Tenosynovitis wa dzanja olowa: chithandizo, zimayambitsa

Tenosynovitis - si matenda oopsa amene amakhala ndi matenda. Popeza zimenezi kungachititse kuti matenda mavuto kulemera, kuphatikizapo necrosis a zimakhala ozungulira. Masiku ano, anthu ayamba chidwi mafunso chimene chili tenosynovitis wa dzanja limodzi zochizira matenda, zimayambitsa ndi zizindikiro zazikulu.

tendonitis ndi chiyani?

Ndi palibe chinsinsi kuti tendons minofu zili mtundu wa matumba a minofu connective, ndilo lotchedwa tendon m'chimake. Tenosynovitis - matenda oopsa amene anatsagana ndi kutukusira kwa nyumba izi.

Nthawi zambiri, ndondomeko yotupa amakhudza minofu zimfundo kwambiri mafoni, amene nthawi zonse kunyamula katundu wolemera. Makamaka mfundo za phazi ndi mawondo ndi mkono. Komabe, mankhwala amakono, mmodzi wa mitundu ambiri amati tenosynovitis wa dzanja olowa.

The chikuchititsa mavuto a matenda

Kutukusira kwa minofu connective padziko tendons mwina chifukwa cha zifukwa zosiyanasiyana. Nthawi yomweyo mtengo munene kuti abscess zimakhala opatsirana ndi amene sanali opatsirana.

Opatsirana kutupa chifukwa cha malowedwe a tizilombo toyambitsa matenda kuti patsekeke synovial la nyini. Mabakiteriya akhoza kulowa thumba kudzera ming'alu connective ndi zilonda za pakhungu kapena foci ena kutupa mu mtima.

Noninfectious (aseptic) mawonekedwe a nthendayo amaonera kuwonongeka mawotchi synovium lapansi. Tenosynovitis mwina chifukwa cha mavuto amphamvu, yaitali thupi ntchito, komanso mabvuto yaying'ono (pamene dzanja la nthawi zonse kuchita chisonyezo chomwecho), hypothermia kwambiri.

aseptic tenosynovitis

Monga tanena, si opatsirana abscess akufotokozera pa maziko a zonse mabvuto yaying'ono minofu ndi tendons. Ndipotu, matenda amenewa ndi akatswiri ndi amawapeza anthu amene pamaziko ntchito yawo akuyenera kubwereza chisonyezo chomwecho wa polumikizira. Mwachitsanzo, matenda a kawirikawiri mnzake wa Akatswiri (golfers, skiers, volebo), oimba, ogwira ntchito za mafakitale ndi zina zotero D..

Monga kulamulira, mu magawo oyambirira a matenda kumachitika popanda zizindikiro zooneka - odwala Dandaulo kutopa msanga kunachitika dzanja, ndipo ululu nthawi zina kwambiri. Koma kupitirira ululu amakhala matenda kwambiri.

The matenda mawonekedwe a matenda

tizilombo toyambitsa matenda akhoza kulowa minofu olowa kunja - kudzera zotupa zosiyanasiyana cutaneous. Komanso, mfundo pangozi osteomyelitis, felon ndi arthrosis wa dzanja limodzi lomwe limodzi ndi kutuluka kwa mafinya. The matenda angathe kukhala achindunji - tenosynovitis zambiri umakula vuto TB, brucellosis, chindoko ndi matenda ena.

Nthawi zambiri, matenda amenewa ndi pachimake, limodzi ndi ululu, olowa immobilization ndi malungo.

Mitundu ina ya matenda

Pakali pano, pali machitidwe ambiri a gulu la matenda. Monga tanenera kale, matenda "tenosynovitis", malingana zimayambitsa, angakhale matenda kapena aseptic.

Komanso, malingana makamaka chithunzi matenda akhoza kukhala serous tenosynovitis (kudziunjikira mu kutupa serous madzimadzi), purulent (kusunga mapangidwe ndi kudzikundikira purulent misa) kapena sero-Ulimbo.

Malinga ndi matenda mwina pachimake (amaonera kupwetekedwa kapena matenda a tendon m'chimake) kapena aakulu (nthawi zambiri wa mawonekedwe matendawa amakhudza anthu pantchito zina).

Tenosynovitis wa dzanja olowa ndi zizindikiro zake

Kodi zizindikiro limodzi tenosynovitis? Photo zikusonyeza kuti nthawi zambiri, matenda kuzindikira kutupa ndi redness mu olowa. Pamene mawonekedwe matenda a matenda ndi zizindikiro monga malungo, kufooka ndi zizindikiro zina kuledzera.

Ululu mu dzanja olowa akhoza kukhala mwamphamvu osiyana, koma zopezeka. Odwala zina amadandaula kumva kulasalasa, dzanzi, ndi zina lakuthwa, wamphamvu woyaka kumverera mu polumikizira. Anthu amenewa ali kwenikweni kugwa m'manja monga burashi ndi sanathenso kupirira ntchito zawo. Monga matenda ili m'kati chisonyezo olowa kwambiri okha. Soreness kuwonjezeka pa thupi, komanso usiku, omwe chifukwa limakhudza khalidwe la kugona.

njira zamakono za matenda

Kumene, pamaso pa zizindikiro mwamsanga kuchipatala. Choyamba, katswiri chofunika kuchita kuyendera zithunzi ndi kusonkhanitsa mbiri zachipatala. Ngati pali stiffness, kupweteka kwa dzanja, redness ndi kutupa kwa dokotala olowa akhoza kuganiza pamaso pa tenosynovitis. maphunziro imachitika kutsimikiza matenda.

Makamaka mfundo zothandiza angapereke radiography - zithunzi kulola kusiyanitsa abscess matenda ena ndi ofanana chithunzi matenda, monga osteomyelitis ndi nyamakazi. Mawaya ndi ligamentografiya - pa njira wodwalayo kuti X-ray chithunzi, koma ndi ntchito wothandizila mosiyana. Komanso, mayesero zina sizitchulidwa kukhalapo kwa matenda ndi okhudzidwa ndi matenda, chifukwa Pankhaniyi ndikofunika kuzindikira ndi wochititsa kutupa wa m'mapaketi tendon.

Tenosynovitis wa dzanja olowa: chithandizo

Mwakucimbidza Dziwani kuti kuchita mankhwala ayenera kukhala katswiri. Self-mankhwala ndi kukana chithandizo angakhale ndi zotsatira lalikulu, ndi imfa mwa kuyenda olowa kapena minofu necrosis.

Kodi kutumikiridwa munthu wodwala matenda ndi tendonitis wa dzanja olowa? Chithandizo, kumene, zimadalira mawonekedwe ndi amayambitsa matenda. Mwachitsanzo, ngati kutupa ndi sekondale, n'kofunika kupeza muzu wa matenda ndi kuthetsa izo.

Mu malo oyamba tiyenera bandeji dzanja olowa. mankhwala amakono amapereka zambiri ziyangoyango wapadera, nsalu ndi orthoses kuti si mwamphamvu bwanji khalidwe la moyo. Mu magawo oyambirira mankhwala, n'kofunika kuti amasule olowa ku m'chitidwe uliwonse thupi. kulimba A amathandiza dzanja ndipo sanena kugwetsa polumikizira.

Nthawi kumene ntchito yotupa ndi chifukwa tizilombo toyambitsa matenda, odwala likufa mankhwala mankhwala - mankhwala anatola payekha, malinga ndi chiwopsezo cha tizilombo toyambitsa matenda kwa zigawo zosiyana. Nthawi zambiri, mapiritsi m'kamwa. Koma Zikavuta kwambiri njira mankhwala ndi kutumikiridwa mwachindunji mu nyini synovial.

kuukira ululu cropped kudzera novocaine kapena othetsa ululu ena. Komanso, mankhwala chikuphatikizapo ntchito mankhwala odana ndi yotupa - zingakhale onse sanali steroidal ndi mahomoni wothandizira. Pamene purulent tenosynovitis zina zofunika poyera M'mimbamo synovial kumaliseche, kuchotsa ndi kuchitira purulent misa minofu mankhwala antiseptic kapena antibacterial.

Ogwira kwambiri ndi mkulu thupi mankhwala, makamaka otentha compress. Mwachitsanzo, odwala zambiri analimbikitsa paraffin osambira. mankhwala amakono amagwiritsanso UHF mankhwala. Iwo akhala akugwira ndi matope.

Pambuyo Kupha yotupa ndondomeko ya ntchito zogwirizana ndi kulambira osiyana - muyenera kubwezeretsa olowa kuyenda. Kuti zimenezi zitheke, wodwalayo anatola akonzedwa zina zokambirana zachipatala gymnastic, komanso amalangiza zofikisa zonse.

Tenosynovitis wa dzanja olowa: chithandizo cha mankhwala wowerengeka

Ndithudi, mankhwala ali zambiri maphikidwe osiyanasiyana amene angakuthandizeni pa matenda a matenda. Mwachitsanzo, chabwino wowerengeka mankhwala - youma marigold maluwa imene kukonzekera mafuta. zomera ali katundu bactericidal komanso kumachepetsa kutupa. Pakuti yokonza medicament kuti kusakaniza zouma maluwa a zomera ndi alipidwa mwana kirimu ndalama ofanana. The osakaniza chifukwa linaikidwa pa khungu padziko olowa akhudzidwa, chivundikiro pamwamba ndi bandeji ndi kusiya usiku.

Pali wina, mofanana ogwira wowerengeka mankhwala. Kukakukonzerani compress muyenera kusakaniza dzira woyera ndi supuni ufa ndi yofanana mowa. Bwinobwino kusakaniza popanga. The osakaniza chifukwa moisten n'kupanga thonje nsalu, ndiye kukulunga iwo dzanja ndi kusiya usiku. kufunda kumeneku compress katundu osiyana.