I-tendonitis yekhanda, ebizwa nangokuthi i-tenosynovitis, iyisimo esivamile esicatshangelwa ukucasuka nokuvuvukala kwamathoni ezungeze isixhumi samakhanda. Izintambo eziningi zizungezile ihlangothini lesibindi. I-tendonitis yesibindi ivame ukuthinta enye yamathenda, kodwa ingase ibandakanye amabili noma ngaphezulu.
Ngokuvamile, i-tendonitis yesibindi ivela emaphoyinti lapho i-tendon iwela khona noma idlulisela ukuvelela okuvelele.
Lezi zindawo ezingase zithukuthele futhi zingaholela ekuhluphekeni lapho zihamba ngokuhlanganyela kwesigqoko.
Isingeniso kwi-Wrist Tendons
Ama-tendons yizinhlaka ezihlanganisa imisipha kuya ethambo, futhi izintambo zesikhumba zihlanganisa imisipha engaphambili emathanjeni ezandla neminwe. Amathenda omkhonto ahamba emathangeni ashelele njengoba edlula ngesandla esihlangene. Lezi zithenda ze-tendon zivumela izintambo ukuba ziqhubeke kahle njengoba isikhonkwane sibheka emuva nangendlela ngendlela ephansi. I-tendon sheaths ine-fluid ngaphakathi emgodleni obizwa ngokuthi i-synovial fluid, futhi lapho le ndawo ishaywa, isimo sabizwa ngokuthi i-tenosynovitis.
Izintambo ezungeze lesi sandla zihlukaniswe ngamaqembu amabili: lezo zangemva kwesihenqo (i-extensors) nalabo abaphambi kwesandla (i-flexors). Noma iyiphi i-tendon ingacasulwa futhi ibangele izimpawu zobuhlungu, kodwa i-tendonitis ivela kaningi kakhulu emathangeni ambalwa athile ngenxa ye-anatomy, kanye nemisebenzi ethile eyenziwa ngabantu.
Izimpawu ze-Wrist Tendonitis
Isikhalazo esivame kakhulu nesigqugquzelayo iziguli ezitholakala nge-tendonitis yesibindi ubuhlungu esibukweni. Ezinye izibonakaliso ze-tendonitis yesihenqo zihlanganisa:
- Ukuvuvukala nxazonke ezihlangene nesibindi
- Ukufudumala nokubomvu kwamathenda
- Ukuzwa kwe-sensing (crepitus) ngokunyakaza kwama-tendon
Ukuxilongwa kwe-tendonitis yesihenqo kwenziwa ngokubheka izibonakaliso zalesi simo. Ukwengeza, kuye ngokuthi ithenda elivuthayo, udokotela angenza ukuvivinywa okwelula amathenda athile okukhathazayo ukuthola umthombo oqondile wokuvuvukala.
Isibonelo, uhlobo olulodwa lwe-tendonitis yesibindi lubizwa ngo- DeQuervain's tenosynovitis . Lokhu ukuvuvukala kwetendon phansi kwesithupha. Ngokuvame ukubonwa kumama omusha, i-tenosynovitis kaDequuervain iyatholakala nge-test ethize okuthiwa " uvivinyo lukaFinkelstein ," lapho isiguli senza isibhamu futhi isikhonkwane sikhishwa kude nesithupha. Ubuhlungu obuvela kulokhu kuqondiswa ukuxilongwa kwaloluhlobo lwe-tendonitis yesibindi.
Ucwaningo olukhethekile aludingekile, kepha i-x-ray ingasiza ekuhloleni ezinye izimbangela zesifo sobuhlungu. Ama-X-ray angaba usizo ngokukhethekile ekuhloleni i-arthritis noma i-fractures. Iningi labantu abane-tendonitis yesihenqo lizobonakala lijwayelekile x-ray. Okunye ukuhlolwa okufana ne-ultrasound ne-MRI kungabonisa i-tendonitis ngokuqondile, njengoba lokhu kuhlolwa kuzobonisa ukuqongelela okuketshezi okuzungeze ithethoni ehlisiwe. Ngenkathi lezi zivivinyo kungadingekile, uma kukhona ukudideka mayelana nalokho okubangelwa ubuhlungu, kungase kube usizo ukuqhubeka nokuhlola inkinga.
Uma sekutholwe ukuxilongwa kwe-tendonitis, uhlelo lwezokwelapha lungasungulwa. Akuwona wonke umuntu one-tendonitis yesisindo oyophathwa ngendlela efanayo, kanti ezinye izindlela zokwelashwa zingasiza kakhulu uhlobo oluthile lwe-tendonitis kunezinye. Lokho kusho ukuthi izinhlobo eziningi zokwelashwa ziqala ngezinyathelo ezimbalwa ezilula ukulawula ukuvuvukala nokuvumela ukuphulukiswa kwetendon, futhi ziqhubekela phambili ezinyathelweni eziningi uma lezi zonyango zihluleka ukwehlisa izimpawu zesimo.
Ukwelapha i-Wrist Tendonitis
- Immobilization: Ukubeka i-wrist in a splint noma cast kuyinto ngokuvamile isinyathelo ukwelashwa lokuqala. I-tendonitis yesibindi ingenxa yokucasuka okuphindaphindiwe kwethethoni nomgogodla wayo. Ngokuphumula i-tendon, ukuvuvukala kufanele kwehle.
- Ice Ice lokulimala : Ukusebenzisa iphakethe ye-ice ngokuzenzakalelayo endaweni yokuvuvukala kungase kube nenzuzo. Ukufaka i-tendonitis yesisindo kungasiza ukupholisa ukuvuvukala futhi kuvuselele ukugeleza kwegazi endaweni ye-tendonitis.
- Imithi yokulwa nokuvuvukala : Imishanguzo engavumelani nokuvuvukala ingasiza ekulawuleni izimpawu zobuhlungu, kodwa ngokubaluleke kakhulu bayasiza ekuphatheni ithethoniki yesandla ukunciphisa ukuvuvukala nokuvuvukala kwezicubu ezithambile. Le mithi yokwelashwa izokwehlisa impendulo yokuvuvukala, okuyimbangela yobuhlungu.
- Ukwelapha ngesandla : Ukwelapha ngesandla kuyindlela ekhethekile yokwelashwa okugxile emsebenzini obunzima wesandla nesandla, namathenda amaningi nemigqa ezungezile futhi zisekela ukujoyina. Ukuhlinzeka ngezindlela zokwelapha zisebenzisa izindlela eziningi ezivela ekusweleni nasekuqiniseni ukuvuselela kagesi kanye ne-ultrasound. Ngaphezu kwalokho, isazi somuthi ngokuvamile sizakhela izigqoko nezinsizakalo zenkambiso ukuze kusize ukulawula ukunyakaza kwesandla sekhanda.
- I-Cortisone Injection : I- Cortisone iyindlela yokwelapha enamandla kakhulu yokulwa nokuvuvukala enikezwa umjovo ngqo kwisayithi sokuvuvukala. I-Cortisone imijovo iphephile kepha inganciphisa ama-tendon ngokuhamba kwesikhathi uma kunikwa amajojo amaningi.
Ukuhlinzwa: Ukuhlinzwa kwenziwa kuphela uma lezi ezinye izindlela zokwelapha ziyehlulekile ukuxazulula le nkinga. Uma kunjalo, indawo yesikhumba esinomsoco obangela ukuthi ukunyakaza kwethemoni elibuhlungu nenzima kungakhululwa. Izicubu zokuvuvukala nazo zingasuswa ngomzamo wokwakha isikhala esiningi se-tendon ukuhamba ngokukhululekile.
Ukuvimbela Izinkinga Zesikhathi Esizayo
Kunezinyathelo eziningana ongayithatha ukuvimbela ama-flare-ups we-tendonitis yesibindi. Isinyathelo esibaluleke kunazo zonke ongayithatha ukuguqula noma yimuphi umsebenzi othize obangela isimo sakho. Lokhu kungase kusho ukulungisa indlela ophakamisa ngayo noma ukulungisa ukuphathwa kwakho. Ukushintsha isikhundla sezandla zakho uma wenza imisebenzi kungaqinisekisa ukuthi akukho tetheon eyodwa ethatha umthwalo omkhulu kakhulu.
- Ukugqoka ubukhazikhazi phakathi nemisebenzi ecasula i-tendonitis yakho kungasiza, kodwa lokhu kungase kube nzima. Ngokuqinisekile, ukusekela okulula noma ukugqoka kungaba yindlela elula yokugwema izimpawu.
- Qaphela ukuphuza imithi ngaphambi kwemisebenzi, njengoba ngezinye izikhathi lokhu kungabhekisa kuphela izimpawu, uma kungcono ukuthi ukwazi ukuhlola uma uphatha umsebenzi.
- Ukwelula okuncane nokushisa ngaphambi komsebenzi kungaqinisekisa ukuthi amathenda ayilungile, futhi iphakethe leqhwa ngemva kwalokho lingathulisa noma yisiphi ukuvuvukala.
Uma ungakwazi ukugcina ukulawula kwezimpawu, kungase kube yisikhathi sokubona udokotela wakho.
Izwi elivela
I-tendonitis yesihenqo yisimo esivamile esizokwaziwa yibo bonke abantu ngesikhathi esithile empilweni yakho. Ukuthatha izinyathelo ezilula ezimbalwa kusenesikhathi kulesi simo kungasiza ekuvimbeleni izimpawu zibe nzima kakhulu futhi zikhubaza.
Uma unenkinga nge-tendonitis yesibindi, ukusebenza ngophakamitha wezokwelapha ukwakha uhlelo lokuvimbela izinkinga eziphindaphindiwe kungakusiza uhlale wenza imisebenzi okumele uyenze emsebenzini noma ujabulele ukwenza ukuzijabulisa!
Umthombo:
> Adams JE, Habbu R. "Ama-Tendinopathies we-Hand and Wrist." Journal of the American Academy of Orthopedic Surgeons. 2015; 12: 741-750.