ucinga, “Hayi bo, umnwe wam uziva uqinile kwaye kunzima ukuwugoba!” okanye mhlawumbi uqaphela isandi 'sokutsiba' okanye 'sokunqakraza' nanini na xa uzama ukolula okanye ukugoba umnwe wakho? Ukuba oku kuhamba nentlungu okanye ukuziva ngathi umnwe wakho ubambeke kwindawo enye, usenokuba uhlangabezana nento eyaziwa ngokuba yi-'Trigger Finger' ngokwezonyango. Ungakhathazeki; makhe sichaze ukuba le meko injani ngokulula ngeNirogi Lanka.

Yintoni kanye kanye 'iTrigger Finger'?

Ngamafutshane, iTrigger Finger (okanye i-stenosing tenosynovitis) yimeko apho omnye okanye ngaphezulu kweminwe yakho—okanye ngamanye amaxesha ubhontsi wakho—kuba nzima ukuyishukumisa, ukuyigoba, okanye ukuyilungisa. Ngamanye amaxesha, umnwe unokuvalelwa kwindawo egobileyo. Le meko ifumene igama layo kuba imvakalelo yokuqhekeka ifana nokutsala itrigger yompu.

Oku kwenzeka ngenxa yeengxaki zemisipha yeminwe yakho. Imisipha yimisipha eqinileyo efana nentambo edibanisa izihlunu zakho namathambo akho, isebenza njengee-pulleys ukuhambisa iminwe yakho. Xa le misipha idibana nengxaki, intshukumo yomnwe wakho iyaphazamiseka. Nangona idla ngokuchaphazela umnwe weringi , inokwenzeka nakweyiphi na iminwe okanye ubhontsi.

Zithini iimpawu ze-'Trigger Finger'?

Ukuba uneTrigger Finger, unokufumana enye okanye ezingaphezulu kwezi zilandelayo:

• Imvakalelo 'yokutsiba' okanye 'yokunqakraza' xa ushukumisa umnwe wakho, ngokungathi kukho into eqhwanyazayo ngaphakathi.
• Intlungu, ukuqina, okanye ukuva ukutshixa xa ugoba okanye ulungisa umnwe.
• Ukuthamba okanye ukuva ukurhawuzelelwa ezantsi komnwe ochaphazelekileyo, ingakumbi xa uzama ukubamba into ngokuqinileyo.
• Ukudumba okubonakalayo okanye iqhubu elincinci esandleni sakho kufutshane nesiseko somnwe ochaphazelekileyo.
• Umnwe ubambeka kwindawo egobileyo , nto leyo enokufuna ukuba usebenzise esinye isandla sakho ukuwulula kancinci.

Kwabaninzi abantu, ezi mpawu—ingakumbi ukutshixeka nokuqina—ziba zimbi kakhulu kusasa . Njengoko usuku luqhubeka kwaye uqala ukusebenzisa izandla zakho, ukuqina kudla ngokuncipha.

Kutheni le nto ibizwa ngokuba yi-'Trigger Finger'? Yintoni imbangela?

Eyona nto ibangela ukuba i-Trigger Finger ibe nokudumba okanye ukudumba kwe-tendon okanye i-sheath ekhuselayo eyijikelezileyo.

Njengoko sele kutshiwo, imisipha isebenza njengeentambo ezidibanisa izihlunu namathambo. Imisipha nganye ityibilika kwisiciko esikhuselayo, esifana netyhubhu esibizwa ngokuba yi- tendon sheath , esigcina imisipha ikwindawo yayo kwaye siyincede ityibilike kakuhle.

I-Trigger Finger ikhula xa i-tendon ivuvukala kwaye idumbile , nto leyo eyenza kube nzima ukuba ityibilike kakuhle kwi-sheath—njengomsonto onamaqhina ozama ukudlula kumngxuma omxinwa. Ngamanye amaxesha, kuvela iqhuma elincinci (i-nodule) kwi-tendon, nto leyo eyenza kube nzima nangakumbi ukuba i-tendon ityibilike.

Le nodule idla ngokubambeka kwi- 'A1 pulley,' icandelo elincinci le-sheath. Xa i-tendon ibambeka kule pulley, uziva loo mvakalelo 'yokutsiba' kunye nokutshixa komnwe.

Ngubani osemngciphekweni wokuba ne-'Trigger Finger'? (Izinto ezibangela umngcipheko)

Nangona nabani na enokuba nale meko, kukho izinto ezithile eziyandisa umngcipheko wakho:

• Ubudala: Ixhaphake kakhulu kubantu abaneminyaka engama-40 ukuya kwengama-60 ubudala .
• Imisebenzi: Imisebenzi okanyeIzinto ozithandayo ezibandakanya ukubamba ngokuphindaphindiweyo, izixhobo ezingcangcazelayo, okanye ukucinezela iminwe kakhulu. Imizekelo ibandakanya:
• Ukulima okanye ukulungisa umhlaba.
• Umsebenzi wasefektri okanye usebenzisa izixhobo zesandla.
• Ukudlala izixhobo zomculo (ingakumbi igitare okanye ivayolini).
• Imidlalo yerakhethi efana netenisi okanye i-badminton.
• Izimo ezingapheliyo: Ezinye iingxaki zempilo zikwenza ube sesichengeni ngakumbi, ezinje ngezi:
• I-Osteoarthritis (isifo sokuguguleka nokukrazula kwamalungu ).
• I-Rheumatoid Arthritis (apho inkqubo yomzimba yokuzikhusela ihlasela amalungu).
• I-Gout (ukudumba okubangelwa kukuqokelelana kwe-uric acid).
• Iswekile yemellitus.
• I-Amyloidosis (iiproteni ezingaqhelekanga).
• Isifo se-thyroid.

Ugqirha uyixilonga njani i-'Trigger Finger'?

Ukuba uhlangabezana nezi mpawu, kungcono ukutyelela ugqirha ukuze ufumane uvavanyo olufanelekileyo. Ukuxilongwa kudla ngokwenziwa ngovavanyo lomzimba .

• Ugqirha wakho uza kuhlola isandla sakho neminwe yakho.
• Baza kukubuza ngeempawu zakho—njengokuba ziqale nini, yintoni eyenza zibe mandundu, kunye nendlela ezichaphazela ngayo imisebenzi yakho yemihla ngemihla.
• Ugqirha uza kujonga umnwe wakho njengoko ugoba aze awulungise ukuze ajonge ukuba akukho kukrwitshwa, ukuqhawuka, okanye ukutshixwa. Ufanele ubonise ngqo apho uziva khona iintlungu.

Kwiimeko ezininzi, akufuneki vavanyo lukhethekileyo ukuze kufunyaniswe iTrigger Finger. Nangona kunjalo, ugqirha wakho unokucebisa ngamanye amaxesha ukuba kwenziwe i-ultrasound okanye i-X-ray ukuze kuthintelwe ezinye izizathu ezinokubakho.

Ziziphi iindlela zonyango ze-'Trigger Finger'?

Unyango lwe-Trigger Finger luxhomekeke kubukhali beempawu zakho kunye nobunzima bomnwe ochaphazelekileyo. Qiniseka ukuba iimeko ezininzi zinokulawulwa ngempumelelo ngonyango olungenalo utyando.

Nazi iindlela eziphambili zonyango:

• Ukuphumla: Le yindlela yakho yokuqala yokuzikhusela. Udinga ukuphumla kwimisebenzi, kwizinto ozithandayo, okanye kwimisebenzi ephindaphindwayo ecinezela iminwe yakho ukuze imisipha yakho iphile ixesha elide.
• Ukuqhawula: Ugqirha wakho unokucebisa ukuba ufake i-splint encinci ukuze umnwe ochaphazelekayo uhlale uhleli, uqhele ukuthe tye. Oku kunika i-tendon yakho ukuphumla okufunekayo ukunciphisa ukurhawuzelelwa nokuvumela ukuba iphiliswe.
• Ukuzilolonga: Ugqirha wakho okanye ingcali yezonyango iza kukukhokela kwiindlela ezilula zokuzilolonga ezenzelwe ukuphucula ukuguquguquka kwemisipha yakho.
• Amayeza okulwa nokuvuvukala:
• Ungasebenzisa ii-NSAID (iziyobisi ezichasene nokuvuvukala ezingezizo ii-steroidal) ezifana ne-ibuprofen okanye i-naproxen, ezifumaneka ngaphandle kwekhawuntara, ukunceda ukulawula iintlungu kunye nokunciphisa ukudumba.
• Ugqirha wakho angakunika ne-corticosteroids , amayeza anamandla okulwa nokuvuvukala.
• Kwezinye iimeko, inaliti ye-cortisone inokufakwa ngqo kwi-tendon sheath echaphazelekayo ukuze kunikelwe uncedo olukhawulezileyo ekudumbeni nasentlungu.

Khumbula njalo, kubalulekile ukubonisana nogqirha ngaphambi kokuba uqalise naluphi na unyango olutsha.

Ngaba utyando luyimfuneko kwi-'Trigger Finger'?

Uninzi lweemeko ze-trigger finger zisabela kakuhle kunyango olulula olukhankanyiweyo apha ngasentla. Nangona kunjalo, ukuba olu nyango aluniki ncedo, ugqirha wakho unokucebisa utyando .

Le nkqubo ibizwa ngokuba yi -'Trigger finger release', kwaye ngumsebenzi olula nomncinci.

• Ngaphambi kotyando, isandla sakho siya kuba ne-numbness sisebenzisa i-local anesthesia .
• Ugqirha uza kwenza umngxuma omncinci kakhulu kwisingxobo semisipha esichaphazelekayo. Oku kudala indawo engakumbi yokuba imisipha ikwazi ukutyibilika ngokukhululekileyo kwakhona.
• Le yinkqubo yokulaliswa ngaphandle , oko kuthetha ukuba ungabuyela ekhaya ngaloo mini inye.

Ndiza kuziva ngcono ngokukhawuleza kangakanani emva konyango?

Ukuba uqala unyango olungelulo utyando (ukuphumla, ukuqhobosha, ukuzilolonga, amayeza), kuya kufuneka uqale ukuqaphela ukuphucuka kancinci kancinci kwiimpawu zakho. Ixesha elifunekayo ukuze uphile ngokupheleleyo liyahluka ngokuxhomekeke kwimeko yakho ethile.

Ukuba utyando, uza kuqala ukuqaphela ukuphucuka kwiiveki ezimbalwa . Nangona kunjalo, kungathatha iinyanga ezimbalwa ukubuyela ngokupheleleyo kwimisebenzi yakho yesiqhelo. Ugqirha wakho uza kuxoxa nawe ngexesha elilindelekileyo.

Ngaba i-'Trigger Finger' iza kuziphelela yodwa?

Lo ngumbuzo oqhelekileyo. Hayi, umnwe obangela ukuba uqalise ukudumba awuzilungiseleli ngokwawo. Ukuba uneempawu, kubalulekile ukubona ugqirha ukuze akuhlole. Nangona usenokufuna ukuphumla kuphela, ingcali kufuneka yenze isigqibo ngale meko. Ukungayinaki imeko kunokubangela ukuba ibe mandundu ngokuhamba kwexesha.

Ndingayithintela na i-'Trigger Finger'?

Nangona ungenakusoloko ukuthintela oku ngokupheleleyo, ungawunciphisa umngcipheko wakho ngokulandela la macebiso:

• Kuphephe ukwenza imisebenzi ephindaphindayo ecinezela izandla neminwe yakho.
• Ukuba udlala imidlalo okanye usebenzisa izixhobo ezithile emsebenzini, qiniseka ukuba usebenzisa iindlela ezifanelekileyo kunye noomatshini bomzimba.
• Xa uqala umthambo omtsha okanye umsebenzi owenziwa ngesandla, qala kancinci. Kuphephe ukuxinezeleka ngequbuliso nangokunzima.
• Ukuba uthatha ixesha elide lomsebenzi onzima, thatha ikhefu rhoqo ukuze uphumze izandla zakho.

Ndifanele ndimbone nini ugqirha?

Ukuba ukholelwa ukuba uneempawu ze-trigger finger, ingakumbi ukuba unengxaki yokugoba okanye yokulungisa umnwe, nceda ucwangcise idinga. Ukuba ngequbuliso ufumanisa ukuba awukwazi ukuwushukumisa umnwe wakho, funa unyango olukhawulezileyo kwicandelo likaxakeka.

Ndingayibuza yiphi imibuzo ugqirha wam?

Xa undwendwela ugqirha wakho, cinga ngokubuza le mibuzo ilandelayo:

• Ngaba ngokuqinisekileyo ndine-'Trigger Finger', okanye kukho esinye isizathu esibangela iimpawu zam?
• Ucinga ukuba yintoni eyabangela ukuba le meko ivele?
• Zeziphi iindlela zonyango ezilungileyo kum?
• Ngaba utyando lunokwenzeka ukuba luyimfuneko?
• Iqhele ukuthatha ixesha elingakanani inkqubo yonyango?
• Yintoni endifanele ndiyikhumbule xa ndiqhubeka nemisebenzi yam yemihla ngemihla?

Ngaba 'iTrigger Finger' luhlobo lwesifo samathambo?

Hayi. Nangona zombini i-'Trigger Finger' kunye ne-arthritis zinokubangela iintlungu nokuqina kwezandla kunye neminwe, i-'Trigger Finger' ayilohlobo lwe-arthritis.

'I-Trigger Finger' ibangelwa kukudumba okanye ukudumba kwe-tendon okanye i-sheath yayo .

I-arthritis yimeko echaphazela izicubu ezingaphakathi kwamalungu . Ekuhambeni kwexesha, i-arthritis ibangela ukuqhekeka kwezicubu zamalungu, nto leyo enokubangela ukungqubana kwamathambo.

Yintoni umahluko phakathi kwe-'Trigger Finger' kunye ne-'Trigger Thumb'?

'I-Trigger Finger' kunye ne-'Trigger Thumb' zibhekisa kwimeko efanayo . Oogqirha basebenzisa amagama ahlukeneyo kuxhomekeke ekubeni ubhontsi okanye omnye umnwe uchaphazelekile na. Ngamanye amaxesha oku kubizwa ngokuba yi -'stenosing tenosynovitis' ngokwezonyango. Nokuba ligama lithini, yimeko efanayo kwaye iphathwa ngendlela efanayo.

Izinto zokugqibela ekufuneka ziqwalaselwe

I-trigger finger yimeko equka ukudumba komsipha okanye isingxobo sawo, okukhokelela ekuvalekeni, kwiintlungu, okanye ekubunzimeni ekushukumiseni umnwe. Eyona nto ibalulekileyo ekufuneka uyikhumbule kukubaLe yimeko enokunyangeka. Nokuba kufuneka utyando, kusenokwenzeka ukuba ubuyele kwimisebenzi yakho yemihla ngemihla kunye nezinto ozithandayo emva koko.

Ngoko ke, ukuba ubona iimpawu ezifana neentlungu zeminwe, ukuqina, ukutshixa, okanye ukuva 'ukunqakraza', musa ukuzityeshela. Bona ugqirha ngokukhawuleza ukuze uhlolwe. Baza kuchonga unobangela baze bakunike unyango olukufaneleyo, oluziswe kuwe yiNirogi Lanka.

Amagama angundoqo: umnwe obangela ukutsalwa kweminwe, ukutshixa iminwe, imisipha, intlungu yeminwe, intlungu yesundu, i-stenosing tenosynovitis, ukutshixa iminwe