Zomwe Muyenera Kuyembekezera kuchokera ku Opaleshoni ya Zala

Zamkati

• Oyenerera bwino opaleshoniyi
• Momwe mungakonzekerere opaleshoni
• Ndondomeko
• Opaleshoni yotseguka
• Kutulutsa kwamphamvu
• Kuchira
• Mphamvu
• Zovuta
• Chiwonetsero

Chidule

Ngati muli ndi chala, chomwe chimadziwikanso kuti stenosing tenosynovitis, mumadziwa bwino zowawa zomwe chimakhalapo chala kapena chala chachikulu chitakhazikika. Zitha kupweteketsa ngati mukugwiritsa ntchito dzanja lanu kapena ayi. Kuphatikizanso apo, pali kukhumudwa chifukwa cholephera kuchita zinthu zomwe mukufuna, kuyambira mabatani zovala zanu mpaka mameseji mpaka kusewera gitala, kapena mwina kusewera masewera apakanema.

Opaleshoni ya chala choyambitsa yachitika kuti mukulitse malo kuti flexor tendon yanu isunthe. Flexon tendon yanu ndi tendon m'zala zanu zomwe zimayendetsedwa ndi minofu yanu kuti mugwire mafupa achala. Izi zimalola chala chanu kupindika ndikusintha. Pambuyo pa opaleshoni, chala chimatha kupindika ndikuwongola popanda kupweteka.

Oyenerera bwino opaleshoniyi

Dokotala wanu angakulimbikitseni kuchitidwa opaleshoni ngati muli ndi thanzi labwino ndipo mwayesapo mankhwala ena osaphula kanthu, kapena ngati zizindikiro zanu zili zazikulu.

Mankhwala osagwira ntchito ndi awa:

• kupumula dzanja kwa milungu itatu kapena inayi posachita zinthu zomwe zimafunikira kuyenda mobwerezabwereza
• kuvala ziboda usiku kwa milungu isanu ndi umodzi kuti chala chanu chikhale chowongoka mukamagona
• kumwa mankhwala osagwiritsa ntchito kutupa, kuphatikizapo ibuprofen (Advil, Motrin IB) kapena naproxen (Aleve), kuti athetse ululu (ngakhale sangachepetse kutupa)
• jakisoni imodzi kapena iwiri ya steroid (glucocorticoid) pafupi kapena mkatikati mwa tendon kuti muchepetse kutupa

Majakisoni a Steroid ndiwo mankhwala ofala kwambiri. Zimathandiza kwa anthu omwe alibe matenda ashuga. Mankhwalawa sagwira bwino ntchito kwa anthu omwe ali ndi matenda ashuga komanso omwe amayambitsa chala.

Dokotala wanu angakulimbikitseni opaleshoni mwamsanga ngati muli ndi matenda a shuga kapena muli ndi zizindikiro zoopsa, monga:

• choletsa chala kapena kusuntha kwa dzanja komwe kumasautsa kapena kulepheretsa
• zala zopweteka, zala zazikulu, manja, kapena mikono
• Kulephera kuchita ntchito za tsiku ndi tsiku popanda zovuta kapena zopweteka, kuphatikizapo ntchito, zosangalatsa, kapena zinthu zomwe mumakonda
• Kuchita manyazi kapena mantha kukhala ndi chala champhamvu
• kukulirakulira pakapita nthawi kuti mugwetse zinthu, mukuvutika kuzitola, kapena osazindikira chilichonse

Momwe mungakonzekerere opaleshoni

Simungathe kudya tsiku lomwe mwachita opaleshoni. Funsani dokotala kuti muthe nthawi yayitali bwanji musanachite opaleshoni. Kutengera nthawi yomwe opareshoni yanu yakonzedweratu, mungafunikire kudya chakudya usiku usanafike momwe mungakhalire. Muyenera kupitiriza kumwa madzi monga mwa nthawi zonse. Ingopewani kumwa zakumwa zina, monga soda, madzi, kapena mkaka.

Ndondomeko

Pali mitundu iwiri ya opareshoni ya chala: kutseguka kotseguka komanso mosadukiza.

Opaleshoni yotseguka

Mutha kukhala ndi opareshoni ya chala ngati wodwala. Izi zikutanthauza kuti mudzakhala m'chipinda chochitira opareshoni, koma simusowa kuti mugone kuchipatala. Kuchita opereshoni kumayenera kutenga mphindi zochepa mpaka theka la ola. Ndiye mutha kupita kwanu.

Dokotala wanu woyamba amakupatsani mankhwala ochepetsa pang'ono (IV) kuti akuthandizeni kupumula. IV imakhala ndi thumba la mankhwala amadzimadzi omwe amalowa mu chubu komanso kudzera mu singano mdzanja lanu.

Dokotala wanu amapanga dzanzi m'deralo pobaya mankhwala oletsa ululu m'manja mwanu. Kenako adadula pafupifupi inchi 1/2-inchi m'manja mwako, mogwirizana ndi chala kapena chala chakhudzacho. Kenako, dokotalayo amadula chingwe cha tendon. M'chimake akhoza kulepheretsa kuyenda ngati izo zakhala wandiweyani. Dokotala amayendetsa chala chanu mozungulira kuti awone ngati kuyenda kuli kosalala. Pomaliza, mumapeza zolumikizira kuti mutseke kochepako.

Kutulutsa kwamphamvu

Njirayi imachitika kwambiri pakati ndi zala zapakati. Mutha kuchita izi muofesi ya dokotala wanu.

Dokotala wanu amatulutsa dzanja lanu, kenako amalowetsa singano yolimba pakhungu lanu. Dokotala amasuntha singano ndi chala chanu mozungulira kuti athyole malo otsekedwawo. Nthawi zina madokotala amagwiritsa ntchito ultrasound kuti athe kuwona motsimikiza kuti nsonga ya singano imatsegula chingwe cha tendon.

Palibe kudula kapena kudula.

Kuchira

Mwinanso mutha kusuntha chala chomwe chakhudzidwa patsiku la opaleshonalo dzanzi likangotha. Anthu ambiri akhoza. Muyenera kukhala ndi mayendedwe athunthu.

Kutengera mtundu wa ntchito yomwe mumagwira, mwina simufunika kuti mupume nthawi iliyonse pambuyo pa tsiku la opareshoni. Mutha kugwiritsa ntchito kiyibodi nthawi yomweyo. Ngati ntchito yanu ndi yolemetsa, mwina mungafunike kukhala osagwira ntchito mpaka milungu iwiri mutachitidwa opaleshoni.

Nayi nthawi yayitali yoti kuchira kwanu kudzatenga nthawi yayitali bwanji komanso zomwe ziphatikizire:

• Mosakayikira mudzavala bandeji pachala kwa masiku anayi kapena asanu ndipo muyenera kuti bala lisamaume.
• Chala chako ndi kanjedza zidzakhala zopweteka kwa masiku angapo. Mutha kugwiritsa ntchito mapaketi oundana kuti muchepetse ululu.

Kuti muchepetse kutupa, dokotala wanu angakuuzeni kuti dzanja lanu lizikhala pamwamba pamtima mwanu momwe mungathere.

• Dokotala wanu angakulimbikitseni kuti muwone wothandizira dzanja kapena kuchita masewera olimbitsa thupi kunyumba.
• Anthu ambiri amamva kuti amatha kuyendetsa galimoto pasanathe masiku asanu.
• Pewani masewera kwa milungu iwiri kapena itatu, mpaka chilondacho chitachira ndikulimba.

Zitha kutenga miyezi itatu mpaka isanu ndi umodzi kuti kutupa komaliza ndi kuuma kuzimiririka. Kubwezeretsa kumatha kukhala kofupikitsa ngati mutatulutsidwa mosadukiza. Kubwezeretsa kumatha kukhala kwotalikirapo ngati mwachitidwa opareshoni pa chala chimodzi.

Mphamvu

Chingwe cha tendon chomwe chimadulidwa panthawi yochita opareshoni chimakuliranso momasuka kwambiri kotero kuti tendon ili ndi malo ambiri osunthira.

Nthawi zina anthu amafunikira maopaleshoni angapo. Koma choyambitsa chala chimangobwereranso mwa anthu atachitidwa opaleshoni yotseguka kapena kumasulidwa mosadukiza. Chiwerengero chimenecho chikhoza kukhala chachikulu kwa anthu omwe ali ndi matenda ashuga. Anthu omwe ali ndi matenda ashuga amatha kukhala ndi zala zoposa chimodzi.

Zovuta

Chochititsa chala opaleshoni ndichabwino kwambiri. Zovuta zomwe zimakonda kuchitidwa maopareshoni ambiri, monga matenda, kuvulala kwamitsempha, ndi magazi, ndizosowa kwambiri pamtundu wa opareshoni.

Zovuta zomwe zimayambitsa kuchititsa opaleshoni ya zala sizingachitike ngati mutagwira ntchito ndi dokotala wochita opaleshoni wodziwa bwino ntchito yama microsurgery ndi pulasitiki. Amasuntha ndikuyesa chala chanu panthawi yochita opareshoni.

Ngati zovuta zikuchitika, zitha kuphatikiza:

• kuwonongeka kwa mitsempha
• ulusi womangira, pamene m'chimake chambiri chimadulidwa
• kuyambitsa kosalekeza, pamene m'chimake sichimasulidwa kwathunthu
• kusakwanira kosakwanira, pamene m'chimake amakhala wolimba kupitirira gawo lomwe linatulutsidwa

Chiwonetsero

Kuchita opaleshoni kumatha kukonza vutoli ndi tendon ndi sheath, ndikubwezeretsanso kuyenda kwa chala kapena chala chanu.

Anthu omwe ali ndi matenda ashuga kapena nyamakazi ali ndi mwayi wambiri wopanga chala. Choyambitsa chala chimatha kuchitika chala china kapena tendon yosiyana.

Zikakhala zovuta, dokotalayo sangathe kuwongola chala chake.