Izifo ezungeze amathoni omunwe zingaba lubi kakhulu. Lezi zibizwa ngokuthi i-flexor tenosynovitis noma i-flexon tenon sheath infection.
Ngaphambi kokuqonda ukubaluleka kokuhlinzwa nokutholakala kwemithi yokwelapha , i-flexor tenosynovitis ivame ukuholela ekulahlekelweni kwesilwane noma ukufa. Namuhla, lezi zifo zingelashwa. Kodwa, ukuvimbela ukukhubazeka okuphawulekayo, kudingeka babonakale ngokushesha futhi baphathwe kabi.
I-Flexor Tendons ne-Flexor Sheath
Izintambo ze-Flexor yizintambo zeminwe. I- tendon isakhiwo esithinta isisipha sibe amathambo. Lapho izinkontileka ze-muscle, i-tendon idonsa ithambo. Endabeni yezikhwama ze-flexor zeminwe, lapho inkontileka ye-muscle yangaphambili, iminwe itholwe yizintambo zibe ngqangi.
I-flexor tendon iyingxenye yenkambo yabo ngokusebenzisa isakhiwo esibizwa ngokuthi i-flexor tendon sheath. I-flexor heathon sheath ikhona ngezizathu ezimbili:
- Ivumela ukuhamba ngokushelela kwethenda. Ngenxa yokuthi iminwe ihamba njalo, ukunyakaza okubusayo kubalulekile ekunyameni okuhamba phambili.
- Umgogodla we-flexor uvimbela ama-tendon "ekugqibeleni." I-Bowstringing yayiyokwenzeka uma umgogodla ungabambeleli i-tendon ngokumelene nethambo. Kuleso simo, amathoni ayodonsa ngokuqondile, angabanjwanga ngomunwe, futhi angene endleleni yokubamba izinto.
Ukutheleleka kwe-Flexor Sheath (i-Flexor Tenosynovitis)
Ngokuvamile, ukutheleleka kwesifo se-flexor sheath kwenzeka ngemuva kokulimala umunwe, ukusika okujulile, noma ukuhlukumezeka okufayo.
Uma amabhaktheriya engena emgodleni, umzimba unamandla okulinganisa ukulwa nalezi zifo.
Awekho igazi elihlinzekwa ngamanzi abizayo e-tendon sheath futhi ngenxa yalokho, isimiso somzimba samasosha omzimba senziwa ngokuyinhloko esingasebenzi. Izibonakaliso zokutheleleka zivame ukukhula phakathi nesonto lokulimala futhi zibhekiswe kulokhu okulandelayo:
- Ukuvuvukala komunwe
- Ukuthambekela emkhakheni we-tendon
- Ukunyakaza okulinganiselwe ngomunwe okhethwe kancane
- Ubuhlungu ngokuzama ukunyakaza komunwe
Lezi zibonakaliso zibizwa ngokuthi "izimpawu zamakhadikhadi zikaKanvel," ezibizwa ngokuthi udokotela owakuchaza. Iziguli ezinalezi zibonakaliso kufanele zihlolwe udokotela oqeqeshwe ukuba aqaphele izifo ezithinta izifo. Iziguli zingase zibe nomkhuhlane, umsebenzi wegazi olungavamile, nezinye iziphumo, kepha izimpawu zomzimba ezichazwe yiKanvel zibaluleke kakhulu uma kutholakala ukuthi kutholakala ukutheleleka kwe-flexor sheath.
Ukwelashwa kwe-Flexor Tenosynovitis Izifo
Njengoba kushiwo ngaphambili, isinyathelo esibucayi kakhulu ukubona inkinga ngokushesha futhi ukuqala ukwelashwa ngokushesha ngangokunokwenzeka. Izifo eziningi ze-flexor sheath zizoba nama-bacteria atholakalayo ezindaweni zethu zesikhumba, kufaka phakathi i-staph ne-strep.
Imithi yokwelapha i-antibiotic ibalulekile, kodwa hhayi ngokwanele ngokuphelele. Ngenxa yokuthi umzimba unciphise ukunikezwa kwegazi kwi-flexon tendon sheath, ama-antibiotics awakwazi ukufika kuleyo ndawo kalula. Ngakho-ke, ukuhlinzwa kuyadingeka ukuhlanza ukutheleleka kusuka emgodleni.
Ukwelashwa ukuhlanza i-flexor sheath kungase kufezwe ngokwenza izinto ezimbili ezincane, omunye phansi komunwe nenye eduze kwesiqu.
I-saline fluid iyahlanzwa emgodleni ukuhlanza ukutheleleka. Iziguli ezinokutheleleka okuthe xaxa zingadinga ukuthi wonke umgogodla uhlinzekwe ukuhlanza ukutheleleka.
Izinkinga ze-Flexor Sheath Infections
I-Flexor sheath infections iyingozi kakhulu futhi ngokuvamile ithatha izinyanga ukuze ilulame ngokugcwele. Iziguli ezinezifo ezinzima nakakhulu kakhulu zingase zingalokothi zikwazi ukuhamba ngokugcwele komunwe.
Ngenxa yokuthi umgogodla we-flexor ubalulekile ekunyameni komunwe, uma ukulimala emgodleni kwenzeka noma izicubu ezibomvu zikhula, ukunyakaza komunwe kungase kungabuyeli kuma-100%. Iziguli zingase zisebenze nabahlengikazi besandla ngemuva kokuba ukutheleleka kwabo kuxazulule ukusiza ukubuyisela ukuhamba.
igama elivela kahle kakhulu
Izifo ze-flexor tendon sheath esandleni naseminwe yizinkinga ezinkulu ezingaba nemiphumela yesikhathi eside. Ukuhlolwa okuphuthumayo nokwelashwa kuyadingeka ukuze kuqinisekiswe ukuthi ukutheleleka kuphathwa ngendlela efanele, ukukunikeza ithuba elihle lokubuyiselwa. Ngisho nangokwelashwa okufanele, ukuqina, ukuvuvukala, nokukhathazeka kungahlala isikhathi eside.
Imithombo
> Draeger RW no-Bynum DK. "I-Flexor Tendon Sheath Infections of the Hand" J Am Acad Orthop Surg ngoJuni 2012; 20: 373-382.