He aha te Tenosynovitis a De Quervain? Tohutohu, Take, me te Maimoatanga

Ko te tenosynovitis a De Quervain he mate mamae e pā ana ki ngā uaua i te taha o tō ringa, i te taha o tō peke. Ka puta mai i te pupuhi o te kiri e tiaki ana i ngā uaua e rua o tō peke, ka uaua ai te neke haere o ngā uaua.

Whakaarohia he paipa wai kua piko, kua pehia rānei. Ko ngā uaua te wai e ngana ana ki te rere, engari ko te kiri pupuhi he waahi pīpī ka puta ai te riri me te mamae. He maha tonu tēnei mate, ā, he ngāwari te whakaora, na, ahakoa ka tino awangawanga, ehara koe i te kotahi anake e whakahaere ana i tēnei.

He aha ngā tohu o te tenosynovitis a De Quervain?

Ko te tohu matua ko te mamae i te taha o tō ringa, i te taha o tō peke, ina koa ka nekehia tō peke, ka hurihia rānei tō ringa. Ka kite pea koe i tēnei mamae e rere ana ki tō ringa, ki raro rānei ki tō peke, ā, ka kaha ake te mamae ki ētahi nekehanga o te ringa.

Ko ēnei ngā tohu ka kitea pea e koe, mā te tīmata ki ngā mea tino noa:

• Te mamae koi, te mamae rānei i te taha o tō ringa, i te taha o tō peke
• Te mamae e kaha ake ana i te wa e piri ana, e hopu ana, e hanga ana rānei i te pūpū
• Te pupuhi tata ki te pūtake o tō peke
• Te uaua ki te neke i tō peke me tō ringa i te wa e mahi ana
• He ahua hopu, he ahua pakaru rānei i te wa e neke ana tō peke
• Te ngenge i te taha o muri o tō peke me tō maihao tohu

Ka kitea pea te mamae i ngā mahi o ia rā, pēnei i te huri i ngā tutaki o ngā tatau, te kawe i tō pēpi, te tuku karere rānei. He tokomaha te whakaahua i te mamae hohonu ka puta mai te koi i ētahi nekehanga.

He aha ngā take o te tenosynovitis a De Quervain?

Ka puta mai tēnei mate i te wa e whakamahia ana e koe tō peke me tō ringa i ngā huarahi e whakaohooho ana i ngā uaua. Ko te nekehanga whakahokia ka puta ai te pupuhi o te kiri e tiaki ana i ngā uaua, ka hanga ai he waahi pīpī e ārai ana i te nekehanga noa o ngā uaua.

He maha ngā take ka āwhina ki te whanaketanga o tēnei mate:

• Ngā nekehanga whakahokia o te ringa me te ringaringa, ina koa ngā mea e pā ana ki te peke
• Te whara tika ki te rohe o te ringa, o te peke rānei
• Ngā mate mumura pēnei i te mate pāwera rheumatoid
• Te hapu me te wā muri i te whānau, nā te pupuhi o te wai me ngā huringa o te homoni
• Ngā mahi e hiahia ana ki ngā nekehanga whakahokia, te hopu, te huri rānei
• Te piki ohorere o ngā taumata mahi o te ringa

He mea whakamīharo, ka whanake pea tēnei mate ki ngā mātua hou mai i te kawe haere me te kawe i ō rātou pēpi i ngā huarahi e pēhi ana i ngā uaua o te peke. Ko ngā kaimahi māra, ngā kaimahi raina huihuinga, me ngā tāngata e tuku karere pinepine ana kei te tūpono nui.

He aha ngā take tūpono mō te tenosynovitis a De Quervain?

He tokomaha ngā tāngata e tino tūpono ana ki te whanaketanga o tēnei mate, i runga i ō rātou mahi, āhuatanga tinana, me ngā āhuatanga o te ora. Ko te mārama ki ēnei take tūpono ka āwhina i a koe ki te mohio he aha koe ka pā ana ki ngā tohu.

Ko ngā take tūpono tino noa ko ēnei:

• Ko te pakeke i waenga i te 30 me te 50 tau
• Ko te wahine, ina koa i te wa e hapu ana, i muri tonu rānei i te whānau
• Te tiaki i ngā pēpi, i ngā tamariki iti rānei
• Te mahi i ngā mahi e hiahia ana ki ngā nekehanga whakahokia o te ringa
• Te takaro i ngā hākinakina rakete, i ngā mahi rānei e pā ana ki te nekehanga whakahokia o te ringa
• Te mate pāwera mumura

E waru ki te tekau wā te tūpono o ngā wāhine ki te whanaketanga o tēnei mate i ngā tāne. Ko ngā huringa homoni i te wa e hapu ana, e whāngai u rānei ka taea te whakaohooho i ngā uaua ki te pupuhi, e whakamārama ana i te take i kitea ai tēnei mate e ngā whaea hou.

Nōhea te haere ki te taakuta mō te tenosynovitis a De Quervain?

Me whakaaro koe ki te haere ki te kaiwhakarato hauora mena ka mau tonu te mamae o tō peke me tō ringa mo te torutoru rā, ka ārai rānei ki ō mahi o ia rā. Ko te maimoatanga wawe ka ārahi pinepine ki ngā hua pai ake, ka taea te ārai i te kino o te mate.

Me whakarite he whakatau mena ka pā atu ki a koe ētahi o ēnei āhuatanga:

• Te mamae e kore e pai ake ki te okioki me te tiaki whare taketake i muri i te wiki
• Te mamae nui e ārai ana i tō kaha ki te whakamahi i tō ringa
• Te pupuhi, te kino rānei o te ahua i te taha o tō ringa, o tō peke rānei
• Te ngenge, te wiri rānei i tō peke, i ō maihao rānei
• Ngā tohu o te mate pēnei i te whero, te wera, te kirika rānei
• Te kore e taea te neke i tō peke, i tō ringa rānei

Ka taea e tō taakuta te mahi i ngā whakamātautau ngāwari hei whakau i te whakatau, hei whakakore i ētahi atu mate. Ko te whiwhi i te aratohu ngaio i te wa wawe ka penapena i a koe i ngā wiki o te kore ngāwari me te āwhina i te ārai i ngā raruraru roa.

He aha ngā raruraru pea o te tenosynovitis a De Quervain?

Ahakoa ehara te tenosynovitis a De Quervain i te mate kino, ko te kore e whakaora ka ārahi pea ki ētahi raruraru e pā ana ki tō mahi ringa. Ko te rongo pai ko ēnei raruraru ka taea te ārai ma te maimoatanga tika.

Ko ngā raruraru pea ko ēnei:

• Te mamae roa e mau tonu ana ahakoa te okioki
• Te ārai tonu i te nekehanga o te peke me te ringa
• Te ngoikore o te kaha hopu me te kaha piri
• Te mātotoru o te kiri uaua e mau tonu ana
• Te whanaketanga o te peke whakaohooho, te kino rānei o ngā tohu o mua

He iti rawa, ka whanake pea etahi tangata i te riri o te io e puta ai te ngenge e tae atu ana ki te ringa. Heoi, ma te maimoatanga tika, ka ora katoa te nuinga o te iwi kaore he pānga roa ki ō rātou mahi ringa.

Me pēhea te whakatau i te tenosynovitis a De Quervain?

Ka taea e tō taakuta te whakatau i te tenosynovitis a De Quervain mā te whakamātautau tinana me te whakamātautau ngāwari e kiia nei ko te whakamātautau a Finkelstein. Ko tēnei mahi ko te hanga i te pūpū me tō peke i roto i ō maihao, ka mutu ka piko tō ringa ki tō maihao iti.

Ko te tukanga whakatau i te nuinga o te wā ko ēnei:

• Te kōrero mō ō tohu me ō mahi o ia rā
• Te whakamātautau tinana o tō ringa, o tō peke, me tō ringa
• Te whakamātautau a Finkelstein hei whakaatu i tō mamae
• Te aromatawai i tō whānuitanga o te nekehanga me te kaha
• Te arotake i tō hītori hauora me ngā take tūpono

I te nuinga o ngā take, kaore he whakamātautau whakaahua e hiahiatia ana mō te whakatau. Heoi, mena ka whakaaro tō taakuta ki ētahi atu mate, kei te hiahia rānei ki te whakakore i ngā whati, i te mate pāwera rānei, ka tono pea rātou i ngā X-rays, i te ultrasound rānei. He ngāwari te whakatau i runga i ō tohu me te whakamātautau tinana.

He aha te maimoatanga mō te tenosynovitis a De Quervain?

Ko te maimoatanga mō te tenosynovitis a De Quervain e aro ana ki te whakaiti i te pupuhi, ki te whakaora i te mamae, ki te whakahoki mai rānei i te mahi noa o ngā uaua. Ko te nuinga o te iwi e whakautu pai ana ki ngā maimoatanga māori, ā, he iti rawa te hiahia ki te pokanga.

Ka uru pea tō mahere maimoatanga ki ētahi huarahi:

• Te kakahu i te taonga peke-spica hei okioki i ngā uaua e pā ana
• Te tango i ngā rongoā anti-mumura pēnei i te ibuprofen, te naproxen rānei
• Te whakamahi i te hukapapa hei whakaiti i te pupuhi me te mamae
• Te whakarereke i ngā mahi e whakaohooho ana i ō tohu
• Ngā mahi whakapakari tinana hei whakapai ake i te ngawari me te kaha
• Ngā whakaurunga corticosteroid mō ngā take mau tonu

Ko te taonga te mea tuatahi o te maimoatanga, nā te mea ka taea e ia te okioki me te whakaora i ngā uaua pupuhi. Ko te nuinga o te iwi e kakahu ana i te 4 ki te 6 wiki, ka tangohia anake mō ngā mahi ngawari me te horoi.

Mena kaore ngā maimoatanga māori e homai te whakaora i muri i ngā marama maha, ka tūtohutia pea e tō taakuta he mahi pokanga iti hei wewete i te kiri uaua pīpī. Ko tēnei pokanga tākuta wāhi kei te nui te raru angitu, ā, ka taea e te nuinga o te iwi te hoki ki ngā mahi noa i roto i ngā wiki torutoru.

Me pēhea te whakahaere i te tenosynovitis a De Quervain i te kāinga?

Ko te maimoatanga kāinga he mahi nui ki tō whakaora, ka taea te whakaiti nui i ō tohu ina mahi tonu. Ko te mea nui ko te hoatu i ngā uaua i te wā hei whakaora, i te wa e pupuri haere ana i te nekehanga.

Ko ēnei ngā rautaki whakahaere kāinga whai hua:

• Okioki i tō peke me tō ringa mā te karo i ngā nekehanga whakahokia
• Whakamahia te hukapapa mō te 15-20 meneti i ngā wā maha i ia rā
• Tangohia ngā rongoā anti-mumura i runga i te kaupapa
• Kakahu i tō taonga kia rite ki te tūtohu a tō kaiwhakarato hauora
• Mahi i ngā mahi whakawhāiti ngawari ina taea te mamae
• Whakarerekē te mahi i ō mahi o ia rā hei whakaiti i te pēhi i tō peke

I te wa e kawe ana i ngā mea, ngana ki te whakamahi i tō ringa katoa, kaua ko tō peke me ō maihao tohu anake. Mena he mātua hou koe, tono awhina ki ngā mahi tiaki pēpi, whakamahia rānei ngā urunga tautoko i te wa e whāngai ana hei whakaiti i te pēhi o te ringa.

Ka taea hoki te whakamahi i te rongoā wera i te wa e mutu ana te pupuhi tuatahi. Ko te kākahu wera, te kaukau wai wera rānei mō te 10-15 meneti ka taea te awhina i te whakamahinga o ngā uaua me te whakapai ake i te rere o te toto ki te rohe.

Me pēhea te ārai i te tenosynovitis a De Quervain?

Ahakoa kaore e taea e koe te ārai i ngā take katoa o te tenosynovitis a De Quervain, ka taea e koe te whakaiti nui i tō tūpono mā te whakaaro ki te whakamahinga o ō ringa me ō ringaringa. Ko te ārai e aro ana ki te karo i te pēhi whakahokia me te pupuri i ngā mahi pai o te ringa.

Ko ngā rautaki ārai whai hua ko ēnei:

• Te tango i ngā okioki auau i ngā mahi whakahokia o te ringa
• Te whakamahi i ngā mahi pai i te wa e mahi ana, i te whakamahi rānei i ngā taputapu
• Te whakapakari i ō uaua ringa me ō ringaringa mā ngā mahi auau
• Te karo i ngā nekehanga piri, hopu rānei roa
• Te whakamahi i ngā taputapu whakarite e whakaiti ana i te pēhi i ō peke
• Te pupuri i te ngawari pai o te ringa me te ringa

Mena he mātua hou koe, ngana ki te whakarerekē i ō tūnga pupuri pēpi, whakamahia rānei ngā urunga tautoko i ngā wā whāngai. Mō ngā tāngata e mahi ana ki ō rātou ringa, whakaarohia te whakamahi i ngā taputapu mahi pai, tangohia hoki ngā okioki iti i ia 30 meneti hei whakawhāiti me te okioki i ō ringa.

Me pēhea te whakarite mō tō whakatau taakuta?

Ko te whakarite mō tō whakatau ka taea te āwhina i te whakarite kia whiwhi koe i te whakatau tika me te mahere maimoatanga whai hua. Ka hiahia tō taakuta ki te mārama ki ō tohu, ki ō mahi o ia rā, me te āhua o te mate ki tō oranga.

I mua i tō whakatau, whakaarohia te whakarite i ēnei mōhiohio:

• He whakaahuatanga taipitopito o te wā i tīmata ai ō tohu me ngā mea e whakaohooho ana i a rātou
• He rārangi o ō mahi o ia rā, ina koa ngā mea e pā ana ki ngā nekehanga whakahokia o te ringa
• Ngā rongoā, ngā maimoatanga rānei kua whakamātauhia e koe
• Ngā pātai mō ngā whiringa maimoatanga me ngā tumanakohanga whakaora
• Ngā mōhiohio mō ō mahi me ō whakaongaonga
• Ngā whara o mua ki tō ringa, ki tō ringaringa, ki tō ringa rānei

He mea whai hua te pupuri i te puka tohu poto mō ngā rā torutoru i mua i tō whakatau, te tohu i te wā e kino ana te mamae me ngā mahi e whakaohooho ana i a ia. Ka taea e ēnei mōhiohio te āwhina i tō taakuta ki te mārama ki te tauira o tō mate me te whakawhanake i te mahere maimoatanga tino tika.

He aha te mea nui mō te tenosynovitis a De Quervain?

Ko te tenosynovitis a De Quervain he mate noa, he tino whakaora hoki e pā ana ki ngā uaua i te taha o tō ringa, i te taha o tō peke. Ahakoa ka tino mamae, ka ārai rānei ki ngā mahi o ia rā, ka ora katoa te nuinga o te iwi mā te maimoatanga tika me te manawanui.

Ko te mea nui hei mahara ko te maimoatanga wawe ka ārahi ki ngā hua pai ake. Mena kei te pāngia koe e te mamae mau tonu o te peke me te ringa, kaua e tatari kia mutu noa iho. Ko ngā maimoatanga ngāwari pēnei i te taonga, te okioki, me ngā rongoā anti-mumura he tino whai hua i te wa e tīmata wawe ana.

Mā te huarahi tika, ka tumanako koe ki te hoki ki ō mahi noa i roto i ngā wiki torutoru ki ngā marama torutoru. He tokomaha te kite i te ako i ngā mahi pai o te ringa me te tango i ngā mahi ārai hei āwhina i a rātou ki te karo i ngā wāhanga o muri mai o tēnei mate.

Ngā pātai e ui pinepinetia ana mō te tenosynovitis a De Quervain

E hia te roa o te whakaora i te tenosynovitis a De Quervain?

Ko te nuinga o te iwi e kite ana i te whakapainga nui i roto i te 4-6 wiki o te tīmatanga o te maimoatanga, engari ka taea te whakaora katoa i te 2-3 marama. Ko te raarangi wā e whakawhirinaki ana ki te kaha o tō mate me te pai o tō whai i tō mahere maimoatanga. Ko te kakahu tonu i tō taonga me te karo i ngā mahi whakaohooho ka tere ake te whakaora.

Ka taea tonu e au te whakamahi i toku ringa mena kei a au te tenosynovitis a De Quervain?

Ae, ka taea tonu e koe te whakamahi i tō ringa, engari me whakarerekē ngā mahi e whakaohooho ana i tō mamae. Aro atu ki te whakamahi i tō ringa katoa, kaua ko tō peke me ō maihao anake mō te hopu. Karohia ngā nekehanga hurihuri whakahokia me te kawe mamae tae noa ki te pai ake o ō tohu. Ka taea e tō taakuta, e tō kaiwhakapakari tinana rānei te whakaatu i ngā huarahi haumaru ki te mahi i ngā mahi o ia rā.

Me pokanga ahau mō te tenosynovitis a De Quervain?

Ko te pokanga e hiahiatia ana i te 5-10% anake o ngā take, i te nuinga o te wā kaore ngā maimoatanga māori i homai te whakaora i muri i te 3-6 marama. Ko te mahi pokanga he iti, ā, i te nuinga o te wā ka mahia hei mahi tākuta wāhi. Ko te nuinga o te iwi e hiahia ana ki te pokanga he hua pai, ka taea te hoki ki ngā mahi noa i roto i ngā wiki torutoru.

E hono ana te tenosynovitis a De Quervain ki te mate huinga carpal?

Ahakoa e rua ngā mate e pā ana ki te ringa me te ringaringa, he rerekē ngā raruraru e pā ana ki ngā hanganga rerekē. Ko te tenosynovitis a De Quervain e pā ana ki ngā uaua i te taha o tō ringa, i te taha o tō peke, ko te mate huinga carpal e pā ana ki te io e rere ana i waenganui i tō ringa. Heoi, ka taea te whai i ngā mate e rua i te wā kotahi.

Ka taea e te hapu te whakaohooho i te tenosynovitis a De Quervain?

Ae, ko te hapu me te wā muri i te whānau he wā noa ki te whanaketanga o tēnei mate. Ko ngā huringa homoni i te wa e hapu ana ka taea te whakaohooho i ngā uaua ki te pupuhi, ā, ko ngā tono tinana o te tiaki i te pēpi hou ka whakaohooho pinepine i ngā tohu. Ko te rongo pai ko ngā take e pā ana ki te hapu ka pai ake te nui i te wa e noho noa ana ngā taumata homoni, ka iti haere ngā mahi tiaki pēpi.