Tenosynovite Ya De Quervain

Tenosynovite ya De Quervain (dih-kwer-VAIN ten-oh-sine-oh-VIE-tis) ni uburwayi bubabaza bugira ingaruka ku mitsi iri ku ruhande rw'igikumwe cy'igitoki. Niba ufite tenosynovite ya De Quervain, ushobora kumva ububabare iyo uhindura urukubiti, ufata ikintu cyangwa ugakora igipfunsi.

Nubwo impamvu nyamukuru ya tenosynovite ya De Quervain itazwi, igikorwa icyo ari cyo cyose gishingiye ku mihindagurikire y'ukuboko cyangwa urukubiti—nk'uko gukora mu busitani, gukina golf cyangwa imikino ikoresha ibirango, cyangwa gufata umwana—bishobora kubitera kurushaho kuba bibi.

Ibimenyetso bya tenosynovite ya de Quervain birimo: Kubabara hafi y'ishingiro ry'igikumwe\nKubura hafi y'ishingiro ry'igikumwe\n Kugorana guhindura igikumwe n'igitoki igihe ukora ikintu gisaba gufata cyangwa kuniga\nKumva igikumwe "gikata" cyangwa "kihagarara kigakomeza" igihe ugihinduranya Niba iyi ndwara idakize vuba, ububabare bushobora gukwirakwira mu gikumwe cyangwa mu kuboko cyangwa byombi. Guhindura igikumwe n'igitoki bishobora kongera ububabare. Gerageza kuvugana n'abaganga niba ugikomeje kugira ibibazo by'ububabare cyangwa kudakora neza kandi umaze kugerageza: Kudakoresha igikumwe cyawe kibabara\nGushyira igikonjo ku gice kibabara\nKoresha imiti igabanya ububabare idafite steroide, nka ibuprofen (Advil, Motrin IB, izindi) na naproxen sodium (Aleve)

Gira inama n'abaganga bawe niba ugifite ibibazo by'ububabare cyangwa imikorere kandi umaze kugerageza ibi bikurikira:

• Kudakoresha igikumwe cyawe cyangiritse
• Gushyira igikonjo ku gice cyangiritse
• Gukoresha imiti idafite steroide ihagarika ububabare, nka ibuprofen (Advil, Motrin IB, n'izindi) na naproxen sodium (Aleve)

Iyo ufata, ufata, ukomanga, ugata cyangwa ugakubita ikintu icyo ari cyo cyose mu kiganza cyawe, imitsi ibiri yo mu kuboko kwawe no mu gice cyo hasi cy'igikumwe bisanzwe byinjira neza mu muhogo muto ubahuza n'ishingiro ry'igikumwe. Gusubiramo igikorwa runaka umunsi ku munsi bishobora kubabaza uruhu ruzunguruka imitsi ibiri, bigatera ukubyimba no kubyimba bigabanya imitsi.

De Quervain tenosynovitis irashisha imitsi ibiri iri ku ruhande rw'igikumwe rw'akaboko. Imitsi ni ibintu bisa n'umugozi bifunga umusuli ku gufata.

Gukoresha cyane igihe kirekire, nko gusubiramo igikorwa runaka cy'ukuboko umunsi ku munsi, bishobora kubabaza igifuniko kiri ku mitsi. Niba igifuniko kibabajwe, imitsi ishobora kubyimba no kubyimba. Ubu bubyimba n'ububyimba bigabanya imitsi inyura mu muhogo muto ubahuza n'ishingiro ry'igikumwe.

Izindi mpamvu za de Quervain tenosynovitis harimo:

• Indwara y'uburiganya, nka rhumatoïde arthritis.
• Imvune y'akaboko cyangwa umutsi, bishobora gutera inyama z'igisebe zigabanya imitsi
• Kubika amazi, nko guhinduka kwa hormone mu gihe cyo gutwita

Ibintu byongera ibyago byo kwibasirwa na tenosynovite ya de Quervain birimo:

• Imyaka. Abantu bari hagati y'imyaka 30 na 50 bafite ibyago byinshi byo kwibasirwa na tenosynovite ya de Quervain kurusha abandi bantu, harimo n'abana.
• Ibitsina. Iyi ndwara igaragara cyane mu bagore.
• Gutwita. Iyi ndwara ishobora kuba ifitanye isano no gutwita.
• Kwita ku mwana. Gufata umwana kenshi bisobanura gukoresha ibuto nk'igikoresho kandi bishobora kuba bifitanye isano n'iyi ndwara.
• Imishinga cyangwa ibikorwa byo kwidagadura bikubiyemo gukoresha intoki n'amaboko kenshi. Ibi bishobora gutera tenosynovite ya de Quervain.

Iyo tenosynovite ya de Quervain idakurikiranwe, bishobora kugorana gukoresha intoki n'igitoki neza. Igitiki gishobora kubura ubushobozi bwo kugenda.

Kugira ngo hamenyekane icyorezo cya de Quervain tenosynovitis, umuvuzi wawe azakora isuzuma ry'ukuboko kwawe kugira ngo arebe niba wumva ububabare iyo hatemwe ku ruhande rw'igikumwe cy'igitoki. Ibipimo Ushobora gusabwa gukora ikizamini cya Finkelstein, aho ugurutsa igikumwe cyawe ku gice cy'intoki yawe kandi ugurutsa intoki zawe hejuru y'igikumwe cyawe. Hanyuma ugurutsa urubavu rwawe werekeza ku ntoki yawe nto. Niba ibi biterwa no kubabara ku ruhande rw'igikumwe cy'igitoki, birashoboka ko ufite de Quervain tenosynovitis. Ibipimo byo kubona amashusho, nka X-rays, ntabwo bikenewe kugira ngo hamenyekane de Quervain tenosynovitis.

Ubuvuzi bwa tenosynovite ya de Quervain bugamije kugabanya kubyimba, kubungabunga imitoma mu gikumwe no gukumira gusubira. Niba utangiye kuvurwa hakiri kare, ibimenyetso byawe bikwiye kuzahuka mu gihe cy'ibyumweru 4 kugeza kuri 6. Niba tenosynovite ya de Quervain itangira mu gihe cyo gutwita, ibimenyetso birashoboka ko bizashira ahagana imperuka y'itwita cyangwa konsa. Imiti Kugira ngo bagabanye ububabare n'ibyimba, muganga wawe ashobora kugutekereza gukoresha imiti igabanya ububabare ushobora kugura utabonye ordonnance. Ibi birimo ibuprofen (Advil, Motrin IB, n'ibindi) na naproxen sodium (Aleve). Muganga wawe ashobora kandi kugutekereza guterwa inshinge z'imiti ya corticosteroid mu gipfunsi cy'umugongo kugira ngo agabanye kubyimba. Niba ubuvuzi butangiye mu mezi atandatu ya mbere y'ibimenyetso, abantu benshi barakira neza nyuma yo guterwa inshinge za corticosteroid, akenshi nyuma y'urushinge rumwe. Ubuvuzi Ubuvuzi bwa mbere bwa tenosynovite ya de Quervain bushobora kuba: Guhagarara gikumwe n'igitugu, kubigumisha uko biri ukoresheje agace k'umubiri cyangwa agace k'umubiri kugira ngo ufashe kuruhuka imitsi Kwirinda gukora imitoma y'igikumwe kenshi bishoboka Kwirinda gufata igikumwe mu gihe uhindagura urukubiti mu ruhande rumwe no mu rundi Gushyira ice ku gice cyangiritse Ushobora kandi kubona umuganga wita ku mubiri cyangwa umuganga wita ku kazi. Umuganga ashobora kureba uko ukoresha urukubiti rwawe kandi agatanga ibitekerezo ku buryo bwo kugabanya umunaniro ku maboko yawe. Umuganga wawe ashobora kandi kukwigisha imyitozo yo gukora ku rukubiti rwawe, ukuboko n'ukuboko. Imyitozo nk'iyi ishobora gukomeza imitsi yawe, kugabanya ububabare no kugabanya gucika intege kw'imitsi. Imyitozo cyangwa ibindi bikorwa Imyitozo ishobora kugutekereza ku bintu bikomeye. Imyitozo iba hanze. Muri ubu buryo, umuganga areba igipfunsi gikikije umugongo cyangwa imitsi hanyuma agafungura igipfunsi kugira ngo arekure umuvuduko. Ibi bituma imitsi igenda neza. Umuganga wawe azagutekerereza uko uruhuka, ukomeza kandi ugasana umubiri wawe nyuma yo kubagwa. Umuganga wita ku mubiri cyangwa umuganga wita ku kazi ashobora kukubonana nyuma yo kubagwa kugira ngo akwigishe imyitozo mishya yo gukomeza no kugufasha guhindura imirimo yawe ya buri munsi kugira ngo wirinde ibibazo by'ejo hazaza. Saba gahunda