Ukuguqula ligamentitis: ukwelashwa

Igama elithi stenosing ligamentitis ngokuvamile libhekwa njengenguquko ye-pathology esimweni se-tendon nemigqa eyungezile, okuholela esimweni esiphezulu somunwe (okungavamile, iminwe eminingana) yesandla. Ngenxa yokuthi ekuqaleni kwesi sifo lapho i-phalanx enwetshiwe, ukuchofoza kuzwakala, kunalo igama elilodwa - "umunwe we-snapping".

Umlando wocwaningo lwe-stenosing ligament

Ngesihlandlo sokuqala mayelana nalesi sifo ngo-1850, uDkt. Knott ukhulume emisebenzini yakhe (ngale ndlela, kamuva lesi sifo sabizwa ngegama lakhe). Ukhulume ngesenzakalo lapho iziguli zikhononda ngezinkinga ezivela lapho zizama ukugoqa noma ukugoba umunwe wesandla. Futhi ngo-1887, uDkt. Schoenburn wenza ukuhlinzwa kokuqala, okwathi lapho esika khona "umthwalo wempilo."

Kusukela ngaleso sikhathi, imibiko eminingi iye yabonakala ezincwadini ezikhethekile, isihloko esiye saba khona ukugulisa i-ligamentitis, ukwelashwa nezindlela zokuthola lesi sifo. Futhi kusukela ngo-1966 udokotela waseRussia uNP Shastin uhlongoze ukusebenzisa indlela yokuhlinzwa, okwakuthiwa yi-ligamentotomy encane encane.

Kuyini lesi sifo?

Ukuphazamiseka kwe-ligamentitis kubhekiselwa ku-polyethological (okungukuthi, ngenxa yezizathu eziningi) ukwephulwa komshini we-tendon-ligament esandleni. Kubonakala ukuphulwa kwamathenda ezinkanyeni zeziteshi ezifubhazayo, okubangelwa inqubo yokuvuvukala yemvelo yokucindezela kule heavies, ehlanganisa imisipha eya ethambo.

Ezandleni zomuntu ngamunye kukhona okuthiwa izigxobo ezimise okwesigxobo esibambe umunwe ogobile kule ndawo, ungawuvumeli ukuba ukhululeke ngokuzenzekelayo. Lapha, ngokuvamile kaningi, kukhona ukuvuvukala kwezivumelwano lapho kwenzeka isifo sikaNott . Kulesi simo, imithwalo igqinsiwe, kanti ithethoni iyancipha, okwathi ngokuhamba kwesikhathi kubangela uphawu oluyinhloko lwesifo - umunwe onomphela.

Ubani obangelwa yi-ligen stenosing

Kuze kube manje, izimbangela ezibangela ukugcoba izinzwane zomzimba azizange zifundwe ngokwanele. Kuvame ukukholelwa ukuthi imbangela eyisizathu yalesi sifo i-microtrauma futhi ingaphezu kwamandla, okubangelwa isikhundla esifanayo sokuphoqelelwa isikhathi eside.

Lokhu kwenzeka ngokuyinhloko kubantu abasebenza ithuluzi lomshini, noma kulabo abaphoqelelwe ngesikhathi somsebenzi ukwenza ukunyakaza okuvamile. Ngakho-ke, lesi sifo sibhekwa njengabachwepheshe. Futhi ngokuvamile bavame ukuhlabelela abaculi, abadayisi, ama-welders, abagawuli kanye nabamason.

Ngokuvamile, lesi sifo esingenhla futhi siholele ekuvukeni okungajwayelekile kwezigxobo namalungu: i-polyarthritis, i- rheumatism, njll, kanye nokuba khona kwesifo sikashukela.

Abanye abalobi bathi i-ligamentitis nayo isifo esiyinzalo. Kodwa izifundo ezingaqinisekisa noma ziphikise lesi simangalo azenzanga.

Izifo ezinganeni

Ukuphazamisa ligamentitis ezinganeni akuvamile. Futhi isizathu esiyinhloko sokwenzeka kwayo odokotela sabizwa ngokuthi ukukhula okusheshayo kwezakhiwo kanye nezicubu ezisesandleni. Ukuthi, ububanzi be-tendon kulesi simo buyanda ngokushesha kune-lumen yegamentali elenziwe nge-ring, okuholela enhlobonhlobo yezingxabano phakathi kwabo abangela ukuvuvukala okungapheli. Ekugcineni kuholela ekushintsheni okwenyukayo kudivayisi ye-tendon-ligament.

Ngokuvamile kaningi kuthinta izingane kusukela eminyakeni eyodwa kuya kwemibili futhi ezimweni eziningi ezisesithupha. Ngeshwa, asesekho incazelo eyanele yalesi simo.

Abazali bangaqaphela ukuthi ingane ayikwazi neze ukugwema umunwe, futhi esisekelo sayo kukhona encane, nge-pea, ukuqina. Lokhu kumele kube yisikhathi sokwelashwa okuphoqelekile kuchwepheshe, ngaphandle kwalokho lesi sifo sizoholela ekuphoqelelweni okuqhubekayo komunwe.

Izimpawu eziyinhloko zokwehlisa ligamentitis

Ukugaya i-ligamentitis kunezibonakaliso eziphawulekayo: isibonelo, uma ucindezela ngesisekelo somunwe ophazamisayo, ubuhlungu buba namandla.

• Ukusebenza komunwe kuncishisiwe.
• Ubuhlungu, endleleni, abugxila kulo kuphela, lunganikeza ibhulashi ngisho nangaphambili.
• Ngaphansi komunwe, ungakwazi ukuphungula isilwane esinobuhlungu obukhulu, futhi yena noma elinye lamalungu akhe angavuvukala.
• Umunwe uvame ukukhula ngamandla.
• Ngemuva kokungaqhubeki isikhathi eside kwe-shayela, izimpawu zikhanya kakhulu.

Futhi-ke, isici esiyinhloko ukuchofoza okwenzeka njalo lapho uzama ukugoba noma ukungaziboni umunwe othintekile.

Izinyathelo zokuthuthukiswa kwesifo

I-stenosing ligament yesithupha, kanye nezinye iminwe yesandla, iqala ngezigaba. Esiteji sokuqala, ukuchofoza nokuzwa okubuhlungu akubonakali kaningi kakhulu.

Kodwa, ngokushesha nje uma singagudluli umunwe kuzodingeka senze imizamo emikhulu, singakhuluma ngokuqala kwesigaba sesibili sesifo. I-tendon kulesi sigaba ngokuvamile iyancipha, futhi i-bump ibonakala ngaphansi komunwe ophazamisayo.

Isigaba sokugcina, sesithathu sibonakala ukungakwazi ukuguqula umunwe ogulayo. Kodwa ukulinda, ngokuqinisekile, akudingekile, kungcono ukubhekana nodokotela ngesikhathi bese udedula ukugula.

Ukuxilongwa

Uma ngabe umgogodla we-stenosing usolwa, aphendukela ku-traumatologist. Udokotela uhlola isandla esithintekile. Ngaphezu kwalokho, isiguli kumele simenze i-X ray, evumela ukuthi uhlukanise lesi sifo kusuka ku-arthrosis noma i-arthritis. Ukuhlolwa okungeziwe akudingeki njalo.

Ngokuqondene nokuthi i-pathology echazwe, njengombuso, iqala ngokushesha kakhulu, lapho uqala ukuzwa kabi noma ubuhlungu lapho uhambisa umunwe wakho, kufanele uthintane nodokotela wezinzwa.

Izindlela zokwelashwa kwe-stenosing ligament

Ukwelashwa okuhilelekile ekuxilongweni kwe-"stenosing ligamentitis" ukwelashwa ngokuqondile kuxhomeke esiteji sesifo kanye nesimo jikelele sesiguli. Esikhathini sokuqala, ukusetshenziswa kwezinqubo ze-physiotherapeutic, ngendlela ye-electrophotophoresis ne-phonophoresis enezidakamizwa ezithuthukisa ukucwiliswa kwe-microcirculation, kanye nezinhlelo zokusebenza ezisebenzisa i-parafini nokucindezeleka kwemithi, kunconywa.

Esikhathini esilandelayo futhi lapho kwenzeka ukuthi i-physiotherapy ingenzi imiphumela elindelekile, imithi eyengeziwe imisiwe - lezi zingaba ama-anti-inflammatory and analgesic agents. Kuyathandwa kakhulu ukujova i-hydrocortisone endaweni lapho kuqina khona.

Isiguli sibophezelekile ukusivimbela umunwe. Isimo esibalulekile ukuguqulwa komsebenzi, kanye nokugwema ngokucophelela izici ezibuhlungu.

Ukushaya ligamentitis: ukusebenza

Uma izinyathelo ezithathwe zinganiki umphumela omuhle, noma uma isiguli sifuna usizo esigabeni sesithathu sesifo, ukuhlinzwa kuboniswa kuye.

Phakathi naleso sikhathi, isiguli siyisiguli esasakazwa, esivimbela ukuhamba kwethenda. Ngendlela kaNP Shastin, lo msebenzi ufezwa ngokugcizelela ngokusebenzisa izinsimbi ezikhethiwe. Lokhu akudingi izikhungo zesibhedlela kanye ne-anesthesia yendawo eyanele.

Uma i-ligamentototomy evulekile isenziwa, isiguli ngaphansi kwe-anesthesia ejwayelekile senziwa ngesikhumba esingadluli ku-3 cm. Ngemuva kwalokhu kusebenza, ibhulashi lihlelwe nge-bandage ye-plaster.

Ngayinye yalezi zinsuku kunezinsizakalo zayo nezimfanelo ezinhle, ngakho-ke nguDokotela kuphela ongakwazi ukunquma ukuthi angenza kanjani ukungenelela kokuhlinzwa.

Ukwelashwa kwendabuko

Ukwenza umgogodla ngaphezu kwalokho Izinqubo ezimisiwe zingabonisana nodokotela, ukwelapha kanye namakhambi abantu. Okuthandwa kakhulu kubo yilokho okuthiwa ukushisa okumile. Ukuze wenze lokhu, i-pan yokudoba ishaywa ulwandle noma usawoti, bese kuthiwa uthunyelwe esikhwameni esinomsoco wengubo yelineni. Ibhulashi vula isandla, bese ubeka isikhwama kuso. Ukufudumala okunjalo kungenziwa kabili ngosuku, ngaphandle kwe-supercooling phakathi kwezinqubo.

Amaphakethe emadaka nawo amnandi, okuyinto noma yimuphi ubumba obuthakathaka buhlanjululwa ku-ukhilimu omuncu obunzima futhi wanezela kuzo izinkezo ezi-5 ze-dessert ze-apula cider uviniga. Le gruel isakazeka phezu komunwe obubuhlungu obunqamule obuningi, phezulu kusetshenziselwa i-cellophane. Susa i-compress emva kwamahora amabili. Ngemva kwalokho, isandla sidinga ukuthula nokufudumala okuphelele.

Kodwa khumbula ukuthi uma utholakala ukuthi ukulahla imithi yesiguli ngamakhambi abantu akukwazi ukunikeza noma yimiphi imiphumela ebalulekile.