Inkinga ye-trigger iyinkinga evamile yesithononi eyenzeka lapho izintambo zomunwe zibanjwa njengoba umunwe ugoba futhi kuqondisa ukuba idijithali ivule ukuvuleka, noma ibambe iqophe entendeni yesandla. I-trigger umunwe ivame kakhulu ngamaphesenti amabili kuya kwamaphesenti amathathu wabantu abane-trigger finger, futhi ejwayelekile nakakhulu kwiziguli zesifo sikashukela .
Ngenkathi abantu abaningi bengathola ukusizwa ngezokwelapha okungezona okuhlinzekwa ngomunwe we-trigger , abanye bazokhetha ukuhlinzwa ukuze bathole isixazululo esimweni sabo.
I-trigger umunwe ibangelwa uma ithenda ithinteka njengoba idlula epulini entendeni yesandla. Ama-tendons adonsela iminwe yakho enqabeni lapho inkontileka yemisipha yakho yangaphambili. I-tendon iqhutshwa ngokumelene namathambo eminwe ngamapullethi amaningi. Lezi zingqungquthela zigcina izintambo zibhekene nethambo, kodwa i-pulley eyodwa (ebizwa ngokuthi i-A1 pulley) ingakwazi ukugaya futhi ibangele ukuthi ithemponi ibambe.
Nazi izinketho okufanele uzicabangele uma ucabanga ukuthi uhlinzekwe ngomunwe:
Vula ukukhishwa okuvuliwe
Ukwelashwa okujwayelekile kwe-finger trigger kubizwa ngokuthi ukukhululwa okuvulekile. Phakathi nalokhu kuhlinzwa ukufakwa okuncane (okungamamitha amabili ububanzi) kwenziwa phezu kwesandla sesandla lapho ithenda ithola khona. Kunezinketho eziningana ze-anesthesia , kodwa odokotela abaningi abahlinzayo bakhetha ukuhlinzekwa kwezinzwa zendawo.
Inzuzo yokusebenzisa i-anesthetic yendawo yilapho isiguli singakwazi ukugoba umunwe uma ukukhululwa kwenzelwe ukuqinisekisa ukuthi inkinga ixazululwa.
Kukhona ezinye izimbangela ezingenasisindo ze-trigger ngomunwe kunalokho okungenakuthola ngokwanele ngokukhululwa kwendabuko, futhi ukwazi lokhu ngesikhathi sokuhlinzwa kuvumela ukuba udokotela wakho ohlinzayo akwazi ukuxazulula inkinga ngokufanele.
Emva kokukhululwa okuvulekile, i-suture noma ezimbili, noma ngezinye izikhathi isikhumba seganda, sisetshenziselwa ukuvala ukuchotshozwa. Odokotela abaningi abahlinzayo bakhuthaza ukunyakaza okusheshayo kweminwe, kodwa ukucindezelwa okulinganiselwe phezu kwe-incision (ngakho akukho ukuphakamisa okuqinelayo). Ukubangela kufanele kuxazululwe ngokushesha.
Iziguli eziningi zinezinkinga ezithile ezizungezile, futhi ngokuvamile zihlangene ne- PIP (inhlanganisela yesibili ye-knuckle). Ngaphezu kwalokho, ezinye iziguli zikhomba ukuqina komunwe okungathatha amasonto noma isikhathi eside ukuxazulula ngokugcwele.
Izinkinga ze-trigger finger release zingavamile, kodwa zingenzeka. Njengoba kukhonjisiwe, kunezimbangela ezingavamile zomunwe womuthi, uma ungabonakali futhi ungazitholi, ungaholela ekubangela okuqhubekayo. Ukutheleleka kungenye ingcindezi engase idinge ukwelashwa kufaka isidingo sokuhlinzwa okuqhubekayo. Enye ingcindezi engase ikwazi ukubizwa ngokuthi i-bowstringing ye-tendon. Lokhu kwenzeka lapho ithoni ithwala kude nasetheni ngemva kokukhishwa kwe-pulley.
Ukukhishwa kwe-Percutaneous
Ukukhululwa kwe-percutaneous kuyindlela encane yokuhlinzeka lapho kutholakala khona ukucubungula okuncane futhi i-pulley ikhululwa ngaphandle kokubuka ngokuqondile i-pulley ne-tendon. Kunezinhlobo ezahlukene zezindlela zokuhlinza abahlinzayo eziye zasebenzisa ukukhulula i-pulley kuhlanganise ama-special, izinaliti, nezinye izinsimbi zokukhishwa kwe-pulley ngaphandle kokubheka ngqo kuyo.
Lezi zinqubo ziye zaboniswa ukuthi ziyasebenza futhi zivumela ukuvuselelwa ngokushesha. Imibuzo ikhulunywe mayelana nokuphepha, nakuba ezinye izifundo zakuqala zemitholampilo zibonise ukuthi ziphephile njengokuhlinzwa okuvulekile. Kubuye kube nemibuzo mayelana nemiphumela engenzeka yokulimala okungalawuleki emathethini nasemizini.
Yikuphi Ukukhetha Okuhle Kakhulu?
Zombili izinketho kubonakala sengathi zindlela zokwelapha eziphumelelayo zomunwe wokuthoma. "I-standard standard yegolide" namanje iyindlela yokuhlinzwa evulekile, kodwa odokotela abahlinzayo abaningi bafunda izindlela zokwenza inqubo encane ibe yinto engavamile.
Ngisho nangokuhlinzwa okuvulekile, ukutakula ngokuvamile kuyashesha; izinzuzo zokuhlinzeka ngamaphayona amancane zincane futhi izingozi zingase zibe ngaphezulu.
Mhlawumbe into ebaluleke kunazo zonke isipiliyoni sakho sobuhlinzeki -qinisekisa ukuthi udokotela wakho ohlinzayo wenza le nqubo njalo ngaphambi kokuyihlola.
Imithombo:
Moss JE noHabbu R. "Ama-Tendinopathies we-Hand and Wrist" J Am Acad Orthop Surg December 2015 vol. 23 cha. 12 741-750.