Unenkinga Yokugoba Noma Yokuqondisa Umunwe Wakho? Ukuqonda 'Umunwe Wokubangela' ngeNirogi Lanka

Wake wavuka ekuseni ucabanga ukuthi, “O, umunwe wami uzwakala uqinile futhi kunzima ukuwugoba!” noma mhlawumbe ubona umsindo ohlukile ‘wokuqhuma’ noma ‘wokuchofoza’ noma nini lapho uzama ukuqondisa noma ukugoba umunwe wakho? Uma lokhu kuhambisana nobuhlungu noma umuzwa wokuthi umunwe wakho ubhajwe endaweni eyodwa, kungenzeka ukuthi uzwa lokho okwaziwa ngokwezokwelapha ngokuthi ‘i-Trigger Finger.’ Ungakhathazeki; ake sichaze ukuthi lesi simo siyini ngamagama alula ngeNirogi Lanka.

Kuyini ngempela 'i-Trigger Finger'?

Kalula nje, i-Trigger Finger (noma i-stenosing tenosynovitis) yisimo lapho omunye noma eminingi yeminwe yakho—noma ngezinye izikhathi isithupha sakho—kuba nzima ukuyishukumisa, ukuyigoba, noma ukuyiqondisa. Ngezinye izikhathi, umunwe ungavalelwa esimweni sokugoba. Lesi simo siqanjwe ngokuthi umuzwa wokuqhekeka ufana nokudonsa isibhamu.

Lokhu kwenzeka ngenxa yezinkinga ngemisipha yeminwe yakho. Ama-tendon ayizicubu eziqinile, ezifana nentambo ezixhumanisa imisipha yakho namathambo akho, ezisebenza njengezimbotshana ukuze zinyakazise iminwe yakho. Uma le misipha ihlangabezana nenkinga, ukunyakaza komunwe wakho kuyaphazamiseka. Nakuba kuvame ukuthinta umunwe wendandatho , kungenzeka kunoma yimuphi umunwe noma isithupha.

Ziyini izimpawu ze-'Trigger Finger'?

Uma une-Trigger Finger, ungase ubhekane nenye noma ngaphezulu kwalokhu okulandelayo:

• Umuzwa 'wokuqhuma' noma 'wokuchofoza' uma uhambisa umunwe wakho, njengokungathi kukhona okuqhumayo ngaphakathi.
• Ubuhlungu, ukuqina, noma umuzwa wokukhiya lapho ugoba noma uqondisa umunwe.
• Ukuthamba noma umuzwa wokuphuka phansi komunwe othintekile, ikakhulukazi uma uzama ukubamba into ngokuqinile.
• Ukuvuvukala okubonakalayo noma iqhubu elincane entendeni yesandla sakho eduze kwesisekelo somunwe othintekile.
• Umunwe ubhajwa esimweni sokugoba , okungadinga ukuthi usebenzise esinye isandla sakho ukuze uwuqondise ngobumnene.

Kwabaningi, lezi zimpawu—ikakhulukazi ukukhiya nokuqina—ziba zimbi kakhulu ekuseni . Njengoba usuku luqhubeka futhi uqala ukusebenzisa izandla zakho, ukuqina kuvame ukudamba.

Kungani kwenzeka 'i-Trigger Finger'? Iyini imbangela?

Imbangela eyinhloko ye-Trigger Finger ukuvuvukala noma ukuvuvukala kwe-tendon noma i-sheath evikelayo eyizungezile.

Njengoba kushiwo, imisipha isebenza njengezintambo ezixhumanisa imisipha namathambo. Imisipha ngayinye idlula embozweni ofana nethubhu ovikelayo obizwa ngokuthi i- tendon sheath , ogcina imisipha isendaweni yayo futhi uyisize ishelele kahle.

Umunwe Wokubangela ukuvuvukala uvela lapho i-tendon ivuvukala futhi ivuvukala , okwenza kube nzima ukuthi ishelele kahle esikhaleni—njengomucu onamafindo ozama ukudlula emgodini omncane. Ngezinye izikhathi, kuvela iqhubu elincane (i-nodule) ku-tendon, okwenza kube nzima nakakhulu ukuthi i-tendon ishelele.

Leli qhubu livame ukubanjwa yi -'A1 pulley,' ingxenye encane yesigqoko. Uma i-tendon inamathela kule pulley, uzwa lowo muzwa 'wokuqhuma' kanye nokukhiya komunwe.

Ubani osengozini yokuthola 'i-Trigger Finger'? (Izici Eziyingozi)

Nakuba noma ubani engaba nalesi simo, kunezici ezithile ezandisa ingozi yakho:

• Ubudala: Kuvame kakhulu kubantu abaneminyaka ephakathi kuka-40 no-60 ubudala .
• Imisebenzi: Imisebenzi nomaIzinto ozithandayo ezihilela ukubamba okuphindaphindiwe, amathuluzi okudlidliza, noma ukucindezelwa kweminwe okunzima. Izibonelo zifaka:
• Ukulima noma ukulungisa igadi.
• Umsebenzi wasefektri noma usebenzisa amathuluzi ezandla.
• Ukudlala izinsimbi zomculo (ikakhulukazi isiginci noma i-violin).
• Imidlalo yerakhethi njenge-tennis noma i-badminton.
• Izimo ezingamahlalakhona: Izinkinga ezithile zempilo zikwenza ube sengozini enkulu, njenge:
• I-Osteoarthritis (isifo sokuguguleka nokuklebhuka kwamalunga ).
• I-Rheumatoid Arthritis (lapho amasosha omzimba ehlasela khona amalunga).
• I-Gout (ukuvuvukala okubangelwa ukuqongelela kwe-uric acid).
• Isifo Sikashukela.
• I-Amyloidosis (ukufakwa kwamaprotheni okungajwayelekile).
• Isifo se-thyroid.

Udokotela uhlonza kanjani i-'Trigger Finger'?

Uma ubhekene nalezi zimpawu, kungcono ukuvakashela udokotela ukuze uthole ukuhlolwa okufanele. Ukuxilongwa kuvame ukwenziwa ngokuhlolwa ngokomzimba .

• Udokotela wakho uzohlola isandla sakho neminwe yakho.
• Bazokubuza ngezimpawu zakho—njengokuthi zaqala nini, yini ezenza zibe zimbi kakhulu, nokuthi zithinta kanjani imisebenzi yakho yansuku zonke.
• Udokotela uzobheka umunwe wakho njengoba ugoba bese ewuqondisa ukuze ahlole ukuthi awuchofozi, awuqhume, noma awukhiyi. Kufanele ukhombe ngqo ukuthi uzwa ubuhlungu kuphi.

Ezimweni eziningi, akudingeki ukuhlolwa okukhethekile ukuze kutholakale i-Trigger Finger. Kodwa-ke, udokotela wakho angase ancome ngezinye izikhathi ukuthi kwenziwe i-ultrasound noma i-X-ray ukuze anqume ezinye izimbangela ezingaba khona.

Yiziphi izindlela zokwelapha i-'Trigger Finger'?

Ukwelashwa kwe-Trigger Finger kuncike ebunzimeni bezimpawu zakho nokuthi yimuphi umunwe othintekile. Qiniseka ukuthi izimo eziningi zingaphathwa ngempumelelo ngokwelashwa okulondolozayo, okungewona ukuhlinzwa.

Nazi izindlela zokwelapha eziyinhloko:

• Ukuphumula: Lena yindlela yakho yokuqala yokuzivikela. Udinga ukuthatha ikhefu emisebenzini, ezintweni ozithandayo, noma emisebenzini ephindaphindwayo ecindezela iminwe yakho ukuze imisipha yakho ithole isikhathi sokuphola.
• Ukugoba: Udokotela wakho angase akuncome ukuthi umunwe othintekile ubekwe endaweni eqinile, ngokuvamile eqondile. Lokhu kunikeza imisipha yakho ukuphumula okudingekayo ukuze kuncishiswe ukucasuka futhi kuvumele ukuphulukiswa.
• Ukuzivocavoca kokwelula: Udokotela wakho noma uchwepheshe wezokwelapha uzokuqondisa ngezivivinyo ezilula zokwelula ezenzelwe ukuthuthukisa ukuguquguquka kwemisipha yakho.
• Imithi yokulwa nokuvuvukala:
• Ungasebenzisa ama-NSAID (izidakamizwa ezingezona eze-steroidal ezilwa nokuvuvukala) njenge-ibuprofen noma i-naproxen, ezitholakala ngaphandle kwemithi kadokotela, ukusiza ukuphatha ubuhlungu nokunciphisa ukuvuvukala.
• Udokotela wakho angase futhi akunike ama-corticosteroids , okuyimithi enamandla yokulwa nokuvuvukala.
• Kwezinye izimo, umjovo we-cortisone ungafakwa ngqo esikhumbeni semisipha ethintekile ukuze kutholakale impumuzo esheshayo ekuvuvukeni nasebuhlungwini.

Khumbula njalo, kubalulekile ukubonisana nodokotela ngaphambi kokuqala noma yimuphi umuthi omusha.

Ingabe ukuhlinzwa kuyadingeka nge-'Trigger Finger'?

Iningi lamacala omunwe obangela ukuvuvukala lisabela kahle ekwelashweni okulula okukhulunywe ngakho ngenhla. Kodwa-ke, uma lokhu kwelashwa kunganikezi impumuzo, udokotela wakho angase akuncome ukuhlinzwa .

Le nqubo ibizwa ngokuthi 'ukukhululwa komunwe we-Trigger', futhi kuwumsebenzi olula nowokuncane.

• Ngaphambi kokuhlinzwa, isandla sakho sizoba ne-numb ngokusebenzisa i-anesthesia yendawo .
• Udokotela ohlinzayo uzobe esesika kancane kakhulu esikhaleni se-tendon esithintekile. Lokhu kudala isikhala esiningi sokuba i-tendon ishelele ngokukhululeka futhi.
• Lena inqubo yokulaliswa esibhedlela , okusho ukuthi ungabuyela ekhaya ngalolo suku.

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokwelashwa?

Uma uqala ukwelashwa okungekona ukuhlinzwa (ukuphumula, ukuhlikihla izihluthulelo, ukuzivocavoca, imithi), kufanele uqale ukuqaphela ukuthuthuka kancane kancane kwezimpawu zakho. Isikhathi esidingekayo sokululama ngokugcwele siyahlukahluka kuye ngesimo sakho esithile.

Uma uhlinzwa, uzoqala ukuqaphela intuthuko phakathi namasonto ambalwa . Kodwa-ke, kungathatha izinyanga ezimbalwa ukubuyela ngokuphelele kuyo yonke imisebenzi yakho evamile. Udokotela wakho uzoxoxa nawe ngesikhathi esilindelekile.

Ingabe i-'Trigger Finger' izoziphelela yodwa?

Lona umbuzo ovamile. Cha, umunwe obangela ukuvuvukala ngokuvamile awuzixazululi ngokwawo. Uma ubhekene nezimpawu, kubalulekile ukubona udokotela ukuze akuhlole. Nakuba ungase udinge ukuphumula kuphela, uchwepheshe kumele anqume lokhu. Ukungasinaki lesi simo kungabangela ukuba sibe sibi kakhulu ngokuhamba kwesikhathi.

Ngingakwazi yini ukuvimbela 'i-Trigger Finger'?

Nakuba ungeke ukwazi ukukuvimbela ngokuphelele ngaso sonke isikhathi, unganciphisa ingozi yakho ngokulandela lawa macebiso:

• Gwema imisebenzi ephindaphindayo ekhathaza izandla neminwe yakho.
• Uma udlala ezemidlalo noma usebenzisa amathuluzi athile emsebenzini, qiniseka ukuthi usebenzisa amasu afanele kanye nobuchwepheshe bomzimba.
• Uma uqala ukuzivocavoca okusha noma umsebenzi wezandla, qala kancane. Gwema ukucindezeleka okungazelelwe nokunzima.
• Uma uhlanganyela emisebenzini emide edinga amandla amaningi, thatha ikhefu njalo ukuze uphumule izandla zakho.

Kufanele ngimbone nini udokotela?

Uma ukholelwa ukuthi ubhekene nezimpawu zomunwe obangela ukuvuvukala, ikakhulukazi uma unenkinga yokugoba noma yokuqondisa umunwe, sicela uhlele i-aphoyintimenti. Uma ngokuzumayo uthola ukuthi awukwazi nhlobo ukuhambisa umunwe wakho, funa usizo olusheshayo emnyangweni wezimo eziphuthumayo.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma uvakashela udokotela wakho, cabanga ngokubuza imibuzo elandelayo:

• Ingabe nginayo ngempela 'i-Trigger Finger', noma ingabe kukhona esinye isizathu esiyinhloko sezimpawu zami?
• Ucabanga ukuthi yini eyabangela lesi simo?
• Yiziphi izindlela zokwelapha ezingcono kakhulu kimi?
• Ingabe ukuhlinzwa kungenzeka kudingeke?
• Inqubo yokwelashwa izothatha isikhathi esingakanani?
• Yini okufanele ngiyiqaphele lapho ngiqhubeka nemisebenzi yami yansuku zonke?

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

Cha. Nakuba kokubili i-'Trigger Finger' kanye ne-arthritis kungabangela ubuhlungu nokuqina ezandleni nasezinzwaneni, i-'Trigger Finger' akuyona uhlobo lwe-arthritis.

'Umunwe Wokubangela' ubangelwa ukuvuvukala noma ukuvuvukala komsipha noma isivikelo sawo .

I-arthritis yisimo esithinta izicubu ezingaphakathi kwamalunga . Ngokuhamba kwesikhathi, i-arthritis ibangela ukuwohloka kwezicubu zamalunga, okungaholela ekungqubuzaneni kwamathambo nethambo.

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

I-'Trigger Finger' kanye ne-'Trigger Thumb' zibhekisela esimweni esifanayo ncamashi . Odokotela basebenzisa amagama ahlukene kuye ngokuthi isithupha noma omunye umunwe uthintekile yini. Ngezinye izikhathi lokhu kubizwa ngokwezokwelapha ngokuthi 'stenosing tenosynovitis' . Kungakhathaliseki ukuthi igama lithini, kuyisimo esifanayo futhi siphathwa ngendlela efanayo.

Izinto zokugcina okufanele uzithathe

Umunwe obangela ukuvuvukala komsipha noma isivikelo sawo, okuholela ekuvalekeni, ebuhlungwini, noma ekubunzimeni kokuhambisa umunwe. Into ebaluleke kakhulu okufanele uyikhumbule ukuthiLesi yisimo esingelapheka. Ngisho noma kudingeka ukuhlinzwa, cishe uzokwazi ukubuyela emisebenzini yakho evamile yansuku zonke kanye nezinto ozithandayo ngemva kwalokho.

Ngakho-ke, uma ubona izimpawu ezifana nobuhlungu beminwe, ukuqina, ukukhiya, noma umuzwa 'wokuchofoza', ungazinaki. Bonana nodokotela ngokushesha ukuze uhlolwe. Bazobona imbangela futhi banikeze ukwelashwa okukufanele kakhulu, okulethwe kuwe yiNirogi Lanka.

Amagama angukhiye: umunwe obangela ukugoba, ukukhiya iminwe, imisipha, ubuhlungu beminwe, ubuhlungu besundu, i-stenosing tenosynovitis, ukukhiya iminwe