Qalisa Iminwe kunye neentlungu zoMbane kwiSandla

intshayelelo

Xa kuziwa kumzimba, i izandla kwaye iminwe inxibelelana ngokunika umamkeli amandla okubamba nokubamba izinto. Ezo zinto zinokususela kwezona zincinane ukuya kwezikhulu, kuxhomekeka kubunzima bento umntu anokuyibamba ngokwasemzimbeni. Xa ubunzima buba nzima kakhulu kangangokuba umntu akakwazi ukubuphakamisa okanye ukubamba, kunokukhokelela kwiimpawu ezingafunekiyo ezidibana nezinye iimeko ezingapheliyo. Ukuza kuthi ga ngelo xesha, xa izihlunu zezandla ziqala ukulahleka ukubamba amandla, kunokukhokelela ekuphuhlisweni kwe amanqaku okubangela kwimisipha echaphazelekayo exhunywe kwimisipha yesandla kunye nemisipha. Inqaku lanamhlanje lijonga imeko engapheliyo ehambelana namanqaku e-trigger eyaziwa ngokuba yi-trigger fingers, zeziphi iimpawu, kunye nendlela yokuphatha i-trigger fingers ezandleni. Sithumela izigulane kubaboneleli abaqinisekisiweyo abachwephesha kwizandla kunye nonyango lweentlungu zesandla ukuze bancede abantu abaninzi abaphethwe yi-trigger fingers echaphazela izandla zabo. Sikwakhokela kwaye sazise izigulane zethu ngokuzithumela kubaboneleli bethu bezonyango abanxulumeneyo ngokusekelwe kuvavanyo lwabo xa kufanelekile. Siye safumanisa ukuba imfundo sisisombululo esikhulu ekubuzeni ababoneleli bethu imibuzo enzulu sisigulana esiyicelayo. UDkt Jimenez DC uthatha ingqalelo le ngcaciso njengenkonzo yemfundo kuphela. isikhanyeli

Yintoni iFinger Finger?

Ngaba ukhe wadibana nokuqina kwiminwe yakho? Ngaba uziva intlungu ephuma kwiingalo zakho ukuya entendeni yezandla zakho? Ngaba kubonakala kunzima ukuphatha okanye ukubamba izinto ixesha elide? Abantu abaninzi abaye bajongana nezi mpawu bakholelwa ukuba yinto ye-arthritis okanye iimpawu eziqhelekileyo zeminyaka yobudala; nangona kunjalo, inokuhambelana neminwe evuselelayo echaphazela izandla. Qalisa iminwe okanye i-stenosing tenosynovitis iyenzeka xa i-flexor sheaths kwi-wrist isetyenziswe ngokugqithiseleyo ngenxa yokunyakaza okuphindaphindiweyo okubangela ukuba imisipha ye-tendon ye-flexor kwi-forearm ivuthwe kunye nemiba yophuhliso kwimiba yeminwe. Oku kunokuba yingxaki kakhulu kubantu abaninzi abasebenza ngezandla zabo njengoko kunokubangela ukuphazamiseka okukhulu ekusebenzeni kwezandla kunye neminwe. Iminwe ye-trigger ikwachaphazela isandla esilawulayo somntu kwaye ibandakanya idijithi eqhelekileyo, ubhontsi. 

Iimpawu

Xa abantu abaninzi bejongana neminwe ye-trigger ezandleni zabo, bahlala bekhalaza malunga neminwe yabo evaleleke kwi-flexion okanye ukwandiswa. Xa oku kwenzeka, kunokuba yingxaki, njengoko i-trigger iminwe inokuchaphazela ukuhamba kweminwe. Ezinye ze iimpawu ebangela ukuba iminwe ibangele kwidijithi iquka:

• Ukuqina kwiminwe
• Ukuphuma okanye ukucofa iimvakalelo 
• Amaqhuma emazantsi elungu lomnwe
• Ukubamba umnwe kwindawo egobileyo kwaye kuvele ngqo
• Ukutshixa iminwe

Luluphi unxulumano phakathi kwesifo seswekile kunye neminwe yokuqalisa? Uphando lutyhila loo nto ibangela iminwe yimeko engapheliyo enokuthi yenzeke nakubani na, ngakumbi abo banesifo sikashukela. Iminwe ye-trigger ifunyaniswa ngokucofa i-tendon engqindilili. Eminye imiba ibangela ukuba iminwe ibangele ngenxa yamanqaku asebenzayo asebenzayo achaphazela imisipha ye-flexor kwi-forearms. Ngokutsho kukaDkt Travell, incwadi ye-MD, "Intlungu ye-Myofascial kunye nokungasebenzi kakuhle: I-Trigger Point Manual," abantu abanamanqaku asebenzayo kunye nemisipha ye-forearm bavame ukufumana ubunzima bokusebenzisa amandla okuhamba ngezandla zabo. Ukuza kuthi ga ngelo xesha, abantu abaninzi basenokungakwazi ukomelela nokuphakamisa izandla zabo, banwebe okanye banwebe iminwe yabo, okanye bakwazi ukubamba izinto abafikelela kuzo. 

Isishwankathelo seMinwe ye-Trigger-Ividiyo

Ngaba ujongene nokuqina kwamalungu kunye neminwe yakho? Kuthekani ngokuva iintlungu ngenxa yokugoba okanye ukolula iminwe yabo? Okanye ngaba uziva iintlungu kunye nokuthantamisa kwimisipha yakho yangaphambili? Abantu abaninzi abanezi mpawu banokujongana neentlungu ezinxulumene neminwe yokuqalisa. Iminwe ye-trigger yenzeke xa idijithi yomnwe ihlupheka kwi-microtrauma ngokusetyenziswa ngokuphindaphindiweyo okanye imikhosi yokunyanzeliswa ebiza intlungu kunye nokuvuvukala kunye neetendon zeminwe. Le vidiyo ingentla ijonga iminwe, iimpawu zabo, kunye nendlela yokuxilonga kunye nokunyanga iminwe yezandla ezandleni. Izinto ezininzi ezinxulumene nazo zinokukhokelela ekuphuhlisweni kweminwe yokuqalisa, kwaye enye into enxulumene nesifo sikashukela sigqithise amanqaku e-trigger ecaleni kweengalo. Uphando lutyhila loo nto ibangela iminwe yingxaki echaphazela iindawo eziphezulu kubantu abanesifo seswekile. Abantu abane-trigger fingers ehambelana nesifo seswekile banokubangela ukugqithiswa kweeprofayili zomngcipheko wezifo zentliziyo. Olu lwalamano lwaziwa ngokuba intlungu ye-somato-visceral, apho i-muscle eyonakalisiweyo ichaphazela ilungu elihambelanayo. Kule meko, i-tendon yeminwe ibangela intlungu ebhekiswe entliziyweni, ngaloo ndlela inokuthi ibandakanye inkqubo ye-cardiovascular system. Ngethamsanqa kukho iindlela ezahlukeneyo zokunyanga iminwe yokuqalisa kunye nokuthintela intlungu ukuba ingenzeki ezandleni kwixesha elizayo.

Indlela yokuphatha i-Trigger Finger

Kuba iminwe ye-trigger ingumthombo oqhelekileyo wentlungu kunye nokukhubazeka ezandleni, abantu abaninzi bafuna iingcali zeentlungu ukulawula kunye nokunciphisa intlungu ehambelana neminwe yokuqalisa. Uphando lutyhila ukuba iindlela ezahlukeneyo zisetyenziselwa ukunciphisa intlungu kunye needijithi zeminwe echaphazelekayo kwaye zibuyisele ukuhamba kumalungu omnwe. Ukwenza ukolula umnwe othambileyo, ukungabambeli izinto ngokuqinileyo, okanye ukusebenzisa ubushushu ukukhulula amalungu atshixiweyo, kunokunceda ukulawula iminwe yokuqalisa ngelixa uthintela iimpawu ezinjengeentlungu ukuba zibuye. Ukubandakanya olu nyango lunokunceda ukuzisa amandla okuhamba emva kwezandla kunye nokukhusela iminwe ekutshixeni. Nangona kunjalo, unyango lodwa alunakuba sisisombululo kuphela; emva kokuba abantu befumene unyango lwe-trigger fingers, kufuneka benze indima yabo ukuthintela imiba yexesha elizayo ukuba iphinde yenzeke kwiminwe yabo.

isiphelo

Izandla kunye neminwe inobudlelwane obuqhelekileyo, ukubonelela ukuhamba kunye namandla okubamba umninimzi ukuba abambe kwaye aphathe izinto. Nangona kunjalo, xa izinto ezibuhlungu okanye imisebenzi eqhelekileyo iqala ukusebenzisa ngokugqithiseleyo amalunga kunye nezihlunu ezandleni zabo, kunokukhokelela ekuqaliseni iminwe. Iminwe ye-trigger inokubangela ukuba amalungu eminwe atshixe kwaye abize iimpawu ezinjengeentlungu ezandleni. Oku kunokwenza abantu abaninzi baphulukane nomsebenzi wabo wokushukuma ezandleni zabo kwaye kunokubenza bakhathazeke. Ngethamsanqa, unyango olwahlukeneyo lunokunceda ukulawula iminwe yokuqalisa kwaye uncede ukubuyisela ukuhamba kwizandla zomntu.

Ucaphulo

UAkhtar, uSohail, et al. "Ulawulo kunye noThunyelo lwe-Trigger Finger / Thumb." I-BMJ (uPhando lwezonyango u-Ed.), BMJ Publishing Group Ltd., 2 July 2005, www.ncbi.nlm.nih.gov/pmc/articles/PMC558536/.

Jeanmod, Rebecca, et al. "I-Trigger Finger-Statpearls-NCBI Bookshelf." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL), iStatPearls Publishing, 20 July 2022, www.ncbi.nlm.nih.gov/books/NBK459310/.

Makkouk, Al Hasan, et al. "I-Trigger Finger: I-Etiology, uVavanyo kunye noNyango." Uphononongo lwangoku kwiMusculoskeletal Medicine, Humana Press Inc, Juni 2008, www.ncbi.nlm.nih.gov/pmc/articles/PMC2684207/.

UMineoka, uYusuke, et al. "Umnwe we-Trigger unxulunyaniswa noMngcipheko weSifo seNtliziyo seNtliziyo kubantu abanesifo seswekile sohlobo lwesi-2: Uphononongo lweQela lokuRetrospective." I-BMJ Vula uphando lweSifo seswekile kunye neNkathalo, IQela loPapasho leBMJ, Epreli 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8039242/.

Travell, JG, et al. Iintlungu ze-Myofascial kunye nokungasebenzi kakuhle: I-Trigger Point Manual: Vol. 1:Isiqingatha esiPhezulu soMzimba. Williams & Wilkins, ngo-1999.

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