Ingabe isihlakala sakho sibuhlungu naso? Kungaba yi-Wrist Tendinitis!

Ingabe uvame ukuzwa ubuhlungu esihlakaleni sakho? Ngezinye izikhathi, ngisho nokwenza imisebenzi elula njengokuvula ibhodlela lamanzi noma ukuvula umnyango kunzima? Noma uma uphakamisa into esindayo, ugoba noma uqondisa ingalo yakho, ingabe isihlakala sakho sizwa sengathi "siyabhajwa" noma senza umsindo "wokuchofoza"? Uma kunjalo, ungase ube nesifo esibizwa ngokuthi i-wrist tendinitis . Ungakhathazeki, ake sixoxe ngalokhu ngokuningiliziwe namuhla, kulungile?

Kuyini i-Wrist Tendinitis?

Kalula nje, i-Wrist Tendinitis yilapho imisipha esihlakaleni sakho ivuvukala khona. Imisipha yizicubu eziqinile ezingaphakathi kwesandla sakho ezixhuma imisipha namathambo. Yilezi ezikusiza ukuthi uhambise isandla sakho neminwe. Kunemisipha engaba yisithupha esihlakaleni sakho.

Ngakho-ke, uma le misipha icindezelwa njalo, noma uma ilimala njengokuklwebheka, ingacasuka futhi ivuvuke. Yilokhu esikubiza ngokuthi i-tendonitis.

Manje bheka, kunezinhlobo eziyinhloko zalokhu futhi.

• I-tendinitis kaDe Quervain : Lolu uhlobo oluvame kakhulu lwe-tendinitis. Luthinta i-tendon ohlangothini lozwane lwakho olukhulu.
• I-Ulnar tendinitis : Lokhu kwenzeka lapho i-tendon ohlangothini lwesandla sakho lapho umunwe wakho omncane ukhona ivuvukala khona.

Ubani okungenzeka kakhulu ukuthi athole lesi simo?

Eqinisweni, noma ubani obeka ukucindezeleka okuqhubekayo ezihlakaleni zakhe usengozini yalesi simo. Cabanga ngakho, umama omusha noma umuntu onakekela izingane ezincane angasithola. Lesi simo singase senzeke uma ebambe ingane noma ebambe izandla zakhe endaweni efanayo usuku lonke. Yingakho abanye abantu besibiza ngokuthi "isihlakala sikamama," ikakhulukazi isimo esithi "De Quervain's tendinitis."

Futhi, kunezinye izici eziningana eziyingozi:

• Ukuba ngowesifazane: Abesifazane banamathuba amaningi okuthola lesi simo kunabesilisa.
• Ukuba neminyaka engaphezu kwengu-40 ubudala.
• Uma wake walimala imisipha yakho ngaphambilini, noma uma unesifo esifana ne-lateral epicondylitis, okuwubuhlungu ngaphandle kwendololwane yakho.
• Ukusebenza emsebenzini odinga ukuthi uqhubeke wenza uhlobo olufanayo lokunyakaza. Isibonelo, ukusika i-icing yekhekhe, ukwenza isitayela sezinwele, ukusebenza kwemishini enzima, kanye nokuthayipha kukhibhodi yekhompyutha.
• Ukuba nezimo ezithile zempilo: Abantu abanezifo ezifana nesifo sikashukela, i-osteoarthritis, i-rheumatoid arthritis, noma i-gout.
• Ezinye izifo ezithathelwanayo.
• Ukuzibandakanya emidlalweni ebeka ingcindezi enkulu ezihlakaleni, njenge-gymnastics kanye ne-basketball.
• Ukubamba izandla zakho nezingalo zakho endaweni engafanele lapho usebenza, uthayipha, noma uthumela imiyalezo.
• Ukubhema.
• Ukuqala umsebenzi omusha ngesikhathi esisodwa ngaphandle kokulungisa kahle isihlakala sakho ngaphambi kokuwenza.
• Ukuqhubeka nokusebenza naphezu kobuhlungu.

Ivame kangakanani i-tendonitis yesihlakala?

Uma ngikhuluma iqiniso, i-tendonitis yesihlakala efana ne-"De Quervain's tendinitis" ayivamile kangako. Ithinta cishe u-0.5% wamadoda kanye no-1.3% wabesifazane. Kodwa, kungakhathaliseki ukuthi ubani oyitholayo, kuyinto ebuhlungu, akunjalo?

Kungani lokhu kwenzeka? Yiziphi izizathu?

Ngokuvamile, imbangela eyinhloko yalokhu ukucindezeleka okuphindaphindiwe emisipha esihlakaleni. Imisipha yethu inesimbozo esincane (i-tendon sheath) esizungezile esisisiza ukuba sinyakaze kalula. Lokhu kufana nongqimba lwe-lubricant. Manje, uma sisebenza ngezandla zethu njalo, lesi simbozo singacasuka , sivuvuke futhi sikhule. Khona-ke imisipha iba nobunzima bokuhamba kahle ngaphakathi kwalesi simbozo. Ngakho-ke, imisipha iyacindezeleka, futhi ubuhlungu buqala ukwenzeka lapho sinyakazisa izingalo neminwe yethu.

Ziyini izimpawu? Uzibona kanjani?

Uma une-`(Wrist Tendinitis)`, ungase ube nezimpawu ezifana nalezi:

• Ubunzima bokwenza ukunyakaza okuthile. Isibonelo, ukuvula izivalo zamabhodlela, ukuvula iminyango, ukuphakamisa isilwane noma usana oluncane.
• Ukuqina, umuzwa "wokunamathela", noma umsindo "wokuchofoza" lapho uhambisa isihlakala noma iminwe.
• Ukuvuvukala esihlakaleni noma lapho iminwe iqala khona.
• Ubuhlungu esihlakaleni, ikakhulukazi esithupheni noma ohlangothini lomunwe omncane.

Udokotela ukuxilonga kanjani lokhu ngokunembile?

Uma uya kudokotela, bazoqala bakubuze ngezimpawu zakho bese benza ukuhlolwa ngokomzimba. Bazobe sebezwa izindawo ezithile zesandla sakho, isihlakala, neminwe ukuze babone ukuthi zivuvukele noma zibuhlungu yini. Bazophinde bakucele ukuthi wenze ukunyakaza okuthile, njengokugoqa izibhakela zakho nokuzungeza izihlakala zakho, ukuze bathole ukuthi ubuhlungu buvelaphi ngempela.

Ngezinye izikhathi, izimpawu ze-`(Wrist Tendinitis)` zingafana nezezinye izimo ezithinta isihlakala neminwe. Isibonelo:

• I-Arthritis: Lokhu kubangela ukuvuvukala nobuhlungu emalungeni.
• `(I-Carpal tunnel syndrome)`: Kulokhu, isandla siba ndikindiki futhi sizizwe sengathi siyakhasa ngenxa yokucindezelwa komthambo esihlakaleni.
• `(Umunwe oqalayo)`: Kulokhu, i-tendon iyavuvukala bese inamathela lapho umunwe ugobile.
• Ukuphuka kwesihlakala .

Ngakho-ke, udokotela angase futhi acele ukuthi kuhlolwe izithombe, njenge -X-ray, i-MRI, noma i-ultrasound, ukuqinisekisa ukuthi azikho ezinye izimo ezifana nalezi.

Yiziphi izindlela zokwelapha lokhu?

Izindaba ezinhle ukuthi abantu abaningi banganciphisa lobu buhlungu ngokwelashwa okulula, okungadingi ukuhlinzwa. Udokotela wakho angase ancome izinto ezifana nalezi:

Ukwelashwa ngemithi

Imithi engeyona eye-steroidal elwa nokuvuvukala (ama-NSAID) inganikezwa ukunciphisa ubuhlungu nokuvuvukala. Kwezinye izimo, udokotela wakho angakunika nemijovo ye-steroid esihlakaleni sakho noma eduze kwamalunga omunwe wakho.

Ukwelashwa ngokomzimba kanye nokwelashwa emsebenzini

Abelaphi bomzimba kanye nabelaphi bomsebenzi bangakusiza ukuthi uthole amandla, ukunyakaza, kanye nobubanzi bokunyakaza esihlakaleni sakho naseminweni. Bangakufundisa nokuthi ungenza kanjani imisebenzi yansuku zonke, njengokuthayipha nokuphakamisa, ngendlela enciphisa ubuhlungu esihlakaleni.

Indlela yokuphumula kanye ne-RICE

Ukuphumula kuyindlela ebaluleke kakhulu yokwelapha i-tendinitis yesihlakala. Ungalokothi ukhulise ubuhlungu besihlakala sakho ngokububamba. Nciphisa imisebenzi efana nokuthayipha, ukuphakamisa, nokujika isihlakala sakho ngangokunokwenzeka ukuze unike imisipha yakho isikhathi sokululama.

Indlela ethi `(Indlela ye-RICE)` iyindlela yokwelapha yasekhaya engasiza ekunciphiseni ukuvuvukala nobuhlungu esihlakaleni.

• R (Phumula) - Phumula: Phumula isandla sakho.
• I (Iqhwa) - Faka iqhwa: Faka iqhwa cishe imizuzu engama-20 izikhathi eziningana ngosuku. Kodwa ungafaki iqhwa ngqo esikhumbeni, beka into efana nethawula phezulu.
• C (Ukucindezela): Faka inani elincane lokucindezela ngebhandeji elinwebekayo ukuze unciphise ukuvuvukala.
• E (Ukuphakama) - Ukuphakama: Gcina ingalo yakho ingaphezu kwezinga lenhliziyo yakho noma nini lapho kungenzeka.

Ukusebenzisa i-splint

I-splint iyithuluzi elisiza ukugcina isihlakala sakho, futhi ngezinye izikhathi iminwe yakho, ingashukumi. Lokhu kunikeza imisipha ukuphumula. Udokotela wakho angase akuncome i-splint eyenziwe ngokwezifiso efanelana nawe, noma ungase ukwazi ukusebenzisa eyodwa ongayithenga ekhemisi.

Ingabe ukuhlinzwa kuzodingeka?

Uma izimpawu zakho zingathuthuki ngemva kwezinyanga eziningana zalokhu kwelashwa okuvamile, ungase udinge ukuhlinzwa kwe-tendinitis yesihlakala sakho. Kunezindlela eziningana zokwenza ukuhlinzwa kwe-tendon yesihlakala, kodwa lezi yizona ezivame kakhulu:

• Ukususa izicubu ezonakele esimbozweni (isivikelo semisipha) esizungeze imisipha.
• Ukusika okuncane okumbalwa embozweni ukuze kunikezwe imisipha isikhala esengeziwe sokunyakaza.

Ukuhlinzwa komsipha wesihlakala ngokuvamile kuyinqubo yokulaliswa esibhedlela lapho ungaya ekhaya ngalolo suku ngaphandle kokuhlala esibhedlela.Ungenza i-anesthesia yendawo (i-anesthesia yendawo) noma i-anesthesia ejwayelekile (i-anesthesia ejwayelekile). Ngemva kokuhlinzwa, kuzofakwa ibhandishi esihlakaleni sakho, futhi izithungo zivame ukususwa ngemva kwamasonto amabili.

Ziyini izingozi zokuhlinzwa?

Ukuhlinzwa kwe-Wrist Tendinitis ngokuvamile kuyindlela ephephile nengadingi izinkinga eziningi. Kodwa-ke, njengakuzo zonke izinhlobo zokuhlinzwa, kunezingozi ezincane:

• Ukutheleleka (`(Ukutheleleka)`).
• Umonakalo wemizwa (`(Umonakalo wemizwa)`).
• Ubuhlungu noma umuzwa "wokubhoboza nezinaliti" esihlakaleni noma eminweni.
• Inxeba alipholi kahle noma alipholi ngokuphelele.
• Ukwakheka kwezicubu zesilonda.
• Ukufuduka kwemisipha (`(i-Tendon subluxation)`).

Ungazivikela kanjani kulesi simo? (Ukuvimbela)

Landela lawa macebiso ukuze uzivikele ebuhlungwini bemisipha yesandla:

• Ungazikhandla ngokweqile imisipha esihlakaleni sakho noma esandleni sakho.
• Uma ubhema, yeka.
• Yelula izihlakala zakho kahle ngaphambi kwanoma yimuphi umsebenzi womzimba.
• Uma ungumuntu ohlala ethi `(uhlobo)`, noma uma wenza umsebenzi ocindezela izihlakala zakho, thatha ikhefu njalo.
• Uma udokotela wakho ekuncoma, sebenzisa i-splint noma i-brace yokuvikela esihlakaleni.

Unjani ngemva kokululama? (Outlook)

Iningi labantu lisabela kahle ekwelashweni, futhi akukho ukulimala kwengalo noma ubuhlungu besikhathi eside.

Uma isihlakala sakho sesipholile, ukwelashwa ngokomzimba noma ukwelashwa ngokomsebenzi kungasiza ekuthuthukiseni amandla esihlakala sakho kanye nobubanzi bokunyakaza. Odokotela bezokwelapha bangakufundisa nokuthi ungaqhubeka kanjani nemisebenzi oyithandayo ngendlela ebeka ukucindezeleka okuncane esihlakaleni sakho.

Kodwa khumbula, uma umsipha ulimele, kungenzeka ukuthi uphinde ulimele. Ngakho-ke uma udlala imidlalo, ikakhulukazi uma wenza ukunyakaza okufanayo, nakekela kakhulu izihlakala zakho. Into ebaluleke kakhulu ukuthi, ungenzi lutho uma ubuhlungu bukhona. Ubuhlungu buyindlela yomzimba wakho yokukhuluma nawe, lalela.

Kufanele ubonane nini nodokotela?

Esimweni esinjalo, kufanele nakanjani ubone udokotela:

• Uma ungakwazi ukuhambisa isihlakala sakho noma iminwe.
• Uma ungakwazi ukugoba ingalo yakho noma ukubamba into.
• Uma izinto oziphetheyo zihlala ziwa ezandleni zakho.
• Uma unezinhlungu ezinkulu, ezisheshayo esihlakaleni sakho, esandleni, noma eminweni.
• Uma ubona ukuvuvukala noma ushintsho kumbala wesikhumba esihlakaleni sakho.

Umlayezo Wokuya Nawe Ekhaya

I-tendinitis yesihlakala ukuvuvukala kwemisipha exhuma ingalo yakho namathambo eminweni yakho. Lesi simo singabangela ubuhlungu uma ufinyelela, uphakamisa, noma ushukumisa ingalo noma iminwe yakho. Ukuphumula, imithi, imijovo, noma i-bant ngokuvamile kungasiza ekunciphiseni ubuhlungu. Abanye abantu bangadinga ukuhlinzwa. Uma unomsebenzi odinga ukunyakaza kwesihlakala okuphindaphindiwe noma udlala umdlalo, qiniseka ukuthi uphumula futhi welula ingalo yakho njalo. Bona udokotela wakho ukuze uthole ukuxilongwa okufanele kanye nokwelashwa.

Ubuhlungu besihlakala , i-tendonitis, ubuhlungu besandla, i-tendonitis kaDe Quervain, izinkinga zesihlakala, ukuphumula kwesandla, ukuvikelwa kwesihlakala