Uthukela Lweminwe Yini? Izimpawu, Izimbangela, Nokwelashwa

Uthukela lweminwe yisimo lapho olunye lweminwe yakho luhlala luqondile bese luqonde ngokungazelelwe, njengokudonsa nokukhulula i-trigger. Lokhu kwenzeka lapho i-tendon (isigxobo) esisiza umunwe wakho ukuthi uhambe siqala ukuvuvukala noma siqala ukukhathazeka, okwenza kube nzima ukuthi siqhubeke ngokukhululekile ngaphakathi kwesikhumba esifana nethoni eliwujikelezile.

Nakuba kungase kuzwakale kukhathazayo, uthukela lweminwe luvamile kakhulu futhi luphatheka kalula. Awuwedwa uma ubhekene nalokhu - luthinta izigidi zabantu, futhi izincazelo eziningi ziphendula kahle ekwelapheni okulula uma kubanjwe ngokushesha.

Uthukela lweminwe yini?

Uthukela lweminwe, oluaziwa ngokuthi yi-stenosing tenosynovitis, lwenzeka lapho isikhumba esivikelekile esizungezile i-tendon yomunwe wakho siqala ukuvuvukala noma siqine. Cabanga ngayo njengentambo ezama ukuhamba ngaphakathi kwethoni eliye laba lincinyane kakhulu.

Iminwe yakho iqonde futhi iqoqekile ngenxa yama-tendons asebenza njenge-pulleys. Uma konke kusebenza ngokukhululekile, awucabangi ngakho. Kodwa uma leyo mpahla evikela iqala ukukhathazeka, idala i-bottleneck (isithiyo) okwenza umunwe wakho ubanjwe noma uvalwe.

Lesi simo sithola igama lawo ngoba umunwe wakho oqaphelekayo ungase ubuyele endaweni ngokungazelelwe, ufana nokusebenza kokudonsa i-trigger. Lokhu kungenzeka kunoma yimuphi umunwe, kodwa kuvamile kakhulu kuthumbeni, eminweni yomphezulu noma ephakathi.

Ziyini izimpawu zokuthukela lweminwe?

Isici esibaluleke kakhulu yilapho umunwe wakho ubanjwa noma uvalwa uma uzama ukuwubopha noma ukuwulula. Ungase uqaphele lezi zimpawu zithuthuka kancane ngokuhamba kwesikhathi, futhi zivame ukuzwakala zibi kakhulu ekuseni.

Nazi izimpawu eziyinhloko okufanele uzibheke:

• Ukuqina komunwe, ikakhulukazi uma uvuka ekuseni
• Ukuzwa kokubanjwa noma ukuvalwa uma uhambisa umunwe wakho
• Ithoni lokupuka noma ukucisha uma uqonda noma ulula umunwe wakho
• Ubuhlungu noma ubuhlungu ekuqaleni komunwe wakho oqaphelekayo
• I-bump encane noma i-nodule ongayizwa ekuqaleni komunwe wakho
• Umunwe wakho uhlala uqondile
• Ukusebenzisa esinye isandla sakho ukuqonda umunwe oqaphelekayo

Ezimeni ezinzima kakhulu, umunwe wakho ungase uvalwe ngokuphelele endaweni eqondile futhi wenqabe ukuqonda nhlobo. Lokhu kungase kukhathaze, kodwa khumbula ukuthi ngisho nezincazelo eziphambili ziphatheka ngendlela efanele.

Yini ebangela uthukela lweminwe?

Uthukela lweminwe luqala lapho isikhumba esivikelekile esizungezile i-tendon siqala ukuvuvukala noma siqine, sidala ukungafani phakathi komkhakha we-tendon nendawo edingeka ukuthi ihambe ngayo. Lokhu ngokuvamile kwenzeka kancane kancane ngenxa yokusetshenziswa okuphindaphindayo noma ukukhathazeka.

Izici eziningi zingase zifake isandla ekukhuleni kwalesi simo:

• Imisebenzi yokubamba okuphindaphindayo njengokulima, ukudlala izitho zomculo, noma ukusebenzisa amathuluzi
• Isimo sokuvuvukala njenge-rheumatoid arthritis noma isifo sikashukela
• Ukulimala kwesandla kwangaphambili noma ukulimala ehlombe noma ekuqaleni komunwe
• Ukuguquka okubangelwa ubudala ekuqineni kwe-tendon nasebubeni besikhumba
• Ukusetshenziswa komunwe okunamandla noma okuphakathi kwesikhathi emsebenzini noma ezinye izinto ezithakazelisayo
• Ukufana kwemfuyo nezingxaki ze-tendon

Ngezinye izikhathi uthukela lweminwe lubonakala ngaphandle kwesizathu esicacile, futhi lokho kuyinto evamile. Izicubu zomzimba wakho ziguquka ngokwemvelo ngokuhamba kwesikhathi, futhi ngezinye izikhathi lezi zinguquko zingase zibangele ukuqala kwalesi simo ngokungazelelwe.

Nini okufanele ubheke udokotela ngenxa yokuthukela lweminwe?

Kufanele uhlele i-aphoyintimenti nodokotela wakho uma umunwe wakho uqhubeka nokubanjwa noma ukuvalwa izinsuku ezimbalwa, noma uma izimpawu zikuphazamisa imisebenzi yakho yansuku zonke. Ukwelashwa okusheshayo ngokuvamile kuholela eziphumeleni ezinhle futhi kungavimbela isimo ukuba lingabi sibi.

Funani ukunakekelwa kwezokwelapha ngokushesha uma ubhekene nobuhlungu obukhulu, uma umunwe wakho uvalwe ngokuphelele endaweni eqondile, noma uma uqaphela izimpawu zokutheleleka njengobomvu, ubushushu, noma ukuvuvukala endaweni eqaphelekayo.

Ungakhathazeki ngokuphazamisa udokotela wakho ngalokhu. Abahlinzeki bezempilo babona uthukela lweminwe njalo, futhi banokwelashwa okuphumelelayo okungase kunikeze impumuzo enkulu. Uma uqala ukukubheka, izindlela zokwelapha eziningi ozoba nazo zivame ukuba khona.

Ziyini izici ezingase zikhulise amathuba okuba nothukela lweminwe?

Izici ezithile zingase zikhulise amathuba akho okuba nothukela lweminwe, nakuba ukuba nalezi zici ezingase zikhulise amathuba akho akusho ukuthi uzoba nalesi simo. Ukuziqonda kungakusiza ukuba uthathe izinyathelo zokuvimbela lapho kungenzeka.

Izici eziyinhloko ezingase zikhulise amathuba akho zifaka:

• Ukuba owesifazane, njengoba abesifazane beqala uthukela lweminwe kakhulu kunabesilisa
• Ubudala phakathi kweminyaka engama-40 no-60
• Ukuba nesifo sikashukela, esithinta impilo ye-tendon
• I-rheumatoid arthritis noma ezinye izimo zokuvuvukala
• Imisebenzi noma izinto ezithakazelisayo ezidinga ukunyakaza komunwe okuphindaphindayo
• Ukulimala kwesandla noma ihlombe kwangaphambili
• I-hypothyroidism noma ezinye izimo ze-hormonal

Izici ezingavamile ezingase zikhulise amathuba akho zifaka imithi ethile, isifo sezinso, ne-amyloidosis. Uma unezici eziningi ezingase zikhulise amathuba akho, ukunaka izimpawu zokuqala kuba yinto ebaluleke kakhulu ekutholeni isimo ngokushesha.

Ziyini izinhlanganisela ezingase zenzeke ngenxa yokuthukela lweminwe?

Nakuba uthukela lweminwe ngokuvamile lungabi yingozi, ukushiya lungaphathwa kungase kube nezinhlanganisela ezithile ezingase zithinte ukusebenza kwesandla sakho. Izindaba ezinhle ukuthi izinhlanganisela eziningi zingavikeleka ngokwelashwa okuhle.

Izinhlanganisela ezingase zenzeke zifaka:

• Ukuqina komunwe okungapheli noma ukungakwazi ukuqonda umunwe wakho ngokuphelele
• Ubuhlungu obuhlala njalo nokungakhululeki emweni oqaphelekayo
• Ukuvalwa komunwe okuphelele okudinga ukusebenza okuyisikhathi eside
• Ubuthakathaka emandleni okubamba
• Ubunzima ekwenzeni imisebenzi yansuku zonke njengokubhala noma ukubopha izingubo

Ngokungavamile, uthukela lweminwe olungaphathwa lungase lube ne-contracture engapheli, lapho umunwe wakho uhlala uqondile. Kungakho ukwelashwa okusheshayo kubaluleke kangaka - kuvimbela lezi zinhlanganisela ezinzima ukuba zingakhula.

Uthukela lweminwe lungavikeleka kanjani?

Nakuba ungakwazi ukuvimbela zonke izincazelo zokuthukela lweminwe, ikakhulukazi lezo ezihlobene nobudala noma izimo zempilo, ungathatha izinyathelo zokunciphisa amathuba akho. Ukuvimbela kugxile ekuvikeleni ama-tendons akho ekucindezelweni okukhulu nasekuvuvukaleni.

Nazi izindlela eziwusizo zokuvimbela:

• Thatha ama-breaks njalo ngesikhathi semisebenzi yesandla ephindaphindayo
• Sebenzisa izindlela ezifanele zokubamba futhi ugweme ukubamba amathuluzi ngamandla
• Yolula iminwe yakho nezandla njalo usuku lonke
• Sebenzisa ama-grips aphakathi kwama-tools ukuze unciphise ukucindezeleka kwesandla
• Gcina ukulawula okuhle kwesifo sikashukela uma unaso
• Hlala usebenza ukuze ugcine amajoyinti akho nama-tendons ephile
• Cabanga ngamathuluzi e-ergonomic uma umsebenzi wakho uhilela ukunyakaza okuphindaphindayo

Uma uqaphela izimpawu zokuqala njengokuqina okuncane noma ukubanjwa okungavamile, ukubhekana nazo ngokushesha ngokolula okuthambile nokuphumula ngokuvamile kungavimbela ukuqhubeka nokuya kuthukela lweminwe olukhulu.

Uthukela lweminwe lutholakala kanjani?

Ukuthola uthukela lweminwe ngokuvamile kulula futhi akudingi ukuhlolwa okuyinkimbinkimbi. Udokotela wakho ngokuvamile angakwazi ukuthola isimo ngokuhlola ngokomzimba nangokuzwa ngezimpawu zakho.

Ngesikhathi se-aphoyintimenti yakho, udokotela wakho uzohlola isandla sakho futhi akucele ukuthi uhambise iminwe yakho ngenkathi ebuka futhi ezwa ukubanjwa noma ukuvalwa. Bazophinde bahlole ubuhlungu, ukuvuvukala, noma ama-bumps amancane ekuqaleni kweminwe yakho.

Ezimeni eziningi, akukho zihloko zokufana ne-X-rays noma i-MRIs ezidingekayo ekutholeni uthukela lweminwe. Noma kunjalo, udokotela wakho angase a-ode lezi zivivinyo uma becabanga ngezimo ezinye noma uma izimpawu zakho zingavamile. Bangase baphephe futhi ngembali yakho yezokwelapha, imisebenzi yakho, nanoma yikuphi ukulimala kwangaphambili ukuze baqonde izimbangela ezingase zenzeke.

Yini ukwelashwa kokuthukela lweminwe?

Ukuphatha uthukela lweminwe ngokuvamile kuqala ngezindlela ezingavamile futhi kuqhubeke nezinye izinketho uma kudingeka. Izindaba ezinhle ukuthi izincazelo eziningi ziphendula kahle ekwelapheni okungelona ukusebenza, ikakhulukazi uma kubanjwa ngokushesha.

Udokotela wakho cishe uzokuncoma ukwelashwa ngale ndlela:

1. Ukuphumula nokulungisa umsebenzi: Ukugwema imisebenzi eyenza izimpawu zibe zimbi nokuthatha ama-breaks njalo
2. Ukubopha: Ukugqoka i-splint ukuze ugcine umunwe wakho uqondile, ikakhulukazi ebusuku
3. Imithi yokulwa nokuvuvukala: Imithi yokunciphisa ubuhlungu eyenziwa ngaphandle kokubonisana nodokotela ukuze unciphise ukuvuvukala
4. Ukugxilwa kwe-steroid: Ukugxilwa kwe-cortisone ngqo endaweni eqaphelekayo ukuze unciphise ukuvuvukala
5. Ukuphathwa komzimba: Ukwenza imizamo ethile ukuthuthukisa ukunyakaza komunwe namandla
6. Ukusebenza: Inkqubo encane yokukhulula i-tendon sheath ecindezelekile uma ezinye izindlela zokwelapha zingasebenzi

Abantu abaningi bathola impumuzo ngezinketho zokwelapha ezimbalwa zokuqala. Ukusebenza ngokuvamile kugcinelwa izincazelo ezingaphenduli ekwelapheni okungelona ukusebenza noma lapho umunwe uvaliwe kakhulu.

Indlela yokuphatha uthukela lweminwe ekhaya?

Izindlela zokwelapha zasekhaya eziningi zingasiza ekuphatheni izimpawu zokuthukela lweminwe nokusekela impilo yakho. Lezi zindlela zisebenza kangcono uma zihlanganiswe nokwelashwa kwezokwelapha, hhayi njengendlela yokusika ukwelashwa kwezokwelapha.

Izindlela zokuphatha ekhaya eziphumelelayo zifaka:

• Ukolula iminwe ngobumnene nemizamo ukuze ugcine ukunyakaza
• Ukubekela uqalo imizuzu engama-10-15 izikhathi eziningi ngosuku ukuze unciphise ukuvuvukala
• Ukusebenzisa amanzi afudumele ngaphambi kwemisebenzi ukuthuthukisa ukuguquguquka
• Ukuxova indawo eqaphelekayo ngobumnene ukuze uthuthukise ukugeleza kwegazi
• Ukuthatha imithi yokulwa nokuvuvukala eyenziwa ngaphandle kokubonisana nodokotela njengoba kuqondiswe
• Ukugqoka i-splint ebusuku ukuze ugcine umunwe wakho uqondile
• Ukushintsha imisebenzi ukuze ugweme ukubamba okuphindaphindayo

Khumbula ukuba nesineke ngezindlela zokwelapha zasekhaya. Ukuthuthuka ngokuvamile kuthatha amasonto ambalwa, futhi ukuzinikela ngohlelo lwakho lokunakekelwa kuyisihluthulelo sokubona imiphumela.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ukulungiselela i-aphoyintimenti yakho kungasiza ukuqinisekisa ukuthi uthola izinzuzo eziningi ekuhambeleni kwakho. Udokotela wakho uzofuna ukuqonda izimpawu zakho ngokuphelele futhi ahlole ukuthi uthukela lweminwe lukuthinta kanjani impilo yakho yansuku zonke.

Ngaphambi kwe-aphoyintimenti yakho, qaphela ukuthi izimpawu zakho zibi nini, yimiphi imisebenzi eziyibangela, nokuthi uke waba nezingxaki isikhathi esingakanani. Kusiza futhi ukubhala uhlu lwemithi oyithathayo nokukhuluma ngezinye izimo zempilo onazo.

Cabanga ukuletha uhlu lwemibuzo mayelana nezinketho zokwelapha, isikhathi sokuphulukisa, nokunciphisa imisebenzi. Ungangabazi ukubuza ngalokho okufanele ukulindele ezinye izindlela zokwelapha noma ukuthi ungase ubona nini ukuthuthuka. Udokotela wakho ufuna ukukusiza ukuba wenze izinqumo ezinolwazi mayelana nokukhathalelwa kwakho.

Iyini into ebaluleke kakhulu mayelana nothukela lweminwe?

Uthukela lweminwe yisimo esivamile, esiphatheka kalula esithinta ukunyakaza okulula kwama-tendons eminwe yakho. Nakuba kungase kube yinto ekhathazayo futhi ngezinye izikhathi kube buhlungu, iningi lezincazelo liphendula kahle ekwelapheni uma liqalwa ngokushesha.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukungenelela okusheshayo ngokuvamile kuholela eziphumeleni ezinhle nezindlela zokwelapha eziningi. Uma uqaphela ukuthi umunwe wakho ubanjwa, uvalwa, noma uqina, ungalindi ukuba ube sibi ngaphambi kokufuna usizo.

Ngokwelashwa okuhle nokuthile kwesineke, abantu abaningi abanothukela lweminwe babuyela ekusebenzeni okujwayelekile kwesandla. Kungaba ngokwelashwa okungelona ukusebenza noma ukusebenza okuncane, kunezixazululo eziphumelelayo ezitholakalayo ukuze zikusize ubuyisele ukunyakaza komunwe okujabulisayo.

Imibuzo evamile ebuzwa mayelana nothukela lweminwe

UMbuzo 1: Ingabe uthukela lweminwe luzonyamalala ngokwalo?

Uthukela lweminwe oluthambile lungase luthuthuke ngokuphumula nokushintsha umsebenzi, kodwa izincazelo eziningi ziyazuza ekwelapheni kwezokwelapha. Ngaphandle kokwelashwa, izimpawu ngokuvamile ziya sibi ngokuhamba kwesikhathi futhi zingase ziholele ekuqineni komunwe okungapheli. Ukungenelela okusheshayo ngokuvamile kuvimbela izinhlanganisela futhi kusheshisa ukuphulukisa.

UMbuzo 2: Kuthatha isikhathi esingakanani ukuphulukisa uthukela lweminwe?

Isikhathi sokuphulukisa sihluka kuye ngokubaluleka kwendlela yokwelapha. Ngokwelashwa okungelona ukusebenza, ukuthuthuka ngokuvamile kuqala phakathi kwamasonto angu-2-6, nakuba ukuphulukisa okuphelele kungathatha izinyanga eziningi. Ukugxilwa kwe-steroid kungase kunikeze impumuzo phakathi kwezinsuku kuya kwamasonto, ngenkathi ukusebenza ngokuvamile kuholela ekuphulukiseni okuphelele phakathi kwamasonto angu-2-4.

UMbuzo 3: Ingabe uthukela lweminwe lungathinta iminwe eminingi ngesikhathi esisodwa?

Yebo, uthukela lweminwe lungathinta iminwe eminingi ngesikhathi esisodwa noma luqale eminweni ehlukene ngokuhamba kwesikhathi. Lokhu kuvamile kubantu abanesifo sikashukela, i-rheumatoid arthritis, noma labo abenza imisebenzi yesandla ephindaphindayo. Umunwe ngamunye oqaphelekayo ungase udinga ukunakekelwa kokwelapha okuhlukile.

UMbuzo 4: Ingabe ukusebenza kokuthukela lweminwe kubangela ubuhlungu?

Ukusebenza kokuthukela lweminwe ngokuvamile kwenziwa njengenkqubo yokuphuma esibhedlela ngaphansi kokwelashwa kwe-anesthesia yendawo, ngakho awusoze wazizwa ubuhlungu ngesikhathi sokusebenza. Abantu abaningi bazwa ukungakhululeki okuncane izinsuku ezimbalwa ngemuva kwalokho, okuphendula kahle emithi yokunciphisa ubuhlungu eyenziwa ngaphandle kokubonisana nodokotela. Le nqubo inenani eliphezulu lokuphila ngaphandle kwezinhlanganisela ezincane.

UMbuzo 5: Ingabe uthukela lweminwe lungabuya ngemuva kokwelashwa?

Uthukela lweminwe lungabuya, nakuba lokhu kungavamile. Amanani okuphinda avele aphezulu ngezindlela zokwelapha ezingelona ukusebenza uma kuqhathaniswa nokusebenza. Ukulandela izincomo zokwelapha zakho zokulungisa umsebenzi nokukhathalela isandla kungasiza ekuvimbeleni ukuphinda kuvele. Uma izimpawu zibuyela, izindlela zokwelapha ezifanayo ziyaqhubeka zitholakala.