De Quervain nechirwere: zviratidzo, nechirwere, kurapwa

De Quervain nehosha - a zvokurwara hwokuratidza kuzvimba nemarunda napagumwe roruoko. The chirwere kunoratidza pacharo zvishoma nezvishoma, anosiyana zvikuru kunonoka kukura. Dzimwe nguva vasati kuenda kwachiremba zvinotora mavhiki akawanda kana kunyange mwedzi.

Description of chirwere

De Quervain nehosha (chirwere tenosynovitis kana constrictive shwashwa) - munhu zvokurwara kuti kunoratidzwa zvishoma nezvishoma aienda pamusoro mugero, apo nemarunda napagumwe roruoko. Kurwara achiperekedzwa kuzvimba vanonzi mudzira sheaths. The chirwere kunoitika pamusana kugara mutoro pamusoro mumakwenzi, kazhinji maererano chokupika mabasa ounyanzvi. Pamusana marwadzo pavarwere kunoderedza kugona kuita mamwe masangano pamwe zvachose yose ruoko.

Periodic rutapudzo pakati honokono tsandanyama inobvumira flexion / kuwedzera minwe. Munguva kufamba ava basa flexor mudzira (yakakodzera minwe kuburikidza Palms pamusoro) uye extensor tsandanyama (nomumvura seri ruoko). Transverse nemarunda nemarunda zvinopa chengetedzo iri kutsvakwa nzvimbo. Rwemberi shwashwa iri mupasi riri chete divi bhurasho. boka rimwe nerimwe nemarunda ari ichangoburwa ari oga gwara. Napagumwe roruoko iri kuitika muupenyu hwezuva nezuva. nemarunda ake kutora iri kumukuru mutoro. chirwere De Quervain raMwari chinokurwadzai inowirirana kuzvimba nemarunda, avo thickening uye edema. Somugumisiro, gwara inova zvakanyanyisa duku, pane chirwere zviratidzo anowanikwa atadze kushanda zvakanaka yose ruoko.

Chii chinokonzera kukura zvokurwara?

Chaiwo zvinokonzera chirwere ichi chinoramba kujeka kusvikira pakuguma. Zvinofungirwa kuti dzose kudzokorora brushes basa (gorofu, kurima, kutarisira mwana) anogona sembura ichi. Naizvozvo, dzimwe nguva hosha inonzi "mai chiningoningo".

vanamazvikokota secrete zvinhu zvinoverengeka kuita kuti pave zvokurwara, anoti:

• Kukuvara uye zvokuimba kuvadza bhurasho.
• Anogumbura zvirwere mapfundo hunhu (arthritis, arthrosis).
• Constant mutoro pamusoro nzvimbo yacho chiningoningo rwakashodoka.
• Hormone anochinja muviri (kakawanda munguva kubereka).
• Anatomical zviri zvetsandanyama nemapfupa hurongwa.

Ndiani pangozi?

The soro pangozi yokuita chirwere ichi muna vanhu vane makore 30 uye kusvikira anenge makore 50. chirwere De Quervain anowanzova chirwere panguva vakadzi panguva yepamuviri uye neonatal hanya.

Chii zviratidzo achiperekedzwa imwe zvokurwara?

The chikuru chiratidzo chirwere ichi ndicho marwadzo munzvimbo zvemaoko kubva thumbs. By akashandura ruoko kusanzwa dziwande. Kurwadziwa anowanzopa iri honokono uye mutsipa nharaunda.

The pakuva hosha anoonekwa kuva chiratidzo Finkelstein. Murume ndakabata imwe chibhakera, akaisa mukati thumbs ake. Kana rinotevera kuedza kutora ruoko nenzira kunoteverwa rakapinza marwadzo, unogona kusimbisa of Quervain raMwari (chirwere).

On palpation of muhudyu rinozivikanwa zvishoma kuzvimba, marwadzo ari zvakakanganisa divi.

chikuru chikanganiso Varwere vazhinji havasi vaiona kushandisa rubatsiro unyanzvi uye immobilization zvavo bhurasho. Zvinangwa izvi, kuti zvakasimba mabhandeji, anokosha wristbands. Panyaya iyi, kutanga chirwere ndicho chinokonzera vakaremara. Varwere haagoni kuita kunyange vanoshamwaridzana pamba zvakanangana (svuura nembatatisi, kuwacha, unbutton uye zvichingodaro. D.).

kuongorora chirwere

Hazvifaniri kusiyiwa vasina akavatarisa of Quervain chirwere. Zviratidzo chirwere akaratidza kwemazuva anotevedzana, vanofanira kuona uye kuva nechikonzero kurapwa pakarepo kuna chiremba.

Panguva zano nyanzvi anoita Kuongorora sei nzvimbo rwomuviri tsanangurai inoverengeka kugadzirisa mibvunzo (apo paiva marwadzo, zvaangadaro zvinokonzera). Kuzosimbisa chirwere chiremba inoitisa nemiedzo inoverengeka.

• Tya kutapa. Nyanzvi runonditsikirira pasi napagumwe roruoko ari seri kuti ariise muchanza ruoko rwako. At ruoko zvachose utano munwe vanofanira kuramba. Kana zvokurwara rinowanika kwazvo kuti kubata.
• Kugona kuchengeta zvinhu. Murwere anofanira kutora rimwe ruoko nezvenyaya. Kana chiri chiduku muedzo, zvakanaka ruoko achava mukuru simba kuchengeta chinhu kuti zvingaonekwa pamusoro murwere.
• X-ray Kuongorora vanogonawo kusimbisa chirwere of Quervain. Photo (mufananidzo) maoko kunoratidza kuvapo thickening pamusoro dzakapfavirira munyama, periosteum kuchinja.

kuchinja kurapa

Varwere okutanga akanyeverwa kwokutanga kugumiswa yaivapo mabasa pamwe fanira immobilization pakati njodzi yacho. Immobilization mumakwenzi inofanira kuvakwa vakadaro kuti napagumwe roruoko anogara mune hwakakungwa nzvimbo hama kuti indekisi uye pakati. Zvinangwa izvi, yakanakisisa yokupedza ndiko kushandisa chakakandirwa, iro rinoshandiswa pakati honokono. immobilization kwakadaro chete kunotadzisa vagari kubva zvichibvira zvinokuvadza. Uyewo, unoenderana kuchinja kurapa yaifanira.

Anogumbura kuchinja nemarunda zvinokonzera zvirwere zvakadai of Quervain chirwere. Treatment kunosanganisira kushandisa imwe physiotherapeutic kurapa (Paraffin, hydrocortisone Ultrasound). Uyewo, vakagadzwa zvinodhaka antiinflammatory ( "Ibuprofen", "Naproxen"), steroid jekiseni ( "hydrocortisone").

Kana Kuvhiya kunodiwa?

Kuvhiya inokurudzirwa kana kuchinja kurapa riri basa kana ane nzvimbo kuva bilateral kubatanidzwa.

The oparesheni rinoitwa pasi rakadzikama-mamiriro ezvinhu vachishandisa vemo yokutindivadza mikana. Pamberi pakatanga yokutindivadza chiremba zvakananga rinoti rinokosha zvechinguvana chinorwadza zvikuru nzvimbo. Ipapo inputted procaine, uye akaurayiwa muchinjikwa-sectional nzvimbo dzinonzi styloid muitiro, izvo nepano pfungwa iyi. Blunt haka vanyatsohuongorora akabvisa akananga subcutaneous zvinyama pamwe mutsinga pachena mushure shwashwa. Chiremba wake dissects uye kunobvisa chikamu. Kazhinji, pashure kwenguva refu weboka chirwere kuitika mudzira adhesions kuti mudzira mumuhara. Panyaya iyi, vose yakatesvera panyanga dzacho dziri excised. The ronda sutured, seari mativi bhandiji. The sutures vanobviswa pashure anenge 10 Mazuva, pakupedzisira akaderedza basa vanokwanisa kupfurikidza maawa 15.

Zvinofanira kunzwisiswa kuti of Quervain raMwari (chirwere) rinowanzoshandurwa yakakonzerwa pathological kwacho mapazi ari annular shwashwa. Kana yakananga oparesheni, murwere anoramba wakaremedza ruoko, kuti ndingangokuvara kuitazve iri yakawedzera kakawanda. Ndokusaka varwere vanokurudzirwa kuderedza basa, uye dzimwe nguva kunyange kuchinja rudzi nounyanzvi basa.

zvinogoneka yematambudziko

Chii chinoitika kana musingadi kubata chirwere of Quervain raMwari? Hands pamusoro nguva yakawanda uye zvimwe zvinobatanidzwa munyaya pathological kwacho, uye munhu anorasikirwa kukwanisa kushanda yaizivikanwa. Ndokusaka zviri zvikuru muna chiitiko chezvinhu zviratidzo anoratidza chirwere, tsvaka rubatsiro anokwanisa akakodzera nyanzvi. Kana kuvhiya pachine duku ndingangokuvara panowanikwa yematambudziko akadai paumbwe kunorwadza vanga uye fambisa napagumwe roruoko.

matanho

How kudzivisa kuchiita chirwere? Chokutanga, vanachiremba vanoti kune vose vaya vari rimwe boka panjodzi, kuderedza mutoro kunzwisisa fambisa mumakwenzi chaiko. Uyezve, iwe haufaniri kumhanya kwemajoini chirwere anogumbura hunhu. Kana pakukuvara kana zvokuimba kukuvadza mumakwenzi kunokosha kutsvaka zano zvokurapa uye achiona kurapa. Just anochengeta pamusoro zvose dzave dziri, unogona kudzivirira kukura chirwere.

mhedziso

Munyaya ino, isu akatsanangura chii zviratidzo hosha achabatsirwa De Quervain. Operation ari zvokurwara yakadaro inokurudzirwa muna 80% nyaya. Zvisinei, munguva yakafanira atanga kuchinja mabatiro anokwanisa kubvisa chirwere uye kurerutsa kukura yematambudziko.

Tinovimba kuti mashoko ose atinopiwa zvichava kuti chaizvoizvo kubatsira. Stay utano!