I-styloid stenosis tenosynovitiitis ingumntu oxhokonxayo obangelwe yi-Abductor Policis Louss kunye ne-Golns Solus Brevisis Shevical Sheatis kwinkqubo ye-Dorpal Cartloid kwi-Dorpal Sheatid yenkqubo ye-dorsal. Iimpawu ziya zisiba mandundu ngesandiso songezelelo kunye nophando. Esi sifo saxelwa kuqala ngugqirha weSwitzerland De Quervain ngo-1895, ke i-radial stenosid stenosis ikwanesifo i-tenosynovitis ikwabizwa ngokuba sisifo se-veriervitis.
Esi sifo sixhaphakile kubantu ababandakanyeka kwimisebenzi ye-Wrist kunye nePalmar iminwe, kwaye ukwabizwa ngokuba "yisandla sikaMama" kunye "nomnwe". Ngophuhliso lwe-Intanethi, inani labantu abachaphazeleka sisifo liyanda nangaphantsi. Ke indlela yokufumanisa isifo kunye nokunyanga esi sifo? Oku kulandelayo kuya kukunika intshayelelo emfutshane evela kwimiba emithathu: Ulwakhiwo lwe-Anatomical, iindlela zokuxilongwa kunye neendlela zonyango!
I.asotomy
Inkqubo ye-styloid yerediyo ine-sulcus emxinwa, engcolileyo egqunywe yi-dorpal ligament ye-carsal ye-dorpal eyenza i-bony ye-bony. I-Atchtor Policis Loreson kunye ne-Olsns Pollicis Brevicis Tessica Prondon ye-Sheacarpal Bone kunye nesiseko se-proximal phalanx yesithupha, ngokulandelelana (umzobo 1). Xa isilayidi se-tendon, kukho amandla amakhulu embambano, ngakumbi xa i-Wrist Ristraist okanye intshukumo yesithupha, i-engile ye-Sumb, inyuka i-facle, yandisa ukungqubana phakathi kwe-tendon kunye nodonga lwama-sheath. Emva kwethuba elide aphindaphindayo, i-synovium inikezela ngotshintsho olunje nge-Edema kunye ne-hyperplasia, ibangela ukuthamba, i-DeperPuking, i-Dession okanye i-Shesion okanye i-Sheaball yemboniselo ye-Tenosynovitis.
Umzobo we-Aatomical yenkqubo ye-starloid yerediyo
II.CLIINICATION
1. Imbali yezonyango ixhaphakile kwi-Aged-Dead, Abasebenzi, kwaye baxhaphake kakhulu kwabasetyhini; I-OTT icotha, kodwa iimpawu zinokwenzeka ngequbuliso.
2.ssing: Intlungu yasekhaya kwinkqubo ye-styloid yerediyo, enokuphakamisa isandla kunye nobuthathaka besithupha, ukuqulunqwa kwesithupha xa isithupha se-rust rabrearition; I-nodues ezinobungozi zinokuba yi-palfash kwinkqubo ye-styloid yerediyo, ifana ne-blony ebyner, ngetayitile ephawuliweyo.
3.Uvavanyo lukaFenkelstein (okt, uvavanyo lwe-Ust Unit Unit) lilungile (njengoko kubonisiwe kumzobo 2), isithukuthezi sitshisiwe kwaye sibanjiwe kwi-ilnar, kwaye iintlungu kwindawo ye-radius ye-radius ikhule.
4.Umviwo oncedileyo: I-X-ray okanye imibala uviwo lwe-ultrasound inokwenziwa ukuba kukho imfuneko yokuqinisekisa ukuba i-bone engaqhelekanga okanye i-synovitis. Isikhokelo sonyango oluninzi lwe-stanoid stenoviti le-tenosynoviti le-radius ukuba ezinye iimviwo ze-radicimial nerve ye-radial ye-radial, kunye ne-Sull Prondrome ngexesha lokuxilongwa.
III.I
Unyango lwe-corervative plapylocal canopybocial playsenses: Kwinqanaba lokuqala, izigulana zinokusebenzisa i-race yokulungisa ngaphandle kokunciphisa imilenze echaphazelekayo ukunciphisa imisebenzi yasekhaya kwaye inciphise i-tendon kwi-shendon yokufezekisa injongo yonyango. Nangona kunjalo, ukungaqiniseki kungangaqiniseki ukuba ilungu elichaphazelekayo likhona, kwaye ingenamsebenzi ixesha elide kunokubangela ukungaphumisi ixesha elide. Nangona i-All All All All AMALUNGISELELO isetyenziswa ngokomsebenzi weklinikhi, ukusebenza kakuhle konyango kuhlala kuyimpikiswano.
Unyango lwe-Accicy yaseKhaya: Njengonyango olukhethileyo lolondolozo lonyango lwekliniki, unyango lwendawo ekuhlaleni lubhekisa kwinaliti ye-Inrathecal kwindawo yentlungu yendawo yokufezekisa injongo ye-anti-inframatory. Unyango olwenziwe kwangaphambili lunokufaka amachiza kwindawo ebuhlungu, i-Sheath Sheath Sheath, i-nerve trunk kunye nezinye izinto, ezinokunciphisa i-spasm ngexesha elifutshane, kwaye zinciphise eyona ndima ibalaseleyo kunyango lwezilonda zalapha ekhaya. Unyango lwe-UN lubandakanya ikakhulu i-triamcinone Acetonide kunye ne-lidocaine hydrochloride. Inaliti ye-sodium ingekwaziswa. Nangona kunjalo, iihomoni zinokuba neengxaki ezinjengeentlungu zenaliti, i-pital yolusu yasekhaya, i-tishu yasekhaya ye-atrophy, i-ratial ratial radial yethambo, kunye negazi legazi. Eyona nto iphambili kuyo ihormone allergy, ukukhulelwa kunye nokuncancisa izigulana. I-Sodium Hyuminate inokubakhusele kwaye ingathintela ukunqongophala kwe-adhessions ejikeleze i-tendon nokukhuthaza ukuphilisa i-tendon. Iziphumo zeklinikhi yonyango olucacileyo lucacile, kodwa kukho iingxelo zeklinikhi ye-necrosis yomnwe ebangelwe yinaliti engafanelekanga yasekhaya (umzobo 3).
Umzobo
Amanyathelo okhuseleko kunyango olwenzekayo kunyango lwe-radius stenosis tenosynovitis: 2) ukungasebenzi okufanelekileyo kwelungu elichaphazelekayo kukuphepha ukuzibhokoxa ngaphambi kwexesha; 3) Emva kwe-hormone ye-hormone ye-hormone, kukho amaqondo ahlukeneyo eentlungu, ukudumba, kunye nokufumana iintlungu ezi-2, kwaye i-bispasmodic kunye ne-anticoulmor kunye ne-anticouldusmont kunye ne-anticouldulant yenziwa ukuba igcinwe ngokukhawuleza, ukuze ingalibazisi imeko; 4) Ukuphathwa gadalala kweHormonal efana ne-hyperterension, iswekile, isifo sentliziyo, njl njl.
I-Shockwave: Ngaba unyango olulondolozo, olungahlambulukiyo olunethuba lokuvelisa amandla ngaphandle komzimba kunye nokuvelisa iziphumo kwiindawo ezingaphantsi komzimba ngaphakathi komzimba. Inefuthe lokukhuthaza imetabolism, ukomeleza igazi kunye ne-lymmit, ukuphucula i-tissition ye-tissue, i-Dreding Chitillaries, kunye nokukhulula amanye amabinzana athambileyo. Nangona kunjalo, yaqala kade kunyango lwe-stanosis stenoviti yerediyo, kwaye iingxelo zayo zophando zimbalwa, kwaye izifundo ezilawulwa ngokungacwangciswanga zisafuna ukubonelela nge-stenosyfovitis yesifo se-stenovitis yerediyo.
Unyango lwe-Acupuncture: Unyango oluncinci lwe-Acupuncturety yindlela ekhoyo yokukhupha phakathi konyango lwe-rogical kunye nonyango lwe-rocil, kwaye ukujikeleza kwegazi kuyakhutshwa ngokucokisekileyo, kwaye ukunciphisa imbambano, kwaye Ukufezekisa injongo yokuchasana nokuvuvukala kunye ne-analgesic.
Amayeza e-China eTshayina: i-radial stenoid stenosis tenosynovitis yeyodidi lwe "Deraly Syndrome" kwiyeza lelizwe, kwaye esi sifo sisekwe ekunikezelweni nakumgangatho. Ngenxa yomsebenzi wexesha elide wodibaniso lwexesha elininzi, uxinzelelo olugqithisileyo, olukhokelela kwi-QI kunye nokusilela kwegazi, oku kubizwa ngokuba kukusilela kwasekuqaleni; Ngenxa ye-QI kunye nokusilela kwegazi, izihlunu kunye neziqhulo zilahlekile ukondliwa kwezenzi, kwaye i-spasm ye-qi kunye negazi ibaluleke kakhulu, ngoko ke ifunyenwe ukuba intlungu ye-wirsist ye-Wrist kwaye I-Metacarpoantpophalalpophalangel yeMetacalpophalal ikhuliswe ekliniki, enomgangatho. Yayifunyanwa ngonyango engonyango lokunyanga, unyango lwe-massage, unyango lwangaphandle lwamayeza e-China kunye nonyango lwe-acupuncture luneziphumo ezithile zekliniki.
Unyango lwe-sugol Ilungele izigulana ezikwi-tenosynovitis ephindaphindiweyo ye-radius stenosis, ebingasebenzi emva kokuba ucalucalulo lwasekhaya kunye nolunye unyango olulondolozayo, kwaye iimpawu zinzima. Ingakumbi kwizigulana ezine-Stenotic Advanced Tenosynovitis, inciphisa iintlungu eziqatha kwaye iyothusa.
Qhoboshela utyando oluvulekileyo: Eyona ndlela iqhelekileyo yokuhlaselwa kwendlela kukwenza i-thengocle yethenda, chaza i-tendon yokuqala ye-dorch, kwaye ukhulule i-sheon sheon, kwaye ukhulule i-sheons ukuze i-shendon sheath. Thambisa utyando oluphosakeleyo ukufezekisa, kodwa luphathelele uthotho lwemingcipheko yoNyango efana nosulelo, kwaye ngenxa yokususwa ngqo kwebhendi yenkxaso ngqo ngexesha lotyando, i-tendon disving kunye nethambo le-roidve kunye nethambo lemitha.
I-1st Septolysis: Le ndlela yotywala ayikayiki i-shendon ye-teation, kodwa isusa i-cyst ye-ganglion ifunyenwe kwi-1st ye-Toptor Poptum okanye inciphisa i-septum ye-Opticis Brevisis i-Dopvis ye-DoRSons. Le ndlela iyafana nokwalathisa utyando oluvulekileyo, olona hluko omkhulu kukuba emva kokusika ibhendi yenkxaso, i-steon sheath ikhutshiwe kwaye i-sheon sheicked sheicked sheath. Nangona i-thendon of thendon isenokubakho kule ndlela, ikhusela i-Domal 1 yoKhuseleko lwe-Dorsal Septum kwaye inesithuba esiphezulu sexesha elide sozinzo lwe-tendon. Ukungancediki kwale ndlela kungenxa yenyani yokuba i-shendon ye-sheation ene-tendoti eqingqiweyo ayisuswanga, kwaye i-sheon ye-steon ebisiweyo isenokuba yi-flomolmatory, i-Edema, kunye nefonti ye-tendon iya kukhokelela ekuphindaphindisweni kwesi sifo.
I-ASTRTRASSCOPCIC ye-OSTRASCOPIC ye-Osthroscopic i-Osteofic Daction ye-Osthroscopic ye-Osthroscopic: I-Arthroscopic iyoncedo elingaphantsi koxinzelelo, umjikelo omfutshane, ukhuseleko oluphezulu, kwaye i-therns enkulu ingeyonyani, kwaye akuyi kubakho i-tendon. Nangona kunjalo, kusekho impikiswano, kwaye abanye abaphengululi bakholelwa ukuba utyando lwe-arthroscopic babiza kakhulu kwaye bachitha ixesha, kunye nezibonelelo zalo malunga nokuhlikizwa ngokubonakalayo. Ke ngoko, unyango lwe-arthroscopic ngokubanzi alukhethwanga sisininzi soogqirha kunye nezigulana.
IXESHA LOKUQALA: I-OCT-29 ukuya kwi-2924
