Tendonitis yeWrist Inokonzerwa Nokudzvinyirira
De Quervain's tenosynovitis imamiriro ezvinhu anokonzera marwadzo anokonzerwa nekufamba kwechigunwe uye chechi. Chinokonzera kurwadziwa kwa de Quervain ndiko kuputika mukati memukati munzvimbo dzakapoteredza chigadziko chechigunwe. Izvi zvinokonzerwa nechinetso chetoni chinonzi stenosing tenosynovitis . Izvi zvinongoreva kuti kupisa kunosanganisira synovium uye tendons inodzora kufamba kwechigunwe.
Dzimwe nguva dambudziko rinonzi d e Quervain's tendinosis, kubva kuCeervain's disease, kutumira mameseji, chigunwe chemagetsi, kana chigunwe chemukadzi.
Ndiani Anozviwana
DeQuervain's tenosynovitis inowanzoonekwa muboka rezera rezera remakore makumi matatu nemakumi matatu nemakumi mashanu uye rinowanzoonekwa mune zvevakadzi. Inogona kuwirirana nehutachiwana uye rheumatoid chirwere. DeQuervain's tenosynovitis inokonzerwa nokushandiswa zvakanyanya kwekristani. Inowanzoonekwa mumadzimai matsva sezvo kuendesa kwekurera mwana kunogona kukonzera kushungurudzika kune tambo idzi. Inogonawo kuonekwa kune vanhu vanoshandisa nyundo kakawanda, varimi vemumunda, vanofamba-famba nevanhu vanoita mitambo yeRace. Zvinogonawo kuitika kune vanhu vanonyanya kushandisa zvigunwe zvavo zvekutumira mameseji uye kutamba.
Zviratidzo zveCheervain's
Chiratidzo chikuru cheC Quervain's tenosynovitis chinorwadza pachigunwe chechigunwe chetambo, uye kurwadziwa kunogona kupisa saga.Urwadziwa runogona kuuya kune vose kamwechete kana pishoma. Iwe unowanzozvinzwa uchiipisisa paunenge uchishandisa chigunwe chako paunenge uchibata chimwe chinhu kana iwe uri kushandura chiuno chako.
Iwe unganzwa zvakare kubata apo iwe uchiedza kutamisa chigunwe chako. Chigunwe chechigunwe chewende rako chinogona kuvhuvhuta uye izvi zvinogona kuita kuti zvive zvakaoma kuitamisa.
Kuongororwa kwa deQuervain kunowanzove kwakanzwisisika nekunyorova pamusoro pezvakabatanidzwa. Idzi ndiwo maitiro eecensor pollicis brevis uye abductor pollicis yakareba misi.
Imwe nzira yakananga inonzi Finkelstein's test inonyatsojekesa izvi. Chiyero cheFinkelstein chinoitwa nekuita chibhakera pamusoro pechifukidzo chako chechigunwe, uye kutamisa ruoko kumuromo muduku. Varwere vane deQuervain's tenosynovitis vachave nekurwadziwa nekuita izvi.
Kurapa kwa de Quervain's Tenosynovitis
Vakawanda varwere vane de Quervain's tenosynovitis vachawana kubudirira nehukuru hukuru uye injini ye cortisone . Iyo yakapenya inopfekedzwa nguva dzose, masikati neusiku kwemavhiki mana kusvika matanhatu, kutsigira chigunwe uye chechi. Iwe unogonawo kutora mishonga inopesana nekuputira uye kushandisa sendiketi pakudzivirira kupisa. Zorora zvigunwe uye chiuno uye usadzivisa kuita zvinhu zvinokonzera kurwadziwa mumatoni.
Kana dambudziko racho richiripo, nzira yekuvhiya yekuumba nzvimbo yakawanda yetendon inogona kuitwa. Munguva iyi yekuvhiya, mishonga yakaoma yakakomberedza tendons inodurwa kuti isunungure mutemo wekutenderera. Kuvhiya kunowanzoitwa pasi peanesthesia yepanyika asi kunogona kuitwa pasi penharaunda, kana kuti general anesthesia . Kana paine chero zviduku zviduku kana zvipembenene zvakasviba zvakawanikwa zvingabviswa. Mushure mekuvhiyiwa, kubwinya kunopfeka kwemavhiki mashomanana, uye mabasa ezvisikwa anogona kutanga zvishoma nezvishoma.
Iwe uchapiwa hukuru hwekufambisa zvidzidzo kuti udzorere utano hwako.
Zvinetso zvekuvhiyiwa kwemaoko zvinosanganisira utachiona uye zvinetso zvekuporesa. Mutsara muduku, unonzi inzwi rebazi rehutachiona hwemhepo, inogona kukuvadzwa zvichienda kune chigamba chekushaya simba kumusana kwechigunwe. Imwe yezvinonyanya kuoma nezvinetso ndeyokuti tendons inogona kuva isina kugadzikana, ichibhururuka kubva panzvimbo yavo yakakwana kune rumwe rutivi rwekristani, mushure mokunge tambo yehembe inosunungurwa. Dambudziko iri rinogona kudzivirirwa nekuvimbisa kuti tendon sheath inoshandiswa munzvimbo yakakodzera, uye nekudzivirira humwe hunobuda huno mushure mekuvhiyiwa.
Sources:
Ilyas AM "de Quervain Tenosynovitis yeWrist" J. Am. Acad. Ortho. Kukura., December 2007; 15: 757 - 764.
De Quervain's Tendinosis, American Academy of Orthopedic Surgeons, December, 2013.