Chii chinonzi De Quervain's Tenosynovitis? Zviratidzo, Zvinokonzera, & Kurapa

De Quervain's tenosynovitis chirwere chinorwadza chinotambudza minyonga iri padivi pechigunwe chikuru chetsoka yako. Inoitika apo ganda rinodzivirira minyonga miviri yakatarwa yechigunwe chikuru rinoputika uye rinopfuta, zvichiita kuti minyonga isafambe zvakanaka.

Funga nezvazvo sehombe yeminda yakakombama kana yakamanikidzwa. Minyonga yakaita semvura inoda kuyerera, asi ganda rakapfuta rinoumba nzvimbo yakasimba inokonzera kusangana uye kurwadziwa. Chirwere ichi chakajairwa uye chinorapika zvikuru, saka kunyangwe chingave chisina kunyaradza, hausi wega pakuri kurapa.

Ndezvipi zviratidzo zveDe Quervain's tenosynovitis?

Chiratidzo chikuru ndechekurwadziwa padivi pechigunwe chikuru chetsoka yako, kunyanya kana uchifambisa chigunwe chako chikuru kana kutendeutsa ruoko rwako. Ungacherechedza kuti kurwadziwa uku kunomhanya kumusoro kwechigunwe chako kana pasi muchigunwe chako chikuru, uye kazhinji kunowedzera nemamwe mafambiro eruoko.

Heano mamwe mazviratidzo aunogona kuona, kutanga nezvakajairwa:

• Kurwadziwa kwakapinza kana kunorwadza padivi pechigunwe chikuru chetsoka
• Kurwadziwa kunowedzera kana uchikwenya, uchibata, kana kuita fist
• Kupfuta pedyo nepakati pechigunwe chako chikuru
• Kuomerwa kufambisa chigunwe chako chikuru netsoka paunoita mabasa
• Kunzwa kwekubata kana kupfapfaidza paunofambisa chigunwe chako chikuru
• Kusanzwa kumashure kwechigunwe chako chikuru nechigunwe chechipiri

Kurwadziwa kazhinji kunova pachena panguva yemabasa ezuva nezuva senge kutendeutsa ma doorknobs, kukwidza mwana wako, kana kunyange kutumira meseji. Vakawanda vanotsanangura sekurwadziwa kwakadzika kunogona kunge kwakapinza nekukurumidza nemamwe mafambiro.

Chii chinokonzera De Quervain's tenosynovitis?

Chirwere ichi chinoitika kana uchishandisa chigunwe chako chikuru netsoka kakawanda munzira dzinokonzera minyonga. Kufamba kwakawanda kunokonzera ganda rinodzivirira minyonga kuti ripfute uye riwedzere, kuita nzvimbo yakasimba inodzivisa kufamba kweminyonga.

Zvinhu zvakati wandei zvinogona kuita kuti chirwere ichi chiitike:

• Kufamba kwakawanda kwemaoko netsoka, kunyanya izvo zvinosanganisira chigunwe chikuru
• Kukuvadzwa zvakananga kune ruoko kana chigunwe chikuru
• Zvirwere zvinoputika senge rheumatoid arthritis
• Kukura uye nguva yekuzvarwa kwemwana nekuda kwekugara kwemvura uye kuchinja kwehomoni
• Mabasa anoda kukwenya, kubata, kana kutendeutsa mafambiro kakawanda
• Kuwedzera kukurumidza kwemabasa eruoko

Zvinonakidza, vabereki vatsva kazhinji vanowana chirwere ichi kubva pakukwidza uye kutakura vana vavo kakawanda munzira dzinomanikidza minyonga yechigunwe chikuru. Vagadziri vebindu, vashandi vemutambo, uye vanhu vanotumira meseji kakawanda variwo pangozi yakakura.

Ndezvipi zvinhu zvinokonzera ngozi yeDe Quervain's tenosynovitis?

Vanhu vamwe chete ndivo vanowanzoita chirwere ichi zvichienderana nemabasa avo, hunhu hwemuviri, uye mamiriro ehupenyu. Kunzwisisa izvi zvinhu zvinokonzera ngozi kunogona kukubatsira kuziva kuti nei uchigona kunge uine zviratidzo.

Zvinhu zvakajairwa zvinokonzera ngozi zvinosanganisira:

• Kuva pakati pemakore makumi matatu nemakumi mashanu
• Kuva mukadzi, kunyanya panguva yekukura kana mushure mekubereka
• Kutarisira vana vaduku kana vaduku
• Kuita mabasa anoda kufamba kwakawanda kwemaoko
• Kuita mitambo yerakiti kana mabasa anobatanidza kufamba kwakawanda kwemaoko
• Kuita zvirwere zvekuzvimba kweminzwa

Vakadzi vanowanzoita chirwere ichi kanomwe kusvika gumi kupfuura varume. Kuchinja kwehomoni panguva yekukura uye kuyamwisa kunogona kuita kuti minyonga ive nyore kuputika, izvo zvinotsanangura kuti nei vanaamai vatsva vanowanzoona chirwere ichi.

Rini unofanira kuona chiremba weDe Quervain's tenosynovitis?

Unofanira kufunga nezvekuona mushandi wehutano kana kurwadziwa kwechigunwe chako chikuru netsoka kwakagara kwenguva yakareba kupfuura mazuva mashoma kana kukanganisa mabasa ako ezuva nezuva. Kurapa kwekukurumidza kazhinji kunotungamira kumigumisiro iri nani uye kunogona kudzivirira chirwere kuti chisasvike.

Ita musangano kana ukaona chero izvi zviitiko:

• Kurwadziwa kusina kuvandudzwa nekuzorora nekutarisira kumba mushure mevhiki
• Kurwadziwa kwakasimba kunodzivisa kugona kwako kushandisa ruoko rwako
• Kupfuta kwakajeka kana kuita kwakashata paruoko rwako kana chigunwe chikuru
• Kusanzwa kana kupfava muchigunwe chako chikuru kana zvigunwe
• Zviratidzo zvehutachiona senge kutsvukuruka, kupisa, kana fivha
• Kusagona kufambisa chigunwe chako chikuru kana ruoko

Chiremba wako anogona kuita bvunzo nyore kuti aone chirwere uye adzivise mamwe marwere. Kuwana nhungamiro yenyanzvi pakutanga kunogona kukuponesa mavhiki ekusagadzikana kwakawanda uye kubatsira kudzivirira matambudziko emangwana.

Ndezvipi zvinogona kuitika matambudziko eDe Quervain's tenosynovitis?

Kunyangwe De Quervain's tenosynovitis isiri chirwere chakakomba, kuisiya isina kurapwa kunogona kutungamira kumatambudziko anokanganisa basa reruoko rwako. Mashoko akanaka ndeawo kuti aya matambudziko anogona kudzivirirwa nekurapa kwakakodzera.

Matambudziko anogona kuitika anosanganisira:

• Kurwadziwa kwenguva refu kunogara kunyangwe panguva yekuzorora
• Kudzivirirwa kwenguva refu kwechigunwe chikuru netsoka
• Kushaya simba mukukwanisa kubata uye kukwenya
• Kuwedzera kwe ganda reminonga rinogara riripo
• Kuita kwe trigger thumb kana kuwedzera kwezviratidzo zviripo

Zvisingawanzoitika, vamwe vanhu vanogona kuita kuti minzwa ishatise inokonzera kusanzwa kunosvika muchigunwe. Nekudaro, ne kurapwa kwakakodzera, vanhu vazhinji vanodzoka zvakazara pasina migumisiro yakagara iripo pabasa reruoko rwavo.

De Quervain's tenosynovitis inozwiwa sei?

Chiremba wako anowanzoziva De Quervain's tenosynovitis kuburikidza nekuongororwa kwemuviri uye bvunzo iri nyore inonzi Finkelstein test. Izvi zvinosanganisira kuita fist nechigunwe chako chikuru chakavharirwa mukati mezvigunwe zvako, wobva watendeutsa ruoko rwako kuenda kuchigunwe chako chiduku.

Maitiro ekurapa anosanganisira kazhinji:

• Kukurukura nezviratidzo zvako nemaitiro ezuva nezuva
• Kuongororwa kwemuviri kwetsoka yako, chigunwe chikuru, neruoko
• Finkelstein test kudzokorora kurwadziwa kwako
• Kuongororwa kwekutambanudza kwako nesimba
• Kuongororwa kwe nhoroondo yako yekurapa nezvinhu zvinokonzera ngozi

Muzviitiko zvakawanda, hapana bvunzo dze mifananidzo dzinodiwa pakurapa. Nekudaro, kana chiremba wako akacherechedza mamwe marwere kana achida kudzivirira kuputsika kana kuzvimba, vangagona kuraira X-rays kana ultrasound. Kurapa kunowanzojeka zvichienderana nezviratidzo zvako nekuongororwa kwemuviri.

Kurapa kweDe Quervain's tenosynovitis ndechii?

Kurapa kweDe Quervain's tenosynovitis kunotarisa pakuderedza kuzvimba, kubvisa kurwadziwa, uye kudzorera basa rakajairika reminonga. Vanhu vazhinji vanopindura zvakanaka kurapa kwakajairwa, uye kuvhiya kunowanzodiwa.

Chirongwa chako chekurapa chingasanganisira nzira dzakati wandei:

• Kupfeka thumb spica splint kuzorodza minyonga yakabatwa
• Kutora mishonga inorwisa kuzvimba senge ibuprofen kana naproxen
• Kuisa ice kuderedza kupfuta nekurwadziwa
• Kuchinja mabasa anowedzera zviratidzo zvako
• Mabasa ekurapa emuviri kuvandudza kugona uye simba
• Corticosteroid injections yezviitiko zvakagara zvichiitika

Splint kazhinji ndiyo yakasarudzwa yekutanga yekurapa nekuti inobvumira minyonga yakaputika kuzorora uye kurapa. Vanhu vazhinji vanoiisa kwemavhiki mana kusvika matanhatu, vachibvisa chete zvemabasa akapfava uye kuchena.

Kana kurapa kwakajairwa kusina kubatsira mushure memwedzi yakati wandei, chiremba wako angakurudzira kuvhiya kuduku kuburitsa ganda rakasimba reminonga. Iyi kuvhiya yekunze ine mwero mukuru wekubudirira uye kazhinji inobvumira vanhu kudzoka kumabasa akajairika mukati memavhiki mashoma.

Maitiro ekutarisira De Quervain's tenosynovitis kumba?

Kurapa kumba kunotamba basa rinokosha mukupora kwako uye kunogona kuderedza zviratidzo zvako zvakanyanya kana zvakaitwa zvakasimba. Kiyi ndeyekupa minyonga yako nguva yekurapa uchichengetedza kufamba zvinyoro nyoro.

Heano mazano ekutarisira kumba anoshanda:

• Zorora chigunwe chako chikuru netsoka nekudzivirira kufamba kwakawanda
• Isa ice kwemaminitsi gumi nemashanu kusvika makumi maviri kakawanda pazuva
• Tora mishonga inorwisa kuzvimba isina kurapwa sezvakarayirwa
• Pfeka splint yako sezvakakurudzirwa nemupi wako wehutano
• Ita mabasa ekunyanyisa zvinyoro nyoro kana kurwadziwa kuchibvumira
• Chinja maitiro aunoita mabasa ezuva nezuva kuderedza kushushikana pachigunwe chako

Paunokwidza zvinhu, edza kushandisa ruoko rwako rwese panzvimbo pechigunwe chako chikuru nezvigunwe. Kana uri mubereki mutsva, bvunza rubatsiro pane mabasa ekutarisira mwana kana kushandisa mapapiro anobatsira panguva yekudyisa kuderedza kushushikana kwetsoka.

Kurapa nekushisa kunogona kubatsirawo kana kuzvimba kwekutanga kwapfuura. Kufukidza kwakapisa kana mvura inopisa yekushambidza kwemaminitsi gumi kusvika gumi nemashanu kunogona kubatsira kuzorodza minyonga uye kuvandudza kuyerera kweropa munzvimbo iyoyo.

De Quervain's tenosynovitis inogona kudzivirirwa sei?

Kunyangwe usingakwanisi kudzivirira zviitiko zvese zveDe Quervain's tenosynovitis, unogona kuderedza ngozi yako zvakanyanya nekufunga nezvemaitiro aunoshandisa maoko ako netsoka. Kudzivirira kunotarisa pakudzivirira kushushikana kwakawanda uye kuchengetedza maitiro akanaka eruoko.

Mazano ekudzivirira anoshanda anosanganisira:

• Kutora zororo nguva dzose panguva yemabasa eruoko akawanda
• Kushandisa ergonomics chaiyo kana uchishanda kana uchishandisa zvishandiso
• Kuwedzera simba reminyonga yako netsoka nemaekisesaizi nguva dzose
• Kudzivirira kukwenya kwenguva refu kana kubata mafambiro
• Kushandisa zvishandiso zvinoderedza kushushikana pachigunwe chako chikuru
• Kuchengetedza kugona kwakanaka kwetsoka neruoko

Kana uri mubereki mutsva, edza kuchinja nzvimbo dzekubata mwana wako uye shandisa mapapiro anobatsira panguva yekudyisa. Kune vanhu vanoshanda nemaoko avo, funga kushandisa zvishandiso zve ergonomic uye kutora zororo diki ma miniti makumi matatu kuti unyatsotambanudza uye uzorore maoko ako.

Unofanira kugadzirira sei musangano wako nachiremba?

Kugadzirira musangano wako kunogona kubatsira kuve nechokwadi chekuti unowana kurapa kwakanyanya uye chirongwa chekurapa chinoshanda. Chiremba wako achoda kunzwisisa zviratidzo zvako, mabasa ezuva nezuva, uye maitiro echirwere ichi anokanganisa hupenyu hwako.

Usati wasangana nachiremba wako, funga kugadzirira ruzivo urwu:

• Tsananguro yakadzama yepakatanga zviratidzo zvako uye zvinokonzera
• Rondedzero yemabasa ako ezuva nezuva, kunyanya izvo zvinosanganisira kufamba kwakawanda kwemaoko
• Mishonga kana kurapa kwawamboedza
• Mibvunzo nezve sarudzo dzekurapa uye zvinotarisirwa kupora
• Ruzivo nezve mabasa ako ebasa nezvinofadza
• Kukuvadzwa kwakamboitika paruoko rwako, ruoko, kana chigunwe

Zvinobatsira kuchengeta dhayari pfupi yezviratidzo kwemazuva mashoma usati wasangana nachiremba, uchicherechedza kana kurwadziwa kuri kukura uye mabasa api anoratidzika kuikonzera. Ruzivo urwu runogona kubatsira chiremba wako kunzwisisa chimiro chechirwere chako uye kugadzira chirongwa chekurapa chakakodzera.

Chii chinonyanya kukosha nezveDe Quervain's tenosynovitis?

De Quervain's tenosynovitis chirwere chakajairika uye chinorapika zvikuru chinotambudza minyonga iri padivi pechigunwe chikuru chetsoka yako. Kunyangwe chingave chinorwadza zvikuru uye kukanganisa mabasa ezuva nezuva, vanhu vazhinji vanodzoka zvakazara nekurapa kwakakodzera uye kushivirira.

Chinhu chinonyanya kukosha chekuyeuka ndechekuti kurapa kwekukurumidza kunotungamira kumigumisiro iri nani. Kana uri kuona kurwadziwa kwenguva refu kwechigunwe chikuru netsoka, usamirira kuti zviyambe pachazvo. Kurapa kwakapfava senge splinting, kuzorora, uye mishonga inorwisa kuzvimba kazhinji inoshanda zvikuru kana yatanga pakutanga.

Nerubatsiro rwakakodzera, unogona kutarisira kudzoka kumabasa ako akajairika mukati memavhiki mashoma kusvika kumwedzi mishoma. Vanhu vazhinji vanoona kuti kudzidza maitiro akanaka eruoko uye kutora matanho ekudzivirira kunovabatsira kudzivirira zviitiko zvechirwere ichi munguva yemberi.

Mibvunzo inobvunzwa kazhinji nezveDe Quervain's tenosynovitis

Zvinotora nguva yakareba sei kuti De Quervain's tenosynovitis ipore?

Vanhu vazhinji vanoona kuvandudzika kukuru mukati memavhiki mana kusvika matanhatu ekutanga kurapa, asi kupora kwakazara kunogona kutora mwedzi miviri kusvika mitatu. Nguva inotsamira pakukura kwechirwere chako uye maitiro aunotevera chirongwa chako chekurapa. Kupfeka splint yako nguva dzose uye kudzivirira mabasa anokonzera kukura kunogona kukurumidza kupora.

Ndingachiri kushandisa ruoko rwangu here kana ndine De Quervain's tenosynovitis?

Hongu, unogona kushandisa ruoko rwako, asi unofanira kuchinja mabasa anowedzera kurwadziwa kwako. Tarisa pakushandisa ruoko rwako rwese panzvimbo pechigunwe chako chikuru nezvigunwe zvekubata. Dzivisa kufamba kwakawanda kwakatendeuka uye kukwidza kwakakura kusvikira zviratidzo zvako zvavandudzwa. Chiremba wako kana mudzidzisi wemubvunzo wemubvunzo anogona kukuratidza nzira dzakachengeteka dzekuita mabasa ezuva nezuva.

Ndichada kuvhiya here kuti ndirape De Quervain's tenosynovitis?

Kuvhiya kunodiwa mu5-10% chete yezviitiko, kazhinji kana kurapa kwakajairwa kusina kubatsira mushure memwedzi mitatu kusvika mitanhatu. Maitiro ekurapa madiki uye kazhinji anoitwa sekuvhiya kunze. Vanhu vazhinji vanoda kuvhiya vane migumisiro yakanaka uye vanogona kudzoka kumabasa akajairika mukati memavhiki mashoma.

De Quervain's tenosynovitis inobatanidzwa ne carpal tunnel syndrome here?

Kunyangwe zvirwere zviviri zvinokanganisa ruoko netsoka, matambudziko akasiyana anokanganisa zvikamu zvakasiyana. De Quervain's tenosynovitis inokanganisa minyonga iri padivi pechigunwe chikuru chetsoka yako, nepo carpal tunnel syndrome inokanganisa minzwa inofamba nepakati petsoka yako. Nekudaro, zvinogoneka kuva nezvirwere zviviri panguva imwe chete.

Kukura kunogona kuita De Quervain's tenosynovitis here?

Hongu, kukura uye nguva yekuzvarwa kwemwana ndenguva dzakajairwa dzekuita chirwere ichi. Kuchinja kwehomoni panguva yekukura kunogona kuita kuti minyonga ive nyore kuputika, uye zvinodiwa zvemuviri zve kutarisira mwana kazhinji zvinokonzera zviratidzo. Mashoko akanaka ndeawo kuti zviitiko zvine chekuita nekukura kazhinji zvinovandudzwa zvakanyanya kana mahomoni akajairika uye mabasa ekutarisira mwana asisiri kazhinji.