Choyambitsa Chala

Zamkati

• Zizindikiro za chala chazizindikiro ndi ziti?
• Nchiyani chimayambitsa chala?
• Ndani ali pachiwopsezo cha chala?
• Kodi chimayambitsa chala chimapezeka bwanji?
• Kodi cholembera chala chimathandizidwa bwanji?
• Mankhwala kunyumba
• Mankhwala
• Opaleshoni
• Kodi malingaliro a anthu omwe ali ndi chala chazithunzi ndi otani?

Kodi trigger finger ndi chiyani?

Choyambitsa chala chimachitika chifukwa cha kutukusira kwa tendon komwe kumasinthitsa zala zanu, kuchititsa kukoma kwa zala ndi kupweteka. Vutoli limachepetsa kuyenda kwa chala chanu ndipo limatha kukupangitsani kukhala kovuta kuwongola ndi kupindika chala chanu.

Zizindikiro za chala chazizindikiro ndi ziti?

Zizindikiro zoyambirira zimaphatikizapo:

• kupweteka kotsalira m'munsi mwa chala chanu kapena chala china
• bumphu kapena chotumphuka kuzungulira tsinde la chala chako pafupi ndi mgwalangwa
• Kukoma mtima kuzungulira chala chanu
• phokoso lodina kapena losweka poyenda
• kuuma chala chako

Ngati simukupeza chithandizo chamankhwala, choyambitsa chala chitha kupita patsogolo. Zizindikiro zotsogola zimaphatikizapo chala chachikulu, chala china, kapena zonse ziwiri kutsekedwa pamalo okhota kapena owongoka. Mwinanso simungathe kumasula chala chanu popanda kugwiritsa ntchito dzanja linalo ngati muli ndi vuto loyambitsa chala.

Zizindikiro zala zala zimayamba kuchepa m'mawa. Chala chimayamba kumasuka ndikusuntha mosavuta tsiku likamapita.

Nchiyani chimayambitsa chala?

Zala zanu zili ndi mafupa ang'onoang'ono angapo. Tendon amalumikiza mafupa awa ndi minofu. Minofu yanu ikalumikizana kapena kulimba, tendon yanu imakoka mafupa anu kuti musunthire zala zanu.

Ma tendon aatali, otchedwa flexor tendons, amatambasula kuchokera kumanja kwanu kufikira minofu ndi mafupa m'manja mwanu. Mitundu ya Flexor imadutsa mumtambo wa flexor tendon, womwe uli ngati kanjira ka tendon. Ngati ngalandeyo ikuchepa, tendon yanu siyingasunthire mosavuta. Izi ndi zomwe zimachitika poyambitsa chala.

Tinthu tating'onoting'ono todutsa m'chimake chopapatiza, chimayamba kukwiya ndikufufuma. Zoyenda zimakhala zovuta kwambiri. Kutupa kumatha kupangitsa kuti chiphuphu chikule, chomwe chimalepheretsanso kuyenda. Izi zimapangitsa kuti chala chanu chikhale chopindika. Zimakhala zovuta kuwongola.

Ndani ali pachiwopsezo cha chala?

Anthu ena amakhala ndi zotsogola kuposa ena. Mwachitsanzo, malinga ndi chipatala cha Mayo, ndizofala kwambiri mwa azimayi kuposa amuna.

Zowopsa zina zomwe zimakhudzana ndi chala choyambitsa ndizo:

• kukhala azaka zapakati pa 40 ndi 60
• kukhala ndi matenda ashuga
• kukhala ndi hypothyroidism
• kukhala ndi nyamakazi
• kukhala ndi chifuwa chachikulu
• kuchita zinthu zobwerezabwereza zomwe zingasokoneze dzanja lanu, monga kusewera chida choimbira

Malinga ndi chipatala cha Cleveland, zala zambiri zimakhudza oimba, alimi, komanso ogwira ntchito m'mafakitale.

Kodi chimayambitsa chala chimapezeka bwanji?

Dokotala amatha kudziwa komwe kumayambitsa chala poyesa thupi komanso mafunso osavuta okhudza mbiri yanu yachipatala.

Dokotala wanu amvera kuti adziwe ngati mukuyenda. Adzafunafuna chala chopindika. Akhozanso kukuwonani mutatsegula ndikutseka dzanja lanu. Kuzindikira sikufuna X-ray kapena mayeso ena ojambula.

Kodi cholembera chala chimathandizidwa bwanji?

Mankhwala kunyumba

Chithandizo chimadalira kuopsa kwa zizindikirazo. Mankhwala apanyumba ndi awa:

• Kupuma kaye kubwereza zochitika kwa milungu inayi kapena isanu ndi umodzi
• kuvala cholimba kapena chopindika kuti muchepetse kuyenda ndikuyimitsa dzanja
• kuyika kutentha kapena ayezi kuti muchepetse kutupa
• kuyika dzanja lanu m'madzi ofunda kangapo tsiku lonse kuti musangalatse ma tendon ndi minofu
• kutambasula bwino zala zanu kuti muziyenda mosiyanasiyana

Mankhwala

Mankhwala angathandize kuthetsa kutupa. Mankhwala oletsa kutupa ndi awa:

• ibuprofen (Advil)
• naproxen (Aleve)
• anti-inflammatories
• jakisoni wa steroid

Opaleshoni

Ngati mankhwala ndi zothandizira kunyumba sizikugwira ntchito, dokotala wanu angakulimbikitseni kuchitidwa opaleshoni. Madokotala ochita opareshoni amachita opareshoni kwa chala chakunyamula kuchipatala. Mukayamba kuwomberedwa ndi opaleshoni, dokotalayo amadula pang'ono pachikhatho kenako ndikudula chingwe cholimba.

Pamene chingwe cha tendon chimachira, malowa ndi otakasuka, kuthandiza chala chanu kuyenda mosavuta. Zoopsa za opaleshoni zimaphatikizapo matenda kapena zotsatira zopanda opaleshoni.

Kuchira opaleshoni kumatha kutenga milungu ingapo mpaka miyezi isanu ndi umodzi. Dokotala wanu angakulimbikitseni kuchita masewera olimbitsa thupi kuti muchepetse kuuma kwa opareshoni. Kawirikawiri, dokotala akangotulutsa chingwe cha tendon, tendon imatha kuyenda momasuka.

Muyenera kubwerera kuzinthu zomwe mumachita masiku ochepa. Dokotala wanu adzachotsa suture m'masiku 7 mpaka 14.

Kodi malingaliro a anthu omwe ali ndi chala chazithunzi ndi otani?

Kusintha kwa moyo ndikupewa zochitika zina nthawi zambiri ndi mankhwala othandiza poyambitsa chala.

Chithandizo cha Corticosteroid chingakhale chothandiza, koma zizindikilozo zimatha kubwerera pambuyo pa mankhwalawa.

Malinga ndi kafukufuku wofalitsidwa mu, ofufuza adapeza kuti zizindikilo zidabwereranso ndi 56 peresenti ya manambala omwe akhudzidwa miyezi 12 kuchokera pomwe omwe adalandira nawo chithandizo cha jakisoni wa corticosteroid.

Zizindikirozi zimabweranso miyezi ingapo atalandira kuwombera. Komabe, jakisoniyo ndi wachangu komanso wosavuta. Ikhoza kukulolani kuti musiye kuchitidwa opaleshoni mpaka nthawi yomwe ili yabwino kwambiri.

Ofufuza mu kafukufukuyu adapezanso kuti omwe ali ndi matenda a shuga omwe amadalira insulin, amenenso anali achichepere ndipo anali ndi zala zingapo zodziwika, anali ndi mwayi wobwereranso.