Umnwe wokuQala

Umxholo

• Zithini iimpawu zomnwe wokudubula?
• Yintoni ebangela umnwe?
• Ngubani osemngciphekweni wokucofa umnwe?
• Ufunyanwa njani umnwe?
• Uphathwa njani umnwe?
• Unyango lwasekhaya
• Amayeza
• Ugqirha
• Yintoni imbono yabantu abanomnwe wokuvula?

Yintoni i-trigger finger?

Ukucofa umnwe kwenzeka ngenxa yokuvuvukala kweetoni eziguqula iminwe yakho, zibangele ukuthamba komnwe kunye nentlungu. Imeko iyayilinganisela intshukumo yomnwe wakho kwaye inokwenza kube nzima ukulungisa kunye nokugoba umnwe wakho.

Zithini iimpawu zomnwe wokudubula?

Iimpawu eziqhelekileyo zokuqala zibandakanya:

• ukukhathazeka okuqhubekayo kwisiseko sesithupha okanye omnye umnwe
• iqhuma okanye isigaxa esingqonge isiseko somnwe wakho kufutshane nesundu
• ukuthamba kujikeleze isiseko somnwe wakho
• ukucofa okanye ukuqhawula ingxolo ngokuhamba
• ukuqina komnwe wakho

Ukuba awufumani nyango ngayo, inwebu yomnwe inokuqhubela phambili. Iimpawu eziphambili zibandakanya isithupha, omnye umnwe, okanye zombini zivalelwe kwindawo egobileyo okanye ethe tye. Unokwazi ukungavuli umunwe wakho ngaphandle kokusebenzisa esinye isandla ukuba unecala eliphambili lomnwe wokudubula.

Iimpawu zokubonisa umnwe zihlala zisiba mbi kusasa. Umnwe uqala ukuphumla kwaye uhambe ngokulula njengoko usuku luqhubeka.

Yintoni ebangela umnwe?

Iminwe yakho inamathambo amancinci aliqela. Iitendon zidibanisa la mathambo nezihlunu. Xa imisipha yakho ingena okanye uqinisa, iithoni zakho zitsala amathambo akho ukuze uhambise iminwe yakho.

Imisipha emide, ebizwa ngokuba yimisipha ye-flexor, yanda ukusuka kwingalo yakho ukuya kwimisipha kunye namathambo ezandleni zakho. Iiflexor tendon zilayida ngokusebenzisa i-flexor tendon sheath, efana netonela yethenda. Ukuba itonela iyancipha, imisipha yakho ayinakushukuma ngokulula. Yiyo eyenzekayo kumnwe wokudubula.

Xa i-tendon ityibilika kwisaliti emxinwa, iyacaphuka kwaye idumbe. Isindululo siba nzima kakhulu. Ukuvuvukala kunokubangela ukuba i-bump ikhule, ethintela ngakumbi ukuhamba. Oku kubangela ukuba umnwe wakho uhlale kwindawo egobileyo. Kuba nzima kakhulu ukolula.

Ngubani osemngciphekweni wokucofa umnwe?

Abanye abantu banamathuba okuba babambe umnwe kunabanye. Umzekelo, ngokweKliniki yaseMayo, ixhaphake kakhulu kwabasetyhini kunamadoda.

Eminye imingcipheko enxulunyaniswa nomnwe wokuqala ibandakanya:

• ukuba phakathi kweminyaka engama-40 nama-60
• unesifo seswekile
• ukuba ne-hypothyroidism
• ukuba nesifo samathambo
• unesifo sephepha
• ukwenza izinto eziphindaphindayo ezinokucinezela isandla sakho, njengokudlala isixhobo somculo

NgokweCleveland Clinic, into ebangela ukuba iminwe ibe nefuthe kubaculi, amafama nakubasebenzi basezifektri.

Ufunyanwa njani umnwe?

Ugqirha unokuchonga umnwe ngovavanyo lomzimba kunye neminye imibuzo elula malunga nembali yakho yezonyango.

Ugqirha wakho uya kumamela ukucofa uphawu ekuhambeni. Baya kujonga umnwe ogobileyo. Banokukubukela uvula kwaye uvale isandla sakho. Ukuxilongwa ngokuqhelekileyo akuyi kufuna i-X-ray okanye ezinye iimvavanyo ze-imaging.

Uphathwa njani umnwe?

Unyango lwasekhaya

Unyango luxhomekeke kubukhali beempawu. Unyango lwasekhaya lubandakanya:

• ukuthatha ikhefu kwimisebenzi ephindaphindwayo iiveki ezine ukuya kwezintandathu
• ukunxiba izihlangu zezilima ezidityaniswe ngentsinjana / ngeplangana okanye isihlwitha ukuthintela intshukumo kunye nokuphumla isandla
• ukufaka ubushushu okanye umkhenkce ukunciphisa ukudumba
• ukubeka isandla sakho emanzini afudumeleyo amatyeli aliqela emini ukuze uphumle imisipha kunye nezihlunu
• yolule ngobunono iminwe yakho ukongeza uluhlu lwazo lokuhamba

Amayeza

Amayeza anokunceda ekunciphiseni ukudumba. Amayeza achasene nokuvuvukala aquka:

• ibuprofen (Advil)
• I-naproxen (iAleve)
• amayeza anti-ukudumba
• inaliti steroid

Ugqirha

Ukuba amayeza kunye nonyango lwasekhaya alusebenzi, ugqirha wakho unokucebisa utyando. Ogqirha benza uqhaqho lomnwe wokunyanga ngaphandle kwesigulana. Emva kokuba ufumane i-anesthesia shot, ugqirha wakho wotyando usika kancinci entendeni kwaye emva koko usike ishedon ye-tendon eqinisiweyo.

Njengoko i-tendon sheath iyaphilisa, indawo iyakhululeka, inceda umnwe wakho ukuba uhambe ngokulula. Umngcipheko wotyando kubandakanya usulelo okanye iziphumo ezingafunekiyo zotyando.

Ukubuyela kwimeko yesiqhelo kotyando kunokuthatha iiveki ezimbalwa ukuya kwiinyanga ezintandathu. Ugqirha wakho unokucebisa ngokwenza umthambo ukuze ukhulule ukuqina emva kotyando. Njengomgaqo jikelele, xa ugqirha ekhupha i-tendon sheath, ithenda inokuhamba ngokukhululekileyo.

Kuya kufuneka ubuyele kwimisebenzi yakho yesiqhelo kwiintsuku nje ezimbalwa. Ugqirha wakho uya kususa iisuture kwiintsuku ezisi-7 ukuya kwezi-14.

Yintoni imbono yabantu abanomnwe wokuvula?

Utshintsho kwindlela yokuphila kunye nokuthintela imisebenzi ethile kuhlala kunyango olusebenzayo lokuvula umnwe.

Unyango lweCorticosteroid lunokusebenza, kodwa iimpawu zinokubuya emva kolu nyango.

Ngokomphando opapashwe kwi, abaphandi bafumanise ukuba iimpawu zibuyile kwiipesenti ezingama-56 zamanani achaphazelekayo kwiinyanga ezili-12 emva kokuba abathathi-nxaxheba befumene unyango lwenaliti ye-corticosteroid.

Ezi mpawu zihlala zibuya kwiinyanga ezininzi emva kokudubula. Nangona kunjalo, inaliti iyakhawuleza kwaye ilula. Inokukuvumela ukuba uyeke ukwenza utyando kude kube lixesha elilunge ngakumbi.

Abaphandi kolu phononongo bafumanise ukuba abathathi-nxaxheba abanesifo seswekile esixhomekeke kwi-insulin, nabo babebancinci kwaye beneminwe emininzi yempawu, banamathuba okuba zibuye iimpawu.