Kodi ndi momwe mungachiritsire Matenda a Kienbock

Zamkati

• Momwe mungachepetsere matenda
• 1. Kukhazikika kwa dzanja
• 2. Mankhwala oletsa kutupa
• 3. Physiotherapy ndi zolimbitsa thupi
• 4. Opaleshoni
• Momwe mungatsimikizire matendawa

Matenda a Kienbock ndi omwe fupa laling'ono lomwe limapanga dzanja, lotchedwa semilunar bone, sililandira magazi okwanira motero limayamba kuwonongeka, ndikupangitsa kupweteka m'manja nthawi zonse ndikulephera kusuntha kapena kutseka dzanja , Mwachitsanzo.

Kusinthaku kumatha kuwonekera pamsinkhu uliwonse, komabe, ndizofala kwambiri pakati pa 20 ndi 40 wazaka ndipo sizimakhudza zibakera zonse nthawi imodzi.

Ngakhale kulibe mankhwala enieni a matenda a Kienbock, njira zina zamankhwala monga opaleshoni kapena kugwiritsa ntchito mankhwala osokoneza bongo zitha kugwiritsidwa ntchito kuti muchepetse fupa komanso kuti muchepetse zizindikilo.

Momwe mungachepetsere matenda

Chithandizo cha matenda a Kienbock amangochita kuti athetse ululu komanso kuvutika ndimayendedwe amanja, popeza kuwonjezeka kwa kufalikira kwa fupa kumakhala kovuta kukwaniritsa. Pachifukwa ichi, pali mitundu ingapo yamankhwala yomwe imayenera kuyesedwa ndi a orthopedist malinga ndi kukula kwa matendawa komanso kukula kwa zisonyezo.

Zina mwazomwe amagwiritsidwa ntchito kwambiri ndi monga:

1. Kukhazikika kwa dzanja

Matenda ambiri a Kienbock amatha kusintha pokhapokha ngati dzanja lingasunthike, chifukwa motere fupa silimadzaza kwambiri, kulola kutupa ndi kukakamiza pamalowo kuchepa.

Pofuna kulepheretsa dzanja, dotolo nthawi zambiri amapaka pulasitala padzanja, lomwe liyenera kusungidwa kwa milungu iwiri kapena itatu.

2. Mankhwala oletsa kutupa

Kugwiritsa ntchito mankhwala oletsa kutupa, monga Aspirin kapena Ibuprofen, ndi imodzi mwanjira zoyamba kuthana ndi vutoli ndipo nthawi zambiri imagwira ntchito pochepetsa kutupa kwa minyewa yozungulira fupa la semilunar, kuchepetsa kupsinjika komanso kuchepetsa ululu.

3. Physiotherapy ndi zolimbitsa thupi

Kuchita zolimbitsa thupi pamanja kungathandize kuchepetsa kupsinjika kwa mafupa, kuchepetsa ululu ndikupatsa ufulu wambiri woyenda.

Nthawi zambiri, izi zitha kuchitika panthawi ya physiotherapy, koma amathanso kuphunzitsidwa kunyumba atalangizidwa ndi physiotherapist. Nazi zina zotambasula dzanja zomwe zingathandize kuchepetsa ululu.

4. Opaleshoni

Chithandizo cha opareshoni nthawi zambiri chimasungidwa chifukwa cha matenda opitilira muyeso a matenda a Kienbock, pomwe zizindikilo sizisintha ndi mitundu yamankhwala yomwe yatchulidwa pamwambapa.

Mtundu wa opaleshoni umasiyanasiyana kutengera munthu komanso vuto linalake, kuphatikizapo:

• Kuyikanso mafupa olumikizana ndi dzanja: fupa limodzi m'manja likakhala lalifupi pang'ono, adokotala amatha kulowetsa pang'ono kapena kuchotsa chidutswa cha fupa lalitali, kuti athe kulumikizana ndikuchepetsa kupsyinjika kwa fupa la semilunar, kuthana ndi zizindikiro;
• Kuchotsa fupa la semilunar: fupa la semilunar likawonongeka kwambiri, orthopedist amatha kusankha kuchotsa fupa. Komabe, pazochitikazi ndikofunikanso kuchotsa mafupa awiri omwe ali pambali, omwe amachotsa ululu, koma amatha kuchepetsa kuyenda kwa dzanja;
• Kusakanikirana kwa mafupa amanja: Nthawi zina, chithandizo chamankhwala chimakhala ndikumata mafupa a dzanja, kuti apange fupa limodzi lomwe limalandira kufalikira kwa magazi kuchokera m'mafupa ena omwe adalekanitsidwa, kuthana ndi zizindikilo zonse.

Kuphatikiza apo, opareshoni itha kugwiritsidwanso ntchito koyambirira kwa matendawa kuyesera kuyendetsa magazi kupita ku fupa la semilunar. Mwa njirayi, adotolo amachotsa chidutswa cha fupa lina lomwe likulandila magazi ndikuliphatika ku fupa la semilunar, kulilola kuthiriridwa ndi magazi. Komabe, njirayi siyotheka nthawi zonse ndipo mwina singawonetse zotsatira zokhutiritsa munthawi ya postoperative.

Momwe mungatsimikizire matendawa

Zowawa zomwe zimayambitsidwa ndi matenda a Kienbock nthawi zambiri zimasokonezedwa ndi carpal tunnel syndrome ndipo, chifukwa chake, ndikofunikira kuti mukaonane ndi wamatsenga kuti mutsimikizire kuti apezeka ndi kuyambitsa chithandizo choyenera.

Kuti adziwe, adotolo amatha kuyitanitsa mayeso ena azachipatala monga X-ray ya dzanja ndi MRI. Mayesowa amathandizanso kuwunika kwa momwe vutoli lidasinthira:

• Gawo 1: mu gawoli X-ray nthawi zambiri imakhala yachilendo, koma MRI imawonetsa kusazungulira kwa fupa;
• Gawo 2: fupa la semilunar limayamba kulimba chifukwa chosowa magazi, motero, limakhala loyera kuposa mafupa ena amanja, pa X-ray;
• Gawo 3: pakadali pano, fupa limayamba kuthyola, chifukwa chake, mayeso amatha kuwonetsa zidutswa zosiyanasiyana pamalo pomwe pali mafupa ndikusintha momwe mafupa oyandikana amakhala;
• Gawo 4: ndiye gawo lotsogola kwambiri pomwe zidutswa za mafupa a mwezi zimayamba kuwonongeka kwa mafupa oyandikana nawo, ndikupangitsa nyamakazi m'manja.

Matendawa akamakula, kupweteka m'manja kumakula kwambiri, ndipo mayendedwe ake amakhala ovuta. Chifukwa chake, kudziwa gawo lomwe limalola adotolo kusankha chithandizo choyenera kwambiri.