Chii Chaunotarisira kubva kuTrigger Finger Kuvhiya

Zvemukati

• Vakakodzera kukwikwidza kwekuvhiya uku
• Maitiro ekugadzirira oparesheni
• Maitiro
• Vhura kuvhiya
• Percutaneous kusunungurwa
• Kudzorera
• Kubudirira
• Matambudziko
• Outlook

Mhedziso

Kana iwe uine chigunwe chinokonzeresa, chinozivikanwawo se stenosing tenosynovitis, iwe unoziva nemarwadzo kubva pakuve nemunwe kana chigunwe chakanamirwa munzvimbo yakakombama. Zvinogona kukuvadza kuti urikushandisa ruoko rwako here kana kuti kwete. Uyezve, pane kushushikana kwekutadza kuita zvinhu zvaunoda, kubva pakubaya mabhatani mbatya dzako kusvika pakutumira mameseji kusvika kuridza gitare, kana pamwe kutotamba mutambo wevhidhiyo.

Kuvhiya kwechigunwe chigunwe kunoitwa kuwedzera nzvimbo yeako flexor tendon kufamba. Yako flexor tendon ndiyo tendon muminwe yako iyo inogoneswa nemhasuru dzako kudhonza pamapfupa emunwe. Izvo zvinobvumira munwe wako kukotama uye kushanduka. Mushure mekuvhiyiwa, chigunwe chinogona kukotama uye kutwasuka pasina kurwadziwa.

Vakakodzera kukwikwidza kwekuvhiya uku

Chiremba wako anogona kukurudzira kuvhiyiwa kana uine hutano uye wakamboedza kumwe kurapwa pasina kubudirira, kana kana zviratidzo zvako zvakakomba.

Mishonga yekusavhiya inosanganisira:

• kuzorora ruoko kwevhiki nhatu kana ina nekusaita zviitwa zvinoda kudzokedzana kufamba
• kupfeka chishongo husiku kweanosvika mavhiki matanhatu kuti uchengete chigunwe chakakanganisika paunenge wakarara
• kutora iyo-the-counter nonsteroidal anti-anogumbura mishonga, kusanganisira ibuprofen (Advil, Motrin IB) kana naproxen (Aleve), kurerutsa marwadzo (kunyange zvisingaite kudzora kuzvimba)
• imwe kana maviri steroid (glucocorticoid) majekiseni padyo kana mukati me tendon sheath yekudzora kuzvimba

Steroid jekiseni ndiyo inonyanya kurapwa. Izvo zvinoshanda kusvika kune vanhu vasina chirwere cheshuga. Uku kurapwa hakunyanyo kushanda kune vanhu vane zvese chirwere cheshuga uye chinokonzeresa chigunwe.

Chiremba wako anogona kukurudzira kuvhiyiwa nekukurumidza kana uine chirwere cheshuga kana uine zviratidzo zvakakomba, zvakaita se:

• kurambidzwa chigunwe kana kufamba kwemaoko kunonetsa kana kuremadza
• zvigunwe zvinorwadza, zvigumwe, maoko, kana maoko epamberi
• kutadza kuita mabasa ezuva nezuva vasina kunetsa kana kurwadza, kusanganisira basa, mitambo yekuzvivaraidza, kana zviitiko zvaunofarira
• kunzwa kunyara kana kutya pamusoro pekukonzera chigunwe
• kuramba uchiwedzera nekufamba kwenguva kuitira kuti udonhedze zvinhu, unetseke nekuzvitora, kana kutadza kubata chero chinhu

Maitiro ekugadzirira oparesheni

Hauzokwanisi kudya musi waunenge waitwa oparesheni. Kumbira chiremba wako kuti uchafanira kutsanya kwenguva yakareba sei usati wavhiyiwa. Zvichienderana nenguva yekuvhiyiwa kwako kwakarongerwa, ungangoda kudya chisvusvuro husiku hwapamberi pezvaunowanzoita. Iwe unofanirwa kuramba uchinwa mvura semazuva ese. Ingo dzivisa kunwa zvimwe zvinwiwa, soda, muto, kana mukaka.

Maitiro

Kune mhando mbiri dzekuvhiya chigunwe.

Vhura kuvhiya

Iwe unogona kukwanisa kuve nekuvhiya kwemunwe sechiremba. Izvi zvinoreva kuti unenge uri mune yekuvhiyira, asi haufanire kurara muchipatara. Kuvhiya kunofanira kutora kubva pamaminetsi mashoma kusvika pahafu yeawa. Ipapo unogona kuenda kumba.

Chiremba wako anotanga kukupa hunyoro husina mutsinga neiyo intravenous line (IV) kuti ikubatsire kuzorora. IV ine bhegi remushonga wemvura inoyerera ichipinda muhubhu uye kuburikidza netsono paruoko rwako.

Chiremba wako anovhiya nzvimbo kuburikidza nekubaya jekiseni remuno muruoko rwako. Ipapo ivo vanocheka inenge 1/2-inch incision muchanza chako, maererano nemunwe wakabatwa kana chigunwe. Tevere, chiremba anovhiya anotema tendon sheath. Chikwama chinogona kutadzisa kufamba kana chikanyanya kukora. Chiremba anofambisa chigunwe chako kutenderedza kuti aone kuti kufamba kwacho kwakanaka. Pakupedzisira, iwe unowana mamwe masiteki ekuvhara iwo mashoma akachekwa.

Percutaneous kusunungurwa

Maitiro aya anowanzoitwa kune epakati uye mhete dzeminwe. Iwe unogona kunge uine maitiro aya kuitwa muhofisi yechiremba wako.

Chiremba wako anoregedza chanza chako, wobva waisa tsono yakasimba muganda rakakomberedza tendon yako. Chiremba anofambisa tsono uye chigunwe chako kutenderedza kupaza nzvimbo yakavharika. Dzimwe nguva vanachiremba vanoshandisa ultrasound kuitira kuti vagone kuona zvechokwadi kuti muromo wetsono unovhura tendon sheath.

Iko hakuna kucheka kana kucheka.

Kudzorera

Iwe ungangove unokwanisa kufambisa chakakanganiswa chigunwe pazuva rekuvhiyiwa nekukurumidza apo chiveve chinopera. Vanhu vazhinji vanogona. Iwe unofanirwa kuve neiyo yakazara renji yekufamba.

Zvichienderana nerudzi rwebasa raunoita, ungangodaro usingade kutora chero nguva mushure mezuva rekuvhiyiwa. Iwe unogona kukwanisa kushandisa keyboard nguva pfupi. Kana basa rako riine basa rakawandisa, ungangoda kunge usiri pabasa kwemavhiki maviri mushure mekuvhiyiwa.

Heano akajairwa nguva ekuti kupora kwako kunogara kwenguva yakareba sei uye kuti chii chinosanganisira:

• Iwe ungangopfeka bhanji pamunwe kwemazuva mana kana mashanu uye unoda kuti ronda riome.
• Munwe wako uye chanza zvicharwadza kwemazuva mashoma. Iwe unogona kushandisa echando mapaketi kudzikamisa marwadzo.

Kugadzirisa kuzvimba, chiremba wako anogona kukuudza kuti uchengete ruoko rwako rwakasimudzwa pamusoro pemwoyo wako zvakanyanya sezvinobvira.

• Ruoko rwako rwekuvhiya runogona kukurudzira kuti iwe uone ruoko rwekurapa kana kuita chaiwo maitiro kumba.
• Vanhu vazhinji vanonzwa vachikwanisa kutyaira mukati memazuva mashanu.
• Dzivisa mitambo kwevhiki mbiri kana nhatu, kudzimara ronda rapora uye wabata simba.

Zvinogona kutora kusvika kumwedzi mitatu kusvika kumitanhatu kuti iko kwekupedzisira kuzvimba uye kuomarara kupere. Kudzoreredza kunogona kupfupika kana iwe uine kuburitswa kamwe kamwe. Kudzoreredza kunogona kuve kureba kana iwe ukavhiyiwa pane unopfuura mumwe munwe.

Kubudirira

Iyo tendon sheath iyo yakatemwa panguva yekuvhiyiwa inokura zvakare pamwe chete zvakasununguka zvakanyanya saka tendon ine yakawanda nzvimbo yekufamba.

Dzimwe nguva vanhu vanoda kuvhiyiwa kanopfuura kamwe. Asi chinokanganisa chigunwe chinongodzokerera mukati mevanhu mushure mekuvhiyiwa kwakavhurika kana kuburitswa kwepashure Iyo muzana inogona kunge yakakwira kune vanhu vane chirwere cheshuga. Vanhu vane chirwere cheshuga vanowanzoita kuti vatore chigunwe mune anopfuura mumwe munwe zvakare.

Matambudziko

Trigger chigunwe kuvhiya yakachengeteka kwazvo. Matambudziko anowanzoonekwa pakuvhiya kuzhinji, senge hutachiona, kukuvara kwetsinga, uye kubuda ropa, hazviwanzo kuitika kune rudzi urwu rwekuvhiya.

Zvinetso zvakanangana nekuvhiya zvigunwe hazvigone kana iwe ukashanda nebhodhi-rakasimbiswa ruoko rekuvhiya neruzivo mune microsurgery uye plastiki kuvhiya. Vanofamba uye kuyedza munwe wako panguva yekuvhiyiwa.

Kana zvinetso zvikaitika, zvinogona kusanganisira:

• kukuvara kwetsinga
• tambo, kana yakawandisa yemuti yacho yakatemwa
• kuramba uchikonzera, apo shehe isingaregedze zvachose
• isina kukwana kuwedzeredza, apo iwo sheath unogara wakasimba kupfuura chikamu chakaburitswa

Outlook

Kuvhiya kungangogadzirisa dambudziko ne tendon uye sheath, uye kudzorera izere kufamba kwechigunwe kana chigunwe.

Vanhu vane chirwere cheshuga kana rheumatoid arthritis vane mukana wakakura wekuvandudza chigunwe. Trigger munwe unogona kuitika mune wakasiyana munwe kana tendon.

Muzviitiko zvakakomba, chiremba anovhiya anogona kutadza kururamisa munwe.