De Quervain sika isifo: izimpawu, uphethwe, ukuphathwa

isifo De Quervain - a zokugula libhekene ukuvuvukala imisipha phezu isithupha. Ukugula kuzibonakalisa kancane kancane, kuyahluka ukuthuthukiswa ngempela kancane. Ngezinye izikhathi ngaphambi uya kudokotela kuthatha amasonto ambalwa noma ngisho nezinyanga imbala.

Incazelo isifo

isifo De Quervain sika (tenosynovitis esingamahlalakhona noma umsipha constrictive) - a zokugula ukuthi libhekene ukuvaleka kancane kancane isiteshi, lapho imisipha ye isithupha. Ukugula ephelezelwa ukuvuvukala okubizwa ngokuthi umsipha emigodleni. Lesi sifo kwenzeka ngenxa umthwalo njalo phezu ibhulashi, ngokuvamile ngokuqondene ukusebenza imisebenzi okhokhelwayo. Ngenxa yobuhlungu ezigulini kunciphisa amandla okwenza iminyakazo ethile nge ngokuphelele lonke ngesandla.

ukunciphisa Periodic imisipha ibhodi lemisindo ivumela flexion / ukwandiswa iminwe. Kulezi ukunyakaza banesibopho flexor umsipha (efanelekayo iminwe ngokusebenzisa ebusweni Palmar) nemisipha extensor (idlule ngemuva isandla). imisipha transverse nemisipha ukunikeza nokugcinwa isikhundla oyifunayo. I umsipha ezingemuva itholakala ohlangothini olufanayo umshanelo. neqembu ngalinye imisipha ku zakamuva isiteshi esihlukile. Isithupha is bahileleke ekuphileni kwansuku. imisipha yakhe ukuthwala umthwalo omkhulu kunabo bonke. isifo De Quervain sika kuphakamisa ukuvuvukala esingaguquguquki nemisipha, ukuqina yabo futhi edema. Ngenxa yalokho, isiteshi siba sincane ngokweqile, kukhona izimpawu isifo kwenzeka ukungasebenzi lonke ngesandla.

Yini ebangela ukuthuthukiswa zokugula?

Izimbangela ngqo yalesi sifo ihlala usithe kuze kube sekupheleni. Kusolwa ukuthi njalo ukuphinda emabhulashini umsebenzi (igalofu, ingadi, ukunakekela izingane) kungaba babhebhethekise kulesi simo. Ngakho-ke, ngezinye izikhathi lesi sifo ubizwa ngokuthi "unina esihlakaleni".

ochwepheshe futhi secrete ezicini eziningana ekuthuthukisweni zokugula, okuyilezi:

• Ukulimala futhi umonakalo mechanical kuya ibhulashi.
• Izifo ukuvuvukala amalunga omzimba uhlobo (isifo sokuqaqamba kwamalunga, arthrosis).
• umthwalo njalo ku endaweni joint esihlakaleni.
• Kwama-hormone kushintsha umzimba (ngokuvamile phakathi menopause).
• izici yokwakheka of the system zemisipha.

Ubani isengozini?

Ubungozi eliphakeme lokuthuthukisa lesi sifo kubantu abaneminyaka engu-30 futhi kuze kube iminyaka engaba ngu-50. isifo De Quervain sika ngokuvamile kutholakala ukuthi uphethwe yini ngesikhathi abesifazane ngesikhathi sokukhulelwa futhi lokwelapha izinsana ezisanda kuzalwa.

Yini izimpawu kuhambisane zokugula?

Uphawu oyinhloko lesi sifo ubuhlungu endaweni esihlakaleni kusukela isithupha. Ngokukhanyisa ukuqaleka isandla wande. Ubuhlungu ngokuvamile linikeza ku ibhodi lemisindo nentamo ndawo.

Isici esiphawula leli isifo ubhekwa uphawu Finkelstein. Indoda ephethe isibhakela, ayifake isithupha sakhe. Uma umzamo wokugcina ukuthatha uhlangothi ohlangothini kulandelwa ubuhlungu obuhlabayo, ungaqinisekisa de Quervain sika (isifo).

On palpation we ngokuhlanganyela Kuyaqapheleka ukuvuvukala kancane, ubuhlungu ohlangothini ethintekile.

Iphutha main iziguli eziningi awacatshangwa ngokufaka isicelo bezokwelapha abanekhono futhi immobilization ka ibhulashi abavamile. Ngenxa yalezi zinjongo, amabhandeshi Friend, wristbands ekhethekile. Kulokhu, ekuqaleni lesi sifo imbangela ukukhubazeka. Iziguli ayikwazi ukwenza ngisho ajwayeleke kunawo wonke wezaseKhaya (ikhasi amazambane, ukugeza, unbutton nokunye. D.).

uphethwe

Akufanele zishiywe de isifo Quervain sika. Izimpawu isifo manifested izinsuku eziningana zilandelana, kufanele wazise futhi isizathu sokuba ukwelashwa ngokushesha kudokotela.

Phakathi kokubonisana onguchwepheshe lucwaningo behlolwa kwendawo abathintekayo Ungacacisa eziningi ukuchaza imibuzo (lapho kwakukhona indawo ngeminjunju, izimbangela zazo kungenzeka). Ukuze uqinisekise uphethwe udokotela uqhuba kokuhlolwa kaningana.

• ukuthunjwa esishubile. Uchwepheshe ngazo phansi isithupha ohlangothini emuva ukuze uwulethe entendeni yesandla sakho. Ngezinye ngokuphelele enempilo isandla umunwe kufaneleke ukumelana nokucindezelwa. Endabeni zokugula livela obukhulu uma icindezelwa.
• Ikhono ubambe izinto. Isiguli kufanele uphathe ngesandla ngamunye ngale ndaba. Uma kuba silingo kancane, isandla okuhle kuyoba mandleni ukugcina into engase ishiwo isiguli.
• -X-ray okuqotho kungase futhi ukuqinisekisa sifo de Quervain. Photo (isithombe) izandla wembula khona ukuqina kwezicubu ezithambile, izinguquko periosteum.

ukwelashwa ngoludala

Iziguli lokuqala belulekwa isivumelwano se ngaphambili imisebenzi ekhona nge immobilization esiyisibopho endaweni ethintekile. Immobilization ibhulashi kufanele zakhiwe ngendlela yokuthi thumb njalo izimisele isikhundla isihlobo Inkomba kanye maphakathi. Ngenxa yalezi zinjongo, ikhambi elingcono kakhulu ukusebenzisa umlingisi, okuyinto lisetshenziswa phakathi ibhodi lemisindo. immobilization okunjalo kuvimbela kuphela joint ekulimaleni kungenzeka. Ngaphezu kwalokho, elihambisana yokwelapha olandelanayo kufanele sigcwaliswe.

Okuvuthayo izinguquko nemisipha umsuka izifo ezifana nesifo de Quervain sika. Ukwelashwa kuhilela isicelo se izinqubo physiotherapeutic (upharafini, hydrocortisone ultrasound). Futhi, esimisiwe izidakamizwa antiinflammatory ( "ibuprofen", "Naproxen"), umjovo steroid ( "hydrocortisone").

Lapho ukuhlinzwa iyadingeka?

Ukuhlinzwa Kunconywa lapho ukwelashwa ngoludala kuyinto ayizwakali noma unendawo ukuba ukuzibandakanya zamazwe amabili.

Ukusebenza wenziwa khona ngaphansi kwezimo engaguquki-state usebenzisa ongakhetha izinzwa wendawo. Ngaphambi kokuqala izinzwa udokotela uyaphawula ngqo umaka okhethekile endaweni obuhlungu kunayo. Khona-ke esifakiwe procaine futhi abulawe endaweni cross-Sectional ka okubizwa ngokuthi inqubo styloid, okuyinto sidlula leli phuzu. hook Blunt isuswe ngokucophelela maqondana nezicubu ongama ne emithanjeni wadalula umsipha labaqaphi elingemuva. Udokotela wakhe dissects futhi kususa ingxenye. Ngokuvamile, ngemva Yiqiniso isikhathi eside lesi sifo zenzeke ukuvuvukala umsipha ukuba emgodleni umsipha. Kulokhu, zonke spikes kuthiwa excised. Isilonda sutured, esikhulu ngebhandeshi esingunxantathu. I sutures ziyasuswa ngemuva mayelana izinsuku ezingu-10, ekugcineni ukuvilapha ngamahora angu-15.

Kufanele siqonde ukuthi de Quervain sika (isifo) ngokuvamile kubangelwa inqubo sokugembula ezonini ye umsipha annular. Uma ukusebenza ngqo, isiguli uyaqhubeka overload isandla, ematfuba lokubuya kwesifo luyanda izikhathi eziningana. Yingakho iziguli bayakhuthazwa ukunciphisa umsebenzi, futhi ngezinye izikhathi ngisho ukushintsha uhlobo umsebenzi okhokhelwayo.

yezinkinga kungenzeka

Kwenzekani uma ungenawo aphathe lesi sifo de Quervain sika? Izandla ngokuhamba kwesikhathi abathintekayo bayanda inqubo sokugembula, kanye Umuntu ulahlekelwa ikhono ukusebenza ajwayelekile. Yingakho kubalulekile ngakho uma kwenzeka izimpawu eziyinhloko ngasocansini lokugula, ukufuna usizo kumuntu ofanelekayo ukuba uchwepheshe ezifanele. Endabeni ukuhlinzwa sisekhona okungenzeka elincane nesenzakalo yezinkinga ezifana ukwakheka isibanda buhlungu futhi ukujikeleza isithupha.

izinyathelo

Indlela yokuvimbela ukuqhubeka kwesifo? Okokuqala, odokotela batusa kubo bonke labo abangabakhe iqembu ingozi, ukunciphisa umthwalo ngokomzimba ukuqonda nokuqondiswa ukunyakaza shayela. Ngaphezu kwalokho, akufanele ukusebenzisa isifo ngokuhlanganyela imvelo ukuvuvukala. Lapho ukulimala noma umonakalo mechanical shayela kubalulekile ukuba sifune iseluleko yezokwelapha futhi avume ukwelashwa. ukugcina nje zonke izincomo ngenhla, ungakwazi ukuvimbela ukuthuthukiswa isifo.

isiphetho

Kulesi sihloko, simchazela lokho izimpawu zesifo kuhambisana De Quervain. Ukusebenza endaweni zokugula ezifana Kunconywa e-80% amacala. Nokho, ngesikhathi esifanele kuqalile ukwelashwa ngoludala uyakwazi ukuqeda lesi sifo futhi ukunciphisa ukuthuthukiswa yezinkinga.

Sithemba ukuthi lonke ulwazi enikeziwe kuyoba ngawe empeleni abe wusizo. Hlala uphilile!