Trigger munwe

Trigger chigunwe chinoitika kana chigunwe kana chigunwe chikanamirwa munzvimbo yakatsamira, sekunge iwe urikusvisvina ruzha. Kana ikangomira chete, chigunwe chinobuda chakananga panze, kunge raki iri kusunungurwa.

Muzviitiko zvakakomba, munwe haugone kutwasanudzwa. Kuvhiya kunodiwa kuti ugadzirise.

MaTendon anobatanidza mhasuru nemapfupa. Paunosimbisa mhasuru, inodhonza pane tendon, uye izvi zvinoita kuti bhonzo rifambe.

Iyo tendon inofambisa chigunwe chako ichitsvedza kuburikidza ne tendon sheath (tunnel) paunenge uchikotamisa chigunwe chako.

• Kana iyo tunnel ikazvimba uye ikaita diki, kana iyo tendon ine bump pairi, tendon haigone kutsvedza zvakanaka kuburikidza nemumwenje.
• Kana isingakwanise kutsvedza zvakanaka, tendon inogona kubatika kana iwe ukaedza kutwasanudza munwe wako.

Kana iwe uine munwe wekutanga:

• Munwe wako wakaomarara kana unokiya wakakotama.
• Une kurwadza kana kubvaruka paunokotama uye wotwasanudza munwe wako.
• Zviratidzo zvako zvakanyanyisa mangwanani.
• Iwe une bundu nyoro padendekete reruoko rwako pazasi pemunwe wako.

Trigger munwe unogona kuitika mune vese vana nevakuru. Inowanzoitika kune vanhu:

• Vane makore anopfuura makumi mashanu nemashanu
• Ndechikadzi
• Iva nechirwere cheshuga, rheumatoid arthritis, kana gout
• Ita basa kana zviitiko zvinoda kudzokororwa kubata kwemaoko avo

Trigger munwe unowanikwa nehutano hwezvokurapa uye kuongorora kwepanyama. Trigger munwe kazhinji haidi x-ray kana bvunzo bvunzo. Iwe unogona kuve neanopfuura imwechete chigunwe munwe uye inogona kukura mumawoko maviri.

Muzviitiko zvinyoro, chinangwa ndechekuderedza kuzvimba mumugero.

Kuzvitarisira-kutarisira kunosanganisira:

• Kubvumira tendon kuzorora. Mutapi wako wezvehutano anogona kukukumbira kuti upfeke chipenga. Kana, mupi anogona kutepa munwe wako kune imwe yemimwe minwe yako (inonzi shamwari shamwari).
• Kuisa kupisa nechando uye kutambanudza kunogona kubatsira.

Wako mupi anogona zvakare kukupa iwe kupfura kwemushonga unonzi cortisone. Pfuti yacho inopinda mumugwagwa unopinda mukati me tendon. Izvi zvinogona kubatsira kudzikisa kuzvimba. Wako mupi anogona kuyedza kechipiri kupfura kana yekutanga isingashande. Mushure mejekiseni, iwe unogona kushanda pane chako chigunwe kufamba kuti udzivise tendon kuwana kuzvimba zvakare.

Iwe ungangoda kuvhiyiwa kana chigunwe chako chakavharirwa munzvimbo yakatetepa kana chisingaite nani nekumwe kurapwa. Kuvhiya kunoitwa pasi peanesthesia yemuno kana chivharo chetsinga. Izvi zvinodzivirira kurwadziwa. Unogona kunge wakamuka panguva yekuvhiyiwa.

Munguva yekuvhiya chiremba wako anovhiya acha:

• Ita akacheka akacheka mukati meganda rako pazasi pemugwagwa (sheath inovhara tendon) yemunwe wako wekutanga.
• Wobva waita kucheka kudiki mumugero. Kana iwe wakamuka panguva yekuvhiyiwa, unogona kukumbirwa kufambisa chigunwe.
• Vhara ganda rako nezvisungo uye isa kumanikidza kana bhandeji rakasimba paruoko rwako.

Mushure mekuvhiyiwa:

• Chengeta bhandeji kwemaawa makumi mana nemasere. Mushure meizvozvo, unogona kushandisa bhandeji rakapfava, senge Bhendi-Rubatsiro.
• Tsvimbo dzako dzinobviswa mushure memasvondo maviri.
• Unogona kushandisa munwe wako kazhinji kana wapora.

Kana iwe ukaona zviratidzo zvehutachiona, fonera chiremba wako wekuvhiya ipapo ipapo. Zviratidzo zvehutachiona zvinosanganisira:

• Kutsvuka mune yako yakatemwa kana ruoko
• Kuzvimba kana kudziya mune yako yakatemwa kana ruoko
• Yero kana girini dhiraini kubva kune akachekwa
• Kurwadziwa kwemaoko kana kusagadzikana
• Kupindwa nechando

Kana chigunwe chako chikadzoka, dana chiremba wako anovhiya. Ungangoda kumwe kuvhiyiwa.

Dhijitari stenosing tenosynovitis; Trigger digit; Trigger chigunwe kuburitswa; Munwe wakakiiwa; Dhijitari flexor tenosynovitis

Wainberg MC, Bengtson KA, Sirivheri JK. Trigger munwe. Mune: Frontera, WR, Sirivha JK, Rizzo TD Jr, eds. Zvakakosha zvePhysical Medicine uye Rehabilitation. 4th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 37.

Wolfe SW. Tendinopathy. Mune: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, Cohen MS, eds. Green's Inoshanda Ruoko Kuvhiya. 7th ed. Philadelphia, PA: Elsevier; 2017: chits. 56.

• Kukuvara Kweminwe uye Dambudziko