De Quervain kaThixo izifo: iimpawu, isifo, unyango

isifo De Quervain kaThixo - indlela ezisemthethweni zoxilongo esibonakala ukudumba imisipha nasesithupheni. Kugula kubonakala ngcembe, iyahluka uphuhliso kakhulu kade. Ngamanye amaxesha ngaphambi kokuba ugqirha kuthatha iiveki ezininzi okanye iinyanga.

Inkcazelo sifo

sifo de Quervain kaThixo (tenosynovitis ezinganyangekiyo okanye lungu constrictive) - a ngezifo ukuba lubonakala ngokuba exineneyo chu umjelo, apho imisipha ze ubhontsi. Ukugula sikhatshwa ukudumba ekuthiwa-sheaths imicu. Isifo kwenzeka ngenxa yokuba umthwalo rhoqo phezu ngebrashi, ngokufuthi ngokunxulumene nokwenziwa kwemisebenzi professional. Ngenxa iintlungu izigulane kunciphisa ukukwazi ukwenza iintshukumo ezithile bezandla lonke ngesandla.

Ukuncitshiswa Periodic izihlunu ngesa- ivumela flexion / ukwandiswa neminwe. Ngexesha le ntshukumo flexor imicu unoxanduva (ezifanelekileyo iminwe ngenxa umphezulu palmar) kunye nezihlunu extensor (kugqitha emva isandla). imisipha ezinqamlezayo nemisipha zinika ukugcinwa kwi sikhundla oyifunayo. Eli lungu diff yenzelwe kwicala elinye brush. Iqela ngalinye imisipha kwi zamvanje ijelo eyahlukileyo. Nasesithupheni libandakanyeka kubomi bemihla ngemihla. imisipha yakhe phezu umthwalo omkhulu. isifo De Quervain kaThixo kudale ukudumba engaguqukiyo kwemisipha, ukuqina kunye nokudumba. Ngenxa yoko, i-channel uba encinane ngokugqithiseleyo, kukho iimpawu isifo kwenzeka ukungasebenzi lonke ngesandla.

Yintoni ebangela uphuhliso leengxaki?

Iimbangi ngqo kwesi sifo kuhlala ayicacanga kude kube sekupheleni. Kuthathwa ukuba rhoqo Ukuphindwa msebenzi iibhrashi (igalufa, ukwenza igadi, ukukhathalela umntwana) zingangunobangela le meko. Ngoko ke, maxa wambi esi sifo kuthiwa "esihlahleni unina".

ochwepheshe cell eziliqela igalelo kuphuhliso ngezifo, ezizezi:

• Ukwenzakala kunye umonakalo ukuya brush.
• izifo yokukrala amalungu indalo (samathambo, arthrosis).
• umthwalo Ukusoloko kwindawo welungu esihlahleni.
• Kwamadlala utshintsho emzimbeni (rhoqo ngexesha ukuya exesheni).
• iimpawu yokwakheka yenkqubo musculoskeletal.

Ngubani na isengozini?

Ingozi ephezulu ekuphuhliseni esi sifo abantu abaneminyaka eli-30 ukuya kwiminyaka abamalunga nama-50. isifo De Quervain kaThixo sivame ukuxilongwa kwi abasetyhini ngexesha lokukhulelwa kunye nokhathalelo lweentsana.

Ziziphi iimpawu sikhatshwe zokugula?

Uphawu iphambili yale sifo intlungu kwingingqi kwisihlahla ukusuka ubhontsi. Ngokuya ukungaphatheki isandla ukwandisa. Intlungu bomi kusinika kwindawo ngesa- kunye nentamo.

Lwentando esi sifo uthathwa ukuba kube uphawu Finkelstein. Indoda ibambe inqindi, bafakwa komnwe wakhe. Ukuba ukuzama ukuba isandla kweli cala elandelwa okubuhlungu, ungenza uqinisekise i de Quervain kaThixo (disease).

Kwi Ngokucofa welungu kuqatshelwa iindumbisa kancinane, iintlungu kwicala abachaphazelekayo.

Eyona mpazamo ephambili izigulane ezininzi azithathwa isicelo yokhathalelo abanezakhono immobilization of ibrashi zesiqhelo. Ukuze ezi njongo, nezibopho lexinene, ezinyangiweyo ezizodwa. Kulo mzekelo, ekuqaleni sifo unobangela yokukhubazeka. Izigulane abakwazi ukwenza nkqu yeyona aziqhelileyo ezasekhaya (iitapile Ixolo, ayihlambe, unbutton njalo njalo. D.).

uphethwe

Ukuba awusayi kushiywa ungahoywanga de sisifo Quervain kaThixo. sifo Iimpawu wabonakalaliswa iintsuku eziliqela ezilandelelanayo, kufuneka yokulumkisa zingabangelwa unyango olukhawulezileyo kwagqirha.

Ngexesha kokubonisana oyingcaphephe uphumeza ukuxilongwa ngokwasemzimbeni kummandla ochaphazelekayo ungacacisa iqela ekucaciseni imibuzo (xa kwakukho iintlungu, izinto zazo kunokwenzeka). Ukuze uqinisekise uxilongo ugqirha iqhuba iimvavanyo ezininzi.

• nemithathu langoku. Ingcali ayicinezele phantsi nasesithupheni kwicala emva ukwenzela ukuba ziziswe entendeni yesandla sakho. E okunempilo kakhulu umnwe ngesandla kufuneka ukuxhathisa ingcinezelo. Kwimeko leengxaki ibonakala buhlungu ukuba angamchukumisi.
• Ukukwazi ukubamba izinto. Isigulane kufuneka yiphathe ngesandla nganye yesifundo. Ukuba nokutsala encinane, ngokwesandla esilungileyo uya kuba usemandleni ukugcina into enokuthethwa isigulane.
• iimviwo X-ray kwakhona ukuqinisekisa esi sifo de Quervain. Photo (umfanekiso) ngezandla ityhila ubukho ukuqina izicwili ezithambileyo, utshintsho periosteum.

therapy elondoloza

Kwizigulane zokuqala acetyiswa ukuba ukupheliswa ngaphambili imisebenzi ekhoyo kunye immobilization olusisinyanzelo kummandla ochaphazelekayo. Immobilization ibhrashi kufuneka zakhiwe ngohlobo lokuba ubhontsi usoloko kwindawo isalamane baphikele isalathisi kunye ophakathi. Ukuze ezi njongo, i-kungcono ukusebenzisa maka, olusetyenziswa embindini yengalo. immobilization enjalo kuthintela kuphela ilunga ekonzakalisweni kunokwenzeka. Ukongeza, ehambelana unyango endala kufuneka kwenziwe.

Ukudumba utshintsho nemisipha ezibangela izifo ezifana nesifo de Quervain kaThixo. Unyango kubandakanya ukusetyenziswa kwezinto iinkqubo physiotherapeutic (iparafini, hydrocortisone ultrasound). Kwakhona, wamisa iziyobisi antiinflammatory ( "ibuprofen", "Naproxen"), inaliti steroid ( "hydrocortisone").

Xa kufuneka uqhaqho?

Surgery kuyacetyiswa xa unyango endala yi singasebenzi okanye indawo ukuze kubekho ukuzibandakanya mazwe.

Olu tyando lwenziwa phantsi kweemeko Qinisa-karhulumente usebenzisa iindlela Ukubulawa zasekuhlaleni. Phambi kokuqala zomzimba ugqirha uthi ngqo isiphawuli ekhethekileyo indawo kakhulu ezibuhlungu. Ke inputted procaine, kwaye abulawe indawo cross-wecandelo le ebizwa ngokuba inkqubo styloid, leyo edlula ngale ngongoma. hook blunt zisuswe ngononophelo olukhulu ukuze inyama ongama kunye emithanjeni bako lungu diff. Ugqirha wakhe dissects kwaye kususa inxenye. Amaxesha amaninzi, emva ikhondo elide sifo zenzeka azikhuli Imisipha ukuya esingxotyeni imicu. Kulo mzekelo, zonke iimpahla zakhe zokutyhomfa ukuba excised. Inxeba sutured, kongezwe kulo bandage olunxantathu. Le sutures zisuswa emva malunga iintsuku ezili-10, ekugqibeleni umthamo umsebenzi ngeeyure ezili-15.

Kufuneka siqonde ukuba de Quervain kaThixo (disease) kuvame yinkqubo zophendlo lwezifo kwi kwindawo elo lungu thunzi. Ukuba ukusebenza ngqo, isigulane iyaqhubeka ukuzithwalisa imithwalo isandla, amathuba iphinde linyuke izihlandlo eziliqela. Kungenxa yoko le nto bayakhuthazwa izigulane zokunciphisa umsebenzi, yaye maxa wambi utshintshe uhlobo lomsebenzi zasemsebenzini.

iingxaki kunokwenzeka

Kwenzeka ntoni ukuba anithanga ukunyanga esi sifo de Quervain kaThixo? Izandla ekuhambeni kwexesha ngakumbi nangakumbi inxaxheba kwinkqubo lwezidumbu, kwaye umntu ulahlekelwa ubuchule ukusebenza eziqhelekileyo. Kungenxa yoko le nto kubaluleke kangaka xa kuthe iimpawu eziphambili lidiza ukugula, funa uncedo fanelekela ku ingcali efanelekileyo. Kwimeko kotyando kusekho amathuba encinane isenzeko iingxaki ezifana ukuyilwa kukuqulungana kabuhlungu kunye iintshukumo ze ubhontsi.

amanyathelo othintelo

Indlela yokuthintela ukunwenwa kwesi sifo? Kuqala kwinto zonke, oogqirha ndinicebisa bonke abo bamanywe iqela lomngcipheko, ukunciphisa umthwalo ebonakalayo wokukuqonda iintshukumo ze brush. Ukongeza, ukuba ingadlali ngokudibeneyo sifo nature arhabaxa. Xa ukulimala okanye umonakalo brush kubalulekile ukuba ufune iingcebiso zobugqirha kwaye baye kufumana unyango. ngokugcina nje zonke iingcebiso ngasentla, uyakwazi iyaluthintela uphuhliso sifo.

isiphelo

Kweli nqaku, senza wachaza oko iimpawu zesi sifo ihamba De Quervain. Tyando ngezifo ezifana kucetyiswa ngo-80% yamatyala. Noko ke, ngexesha elifanelekileyo unyango endala uqalile uyakwazi ukuphelisa esi sifo ukunciphisa kuphuhliso iingxaki.

Siyathemba ukuba yonke ingcaciso enikiweyo iya kuba ukuba sibe luncedo. Hlala uphilile!