Indwara isanzwe

Stiloid Stenose TenosYovitis ni gutwika igana biterwa nububabare no kubyimba kwamashanyarazi ndende no kwinuba pollicis na kwagura pollicis kuri dorpal forpal Ibimenyetso bikabije hamwe no kwagura igikumwe no gutandukana kwa Calimor. Iyi ndwara yavuzwe mbere n'Ubusuwisi Busutzen de Koroteri mu 1895, bityo rero stenosial styloid stenosis tenosynovitis nayo izwi ku izina rya de changwain.

Indwara ikunze kugaragara mubantu bishora mu bikorwa byakorewe mu kuboko kenshi no ku rutoki, kandi bizwi kandi nk '"ukuboko kwa nyina" n "" urutoki rw'imikino ". Hamwe n'iterambere rya interineti, umubare w'abantu bahuye n'indwara uriyongera ndetse muto. Nigute ushobora gusuzuma no kuvura iyi ndwara? Ibikurikira bizaguha intangiriro ngufi y'ibintu bitatu: Imiterere ya Anatomicamake, gusuzuma amavuriro nuburyo bwo kuvura!

I.ATATOMY

Inzira ya Styloid ya Radius ifite isuku ngufi, idakabije itwikiriwe na kamera ya dorsal ikora umwanya wa fibrous. Abashimukira Pollicis Longos Tous na Wangensor Pollicis Brevis yanyuze muri iyi nyamaswa kandi bahore kuri bone ya mbere ya metakacal yo mu gikumwe, bitandukanye (Igishusho 1). Iyo umutegarugori asenyutse, cyane cyane iyo ukwanga gucuruza ulnar cyangwa kugenda cyane, inguni yiyongera, yongera guterana hagati ya Tendon ninzitizi ya sheath. Nyuma yigihe kirekire, Synovium yerekana impinduka zitwikiriye nka Edema na hyperplasia, bitera kubyimba, gukomera cyangwa kugamanuka kurukuta rwa stinosi.

Ishusho

Ii.ibitekerezo

1.Amateka yubuvuzi asanzwe mumyaka yo hagati, abakora amakuru, nibindi byinshi mubagore; Onset iratinda, ariko ibimenyetso birashobora kubaho gitunguranye.
2.Giza: Ububabare bwibanze muburyo bwa styloid ya radiyo, bushobora kumurika kumaboko nintoki, kwagura igikumwe, kwagura ibinini mugihe kwagura ibitoki no kwiyanganya kwa UlNO; Utuvumburo bwa palwable bushobora gusuzugurwa mugikorwa cya styloid ya radiyo, bisa na bone inone, hamwe nubwuzu.
3.Ikizamini cya Finkelsstein (ni ukuvuga ikizamini cya Ulnar cya Depiation) ni cyiza (nkuko bigaragara ku gishushanyo cya 2), kandi igikumwe cyoroshye kandi kibera mu mikindo, kandi ububabare bwo mu buryo bwa Radius Syyloid burasozwa.

4.Ibizamini bya 4.-Ray cyangwa Ibara Ultrasound irashobora gukorwa nibiba ngombwa kugirango wemeze niba hari amagufwa adasanzwe cyangwa synovitis. Amabwiriza yo kuvura imbaga ya stenosisi ya Styloid Tenosynovitis ya Radius Menya ko ibindi bizamini byumubiri bisabwa gutandukanya Osteoartishis, ihungabana ryitsinda ryibisimba, hamwe na syndrome yintoki mugihe cyo kwisuzumisha.

III.Ibyo

Kuvuga ko Kumurongora Kuvuga Ubuvuzi bwo kuvura: Mu cyiciro cyo hambere, abarwayi barashobora gukoresha ibicuruzwa byo hanze kugirango bahagarike ingingo zanduye kugirango bagabanye ibikorwa byaho no kugabanya amakimbirane ya Tendon kugirango agere ku ntego yo kwivuza. Ariko, ubudahangazi bushobora kwemeza ko ingingo yanduye ariho, kandi imiti myinshi idatinze ishobora kuvamo gukomera kwigihe kirekire. Nubwo hafashishijwe ubundi buvuzi bukoreshwa muburyo bwo kuvura, imikorere yo kwivuza ikomeje kurenganya.

Kuvura ibintu byaho: Nkuko uburyobwe bwatoranijwe bwo guhamya kuvura amavuriro, uburyo bwo kuvura butuje bivuga inshinge za interineti kurubuga rwaho kugirango tugere ku ntego yo kurwanya induru yaho. Ubuvuzi bwibintu bushobora guterwa nibiyobyabwenge, ihuriro rya sheath, umutiba wimitsi nibindi bice, bishobora kugabanya imibyimba no kugabanya imigenzo mugihe gito, kandi dukize uruhare runini mugufata ibisebe byaho. Umuvugizi agizwe ahanini na triamcinolone acetonide acetonide na lidocaine hydrochloride. Inkunga ya Sodium Hyaluronate nayo irashobora gukoreshwa. Ariko, imisemburo irashobora kugira ingorane nko kuba inzererezi nyuma yinjiza, uruhu rwaho, inyamanswa za subcutaneous atrophy, ibiti byangiza umutima, kandi bikaba amaraso. Kumenyekanisha nyamukuru ni allergie allergie, abarwayi batwite kandi bahora. Sodium Hyaluronate irashobora kuba ifite umutekano kandi irashobora kwirinda gukonja ibihumanya hirya no hino no guteza imbere gukira. Ingaruka zubuvuzi zigaragara ziragaragara, ariko hariho raporo zurutoki rwa necrosis zatewe no gutera inshinge zidakwiye (Ishusho 3).

Igishushanyo cya 3 Igicapo kiganisha ku rutoki rw'intoki z'intoki: A. Uruhu rw'ukuboko kwagaba, na B, igice cyo hagati cy'intoki zitari kure cyane, kandi urutoki rwa necrosis

Ibyingenzi mu buvuzi budasanzwe mu kuvura stenosi ya sius 2) Ubushuhe bukwiye bwingingo yibasiwe kugirango yirinde imbaraga zitaragera; 3) Nyuma yo gutera inshinge za mormone, akenshi hariho impamyabumenyi zitandukanye, kubyimba, ndetse no kwinezeza bifatika, hamwe nubuvuzi bwintoki na pallogy bugomba gukorwa vuba, bityo bukaba bushoboka, nkuko bidashoboka gutinza uko ibintu bimeze; 4) Kutumanaho hormonal nka hypertension, diyabete, indwara z'umutima, n'ibindi, ntigomba gufatwa hamwe n'ubuzima bwaho.

Shockwave: Nubuvuzi budatera, budatera bufite inyungu bwo kubyara ingufu hanze yumubiri no gutanga ibisubizo mubice byibasiwe mumubiri utangije imyenda ikikije. Ifite ingaruka zo guteza imbere metabolism, gushimangira amaraso hamwe na lymphatic, kunoza imirire ya tissue, gutontoma byahagaritswe na capillaries, no kurekura imiti yoroheje yoroheje. Icyakora, byatangiye bitinze mu kuvura Stenosis Styloide TenosYovitis yo muri Radiyo, kandi raporo z'ubushakashatsi zikenewe mu rwego rwo gutanga imikoreshereze y'ibimenyetso bifatika.

Kuvura Acupuncture: Guvura kwa Acupuncture ni uburyo bufunze bwo kwivuza hagati yo kwivuza no kutavuza, kandi mu buryo bwo gukwirakwiza amaraso ku buryo bworoshye, kandi mu buryo bwo gukwirakwiza amaraso. Ubushuhe, kandi kugera ku ntego yo kurwanya induru na analgesic.

Ubuvuzi gakondo bwubushinwa: Stial Styloid Stenose TenoSYovitis niyicyiciro cya "Syndrome ya" Syndrose "mubuvuzi bwabashakanye, kandi indwara ishingiye kubibuze nubusanzwe. Kubera ibikorwa birebire byigihe cyintoki, umurego mwinshi, bikavamo kubura amaraso yaho namaraso, ibi byitwa kubura kwambere; Bitewe na QI no kubura amaraso yaho, imitsi n'imitsi yatakaye mu buryo busa no kunyerera, kandi kuberako kwivuza hamwe na spasm byaho birabakomeye, kandi bikaba bikaba bikabije, kandi ibikorwa bikaba bikabije, kandi hagaragaye ko ari ububabare bwa qi na spasm Ihuriro rya metacarpophingeal ryiyongera mu ivuriro rinini, risanzwe. Byagaragaye ko kuvura moxibustion, kuvura massage, kuvura hanze yubuvuzi gakondo nubuvuzi bwa acupuncture bifite ingaruka zimwe na zimwe.

Kuvura ubwitonzi: Kubaga SARICALY LIGAL CARPAL LIGAL ya Radiyo na RECISI nkeya nimwe mubuvuzi kuri Stenosis TenosYovitis muburyo bwa radiyo. Birakwiriye abarwayi ba tenosynovitis ya radiyo styloid, itagize ingaruka nyuma yibintu byinshi byaho nubundi buryo bwo kuba impamo, kandi ibimenyetso birakabije. By'umwihariko mubarwayi bafite stenotic ya tenosynovitis, igabanya ububabare bukabije kandi bworoshye.

Kubaga neza bifunguye: Uburyo bwo kubaga busanzwe ni ugukora imitsi itaziguye, shyiramo imitsi ya mbere ya Septum, gabanya umutsima wabyimbye, hanyuma urekure umutsima kugirango Tendon ishobora kunyerera muburyo bwisanzure muri sheon. Kubaga gufungura neza byihuse kubigeraho, ariko bitwara urukurikirane rwibibazo byo kubaga nko kwandura bande mugihe cyo kubagwa, imyigaragambyo kandi byangiza imitsi na pisine birashobora kubaho.

1 SegoTolyse: Ubu buryo bwo kubaga ntabwo bwatemye umutsima wibyimbye, ariko bikuraho Cyst Cyst Septum cyangwa kugabanya septom hagati ya septoris na seplicis kugirango irekure septeur ya 1 Septal. Ubu buryo burasa no kubaga gufungura, hamwe nitandukaniro nyamukuru rimaze kuba nyuma yo guca itsinda ryagutse, umucyo wa Tendon urarekuwe aho guterwa no gucika intege. Nubwo Tendon yaka irashobora kuboneka murubu buryo, irinda Septam ya 1 Septam kandi ifite imikorere yigihe kirekire kuri mandon ituze kuruta kugabura amande. Ibibi by'ubu buryo biterwa ahanini n'uko ururamye rwa tendon rwinshi rudakuweho, kandi amarira yegeranye ashobora kuba atwitse, edema, kandi guterana amagambo bizaganisha ku kwisubiraho.

Ubuvuzi bwa ArtHeroscopibrous, ubuvuzi bwa Arthroscopic bufite imbaraga zo gutaha, umutekano muke, umutekano mubi kandi niko umukandara wimuwe udashidikanywaho, kandi ntihazaterwa no kwigana teledo. Ariko, haracyari impaka, kandi intiti zimwe zemeza ko kubaga arthroscopic bihenze kandi bitwara igihe, hamwe nibyiza byo kubaga neza ntibigaragara bihagije. Kubwibyo, ubuvuzi bwa ArtHroscopic ntabwo bwatoranijwe nabenshi mubaganga n'abarwayi.