De Quervain a matenda: zizindikiro, matenda, mankhwala

matenda De Quervain - pamenepa kudwala yodziwika ndi kutukusira kwa tendons pa chala choyamba. matenda kumaonekera pang'onopang'ono, losiyana chitukuko pang'onopang'ono ndithu. Nthawi zina pamaso kupita kwa dokotala zimatenga masabata angapo kapena miyezi.

Kufotokozera za matenda

matenda De Quervain a (aakulu tenosynovitis kapena constrictive mitsempha) - ndi kudwala kuti amakhala ndi kuchepetsa mwapang'onopang'ono njira, kumene tendons ya chala choyamba. Matenda limodzi ndi kutukusira kwa otchedwa tendon m'chimake. Matendawa amapezeka chifukwa cha katundu zonse pa tchire, kaŵirikaŵiri mogwirizana ndi ntchito za ntchito akatswiri. Chifukwa cha ululu odwala amachepetsa mphamvu ya kuchita magulu ena ndi mwamtheradi dzanja lonse.

Zodziwitsa kuchepetsa minofu mkono amalola flexion / kutambasuka kwa zala. Pa magulu awa ali ndi udindo flexor tendon (oyenera zala kudzera pamwamba palmar) ndi minofu extensor (kudutsa kumbuyo kwa dzanja). Yopingasa tendons Mitsemphayi kupereka posungira mu malo ankafuna. The mitsempha kumbuyo isanafalikire mbali womwewo wa burashi lapansi. Gulu lililonse la tendons mu atsopano mu njira zosiyana. chala choyamba ndi kukhala wochitachita mu moyo wa tsiku ndi tsiku. tendons wake kutenga katundu wamkulu. matenda De Quervain a amakwiya kutupa nthaŵi Mitsemphayi, thickening awo ndi edema. Chifukwa cha zimenezi, njira amakhala kwambiri yaing'ono, zizindikiro matenda amapezeka wonongeka dzanja lonse.

N'chiyani chimachititsa chitukuko cha kudwala?

Zimayambitsa chenicheni cha matenda adakali samveka mpaka kumapeto. Amaganiza kuti zonse kubwereza za maburashi ntchito (gofu, kulima, chisamaliro mwanayo) zingawonjezere chikhalidwe ichi. Choncho, nthawi zina matenda limatchedwa "mayi dzanja".

akatswiri secrete zifukwa zimathandiza kuti chitukuko cha kudwala, akuti:

• Ngozi ndiponso kuwonongeka mawotchi burashi lapansi.
• matenda yotupa zimfundo chikhalidwe (nyamakazi, arthrosis).
• Zonse katundu pa malo ya dzanja olowa.
• Mahomoni chimasintha thupi (kangapo kusintha).
• mbali anatomical a dongosolo minofu ndi mafupa.

Amene ali pa chiopsezo?

The chiopsezo chachikulu kudwala matenda izi anthu azaka 30 mpaka zaka 50. matenda De Quervain Nthawi zambiri anapezeka pa akazi pa mimba ndi chisamaliro neonatal.

Kodi zizindikiro limodzi ndi kudwala ndi?

The chizindikiro chachikulu cha matenda ndi ululu m'dera la dzanja la ku chala choyamba. Ndi kutembenuzira dzanja kusapeza achuluke. ululu limapereka mu forearm ndi khosi m'deralo.

Chizindikiro cha matenda amati chizindikiro cha Finkelstein. Munthu nditagwira ndi nkhonya, kuika mu chala chake. Ngati ulendo wotsatira kutenga dzanja malangizo anatsatira ndi ululu lakuthwa, mukhoza atsimikizire de A Quervain a (matenda).

Pa palpation wa olowa amatchuka kutupa pang'ono, ululu kumbali akhudzidwa.

Waukulu kulakwitsa odwala ambiri saona ntchito kwa chisamaliro aluso ndi immobilization wa burashi wamba. Pakuti zolinga zimenezi, Nsalu zolimba, wristbands wapadera. Pankhaniyi, chiyambi cha matenda chifukwa cha kulumala. Odwala simungathe kuchita ngakhale bwino kwambiri zokhudza kunyumba (mbatata peel, wosambitsa, unbutton ndi zina zotero. D.).

matenda

Sayenera sizikugwiridwa de A matenda Quervain a. Zizindikiro matenda akuwonetseredwa kwa masiku angapo zotsatizana ayenera kuchenjeza ndi kukhala chifukwa mankhwala mwamsanga kwa dokotala.

Pa mokambilana ndi katswiri akuchita kudzifufuza thupi m'dera anakhudzidwa akhoza mwachindunji angapo kukambirana mafunso (pamene panali zowawa, zimayambitsa awo nkotheka). Kutsimikiza matenda dokotala amakhala mayesero angapo.

• Yomangika atigwira. Katswiri amayikanikiza pansi pa chala chachikulu kumbali kumbuyo kuti nayo chikhato cha dzanja lanu. Pa wathanzi mwamtheradi dzanja chala ayenera kukana molimba. Pankhani ya kudwala limapezeka zilonda kukhudza.
• luso kugwira zinthu. Wodwala ayenera kutenga aliyense dzanja pankhaniyi. Ngati ndi chikoka pang'ono, dzanja zabwino adzakhala ndi mphamvu zazikulu kusunga chinthu chimene tinganene za wodwalayo.
• X-ray Kupenda amathanso atsimikizire matenda de A Quervain. Photo (chithunzi) manja limasonyeza pamaso pa thickening wa zimakhala zofewa, kusintha periosteum.

mankhwala ndiwofatsa

Odwala choyamba akulangizidwa kuchotsa kale za ntchito wogwila ndi immobilization kuvomerezedwa ndi zinkakhala m'dera. Immobilization burashi ayenera anamanga ngati kuti chala chachikulu ndi nthawi mu msana malo ake kwa index ndi pakati. Pakuti zolinga zimenezi, yabwino yothetsera ndi ntchito osewera, omwe umagwiritsidwa ntchito pakati pa mkono wa. immobilization umenewu kumathandiza olowa a msana zotheka. Komanso, lolingana mankhwala ndiwofatsa ayenera kuchitika.

Yotupa kusintha Mitsemphayi chimayambitsa matenda monga matenda de A Quervain a. Chithandizo kumafuna kugwiritsa ntchito njira ndi physiotherapeutic (paraffin, hydrocortisone ultrasound). Komanso, woikidwa mankhwala antiinflammatory ( "Ibuprofen", "Naproxen"), steroid jekeseni ( "hydrocortisone").

Pamene opaleshoni chofunika?

Opaleshoni bwino pamene mankhwala ndiwofatsa ndi osamveka kapena malo kukhala amgwirizano okhudzidwa.

opaleshoni ikuchitika pansi pa zikhalidwe azilandira boma ntchito options m'dera ochititsa dzanzi. Isanayambe ochititsa dzanzi dokotala mwachindunji anati pentopeni wapadera chopweteka kwambiri m'deralo. Ndiye inputted procaine ndi kuphedwa mtanda yachigawo Malo otchedwa styloid ndondomeko wakupambana mwa mfundo imeneyi. Yosamveka mbedza mosamala kwambiri kuchotsedwa kwa minofu subcutaneous ndi mitsempha poyera kumbuyo mitsempha. Dokotala wake dissects ndipo amachotsa mbali. Nthawi zambiri, pambuyo Inde yaitali matenda zimachitika adhesions tendon kwa tendon m'chimake. Pankhaniyi, spikes onse excised. chilonda ndi sutured, superimposed triangular bandeji. The sutures amachotsedwa pambuyo pa 10 masiku, potsiriza kusagwira ntchito ndi maola 15.

Iwo ayenera kumvetsetsa kuti de A Quervain a (matenda) kawirikawiri chifukwa cha ndondomeko pathological mu zone ya mitsempha annular. Ngati ntchito mwachindunji, wodwalayo akupitiriza zimamuchulukira dzanja, Mwina muyambirenso ndi chinawonjezeka ndi kangapo. N'chifukwa chake odwala akulimbikitsidwa kuchepetsa ntchito, ndipo nthawi zina ngakhale kusintha mtundu wa ntchito akatswiri.

zosokonezeka zotheka

Kodi chimachitika n'chiyani ngati mulibe kuchiza matenda de A Quervain chiyani? Manja pa nthawi zambiri nawo ndondomeko pathological, ndi munthu watha luso ntchito bwino. Ndicho chifukwa chake ndi chofunika mu chochitika zizindikiro chachikulu likunena za matenda, funani thandizo oyenerera katswiri yoyenera. Pankhani ya opaleshoni pali Mwina ka yatsoka matendawo monga mapangidwe chilonda chowawa ndi kayendedwe ka chala choyamba.

zodzitetezera

Momwe mungapewere kupitirira kwa matenda? Choyamba, madokotala analimbikitsa amene ali gulu chiopsezo onse, kuchepetsa katundu thupi la amvetse kayendedwe ka burashi lapansi. Komanso, muyenera kuthamanga matenda olowa kutupa chikhalidwe. Pamene choipa kapena kuwonongeka makina burashi n'kofunika kuti pitani kuchipatala ndi kukumana mankhwala. Monga kusunga malangizo onse pamwamba, mukhoza kupewa chitukuko cha matenda.

Pomaliza

M'nkhaniyi, ife anafotokoza zimene zizindikiro za matenda limodzi ndi De Quervain. Opaleshoni pa chotero kudwala tikulimbikitsidwa 80% ya milandu. Komabe, mu nthawi yake wayamba ndiwofatsa chithandizo akhoza kuthetsa matenda ndi kuchepetsa chitukuko cha matendawo.

Tikukhulupirira kuti zonse zimene anapereka adzakhala inu kwenikweni kukhala zothandiza. Khalani wathanzi!