Ingabe isihlakala sakho sibuhlungu ohlangothini lwesithupha sakho? Ake sixoxe ngalokhu (De Quervain's Tenosynovitis)!

Ingabe ngezinye izikhathi uba nobunzima bokwenza imisebenzi yansuku zonke ngenxa yobuhlungu ohlangothini lwesithupha sesandla sakho, endaweni yesihlakala? Noma uzizwa uthukuthele noma uvutha uma uthinta, ucindezela, noma ushukumisa isithupha sakho? Uma unalezi zimpawu, ungase ube nesifo esibizwa ngokuthi `(De Quervain's Tenosynovitis)`. Ngakho-ke, ungakhathazeki. Ake sixoxe ngakho ngokuningiliziwe, ukuthi kuyini, kungani kwenzeka, nokuthi ungakuqeda kanjani.

Kuyini `(De Quervain's Tenosynovitis)`?

Kalula nje, i-"De Quervain's Tenosynovitis" iwukuvuvukala, okusho ubuhlungu nokuvuvukala, okuzungeze imisipha kuzwane lwakho olukhulu. Ngezinye izikhathi kubizwa ngokuthi i-"De Quervain's Tendinosis". Odokotela ngezinye izikhathi basebenzisa womabili la magama ngesimo esifanayo.

Cabanga ngakho, imisipha yethu ixhunywe emathanjeni ethu yizicubu eziqinile, eziguquguqukayo, ezifana nentambo ezibizwa ngokuthi ama-tendon . Uma sifinyeza imisipha, yilo msipha odonsa ithambo elihambisanayo bese ulenza linyakaze. Isithupha sakho sixhunywe esihlakaleni sakho yimisipha emibili enjalo.

Ngokuvamile, lawa ma-tendon ahambahamba egobolondweni , elifana nomgodi noma umhubhe, elizungezile. Ngaphandle kokuphazamiseka. Kodwa-ke, esimweni se-"De Quervain's Tenosynovitis", ngesizathu esithile, lesi sigobolondo esizungeze i-tendon esithupheni sakho siyavuvukala noma sibe sikhulu. Kwenzekani-ke? Uma usebenzisa isithupha sakho nesihlakala sakho, i-tendon ihambahamba ngaphakathi kwalowo mgodi ovuvukile, okubangela ukungqubuzana okwengeziwe . Yingakho eminye imigudu ingaba buhlungu futhi izwakale iqinile. Lobuhlungu buvame ukuqala phansi kwesithupha sakho, eduze kwesihlakala sakho. Ngezinye izikhathi, lobuhlungu bungasakazekela ngisho nasengalo yakho.

Sivame kangakanani lesi simo?

Eqinisweni, i-`(De Quervain's Tenosynovitis)` iyisimo esivamile phakathi kokuvuvukala kwemisipha (`tenosynovitis`). Ucwaningo lubonisa ukuthi ngisho nasezweni elifana neMelika, kuthinta cishe u-1% wabantu minyaka yonke. Ngakho-ke, uma unesifo esifana nalesi, khumbula ukuthi awuwedwa.

Ziyini izimpawu ze-`(De Quervain's Tenosynovitis)`?

Uphawu oluyinhloko lwalesi simo ubuhlungu ohlangothini oluqondile lwesandla sakho. Kwabanye abantu, lobu buhlungu bungase buvele ngokuzumayo, kanti kwabanye, bungase bukhule kancane kancane ngokuhamba kwesikhathi. Lobu buhlungu buvame ukuba:

• Kuyanda uma usebenzisa isandla sakho, isihlakala, kanye nesithupha.
• Ingaqala esihlakaleni bese isakazeka kuze kufike esithupheni noma ohlangothini lwebunzi.
• Ubuhlungu buyanda uma uthinta noma ucindezela okuthile.

Ngaphezu kwalokhu kubuhlungu okuyinhloko, ezinye izimpawu eziningana zingabonakala:

• Ukuvuvukala: Ungase uqaphele ukuvuvukala phansi kwesihlakala sakho kanye nesithupha.
• Umsindo noma umuzwa 'wokuchofoza': Uma ushukumisa isithupha sakho, ungase uzwe umsindo 'wokuchofoza' uvela esihlakaleni sakho, noma uzizwe sengathi kukhona okugxumayo ngaphakathi.
• Ukuqina noma ukulahlekelwa ubushelelezi: Ukunyakaza kozwane olukhulu kungase kuzwakale kuqinile kancane, noma sengathi akuhambisani kahle.
• Ukuba ndikindiki: Ungase uzizwe sengathi isihlakala sakho noma isithupha sakho siyandinditheka.

Kungani lokhu kwenzeka `(De Quervain's Tenosynovitis)`?

Kalula nje, lesi simo singabangelwa ukucasuka, ingcindezi, noma yini ebeka ukucindezeleka okungadingekile emisipha yobhozo lwakho olukhulu. Kunezici eziningana eziyinhloko ezibangela lokhu:

• Ukusebenzisa isithupha noma isihlakala ngokweqile: Uma uqhubeka nokwenza ukunyakaza okufanayo.
• Imisebenzi noma izinto zokuzilibazisa ezihilela ukubamba noma ukucindezelwa okuphindaphindiwe: Isibonelo, lokhu kungenzeka ngemisebenzi yasekhaya, eminye imisebenzi, noma ezinye izinto zokuzilibazisa.
• Ezinye izimo zempilo ezibangela ukuvuvukala: Isibonelo, abantu abanezinkinga zamalunga ezivuvukalayo njenge-arthritis banamathuba amaningi okuba nalokhu.
• Ukushaywa ngqo kwesithupha noma esihlakaleni: njengokungathi kwenzeke ngengozi.

Lesi simo singabangelwa, ikakhulukazi, yimisebenzi ehilela ukubamba into ngokuqinile nokuphindaphinda ukunyakaza okufanayo. Nazi izibonelo ezimbalwa:

• Ezemidlalo: Imidlalo efana ne-tennis, i-racquetball, i-skiing.
• Ukusetshenziswa kwamathuluzi: Uma usebenzisa isando noma amanye amathuluzi esandla.
• Ukuphakamisa izingane ezincane: Lesi simo singaba khona, ikakhulukazi komama abasanda kuzalwa, uma uphakamisa ingane yakho njalo. Cabanga ngokuthi umama ucindezela kangakanani isithupha sakhe nesihlakala sakhe lapho egeza, encelisa, noma ephethe ingane.
• Ukulima: Uma usebenzisa ifosholo, uma utshala izitshalo.

Ubani onamathuba amaningi okuthola lesi simo?

Nakuba noma ubani angaba nesifo i-"De Quervain's Tenosynovitis", amaqembu athile asengozini enkulu yokusithola:

• Abesifazane: Lesi simo sivame kakhulu kwabesifazane kunakwabesilisa.
• Abantu abangaphezu kweminyaka engama-40 ubudala.
• Othisha bezingane zasenkulisa noma labo abanakekela izingane ezincane.
• Abazali (ikakhulukazi omama) abanezingane ezincane .
• Izisebenzi zezandla noma labo abasebenza ngezandla zabo njalo.
• Abadlali.

Ungayithola kanjani i-`(De Quervain's Tenosynovitis)`?

Uma unalezi zimpawu, uma ubona udokotela, uzokwenza ukuhlolwa ngokomzimba.Lena yindlela udokotela azonquma ngayo ukuthi ngabe yi-De Quervain's Tenosynovitis. Uzohlola isithupha sakho nesihlakala sakho. Kubaluleke kakhulu ukutshela udokotela imininingwane njengokuthi uke waba nalobu buhlungu nini nokuthi hlobo luni lomsebenzi olwenza ubuhlungu bube bubi kakhulu.

Iyini i-`(ukuhlolwa kwe-Finkelstein)`?

Lolu ``ukuhlolwa kwe-Finkelstein``, ukuhlolwa okukhethekile odokotela abakusebenzisayo ukuqinisekisa isimo ``De Quervain's Tenosynovitis``. Kuwukuhlolwa okulula kakhulu.

1. Thatha isithupha sakho usigobe ngaphakathi, bese usivala ngeminwe yakho eminye bese uxova inhlama.

2. Bese, ugcine isibambo sinjengoba sasinjalo, gobisa ingalo yakho phansi (ngasemunweni omncane), njengokungathi uphakamisela othile isandla.

Uma wenza lokhu, ucindezela imisipha yonyawo lwakho olukhulu. Uma une-"De Quervain's Tenosynovitis", uzozwa ubuhlungu obukhulu endaweni ebuhlungu uma wenza lokhu "kuhlolwa kwe-Finkelstein".

Ngezinye izikhathi udokotela wakho angase akucele ukuthi uthathwe i-X-ray ukuze ahlole ezinye izinkinga esihlakaleni sakho, njenge-osteoarthritis.

Yiziphi izindlela zokwelapha `(De Quervain's Tenosynovitis)`?

Izindaba ezinhle ukuthi kunezindlela zokwelapha ezisebenzayo zalesi simo. Udokotela wakho uvame ukuncoma izindlela zokwelapha ezisiza ukulawula izimpawu zakho futhi zinike imisipha kanye nezicubu ezizungezile isikhathi sokuphulukiswa. Izindlela zokwelapha ezivame kakhulu yilezi:

• Ukugqoka i-splint noma i-brace: Lokhu kusiza ukuvimba isihlakala sakho nesithupha sakho, kunciphisa ingcindezi kulawo ma-tendon. Kufana nokuba nesandla sakho siboshwe ngebhande.
• Faka iqhwa esihlakaleni sakho: Ukusebenzisa iqhwa kungasiza ekunciphiseni ukuvuvukala nokunciphisa ubuhlungu. Beka iphakethe leqhwa eligoqwe ngendwangu encane endaweni ebuhlungu cishe imizuzu engama-20 izikhathi eziningana ngosuku.
• Ukuphumula: Nciphisa ukusebenzisa ingalo ebuhlungu ngangokunokwenzeka. Ikakhulukazi, kungadingeka uyeke ngokuphelele ukudlala imidlalo noma ukwenza ukunyakaza okuphindaphindiwe okubangele lesi simo kuze kube yilapho siphulukiswa.
• Ama-NSAID: Lawa yimithi elwa nokuvuvukala engeyona eye-steroidal ( ama-NSAID) . Atholakala ngaphandle kwemithi kadokotela. Kodwa-ke, ungawasebenzisi izinsuku ezingaphezu kweziyi-10 ngaphandle kweseluleko sikadokotela.
• Imijovo ye-Corticosteroid: Lena imithi enamandla enqunywe udokotela ukulawula ukuvuvukala. Ngezinye izikhathi, udokotela angase anikeze umjovo we-corticosteroid engxenyeni yemisipha ebuhlungu.

Okubalulekile: Kubalulekile ukulandela zonke lezi zindlela zokwelapha njengoba kuqondiswe udokotela wakho.

Ingabe kukhona izivivinyo ezingenziwa ngalokhu? (izivivinyo ze-`De Quervain's Tenosynovitis`)

Udokotela wakho noma uchwepheshe wezokwelapha angakufundisa ukwelula okulula kanye nokuzivocavoca ukusiza ukwandisa amandla kanye nokuguquguquka kwesihlakala sakho. Enye yezivivinyo ezinconywa kakhulu ukucindezela ibhola lethenisi:

• Thatha ibhola lethenisi bese ulicindezela kancane imizuzu embalwa.
• Phumula izandla zakho imizuzu embalwa.
• Uma ungezwa ubuhlungu, cindezela ibhola kakhudlwana.

Udokotela wakho uzokutshela ukuthi kufanele ukwenze lokhu kuzivocavoca isikhathi esingakanani nokuthi kufanele ukwenze kangaki. Ungalokothi uvivinye ubuhlungu. Uma uzwa ubuhlungu ngenkathi wenza noma yikuphi ukuvivinya umzimba, yeka bese utshela udokotela wakho.

Ingabe ukuhlinzwa kuzodingeka?

Iningi labantu alidingi ukuhlinzwa kwe-De Quervain's Tenosynovitis. Udokotela uzoncoma ukuhlinzwa kuphela uma ezinye izindlela zokwelapha zingazinciphisi izimpawu.

Lokhu kuhlinzwa kuvame ukuba inqubo yokulaliswa esibhedlela. Lokhu kusho ukuthi ungaya ekhaya ngalolo suku. Udokotela ohlinzayo usika kancane kakhulu esikhaleni esivuvukele esizungeze i-tendon kuzwane lwakho olukhulu. Lokhu kuvumela i-tendon ukuthi inyakaze ngokukhululeka. Uma udinga ukuhlinzwa, udokotela wakho ohlinzayo uzochaza kabanzi ngakho, okuhlanganisa nokuthi kuzothatha isikhathi esingakanani ukuphulukiswa.

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokwelashwa?

Udokotela wakho uzokutshela ukuthi udinga ukwelapha isikhathi esingakanani i-De Quervain's Tenosynovitis. Iningi labantu kuzodingeka lifake i-splint noma i-brace amasonto amaningana .

Ngisho noma uzizwa ungcono kancane, ungaqali noma yimuphi umsebenzi womzimba kuze kube yilapho udokotela wakho ethi, "Kulungile, ake siqale." Uma ucindezela imisipha yakho futhi ngaphambi kokuba iphole kahle, kungenzeka ukuthi uzolimala futhi.

Ingabe i-De Quervain's Tenosynovitis ingavinjelwa?

Yebo, kunezinto esingazenza ukuvimbela lesi simo ukuthi singakhuli ngezinga elithile. Into eyinhloko ukugwema ukusebenzisa kakhulu izithupha nezihlakala.

• Uma udlala umdlalo, usebenza, noma wenza noma yimuphi omunye umsebenzi womzimba, funda indlela efanele futhi ugqoke imishini yokuzivikela uma kudingeka.
• Uma uqala ukuzivocavoca okusha noma umsebenzi, qala kancane kunokwenza okuningi ngesikhathi esisodwa.
• Uma wenza ukunyakaza okufanayo ngokuphindaphindiwe, thatha ikhefu ngezikhathi ezithile.
• Uma isihlakala sakho sibuhlungu, kungakhathaliseki ukuthi ngesikhathi noma ngemva komsebenzi womzimba, ungasinaki bese uzibuza ukuthi, "Kuyini lokho?" Ungaqhubeki nokwenza naphezu kobuhlungu.
• Nika umzimba wakho isikhathi sokuphumula nokululama ngemva kokusebenza kanzima.

Kuzothatha isikhathi esingakanani ukuphulukiswa?

Ngokuvamile kungathatha amasonto ambalwa ukuthi i-tendon yakho ilulame ngenxa ye-De Quervain's Tenosynovitis. Ukuthi kuthatha isikhathi esingakanani kuncike ekutheni yini ebangele i-tenosynovitis yakho nokuthi izimpawu zakho zimbi kangakanani.

Buza udokotela wakho ukuthi ungaqhubeka nini nemisebenzi yakho evamile yomzimba. Kuze kube yilapho udokotela wakho ekunika imvume, ungabuyeli emdlalweni, ekuzilibaziseni, noma emsebenzini obangele lesi simo.

Kwenzekani uma ingelashwa?

I-De Quervain's Tenosynovitis iyisifo esingelapheka, ngokuvamile sesikhashana. Kodwa-ke, uma singelashwa, kungenzeka ukuthi udinga ukuhlinzwa futhi ungase ube nezinye izinkinga.

Uma uqhubeka nokucindezela imisipha esithupha sakho ngemuva kokuqala ukuba nezimpawu ze-De Quervain's Tenosynovitis, i-tendon sheath ingaqhuma noma i-tendon ingadabuka. Lokhu akuvamile, kodwa uma kwenzeka, abanye abantu abangelashwanga bangalahlekelwa unomphela ukunyakaza noma ukusebenza kwesithupha sabo kanye nesihlakala . Ngakho-ke, uma unezimpawu, qiniseka ukuthi ufuna iseluleko sezokwelapha.

Kufanele ngimbone nini udokotela?

Bonana nodokotela ngokushesha nje lapho uzwa ubuhlungu noma ezinye izimpawu ze-De Quervain's Tenosynovitis. Ungazinaki izimpawu, ikakhulukazi uma ziba zimbi kakhulu ngesikhathi noma ngemva kokuzivocavoca umzimba.

Yimiphi imibuzo okufanele uyibuze udokotela?

Uma uya kudokotela, kuwumqondo omuhle ukubuza le mibuzo:

• Ingabe nginesifo i-`(De Quervain's Tenosynovitis)`, noma ingabe kukhona esinye isizathu sobuhlungu esihlakaleni sami?
• Kuzodingeka ngigqoke i-splint noma i-brace isikhathi esingakanani?
• Ingabe ngizodinga ukuhlinzwa ngenxa yalokhu?
• Ngingabuyela nini emisebenzini yami evamile yomzimba (isib. ezemidlalo, emsebenzini)?

Ngamafuphi (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke i-`(De Quervain's Tenosynovitis)` iyisimo esibuhlungu esibangelwa ukuvuvukala kwesigxobo esizungeze i-tendon kuzwane lwakho olukhulu. Lokhu kungenza kube buhlungu futhi kube nzima ukusebenzisa uzwane lwakho olukhulu nesihlakala.

Kodwa ingxenye engcono kakhulu ukuthi, ivame ukwelapheka ngokuphumula, ukwelashwa okulula kwasekhaya, kanye nokugqoka i-splint noma i-brace amasonto ambalwa.

Uma usuqale umsebenzi omusha noma into yokuzilibazisa, noma uma umsebenzi wakho ukucindezela kakhulu izandla zakho, ikakhulukazi izithupha zakho nezingalo, khuluma nodokotela wakho. Angakusiza ukuthi uphathe izimpawu zakho futhi ubuyele emisebenzini oyijabulelayo ngokushesha nangokuphephile.Ngakho-ke, into ehlakaniphe kakhulu okufanele uyenze ukufuna iseluleko sezokwelapha ngokushesha, kunokuba ubhekane nobuhlungu.

Ubuhlungu besithupha , ubuhlungu besandla, i-Diquanes tenosynovitis, i-tendonitis, ubuhlungu besandla, izinkinga zesandla nesandla, ukwelashwa