I-Tendonitis ye-Wrist Ebangelwa Ukuqashisa
I-tenosynovitis yakwa-De Quervain yisimo esibangela ubuhlungu obuhambisana nokuhamba kwesithupha nesandla. Isizathu sobuhlungu buka-Quervain sika ukuvuvukala ngaphakathi kwendawo ephethwe eduze kwesisekelo sesithupha. Lokhu ukuvuvukala kubangelwa inkinga ye-tendon ebizwa ngokuthi i- stenosing tenosynovitis . Lokhu kusho ukuthi ukuvuvukala kuhilela i- synovium ne-tendon ezilawula ukuhamba kwesithupha.
Ngezinye izikhathi inkinga ibizwa ngokuthi i-tendinosis ka-Quervain, isifo se-Quervain, ukuthumelela umbhalo, isithupha somdlali, noma isithupha somama omusha.
Ubani Owutholayo
I-tenosynovitis yakwaDeQuervain ivame kakhulu eqenjini elidala elineminyaka engu-30-50 futhi ibonakala ngokujwayelekile kubesifazane. Kungabandakanya nokukhulelwa nesifo sofuba. I-tenosynovitis kaDeQuervain ingenxa yokusetshenziswa ngokweqile kwesandla. Kuvame ukubonwa kumama omusha njengoba ukunyuswa kokuthatha umntwana kungabangela ukucasuka kulezi zithende zesikhumba. Kungabonakala nakwabantu abasebenzisa isando ngokuvamile, abalimi, abagibeli bezintaba nabantu abadlala imidlalo ye-racquet. Kungenzeka futhi kubantu abasebenzisa ngaphezulu izithupha zabo ekuthumeleni imiyalezo nokudlala.
Izimpawu zika-Quervain's
Uphawu oluyinhloko luka-Quervain's tenosynovitis lubuhlungu esifundeni sesithupha, futhi ubuhlungu bungabonakala phezulu. Ubuhlungu bungaba khona ngesikhathi esisodwa noma kancane kancane. Ngokuvamile uyozizwa uzibi nakakhulu uma usebenzisa isithupha sakho lapho ubamba okuthile noma uma uphonsa isibindi sakho.
Ungase uzizwe ubamba uma uzama ukuhambisa isithupha sakho. Uhlangothi lwesithupha lwesandla sakho lungase luvuvuke futhi lokhu kungenza kube nzima ukuyihambisa.
Ukuhlolwa kwe-deQuervain ngokuvamile kuvame ukubonisa uthando ngesithandwa esithintekayo. Lezi yizintambo ze-extensor pollicis brevis kanye nemisipha ye-abductor pollicis longus.
Enye indlela ebizwa ngokuthi i-Finkelstein's test isicacile ngalesi simo. Uhlolo lwe-Finkelstein luyenziwa ngokwenza ukhonkwane phezu kwesithupha sakho esiboshiwe, futhi uhambisa isikhonkwane kumunwe omncane. Iziguli ezine-tenosynovitis ze-deQuervain zizozwa ubuhlungu ngale ndlela.
Ukwelashwa kwe-Quervain's Tenosynovitis
Iningi leziguli ezine-tenosynovitis zikaQuervain zizophuthuka nge-crystal embryo kanye nomjovo we- cortisone . Ubukhazikhazi buguqulwa njalo, imini nobusuku amasonto amane kuya kwanguyisithupha, ukusekela isithupha nesandla. Ungase uthathe imithi elwa nokuvuvukala futhi usebenzise iphakethe leqhwa ukuze unciphise ukuvuvukala. Phumulani isithupha nesikhumba futhi ugweme ukwenza izinto ezibangela ubuhlungu emathangeni.
Uma inkinga iqhubeka, inqubo yokuhlinzeka ukwakha indawo engaphezulu yamathenda ingenziwa. Phakathi nale nqubo yokuhlinzwa, izicubu eziqinile ezizungeze ama-tendon zinqunywe ukukhulula ukuvinjelwa kokunyakaza kwethemoni. Ukuhlinzwa ngokuvamile kwenziwa ngaphansi kwe-anesthesia yendawo kepha kungenziwa ngaphansi kwesifo se-anesthesia yesifunda, noma jikelele . Uma kukhona ama-cysts amancane noma izicubu ezishisayo ezitholakala zingasuswa. Ngemuva kokuhlinzwa, i-splint igqoke amasonto ambalwa, futhi imisebenzi evamile ingahle ibuye iqale kancane kancane.
Uzonikezwa ububanzi bokuzivocavoca ukuvuselela ukusebenza kwakho.
Izinkinga zokuhlinzwa kwesibindi zihlanganisa izinkinga zokutheleleka nokuphulukiswa. I-nerve encane, ebizwa ngokuthi igatsha elizwakalayo le-nerve radial, lingonakaliswa liholele esiqeshini se-numbness ngemuva kwesithupha. Enye yezinkinga ezithinta kakhulu ukuthi i-tendon ingaba engazinzile, iphuma endaweni yayo ejwayelekile eceleni kwekhanda, ngemuva kokukhishwa kwesigqoko sesithwathwa sekhanda. Le nkinga ingavinjelwa ngokuqinisekisa ukuthi isithwathwa se-tendon sivuliwe endaweni efanele, futhi ngokunciphisa ukunyakaza kwesibindi emva kokuhlinzwa.
Imithombo:
Ilyas AM "de Quervain Tenosynovitis of the Wrist" J. Am. I-Acad. I-Ortho. Ngo-Okthoba 2007; 15: 757 - 764.
I-Tendinosis ka-De Quervain, i-American Academy of Orthopedic Surgeons, ngoDisemba, 2013.