Tenosynovitis
Tenosynovitis ndikutupa kwa chikopa cha mchimake chomwe chimazungulira tendon (chingwe chomwe chimalumikiza minofu ndi fupa).
Synovium ndichimake chachikopa choteteza chomwe chimakwirira ma tendon. Tenosynovitis ndikutupa kwa m'chimake. Zomwe zimayambitsa kutupa sizingadziwike, kapena mwina chifukwa cha:
- Matenda omwe amayambitsa kutupa
- Matenda
- Kuvulala
- Kugwiritsa ntchito mopitirira muyeso
- Kupsyinjika
Manja, manja, akakolo, ndi mapazi zimakhudzidwa kwambiri chifukwa minyewa imakhala yaitali pamalumikiziwo. Koma, vutoli limatha kuchitika ndi vuto lililonse la tendon.
Odulidwa omwe ali ndi kachilombo m'manja kapena m'manja omwe amayambitsa matenda opatsirana a tenosynovitis atha kukhala achangu omwe angafunike kuchitidwa opaleshoni.
Zizindikiro zimatha kuphatikizira izi:
- Zovuta kusuntha cholumikizira
- Kutupa pamodzi m'dera lomwe lakhudzidwa
- Kupweteka ndi kukoma mtima palimodzi
- Ululu pamene kusuntha olowa
- Kufiira kutalika kwa tendon
Malungo, kutupa, ndi kufiira kumatha kuwonetsa matenda, makamaka ngati kuboola kapena kudula kudayambitsa izi.
Wothandizira zaumoyo adzayesa. Wothandizirayo akhoza kukhudza kapena kutambasula tendon. Mutha kupemphedwa kuti musunthire cholumikizira kuti muwone ngati chiri chopweteka.
Cholinga cha chithandizo ndikuchepetsa ululu ndikuchepetsa kutupa. Kupumula kapena kusunga ma tendon omwe akhudzidwa ndikofunikira kuti achire.
Wopereka wanu atha kupereka malingaliro awa:
- Kugwiritsa ntchito chopindika kapena cholumikizira chothandizira kuti tinthu tating'onoting'ono tisasunthike kukathandiza machiritso
- Kuyika kutentha kapena kuzizira kumalo okhudzidwa kuti muchepetse kupweteka ndi kutupa
- Mankhwala monga nonsteroidal anti-inflammatory drugs (NSAIDs) kapena jakisoni wa corticosteroid kuti athetse ululu ndikuchepetsa kutupa
- Nthawi zambiri, opareshoni yochotsa kutupa mozungulira tendon
Tenosynovitis yoyambitsidwa ndi matenda amafunika kuthandizidwa nthawi yomweyo. Yemwe amakupatsirani mankhwala amakupatsani mankhwala opha tizilombo. Pazovuta kwambiri, opaleshoni yadzidzidzi imafunika kuti kutulutsa mafinya ozungulira tendon.
Funsani omwe akukuthandizani za zolimbitsa thupi zomwe mungachite mukachira. Izi zitha kuthandiza kuti vutoli lisabwererenso.
Anthu ambiri amachira ndi mankhwala. Ngati tenosynovitis imayamba chifukwa chogwiritsa ntchito mopitirira muyeso ndipo ntchitoyi siyiyimitsidwa, zikuyenera kubwerera. Ngati tendon yawonongeka, kuchira kumatha kukhala pang'onopang'ono kapena vutoli limatha kukhala lopitirira (kupitilira).
Ngati tenosynovitis sakuchiritsidwa, tendon imatha kuletsedweratu kapena imatha kuphulika. Ophatikizana omwe akhudzidwa amatha kukhala olimba.
Matendawa mu tendon amatha kufalikira, omwe atha kukhala owopsa ndikuwopseza gawo lomwe lakhudzidwa.
Itanani nthawi yokumana ndi omwe amakupatsani ngati mukumva kuwawa kapena mukuvutika kuwongola cholumikizira kapena mwendo. Itanani nthawi yomweyo ngati muwona chingwe chofiira padzanja lanu, dzanja, bondo, kapena phazi. Ichi ndi chizindikiro cha matenda.
Kupewa mayendedwe obwerezabwereza komanso kugwiritsa ntchito kwambiri ma tendon kungathandize kupewa tenosynovitis.
Kukweza kapena kusuntha koyenera kumatha kuchepetsa zochitikazo.
Gwiritsani ntchito njira zoyenera zosamalira mabala kutsuka mabala padzanja, dzanja, bondo, ndi phazi.
Kutupa kwa tendon sheath
Biundo JJ. Bursitis, tendinitis, ndi zovuta zina zakanthawi kochepa komanso mankhwala azamasewera. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 247.
Cannon DL. Matenda opatsirana. Mu: Azar FM, Beaty JH, Canale ST, eds. Opaleshoni ya Campbell. Wolemba 13. Philadelphia, PA: Elsevier; 2017: mutu 78.
Hogrefe C, Jones EM. Tendinopathy ndi bursitis. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 107.