Ciwon stenosis na Styloid tenosynovitis kumburi ne na aseptic wanda ke faruwa sakamakon ciwo da kumburin jijiyoyin da ke ɗauke da cutar azzakari da kuma jijiyoyin da ke fitowa daga ƙashin baya a lokacin aikin radial styloid. Alamomin suna ƙara ta'azzara ne idan aka ɗaga babban yatsa da kuma karkacewar calimor. Likitan Switzerland de Quervain ne ya fara bayar da rahoton cutar a shekarar 1895, don haka radial styloid stenosis tenosynovitis kuma ana kiransa da cutar de Quervain.
Cutar ta fi yawa a cikin mutanen da ke yawan yin ayyukan hannu da yatsun hannu, kuma ana kiranta da "hannun uwa" da "yatsa wasa". Tare da haɓaka Intanet, adadin mutanen da cutar ta shafa yana ƙaruwa da ƙanana. To ta yaya ake gano cutar da kuma magance ta? Ga wasu bayanai masu zuwa: tsarin jikin mutum, ganewar asibiti da hanyoyin magani!
I. Ilimin Halittar Jiki
Tsarin styloid na radius yana da kunkuntar sulcus mai zurfi wanda aka rufe da jijiyar carpal ta baya wanda ke samar da murfin ƙashi mai kama da fibrous. Jijiya mai kama da pollicis longus da kuma extensor pollicis brevis tendon suna ratsa wannan murfin kuma suna naɗewa a kusurwa kuma suna ƙarewa a ƙasan ƙashin metacarpal na farko da kuma tushen phalanx na gaba na babban yatsa, bi da bi (Hoto na 1). Lokacin da jijiya ta zame, akwai babban ƙarfin gogayya, musamman lokacin da wuyan hannu ya karkace ko motsi na babban yatsa, kusurwar naɗewa tana ƙaruwa, tana ƙara gogayya tsakanin jijiya da bangon sheath. Bayan motsa jiki na dogon lokaci mai maimaitawa, synovium yana gabatar da canje-canje masu kumburi kamar kumburi da hyperplasia, yana haifar da kauri, mannewa ko ƙuntatawa na jijiya da bangon sheath, wanda ke haifar da bayyanar stenosis tenosynovitis.
Hoto na 1. Zane-zanen jiki na tsarin styloid na radius
II. Ganewar Asibiti
1. Tarihin rashin lafiya ya fi yawa a cikin tsofaffi, masu aikin hannu, kuma ya fi yawa a cikin mata; Farawa yana da jinkiri, amma alamun na iya faruwa ba zato ba tsammani.
2. Alamomi: ciwon da ke faruwa a cikin tsarin radius na styloid, wanda zai iya haskakawa zuwa hannu da hannu, raunin babban yatsa, ƙarancin faɗaɗa babban yatsa, ƙarar alamun lokacin faɗaɗa babban yatsa da karkacewar wuyan hannu; Ƙwayoyin da za a iya gani a cikin tsarin radius na styloid, suna kama da babban ƙashi, tare da taushi mai yawa.
3.Gwajin Finkelstein (watau, gwajin karkacewar fist ulnar) ya nuna cewa yana da kyau (kamar yadda aka nuna a Hoto na 2), an lanƙwasa babban yatsan kuma an riƙe shi a tafin hannu, wuyan hannu na ulnar ya karkace, kuma ciwon da ke faruwa a tsarin radius styloid yana ƙaruwa.
4. Gwaji na Ƙarin Bayani: Ana iya yin gwajin X-ray ko na'urar duban dan tayi idan ya cancanta don tabbatar da ko akwai matsalar ƙashi ko kuma synovitis. Jagororin Maganin Ciwon Stenosis na Styloid Tenosynovitis na Radius Lura cewa ana buƙatar wasu gwaje-gwaje na jiki don bambance tsakanin osteoarthritis, matsalolin reshen jijiyar radial, da kuma ciwon haɗin gwiwa a lokacin ganewar asali.
III. Magani
Maganin kiyayewa na gida Maganin hana motsi: A farkon matakin, marasa lafiya za su iya amfani da takalmin gyaran kafa na waje don hana motsi na gaɓoɓin da abin ya shafa don rage ayyukan gida da kuma rage gogayya na jijiyar a cikin murfin jijiyar don cimma burin magani. Duk da haka, hana motsi ba zai iya tabbatar da cewa gaɓoɓin da abin ya shafa yana wurin ba, kuma tsawaita lokacin hana motsi na iya haifar da taurin motsi na dogon lokaci. Duk da cewa ana amfani da wasu jiyya da aka taimaka wa hana motsi a aikin asibiti, ingancin magani har yanzu yana da ce-ce-ku-ce.
Maganin toshewar gida: A matsayin maganin da aka fi so don maganin asibiti, maganin toshewar gida yana nufin allurar ciki a wurin ciwon gida don cimma manufar maganin kumburi na gida. Maganin toshewar gida na iya allurar magunguna a yankin da ke da zafi, jakar haɗin gwiwa, gangar jijiya da sauran sassa, waɗanda zasu iya rage kumburi da rage zafi da rage spasms cikin ɗan gajeren lokaci, kuma suna taka muhimmiyar rawa wajen magance raunuka na gida. Maganin ya ƙunshi galibin triamcinolone acetonide da lidocaine hydrochloride. Haka kuma ana iya amfani da allurar sodium hyaluronate. Duk da haka, hormones na iya samun rikitarwa kamar ciwon bayan allura, launin fata na gida, lalacewar nama na ƙasa, raunin jijiyar radial mai alama, da hauhawar glucose na jini. Babban abubuwan da ke hana amfani da su sune rashin lafiyar hormones, marasa lafiya masu juna biyu da masu shayarwa. Sodium hyaluronate na iya zama mafi aminci kuma yana iya hana tabon mannewa a kusa da jijiya da kuma inganta warkar da jijiya. Tasirin maganin toshewar gida a bayyane yake, amma akwai rahotannin asibiti na necrosis na yatsa wanda allurar gida ba ta dace ba ta haifar (Hoto na 3).
Hoto na 3 Rufewar wani ɓangare yana haifar da toshewar yatsun hannu na yatsun hannu: A. Fatar hannu tana da santsi, kuma B, C. Tsakiyar ɓangaren yatsan yana da nisa, kuma yatsun hannu suna da santsi.
Gargaɗi game da maganin rufewa wajen maganin radius styloid stenosis tenosynovitis: 1) Matsayin da aka ɗauka daidai ne, kuma dole ne a cire sirinji kafin a yi allurar don tabbatar da cewa allurar allurar ba ta shiga cikin jijiyoyin jini ba; 2) Daidaita motsi na gaɓɓan da abin ya shafa don guje wa yin aiki da wuri; 3) Bayan allurar toshewar hormones, sau da yawa akwai nau'ikan ciwo daban-daban, kumburi, har ma da tsananta zafi, galibi suna ɓacewa cikin kwana 2-3, idan ciwon yatsu da fatar jiki suka bayyana, ya kamata a yi maganin hana spasmodic da anticoagulant da sauri, kuma a yi angiography don a gano cutar sosai idan zai yiwu, kuma a gudanar da binciken jijiyoyin jini da wuri-wuri idan ya cancanta, don kada a jinkirta yanayin; 4) Bai kamata a yi amfani da magungunan hana hormonal kamar hawan jini, ciwon suga, cututtukan zuciya, da sauransu ba tare da toshewar gida.
Shockwave: magani ne mai ra'ayin mazan jiya, wanda ba ya cutar da jiki, wanda ke da fa'idar samar da kuzari a wajen jiki da kuma samar da sakamako a wuraren da aka yi niyya a cikin jiki ba tare da lalata kyallen da ke kewaye ba. Yana da tasirin inganta metabolism, ƙarfafa jini da zagayawar jini, inganta abinci mai gina jiki na nama, cire toshewar capillaries, da kuma sassauta mannewar kyallen gaɓoɓi. Duk da haka, ya fara ne a ƙarshen maganin styloid stenosis tenosynovitis na radius, kuma rahotannin bincikensa ba su da yawa, kuma ana buƙatar manyan bincike da aka sarrafa bazuwar don samar da ƙarin shaidar likita don haɓaka amfani da shi wajen magance cutar styloid stenosis tenosynovitis na radius.
Maganin acupuncture: ƙaramin maganin acupuncture hanya ce ta sakin jiki tsakanin maganin tiyata da kuma maganin da ba na tiyata ba, ta hanyar goge raunukan da ke wurin, ana sakin mannewar, kuma toshewar jijiyoyi na jijiyoyin jini yana samun sauƙi sosai, kuma ana inganta zagayawar jini na kyallen da ke kewaye ta hanyar motsa jiki mai kyau na acupuncture, rage fitar da kumburi, da kuma cimma manufar hana kumburi da rage zafi.
Maganin gargajiya na kasar Sin: Ciwon jijiyar radial styloid tenosynovitis yana cikin rukunin "ciwon gurgu" a cikin maganin uwa, kuma cutar ta dogara ne akan rashin da kuma mizanin. Saboda aikin dogon lokaci na haɗin wuyan hannu, yawan damuwa, wanda ke haifar da qi da rashin jini na gida, ana kiran wannan rashin abinci na asali; Saboda rashin qi da jini na gida, tsokoki da jijiyoyin jini suna ɓacewa cikin abinci mai gina jiki da zamewa, kuma saboda jin iska, sanyi da danshi, wanda ke ƙara toshewar qi da aikin jini, ana ganin cewa kumburi da zafi da aiki na gida suna da iyaka, kuma tarin qi da jini ya fi tsanani kuma ciwon jiki na gida ya fi tsanani, don haka an gano cewa ciwon haɗin wuyan hannu mai motsi da haɗin metacarpophalangeal na farko yana ƙaruwa a cikin asibitin, wanda shine mizanin. An gano a asibiti cewa maganin moxibustion, maganin tausa, maganin waje na maganin gargajiya na kasar Sin da maganin acupuncture suna da wasu tasirin asibiti.
Maganin Tiyata: Yanke jijiyar dorsal carpal na radius da kuma cirewar da aka yi wa iyaka yana ɗaya daga cikin hanyoyin magance stenosis tenosynovitis a cikin tsarin styloid na radius. Ya dace da marasa lafiya da ke fama da ciwon tenosynovitis na radius styloid stenosis, wanda bai yi tasiri ba bayan rufewar gida da yawa da sauran jiyya masu kyau, kuma alamun suna da tsanani. Musamman a cikin marasa lafiya da ke fama da ciwon tenosynovitis na stenotic advanced, yana rage zafi mai tsanani da rashin jin daɗi.
Tiyatar bude kai tsaye: Hanyar tiyata ta gargajiya ita ce a yi yanka kai tsaye a wurin da ya yi laushi, a fallasa septum na tsokar baya na farko, a yanke murfin jijiyar da ta yi kauri, sannan a saki murfin jijiyar ta yadda jijiyar za ta iya zamewa cikin bargon jijiyar. Tiyatar bude kai tsaye tana da sauri, amma tana dauke da jerin hadurra na tiyata kamar kamuwa da cuta, kuma saboda cire madaidaicin goyon bayan baya kai tsaye yayin tiyata, na iya faruwa da lalacewar jijiya da kuma lalacewar jijiyar radial da jijiyoyin jini.
Septolysis na 1: Wannan hanyar tiyata ba ta yanke murfin jijiya mai kauri ba, amma tana cire kumburin ganglion da aka samu a cikin septum na extensor na 1 ko kuma ta yanke septum tsakanin septum na abductor pollicis longus da extensor pollicis brevis don sakin septum na 1 na extensor na dorsal. Wannan hanyar tana kama da tiyatar bude kai tsaye, babban bambanci shine bayan yanke madaurin tallafin extensor, ana sakin murfin jijiya kuma ana cire murfin jijiya maimakon yanke murfin jijiya mai kauri. Kodayake subluxation na jijiya na iya kasancewa a cikin wannan hanyar, yana kare septum na extensor na 1 na dorsal kuma yana da tasiri mafi girma na dogon lokaci don kwanciyar hankali na jijiya fiye da yanke kai tsaye na sheep na jijiya. Rashin kyawun wannan hanyar galibi saboda gaskiyar cewa ba a cire murfin jijiya mai kauri ba, kuma sheep na jijiya mai kauri na iya zama kumburi, kumburi, kuma gogayya da jijiya zai haifar da sake kamuwa da cutar.
Ƙara bututun arthroscopic osteofibrous: Maganin arthroscopic yana da fa'idodin ƙarancin rauni, gajeren lokacin magani, aminci mai yawa, ƙarancin rikitarwa da murmurewa cikin sauri, kuma babban fa'idar ita ce ba a yanke bel ɗin tallafi na extensor ba, kuma ba za a sami karyewar jijiya ba. Duk da haka, har yanzu akwai ce-ce-ku-ce, kuma wasu masana sun yi imanin cewa tiyatar arthroscopic tana da tsada kuma tana ɗaukar lokaci, kuma fa'idodinta fiye da tiyatar buɗe kai tsaye ba su bayyana ba. Saboda haka, yawancin likitoci da marasa lafiya ba sa zaɓar maganin arthroscopic gabaɗaya.
Lokacin Saƙo: Oktoba-29-2024
