Yintoni ongayilindela kwi-Trigger Finger Surgery

Umxholo

• Abagqatswa abalungileyo kolu tyando
• Indlela yokulungiselela utyando
• Inkqubo
• Utyando oluvulekileyo
• Ukukhululwa ngamandla
• Ukuchacha
• Ukusebenza
• Iingxaki
• Imbonakalo

Ushwankathelo

Ukuba uqalise umnwe, okwaziwa ngokuba yi-stenosing tenosynovitis, uyayazi intlungu yokuba nomnwe okanye ubhontsi onamathele kwindawo egobileyo. Ingonzakalisa ukuba uyasisebenzisa okanye awusisebenzisi isandla sakho. Kwaye kukho ukungonwabi ngenxa yokungakwazi ukwenza izinto ozifunayo, ukusuka ekucofeni iimpahla zakho ukuya ekuthumeleni imiyalezo ngokudlala ikatala, okanye udlale umdlalo wevidiyo.

Utyando olwenziwe ngomnwe lwenzelwa ukuba wandise indawo ukuze i-tendon yakho ye-flexor ihambe. I-tendon yakho ye-flexor yi-tendon kwiminwe yakho eyenziwa yimisipha yakho ukutsala amathambo eminwe. Oko kuvumela umnwe wakho ukuba ugobe kwaye uguqule. Emva kotyando, umnwe unokugoba kwaye uzolule ngaphandle kwentlungu.

Abagqatswa abalungileyo kolu tyando

Ugqirha wakho unokucebisa utyando ukuba uphilile kwaye uzame olunye unyango ngaphandle kwempumelelo, okanye ukuba iimpawu zakho zinzima.

Unyango lwe-Nonsurgical lubandakanya:

• ukuphumla isandla iiveki ezintathu ukuya kwezine ngokungayenzi imisebenzi efuna ukuphindaphinda intshukumo
• ukunxiba isibhaxu ebusuku ukuya kuthi ga kwiiveki ezintandathu ukugcina umnwe uchaphazelekile xa ulele
• ukuthatha amayeza angasebenziyo okulwa nokudumba, kubandakanya ibuprofen (Advil, Motrin IB) okanye naproxen (Aleve), ukunciphisa iintlungu (nangona zingenakunciphisa ukudumba)
• inaliti enye okanye ezimbini ze-steroid (glucocorticoid) kufutshane okanye kwi-tendon sheath ukunciphisa ukudumba

Inaliti ye-Steroid lolona nyango luqhelekileyo. Ziyasebenza ukuya kuthi ga kubantu abangenaso isifo seswekile. Olu nyango alusebenzi kangako kubantu abanesifo seswekile kunye nomnwe wokuvula.

Ugqirha wakho unokucebisa utyando kwangoko ukuba unesifo seswekile okanye uneempawu ezinzima, ezinje:

• ukuthintelwa komnwe okanye ukuhamba kwesandla okukhathaza okanye ukukhubaza
• iminwe ebuhlungu, izithupha, izandla, okanye iingalo
• ukungakwazi ukwenza imisebenzi yemihla ngemihla ngaphandle kokuba kungonwabisi okanye kubuhlungu, kubandakanya umsebenzi, izinto ozithandayo okanye imisebenzi oyithandayo
• uziva uneentloni okanye usoyika ngokuba nomnwe wokuvula
• iya isiba mandundu ngokuhamba kwexesha ukuze ulahle izinto, ube nengxaki yokuzichola, okanye ungabinakho ukubamba nantoni na

Indlela yokulungiselela utyando

Awuyi kuba nakho ukutya ngemini yotyando. Buza ugqirha wakho ukuba uza kuthatha ixesha elingakanani ukuzila ukudla ngaphambi kokuba utyandwe. Kuxhomekeke ekubeni leliphi ixesha utyando olucwangciselwe lona, ​​unokufuna ukutya isidlo sangokuhlwa ngobusuku bangaphambi kokuba uqhele ukwenza. Kuya kufuneka uqhubeke nokusela amanzi njengesiqhelo. Kuphephe nje ukusela ezinye iziselo ezinjengesoda, isiselo, okanye ubisi.

Inkqubo

Zimbini iintlobo zoqhaqho olwenziwa ngomnwe.

Utyando oluvulekileyo

Unokwazi ukwenza utyando ngomnwe njengesigulana esingaphandle. Oko kuthetha ukuba uyakuba kwigumbi lokusebenza, kodwa akufuneki ulale esibhedlele. Utyando kufuneka luthathe ukusuka kwimizuzu embalwa ukuya kwisiqingatha seyure. Emva koko ungagoduka.

Ugqirha wakho wokuqala ukunceda ukuba uthomalalise umthambo nge-intravenous line (IV) ukukunceda uphumle. IV inengxowa yeyeza lolwelo elingena kumbhobho kwaye ngenaliti engalweni yakho.

Ugqirha wakho uyayikhulula indawo ngokujova i-anesthetic yendawo esandleni sakho. Emva koko basika malunga ne-1/2-intshi incision entendeni yakho, ngokuhambelana nomnwe ochaphazelekayo okanye isithupha. Emva koko, ugqirha wotyando usika i-tendon sheath. Isingxobo singaphazamisa intshukumo ukuba siba sisityebe kakhulu. Ugqirha uhambisa umnwe wakho ejonge ukuba isindululo sihamba kakuhle. Okokugqibela, ufumana imithungo yokuvala ukusikwa okuncinci.

Ukukhululwa ngamandla

Le nkqubo iqhele ukwenziwa kwiminwe ephakathi kunye neyiringi. Unokuba nale nkqubo yenziwa kwiofisi kagqirha wakho.

Ugqirha wakho uphazamisa isandla sakho, uze ufake inaliti eqinile elukhumbeni olujikeleze i-tendon yakho echaphazelekayo. Ugqirha uhambisa inaliti kunye nomnwe wakho ukuyohlula indawo evaliweyo. Ngamanye amaxesha oogqirha basebenzisa i-ultrasound ukuze babone ngokuqinisekileyo ukuba incam yenaliti ivula i-tendon sheath.

Akukho ukusika okanye ukusika.

Ukuchacha

Uya kuba nakho ukuhambisa umnwe ochaphazelekayo ngomhla wotyando ngokukhawuleza nje ukuba unxunguphalo luphele. Uninzi lwabantu lunako. Kuya kufuneka ube noluhlu olupheleleyo lokuhamba.

Kuxhomekeke kuhlobo lomsebenzi owenzayo, akunakufuneka uthathe naliphi na ixesha emva kosuku lotyando. Unokwazi ukusebenzisa ikhibhodi phantse kwangoko. Ukuba umsebenzi wakho ubandakanya umsebenzi onzima, ungadinga ukungabikho emsebenzini ukuya kuthi ga kwiiveki ezimbini emva kotyando.

Nalu uluhlu lwexesha ngokubanzi ukuba ukubuyela kwimeko yesiqhelo kuya kuhlala ixesha elingakanani kwaye iya kubandakanya ntoni:

• Kuya kufuneka unxibe ibhandeji emnweni iintsuku ezine okanye ezintlanu kwaye kufuneka ugcine inxeba lomile.
• Umnwe wakho kunye nesundu kuya kuba buhlungu iintsuku ezimbalwa. Ungasebenzisa iipakethe zomkhenkce ukunciphisa iintlungu.

Ukunciphisa ukudumba, ugqirha wakho unokucebisa ukuba ugcine isandla sakho sinyuselwe ngaphezulu kwentliziyo yakho kangangoko kunokwenzeka.

• Ugqirha wakho wezandla unokucebisa ukuba ubone ugqirha wezandla okanye wenze imithambo ethile ekhaya.
• Uninzi lwabantu luziva lukwazi ukuqhuba kwisithuba seentsuku ezintlanu.
• Kunqande ezemidlalo iiveki ezimbini okanye ezintathu, de inxeba laphola kwaye unamandla okubambelela.

Kungathatha ukuya kwiinyanga ezintathu ukuya kwezintandathu ukuba ukudumba kokugqibela kuphele. Ukubuyisela kwimeko yesiqhelo kunokuba kufutshane ukuba ubukhe wakhululwa ecaleni. Ukubuyela kwimeko yesiqhelo kunokuba ngaphezulu ukuba ubuhlinzwa ngaphezulu komnwe omnye.

Ukusebenza

I-tendon sheath enqunyiwe ngexesha lotyando ikhula ibuye kunye ngokukhululekileyo ukuze ithenda inegumbi lokuhamba.

Ngamanye amaxesha abantu badinga utyando olungaphezulu kwesinye. Kodwa inwebu yomnwe wokuvula ingena kuphela malunga nabantu emva kotyando oluvulekileyo okanye ukukhutshwa ngasekhohlo. Ipesenti inokuba phezulu kubantu abanesifo seswekile. Abantu abanesifo seswekile kunokwenzeka ukuba babe nomnwe wokuvula ngaphezulu komnwe omnye nawo.

Iingxaki

Ukuhlinzwa ngomnwe kukhuselekile kakhulu. Iingxaki eziqhelekileyo kuninzi lotyando, njengosulelo, ukonzakala kwemithambo-luvo nokuphuma kwegazi, kunqabile kakhulu kolu hlobo lotyando.

Iingxaki ezithile ezibangela ukuba uqhaqho ngomnwe azinakufane zisebenze nogqirha ogqirha ngesandla oqinisekisiweyo onamava kwimicrosurgery kunye notyando lweplastiki. Bahamba kwaye bavavanya umnwe wakho ngexesha lotyando.

Ukuba kukho iingxaki, zinokubandakanya:

• umonakalo wemithambo-luvo
• umtya wesaphetha, xa kuninzi kakhulu esingxotyeni kunqunyulwa
• ukubangela okungapheliyo, xa isingxobo singakhululi ngokupheleleyo
• ulwandiso olungaphelelanga, xa isikhwama sihlala siqinile ngaphaya kwenxalenye ekhutshiweyo

Imbonakalo

Utyando luya kuyilungisa ingxaki ngethenda kunye nesheath, kwaye lubuyisele intshukumo epheleleyo yomnwe wakho okanye isithupha.

Abantu abanesifo seswekile okanye isifo samathambo banamathuba aphezulu okuphucula umnwe. Umnwe wokuchukumisa unokwenzeka kumnwe owahlukileyo okanye kwi-tendon.

Kwiimeko ezinzima, ugqirha usenokungakwazi ukolula umnwe.