Tenosynovitis Yede Quervain

'De Quervain tenosynovitis (dih-kwer-VAIN ten-oh-sine-oh-VIE-tis) chirwere chinorwadza chinotapura mitsipa iri kurutivi rwegumbo remuoko. Kana uine de Quervain tenosynovitis, unganzwa kurwadziwa kana uchitendeutsa ruoko rwako, uchibata chimwe chinhu kana kuita fist. Kunyange hazvo chikonzero chaicho che de Quervain tenosynovitis chisingazivikanwe, chero basa rinoda kufamba kwematama kana ruoko zvakare-kare—sekushanda mubindu, kutamba gorofu kana mitambo yemirakiti, kana kukwidza mwana—zvinogona kuzowedzera. '

Zviratidzo zve de Quervain tenosynovitis zvinosanganisira: Kurwadziwa pedyo nepakati pechigunwe chikuru Kuvimba pedyo nepakati pechigunwe chikuru Kuomerwa kufambisa chigunwe chikuru nechiuno chetsoka kana uchiita chimwe chinhu chinosanganisira kubata kana kubata Kunzwa kwe "kunamatira" kana "kumira-uye-enda" muchigunwe chikuru kana uchifambisa Kana mamiriro acho achienda kwenguva refu pasina kurapwa, kurwadziwa kunogona kupararira kure muchigunwe chikuru kana ruoko kana ese ari maviri. Kufambisa chigunwe chikuru nechiuno chetsoka kunogona kuita kuti kurwadziwa kuwedzere. Bvunza mutariri wehutano hwako kana uchiri kunetseka nekurwadziwa kana basa uye watoedza: Kusashandisa chigunwe chako chakakanganisika Kuisa chando munzvimbo yakakanganisika Kushandisa mishonga isina steroid anti-inflammatory, senge ibuprofen (Advil, Motrin IB, vamwe) uye naproxen sodium (Aleve)

Bvunza chiremba wako kana uchiri kurwadziwa kana kuti hausi kushanda zvakanaka kunyange watoedza zvinotevera:

• Kusashandisa chigunwe chako chakarwadziwa
• Kuisa chando panzvimbo yakakuvadzwa
• Kushandisa mishonga inorwisa kuzvimba isiri steroid, yakadai se ibuprofen (Advil, Motrin IB, nezvimwewo) ne naproxen sodium (Aleve)

Kana uchibata, kubata, kukombama, kubata kana kukwiza chero chinhu paruoko rwako, mitsipa miviri paruoko rwako nemunwe mukuru wakaderera inoshanduka zvinyoro nyoro nepakati penzira duku inobatanidza nemucheto wemunwe mukuru. Kuita basa rimwe chete zuva nezuva kunogona kukuvadza ganda riri kumativi ematendon maviri, zvichikonzera kuwanda nekukura kunodzivisa kufamba kwavo.

De Quervain tenosynovitis inokanganisa mitsipa miviri iri kurutivi rweminwe mukuru weruoko. Mitsipa ndiyo zvikamu zvakaita setamba zvinobatanidza tsandanyama nemapfupa.

Kushandiswa kwenguva refu, sekudzokorora basa rimwe chete reruoko zuva nezuva, kunogona kukuvadza ganda riri kumativi ematendon. Kana ganda racho rikakuvadzwa, mitsipa inogona kuwanda nekukura. Kuwanda nekukura uku kunodzivisa kufamba kwemitsipa nepakati penzira duku inobatanidza nemucheto wemunwe mukuru.

Zvimwe zvinokonzera de Quervain tenosynovitis zvinosanganisira:

• Marwadzo anokonzera kuzvimba, sekunge ari marwadzo ekuzvimba rheumatoid.
• Kukuvadzwa zvakananga paruoko kana tendon, izvo zvinogona kukonzera tishu dzemakanda dzinosanganisa kufamba kwemitsipa
• Kuwanda kwemvura mumuviri, sekunge kuchinja kwehomoni panguva yekuzvitakura

Zvinokonzera de Quervain tenosynovitis zvinosanganisira:

• Age (Zera). Vanhu vane makore ari pakati pe30 ne50 vane mukana mukuru wekurwara de Quervain tenosynovitis kupfuura vanhu vemamwe makore, kusanganisira vana.
• Sex (Bonde). Chirwere ichi chinoitika zvakanyanya muvakadzi.
• Being pregnant (Kuita nhumbu). Chirwere ichi chingave chine chekuita nekuita nhumbu.
• Baby care (Kutarisira mwana). Kusimudza mwana nguva dzose kunosanganisira kushandisa minwe mikuru sechinhu chekusimudzira uye kungave chine chekuita nechirwere ichi.
• Mabasa kana zvinofadza zvinosanganisira kufamba kweminwe nemaoko nguva dzose. Izvi zvingakonzera de Quervain tenosynovitis.

Kana de Quervain tenosynovitis isingarapwi, zvinogona kuoma kushandisa ruoko neruoko zvakanaka. Ruoko rwunogona kurasikirwa nekumwe kufamba.

Kuongorora de Quervain tenosynovitis, chiremba wenyu achazotarisisa ruoko rwenyu kuti aone kana munonzwa kurwadziwa kana paine kuiswa kumanikidzo kurutivi rwechigunwe chikuru cheruoko. Kuongororwa Mungakumbirwa kuita bvunzo yeFinkelstein, umo munopfupika chigunwe chenyu chikuru pamusoro pechiganza cheruoko rwenyu uye munopfupika minwe yenyu pamusoro pechigunwe chenyu chikuru. Zvadaro munopfupika ruoko rwenyu uchienda kuchigunwe chidiki. Kana izvi zvikaita kurwadziwa kurutivi rwechigunwe chikuru cheruoko, zvinoratidza kuti une de Quervain tenosynovitis. Kuongororwa kwemifananidzo, sekufananidzira kweX-ray, kazhinji hakudiwi pakuzivisa de Quervain tenosynovitis.

Kurapa kwede Quervain tenosynovitis kunangisira kuderedza kuzvimba, kuchengetedza kufamba kwechigunwe uye kudzivirira kudzokazve. Kana iwe uchitanga kurapwa pakutanga, zviratidzo zvako zvinofanira kuvandudza mukati memavhiki mana kusvika matanhatu. Kana de Quervain tenosynovitis ichitanga panguva yekuzvitakura, zviratidzo zvinogona kuguma pedyo nekupedzisira kwekumira pamuviri kana kuyamwisa. Mishonga Kuderedza kurwadziwa nekukwira, chiremba wako anogona kukurudzira kushandisa zvinorwisa kurwadziwa zvaungatenga pasina chinyorwa. Izvi zvinosanganisira ibuprofen (Advil, Motrin IB, nezvimwewo) uye naproxen sodium (Aleve). Chiremba wako anogona kukurudzirawo kuiswa kwemishonga ye corticosteroid mukati mekuputira kwetendon kuderedza kuzvimba. Kana kurapwa kuchitanga mukati memwedzi mitanhatu yekutanga yezviratidzo, vanhu vazhinji vanodzoka zvizere mushure mekupihwa mishonga ye corticosteroid, kazhinji mushure mekuiswa kamwe chete. Kurapa Kurapwa kwekutanga kwede Quervain tenosynovitis kunogona kusanganisira: Kuvhara chigunwe nechiuno, kuachengeta akatwasuka ne splint kana brace kubatsira kupumhidza tendons Kudzivisa kufamba kwakawanda kwechigunwe sezvinobvira Kudzivisa kupinza nechigunwe kana uchifambisa chiuno kubva kurutivi kuenda kurutivi Kuisa ice munzvimbo yakabatwa Unogona kuonawo chiremba wekurapa kana chiremba webasa. Chiremba anogona kuongorora maitiro aunoshandisa chiuno chako uye kupa mazano ekuderedza kushushikana pamaoko ako. Chiremba wako anogona kukudzidzisawo maekisesaizi echiuno chako, ruoko nemuviri. Aya maekisesaizi anogona kusimbisa misumbu yako, kuderedza kurwadziwa uye kudzora kukwenya kwetendon. Kuopereta kana mamwe maitiro Kuopereta kunogona kukurudzirwa kune zviitiko zvakakomba. Kuopereta ndekwekunze. Muitiro wacho, chiremba anoongorora sheath yakapoteredza tendon yakabatwa kana tendons uye anovhura sheath kuburitsa kumanikidza. Izvi zvinoita kuti tendons ifambe zvakasununguka. Mupi wako wehutano achakurukura newe nezvekuti ungazorora sei, kusimbisa uye kugadzirisa muviri wako mushure mekuopereta. Chiremba wekurapa kana chiremba webasa anogona kusangana newe mushure mekuopereta kukudzidzisa maekisesaizi matsva ekukora uye kukubatsira kugadzirisa maitiro ako ezuva nezuva kudzivirira matambudziko ramangwana. Kumbira musangano