Tenosynovitis

I-Tenosynovitis kukukrala komgca wesingxobo ojikeleze ithenda (intambo ejoyina umsipha ukuya kwithambo).

I-synovium lining ye-sheath ekhuselayo egubungela imisipha. I-Tenosynovitis kukukrala kwesi sifo. Unobangela wokudumba unokungaziwa, okanye kunokubangelwa:

• Izifo ezibangela ukudumba
• Usulelo
• Ukwenzakala
• Ukusetyenziswa gwenxa
• Uxinzelelo

Izihlahla, izandla, amaqatha kunye neenyawo zichaphazeleka kakhulu ngenxa yokuba imisipha inde kulawo malungu. Kodwa, imeko inokwenzeka ngayo nayiphi na ithenda sheath.

Ukusikwa okosulelekileyo ezandleni okanye izihlahla ezibangela ukosuleleka kwe-tenosynovitis kunokuba yimeko engxamisekileyo efuna utyando.

Iimpawu zinokubandakanya nayiphi na kwezi zinto zilandelayo:

• Kunzima ukuhambisa ngokudibeneyo
• Ukudumba ngokudibeneyo kwindawo echaphazelekayo
• Intlungu kunye nokuthantamisa kujikeleze ilunga
• Intlungu xa ususa ilunga
• Ubomvu kunye nobude bethenda

Umkhuhlane, ukudumba, kunye nokubomvu kungabonisa ukosuleleka, ngakumbi ukuba ukugqojozwa okanye ukusikwa kubangele ezi mpawu.

Umboneleli wezempilo uya kwenza uvavanyo lomzimba. Umboneleli unokuchukumisa okanye wolule ithenda. Unokucelwa ukuba uhambise idibeneyo ukuze ubone ukuba kubuhlungu.

Injongo yonyango kukhulula iintlungu kunye nokunciphisa ukudumba. Ukuphumla okanye ukugcina imisipha echaphazelekayo kusabalulekile ekubuyiseni.

Umboneleli wakho unokucebisa oku kulandelayo:

• Sebenzisa isplint okanye isikrweqe esintshiweyo ukunceda ukugcina iithoni zingahambeli ekuncedeni ukuphilisa
• Ukufaka ubushushu okanye ukubanda kwindawo echaphazelekayo ukunceda ukunciphisa iintlungu kunye nokudumba
• Amayeza anjengee-nonsteroidal anti-inflammatory drug (NSAIDs) okanye inaliti ye-corticosteroid yokuthomalalisa iintlungu kunye nokunciphisa ukudumba.
• Kwiimeko ezinqabileyo, utyando ukususa ukudumba okujikeleze ithenda

I-Tenosynovitis ebangelwa lusulelo kufuneka iphathwe kwangoko. Umboneleli wakho uya kumisela amayeza okubulala iintsholongwane. Kwiimeko ezinzima, utyando olungxamisekileyo luyafuneka ukukhupha ubofu ejikeleze ithenda.

Buza umboneleli wakho malunga nokuqinisa umthambo onokuwenza emva kokuba uphinde wachacha. Oku kunokunceda ukuthintela imeko ukuba ingabuyi.

Uninzi lwabantu lubuyela ngokupheleleyo kunyango. Ukuba i-tenosynovitis ibangelwa kukusetyenziswa gwenxa kwaye umsebenzi awumiswanga, kunokwenzeka ukuba ubuye. Ukuba ithenda yonakele, ukubuyela kwimeko yesiqhelo kungacotha okanye imeko inokuba yengapheliyo (eqhubekayo).

Ukuba i-tenosynovitis ayinyangwa, ithenda inokuthintelwa ngokusisigxina okanye inokudiliza (ukuqhekeka). Ilungu elichaphazelekayo linokuba lukhuni.

Usulelo kwi-tendon lunokusasazeka, olunokuba lukhulu kwaye lusongele ilungu elichaphazelekayo.

Tsalela umnxeba kwindibano kunye nomboneleli wakho ukuba unentlungu okanye ubunzima bokulungisa ngokudibeneyo okanye ilungu. Tsalela umnxeba kwangoko xa ubona umgca obomvu esandleni sakho, isihlahla, iqatha okanye unyawo. Olu luphawu losulelo.

Ukuphepha ukuphinda-phinda intshukumo kunye nokusetyenziswa gwenxa kweetoni kunokunceda ukunqanda i-tenosynovitis.

Ukuphakamisa okufanelekileyo okanye ukunyakaza kunokunciphisa ukwenzeka.

Sebenzisa iindlela ezifanelekileyo zokukhathalela inxeba ukucoca ukusikeka esandleni, esihlahleni, emaqatheni nasezinyaweni.

Ukudumba kwethenda sheath

Biundo JJ. I-Bursitis, i-tendinitis, kunye nezinye iingxaki zangoku kunye namayeza ezemidlalo. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 247.

Ikhonkco DL. Usulelo lwezandla. Ku: Azar FM, Beaty JH, Kanale ST, ii-eds. Umsebenzi weCampbell's Orthopedics. Umhla we-13. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 78.

IHogrefe C, uJones EM. I-tendinopathy kunye ne-bursitis. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2018: isahluko 107.