Umunwe we-trigger yisimo esivamile esenza ukuba iminwe ifinyelele futhi ifakwe entendeni yesandla. Ngokuvamile nakakhulu ekuseni, iziguli zikhononda ukuthi zivusa ngomunwe ziboshwe entendeni yesandla. Ukuguqula umunwe kungabangela ubuhlungu futhi kungabangela inzwa yokuhlwitha engumthombo wegama elithi "trigger finger." Iminwe ngayinye kanye nezithupha zingathinteka ngokubangela, futhi zonke izifo ezixoxwe ngazo ziyasiza kunoma iyiphi idijithi.
I-Trigger iminwe ivela ngokujwayelekile kubesifazane (cishe ngo-75%) futhi ingenzeka kunoma yimiphi iminwe noma isithupha.
I-Trigger umunwe ingaba buhlungu futhi ingangena endleleni yemisebenzi eminingi. Noma kunjalo, akusona isimo esisongela ukuphila; Ngakho-ke, ukwelashwa akukaze kudingeke. Uma othile ekhetha, angahlala nezimpawu, ngezinye izikhathi azixazulula eyedwa.
Ukuphambuka, ama-NSAID nezinyathelo ezilula
Iziguli ezinezimpawu ezincane zingase zifune ukuzama ukwelashwa okulula kuqala. Lezi zingase zibandakanye imithi yokwelapha emilonyeni yokulwa nokuvuvukala , ama-wraps ashisayo noma abandayo, ukusikhipha kanye nokuqhakaziza.
Impumelelo yalezi zindlela zokwelapha ezingenasidingo zixhomeke ekuqineni komunwe wokuthoma. Abantu abaningi abanezimpawu ezimbalwa abafuni ukwelashwa. Abantu abaningi abanezimpawu ezibuhlungu kakhulu baye badlula iphuzu lapho izinyathelo ezilula zisiza. Lokho kusho ukuthi ukuhlolwa kwezokwelapha ezilula ngokuqinisekile kunengqondo.
Odokotela abambalwa kakhulu namanje bahlanganisa iminwe, njengoba impikiswano iphikisana kahle, futhi ngokuvamile ubucwebe kufanele bugqokwe izinyanga ezimbalwa ukuze kube usizo.
Njengoba ezinye izindlela zokwelapha ziphumelela, ukukhazimula ngokuvamile akusetshenzisiwe.
I-Cortisone Injections
Ukwelashwa okuvame kakhulu kwe-trigger umunwe kunomjovo we-steroids (i-cortisone) ukuya emgodleni we-tendon. I-cortisone ivame ukunciphisa ukuvuvukala ngokwanele ukubuyisela imishini evamile.
Ngokujwayelekile, umjovo owodwa we-cortisone uzoxazulula inkinga okungenani okwesikhashana.
Ithuba le-cortisone elihlinzeka ngesisombululo esihlala njalo liba ngu-50%. Ngenxa yalesi sizathu, abantu abaningi bazokhetha ukuqala ngomjovo we-cortisone. Nakuba lokhu kungase kungabi yisisombululo esihlala njalo salesi simo, singasebenza kubantu abaningi.
Imiphumela emibi yomjovo we-cortisone kaningi kakhulu, kodwa kwabanye abantu, ingaba yinto ebalulekile. Yingakho abanye odokotela neziguli bakhetha ukweqa isibhamu bese behambisa ukwelashwa okucacile, njengokuhlinzwa.
Ukuhlinzwa
Ukwelashwa komunwe we-trigger (okubizwa ngokuthi ukukhululwa komunwe-umunwe) kuyinkqubo efanayo yosuku olungenziwa ngaphansi kwe-anesthetic yendawo noma isikhungo sezinzwa zesifunda. Ukukhishwa okuncane (okungaphansi kwamabili ububanzi) kwenziwa esikhumbeni, futhi ingxenye eqinile ye-tendon sheath ikhishwa. Lokhu kuvumela ukuthi i-tendon ibuyele ngokushelela ngaphandle kokubamba.
Ukulandela ukukhishwa komunwe-umunwe, umsebenzi womunwe ukhuthazwa, ngoba lokhu kuzokusiza ukuvimbela izicubu ezinzima ukudala lapho ukuhlinzwa kwenziwa khona. Iziguli zelulekwa ukuba zigweme ukucindezelwa ekugwenyweni kokuphulukiswa kwamasonto ambalwa. Ukulinda okuphelele kulindeleke.
Ukuhlinzwa kokuhlinzwa komzimba kuphephile kakhulu, kodwa kunezinkinga ezingenzeka. Inkinga evame kakhulu ukuthi umunwe wokuqala ungabuya uma umgogodla we-tendon ungakhululwa ngokwanele.
Ezinye izinkinga ezikhona kungenzeka zibandakanya ukutheleleka, ukuqina, nokulimala emiphakathini yomunwe. Ubuhle balezi zinkinga buncane, futhi ukuhlinzwa kunesilinganiso esiphumelela kakhulu.
Iyiphi Indlela Enhle?
Akunjalo ngempela indlela engcono kakhulu yokwelashwa komunwe wokunquma. Kube khona ubufakazi bokuthi ukwelashwa kokuqala nge ukukhishwa okuhlinzekwayo kungashesha ukutholakala jikelele, njengoba iziguli zivame ukuba nokuqina okuncane nokuvuvukala emunwe. Ngakho-ke, abanye odokotela abahlinzayo bayodinga ukwelashwa okunomthethelo ngokudlula izinyathelo ezilula bese beya ngqo ekuhlinzekeni.
Kodwa-ke, abantu abaningi bafuna ukugwema umese wokuhlinzeka.
Kulezo zimo, kunezinketho ezinengqondo kakhulu ezingafaka phakathi ukuhlinzwa. Wonke umuntu unemigomo ehlukene kanye nezinto eziza kuqala, ngakho-ke kunzima ukusho ukuthi ukwelashwa okulodwa kuncono kuwo wonke umuntu. Xoxa nodokotela wakho ukuphathwa kangcono kwesimo sakho.
Imithombo:
> Fleisch SB, Spindler KP, Lee DH. "Imishanguzo ye-Corticosteroid ekwelapheni umunwe womunwe: ukubuyekezwa kwesimo se-I no-II" I-J Am Acad Orthop Surg. 2007 Mar; 15 (3): 166-71.
> Adams JE, Habbu R. "Ama-Tendinopathies we-Hand and Wrist" J Am Acad Orthop Surg. 2015 Dec; 23 (12): 741-50.