I-Trigger ngomnwe yinkinga yesithoni eqhelekileyo eyenzekayo xa i-tendon yomnwe ibanjwa njengoko umnwe ugoba kwaye iqondisa ukuba idijithali ivule, okanye iyanamathela entendeni yesandla. I-Trigger yomnwe ibonakala ngokuqhelekileyo malunga neepesenti ezimbini ukuya kweethathu kwipesenti zabemi abanomunwe, kwaye zixhaphake ngakumbi kwizigulane zesifo sikashukela .
Ngelixa abantu abaninzi banokufumana ukhululo ngoncedo olungagqirha ukunyanga , abanye baya kukhetha ukuhlinzwa ukuze bafumane isisombululo kwimeko yabo.
I-Trigger ngomunwe ibangelwa xa ithenda ithambile njengoko idlula kwi-pulley entendeni yesandla. Iintendon zidonsa iminwe yakho kwinqindi xa inkontileka yomsila. Ithenda ithathwa ngokumelene namathambo eminwe ngamapulle amaningi. Ezi pullethi zigcina i-tendon ngokubhekiselele kwithambo, kodwa enye i-pulley (ebizwa ngokuba yi-A1 pulley) inokukhupha kwaye ibangele ukuba i-tendon ibambelele.
Nazi iindlela zokuqwalasela xa ucinga ukuba unobangela wokutyunjwa komunwe:
Ukukhutshwa okuVulekileyo
Unyango oluphambili lotyando olumnxeba lubizwa ngokuthi ukukhutshwa okuvulelekileyo. Ngethuba lotyando lincinci elincinane (incentimitha elilodwa) lwenziwa kwintendelezo yesandla apho ithenda ithobile khona. Kukho iinketho ezininzi ze-aneshesia , kodwa abaninzi abagqirha banqwenela i-anesthetic yendawo.
Inzuzo yokusebenzisa i-anesthetic yendawo yendawo isigulana sinokugoba umunwe xa kukhutshwa ukukhutshwa ukuze kuqinisekiswe ingxaki.
Kukho izizathu ezinobangela bokubamba umnwe kunokuba kungenakunyulwa ngokufanelekileyo ngokukhululwa komdabu, kwaye ukwazi lokhu ngexesha lotyando kuvumela ugqirha wakho ukuba alungise ngokwaneleyo ingxaki.
Emva kokukhululwa okuvulekileyo, i-suture okanye amabini, okanye ngamanye amaqhekeza ekhumba, isetyenziselwa ukuvala isicatshulwa. Uninzi lwagqirha lukhuthaza ukunyanzelisa kwangokunjalo kweminwe, kodwa ingcinezelo engqongqo kwi-incision (kungabikho ukuphakama okukhulu). Okubangela ukuba kulungiswe ngokukhawuleza.
Izigulane ezininzi zinokuphazamiseka ngokuzenzekelayo, kwaye zidla rhoqo kwi- PIP ngokubambisana (idilesi yesibini edibeneyo). Ukongezelela, ezinye izigulane zibona ukuqina komnwe onokuthatha iiveki okanye ixesha elide ukugqiba ngokupheleleyo.
Iingxaki zokukhutshwa komunwe othomayo aziqhelekanga, kodwa ziyakwenzeka. Njengoko kubonisiwe, kukho iziqhelo ezingavamile zeminwe yomnxeba ukuba, ukuba ingabonakali kwaye ingaphathwa, ingakhokelela ekuqhubekeni okuqhubekayo. Usulelo lwenye ingxaki enokuthi ifuna unyango olubandakanya isidingo esinokwenzeka sokuqhutyelwa phambili. Enye ingxaki enokuthiwa ibizwa ngokuba yi-tendringring of tendons. Oku kwenzeka xa ithenda ithathela kude kwithambo emva kokukhishwa kwe-pulley.
Ukukhishwa kwePercutaneous
Ukukhululwa nge-intercutaneous kuyinkqubo engaphantsi-inxiba yokucoca apho kukho ukucutha okuncinci kwaye i-pulley ikhululwa ngaphandle kokujonga ngqo i-pulley ne-tendon. Kukho iindlela ezahlukeneyo zoogqirha eziye zasebenzisa ukukhulula i-pulley kubandakanywa iinqwelo ezikhethekileyo, iinaliti kunye nezinye izixhobo zokukhupha i-pulley ngaphandle kokujonga ngqo kuyo.
Le nkqubo iye yaboniswa ukuba iyasebenza kwaye ivumela ukufumana ngokukhawuleza. Imibuzo iye yaphakanyiswa ngokukhuselekileyo, nangona ezinye izifundo zakuqala zonyango zibonisile ukuba zikhuselekile njengophando oluvulekile. Kwakhona kukho imibuzo malunga nemiphumo engabonakaliyo kwintlungu kunye neentsholongwane.
Yiyiphi Inketu Eyona Mhle?
Ezi zimbini zikhetho zibonakala ziyinkqubo yokwenza unyango olusebenzayo kumnwe wokuqala. "Imilinganiselo yegolide" isesigqirha sokuvuleka ngokuqhelekileyo, kodwa oogqirha abaninzi bafunda ubuchule bokukwenza inkqubo incinci ingenelele.
Ngaphandle kokuhlinzwa okuvulekile, ukubuyiswa ngokuqhelekileyo kukukhawuleza; Iintlobo zendlela yokuhlinzwa ngandlela-thile zincinci kwaye ingozi ingaba phezulu.
Mhlawumbi into eyona nto ibaluleke kakhulu kwimeko yamava ogqirha-qiniseka ukuba ugqirha wakho wenza le nkqubo rhoqo phambi kokuyiqwalasela.
Imithombo:
Moss JE noHabbu R. "I-Tendinopathies yesandla kunye nesandla" J Am Acad Orthop Surg December 2015 vol. 23 akukho. 12 741-750.