I-Tenosynovitis

I-Tenosynovitis ukuvuvukala kolwelwesi lomgogodla oluzungeze ithenda (intambo ejoyina imisipha ithambo).

I-synovium iyindwangu yesikhumba esivikelayo esimboza imisipha. I-Tenosynovitis ukuvuvukala kwalesi sikhwama. Imbangela yokuvuvukala kungenzeka ingaziwa, noma ingahle ivele ku:

• Izifo ezibangela ukuvuvukala
• Ukutheleleka
• Ukulimala
• Ukusetshenziswa ngokweqile
• Ukucindezela

Izihlakala, izandla, amaqakala nezinyawo kuvame ukuthinteka ngoba imisipha mide kuwo wonke amalunga. Kepha, isimo singenzeka nganoma iyiphi i-tendon sheath.

Ukusikeka okunesifo ezandleni noma izihlakala ezibangela i-tenosynovitis esithathelwanayo kungaba yisimo esiphuthumayo esidinga ukuhlinzwa.

Izimpawu zingafaka noma yikuphi okulandelayo:

• Kunzima ukuhambisa ilunga
• Ukuvuvukala okuhlangene endaweni ethintekile
• Ubuhlungu nobumnene ezungeze ilunga
• Ubuhlungu lapho uhambisa ilunga
• Ububomvu ngokuhambisana nobude bethoni

Imfiva, ukuvuvukala nokubomvu kungabonisa ukutheleleka, ikakhulukazi uma ukubhoboza noma ukusika kubangele lezi zimpawu.

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba. Umhlinzeki angathinta noma elula ithenda. Ungacelwa ukuthi uhambise ilunga ukuze ubone ukuthi kubuhlungu yini.

Umgomo wokwelashwa ukunciphisa izinhlungu nokunciphisa ukuvuvukala. Ukuphumula noma ukugcina imisipha ethintekile kusabalulekile ekululameni.

Umhlinzeki wakho angaphakamisa okulandelayo:

• Usebenzisa isihlwathi noma isibopho esikhonkxwayo esisusekayo ukusiza ukugcina imisipha inganyakazi ukusiza ukuphulukiswa
• Ukufaka ukushisa noma ukubanda endaweni ethintekile ukusiza ukunciphisa ubuhlungu nokuvuvukala
• Imithi efana nezidakamizwa ezingezona ukuvuvukala (ama-NSAID) noma umjovo we-corticosteroid ukudambisa izinhlungu nokunciphisa ukuvuvukala
• Ezimweni ezingavamile, ukuhlinzwa ukususa ukuvuvukala okuzungeze ithenda

I-Tenosynovitis ebangelwa ukutheleleka idinga ukwelashwa ngokushesha. Umhlinzeki wakho uzokunikeza ama-antibiotic. Ezimweni ezimbi kakhulu, ukuhlinzwa okuphuthumayo kuyadingeka ukukhulula ubomvu ozungeze ithenda.

Buza umhlinzeki wakho mayelana nokuqinisa izivivinyo ongazenza ngemuva kokululama. Lokhu kungasiza ukuvimbela isimo ukuthi singabuyi.

Iningi labantu lilulama ngokuphelele ngemithi. Uma i-tenosynovitis ibangelwa ukusetshenziswa ngokweqile futhi umsebenzi ungamiswa, kungenzeka ubuye. Uma i-tendon yonakele, ukululama kungahle kuhambe kancane noma isimo singahlala singamahlalakhona (siqhubeka).

Uma i-tenosynovitis ingelashwa, i-tendon ingahle ivinjelwe unomphela noma ingadabula (ukuqhekeka). Ilunga elithintekile lingaba lukhuni.

Ukutheleleka kuthenda kungasakazeka, okungaba kubi kakhulu futhi kusongele isitho esithintekile.

Shayela i-aphoyintimenti nomhlinzeki wakho uma unezinhlungu noma unenkinga yokuqondisa ilunga noma isitho. Shayela khona manjalo uma ubona umugqa obomvu esandleni sakho, isihlakala, iqakala noma unyawo. Lokhu kuyisibonakaliso sokutheleleka.

Ukugwema ukunyakaza okuphindaphindwayo nokusetshenziswa ngokweqile kwamathenda kungasiza ekuvimbeleni i-tenosynovitis.

Ukuphakamisa noma ukunyakaza okufanele kunganciphisa okwenzekayo.

Sebenzisa izindlela ezifanele zokunakekelwa kwesilonda ukuhlanza ukusikeka esandleni, esihlakaleni, eqakaleni nasezinyaweni.

Ukuvuvukala komgogodla wethenda

UBiundo JJ. I-Bursitis, i-tendinitis, nezinye izifo ze-periarticular nemithi yezemidlalo. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 247.

I-Cannon DL. Ukutheleleka kwesandla. Ku: Azar FM, Beaty JH, Kanale ST, ama-eds. I-Operational Orthopedics yaseCampbell. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2017: isahluko 78.

UHogrefe C, uJones EM. I-tendinopathy kanye ne-bursitis. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 107.