De Quervain ta cuta: cututtuka, ganewar asali, magani

De Quervain ta cuta - a Pathology halin da kumburi da tendons a kan yatsa. The rashin lafiya bayyana kanta a hankali, ya bambanta quite jinkirin ci gaba. Wani lokaci kafin faruwa ga likita yana daukan makonni da dama, ko ma watanni.

Description da cutar

De Quervain ta cuta (na kullum tenosynovitis ko constrictive jijiya) - a Pathology cewa halin da hankali takaita na tashar, inda tendons na da babban yatsa. Rashin lafiya tare da kumburi da ake kira agara kwasfa. Haka kuma cutar na faruwa a sakamakon wani m load a kan goga, sau da yawa dangane da wasan kwaikwayon na sana'a da ayyukan. Saboda zafi a marasa lafiya rage ikon yi wasu ƙungiyoyi tare da cikakken da dukan hannun.

Lokaci-lokaci rage na hannu da dantse tsokoki damar lankwashewa / tsawo daga cikin yatsunsu. A lokacin da wadannan ƙungiyoyi ne alhakin flexor agara (dace da yatsun ta cikin palmar surface) da kuma extensor tsokoki (ratsa baya na hannu). Mai gangara tendons jijiyoyin samar da riƙewa a so matsayi. A na baya jijiya da aka sarrafa a wannan gefe na goga. Kowace kungiya na tendons a cikin latest a raba tashar. The yatsa ne rayayye da hannu a cikin rayuwar yau da kullum. Ya tendons dauki a kan mafi girma load. De Quervain ta cutar tsokani m kumburi jijiyoyin, su thickening da edema. A sakamakon haka, da tashar zama ɓarna, kananan, akwai cuta cututtuka faruwa matsalar aiki na samfur na dukan hannun.

Abin da ya haddasa ci gaban Pathology?

A daidai Sanadin wannan cuta ya rage m har karshen. An zaci cewa da akai ta maimaita na goge aiki (golf, lambu, yaro kula) zai iya tsananta wannan yanayin. Saboda haka, wani lokacin cutar da ake kira "uwa wuyan hannu".

masana ma asirce wani yawan abubuwan bayar da tasu gudunmuwar da ci gaban Pathology, wato:

• Rauni da kuma inji lalacewar da goga.
• Kumburi cututtuka na gidajen abinci halitta (amosanin gabbai, arthrosis).
• Constant load a kan yankin na wuyan hannu hadin gwiwa.
• Hormonal musanya jiki (sau da yawa a lokacin menopause).
• Sifofin na musculoskeletal tsarin.

Wane ne a hadarin?

A mafi hadarin tasowa da wannan cuta a cikin mutane masu shekaru 30 da kuma har zuwa game da shekaru 50. De Quervain ta cuta ne sau da yawa bincikar lafiya a mata a lokacin daukar ciki da kuma neonatal kula.

Abin da ãyõyi tare da wani Pathology?

Babban alama da wannan cuta ne zafi a yankin na da wuyan hannu daga yatsa. By juya hannun rashin jin daɗi na iya ƙara. A zafi sau da yawa ba a hannu da dantse, kuma wuyansa yankin.

A hallmark da cutar da aka dauke su a alama na Finkelstein. Wani mutum dauke da wani dunkulallen hannu, ya sa a cikin ya yatsa. Idan na gaba ƙoƙari dauki wani hannunka a cikin shugabanci bi ta kaifi zafi, za ka iya tabbatar da de Quervain ta (cuta).

A palpation na hadin gwiwa da aka lura kadan kumburi, zafi a kan ya shafa gefe.

Babban kuskure da yawa marasa lafiya ba su dauke da ake ji wa gwani kula da immobilization na talakawa goga. Domin wadannan dalilai, da m bandages, musamman wristbands. A wannan yanayin, farkon da cutar ne sabili da tawaya. Marasa lafiya ba zai iya yi har ma da mafi saba na gida harkokin (kwasfa dankali, wanka, unbutton da sauransu. D.).

ganewar asali

Bai kamata a bar unattended de Quervain ta cutar. Alamun cutar bayyana ga dama a jere kwana, kamata faɗakar da kuma zama dalili ga nan da nan da magani ga likita.

A lokacin da shawara wani gwani daukawa fitar da wani jiki jarrabawa na shafa yanki iya saka wani yawan ayoyi tambayoyi (idan akwai sha raɗaɗin, su yiwu haddasawa). Don tabbatar da ganewar asali likita gudanar da dama gwaje-gwaje.

• Siga sata. Specialist presses saukar da a babban yatsan a kan mayar da gefen haka kamar yadda ya kawo shi zuwa ga dabino daga hannunka. A cikakken lafiya hannunka yatsa kamata tsayayya da matsa lamba. A cikin hali na Pathology bayyana ciwon ya taba.
• Da ikon rike abubuwa. A haƙuri tafii a kowane hannu a kan batun. Idan shi ne kadan Pull, mai kyau hannu zai zama mafi girma da karfi don ci gaba da abu da za a iya ce game da mãsu haƙuri.
• X-ray jarrabawa iya tabbatar da cutar de Quervain. Photo (hoto) hannuwa bayyana gaban wani kauri taushi tsokoki, periosteum canje-canje.

ra'ayin mazan jiya far

A farko marasa lafiya rika baya karewa na data kasance ayyuka tare da m immobilization na shafa yankin. Immobilization goga ya kamata a gina irin wannan cewa thumb ne ko da yaushe a tanƙwasa matsayin dangi da index da kuma tsakiyar. Domin wadannan dalilai, da mafi kyaun bayani ne don amfani da simintin gyaran kafa, wanda aka yi amfani da su tsakiyar hannu da dantse. Irin wannan immobilization kawai ya hana ta hadin gwiwa daga yiwu rauni. Bugu da kari, da m ra'ayin mazan jiya far kamata a da za'ayi.

Kumburi canje-canje jijiyoyin underlie irin cututtuka kamar de Quervain ta cutar. Jiyya ya shafi aikace-aikace na wani physiotherapeutic hanyoyin (paraffin, hydrocortisone duban dan tayi). Har ila yau, ya nada antiinflammatory kwayoyi ( "Ibuprofen", "Naproxen"), steroid allura ( "hydrocortisone").

Lokacin da tiyata ake bukata?

Surgery bada shawarar lokacin da ra'ayin mazan jiya far ne m, ko yana a wuri ya zama hadin hannu.

The aiki ne da za'ayi a karkashin kwari-jihar yanayi ta amfani da maganin sa barci zabin. Kafin farkon maganin sa barci likita kai tsaye gani na musamman alama mafi m yankin. Sa'an nan inputted procaine, da kuma kashe giciye-bangaranci yanki na abin da ake kira styloid tsari, wanda ya wuce ta wannan batu. M ƙugiya sosai a hankali cire wajen subcutaneous nama tare da jijiyoyinmu fallasa raya jijiya. Ta likita dissects da kuma kawar part. Sau da yawa, bayan shafe tsawon hanya na cutar faruwa agara adhesions agara daina kai hare hare. A wannan yanayin, duk da zangarniya ake excised. The rauni ne sutured, superimposed triangular bandeji. A sutures an cire bayan game da kwanaki 10, daga karshe rage aiki iya aiki da 15 hours.

Ya kamata a yaba cewa de Quervain ta (cuta) mafi yawa ana sa wani pathological tsari a cikin sashi daga cikin annular jijiya. Idan kai tsaye aiki, da mãsu haƙuri ya ci gaba da obalodi da hannunka, yiwuwar komowa na an ya karu da sau da yawa. Wannan shi ne dalilin da ya sa marasa lafiya suna karfafa don rage aiki, da kuma wani lokacin har canza irin sana'a aiki.

zai yiwu rikitarwa

Me zai faru idan ba ka yi wa cutar de Quervain ta? Hands a kan lokaci kuma da hannu a cikin pathological tsari, da kuma mutum hasarar da ikon yin aiki saba. Wannan shi ne dalilin da ya sa yana da muhimmanci a taron na farko bayyanar cututtuka suggestive na rashin lafiya, neman kwararrun taimako ga dace gwani. A cikin hali na tiyata a can shi ne har yanzu a kananan Yiwuwar faru na rikitarwa kamar samuwar m tabo da kuma ƙungiyoyi da yatsa.

m matakan

Yadda za a hana ci gaban da cutar? Da farko, likitoci bayar da shawarar a duk waɗanda suka kasance a wani hadarin kungiyar, don rage jiki nauyin fahimtar ƙungiyoyi daga cikin goga. Bugu da kari, ya kamata ka ba gudu hadin gwiwa cuta mai kumburi yanayi. Lokacin da rauni ko inji lalacewar da buroshi da muhimmanci a kanemi shawara da kuma sha far. Just kiyaye duk na sama shawarwari, za ka iya hana ci gaban cuta.

ƙarshe

A cikin wannan labarin, za mu bayyana abin da bayyanar cututtuka da cutar yana tare da De Quervain. Operation a irin wannan Pathology bada shawarar a 80% na lokuta. Duk da haka, a saboda lokaci fara ra'ayin mazan jiya magani ne iya kawar da cutar da kuma rage cin gaban rikitarwa.

Muna fatan cewa duk bayanai bayar zai kasance a gare ku zuwa ga zahiri zama da amfani. Zauna lafiya!