Ingabe kunzima ukugoba umunwe wakho? Ingabe uyabhajwa? Ake sifunde ngalo 'Munwe Wokubangela'!

Wake wavuka ekuseni wacabanga, “Hawu, lo munwe kunzima ukuwugoba, uzwakala sengathi unamathele!” Noma uzwa umsindo wokuchofoza lapho ugoba noma uqondisa umunwe wakho? Uma lokho kwenzeka futhi uzizwa sengathi umunwe wakho unamathele endaweni eyodwa, uhambisana nobuhlungu, ungase ube nesifo esibizwa ngokuthi ‘umunwe obangela’. Ungakhathazeki, ake sixoxe ngakho kalula.

Kuyini 'uMnwe Wokubangela'?

Kalula nje, 'Umunwe Wokubangela' yisimo lapho umunwe owodwa noma eminingi esandleni sakho, ngezinye izikhathi isithupha, iba lukhuni futhi kube nzima ukuyigoba noma ukuyiqondisa. Ukuze kube sobala, umunwe ungase ubambeke endaweni egobile. Abanye bathi ubizwa ngokuthi 'umunwe wokubangela' ngoba uzizwa sengathi uzama ukudonsa isibhamu.

Lesi simo senzeka lapho izicubu zeminwe yakho ezibizwa ngokuthi ama-tendon zithinteka. Ama-tendon afana nezibopho eziqinile ezixhumanisa imisipha yethu namathambo ethu. Uma kunenkinga ngalezi zintambo, iminwe ayikwazi ukusebenza kahle. Lesi simo sivame ukubonakala emunweni wendandatho . Kodwa-ke, singavela kunoma yimuphi umunwe, kufaka phakathi isithupha.

Yiziphi izimpawu zomuntu one-'Trigger Finger'?

Uma une-trigger finger, ungase ubhekane nenye noma ngaphezulu yalezi zimpawu:

• Umsindo 'wokuchofoza' uzwakala uma ugoba noma uqondisa umunwe. Kufana nokuthile okugxumayo ngaphakathi.
• Umuzwa wokuqina nokuqina okuhambisana nobuhlungu lapho ugoba umunwe eceleni.
• Ubuhlungu obubukhali noma umuzwa wokushaya esandleni, lapho umunwe othintekile uqala khona. Lobuhlungu bungaba bubi nakakhulu uma ubamba into ethile ngokuqinile.
• Ngezinye izikhathi kungase kube nokuvuvukala noma iqhubu elincane elizwakala sengathi linamathele esandleni .
• Umunwe obhajwa endaweni eyodwa uma ugobile futhi ungaphinde uqondiswe . Ngezinye izikhathi umunwe obhajwe kufanele uqondiswe kancane kancane ngesinye isandla.

Abantu abaningi babhekana nalezi zimpawu, ikakhulukazi ukungazweli kanye nokuqina kweminwe yabo, ikakhulukazi ekuseni . Njengoba usuku luqhubeka, futhi ngokusebenzisa iminwe yabo, lokhu kuqina kuvame ukuncipha.

Kungani lo 'munwe obangela ukuqhuma' uvela? Iyini imbangela?

Imbangela eyinhloko yomunwe obangela ukuvuvukala noma ukuvuvukala kwemisipha yeminwe noma izicubu ezizungezile.

Sesishilo ngaphambilini ukuthi imisipha ifana nezibopho ezixhumanisa imisipha namathambo. Lo msipha uzungezwe yisivikelo (njengethubhu elincane ) esibizwa ngokuthi isivikelo semisipha.Isuka ngaphakathi. Lesi sigqoko semisipha sivikela imisipha futhi siyigcina isendaweni yayo.

Manje, nansi indlela umunwe oqala ngayo: Lapho i-tendon ivuvukala futhi ivuvukala ngesizathu esithile, ayikwazi ukuhamba kahle ngaphakathi kwe-tendon sheath. Kufana nentambo ebhajwa lapho ibhajwa emgodini omncane. Ngezinye izikhathi, kungakheka iqhubu elincane (i-nodule) kulo mthambo ovuvukile. Bese kuba nzima nakakhulu ukuhamba ngaphakathi kwe-tendon sheath.

Ifindo elakheka kule 'tendon' lizama ukubhajwa engxenyeni 'ye-tendon sheath' ebizwa ngokuthi 'i-A1 pulley' . Le 'A1 pulley' iyindawo encane endaweni efana nomhubhe lapho i-'tendon' ihamba khona. Uma ibhajwa lapho, umunwe uzizwa ubhajwe yilowo msindo 'wokuchofoza'.

Ubani onamathuba amaningi okuthola 'i-Trigger Finger'? (Izici Eziyingozi)

Nakuba lesi simo singakhula kunoma ubani, abanye abantu banamathuba amaningi okuba naso.

• Kuvame kakhulu kubantu abaneminyaka ephakathi kuka-40 no-60 .
• Lokhu kungenzeka kubantu abenza ukunyakaza okufanayo njalo, ababamba izinto ngokuqinile ngezandla zabo, noma abanemisebenzi noma izinto abazithandayo ezibacindezela kakhulu iminwe yabo . Isibonelo:
• Abantu abalima futhi abasebenza emasimini.
• Abantu abasebenza emafektri futhi besebenzisa amathuluzi ezandla.
• Abantu abadlala izinsimbi zomculo (ikakhulukazi amagitare nama-violin).
• Abantu abadlala imidlalo esebenzisa ama-racket, njenge-tennis kanye ne-badminton.
• Abantu abanezimo ezithile ezingamahlalakhona banamathuba amaningi okuthuthukisa umunwe obangela ukuvuvukala:
• I-Osteoarthritis - isifo samalunga
• I-Rheumatoid Arthritis – Isifo lapho amasosha omzimba ehlasela khona amalunga
• I-Gout - ukuvuvukala kwamalunga okubangelwa ukwanda kwe-uric acid
• Isifo Sikashukela
• I-Amyloidosis - ukwakheka kwamaprotheni okungajwayelekile ezicutshini
• Isifo se-thyroid

Udokotela uhlonza kanjani umunwe we-trigger?

Uma unalezi zimpawu, kungcono ukubona udokotela ukuze akuhlole. Udokotela uvame ukwenza ukuhlolwa ngokomzimba .

• Isandla sakho neminwe yakho kuzohlolwa.
• Uzobuzwa ngezimpawu zakho (ube nazo isikhathi esingakanani, uma zimbi kakhulu, wenzani, njll.).
• Udokotela uzogoba kancane kancane futhi aqondise iminwe yakho ukuze ezwe umsindo wokuchofoza nokuthi iqine kangakanani. Uma wenza lokhu, kuzodingeka umtshele ukuthi uzwa ubuhlungu kuphi.

Esikhathini esiningi, akudingeki ukuhlolwa okukhethekile ukuze kutholakale umunwe obangela ukuvuvukala. Kodwa-ke, ngezinye izikhathi, i-ultrasound noma i-X-ray ingenziwa ukuze kuhlolwe ezinye izinkinga.

Yiziphi izindlela zokwelapha i-'Trigger Finger'?

Ukwelashwa komunwe obangela ukuvuvukala kuncike ekutheni izimpawu zakho zimbi kangakanani nokuthi yimuphi umunwe othintekile. Ungakhathazeki, ngokuvamile ungelashwa ngokwelashwa okulula.

Izindlela zokwelapha ezilandelayo zisetshenziswa kakhulu:

• Ukuphumula: Lena yinto yokuqala. Udinga ukuhlala kude nemisebenzi, izinto ozithandayo, nezinto ezicindezela iminwe yakho ezibangele isimo somunwe obangela ukuvuvukala okwesikhashana. Lokhu kuzonikeza imisipha isikhathi sokuphola.
• Ukugoba: Udokotela wakho angase akuncome ukuthi umunwe othintekile ubekwe endaweni eyodwa, ngokuvamile uqonde. Lokhu kunikeza imisipha ukuphumula futhi kuyisize ukuthi inwebe futhi.
• Ukuzivocavoca kokwelula: Udokotela wakho noma uchwepheshe wezokwelapha uzokufundisa ezinye izivivinyo ezilula zokwelula ezizosiza ukwandisa ukuguquguquka kwemisipha yakho.
• Imithi yokulwa nokuvuvukala:
• Ukuze unciphise ubuhlungu nokuvuvukala, ungathatha imithi yokwelapha ubuhlungu ethengiswa ngaphandle kwemithi kadokotela ebizwa ngokuthi ama-NSAID (imithi elwa nokuvuvukala engeyona eye-steroidal), njenge-ibuprofen noma i-naproxen.
• Udokotela angase futhi anikeze uhlobo lomuthi obizwa ngokuthi ama-corticosteroids, onciphisa ukuvuvukala .
• Kwezinye izimo, umjovo we-cortisone unganikezwa esikhumbeni semisipha esithintekile. Lokhu kunganciphisa ngokushesha ukuvuvukala nobuhlungu.

Khumbula, kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngaphambi kokuthatha noma yimiphi yale mithi.

Ingabe ukuhlinzwa kuyadingeka ukuze kwelashwe umunwe obangela ukuvuvukala?

Esikhathini esiningi, umunwe obangela ukuvuvukala ungelashwa ngezindlela zokwelapha ezilula okukhulunywe ngazo ngenhla. Kodwa-ke, uma lezo zindlela zokwelapha zingasizi, udokotela wakho angase akuncomele ukuhlinzwa .

Lokhu kubizwa ngokuthi ukuhlinzwa "kokukhulula umunwe" . Lokhu akusikho ukuhlinzwa okukhulu.

• Ngaphambi kokuhlinzwa, ingxenye ethintekile yengalo isuke ingasebenzi kahle (i-local anesthetic ) .
• Udokotela ohlinzayo ube esesusa i-tendon sheath enamathele.Kwenziwa ukusikwa okuncane kakhulu . Lokhu kuvumela imisipha ukuthi inyakaze ngokukhululeka.
• Lena inqubo yokulaliswa esibhedlela , okusho ukuthi ungaya ekhaya ngalolo suku.

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokwelashwa?

Uma usuqalile ukwelashwa okungadingi ukuhlinzwa (ukuphumula, ukuhlikihla imisipha, ukuzivocavoca, imithi), izimpawu zakho zizoqala ukuthuthuka kancane kancane. Ukuthi kuzothatha isikhathi esingakanani ukululama ngokugcwele kuzohluka kuye ngesimo sakho.

Ngemva kokuhlinzwa, uzoqala ukuzizwa ungcono phakathi namasonto ambalwa . Kodwa-ke, kungathatha izinyanga eziningana ngaphambi kokuba uqalise imisebenzi yakho evamile. Udokotela wakho uzokuchazela lokhu.

Ingabe i-trigger finger izophola ngokwayo?

Lona umbuzo abantu abaningi abawubuzayo. Cha, umunwe we-trigger ngokuvamile awupheli wodwa. Uma unezimpawu, qiniseka ukuthi ubonana nodokotela bese uhlolwa. Ungase udinge nje ukuphumula, kodwa lokho kuyinto udokotela okufanele ayinqume. Ngaphandle kwalokho, ukungawunaki kungenza isimo sibe sibi kakhulu.

Ingabe umunwe obangela ukushaqeka ungavinjelwa?

Nakuba kungenakuvinjelwa ngokuphelele, ungenza okulandelayo ukuze unciphise ingozi yakho:

• Gwema umsebenzi odinga ukucindezelwa okuqhubekayo ezandleni zakho naseminweni yakho ngangokunokwenzeka.
• Uma udlala ezemidlalo noma usebenzisa noma yimiphi imishini emsebenzini, qaphela ukuma okufanele kanye namasu ahambisana nakho.
• Uma uqala ukuzivocavoca okusha noma umsebenzi onzima, qala kancane. Ungazicindezeli kakhulu ngesikhathi esisodwa.
• Uma wenza umsebenzi wezandla njalo, thatha ikhefu elifushane ngezikhathi ezithile.

Kufanele ngimbone nini udokotela?

Uma ucabanga ukuthi unezimpawu 'zomunwe obangela ukuvuvukala', ikakhulukazi uma ungakwazi ukugoba noma ukuqondisa umunwe kahle, bona udokotela. Uma ngokuzumayo ungakwazi ngisho nokuhambisa umunwe, iya egumbini lezimo eziphuthumayo esibhedlela ngokushesha.

Yimiphi imibuzo okufanele uyibuze udokotela?

Uma uya kudokotela, ungabuza imibuzo efana nale:

• Ingabe ngempela nginayo 'i-trigger finger'? Noma ingabe lokhu kungenye inkinga?
• Ucabanga ukuthi kungani lokhu kwenzeka kimi?
• Uhlobo luni lokwelashwa olungcono kakhulu kimi?
• Ingabe ngizodinga ukuhlinzwa?
• Kuvame ukuthatha isikhathi esingakanani ukwelashwa?
• Yiziphi izinto okufanele ngiziqaphele njengoba ngenza imisebenzi yami yansuku zonke?

Ingabe i-'Trigger Finger' uhlobo lwe-arthritis?

Cha. Nakuba kokubili umunwe obangela ubuhlungu kanye nesifo samathambo kungabangela ubuhlungu nokuqina esandleni kanye neminwe, umunwe obangela ubuhlungu akuyona uhlobo lwesifo samathambo.

Umunwe obangela ukuvuvukala ubangelwa ukuvuvukala noma ukuvuvukala kwe-tendon noma i-tendon sheath .

I-arthritis yisifo esithinta izicubu ezisemalungeni . Ngokuhamba kwesikhathi, i-arthritis ibangela ukuthi izicubu ezisemalungeni ziguge futhi amathambo aqale ukukhuhlana.

Uyini umehluko phakathi kwe-'Trigger Finger' kanye ne-'Trigger Thumb'?

'Umunwe we-Trigger' kanye 'nomunwe we-Trigger' kuyisimo esifanayo . Odokotela basebenzisa la magama amabili kuye ngokuthi eminye iminwe noma isithupha kuyathinteka yini. Ngezinye izikhathi kubizwa nangokuthi 'i-stenosing tenosynovitis'. Noma ngabe yikuphi, kuyisimo esifanayo futhi siphathwa ngendlela efanayo.

Okokugcina, izinto ezimbalwa okufanele uzikhumbule

I-trigger finger yisimo esibangela ukuthi umunwe uqine futhi uqine ngenxa yokuvuvukala kwe-tendon noma i-tendon sheath. Ingxenye engcono kakhulu ukuthi yisimo esingelapheka . Nakuba kungase kudingeke ukuhlinzwa, uzokwazi ukuqhubeka nemisebenzi yakho evamile nezinto ozithandayo.

Ngakho-ke, uma unezinye zalezi zimpawu – ubuhlungu, ukuqina, ukuba ndikindiki, umsindo 'wokuchofoza' eminweni yakho – ungakushayi indiva . Bonana nodokotela ngokushesha bese ucela iseluleko. Uzothola imbangela futhi akunikeze ukwelashwa okufanele kakhulu.

umunwe obangela ukuvuvukala, ukukhiya iminwe, imisipha, ubuhlungu beminwe, ubuhlungu besandla, i-stenosing tenosynovitis, ukukhiya iminwe