Styloid stenosis tenosynovitis ni ububyimbirwe buterwa no kubabara no kubyimba kw'imitsi yo mu bwoko bwa abductor pollicis longus na extensor pollicis brevis ku gice cyo hejuru cya carpal sheath ku gice cyo hejuru cya radial styloid. Ibimenyetso birakomera iyo igikumwe gitangiye kwaguka no kugabanuka kwa calimor. Iyi ndwara yatangajwe bwa mbere n'umuganga w'inzobere mu kubaga w'Abasuwisi witwa de Quervain mu 1895, bityo radial styloid stenosis tenosynovitis izwi kandi nka de Quervain's disease.
Iyi ndwara ikunze kugaragara cyane mu bantu bakora ibikorwa byo ku kuboko no ku gituza, kandi izwi kandi nka "ukuboko kwa nyina" na "urutoki rw'umukino". Uko interineti igenda itera imbere, umubare w'abantu bibasiwe n'iyi ndwara ugenda wiyongera cyane. None se ni gute wasuzuma iyi ndwara kandi ukayivura? Ibi bikurikira bizaguha ibisobanuro bigufi bivuye mu ngingo eshatu: imiterere y'umubiri, gusuzuma indwara n'uburyo bwo kuyivura!
I. Imiterere y'umubiri
Uburyo bwo gukora imiterere y'urukiramende bufite agace gato k'umugongo gatwikiriwe n'umugongo wa carpal ugizwe n'agace k'imitsi y'amagufwa. Umutsi wa abductor pollicis longus tendon na extensor pollicis brevis tendon binyura muri aka gace hanyuma bikinjira ku nguni hanyuma bikarangirira ku mfuruka y'igufwa rya mbere rya metacarpal n'ishingiro rya phalanx y'igikumwe, uko bikurikirana (Ishusho ya 1). Iyo umutsi unyerera, habaho imbaraga nyinshi zo gukururana, cyane cyane iyo kuzunguruka kw'urutoki cyangwa kugenda kw'igikumwe, inguni yo gukururana yiyongera, bikongera gukururana hagati y'umutsi n'urukuta rw'igikumwe. Nyuma yo gukangurwa igihe kirekire, synovium igaragaza impinduka zo kubyimba nko kubyimba no gucika intege, bigatera gukomera, gufatana cyangwa kugabanuka k'umutsi n'urukuta rw'igikumwe, bigatera ibimenyetso bya stenosis tenosynovitis.
Igishushanyo cya 1 Ishusho y'imiterere y'urumuri rw'urumuri
II. Gusuzuma indwara
1. Amateka y'ubuzima akunze kugaragara cyane mu bantu bari mu kigero cyo hagati, abakora abaganga n'abakoresha intoki, kandi akunze kugaragara cyane mu bagore; Kurwara bigenda buhoro buhoro, ariko ibimenyetso bishobora kugaragara mu buryo butunguranye.
2. Ibimenyetso: ububabare bugaragara mu buryo bwa styloid bwa radius, bushobora kunyura mu kuboko no ku kuboko, intege nke z'igikumwe, gukuraho igikumwe gito, kwiyongera kw'ibimenyetso iyo igikumwe gitangiye kugaragara no ku kiganza kigenda gihinduka; Utunyangingo dushobora kugaragara mu buryo bwa styloid bwa radius, gisa n'aho ari amagufwa meza, kandi kikagira ububabare bugaragara.
3.Ikizamini cya Finkelstein (ni ukuvuga ikizamini cyo kugabanya igituza) cyagaragaje ko ari cyiza (nk'uko bigaragara ku Ishusho ya 2), igikumwe kirapfundikirwa mu kiganza, ikiganza cy'ikituza kirahengamye, kandi ububabare ku buryo bwa radius styloid burushaho kwiyongera.
4. Isuzuma ry'inyongera: Isuzuma rya X-ray cyangwa isuzuma rya ultrasound rishobora gukorwa bibaye ngombwa kugira ngo hemezwe niba hari ikibazo cy'amagufwa cyangwa synovitis. Amabwiriza yo kuvura indwara ya Styloid Stenosis Tenosynovitis yo mu gice cya Radius Menya ko hari izindi suzuma zikenewe kugira ngo hamenyekane hagati ya osteoarthritis, indwara zo mu gice cyo hejuru cy'imitsi ya radial, na forearm cruciate syndrome mu gihe cyo kuyisuzuma.
III. Ubuvuzi
Ubuvuzi bw’ibanze Ubuvuzi bwo guhagarika kugenda mu gace: Mu ntangiriro, abarwayi bashobora gukoresha icyuma gikingira inyuma kugira ngo bahagarike kugenda kw’urugingo rwangiritse kugira ngo bagabanye ibikorwa byo mu gace no kugabanya uburyaryate bw’imitsi mu gituza cy’imitsi kugira ngo bagere ku ntego yo kuvura. Ariko, guhagarika kugenda bishobora kudatuma urugingo rwangiritse rubaho, kandi guhagarika kugenda igihe kirekire bishobora gutuma umuntu akomeza kugenda. Nubwo ubundi buryo bwo kuvura bufashijwe no guhagarika kugenda bukoreshwa mu buvuzi, akamaro k’ubuvuzi karacyavugwaho rumwe.
Uburyo bwo kuvura mu buryo busanzwe: Nk’uburyo bwo kuvura busanzwe bukoreshwa mu kuvura indwara, uburyo bwo kuvura mu buryo busanzwe bukoreshwa mu kuvura indwara bukoresha uburyo bwo kuvura indwara mu buryo busanzwe bukoreshwa mu kuvura indwara mu buryo busanzwe. Uburyo bwo kuvura mu buryo busanzwe bushobora gutera imiti mu gace kababara, mu gasakoshi k’ingingo, mu gice cy’imitsi n’ibindi bice, bishobora kugabanya kubyimba no kugabanya ububabare no kugabanya imitsi mu gihe gito, kandi bikagira uruhare runini mu kuvura ibisebe byo mu gace. Ubu buryo bwo kuvura bugizwe ahanini na triamcinolone acetonide na lidocaine hydrochloride. Inshinge za sodium hyaluronate nazo zishobora gukoreshwa. Ariko, imisemburo ishobora kugira ingorane nko kubabara nyuma yo guterwa inshinge, ibara ry’uruhu, gucika kw’imitsi yo mu mubiri, kwangirika kw’imitsi yo mu maraso, no kwiyongera kwa glucose mu maraso. Ibibujijwe cyane ni allergie y’imisemburo, abarwayi batwite n’abonsa. Sodium hyaluronate ishobora kuba nziza kandi ishobora gukumira inkovu z’imitsi ikikije umutsi no gutuma imitsi ikira neza. Ingaruka zo kuvura mu buryo busanzwe zigaragara, ariko hari raporo z’ubuvuzi zigaragaza ko urutoki rurwaye indwara iterwa no guterwa inshinge mu buryo butari bwo (Ishusho ya 3).
Igishushanyo cya 3 Gufunga igice bituma intoki z'intoki z'imbere zipfa: A. Uruhu rw'ukuboko rurahindagurika, na B, C. Igice cyo hagati cy'urutoki rw'imbere kiri kure cyane, naho intoki zikaba zipfa
Amabwiriza yo kwirinda kuvura indwara ya radius styloid stenosis tenosynovitis: 1) Aho iherereye ni heza, kandi syringe igomba gukurwamo mbere yo gutera umuti kugira ngo urushinge rw’inshinge rutagera mu mitsi y’amaraso; 2) Guhagarika neza urugingo rwangiritse kugira ngo hirindwe gukora imyitozo imburagihe; 3) Nyuma yo gutera inshinge z’imisemburo, akenshi habaho ububabare butandukanye, kubyimba, ndetse no kwiyongera k’ububabare, muri rusange bigashira mu minsi 2 ~ 3, niba ububabare bw’urutoki n’ubwijime bugaragara, hagomba gutangwa uburyo bwo kuvura indwara zigabanya ububabare no kugabanya amaraso vuba, kandi hagakorwa isuzuma rya angiography kugira ngo hamenyekane neza niba bishoboka, kandi hagakorwa ubushakashatsi ku mitsi y’amaraso vuba bishoboka niba bibaye ngombwa, kugira ngo bidatinza iyo ndwara; 4) Inzitizi ku misemburo nka umuvuduko ukabije w’amaraso, diyabete, indwara z’umutima, nibindi, ntizigomba kuvurwa hakoreshejwe uburyo bwo kuziba aho ziri.
Shockwave: ni uburyo bwo kuvura burambye, budakoresha uburyo bwo kuvura, bufite akamaro ko gutanga ingufu hanze y'umubiri no gutanga umusaruro mu bice byibasiwe imbere mu mubiri bitabangamiye ingingo ziwukikije. Bugira ingaruka zo guteza imbere imikorere y'umubiri, bukomeza amaraso n'imiyoboro y'amaraso, bunoza imirire y'ingingo, bukuraho imiyoboro y'amaraso yazibye, kandi bugatuma ingingo zoroshye zifatana. Ariko, bwatangiye nyuma yo kuvura indwara ya tenosynovitis ya styloid stenosis yo mu gice cy'umubiri, kandi raporo z'ubushakashatsi bwabwo ni nke, kandi haracyakenewe ubushakashatsi bunini bugenzuwe kugira ngo haboneke ibimenyetso byinshi by'ubuvuzi bishingiye ku bimenyetso kugira ngo butere imbere ikoreshwa ryayo mu kuvura indwara ya tenosynovitis ya styloid stenosis yo mu gice cy'umubiri.
Uburyo bwo kuvura acupuncture: uburyo bwo kuvura acupuncture nto ni uburyo bwo kurekura bukorwa hagati yo kubagwa no kuvura atari ukubagwa, binyuze mu gukuraho no gukuraho ibisebe byo mu gace, imitsi irarekurwa, kandi gufata imitsi yo mu mitsi bikoroha neza, kandi amaraso atembera neza mu ngingo zikikije arushaho kuba meza binyuze mu gutuma acupuncture irushaho kuba nziza, ikagabanya ubushyuhe, kandi ikagera ku ntego yo kurwanya ubushyuhe no kugabanya ububabare.
Ubuvuzi gakondo bw'Abashinwa: Radial styloid stenosis tenosynovitis iri mu cyiciro cya "paralysis syndrome" mu buvuzi bw'igihugu cyababyaye, kandi iyi ndwara ishingiye ku ntege nke n'ibipimo ngenderwaho. Bitewe n'imikorere y'igihe kirekire y'ingingo y'ukuboko, guhangayika cyane, bigatera qi yo mu gace n'amaraso, ibi byitwa inkeke y'umwimerere; Bitewe n'inkeke y'amaraso yo mu gace n'inkeke, imitsi n'imitsi birabura mu mirire no kunyerera, kandi bitewe n'uko umuntu yumva umuyaga, ubukonje n'ubushuhe, bikongera ubwiyongere bw'imikorere ya qi n'amaraso, bigaragara ko kubyimba n'ububabare n'imikorere yo mu gace bigabanuka, kandi qi n'amaraso byiyongera cyane kandi spasm yo mu gace irushaho kuba mbi, bityo byagaragaye ko ububabare bw'ingingo y'ukuboko yimukanwa n'ingingo ya mbere ya metacarpophalangeal burushaho kwiyongera mu ivuriro, ibi bikaba ari ibipimo ngenderwaho. Byagaragaye ko ubuvuzi bwa moxibustion, massage, ubuvuzi bwo hanze bw'imiti gakondo y'Abashinwa n'ubuvuzi bwa acupuncture bigira ingaruka zimwe na zimwe ku buvuzi.
Uburyo bwo kubaga: Kubaga gukata umugongo wa carpal ligament wa radius no gukata igice gito ni bumwe mu buryo bwo kuvura stenosis tenosynovitis mu nzira ya styloid ya radius. Birakwiriye abarwayi ba tenosynovitis isubira ya radius styloid stenosis, itagize icyo ikora nyuma yo kuziba ahantu henshi no kuvurwa ubundi buryo bwo kwirinda, kandi ibimenyetso birakomeye. Cyane cyane ku barwayi ba stenotic advanced tenosynovitis, igabanya ububabare bukomeye kandi budashobora guhagarara.
Kubaga mu buryo butaziguye: Uburyo busanzwe bwo kubaga ni ugukata igice cyo hasi ku gice cyo hasi, gushyira ahagaragara igice cya mbere cy'imitsi yo mu mfuruka, gukata igice cy'imitsi cyabyimbye, no kurekura igice cy'imitsi kugira ngo imitsi ibashe kunyerera neza mu gice cy'imitsi. Kubaga mu buryo butaziguye bigerwaho vuba, ariko bitera ingaruka nyinshi nko kwandura, kandi bitewe no gukuraho umugozi wo gushyigikira umugongo mu gihe cyo kubaga, imitsi ishobora gucika no kwangirika k'imitsi n'imitsi.
Septolysis ya mbere: Ubu buryo bwo kubaga ntibuca agati k'imitsi y'amaraso, ahubwo bukuraho agati k'imitsi y'amaraso gasanzwe gaboneka muri septum ya mbere cyangwa bugaca agati k'imitsi hagati ya abductor pollicis longus na extensor pollicis brevis kugira ngo harekurwe agati k'imitsi y'amaraso ...
Kongera imiyoboro y’amaraso mu buryo bwa Arthroscopic: ubuvuzi bwa arthroscopic bufite ibyiza byo kudakomereka cyane, igihe gito cyo kuvurwa, umutekano mwinshi, ingorane nke no gukira vuba, kandi inyungu nini ni uko umukandara wo gushyigikira extensor udaciwe, kandi nta gucika kw'imitsi kuzabaho. Ariko, haracyari impaka, kandi bamwe mu bahanga bemeza ko kubaga arthroscopic bihenze kandi bifata igihe kinini, kandi ibyiza byabyo kuruta kubaga mu buryo butaziguye ntibigaragara bihagije. Kubwibyo, ubuvuzi bwa arthroscopic muri rusange ntibutorwa n'abaganga benshi n'abarwayi.
Igihe cyo kohereza: Ukwakira-29-2024
