Ingabe nawe unezinhlungu nokuvuvukala ezandleni zakho naseminweni? Kungaba yi-tenosynovitis!

Wake wazizwa ubuhlungu obungavamile, ukuvuvukala, noma ubunzima bokuhambisa isandla sakho, isihlakala, noma umunwe? Lobuhlungu bungaba bukhulu kangangokuthi awukwazi ngisho nokwenza imisebenzi yakho yansuku zonke. Uma unalezi zimpawu, kungenzeka ukuthi kungenxa yesimo esibizwa ngokuthi i-tenosynovitis . Ake sixoxe ngalokhu ngokuningiliziwe namuhla.

Kuyini i-Tenosynovitis?

Kalula nje, i-tenosynovitis ukuvuvukala, noma ukuvuvukala, kwe -synovial membrane , i-membrane encane ezungeze imisipha yakho. Manje ungase uzibuze ukuthi iyini le-tendon, i-synovial membrane.

Cabanga ngakho, imisipha yakho iqinile, izintambo ezifana nezintambo. Yilezi ezixhumanisa imisipha yakho namathambo akho. Uma ufinyela noma welula imisipha, ithambo elihambisanayo lihamba ngale misipha. Ngakho-ke ukuze kusizwe le misipha ihambe kahle, inesembozo esivikelayo esizungezile. Leso sembozo sibizwa ngokuthi i-synovial membrane . Ngaphakathi kwale membrane kukhona uketshezi olugcobayo. Lolu ketshezi lusiza imisipha ihambe kalula ngaphandle kokugudlana.

Ngakho-ke, uma ngesizathu esithile lolu lwelwesi lwe-synovial lonakele, luthelelekile, noma lucasukile, kuvela ukuvuvukala , okusho ukuvuvukala, ukubomvu, nobuhlungu. Yilokho esikubiza ngokuthi i-tenosynovitis. Uma lesi simo singelashwa kahle, ngezinye izikhathi singaholela ezinkingeni ezinkulu. Ngakho-ke, uma uhlangabezana nezimpawu ezinjengalezi, kubaluleke kakhulu ukuphumula umsipha othintekile uze uphole.

Yiziphi izinhlobo ze-tenosynovitis?

Odokotela bahlukanisa lesi simo se-tenosynovitis ngezinhlobo eziningana eziyinhloko:

1. I-Stenosing tenosynovitis: Lokhu kwenzeka lapho ulwelwesi oluzungeze i-tendon luvuvukala, lunciphise isikhala sokuba i-tendon inyakaze (stenosis) . Lokhu kwenza kube nzima nge-tendon ukuthi inyakaze kahle. Izibonelo zalolu hlobo lwesimo zifaka phakathi i-trigger finger kanye ne -De Quervain's tenosynovitis (ubuhlungu esihlakaleni obuphuma bubheke esithupha). I-trigger finger ingabangela umuzwa wokuqina lapho ugoba noma uqondisa umunwe wakho, futhi ingabangela ukuthi umunwe uvuleke ngokuzumayo ngomsindo othi "chofoza".

2. I-tenosynovitis ethelelanayo: Lolu hlobo lwe-tenosynovitis lungavela uma igciwane noma igciwane libangela ukutheleleka esikhumbeni semisipha. Ngisho nokulimala okuncane kungabangela lolu hlobo lokutheleleka.

3. I-tenosynovitis yokuvuvukala okungeyona ethelelanayo: okubangelwa ukuqhubeka nokwenza uhlobo olufanayo lokunyakaza (ukusetshenziswa ngokweqile) nomaLolu hlobo lwe-tenosynovitis lungabangelwa yizifo ezihlasela amasosha omzimba njenge-gout kanye ne-rheumatoid arthritis .

Ziyini izimpawu ze-tenosynovitis?

Izimpawu ezivame kakhulu zalesi simo yilezi:

• Ubuhlungu emsipha: Kungase kuzwakale sengathi ubuhlungu buphuma emthanjeni engalweni noma emlenzeni wakho.
• Ukuvuvukala okuzungeze i-tendon: Indawo ethintekile ingase ibonakale ivuvukele kakhulu kunakwelinye icala.
• Ubunzima bokuhambisa ingxenye yomzimba ngendlela evamile: Isibonelo, uma kukhulunywa ngesandla, kungaba nzima ukugoba noma ukuqondisa sonke isandla noma iminwe.
• Ubuhlungu lapho ushukumisa isitho somzimba: Ubuhlungu bungaba bubi kakhulu uma usebenzisa leyo ngxenye kunalapho umi nje.
• Kungase kube nokushintsha kombala noma ukubomvu kwesikhumba eduze komsipha: Ngezinye izikhathi indawo ingaba bomvu futhi izwakale ifudumele.

"Ngikhumbula u-Anti Susila, ohlala eduze nathi. Usebenza emshinini wokuthunga usuku lonke. Sekuyisikhathi eside ekhononda ngesihlakala sakhe esibuhlungu esandleni sakhe sokunene. Kwakuyilapho esibonisa khona udokotela lapho athola khona ukuthi kwakuyi-tenosynovitis kaDe Quervain. Kwenzeke ngoba wayelokhu esebenzisa isandla sakhe ngendlela efanayo."

I-tenosynovitis izwakala kanjani?

I-Tenosynovitis yisimo esivamile nesibuhlungu . Ingathinta noma yimuphi umsipha okusiza ukuthi ugobe, welule, udonse, noma ucindezele ingalo yakho. Lokhu kusho ukuthi ingathinta kokubili imisipha yakho yokuqina kanye nemisipha yakho yokwelula . Ngaphezu kobuhlungu, ungase ukuthole kunzima ukuhambisa ingxenye yomzimba ethintekile ngendlela evamile. Lesi simo sivame ukuthinta:

• Kuze kube yiminwe
• Kwezandla
• Okwezingalo
• Izinyawo (ikakhulukazi ezizungeze amaqakala)

Ziyini izimbangela ze-tenosynovitis?

Kunezizathu eziningana eziyinhloko ezenza lesi simo senzeke:

• Izifo ezithinta amasosha omzimba: Lezi yizifo lapho amasosha omzimba wakho ehlasela khona amangqamuzana omzimba wakho. Lezi zifo zingalimaza ulwelwesi lwe-synovial futhi zibangele i-tenosynovitis. Izibonelo: I-Rheumatoid arthritis .
• Ukusebenzisa ngokweqile: Ukuphindaphinda ukunyakaza okufanayo isikhathi eside kungaholela ku- overuse syndrome . I-Tenosynovitis ingenye yezingozi ezingase zenzeke. Cabanga ngakho, umuntu ohlala ethayipha kukhompyutha, edlala insimbi yomculo, ependa, enza umsebenzi wokubaza, noma edlala umdlalo ofanayo usuku lonke usengozini.
• Izifo:Ezinye izifo ezivamile zamagciwane noma amagciwane zingasakazekela esikhumbeni se-synovial futhi zibangele i-tenosynovitis ethelelanayo. Lokhu kungenzeka ngisho nangokusikwa okuncane noma ukulunywa yisilwane.
• Ukulimala: Noma yikuphi ukulimala noma ukulimala kwemisipha yakho noma indawo ezungezile kungabangela i-tenosynovitis. Izinto ezifana nokuwa ngokuzumayo noma ukushaywa kanzima.

Ubani osengozini enkulu yokuthola lesi sifo?

Noma ubani angaba ne-tenosynovitis. Kodwa-ke, usengozini enkulu kancane uma unalezi zimo:

• Isifo samathambo esibizwa ngokuthi i-rheumatoid arthritis
• Isifo Sikashukela (i-Diabetes Mellitus)
• Ukutheleleka kwezandla
• I-Gout
• Isifo se-thyroid
• Isifo sikaDupuytren (isimo lapho isikhumba ezintendeni zezandla siba lukhuni futhi iminwe igobe ngaphakathi)
• I-Fibromyalgia ( isimo esibangela ubuhlungu nokukhathala emzimbeni wonke)

Yiziphi izinkinga ezingaba khona ze-Tenosynovitis?

Lokhu kungaba yisimo esibucayi ngezinye izikhathi, njengoba kungaholela ezinkingeni ezahlukahlukene. Yingakho kubalulekile ukufuna ukwelashwa ngokushesha okukhulu.

• Ukuqina kwamalunga: Ilunga lingase liqine kangangokuthi akunakwenzeka ukulihambisa kahle.
• Ukuqhekeka kwemisipha: Imisipha ingaqhekeka ngokuphelele.
• Ukufa kwezicubu ze-tendon: Ukunikezwa kwegazi ezicutshini ze-tendon kungancipha futhi kubangele ukuthi ife.
• Ukunamathela / izicubu zesibazi: Izicubu zesibazi zingase zakheke zizungeze i-tendon, zinciphise ukunyakaza kwe-tendon.
• Isidingo Sokunqunywa Kwesitho: Uma ukutheleleka kungenakulawuleka, ezimweni ezingavamile, isitho esithintekile kungadingeka sinqunywe. Yingakho kubalulekile ukungalokothi ungazinaki ngisho nento encane.

I-Tenosynovitis itholakala kanjani?

Uma ubona udokotela onalezi zimpawu, uzoqala ngokukubuza ngezimpawu zakho (umlando). Ngemuva kwalokho uzokuhlola (ukuhlolwa ngokomzimba). Ikakhulukazi, bazohlola ukuthi ungashukumisa kangakanani ilunga elithintekile (ububanzi bokunyakaza). Bangase futhi benze ukuhlolwa kwegazi noma ezinye izivivinyo ukuhlola izifo noma izimo zokuvuvukala.

Yiziphi izivivinyo zokuxilonga?

Ngemva kokuhlolwa ngokomzimba, kungadingeka ukuthi wenze ukuhlolwa okukodwa noma ngaphezulu kwalokhu okulandelayo ukuqinisekisa ukuxilongwa noma ukuhlola izinga lomonakalo:

• Ama-X-ray: I-X-ray ingabheka izimpawu zokuvuvukala, njengokuqhekeka kwezicubu ethanjeni le-synovial, kanye nokuvuvukala. Ingabheka futhi ukuqhekeka kwamathambo.
• Ukuskena kwe-MRI (Ukufanekisa kwe-Magnetic resonance - Ukuskena kwe-MRI):Kungenziwa i-MRI scan ukuze kutholakale isithombe esiphelele se-tendon nendawo ezungezile. Lokhu kungabonisa izicubu ezithambile ngokucacile.
• I-Ultrasound: Lokhu futhi kuyindlela yokuhlola izicubu ezithambile. Kungabonisa ngokusobala ukuvuvukala kanye nokuqongelela koketshezi oluzungeze imisipha.
• I-CT scan (CT - computed tomography scan): I-CT scan ingabheka imisipha, ithambo, kanye nezicubu ezithambile ezizungezile ngokuningiliziwe kune-X-ray.

Iphathwa kanjani i-Tenosynovitis?

Ukwelashwa kwalokhu kuncike embangela yesifo. Ukwelashwa okuvamile kufaka phakathi:

• Phumula futhi uyeke umsebenzi obangele lesi sifo: Lena yinto ebaluleke kakhulu. Kubalulekile ukunikeza i-tendon ethintekile ukuphumula.
• Ukugqoka i-brace noma i-splint: Lokhu kusiza ekunciphiseni ingcindezi ku-tendon.
• Ukucindezela okushisayo noma okubandayo ukunciphisa ubuhlungu noma ukuvuvukala: Lokhu kufanele kwenziwe njengoba kuqondiswe udokotela.
• Ama-steroid omlomo noma imijovo ye-steroid ukunciphisa ukuvuvukala: Lokhu kusiza ekunciphiseni ukuvuvukala nobuhlungu ngokushesha.
• Ukwelashwa Ngezandla: Lokhu kuhilela ukuzivocavoca kanye nezinye izindlela zokwelapha ukunciphisa ukuvuvukala nokubuyisela ukuhamba kwamalunga.
• Ukuhlinzwa: Uma lesi simo sibangelwa ukutheleleka, noma uma i-tendon ibambekile, kungase kudingeke ukuhlinzwa ukuze kukhululwe indawo.

Udokotela wakho uzonquma ukuthi yiluphi ukwelashwa okudingayo ngokusekelwe ebunzimeni bezimpawu zakho.

Yimiphi imithi esetshenziswa kulokhu?

Uhlobo lomuthi oludingayo luzoncika futhi kumbangela ye-tenosynovitis yakho. Eminye imithi udokotela wakho angayinikeza ihlanganisa:

• Ama-antibiotic: Uma lesi simo sibangelwa ukutheleleka, kuzodingeka uthathe ama-antibiotic.
• Ama-NSAID (imithi elwa nokuvuvukala engeyona eye-steroidal): Imithi yokunciphisa ubuhlungu etholakala ngaphandle kwemithi kadokotela kanye nemithi yokulwa nokuvuvukala, njenge-aspirin kanye ne-ibuprofen, ingasiza ekunciphiseni ukuvuvukala. Kodwa ungazisebenzisi njalo ngaphandle kweseluleko sikadokotela.
• Ama-Corticosteroids: Lawa anciphisa ukuvuvukala futhi anganikezwa njengomjovo noma amaphilisi.
• Ama-DMARD (imithi yokwelapha isifo samathambo): Kubantu abanezifo zamathambo ezivuvukalayo njenge-rheumatoid arthritis, le mithi inciphisa ubuhlungu nokuvuvukala ngenkathi ivikela amalunga ekulimaleni okuqhubekayo.

Unganciphisa kanjani ingozi ye-tenosynovitis?

Indlela engcono kakhulu yokunciphisa le ngozi ukugwema ukusebenzisa ngokweqile imisipha yakho. Uma unomsebenzi, umdlalo, noma ukuzivocavoca okudinga ukunyakaza okuphindaphindiwe, nikeza umzimba wakho ukuphumula okwanele phakathi nalesi sikhathi.

Kubalulekile futhi ukusebenzisa imishini yokuphepha efanele emsebenzini owenzayo, nokuzivocavoca ngokuphepha ngaphandle kokubeka ingcindezi engadingekile emisipha yakho. Isibonelo, ukusebenzisa ukuma okufanele lapho uphakamisa izinsimbi, nokusebenzisa igundane nekhibhodi ekhululekile.

Kuthatha isikhathi esingakanani ukululama ekuguleni kwe-tenosynovitis?

Isibikezelo salesi simo ngokuvamile sihle. Kuye ngokuthi imbangela yalesi simo ikuphi. Iningi labantu liyalulama ngokuphelele bese liqhubeka nemisebenzi yalo evamile. Kungase kudingeke bahlale kude nomsebenzi obangele lesi simo isikhashana. Kodwa-ke, ngokuvamile azikho imiphumela yesikhathi eside ngemva kokululama. Ngisho nangokuhlinzwa, iningi labantu liyalulama phakathi namasonto ambalwa .

Kodwa-ke, uma i-tenosynovitis ibangelwa ukutheleleka, isikhathi sokululama sincike ezintweni eziningana. Abantu asebekhulile, abantu abanesifo sikashukela, isifo semithambo yegazi eseceleni (ukuncipha kwemithambo yegazi ezingalweni nasemilenzeni), kanye/noma isifo sezinso basengozini enkulu yezinkinga futhi kungathatha isikhathi eside ukululama. Ukubambezela ukuxilongwa noma ukwelashwa kwe-tenosynovitis ethelelanayo kungaholela ekulimaleni okungapheli.

Ngizinakekela kanjani?

Into ebaluleke kakhulu ukulandela imiyalelo kadokotela wakho noma kadokotela ohlinzayo ngqo. Njengoba ukwelashwa okuningi kwe-tenosynovitis kuthatha isikhathi ukusebenza, kubalulekile ukuba nesineke futhi unikeze umzimba wakho isikhathi sokululama. Ungazenzi sengathi usezinhlungwini bese uya emsebenzini.

Kufanele ngimbone nini udokotela?

Uma izimpawu zakho ziba zimbi kakhulu, noma uma ungazizwa ungcono ngemva kwamasonto ambalwa, qiniseka ukuthi ubona udokotela. Futhi, uma ubona noma yiziphi zalezi zimpawu ezilandelayo, iya esibhedlela noma egumbini lezimo eziphuthumayo ngokushesha :

• Ubuhlungu obukhulu kakhulu
• Ukuvuvukala okwandisiwe
• Ukumuncwa koketshezi olufana nobovu oluvela enxebeni
• Ukusabalala kokushintsha kombala wesikhumba
• Umkhuhlane noma ukubanda
• Ukopha endaweni yakho yokuhlinzwa

Yimiphi imibuzo okufanele ngiyibuze udokotela?

Uma uya kudokotela, ungabuza imibuzo efana nale:

• Kuyoze kube nini ngiphumuza umsipha?
• Ingabe ukugqoka i-brace kuzosiza?
• Uhlobo luni lomuthi engizowuthatha?
• Ingabe ngidinga noma yiziphi izivivinyo ezengeziwe noma amaskeni?
• Ingabe ukwelashwa ngokomzimba kungisiza?
• Ingabe ngizodinga ukuhlinzwa?

Ekugcineni, khumbula

I-Tenosynovitis yisimo esibuhlungu esingaba yingozi uma singelashwa ngokushesha. Kodwa-ke, abantu abaningi bayalulama ngokuphelele.. Ngokuvamile, okudingayo nje ukwelashwa okulula njengokuphumula nokunikeza umzimba wakho isikhathi sokululama. Ungadlali ngobuhlungu noma ubeke umzimba wakho ingcindezi engaphezu kwalokho ongakwazi ukukuthwala. Uma ubona izimpawu, funa iseluleko sezokwelapha ngokushesha. Ngaleyo ndlela, ungalulama ngokushesha futhi ubuyele emisebenzini yakho evamile.

I- Tenosynovitis, i-Tenosynovitis, Ubuhlungu bamalunga, Ubuhlungu besandla, Ubuhlungu besihlakala, Ubuhlungu beminwe