Qalisa umunwe

I-Trigger finger ivela lapho umunwe noma isithupha sibhajwa endaweni egobile, kube sengathi ucindezela i-trigger. Lapho nje ingakafiki, umunwe uphuma uqonde ngqo, kuhle kwesikhombi.

Ezimweni ezinzima, umunwe awukwazi ukuqondiswa. Ukuhlinzwa kuyadingeka ukukulungisa.

Ama-tendon axhuma imisipha emathanjeni. Uma uqinisa imisipha, idonsa imisipha, futhi lokhu kubangela ukuthi ithambo lihambe.

Imisipha ehambisa umunwe wakho uslayida ngokusebenzisa i-tendon sheath (umhubhe) njengoba ugoba umunwe wakho.

• Uma umhubhe uvuvukale ube mncane, noma ithenda lineqhubu, ithenda alikwazi ukushelela ngokushelela kulo mhubhe.
• Uma ingakwazi ukushelela ngokushelela, ithenda lingabambeka lapho uzama ukuqondisa umunwe wakho.

Uma unomunwe wokuqalisa:

• Umunwe wakho uqinile noma ukhiya endaweni egobile.
• Unokuqhekeka noma ukuvela kabuhlungu lapho ugoba futhi uqondise umunwe wakho.
• Izimpawu zakho ziba zimbi kakhulu ekuseni.
• Une-bump yethenda ohlangothini lwesandla sakho phansi komunwe wakho.

Umunwe we-Trigger ungavela ezinganeni nakubantu abadala. Kuvame kakhulu kubantu abenza lokhu:

• Uneminyaka engaphezu kwengu-45 ubudala
• Bangabesifazane
• Unesifo sikashukela, isifo samathambo, noma i-gout
• Yenza umsebenzi noma imisebenzi edinga ukubanjwa ngesandla okuphindiwe

Umunwe we-Trigger utholakala ngomlando wezokwelapha kanye nokuhlolwa komzimba. I-Trigger finger ngokuvamile ayidingi ama-x-ray noma izivivinyo zelebhu. Ungaba nomunwe ongaphezu koyedwa futhi ungakhula ezandleni zombili.

Ezimweni ezimnene, inhloso ukunciphisa ukuvuvukala emhubheni.

Ukuphathwa kokuzinakekela ikakhulukazi kufaka:

• Ukuvumela umsipha ukuba uphumule. Umhlinzeki wakho wezokunakekelwa kwempilo angakucela ukuthi ugqoke isicucu. Noma, umhlinzeki angafaka umunwe wakho komunye weminye iminwe yakho (ebizwa ngokuthi yi-buddy taping).
• Ukufaka ukushisa neqhwa nokwelula nakho kungasiza.

Umhlinzeki wakho futhi angakunika isithombe somuthi obizwa nge-cortisone. Isibhamu singena emhubheni okudlula kuwo umsipha. Lokhu kungasiza ukunciphisa ukuvuvukala. Umhlinzeki wakho angazama ukudubula kwesibili uma eyokuqala ingasebenzi. Ngemuva komjovo, ungasebenza ekunyakazeni komunwe wakho ukuze ugweme ukuvuvukala kwethenda futhi.

Ungadinga ukuhlinzwa uma umunwe wakho ukhiyiwe endaweni egobile noma ungangcono ngenye indlela yokwelashwa. Ukuhlinzwa kwenziwa ngaphansi kwe-anesthesia yendawo noma i-nerve block. Lokhu kuvimbela ubuhlungu. Ungahle uvuke ngesikhathi sokuhlinzwa.

Ngesikhathi sokuhlinzwa udokotela wakho ohlinzayo uzo:

• Yenza ukusika okuncane esikhumbeni sakho ngezansi nje komhubhe (umgodla ohlanganisa ithenda) womunwe wakho we-trigger.
• Bese usika kancane emhubheni. Uma uvukile ngesikhathi sokuhlinzwa, ungacelwa ukuthi uhambise umunwe wakho.
• Vala isikhumba sakho ngemithungo bese ufaka ukucindezelwa noma ibhandishi eliqinile esandleni sakho.

Ngemuva kokuhlinzwa:

• Gcina ibhandishi amahora angama-48. Ngemuva kwalokho, ungasebenzisa ibhandishi elilula, njengeBand-Aid.
• Izitishi zakho zizosuswa ngemuva kwamasonto angaba ngu-2.
• Ungawusebenzisa umunwe wakho ngokujwayelekile uma usuphilile.

Uma ubona izimpawu zokutheleleka, shayela udokotela ohlinzayo ngokushesha. Izimpawu zokutheleleka zifaka:

• Ubomvu ekusikeni noma esandleni sakho
• Ukuvuvukala noma imfudumalo ekusikeni noma esandleni sakho
• Umsele ophuzi noma ohlaza okotshani osikiwe
• Ubuhlungu besandla noma ukungahambi kahle
• Imfiva

Uma umunwe wakho we-trigger ubuya, shayela udokotela wakho ohlinzayo. Ungadinga okunye ukuhlinzwa.

I-digital stenosing tenosynovitis; Qalisa idijithi; Qalisa ukukhishwa komunwe; Umunwe okhiyiwe; I-digital flexor tenosynovitis

I-Wainberg MC, iBengtson KA, iSiliva JK. Qalisa umunwe. Ku: Frontera, WR, Silver JK, Rizzo TD Jr, ama-eds. Okubalulekile Kwemithi Yomzimba Nokuvuselelwa. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2019: isahluko 37.

I-Wolfe SW. I-tendinopathy. Ku: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, Cohen MS, eds. Ukuhlinzwa Kwesandla SikaGreen. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2017: isahluko 56.

• Ukulimala Kweminwe Nokukhubazeka