Ongakulindela ku-Trigger Finger Surgery

-Delile

• Abaqokelwe kahle kulokhu kuhlinzwa
• Ukulungiselela kanjani ukuhlinzwa
• Inqubo
• Ukuhlinzwa okuvulekile
• Ukukhishwa ngamandla
• Ukubuyiselwa
• Ukusebenza
• Izinkinga
• Umbono

Ukubuka konke

Uma une-trigger finger, eyaziwa nangokuthi i-stenosing tenosynovitis, ujwayelene nobuhlungu bokuba nomunwe noma isithupha esibhajwe endaweni egobile. Kungalimaza ukuthi usebenzisa isandla sakho noma cha. Futhi, kukhona ukukhungatheka kokungakwazi ukwenza izinto ozifunayo, kusuka ekucofeni izingubo zakho ukuya ekuthumeleni imiyalezo kudlala isiginci, noma mhlawumbe udlale nomdlalo wevidiyo.

Ukuhlinzwa komunwe we-trigger kwenziwa ukukhulisa isikhala sethenda yakho ye-flexor yokuhamba. I-tendon yakho ye-flexor iyi-tendon eminwe yakho eyenziwe yasebenza yimisipha yakho ukudonsa amathambo omunwe. Lokho kuvumela umunwe wakho ukuba ugobe futhi uguquguquke. Ngemuva kokuhlinzwa, umunwe ungagoba futhi uqonde ngaphandle kobuhlungu.

Abaqokelwe kahle kulokhu kuhlinzwa

Udokotela wakho angancoma ukuhlinzwa uma uphilile futhi uzame ezinye izindlela zokwelashwa ngaphandle kwempumelelo, noma uma izimpawu zakho zinzima.

Imithi yokwelashwa ehlanganisa:

• ukuphumula isandla amasonto amathathu kuya kwamane ngokungenzi imisebenzi edinga ukunyakaza okuphindaphindwayo
• ukugqoka i-splint ebusuku kuze kube amasonto ayisithupha ukugcina umunwe othintekile uqonde ngenkathi ulele
• ukuthatha imishanguzo yokulwa nokuvuvukala kwama-counter-the-counter, kufaka phakathi ibuprofen (Advil, Motrin IB) noma naproxen (Aleve), ukunciphisa izinhlungu (yize kungeke kwehle ukuvuvukala)
• imijovo eyodwa noma emibili ye-steroid (glucocorticoid) eduzane noma emgodleni we-tendon ukunciphisa ukuvuvukala

Imijovo ye-steroid iyindlela yokwelashwa ejwayelekile kakhulu. Ziyasebenza kuze kufike kubantu abangenaso isifo sikashukela. Lokhu kwelashwa akusebenzi kangako kubantu abanesifo sikashukela kanye nomunwe wokuqalisa.

Udokotela wakho angancoma ukuhlinzwa ngokushesha uma unesifo sikashukela noma unezimpawu ezinzima, njenge:

• ukuvinjelwa kweminwe noma ukunyakaza kwesandla okukhathazayo noma okukhubazayo
• iminwe ebuhlungu, izithupha, izandla, noma izingalo zangaphambili
• ukwehluleka ukwenza imisebenzi yansuku zonke ngaphandle kokuthi kube nzima noma kube buhlungu, kufaka phakathi umsebenzi, izinto ozithandayo, noma imisebenzi oyithandayo
• uzizwe unamahloni noma uvalo ngokuba ne-trigger finger
• kukhula ngokuhamba kwesikhathi ukuze ulahle izinto, ube nenkinga yokukucosha, noma ungabambi lutho

Ukulungiselela kanjani ukuhlinzwa

Ngeke ukwazi ukudla ngosuku ozohlinzwa ngalo. Buza udokotela wakho ukuthi uzodinga isikhathi esingakanani ngaphambi kokuhlinzwa. Ngokuya ngasikhathi sini lapho ukuhlinzwa kwakho kuhlelelwe khona, kungadingeka ukuthi ube nesidlo sasebusuku ngobusuku bangaphambi kwalokho obekuvame ukwenziwa. Kufanele ukwazi ukuqhubeka nokuphuza amanzi njengokujwayelekile. Vele ugweme ukuphuza ezinye iziphuzo, njenge-soda, ijusi, noma ubisi.

Inqubo

Kunezinhlobo ezimbili zokuhlinzwa komunwe we-trigger: ukukhishwa okuvulekile nokwenziwa ngasikhathi sinye.

Ukuhlinzwa okuvulekile

Ungahle ukwazi ukuhlinzwa ngomunwe njengesifo sokugula. Lokho kusho ukuthi uzobe usegumbini lokuhlinzwa, kodwa akudingeki ukuba uhlale ubusuku esibhedlela. Ukuhlinzwa kufanele kuthathe kusuka emizuzwini embalwa kuye kwengxenye yehora. Ngemuva kwalokho ungaya ekhaya.

Udokotela wakho ohlinzayo uqale akunikeze ukuthambisa okuncane ngomugqa we-intravenous (IV) ukukusiza uphumule. I-IV inesikhwama semithi ewuketshezi egelezela kubhubhu nangaphakathi kwenaliti engalweni.

Udokotela wakho ohlinzayo uyindikindiza indawo ngokujova izinzwa zendawo esandleni sakho. Ngemuva kwalokho basika cishe ukusikeka okungu-1/2-intshi entendeni yesandla sakho, ngokuhambisana nomunwe noma isithupha esithintekile. Okulandelayo, udokotela ohlinzayo usika umgogodla wethenda. Umgodla ungaphazamisa ukunyakaza uma kukhulu kakhulu. Udokotela unyakazisa umunwe wakho ukuze abheke ukuthi ukunyakaza kubushelelezi yini. Ekugcineni, uthola iziqu ezithile ukuvala ukusika okuncane.

Ukukhishwa ngamandla

Le nqubo ijwayele ukwenzelwa iminwe ephakathi neyendandatho. Ungase wenze le nqubo yenziwe ehhovisi likadokotela wakho.

Udokotela wakho undikindiki intende yesandla sakho, bese ufaka inaliti eqinile esikhunjeni esiseduze kwethenda yakho ethintekile. Udokotela unyakazisa inaliti nomunwe wakho ukuhlukanisa indawo evinjiwe. Kwesinye isikhathi odokotela basebenzisa i-ultrasound ukuze bakwazi ukubona ngokuqinisekile ukuthi ichopho lenaliti livula umsipha wemisipha.

Akukho ukusika noma ukusika.

Ukubuyiselwa

Cishe uzokwazi ukuhambisa umunwe othintekile ngosuku lokuhlinzwa ngokushesha lapho ubuntofontofo sebuphelile. Abantu abaningi bangakwazi. Kufanele ube nebanga eligcwele lokunyakaza.

Ngokuya ngohlobo lomsebenzi owenzayo, kungenzeka ungadingi ukuthatha isikhathi sokuphumula ngemuva kosuku lokuhlinzwa. Ungahle ukwazi ukusebenzisa ikhibhodi cishe ngokushesha. Uma umsebenzi wakho ubandakanya umsebenzi onzima, kungadingeka ukuthi ungabikho emsebenzini kuze kube amasonto amabili ngemuva kokuhlinzwa.

Nawu umugqa wesikhathi ojwayelekile wokuthi ukutakula kwakho kuzohlala isikhathi esingakanani nokuthi kuzofaka ini:

• Cishe uzogqoka ibhandishi emunwe izinsuku ezine noma ezinhlanu futhi udinga ukugcina isilonda somile.
• Umunwe wakho nesundu sakho kuzoba buhlungu izinsuku ezimbalwa. Ungasebenzisa amaphakethe e-ice ukudambisa izinhlungu.

Ukunciphisa ukuvuvukala, udokotela wakho angasikisela ukuthi ugcine isandla sakho siphakamiswe ngaphezu kwenhliziyo yakho ngangokunokwenzeka.

• Udokotela wakho ohlinzayo angakutusa ukuthi ubone owelapha ngesandla noma wenze izivivinyo ezithile ekhaya.
• Iningi labantu lizizwa likwazi ukushayela zingakapheli izinsuku ezinhlanu.
• Gwema ezemidlalo amasonto amabili noma amathathu, kuze kube yilapho isilonda siphola futhi unamandla okubamba.

Kungathatha izinyanga ezintathu kuya kweziyisithupha ukuphela kokuvuvukala nokuqina. Ukubuyiselwa emuva kungaba kufushane uma ngabe ukhishwe ngasikhathi sinye. Ukubuyiselwa emuva kungaba isikhathi eside uma ngabe uhlinzwe ngaphezu komunwe owodwa.

Ukusebenza

I-tendon sheath enqunyiwe ngesikhathi sokuhlinzwa ikhula ibuye ihlangane ngokukhululeka ngakho-ke ithenda inendawo ethe xaxa yokuhamba.

Kwesinye isikhathi abantu badinga ukuhlinzwa okungaphezu kokukodwa. Kepha inhlamvu yomunwe ibuyela kuphela kubantu abangaba ngemuva kokuhlinzwa okuvulekile noma ukukhishwa okuzenzakalelayo. Leli phesenti kungenzeka liphakeme kubantu abanesifo sikashukela. Abantu abanesifo sikashukela banamathuba amaningi okuthi baqale umunwe eminweni engaphezu kweyodwa futhi.

Izinkinga

Ukuhlinzwa ngomunwe kwe-Trigger kuphephe kakhulu. Izinkinga ezijwayelekile ekuhlinzweni okuningi, njengokutheleleka, ukulimala kwezinzwa, nokopha, akuvamile kakhulu kulolu hlobo lokuhlinzwa.

Izinkinga ezikhethekile zokubangela ukuhlinzwa ngomunwe mancane amathuba okuthi uma usebenza nodokotela ohlinzayo wesandla oqinisekisiwe onolwazi nge-microsurgery kanye neplastiki. Bahambisa futhi bahlole umunwe wakho ngesikhathi sokuhlinzwa.

Uma kwenzeka izinkinga, zingafaka:

• ukulimala kwemizwa
• izintambo, lapho umgogodla omningi unqunyiwe
• ukuvusa okuphikelelayo, lapho umgodla ungakhiphi ngokuphelele
• ukunwetshwa okungaphelele, lapho umgogodla uhlala uqinile ngale kwengxenye ekhishiwe

Umbono

Ukuhlinzwa kungenzeka kulungise inkinga nge-tendon and sheath, futhi kubuyise ukunyakaza okugcwele komunwe wakho noma isithupha.

Abantu abanesifo sikashukela noma i-rheumatoid arthritis banethuba eliphakeme lokukhulisa umunwe. Umunwe we-Trigger ungenzeka kumunwe ohlukile noma kuthenda.

Ezimweni ezinzima, udokotela ohlinzayo kungenzeka angakwazi ukuqondisa umunwe.