Umnxeba womnxeba ngumqathango oqhelekileyo obangela ukuba iminwe ifake kwaye ifakwe entendeni. Ngokusoloko zibi kakhulu kusasa, izigulana zikhalazela ukuba zivusa ngomunwe wazo zigcinwe entendeni yesandla. Ukulungiswa komnwe kunokuba bubuhlungu kwaye kunokubangela ukuba inzwa ye-snapping ibangelwa igama elithi "cala umunwe." Iminye yeminwe kunye nezithupha zingathinteka ngokubangela, kwaye zonke iirhoxo ezixutyushwayo zincedo kunoma iyiphi idijithi.
Iminwe yenzeke ngokuqhelekileyo kubasetyhini (malunga ne-75%) kwaye ingenzeka kuyo nayiphi na iminwe okanye isithupha.
I-Trigger umunwe inokuba yintlungu kwaye ingangena kwimisebenzi emininzi. Nangona kunjalo, akusona imeko esongela ubomi; Ngoko ke, unyango aluyomfuneko. Ukuba umntu ukhetha, banokuhlala kunye neempawu, ngezinye izihlandlo ezisombululo ngokwabo.
Ukugqithisa, ii-NSAID kunye neeNyathelo ezilula
Izigulane ezinemiqondiso encinci zifuna ukuzama ezinye zonyango kuqala. Ezi zibandakanya umlomo ochasayo , ogqithisayo okanye obandayo, ukuhlambalaza kunye nokuqaqamba.
Ukuphumelela kwezi nonyango ezingenakuvuthwa kuxhomekeke kubukhulu bomunwe wokuqala. Uninzi lwabantu abaneempawu ezimbalwa alufunanga naluphina unyango. Uninzi lwabantu abaneempawu ezibuhlungu kakhulu luye lwadlula le nqanaba xa amanyathelo alula anceda. Oko kwathiwa, ityala lokunyanga olulula lucacile.
Oogqirha abambalwa kakhulu basoloko bebangela iminweba, njengoko impumelelo yolu nyango ixutyushwa, kwaye ngokuqhelekileyo iimblomelo kufuneka zigqitywe iinyanga eziliqela ukuba zilincede.
Ekubeni ezinye iindlela zonyango ziyaphumelela, ukuqaqambeka akufane kusetyenziswe kwakhona.
I-Cortisone Injections
Unyango oluqhelekileyo unyango lomunwe lunomjovo we-steroids (cortisone) ukuya kwi-tendon sheath. I-cortisone ivame ukunciphisa ukuvuvukala ngokwaneleyo ukubuyisela umatshini oqhelekileyo.
Ngokuqhelekileyo, inje ye-cortisone enye iya kusombulula ingxaki ubuncinane okwethutyana.
Ikhefu le-cortisone elibonelela isisombululo esihlalayo malunga ne-50%. Ngenxa yesi sizathu, abantu abaninzi baya kukhetha ukuqala ngomjovo we-cortisone. Ngoxa le nto ayinakuba yisisombululo esisigxina kwimeko, inokusebenza kubantu abaninzi.
Imiphumo emibi yejoyi ye-cortisone yinto encinane kakhulu, kodwa kwabanye abantu, inokubaluleka kakhulu. Yingakho abanye oogqirha kunye nezigulane zikhetha ukunqumla ibhotshi kwaye zihambele ngqo kunyango oluchanekileyo, njengokuhlinzwa.
Ukuhlinzwa
Uphando olwenziwe ngomunwe womnxeba (olubizwa ngokuba lukhutshwe ngomunwe-onyununu) luyinkqubo yosuku olufanayo olwenziweyo phantsi kwe-block anesthetic yendawo okanye yesigodi senqindi. Ukukhangela okuncinci (ngaphantsi kweesentimitha ezimbini) kwenziwa kwesikhumba, kwaye isahlulo esiqinileyo se-tendon sheath sikhululwa. Oku kuvumela ukuba i-tendon igxume ngokukhawuleza ngaphandle kokubamba.
Ukulandela ukukhutshwa komnxeba, umsebenzi womnwe ukhuthazwa, njengoko oku kuya kunceda ukukhusela iishubhu ezinqamle ukudala apho uphando lwaqhutywa khona. Izigulane zikwacetyiswa ukuba ziphephe uxinzelelo kwi-incision yokuphilisa kwiiveki ezimbalwa. Ukulindela ngokupheleleyo kulindelwe.
Ugqirha lwezinyununu lukhuselekile, kodwa kukho iingxaki ezinokwenzeka. Ingxaki eqhelekileyo yinto yokuba umlenze wokuqala ungabuya ukuba ithethoni ye-tendon ayikhululwa ngokwaneleyo.
Ezinye iingxaki ezinokuthi ziquka ukusuleleka, ukuqina, kunye nomonakalo kumathambo omnwe. Ubunzima bezo ngxaki buncinci, kwaye utyando lunezinga eliphezulu lempumelelo.
Yiyiphi enye indlela ekhethekileyo?
Akukho nto iyona ndlela iyona ndlela ingcono kunyango lomunwe. Kukho ubungqina bokuba unyango olusandul 'ukuqala ukukhutshwa ngokukhawuleza lunokukhawuleza ukuphucula ngokubanzi, njengoko izigulane zivame ukuba nobunzima obuncinane kunye nokuvuvukala eminwe. Ngoko ke, abanye oogqirha baya kuncoma unyango oluninzi ngokunyuka kwizinyathelo ezilula kwaye ngokuya ngqo kutyando.
Nangona kunjalo, abaninzi abantu bafuna ukukhusela ummese wokuqhawula.
Kuloo matyala, kukho iinketho ezintle ezibandakanya ukuhlinzwa. Wonke umntu uneenjongo ezahlukeneyo kunye nezinto eziphambili, ngoko ke kunzima ukutsho ukuba unyango olulungileyo lulungele wonke umntu. Xoxa nodokotela wakho unyango olungcono kwimeko yakho.
Imithombo:
> Fleisch SB, Spindler KP, Lee DH. "Iilenjini ze-Corticosteroid ekwenzeni unyango lomnxeba: inqanaba I kunye no-II ukuhlolwa kweenkqubo" J Am Acad Orthop Surg. 2007 Mar; 15 (3): 166-71.
> I-Adams JE, uHabbu R. "I-Tendinopathies yesandla kunye nesandla" J Am Acad Orthop Surg. 2015 Dec; 23 (12): 741-50.