I-Tendonitis yesiKhonkwane esabangelwa ukusetyenziswa kakubi
I-De Quervain's tenosynovitis yimeko ebangela intlungu ehambelana nokuhamba kwesithupha kunye nesandla. Isizathu sobuhlungu be-Quervain sivuvukala ngaphakathi kwindawo esecaleni kwinqanaba lesithupha. Olu kuvutha lubangelwa yinkinga ye-tendon ebizwa ngokuthi stenosing tenosynovitis . Oku kuthetha nje ukuba ukuvuvukala kubandakanya i synovium kunye neetoni ezilawula ukuhamba kwesithupha.
Ngamanye amaxesha ingxaki ibizwa ngokuba yi-Quervain's tendinosis, isifo sika-Quervain, isithumo sesigxina, isalathisi se-gamer, okanye isohlwayo lomama omtsha.
Ngubani Owenzayo
I-tenosynovitis yakwaDeQuervain ixhaphake kakhulu kwiqela elidala elidala eli-30-50 kwaye ibonakala ngokuqhelekileyo kubasetyhini. Ingabandakanywa nokukhulelwa nesifo se-rheumatoid. I-tenosynovitis yakwaDeQuervain ngenxa yokusebenzisa ngokweqile isalathisi. Ngokuqhelekileyo kubonwe oomama abatsha njengoko isisombululo sokuthabatha umntwana sinokubangela ukucaphukiswa kwezi zithenda zesikhumba. Ingabonakala nakubantu abasebenzisa isando rhoqo, abagadi bamanzi, abaqhwitha kunye nabantu abadlala imidlalo ye-racquet. Kwakhona kwenzeka kubantu abasebenzisa ngokugqithiseleyo izethulo zabo zokuthumela imiyalezo kunye nokudlala.
Iimpawu ze-Quervain
Uphawu oluphambili lwe-Quervain's tenosynovitis lubuhlungu entendeni yesithupha yesandla, kwaye intlungu iyakwazi ukukhawuleza. Ngokuqhelekileyo uzive uzibi nakakhulu xa usebenzisa isithupha sakho xa ubamba into okanye xa uguqula isandla sakho.
Unokuvakalelwa kwakhona xa uzama ukuhambisa isithupha sakho. Icala lesithupha lesandla sakho lingavuvukala kwaye oku kungenza kube nzima ukuyihambisa.
Uviwo lwe-deQuervain ludla ngokuqhelekileyo kunye novelwano ngaphezu kweetoni ezibandakanyekayo. Ezi zi-tendons ze-extensor pollicis brevis kunye ne-abductor pollicis longus muscle.
Olunye uhambo oluthile lubizwa ngokuba luvavanyo lukaFinkelstein luchanekile kule meko. Uvavanyo lukaFinkelstein luyenziwa ngokwenza intonga phezu kwesigubungelo sakho, kwaye uhambisa isikhonkwane kumnwe omncinci. Abagulane ne-deQuervain's tenosynovitis baya kuba nobuhlungu ngale ndlela.
Unyango lwe-Quervain's Tenosynovitis
Uninzi lwezigulane ezine-tenosynovitis ze-Quervain ziya kuphucula nge-bristle kunye ne- cortisone injection . Ubuqaqawuli buqhutywe ngokuqhubekayo, imini nobusuku iiveki ezine ukuya ezintandathu, ukuxhasa isithupha kunye nesandla. Kananjalo ungathabatha imishanguzo echasayo kwaye usebenzise ipakethe ye-ice ukunciphisa ukuvutha. Phumla isithupha kunye nekhanda kwaye ugweme ukwenza izinto ezibangela iintlungu kwietoni.
Ukuba ingxaki iqhubeka, inkqubo yokucwangcisa ekwakheni indawo eninzi yeetoni ingenziwa. Ngethuba le nkqubo yokugqirha, izicubu ezinzima ezijikeleza i-tendon zinqunyulwe ukukhulula umqobo wokunyuswa kwesithoni. Uphando luvame ukuqhutyelwa phantsi kwe-anesthesia yendawo kodwa lwenziwa phantsi kwe-anesthesia yesithili, okanye jikelele . Ukuba kukho nawaphi ama-cysts amancinci okanye izicubu ezinokutsha ezifunyenweyo zingasuswa. Emva kokuhlinzwa, ubuqaqawuli bugqityiwe kwiiveki ezimbalwa, kwaye imisebenzi eqhelekileyo ingahlaziywa ngokukhawuleza.
Uya kunikwa uluhlu lwezenzo zokunyakaza ukubuyisela ukusebenza kwakho.
Ubunzima bokuhlinzwa ngombindi kubandakanya ukusuleleka kunye neengxaki zokuphilisa. Iimbindi ezincinci, ezibizwa ngokuba yi-sensory branch of the radial nervous, zingonakaliswa zikhokelela kwisiqwenga se-numbness ngemuva kwesithupha. Enye yezinto ezinxulumene neengxaki kukuba i-tendon ingaba yinto engaqinisekanga, ikhuphe kwindawo yayo eqhelekileyo ngasecaleni lesandla, emva kokukhishwa kwesandla somkhonto wesandla. Le ngxaki inokuthintelwa ngokuqinisekisa ukuba umtya wesithangathi uvuliwe kwindawo efanelekileyo, kwaye ngokunciphisa ukunyakaza kwesandla emva kokuhlinzwa.
Imithombo:
Ilyas AM "de Quervain Tenosynovitis ye-Wrist" J. Am. Acad. IOrn. Ugqirha, uDisemba 2007; 15: 757 - 764.
I-Tendinosis yakwaDe Quervain, i-American Academy ye-Orthopedic Surgeons, ngoDisemba, 2013.