Ngaba kunzima ukugoba umnwe wakho? Ngaba uyanamathela? Masifunde ngalo 'Mnwe Wokubangela'!

Ngaba wakha wavuka kusasa wacinga, “Hayi bo, lo mnwe unzima ukuwugoba, uvakala ngathi ubambekile!” Okanye uva isandi sokunqakraza xa ugoba okanye ulungisa umnwe wakho? Ukuba oko kuyenzeka kwaye uzive ngathi umnwe wakho ubambeke kwindawo enye, uhamba nentlungu, usenokuba nesifo esibizwa ngokuba yi-'trigger finger'. Ungakhathazeki, masithethe ngayo ngokulula.

Yintoni 'iTrigger Finger'?

Ngamafutshane, 'Umnwe obangela ukudumba' yimeko apho umnwe omnye okanye engaphezulu esandleni sakho, ngamanye amaxesha ubhontsi, uba lukhuni kwaye kube nzima ukuwugoba okanye ukuwulula. Ngokuchanekileyo, umnwe unokubambeka kwindawo egobileyo. Abanye bathi ubizwa ngokuba 'ngumnwe obangela ukudumba' kuba uziva ngathi uzama ukutsala i-trigger kwisibhamu.

Le meko yenzeka xa izicubu eziseminweni yakho ezibizwa ngokuba yi-tendon zichaphazeleka. I-Tendons zifana neebhanti eziqinileyo ezidibanisa izihlunu zethu namathambo ethu. Xa kukho ingxaki ngale tendon, iminwe ayikwazi ukusebenza kakuhle. Le meko idla ngokubonakala kumnwe weringi . Nangona kunjalo, inokwenzeka nakweyiphi na iminwe, kuquka nobhontsi.

Zithini iimpawu zomntu one-'Trigger Finger'?

Ukuba une-trigger finger, unokufumana enye okanye ngaphezulu kwezi mpawu:

• Isandi 'sokunqakraza' sivakala xa ugoba okanye ulungisa umnwe. Kufana nokuba kukho into etsiba ngaphakathi.
• Ukuziva uxinezelekile kwaye uqinile kuhamba nentlungu xa ugoba umnwe ecaleni.
• Intlungu ebukhali okanye ukurhawuzelelwa esandleni, apho umnwe ochaphazelekayo uqala khona. Le ntlungu inokuba mandundu xa ubamba into ngokuqinileyo.
• Ngamanye amaxesha kunokubakho ukudumba okanye iqhuma elincinci elivakala ngathi linamathele esandleni .
• Umnwe obambeka kwindawo enye xa ugobile kwaye awukwazi ukuphinda ulungiswe . Ngamanye amaxesha umnwe obambekileyo kufuneka ulungiswe kancinci ngesinye isandla.

Abantu abaninzi baziva ezi mpawu, ingakumbi ukuba ndindisholo kunye nokuqina kweminwe yabo, uninzi lwazo luqala kusasa . Njengoko imini iqhubeka, kwaye ngokusebenzisa iminwe yabo, ukuqina kwayo kuyancipha.

Kutheni le nto kuvela lo 'mnwe ubangela ukuba umntu aqalise ukuqhambuka'? Yintoni unobangela?

Eyona nto ibangela ukuba iminwe iqale ukudumba okanye ukudumba kwemisipha yeminwe okanye izicubu ezijikelezileyo.

Besitshilo ngaphambili ukuba imisipha ifana neebhanti ezidibanisa izihlunu namathambo. Le misipha ijikelezwe sisigqubuthelo (njengetyhubhu encinci ) esibizwa ngokuba sisigqubuthelo semisipha.Isuka ngaphakathi. Le sheath yemisipha ikhusela imisipha kwaye iyigcina ikwindawo yayo.

Ngoku, nantsi indlela ekhula ngayo i-trigger finger: Xa i-tendon ivuvukala kwaye ivuvukala ngesizathu esithile, ayikwazi ukuhamba kakuhle ngaphakathi kwe-tendon sheath. Kufana nentambo ebambekayo xa ibambeka emngxunyeni omncinci. Ngamanye amaxesha, iqhuma elincinci (i-nodule) linokuvela kule tendon ivuvukileyo. Emva koko kuba nzima nangakumbi ukuhamba ngaphakathi kwe-tendon sheath.

Iqhina elenzeka kule 'tendon' lizama ukunamathela kwinxalenye ye 'tendon sheath' ebizwa ngokuba yi 'A1 pulley' . Le 'A1 pulley' yindawo emxinwa kwindawo efana nomngxuma apho 'tendon' ihamba khona. Xa inamathela apho, umnwe uziva unamathele kweso sandi 'sokucofa'.

Ngubani onokuba nethuba elikhulu lokufumana 'iTrigger Finger'? (Izinto ezibangela umngcipheko)

Nangona le meko inokuvela nakubani na, abanye abantu banokuba nayo.

• Ixhaphake kakhulu kubantu abaphakathi kweminyaka engama-40 ukuya kwengama-60 ubudala .
• Oku kunokwenzeka kubantu abenza iintshukumo ezifanayo rhoqo, babambe izinto ngokuqinileyo ngezandla zabo, okanye banemisebenzi okanye izinto abazithandayo ezibacinezela kakhulu iminwe yabo . Umzekelo:
• Abantu abalimayo nabasebenza emasimini.
• Abantu abasebenza kwimizi-mveliso kwaye besebenzisa izixhobo zesandla.
• Abantu abadlala izixhobo zomculo (ingakumbi iigitare kunye neevayolini).
• Abantu abadlala imidlalo esebenzisa iiracket, ezifana netenisi kunye nebadminton.
• Abantu abanezifo ezithile ezingapheliyo banamathuba amaninzi okuba ne-trigger finger:
• I-Osteoarthritis – isifo samalungu
• Isifo samathambo esibizwa ngokuba yiRheumatoid Arthritis – Isifo apho amajoni omzimba ahlasela amalungu.
• I-Gout - ukudumba kwamalungu okubangelwa kukwanda kwe-uric acid
• Iswekile yemellitus
• I-Amyloidosis - ukugcinwa kweproteni okungaqhelekanga kwizicubu zomzimba
• Isifo se-thyroid

Ugqirha ufumanisa njani ukuba kukho isifo esibangela ukuba umntu angakwazi ukuthwala i-trigger finger?

Ukuba unale mpawu, kungcono ukubona ugqirha ukuze akuhlole. Ugqirha uhlala ekwenza uvavanyo lomzimba .

• Isandla sakho neminwe yakho ziya kuhlolwa.
• Uza kubuzwa ngeempawu zakho (unexesha elingakanani unazo, xa zisiba mandundu, wenza ntoni, njl.njl.).
• Ugqirha uza kugoba kancinci aze olule iminwe yakho ukuze eve isandi sokukrwela kunye nokuba iqine kangakanani. Xa usenza oku, kuya kufuneka umxelele apho uziva khona iintlungu.

Uninzi lwexesha, akukho mfuneko yovavanyo olulodwa ukuze kufunyaniswe ukuba kukho umntu obangela ukuba umunwe wakhe ubonakale unesifo. Nangona kunjalo, ngamanye amaxesha, kwenziwa i-ultrasound okanye i-X-ray ukujonga ezinye iingxaki.

Ziziphi iindlela zonyango ze-'Trigger Finger'?

Unyango lwe-trigger finger luxhomekeke ekubeni iimpawu zakho zinzima kangakanani kwaye ngowuphi umnwe ochaphazelekileyo. Ungakhathazeki, unokunyangeka ngonyango olulula.

Olu nyango lulandelayo lusetyenziswa kakhulu:

• Ukuphumla: Le yinto yokuqala. Kufuneka uhlale kude nemisebenzi, izinto ozithandayo, kunye nezinto ezibangela uxinzelelo kwiminwe yakho ezibangele imeko yeminwe ye-trigger okwethutyana. Oku kuya kunika imisipha ixesha lokuphola.
• Ukuqhawula: Ugqirha wakho unokucebisa ukuba ufake i-splint encinci ukuze umnwe ochaphazelekayo uhlale kwindawo enye, ngesiqhelo umi kwindawo ethe tye. Oku kunika i-tendon ithuba lokuphumla kwaye kuyincede ukuba ikwazi ukunwebeka kwakhona.
• Ukuzilolonga: Ugqirha wakho okanye ingcali yezonyango iza kukufundisa ezinye iindlela ezilula zokuzilolonga eziza kunceda ukwandisa ukuguquguquka kwemisipha yakho.
• Amayeza okulwa nokuvuvukala:
• Ukuze unciphise iintlungu nokudumba, ungathatha amayeza okuphelisa iintlungu athengiswa ngaphandle kwemvume kagqirha abizwa ngokuba yi-NSAIDs (iziyobisi ezichasene nokuvuvukala ezingezizo ii-steroidal), ezifana ne-ibuprofen okanye i-naproxen.
• Ugqirha angakunika nohlobo oluthile lonyango olubizwa ngokuba yi-corticosteroids, olunciphisa ukudumba .
• Kwezinye iimeko, inaliti ye-cortisone inokunikwa kwi-tendon sheath echaphazelekayo. Oku kunokunciphisa ngokukhawuleza ukudumba kunye nentlungu.

Khumbula, kubaluleke kakhulu ukufuna iingcebiso zonyango ngaphambi kokuba uthathe naliphi na kula mayeza.

Ngaba utyando luyimfuneko ukuze kunyangwe i-trigger finger?

Uninzi lwexesha, umnwe obangela ukuvuvukala unokunyangeka ngonyango olulula olukhankanyiweyo apha ngasentla. Nangona kunjalo, ukuba olo nyango aluncedi, ugqirha wakho unokucebisa utyando .

Oku kubizwa ngokuba lutyando "lokukhulula iminwe" . Olu asilotyando olukhulu.

• Ngaphambi kotyando, inxalenye yengalo echaphazelekayo iphelelwa ngamandla (i-local anesthetic ) .
• Emva koko ugqirha wotyando ususa i-tendon sheath ebambekileyo.Kwenziwa umsike omncinci kakhulu . Oku kuvumela umsipha ukuba uhambe ngokukhululekileyo.
• Le yinkqubo yokulaliswa ngaphandle , oko kuthetha ukuba ungagoduka ngaloo mini inye.

Ndiza kuziva ngcono ngokukhawuleza kangakanani emva konyango?

Wakuba uqalile unyango olungenalo utyando (ukuphumla, ukuqhobosha, ukuzilolonga, amayeza), iimpawu zakho ziya kuqala ukuphucuka kancinci kancinci. Ixesha eliza kuthatha ukuze uphile ngokupheleleyo liya kwahluka ngokuxhomekeke kwimeko yakho.

Emva kotyando, uya kuqala ukuziva ungcono kwiiveki ezimbalwa . Nangona kunjalo, kungathatha iinyanga ezimbalwa ngaphambi kokuba uqalise imisebenzi yakho yesiqhelo. Ugqirha wakho uya kukuchazela oku.

Ngaba i-trigger finger iya kuziphilisa ngokwayo?

Lo ngumbuzo abantu abaninzi abawubuzayo. Hayi, i-trigger finger ayihlali yodwa. Ukuba uneempawu, ngokuqinisekileyo bonana nogqirha uze uhlolwe. Usenokufuna nje ukuphumla, kodwa loo nto kufuneka ugqirha ayigqibe. Ngaphandle koko, ukuyityeshela kunokuyenza imeko ibe mandundu.

Ngaba umnwe obangela ukuba umntu angakwazi ukuthintelwa?

Nangona ingenakuthintelwa ngokupheleleyo, ungenza oku kulandelayo ukunciphisa umngcipheko wakho:

• Kuphephe ukusebenza ofuna ukutsala nzima rhoqo ezandleni nasezinzwaneni zakho kangangoko kunokwenzeka.
• Ukuba udlala imidlalo okanye usebenzisa naziphi na izixhobo emsebenzini, qaphela iindlela ezifanelekileyo zokuma kunye neendlela ezinxulumene nazo.
• Xa uqala umthambo omtsha okanye umsebenzi onzima, qala kancinci. Musa ukuzinyanzela kakhulu ngaxeshanye.
• Ukuba wenza umsebenzi wezandla rhoqo, thatha ikhefu elifutshane ngamanye amaxesha.

Ndifanele ndimbone nini ugqirha?

Ukuba ucinga ukuba uneempawu 'zomnwe obangela ukudumba', ingakumbi ukuba awukwazi ukugoba okanye ukolula umnwe ngokufanelekileyo, bona ugqirha. Ukuba ngequbuliso awukwazi nokuhambisa umnwe, yiya kwigumbi likaxakeka esibhedlele ngoko nangoko.

Yeyiphi imibuzo omele uyibuze ugqirha?

Xa usiya kugqirha, ungabuza imibuzo efana nale:

• Ngaba ndinayo ngokwenene 'i-trigger finger'? Okanye ngaba le yingxaki eyahlukileyo?
• Ucinga ukuba kutheni oku kwenzeke kum?
• Loluphi uhlobo lonyango olungcono kum?
• Ngaba ndiza kufuna utyando?
• Unyango ludla ngokuthatha ixesha elingakanani?
• Zeziphi izinto ekufuneka ndizilumkele xa ndisenza imisebenzi yam yemihla ngemihla?

Ngaba 'iTrigger Finger' luhlobo lwesifo samathambo?

Hayi. Nangona zombini i-trigger finger kunye ne-arthritis zinokubangela iintlungu kunye nokuqina kwesandla kunye neminwe, i-trigger finger ayilohlobo lwe-arthritis.

I-trigger finger ibangelwa kukudumba okanye ukudumba kwe-tendon okanye i-tendon sheath .

I-arthritis sisifo esichaphazela izicubu ezisemalungeni . Ekuhambeni kwexesha, i-arthritis ibangela ukuba izicubu ezisemalungeni ziguge kwaye amathambo aqale ukukhuhlana.

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

'Umnwe obangela i-trigger' kunye 'nothumb' obangela i-trigger' zizinto ezifanayo . Oogqirha basebenzisa la magama mabini kuxhomekeke ekubeni eminye iminwe okanye uthumb uyachaphazeleka na. Ngamanye amaxesha ikwabizwa ngokuba yi-'stenosing tenosynovitis'. Nokuba yeyiphi na indlela, yimeko efanayo kwaye iphathwa ngendlela efanayo.

Okokugqibela, izinto ezimbalwa ekufuneka uzikhumbule

I-trigger finger yimeko ebangela ukuba umunwe uqine kwaye uqine ngenxa yokudumba kwe-tendon okanye i-tendon sheath. Eyona nto ingcono kukuba yimeko enokunyangwa . Nangona utyando lunokufuneka, uya kukwazi ukuqhubeka nemisebenzi yakho yesiqhelo kunye nezinto ozithandayo.

Ngoko ke, ukuba unenye yezi mpawu – iintlungu, ukuqina, ukuba ndindisholo, isandi ‘sokuklikha’ eminweni yakho – musa ukusityeshela . Bona ugqirha ngoko nangoko uze ucele ingcebiso. Uza kufumana unobangela aze akunike unyango olufanelekileyo.

umnwe obangela ukutshixa iminwe, ukutshixa iminwe, imisipha, iintlungu zeminwe, iintlungu zesandla, i-stenosing tenosynovitis, ukutshixa iminwe