Qalisa Umunwe

-Delile

• Ziyini izimpawu zomunwe wokuqalisa?
• Yini ebangela i-trigger finger?
• Ngubani osengozini yokuthola umunwe?
• Uhlonza kanjani umunwe we-trigger?
• Uphathwa kanjani umunwe we-trigger?
• Ukwelashwa kwasekhaya
• Imithi
• Ukuhlinzwa
• Uyini umbono wabantu abane-trigger finger?

Kuyini inhlamvu yomunwe?

Umunwe we-Trigger wenzeka ngenxa yokuvuvukala kwemisipha eguqula iminwe yakho, kubangele ukuthamba komunwe nobuhlungu. Isimo sikhawulela ukunyakaza komunwe wakho futhi singenza kube nzima ukuqondisa nokugoba umunwe wakho.

Ziyini izimpawu zomunwe wokuqalisa?

Izimpawu zokuqala ezijwayelekile zifaka:

• ukukhathazeka okuqhubekayo esizindeni sesithupha sakho noma komunye umunwe
• iqhubu noma isigaxa esizungeze isisekelo somunwe wakho eduze kwesundu
• ubumnene bezungeza isisekelo somunwe wakho
• umsindo wokuchofoza noma wokuqhafaza ngokunyakaza
• ukuqina emunweni wakho

Uma ungakutholi ukwelashwa ngakho, inhlamvu yomunwe ingathuthuka. Izimpawu ezithuthukisiwe zifaka isithupha, omunye umunwe, noma zombili zivaliwe endaweni egobile noma eqondile. Ungahle ungakwazi ukuvula umunwe wakho ngaphandle kokusebenzisa esinye isandla uma unecala eliphambili lomunwe wokuqalisa.

Izimpawu zomunwe we-trigger zivame ukuba zimbi kakhulu ekuseni. Umunwe uvame ukuqala ukukhululeka futhi uhambe kalula njengoba usuku luqhubeka.

Yini ebangela i-trigger finger?

Iminwe yakho inamathambo amancane ambalwa. AmaTendon axhumanisa la mathambo nemisipha. Lapho imisipha yakho iqina noma iqinisa, imisipha yakho idonsela emathanjeni akho ukuhambisa iminwe yakho.

Ama-tendon amade, abizwa ngokuthi ama-flexor tendon, asuka engalweni yakho aye emisipheni nasemathanjeni asezandleni zakho. Imisipha ye-Flexor ishibilika nge-flexor tendon sheath, efana nomhubhe wethenda. Uma umhubhe uncipha, umsipha wakho awukwazi ukuhamba kalula. Yilokhu okwenzeka ku-trigger finger.

Lapho ithenda ishibilika emgodleni omncane, iyacasuka futhi iyavuvukala. Ukunyakaza kuba nzima kakhulu. Ukuvuvukala kungadala i-bump ukukhula, okuvimba kakhulu ukunyakaza. Lokhu kuholela ekutheni umunwe wakho uhlale endaweni egobile. Kuba nzima ngokwedlulele ukuqondisa.

Ngubani osengozini yokuthola umunwe?

Abanye abantu banamathuba amaningi okuba nomunwe wokuqalisa kunabanye. Isibonelo, ngokusho kweMayo Clinic, kuvame kakhulu kwabesifazane kunabesilisa.

Ezinye izinto ezinobungozi ezihambisana nomunwe we-trigger zifaka:

• ngiphakathi kweminyaka engama-40 nengama-60
• ukuba nesifo sikashukela
• ukuba ne-hypothyroidism
• ukuba nesifo samathambo
• ukuba nesifo sofuba
• ukwenza imisebenzi ephindaphindwayo engacindezela isandla sakho, njengokudlala insimbi yomculo

Ngokusho komtholampilo waseCleveland, i-trigger finger ithinta kakhulu abaculi, abalimi kanye nabasebenza ezimbonini.

Uhlonza kanjani umunwe we-trigger?

Udokotela uvame ukuxilonga umunwe we-trigger ngokuhlolwa komzimba kanye neminye imibuzo elula ngomlando wakho wezokwelapha.

Udokotela wakho uzolalela ngokuchofoza okunyakazayo lapho unyakaza. Bazofuna umunwe ogobile. Bangakubuka futhi uvula futhi uvale isandla sakho. Ukuxilongwa ngokuvamile ngeke kudinge i-X-ray noma okunye ukuhlolwa kwe-imaging.

Uphathwa kanjani umunwe we-trigger?

Ukwelashwa kwasekhaya

Ukwelashwa kuncike ebukhulwini bezimpawu. Ukwelashwa kwasekhaya kufaka:

• ukuthatha ikhefu emisebenzini ephindaphindwayo amasonto amane kuya kwayisithupha
• ukugqoka izicathulo ezihlanganiswe ngensimbi noma ngeplangwe zokuqondisa izinyawo ezibhekene zezingqinamba noma umkhawulo ukuze uvimbele ukunyakaza bese uphumuza isandla
• ukufaka ukushisa noma iqhwa ukunciphisa ukuvuvukala
• ukubeka isandla sakho emanzini afudumele izikhathi eziningana kulo lonke usuku ukukhulula imisipha nemisipha
• elula iminwe yakho ukuze uthuthukise ukuhamba kwayo

Imithi

Imithi ingasiza ekunciphiseni ukuvuvukala. Imithi elwa nokuvuvukala ifaka phakathi:

• ibuprofen (Advil)
• i-naproxen (Aleve)
• imishanguzo kadokotela yokulwa nokuvuvukala
• imijovo ye-steroid

Ukuhlinzwa

Uma imithi nokwelashwa kwasekhaya kungasebenzi, udokotela wakho angancoma ukuhlinzwa. Odokotela abahlinzayo benza ukuhlinzwa ngomunwe we-trigger kumuntu olaliswa ngaphandle. Ngemuva kokuthola ukudutshulwa kwe-anesthesia, udokotela wakho ohlinzayo usika kancane entendeni yesandla bese esika umsipha wethoni oqinisiwe.

Njengoba umgogodla wethenda uphulukisa, indawo ikhululekile, isiza umunwe wakho ukuthi uhambe kalula. Izingozi zokuhlinzwa zifaka ukutheleleka noma imiphumela yokuhlinzwa engasebenzi.

Ukubuyiselwa kokuhlinzwa kungathatha amasonto ambalwa kuye ezinyangeni eziyisithupha. Udokotela wakho angancoma izivivinyo zokwelapha ngokomzimba ukukhulula ukuqina kwangemva kokuhlinzwa. Njengomthetho ojwayelekile, uma udokotela esekhiphe i-tendon sheath, i-tendon ingahamba ngokukhululeka.

Kufanele ukwazi ukubuyela emisebenzini yakho ejwayelekile ezinsukwini ezimbalwa. Udokotela wakho uzosusa ama-suture ezinsukwini ezingu-7 kuya kwezingu-14.

Uyini umbono wabantu abane-trigger finger?

Izinguquko zokuphila nokugwema imisebenzi ethile imvamisa kuyindlela yokwelapha esebenzayo yomunwe wokuqalisa.

Ukwelashwa kwe-Corticosteroid nakho kungasebenza, kepha izimpawu zingabuya ngemuva kwalokhu kwelashwa.

Ngokuya ngocwaningo olushicilelwe ku, abacwaningi bathole ukuthi izimpawu zibuyile ngamaphesenti angama-56 wamadijithi athintekile ezinyangeni eziyi-12 ngemuva kokuthi ababambiqhaza bathole ukwelashwa ngomjovo we-corticosteroid.

Lezi zimpawu zivame ukubuya izinyanga ezimbalwa ngemuva kokuthola isibhamu. Kodwa-ke, umjovo uyashesha futhi ulula. Kungakuvumela ukuthi ukubambezele ukuhlinzwa kuze kube yisikhathi esivumelana ngokwengeziwe.

Abaphenyi kulolu cwaningo baphinde bathola ukuthi ababambiqhaza abanesifo sikashukela esincike ku-insulin, nabo ababebancane futhi abaneminwe eminingana yezimpawu, babenamathuba amaningi okuthi zibuye izimpawu.