Tendonitis ea Wrist e bakoang ke ho hlokomoloha
De Quervain's tenosynovitis ke boemo bo bakang bohloko bo amanang le ho sisinyeha ha lesela le leoto. Sesosa sa bohloko ba de Quervain ke ho ruruha ka hare ho sebaka se pota-potileng botlaaseng ba lesela. Ho ruruha hona ho bakoa ke bothata ba tendon bo bitsoang stenosing tenosynovitis . Sena se bolela feela hore ho ruruha ho akarelletsa synovium le tendon tse laolang ho sisinyeha ha lesesaane.
Ka linako tse ling bothata bona bo bitsoa Quervain's tendinosis, lefu la Quervain, ho romellana melaetsa ka letsoho, motsoako oa lipapali kapa motsoako oa 'mè oa mocha.
Ke mang ea e fumanang
DeQuervain's tenosynovitis e tloaelehile haholo sehlopheng sa batho ba lilemo li 30 ho isa ho tse 50 'me e bonahala hangata ho basali. E ka amahanngoa le ho ima le lefu la mafuba. DeQuervain's tenosynovitis e bakoa ke tšebeliso e feteletseng ea letsoho. Hangata ho bonoa ho bo-'mè ba bacha ha mohato oa ho nka lesea o ka baka ho halefisoa ke li-tendon tsena tsa letsoho. E ka boela ea bonoa ho batho ba sebelisang hamore khafetsa, balemi ba lirapa, batho ba likepe le batho ba bapalang lipapali tsa racquet. E ka 'na ea boela ea etsahala ho batho ba fetisang monoana o motona ka ho romellana melaetsa le ho bapala.
Lipontšo tsa de Quervain
Matšoao a mantlha a de Quervain's tenosynovitis ke bohloko bo ka lehlakoreng le leng la letsoho la letsoho, 'me bohloko bo ka senya forearm. Bohloko bo ka ba teng hang-hang kapa butle-butle. Hangata u tla ikutloa u le mpe le ho feta ha u sebelisa lesela la hao le letona ha u tšoara ntho e itseng kapa ha u sotha letsoho la hao.
U ka boela ua ikutloa u tšoasa ha u leka ho sisinya letsoho la hao. Lehlakoreng le leng la letsoho la letsoho la hao le ka 'na la ruruha' me sena se ka etsa hore ho be thata haholo ho se tsamaisa.
Hangata tlhahlobo ea deQuervain e tloaelehile ka bonolo ho feta mekhoa e amehang. Tsena ke li-tendon tsa extensor pollicis brevis le mesifa e mengata ea abductor pollicis.
Tsela e le 'ngoe e bitsoang Finkelstein ea teko e tobileng haholo bakeng sa boemo bona. Tlhahlobo ea Finkelstein e etsoa ka ho etsa leqhoa holim'a leoto la hau le lekaneng, le ho tsamaisa letsoho ho ea ka monoana o monyenyane. Bakuli ba nang le tenosynovitis ea deQuervain ba tla ba le bohloko ka mokhoa ona.
Kalafo ea de Quervain's Tenosynovitis
Bakuli ba bangata ba nang le Quervain's tenosynovitis ba tla fumana ntlafatso ka ho hlajoa ha letsoho le ente ea cortisone . Botle bo koahetsoe ka nako e telele, bosiu le motšehare ka libeke tse 'nè ho isa ho tse tšeletseng, ho tšehetsa lesapo le letsoho. Le uena u ka 'na ua nka meriana e khahlanong le ho ruruha ' me u sebelisa leqhoa la leqhoa ho fokotsa ho ruruha. Phomola letsoho le letsoho 'me u qobe ho etsa lintho tse bakang mahlaba a bohloko.
Haeba bothata bona bo ntse bo tsoela pele, mokhoa oa ho buuoa oa ho etsa sebaka se eketsehileng bakeng sa litone o ka etsoa. Nakong ea ts'ebetso ena ea ho buuoa, lisele tse thata tse pota-potileng tendon li khaola ho tlohela thibelo ea tlhahiso ea tendon. Hangata ho buuoa ho etsoang ka tlas'a anesthesia ea sebakeng seo empa e ka etsoa tlas'a anesthesia ea libaka, kapa ka kakaretso . Haeba ho na le li-cyst kapa lihlahisoa tse nyenyane tse fumanehang li ka fumanoa. Kamora 'opereishene, ho phatloha ho apere libeke tse' maloa, 'me mesebetsi e tloaelehileng e ka qalella butle-butle.
U tla fuoa mekhoa e mengata ea ho ikoetlisa ho tsosolosa tshebetso ea hau.
Mathata a ho buoa ka letsoho a kenyelletsa tšoaetso le mathata a ho folisa. Moriana o monyenyane, o bitsoang lekala le utloahalang la methapo ea mahlaseli, le ka senyeha le isang ho e-na le leqhoa la sesepa ka morao. E 'ngoe ea mathata a mangata ke hore li-tendon li ka fetoha tse sa tsitsang, li phalla sebakeng sa tsona tse tloaelehileng ka lehlakoreng la letsoho, ka mor'a hore lehlakoreng la letsoho la letsoho le lokolloe. Bothata bona bo ka thibeloa ka ho netefatsa hore sethapo sa tendon se buloa sebakeng se loketseng, le ka ho fokotsa mehato e itseng ea matsoho ka mora ho buuoa.
Lisebelisoa:
Ilyas AM "de Quervain Tenosynovitis ea Wrist" J. Am. Acad. Ortho. Tsoha., December 2007; 15: 757 - 764.
De Quervain's Tendinosis, American Academy of Orthopedic Doctors, December, 2013.