Quervain's tenosynovitis: ndi chiyani, zizindikiro ndi chithandizo
Zamkati
Quervain's tenosynovitis imafanana ndi kutukusira kwa ma tendon omwe amakhala pansi pa chala chachikulu, zomwe zimayambitsa kupweteka ndi kutupa kwa dera, zomwe zimatha kuipiraipira mukamayenda ndi chala. Zomwe zimayambitsa kutupa kumeneku sizikuwonekabe bwino, komabe zizindikilo nthawi zambiri zimawonjezeka mukamayenda mobwerezabwereza monga kutayipa, mwachitsanzo.
Chithandizochi chikuyenera kuwonetsedwa ndi a orthopedist malinga ndi zomwe zawonetsedwa, koma kulepheretsa chala chachikulu ndikugwiritsa ntchito mankhwala oletsa kutupa kuti athetse zizindikilo nthawi zambiri zimawonetsedwa. Nthawi zomwe zizindikirazo sizitha ngakhale ndi chithandizo kapena ngati zizindikilozo ndizolimba kwambiri kotero kuti zimasokoneza zochitika za tsiku ndi tsiku, opaleshoni imatha kuwonetsedwa.
Zizindikiro zazikulu
Zizindikiro zazikulu za Quervain's tenosynovitis ndi izi:
- Kupweteka kwa chala chachikulu, makamaka ngati pali chala;
- Kupweteka pamene dzanja likuyendetsedwa cham'mbali ndi chala chokhotakhota;
- Ululu mukakhudza malo ozungulira chala chachikulu;
- Kuumitsa malo;
- Kutupa kwanuko, kumawoneka makamaka m'mawa;
- Kuvuta kugwira chinthu;
- Zowawa komanso kusapeza bwino mukamachita zosunthika wamba zatsiku ndi tsiku, monga kutsegula chitha, kumenya mabatani kapena kutsegula chitseko.
Ngakhale chomwe chimayambitsa Quervain's tenosynovitis sichidziwikiratu, akukhulupirira kuti mayendedwe obwerezabwereza amatha kuthandizira kutupa, kuphatikiza pakuphatikizidwanso ndi matenda osachiritsika komanso amachitidwe monga matenda ashuga, gout ndi nyamakazi ya nyamakazi, mwachitsanzo.
Kuphatikiza apo, anthu ena amakhala ndi chiopsezo chotenga Quervain's tenosynovitis monga azimayi asanakwane kutha msinkhu, amayi apakati kapena anthu omwe adathyoka dzanja nthawi ina m'miyoyo yawo.
Momwe mankhwalawa amachitikira
Chithandizo cha Quervain's tenosynovitis chiyenera kuchitidwa molingana ndi malingaliro a orthopedist, nthawi zambiri kulepheretsa chala chachikulu ndi dzanja kumawonetsedwa kuti ziziteteza kuyenda ndi kukulira kwa kutupa. Kuphatikiza apo, munthawi imeneyi kugwiritsa ntchito mankhwala a analgesic kapena anti-inflammatory kungathenso kuwonetsedwa kuti zithandizire kuthetsa zizindikilo. Nthawi zina, kulowa kwa corticosteroid kumatha kuwonetsedwanso kuti kuthamangitse kuchira.
Ngati chithandizo chamankhwala sichikwanira kapena ngati zizindikiritso zimachepetsa zochitika za tsiku ndi tsiku, adotolo amatha kuwonetsa opaleshoni yochizira kutupa ndikulimbikitsa kupumula kwa zizindikiro. Zimakhalanso zachizoloŵezi kuti pambuyo pa opaleshoni, magawo a physiotherapy amasonyezedwa kuti apititse patsogolo ntchito yowonongeka.