Tenosynovitis De Quervain

Tendonitis na Wrist Caused by Overuse

De Quervain ta tenosynovitis wani yanayi ne wanda ke haifar da ciwon da ke hade da motsi na yatsa da wuyan hannu. Dalilin ciwo na Quervain ne ƙonewa a cikin yanki wanda aka tsare a kusa da babban yatsa. Wannan mummunan yana haifar da matsalar matsalar tendon da ake kira stenosing tenosynovitis . Wannan yana nufin cewa ƙonewa ya ƙunshi tsararraki da ƙananan da ke kula da motsi na yatsa.

Wasu lokuta ma ana kiran matsalar de Quervain, cutar Quervain, yatsan yatsa, yatsan yarinya, ko yatsa babba.

Wanda Ya Sami Shi

DeQuervain ta tenosynovitis yafi kowa a cikin shekaru 30-50 da haihuwa kuma ana ganin yafi yawan mata. Ana iya hade da ciki da cutar rheumatoid. DeQuervain ta tenosynovitis ne saboda yin amfani da kullun. An fi gani a cikin iyayen mata a matsayin motsi na ɗaukar jariri zai iya haifar da fushi ga waɗannan ƙwanƙwan hannu. Haka kuma ana iya gani a cikin mutanen da suke amfani da guduma sau da yawa, masu lambu, masu kaya da mutane da suke wasa wasan wasan racquet. Hakanan yana iya faruwa a cikin mutanen da suka yi amfani da yatsunsu a cikin layi da wasanni.

Alamun de Quervain

Babban bayyanar da tenosynovitis na Quervain yana jin zafi a kan yatsan hannu na wuyan hannu, kuma zafi yana iya yaduwa da goshin baki.Baji zai iya saukowa gaba ɗaya ko hankali. Kullum zaku ji shi mafi muni idan kun kasance kuna amfani da yatsunku lokacin da kuka fahimci wani abu ko kuma lokacin da kuke karkatar da wuyan hannu.

Kuna iya jin kama yayin da kake kokarin motsa yatsa. Hannun yatsa na wuyan hannu zai iya zama kumbura kuma wannan na iya sa ya fi wuya a matsa shi.

Binciken DeQuervain ya saba da tausayi a kan sifofin hannu. Wadannan su ne tendons na wariyar launin fata da kuma masu tsauraran magudi.

Ɗaya takamaiman aikin da ake kira Finkelstein gwajin shi ne ainihin takamaiman wannan yanayin. An gwada gwajin Finkelstein ta hanyar yatsar da yatsa na yatsa, kuma yana motsa wuyan hannu zuwa kananan yatsa. Magunguna da tenosynovitis na DeQuervain zasu sami ciwo tare da wannan aikin.

Jiyya na Tenosynovitis na Quervain

Yawancin marasa lafiya tare da tenosynovitis na Quervain zasu sami ci gaba tare da ƙwanƙwasa hannu da ƙwayar cortisone . An saka suturar ta ci gaba, dare da rana don makonni hudu zuwa shida, don tallafawa yatsan hannu da wuyan hannu. Hakanan zaka iya daukar magungunan ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyi kuma amfani da kankara don rage ƙumburi. Dakatar da yatsa da wuyan hannu kuma kauce wa yin abubuwan da ke haifar da ciwo a cikin tendons.

Idan matsalar ta ci gaba, za a iya aiwatar da wani hanya mai mahimmanci don ƙirƙirar daki don ciwon tendons. A lokacin wannan aiki na ƙwayar jiki, an cire nau'in dabbar da ke kewaye da tendons don saki ƙuntatawa akan motsi. An yi amfani da tiyata a ƙarƙashin maganin rigakafi ta gida amma ana iya yin aiki a ƙarƙashin yanki, ko kuma wanzuwa . Idan akwai wasu ƙananan kyakoki ko ƙananan ƙwayoyin da aka samo za'a cire su. Bayan an tilastawa, an yi amfani da sutura a cikin 'yan makonni, kuma za a iya sake yin aiki na al'ada.

Za'a ba ku damar yin amfani da motsi don mayar da aikinku.

Rarraba na tiyata hannu ya hada da kamuwa da cuta da maganin warkar. Ƙananan ciwon daji, wanda ake kira rukuni na asali na jijiyoyin radial, zai iya lalacewa ya haifar da wani ɓangaren mahaifa a bayan yatsa. Ɗaya daga cikin ƙarin game da rikitarwa shi ne cewa tendons na iya zama maras tabbas, dasu daga wurin su na al'ada a gefen wuyan hannu, bayan da aka saki sheath na gyaran kafa na wuyan hannu. Wannan matsala za a iya hana shi ta hanyar tabbatar da shinge na gyaran kafa a wuri mai kyau, da kuma iyakance wasu ƙungiyoyi na hannu bayan yin aiki.

Sources:

Ilyas AM "daga Quervain Tenosynovitis na Wrist" J. Am. Acad. Ortho. Surg., Disamba 2007; 15: 757 - 764.

De Quervain ta Tendinosis, Cibiyar Nazarin Orthopedic Surgeon ta Amurka, Disamba, 2013.