Ese ni iki De Quervain's Tenosynovitis? Ibimenyetso, Impamvu, n'Uburyo bwo kuvura

De Quervain's tenosynovitis ni uburwayi butera ububabare bugira ingaruka ku mitsi iri ku ruhande rw'igikumwe cy'iganza ryawe. Bibaho iyo urwego rw'uburinganire rw'imitsi ibiri y'igikumwe rwakomeretse rugatukura kandi rugakabakaba, bigatuma imitsi idashobora kugenda neza.

Tekereza nk'umuyoboro w'amazi ufite ikibazo cyangwa ugoswe. Imitsi ni nk'amazi agerageza guca, ariko urwego rw'imitsi rukabakaba rurakora ahantu hapfuye hatuma habaho gukorana kw'imitsi n'ububabare. Iyi ndwara imenyekanye cyane kandi ivurwa neza, bityo nubwo ishobora kuba idashimishije, nturi wenyine uyirwaye.

Ibimenyetso bya De Quervain's tenosynovitis ni ibihe?

Ikimenyetso nyamukuru ni ububabare ku ruhande rw'igikumwe cy'iganza ryawe, cyane cyane iyo uhindura igikumwe cyangwa ukayunguruza. Ushobora kubona ko ubwo bubabare buzamuka mu kuboko kwawe cyangwa bugamanuka mu gikumwe cyawe, kandi akenshi burushaho kuba kibi iyo ugize imikorere runaka y'amaboko.

Dore ibimenyetso ushobora kugira, utangiriye ku bimenyetso bisanzwe:

• Ububabare bukabije cyangwa bubabaza ku ruhande rw'igikumwe cy'iganza
• Ububabare burushaho kuba kibi iyo ufata, ufata cyangwa ukora igipfunsi
• Kubyimbagira hafi y'ishingiro ry'igikumwe cyawe
• Kugorana guhindura igikumwe n'iganza iyo ukora ibikorwa
• Kumva nk'aho hari ikintu gifata cyangwa gicika iyo uhindura igikumwe cyawe
• Kubabara ku ruhande rw'inyuma rw'igikumwe cyawe n'urutoki rw'igikumwe

Ububabare bukunze kugaragara cyane mu bikorwa bya buri munsi nko guhindura intoki z'amadirishya, gufata umwana wawe, cyangwa no kwandika ubutumwa bugufi. Abantu benshi babivuga nk'ububabare bukomeye bushobora guhita buhinduka ububabare bukabije iyo ugize imikorere runaka.

Ese De Quervain's tenosynovitis iterwa n'iki?

Iyi ndwara iterwa no gukoresha igikumwe n'iganza ryawe kenshi mu buryo butera imitsi kubabara. Iyo mikorere ikabije itera urwego rw'uburinganire rw'imitsi gutukura no gukabakaba, bigatuma habaho ahantu hapfuye habuza imitsi kugenda neza.

Ibintu byinshi bishobora gutera iyi ndwara:

• Imikorere y'amaboko n'amaganze ikabije, cyane cyane iyikubiyemo igikumwe
• Umuntu yakomerekeye ku iganze cyangwa ku gikumwe
• Indwara ziterwa n'ubukabakaba nk'indwara ya rhumatoïde
• Gutwita n'igihe nyuma yo kubyara kubera amazi menshi mu mubiri n'impinduka z'imisemburo
• Ibikorwa bisaba gukoresha intoki kenshi, gufata, cyangwa guhindura ibintu
• Iyongerwa ry'imikorere y'amaboko ryihuse

Icy'ingenzi ni uko ababyeyi bashya bakunze kurwara iyi ndwara kubera gufata no gutwara abana babo kenshi mu buryo butera imitsi y'igikumwe umunaniro. Abahinzi, abakozi bo mu nganda, n'abantu bandika ubutumwa bugufi kenshi nabo bari mu kaga.

Ni ibihe bintu byongera ibyago byo kurwara De Quervain's tenosynovitis?

Bamwe mu bantu bafite ibyago byinshi byo kurwara iyi ndwara bitewe n'ibikorwa byabo, imiterere yabo, n'imimerere yabo. Gusobanukirwa ibyo bintu bishobora kugufasha kumenya impamvu ushobora kuba ufite ibimenyetso.

Ibintu byongera ibyago bisanzwe birimo:

• Kuba uri hagati y'imyaka 30 na 50
• Kuba umugore, cyane cyane mu gihe utwite cyangwa nyuma gato yo kubyara
• Kwita ku bana bato
• Kugira imirimo isaba gukoresha intoki kenshi
• Gukina imikino y'itoni cyangwa ibikorwa bisaba gukoresha amaganze kenshi
• Kugira indwara ziterwa n'ubukabakaba

Abagore bafite ibyago byinshi cyane byo kurwara iyi ndwara kurusha abagabo. Impinduka z'imisemburo mu gihe cyo gutwita no konsa zishobora gutuma imitsi irushaho gutukura, ibi bisobanura impamvu ababyeyi bashya bakunze kurwara iyi ndwara.

Ni ryari ukwiye kujya kwa muganga kubera De Quervain's tenosynovitis?

Ukwiye gutekereza kujya kwa muganga niba ububabare bw'igikumwe n'iganza ryawe bukomeje iminsi mike cyangwa bugakubuza gukora ibikorwa bya buri munsi. Kuvurwa hakiri kare akenshi bigira ingaruka nziza kandi bishobora gukumira ko iyi ndwara ikomeza kuba mbi.

Nukore gahunda yo kujya kwa muganga niba ugize ibi bikurikira:

• Ububabare budakira iyo uburuhutse n'ubuvuzi bw'ibanze bw'i mu rugo nyuma y'icyumweru
• Ububabare bukabije bugukubuza gukoresha iganze ryawe
• Kubyimbagira cyangwa guhinduka kw'iganza ryawe cyangwa igikumwe
• Kubabara cyangwa gucika intege mu gikumwe cyawe cyangwa mu myanya y'intoki
• Ibimenyetso by'indwara nk'umutuku, ubushyuhe, cyangwa umuriro
• Kudashyira igikumwe cyangwa iganze ryawe

Muganga wawe ashobora gukora ibizamini byoroshye kugira ngo yemeze uburwayi kandi akureho izindi ndwara. Kugira ubuyobozi bw'umwuga hakiri kare bishobora kukurinda ibyumweru by'ububabare butakenewe kandi bigafasha gukumira ingaruka z'igihe kirekire.

Ni izihe ngaruka zishoboka za De Quervain's tenosynovitis?

Nubwo De Quervain's tenosynovitis atari indwara ikomeye, kuyireka idavuwe bishobora gutera ingaruka zimwe na zimwe zigira ingaruka ku mikorere y'iganza ryawe. Inkuru nziza ni uko izo ngaruka zishobora kwirindwa hakoreshejwe uburyo bukwiye bwo kuvura.

Ingaruka zishoboka harimo:

• Ububabare buhoraho buhoraho nubwo uburuhutse
• Kubura ubushobozi bwo guhindura igikumwe n'iganza ryawe
• Intege nke mu gukomera no gufata
• Kwikuba kw'urwego rw'imitsi bikaba byahoraho
• Iterambere ry'igikumwe cyangwa kwangiza ibimenyetso biriho

Gake, bamwe mu bantu bashobora kugira ikibazo cy'imitsi itera kubabara bikagera mu kuboko. Ariko, hakoreshejwe uburyo bukwiye bwo kuvura, abantu benshi barakira neza nta ngaruka zihoraho ku mikorere y'amaboko yabo.

De Quervain's tenosynovitis imenyekanwa gute?

Muganga wawe ashobora kumenya De Quervain's tenosynovitis binyuze mu isuzuma ry'umubiri n'ikizamini cyoroshye cyitwa ikizamini cya Finkelstein. Iki kizamini gikubiyemo gukora igipfunsi n'igikumwe cyawe cyinjijwe mu myanya y'intoki zawe, hanyuma ugakubita iganze ryawe ugana ku ntoki nto.

Uburyo bwo kuvura busanzwe burimo:

• Kuganira ku bimenyetso byawe n'ibikorwa bya buri munsi
• Isuzuma ry'umubiri ry'iganza ryawe, igikumwe, n'intoki
• Ibizamini bya Finkelstein kugira ngo bigaragaze ububabare bwawe
• Kumenya uko ushobora kugenda n'imbaraga zawe
• Kureba amateka yawe y'ubuzima n'ibintu byongera ibyago

Mu bihe byinshi, ntabwo hakenewe ibizamini byo kubona amashusho kugira ngo hamenyekane uburwayi. Ariko, niba muganga wawe akeka izindi ndwara cyangwa ashaka gukuraho amagufwa cyangwa indwara ya arthrite, ashobora gutegeka X-rays cyangwa ultrasound. Uburwayi busanzwe bumenyekana neza hashingiwe ku bimenyetso byawe n'isuzuma ry'umubiri.

Ese De Quervain's tenosynovitis ivurwa gute?

Uburyo bwo kuvura De Quervain's tenosynovitis bugamije kugabanya ubukana, kugabanya ububabare, no gusubiza imitsi imikorere isanzwe. Abantu benshi bagira ingaruka nziza ku buryo bwo kuvura busanzwe, kandi kubaga birakenewe gake.

Gahunda yawe yo kuvura ishobora kuba irimo uburyo butandukanye:

• Kwambara umupira w'igikumwe kugira ngo imitsi ikomereke
• Gutakaza imiti igabanya ububabare nk'ibuprofen cyangwa naproxen
• Gushyiraho igikombe cy'amazi kugira ngo ugabanye kubyimbagira n'ububabare
• Guhindura ibikorwa bikomeza ububabare bwawe
• Imikino yo kuvura kugira ngo wongere ubushobozi bwo kugenda n'imbaraga
• Injora za corticosteroid mu gihe cy'uburwayi buhoraho

Umutambiko ubusanzwe ni uburyo bwa mbere bwo kuvura kuko butuma imitsi ikomerekeye iruhukira kandi ikavura. Abantu benshi bayambara ibyumweru bine kugeza ku bitandatu, bayikuraho gusa kugira ngo bakore imikino myoroshye n'isuku.

Niba uburyo bwo kuvura busanzwe budatanga ubuvuzi nyuma y'amezi menshi, muganga wawe ashobora kugusaba kubagwa kugira ngo arekure urwego rw'imitsi rukabije. Ubu buvuzi bukorwa hanze y'ibitaro kandi bugira umusaruro mwinshi, kandi busanzwe butuma abantu basubira mu bikorwa bisanzwe mu byumweru bike.

Uburyo bwo kuvura De Quervain's tenosynovitis mu rugo?

Uburyo bwo kuvura mu rugo bufite uruhare rukomeye mu gukira kwawe kandi bushobora kugabanya cyane ibimenyetso byawe iyo bikozwe buri gihe. Ikintu nyamukuru ni uguha imitsi yawe umwanya wo gukira mu gihe ukomeza kugenda buhoro buhoro.

Dore ingamba zikomeye zo kuvura mu rugo:

• Reka igikumwe n'iganza ryawe biruhuke ugatandukanya imikorere ikabije
• Shyiraho igikombe cy'amazi iminota 15-20 inshuro nyinshi ku munsi
• Fata imiti igabanya ububabare idasaba amabwiriza ya muganga nk'uko byagenwe
• Kwambara umupira wawe nk'uko muganga wawe yabitegetse
• Kora imikino myoroshye yo gukuramo ububabare iyo ububabare bubikwemerera
• Hindura uko ukora ibikorwa bya buri munsi kugira ngo ugabanye umunaniro ku gikumwe cyawe

Iyo uheka ibintu, gerageza gukoresha iganze ryawe ryose aho gukoresha igikumwe n'urutoki rw'igikumwe gusa. Niba uri umubyeyi mushya, saba ubufasha mu bikorwa byo kwita ku mwana wawe cyangwa ukoreshe ibikoresho byo gufata iyo uha abana bawe amata kugira ngo ugabanye umunaniro w'amaganze.

Uburyo bwo gushyushya bushobora kandi gufasha iyo ubukana bwambere bumaze kugabanuka. Igikombe cy'amazi ashyushye cyangwa amazi ashyushye iminota 10-15 bishobora gufasha kuruhuka imitsi no kunoza amaraso muri ako gace.

Ese De Quervain's tenosynovitis ishobora kwirindwa gute?

Nubwo udashobora kwirinda ibintu byose bya De Quervain's tenosynovitis, ushobora kugabanya cyane ibyago byawe uzirikana uko ukoresha amaboko n'amaganze yawe. Kwiringira kwirinda bikubiyemo kwirinda umunaniro ukabije no kugira imikorere myiza y'amaboko.

Ingamba zikomeye zo kwirinda harimo:

• Guhagarara buri gihe mu gihe ukora ibikorwa by'amaboko bikabije
• Gukoresha uburyo bukwiye bwo gukora iyo ukorera cyangwa ukoresha ibikoresho
• Gukomeza imitsi y'amaboko n'amaganze yawe hakoreshejwe imikino ya buri gihe
• Kwiringira gukoresha intoki cyangwa gufata igihe kirekire
• Gukoresha ibikoresho byoroshya umunaniro ku bigikumwe byawe
• Kugira ubushobozi bwiza bwo kugenda bw'amaganze n'amaboko

Niba uri umubyeyi mushya, gerageza guhindura uburyo ufata umwana wawe kandi ukoreshe ibikoresho byo gufata iyo uha abana bawe amata. Ku bantu bakora n'amaboko yabo, tekereza gukoresha ibikoresho byoroshye kandi ugahagarara iminota 30 kugira ngo ukuremo umunaniro kandi uruhuke amaboko yawe.

Uko wakwitegura gahunda yawe yo kujya kwa muganga?

Kwita ku gahunda yawe yo kujya kwa muganga bishobora kugufasha kugira ngo ubone uburyo bwo kuvura neza. Muganga wawe azashaka gusobanukirwa ibimenyetso byawe, ibikorwa bya buri munsi, n'uko iyi ndwara igira ingaruka ku buzima bwawe.

Mbere y'igahunda yawe, tekereza gutegura amakuru akurikira:

• Ibisobanuro birambuye by'igihe ibimenyetso byawe byatangiye n'ibibitera
• Urutonde rw'ibikorwa byawe bya buri munsi, cyane cyane ibyakubiyemo gukoresha amaboko kenshi
• Imirire cyangwa uburyo bwo kuvura umaze kugerageza
• Ibibazo ku buryo bwo kuvura n'ibyitezwe mu gukira
• Amakuru ku mirimo yawe n'imyidagaduro
• Imyandikire y'imvune zabanjirije ku iganze ryawe, iganze, cyangwa ukuboko

Birafasha kugira ibitabo by'ibimenyetso byawe mu minsi mike mbere y'igahunda yawe, ugaragaza igihe ububabare buri kibi cyane n'ibikorwa bigaragara ko bibitera. Aya makuru ashobora gufasha muganga wawe gusobanukirwa imiterere y'uburwayi bwawe no guteza imbere uburyo bukwiye bwo kuvura.

Icy'ingenzi cyo kuzirikana kuri De Quervain's tenosynovitis?

De Quervain's tenosynovitis ni indwara isanzwe kandi ivurwa neza igira ingaruka ku mitsi iri ku ruhande rw'igikumwe cy'iganza ryawe. Nubwo ishobora kuba ibabaza cyane kandi ikabuza gukora ibikorwa bya buri munsi, abantu benshi barakira neza hakoreshejwe uburyo bukwiye bwo kuvura no kwihangana.

Ikintu cy'ingenzi cyo kuzirikana ni uko kuvurwa hakiri kare bigira ingaruka nziza. Niba ufite ububabare buhoraho bw'igikumwe n'iganza, ntuzategereze ko bugakira ubwabwo. Uburyo bworoshye bwo kuvura nko gukoresha umupira, kuruhuka, n'imiti igabanya ububabare akenshi bigira akamaro iyo bitangiye hakiri kare.

Ukoresheje uburyo bukwiye, ushobora kwitega gusubira mu bikorwa byawe bisanzwe mu byumweru bike kugeza ku mezi make. Abantu benshi basanga kumenya imikorere myiza y'amaboko no gukora ibintu byo kwirinda bibafasha kwirinda ibindi bibazo by'iyi ndwara.

Ibibazo byakunze kubaho kuri De Quervain's tenosynovitis

Ese De Quervain's tenosynovitis imara igihe kingana iki kugira ngo ikire?

Abantu benshi babona iterambere rigaragara mu byumweru 4-6 nyuma yo gutangira kuvurwa, ariko gukira burundu bishobora gufata amezi 2-3. Igihe cyo gukira kiringaniye bitewe n'uburemere bw'uburwayi bwawe n'uko ukurikiza gahunda yawe yo kuvura. Kwambara umupira wawe buri gihe no kwirinda ibikorwa bikabije bishobora kwihutisha gukira.

Ese nshobora gukoresha iganze ryanjye niba mfite De Quervain's tenosynovitis?

Yego, ushobora gukoresha iganze ryawe, ariko ugomba guhindura ibikorwa bikomeza ububabare bwawe. Fata umwanya wo gukoresha iganze ryawe ryose aho gukoresha igikumwe n'intoki gusa kugira ngo ufate. Kwiringira guhindura ibintu kenshi no guheka ibiremereye kugeza ibimenyetso byawe bikize. Muganga wawe cyangwa umuvuzi wawe ashobora kukwereka uburyo bworoshye bwo gukora ibikorwa bya buri munsi.

Ese nzakenera kubagwa kubera De Quervain's tenosynovitis?

Kubagwa birakenewe mu kigero cya 5-10% gusa cy'ibintu, akenshi iyo uburyo bwo kuvura busanzwe budahaye ubuvuzi nyuma y'amezi 3-6. Ubu buvuzi bukorwa hanze y'ibitaro kandi busanzwe bugira umusaruro mwinshi. Abantu benshi bakeneye kubagwa bagira umusaruro mwiza kandi basubira mu bikorwa bisanzwe mu byumweru bike.

Ese De Quervain's tenosynovitis ifitanye isano n'indwara ya carpal tunnel?

Nubwo zombi zigira ingaruka ku iganze n'amaganze, ni ibibazo bitandukanye bigira ingaruka ku miterere itandukanye. De Quervain's tenosynovitis igira ingaruka ku mitsi iri ku ruhande rw'igikumwe cy'iganza ryawe, mu gihe indwara ya carpal tunnel igira ingaruka ku mitsi ica hagati mu iganze ryawe. Ariko, birashoboka kugira ibyo bibazo byombi icyarimwe.

Ese gutwita bishobora gutera De Quervain's tenosynovitis?

Yego, gutwita n'igihe nyuma yo kubyara ni ibihe bisanzwe byo kurwara iyi ndwara. Impinduka z'imisemburo mu gihe cyo gutwita zishobora gutuma imitsi irushaho gutukura, kandi ibyo gukora byo kwita ku mwana mushya akenshi biterwa n'ibimenyetso. Inkuru nziza ni uko ibintu bifitanye isano no gutwita akenshi bikira neza iyo urwego rw'imisemburo rugarutse mu buryo busanzwe kandi ibikorwa byo kwita ku mwana bikagabanuka.