Zvirwere zvakapoteredza tambo dzemunwe zvinogona kuva zvakakomba zvikuru. Izvi zvinonzi flexor tenosynovitis kana kuti flexum tendon sheath chirwere.
Tisati tanzwisisa nezvekukosha kwekuvhiyiwa uye kuwanikwa kwemishonga inorwisa mabhakitiriya , flexor tenosynovitis inowanzoita kuti kurasikirwa kwechimiro kana kufa. Nhasi, zvirwere izvi zvinogona kurapwa. Asi, kudzivirira hurema hwekuremara, dzinofanirwa kuonekwa nekukurumidza uye kubata zvechisimba.
Flexor Tendons & the Flexor Sheath
Flexor tendons ndiwo maitiro eminwe. Tsika ndiyo chirongwa chinobatanidza musero kusvika pfupa. Apo musungo unobvumirana, tambo inokwevera pfupa. Mune mamiriro e-flexor tendons yeminwe, kana chibvumirano chemuviri wemusungo, zvigunwe zvinokweverwa nematononi muzinga.
I-flexor tendons inoshandisa chikamu chemaitiro avo kuburikidza nechigadzirwa chinonzi flexor tendon sheath. I-flexor tendon sheath ine zvikonzero zviviri:
- Inobvumira kubhururuka kwetendon. Nemhaka yokuti minwe iri kugara ichifamba, kufamba kwakanyanyisa kunokosha kune kufamba kwakanyanya.
- I-flexor sheath inodzivirira maitiro kubva ku "bowstringing." Kudzora kunenge kuchiitika kana sheati isina kubata tete pamusoro pefupa. Muchiitiko ichocho, taroni yaizokwevedzwa nenzira yakarurama, isina kubatwa neminwe, uye yaizopinda munzira yekubata zvinhu.
Kurwara kweFlexor Sheath (Flexor Tenosynovitis)
Kazhinji kazhinji, kuchinja kwechirwere chetachiona kunoitika mushure mekukuvadzwa nemunwe, kucheka kwakadzika, kana kushungurudzika kunopinda.
Kana mabhakitiriya ari kuiswa mukati memukati, muviri une simba rakakwana rokurwisa zvirwere izvi.
Hapana ropa rinoshandiswa kugadzirisa synovial fluid mukati me tendon sheath uye, naizvozvo, masimba emuviri anoshandiswa zvikuru haabatsiri. Zviratidzo zvehutachiona zvinowanzoitika mukati mevhiki yekukuvara uye zvinoratidzwa nezvinotevera:
- Kufuridzira kwemunwe
- Unhu huri pamwe chete ne tendon sheath
- Kushamwaridzana kushandiswa nemunwe wakachengetwa zvishoma
- Pain nekuedza kushandiswa kwemunwe
Aya zviratidzo anonzi "Kanavel's cardinal zviratidzo," akapiwa zita rechiremba uyo akarondedzera. Varwere vane zviratidzo izvi vanofanira kuongororwa nachiremba akadzidziswa kuti azive flexor sheath zvirwere. Varwere vangave vane fivha, basa risina kuchena neropa, nezvimwe zvinowanikwa, asi zviratidzo zvenyama zvinorondedzerwa neKanavel ndizvo zvinonyanya kukosha paanoita kuongororwa kwe-flexor sheath chirwere.
Kurapa kweFlexor Tenosynovitis Utachiona
Sezvambotaurwa kare, danho rakakosha zvikuru nderokuziva dambudziko racho nekukurumidza kurapa kurapwa nokukurumidza. Zvizhinji zvirwere zve-flexor sheath zvichava nemaabhakitiriya anowanzowanikwa pane zvedu zveganda, kusanganisira staph uye strep.
Mishonga inorwisa mabhakitiriya inokosha, asi kwete zvakakwana zvakakwana. Nemhaka yokuti muviri unononoka kuwedzerwa ropa kune flexor tendon sheath, mishonga inorwisa mabhakitiriya haigone kusvika panzvimbo iyoyo nyore nyore. Nokudaro, chirwere chinodawo kuchenesa kunze kwehutachiona kubva mumhara.
Kuvhiya kuchenesa kunze kweflexor sheath kunowanzoitwa kuburikidza nekuita zvinyorwa zviviri zviduku, imwe muchitsiko chemunwe uye imwe pedyo nechokumusoro.
Saline fluid inobva yashambidzwa mumhepo kuti ichenese utachiona. Varwere vane hutachiona hwepamusoro vangada kuti sheath yose iongororwe pachena kuti ichenese utachiona.
Matambudziko eFlexor Sheath Infections
Flexor sheath zvirwere zvinokonzerwa nekukuvara uye dzinowanzotora mwedzi kuti dzigone kudzoka. Varwere vane zvirwere zvakanyanya uye zvakanyanya zvakanyanya havakwanise kuwana hupenyu huzere hwemunwe.
Nemhaka yekuti flexor sheath yakakosha pamusana wemunwe, kana kukanganisa kumhara kunowanikwa kana kuti zvisikwa zvishoma zvinokura, kufamba kwemuviri hakugoni kudzokera kuzana zana. Varwere vanogona kushanda nemaoko maharapa mushure mokunge varwere vavo vakagadzirisa kubatsira kubvisa kudzoka.
shoko rinobva zvakanaka kwazvo
Zvirwere zveflexor tendon sheath mumaoko uye neminwe zvinetso zvakakomba zvinogona kuva nemigumisiro yenguva refu. Kukurumidza kuongororwa uye kurapwa kunodiwa kuitira kuti hutachiona hutenderwe zvakakodzera, kukupa mukana wakanaka wekudzorera. Kunyangwe nekurapa kwakakodzera, kuoma, kuvhara, uye kusagadzikana kunogona kuramba kwenguva yakareba.
Sources
> Draeger RW uye Bynum DK. "Flexor Tendon Sheath Infections of the Hand" J Am Acad Orthop Surg June 2012; 20: 373-382.