Ukuqina Kwezinzwa Zezandla ZikaDe Quervain? Izimpawu, Izimbangela, Nokwelashwa

Ukuqina kwezinzwa zezandla ZikaDe Quervain kuyisimo esibuhlungu esihlupha izinzwa eceleni kwesandla sakho. Kwenzeka lapho isikhumba esivikelayo esizungezile izinzwa ezimbili zethumbu siqina futhi siqina, okwenza kube nzima ukuthi izinzwa zihambe ngokukhululekile.

Cabanga ngompompo yensimbi ephukile noma ecindezelekile. Izinzwa zifana namanzi azame ukugeleza, kodwa isikhumba esihluphekile sidala indawo ecindezelekile ebangela ukusabela nobuhlungu. Lesi simo sivame kakhulu futhi silashwa kalula, ngakho-ke nakuba singabi nakho ukuthula, awuwedwa ekuhluphekeni kwalo.

Ziyini izimpawu zokuqina kwezinzwa zezandla ZikaDe Quervain?

Isimpawu esiyinhloko yilokhu kuhlungu eceleni kwesandla sakho, ikakhulukazi lapho uhambisa ithumbu lakho noma uqhumisa isandla sakho. Ungase ubone ukuthi lobuhlungu buya ezingalweni zakho noma phansi ethumbeni lakho, futhi kuvame ukuba sibi ngezinye izinyathelo zesandla.

Nazi izimpawu ongazihlangabezana nazo, uqale ngezivamile kakhulu:

• Ubuhlungu obukhulu noma obukhulu eceleni kwesandla sakho
• Ubuhlungu obukhulu lapho ucindezela, ubamba, noma uqhumisa isandla
• Ukuqina eduze kwesisekelo sethumbu lakho
• Ubunzima bokuhambisa ithumbu lakho nesandla sakho lapho wenza imisebenzi
• Ukuzwa okuthile noma okuthile lapho uhambisa ithumbu lakho
• Ukuqina emuva kwethumbu lakho nengalo yakho

Ubuhlungu buvame ukubonakala kakhulu ngesikhathi semisebenzi yansuku zonke efana nokujika izinkinobho zezinyango, ukuphakamisa ingane yakho, noma ngisho nokubhala imiyalezo. Abantu abaningi bayichaza njengokuthi yilokhu kuhlungu okujulile okungaba khulu ngokuzumayo ngezinye izinyathelo.

Yini ebangela ukuqina kwezinzwa zezandla ZikaDe Quervain?

Lesi simo sithuthuka lapho usebenzisa ithumbu lakho nesandla sakho ngokuphindaphindiwe ngezindlela ezicasula izinzwa. Ukusebenza okuphindaphindiwe kubangela isikhumba esivikelayo esizungezile izinzwa ukuthi siqine futhi siqine, sidala indawo ecindezelekile evinjelwa ukunyakaza okujwayelekile kwezinzwa.

Izici eziningi zingase zifake isandla ekuthuthukiseni lesi simo:

• Ukusebenza okuphindaphindiwe kwesandla nesandla, ikakhulukazi lawo ahilela ithumbu
• Ukulimala okuqondile endaweni yesandla noma ithumbu
• Isimo sokuvuvukala njengokuvuvukala kwama-rheumatoid
• Ukukhulelwa nesikhathi sokubeletha ngenxa yokugcinwa kwamanzi nokushintsha kwamahomoni
• Imisebenzi edinga ukucindezela okuphindaphindiwe, ukubamba, noma ukuguqula izinyathelo
• Ukuqhubeka okukhulu kwezinga lomsebenzi wesandla

Ngokuthakazelisayo, abazali abasha bavame ukuthuthukisa lesi simo ngokuphindaphindiwe ukuphakamisa nokuthwala izingane zabo ngezindlela ezicindezela izinzwa zethumbu. Abalima, abasebenzi bemigqa yokubutha, nabantu abathumela imiyalezo njalo nabo baphethwe yingozi enkulu.

Ziyini izici ezingase zifake isandla ekuqineni kwezinzwa zezandla ZikaDe Quervain?

Abantu abathile banesihloko esikhulu sokuthuthukisa lesi simo ngokusekelwe emisebenzini yabo, izici zomzimba, nezimo zokuphila. Ukuqonda lezi zici ezingase zifake isandla kungakusiza uqonde ukuthi kungani ungase ube nezimpawu.

Izici ezingase zifake isandla ezivamile kakhulu zihlanganisa:

• Ukuba phakathi kweminyaka engama-30 kuya kwengu-50
• Ukuba owesifazane, ikakhulukazi ngesikhathi sokukhulelwa noma ngokushesha ngemva kokubeletha
• Ukukhathalela izingane noma izingane ezincane
• Ukuba nemisebenzi edinga ukusebenza okuphindaphindiwe kwesandla
• Ukudlala imidlalo ye-racquet noma imisebenzi ehilela ukunyakaza okuphindaphindiwe kwesandla
• Ukuba nezimo zokuvuvukala kwama-arthritis

Abesifazane banethuba elingaphezu kwesishiyagalombili kuya kwelishumi lokuba naleli simo kunamadoda. Ukushintsha kwamahomoni ngesikhathi sokukhulelwa nokuncelisa kungenza izinzwa zibe lula ekuvuvukaleni, okucacisa ukuthi kungani omama abasha bavame ukuhlangabezana naleli simo.

Nini kufanele ubona udokotela ngokuqina kwezinzwa zezandla ZikaDe Quervain?

Kufanele ucabange ukuthintana nodokotela uma ubuhlungu besandla sakho nethumbu buhlala isikhathi esingaphezu kwamalanga ambalwa noma buhlupha imisebenzi yakho yansuku zonke. Ukwelashwa kwasekuqaleni kuvame ukuletha imiphumela emihle futhi kungavimbela isimo sokuba sibi.

Qiniseka ukuhlela i-aphoyintimenti uma uhlangabezana nanoma yiziphi lezi zimo:

• Ubuhlungu obungaphuli ngokuphumula nokukhathalela ekhaya ngemva kweviki
• Ubuhlungu obukhulu obuvinjelwa ukusebenzisa isandla sakho
• Ukuqina okubonakalayo noma ukuguquka eduze kwesandla sakho noma ithumbu
• Ukuqina noma ukuthamba ethumbeni lakho noma ezingalweni
• Izimpawu zokutheleleka njengokubomvu, ukushisa, noma ukushisa
• Ukungenakukwazi nhlobo ukuhambisa ithumbu lakho noma isandla sakho

Udokotela wakho angenza ukuhlolwa okulula ukuqinisekisa ukuxilongwa nokukhipha ezinye izimo. Ukuthola isiqondiso sobungcweti kwasekuqaleni kungakusindisa amasonto okungakhululeki okungadingekile futhi kusize ukuvimbela izinkinga zesikhathi eside.

Ziyini izinkinga ezingase zenzeke ngokuqina kwezinzwa zezandla ZikaDe Quervain?

Nakuba ukuqina kwezinzwa zezandla ZikaDe Quervain kungesona isimo esibuhlungu, ukushiya kungelashwa kungaletha ezinye izinkinga ezihlupha ukusebenza kwesandla sakho. Izindaba ezinhle ukuthi lezi zinkinga zingavikeleka ngokwelashwa okufanele.

Izinkinga ezingase zenzeke zihlanganisa:

• Ubuhlungu obuhlala njalo obuhlala ngisho nasekuphumuleni
• Ukunciphisa okungapheli kokunyakaza kwethumbu nesandla
• Ubuthakathaka emandleni okubamba nokucindezela
• Ukuqina kwesikhumba sezinzwa okuhlala njalo
• Ukuthuthukiswa kwethumbu le-trigger noma ukuba sibi kwezimpawu ezikhona

Ngokungavamile, abanye abantu bangase bathuthukise ukuvuvukala kwezinzwa okubangela ukuqina okwandayo ezingalweni. Kodwa-ke, ngokwelashwa okufanele, abantu abaningi bayaphila ngokuphelele ngaphandle kwemiphumela ehlala njalo ekusebenzeni kwesandla sabo.

Ukuqina kwezinzwa zezandla ZikaDe Quervain kuxilongwa kanjani?

Udokotela wakho ngokuvamile angaxilonga ukuqina kwezinzwa zezandla ZikaDe Quervain ngokuhlola komzimba nokuhlolwa okulula okuthiwa yi-Finkelstein test. Lokhu kuhilela ukwenza isandla ngethumbu lakho elivalwe ezingalweni zakho, bese uqhumisa isandla sakho ngaseminweni yakho.

Inkqubo yokuxilonga ngokuvamile ihlanganisa:

• Ingxoxo yezimpawu zakho nemisebenzi yansuku zonke
• Ukuhlolwa komzimba kwesandla sakho, ithumbu, nesandla
• I-Finkelstein test ukubuyisela ubuhlungu bakho
• Ukuhlolwa kokunyakaza kwakho namandla
• Ukuhlaziywa komlando wakho wezokwelapha nezici ezingase zifake isandla

Ezimweni eziningi, akukho zihloko zokufana ezidingekayo zokuxilonga. Kodwa-ke, uma udokotela wakho engabaza ezinye izimo noma efuna ukukhipha ukuphazamiseka noma i-arthritis, bangase bayalele i-X-rays noma i-ultrasound. Ukuxilongwa ngokuvamile kulula ngokusekelwe ezimpawu zakho nokuhlolwa komzimba.

Yikuphi ukwelashwa kokuthuthuka kwezinzwa zezandla ZikaDe Quervain?

Ukwelashwa kokuthuthuka kwezinzwa zezandla ZikaDe Quervain kugxile ekuqedeni ukuvuvukala, ukuqeda ubuhlungu, nokubuyisela ukusebenza okujwayelekile kwezinzwa. Abantu abaningi bayaphendula kahle ekuwelashweni okuqondile, futhi ukucutshungulwa kuyadingeka kancane.

Uhlelo lwakho lokwelashwa lungase luhlanganise izindlela eziningi:

• Ukugqoka i-thumb spica splint ukuphumula izinzwa ezihluphekile
• Ukuthatha imithi yokulwa nokuvuvukala efana ne-ibuprofen noma i-naproxen
• Ukubekela uqhwa ukuqeda ukuqina nobuhlungu
• Ukuguqula imisebenzi eyenza izimpawu zakho zibe sibi
• Ukuzivocavoca komzimba ukuthuthukisa ukuqina namandla
• Ukudubula kwama-corticosteroid ezimweni ezihlala njalo

I-splint ngokuvamile iyilokho okuqala kokwelashwa ngoba ivumela izinzwa eziqine ukuthi ziphumule futhi zilulame. Abantu abaningi bayigqoka cishe amasonto amane kuya kwesithupha, bayisuse kuphela ngezinye izenzo ezilula nokuhlanzeka.

Uma ukwelashwa okuqondile kungabi nakho ukunikeza impumuzo ngemva kwamasonto amaningana, udokotela wakho angase akukhuthaze ukwenza inqubo encane yokucutshungulwa ukuqeda isikhumba sezinzwa esiqine. Lokhu kucutshungulwa kwesiguli esigulini sinezinga eliphezulu lokwenza kahle futhi ngokuvamile kuvumela abantu ukuba babuyele emisebenzini yabo ejwayelekile ngaphakathi kwamasonto ambalwa.

Ungalawula kanjani ukuqina kwezinzwa zezandla ZikaDe Quervain ekhaya?

Ukwelashwa ekhaya kudlala indima ebalulekile ekuphileni kwakho futhi kunganciphisa kakhulu izimpawu zakho lapho kwenziwa ngokuqhubekayo. Ikhona ukunika izinzwa zakho isikhathi sokululama ngenkathi ugcina ukunyakaza kancane.

Nazi izindlela zokuphatha ekhaya ezisebenza kahle:

• Phumula ithumbu lakho nesandla sakho ngokuqeda ukusebenza okuphindaphindiwe
• Faka uqhwa imizuzu engama-15-20 izikhathi eziningi ngosuku
• Thatha imithi yokulwa nokuvuvukala engaphezu kokubalwa njengoba kuqondiswe
• Gqoka i-splint yakho njengoba kunconywe yisibhedlela sakho
• Yenza izenzo zokwelula kancane lapho ubuhlungu buyavumela
• Shintsha indlela oqeda ngayo imisebenzi yansuku zonke ukuqeda ukucindezela ethumbeni lakho

Lapho uphakamisa izinto, zama ukusebenzisa isandla sakho sonke kunokuba usebenzise ithumbu lakho nomunwe wakho. Uma ungumzali omusha, cela usizo ngemisebenzi yokunakekela ingane noma sebenzisa izikhwama ezisekelayo lapho uncelisa ukuqeda ukucindezela kwesandla.

Ukwelashwa okufudumele kungase futhi kusize uma ukuvuvukala okuqala kuphela. I-compress efudumele noma ukufaka amanzi afudumele imizuzu engama-10-15 kungasiza ekuphumuleni imisipha nokwenza igazi ligeleze endaweni.

Ukuqina kwezinzwa zezandla ZikaDe Quervain kungavikeleka kanjani?

Nakuba ungakwazi ukuvimbela zonke izimo zokuqina kwezinzwa zezandla ZikaDe Quervain, unganciphisa kakhulu ingozi yakho ngokunaka indlela osebenzisa ngayo izandla zakho nezandla. Ukuvimbela kugxile ekuqedeni ukucindezela okuphindaphindiwe nokugcina imishini emihle yesandla.

Izindlela zokuvimbela ezisebenza kahle zihlanganisa:

• Ukuthatha ama-breaks njalo ngesikhathi semisebenzi yesandla ephindaphindiwe
• Ukusebenzisa i-ergonomics efanele lapho usebenza noma usebenzisa amadivayisi
• Ukuqinisa imisipha yesandla nesandla sakho ngokuzivivinya njalo
• Ukuqeda ukucindezela noma ukubamba isikhathi eside
• Ukusebenzisa amathuluzi okuhlanganisa aqeda ukucindezela emathumbeni akho
• Ukugcina ukuqina okuhle kwesandla nesandla sonke

Uma ungumzali omusha, zama ukushintsha izikhundla zakho zokubamba ingane yakho futhi usebenzise izikhwama ezisekelayo ngesikhathi sokuncelisa. Kubantu abasebenza ngezandla zabo, cabanga ukusebenzisa amathuluzi e-ergonomic futhi uthathe ama-micro-breaks njalo imizuzu engama-30 ukuwelula nokuphumula izandla zakho.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho yodokotela?

Ukulungiselela i-aphoyintimenti yakho kungasiza ukuqinisekisa ukuthi uthola ukuxilongwa okuchane kakhulu nohlelo lokwelashwa olusebenzayo. Udokotela wakho uzofuna ukuqonda izimpawu zakho, imisebenzi yansuku zonke, nendlela isimo esihlupha ngayo impilo yakho.

Ngaphambi kwe-aphoyintimenti yakho, cabanga ukulungiselela lolu lwazi:

• Incazelo eningiliziwe yekuthi izimpawu zakho zaqala nini nokuthi yini ezibangela
• Uhlu lwemisebenzi yakho yansuku zonke, ikakhulukazi lezo ezihilela ukusebenza okuphindaphindiwe kwesandla
• Nanoma iyiphi imithi noma ukwelashwa osele uzama
• Imibuzo mayelana nezinketho zokwelashwa nethemba lokuphulukisa
• Ulwazi mayelana nemisebenzi yakho yomsebenzi nezinto ozithandayo
• Nanoma yikuphi ukulimala okungaphambili esandleni sakho, isandla, noma ingalo

Kusiza ukugcina idayari emfushane yesimpawu izinsuku ezimbalwa ngaphambi kwe-aphoyintimenti yakho, uqaphele ukuthi ubuhlungu bubi nini nemisebenzi ebonakala iyibangela. Lolu lwazi lungasiza udokotela wakho ukuqonda iphethini yesimo sakho futhi athuthukise uhlelo lokwelashwa olufanele kakhulu.

Yini eyinhloko mayelana nokuqina kwezinzwa zezandla ZikaDe Quervain?

Ukuqina kwezinzwa zezandla ZikaDe Quervain kuyisimo esivamile futhi esilashwa kalula esihlupha izinzwa eceleni kwesandla sakho. Nakuba kungaba buhlungu kakhulu futhi kuhluphe imisebenzi yansuku zonke, abantu abaningi bayaphila ngokuphelele ngokwelashwa okufanele nokuthula okuthile.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukwelashwa kwasekuqaleni kuletha imiphumela emihle. Uma uhlangabezana nobuhlungu obuhlala njalo bethumbi nesandla, ungalindi ukuthi buzophela ngokwalo. Ukwelashwa okulula njengokubeka i-splint, ukuphumula, nemithi yokulwa nokuvuvukala ngokuvamile kusebenza kahle uma kuqalwa kwasekuqaleni.

Ngenhlanhla efanele, ungalindela ukubuyela emisebenzini yakho ejwayelekile ngaphakathi kwamasonto ambalwa kuya ezinyangeni ezimbalwa. Abantu abaningi bathola ukuthi ukufunda imishini efanele yesandla nokuthatha izinyathelo zokuvimbela kubasiza ukuthi bagweme izigameko zesikhathi esizayo saleli simo.

Imibuzo evame ukubuzwa mayelana nokuqina kwezinzwa zezandla ZikaDe Quervain

Kuthatha isikhathi esingakanani ukuthi ukuqina kwezinzwa zezandla ZikaDe Quervain kululame?

Abantu abaningi babona ukuthuthuka okukhulu ngaphakathi kwamasonto angu-4-6 okuqala ukwelashwa, kodwa ukuphulukisa okuphelele kungathatha izinyanga ezingu-2-3. Isikhathi sokuphulukisa siye ngokuthi isimo sakho sibuhlungu kangakanani nokuthi ulandela kangcono uhlelo lwakho lokwelashwa. Ukugqoka i-splint yakho ngokuqhubekayo nokuqeda imisebenzi ecasulayo kungasheshisa ukuphulukisa.

Ngingasasebenzisa isandla sami uma nginawo ukuqina kwezinzwa zezandla ZikaDe Quervain?

Yebo, usengasasebenzisa isandla sakho, kodwa kufanele uguqule imisebenzi eyenza ubuhlungu bakho bube sibi. Gxila ekusebenziseni isandla sakho sonke kunokuba usebenzise ithumbu lakho nemilenze yakho ukubamba. Qeda ukunyakaza okuphindaphindiwe nokuphakamisa okunzima kuze kube yilapho izimpawu zakho ziphulukile. Udokotela wakho noma umqeqeshi womzimba angakubonisa izindlela eziphephile zokwenza imisebenzi yansuku zonke.

Ingabe ngizodinga ukucutshungulwa ngokuqina kwezinzwa zezandla ZikaDe Quervain?

Ukuhlinzwa kudingeka kuphela cishe ku-5-10% yezimo, ngokuvamile lapho ukwelashwa okuqondile kungabi nakho ukunikeza impumuzo ngemva kwezinyanga ezingu-3-6. Inqubo yokucutshungulwa incinde futhi ngokuvamile yenziwa njengenqubo yesiguli esigulini. Abantu abaningi abadinga ukucutshungulwa banemiphumela emihle futhi bangabuyela emisebenzini yabo ejwayelekile ngaphakathi kwamasonto ambalwa.

Ingabe ukuqina kwezinzwa zezandla ZikaDe Quervain kuhlobene ne-carpal tunnel syndrome?

Nakuba zombili izimo zihlupha isandla nesandla, ziyimisebenzi ehlukile ehlupha izakhiwo ezihlukile. Ukuqina kwezinzwa zezandla ZikaDe Quervain kuhlupha izinzwa eceleni kwesandla sakho, kuyilapho i-carpal tunnel syndrome ihlupha inzwa ehamba phakathi kwesandla sakho. Kodwa-ke, kungenzeka ukuba nezimo zombili ngesikhathi esifanayo.

Ingabe ukukhulelwa kungabangela ukuqina kwezinzwa zezandla ZikaDe Quervain?

Yebo, ukukhulelwa nesikhathi sokubeletha kuyizikhathi ezivamile zokuthuthukisa lesi simo. Ukushintsha kwamahomoni ngesikhathi sokukhulelwa kungenza izinzwa zibe lula ekuvuvukaleni, futhi izidingo zomzimba zokunakekela ingane evamile zibangela izimpawu. Izindaba ezinhle ukuthi izimo ezihlobene nokukhulelwa ngokuvamile ziphulukile kakhulu uma amazinga e-hormone eqondile futhi imisebenzi yokunakekela ingane ingabi khona njalo.