De Quervain ka maʻi: symptoms,ʻike, lapaʻau

De Quervain ka maʻi - he pathology wehewehe aku ma ka li nui o na tendons ma ka manamana nui. Ka maʻi hoike mai ai ia ia iho i nā, oko a he kali hoʻi koʻu ulu. I kekahi manawa, ma mua e hele ana i ke kauka ka mea, i kekahi mau pule a mahina.

Description o ka maʻi

De Quervain ka maʻi (maʻi tenosynovitis ole constrictive ligament) - he pathology i ua wehewehe aku ma kekahi gradual hou o ke kai, ma kahi o nā tendons o ka manamana nui. Maʻi pu ma ka li nui o ka ai-kapaia tendon wahī. Ka maʻi ia lŘlŘ like me ka hopena o kekahi mau haawe ana ma luna o ka palaki, pinepine ma ka pili ana i ka hana o ka oihana hana. No ka mea, o ka eha i loko o nā mea maʻi ho'ēmi i kā ke hiki e hana i kekahi mau hana me ka pāpā ikaika i ka lima a pau.

Papa'āweʻaweʻa kemika ka ho'ēmiʻana o ka forearm nāʻiʻo e leie aku flexion / palena manawa o ka manamanalima. I loko o kēia mau hana i kuleana flexor tendon (pono no na manamana ma ke palmar 'ilikai) a me ka extensor nāʻiʻo (kekahi, ma ke kua o ka lima). Transverse tendons ligaments i ka mālama i loko o ka makemake kulana. Ka hope ligament ua IIeEeAIEUIeXAIIUE ma kaʻaoʻao hookahi o ka palaki. Kēlā me kēia pae o tendons i loko o ka polokalamu ma ke kaʻawale Kanal. Ka manamana nui ua 'Imi' ole i loko o ka maʻamau o ke ola. Kona tendons lawe ma luna o ka mea nui e haawe. De Quervain ka maʻi hoʻonāukiukiʻana mai o pahuhopu li nui o ligaments, kā lākou hanaʻia naʻe, a edema. E like me ka hopena, i ka wai lilo excessively uuku, he maʻi symptoms ia lŘlŘ malfunction o ka lima a pau.

He aha ke kumu o ka hooulu ana o ka pathology?

Ke mau kumu o keia maʻi koe e hoʻohoka a hiki i ka hopena. Ua Ua ea ae ka hana i ka ikaika hou ana o brushes aayoaeuiinoe (kolepa, ka mahiʻai mala, child mālama) hiki aggravate keia kulana. No ia mea, i kekahi manawa i ka maʻi ua kapaia "makuahine na pulima oʻu".

poe akamai i kekahi pee i ka helu o nā kumumea ka hoʻopukaʻana i ka hooulu ana o ka pathology, oia hoi:

• Ino, a me mechanical poino i ka palaki.
• Hoʻoʻino maʻi o na ami ano (arthritis, arthrosis).
• A eia i haawe ma luna o ka wahi o ka na pulima oʻu ami.
• Hormonal EUIAaIN ke kino (pinepine i menopause).
• Anatomical hiʻona o ka musculoskeletal nenoaiu.

ʻO wai ka mea ma kamepiula?

I ka lani kiekie loa pilikia o ka ulu i kēia maʻi i loko o kanaka elemakule 30, a i ka ma kahi o 50 makahiki. De Quervain ka maʻi ua pinepine diagnosed i na wahine i hāpai keiki, a neonatal malama.

He aha hoailona pu ma ka pathology?

I ka papa kuhikuhiE symptom o keia maʻi kaʻeha i loko o ka wahi o ka na pulima oʻu , mai ka manamana nui. Ma ka lima discomfort i mahuahua ka hoohuli ana. Ka ehaeha pinepine i hāʻawi mai i loko o ka forearm a me ka'ā'ī wahi.

Keʻano o ka maʻi ua manaoia e e he symptom o Finkelstein. O ke kanaka clutching i ka lima, i loko o kona manamana nui. Inā ka mea e hiki mai hoao e lawe i ka lima ma ke ala e hiki aku i ukali ia e ka pahi eha, e hiki ke hoomaopopo aku i ka de Ka Quervain ka (maʻi).

Ma palpation o ke ami ua kaulana hōʻemi iki nani, eha ma kaʻaoʻao maikaʻiʻole ia ma.

i ka papa kuhikuhiE kuhihewa nui nā mea maʻi e manaoia ana no ka mākaukau malama a me ka immobilization o maʻamau palaki. No kēia mau mea, i ka paa bandages, kūikawā wristbands. Ma keia hihia, i ka hoʻomaka o ka maʻi o ke kumu o ke kīnā o ke kino. hiki ole e hoomanawanui i hana i ka loa kama'āina o ka hale noho (ihi uala, holoi, holoku, a no laila, ma luna o. D.).

ʻike,

E ole e waiho unattended de Ka Quervain ka maʻi. Symptoms maʻi hoike aku no kekahi mau moekahi 'lā, e Alert, a e kumu no koke lapaau i ke kauka.

Iloko o ke kuka ka hoʻomalu hāpai mai i ka physical ninaninau o ka loli ana i wahi e hoakaka i ka nui o ka clarifying nīnau (wā, he mau eha, i ko lakou hiki kumu). E hoʻokūpaʻa i kaʻike, ke kauka e lawelawe ai i kekahi mau ho'āʻo ma.

• Makamae abduction. Hoʻomalu lua kaomi waina i lalo ma ka manamana nui ma kaʻaoʻao hoʻi no laila, e like me ka, e lawe mai ia i ka lāʻau o kou lima. Ma loa ola lima manamana lima e pale aku i ka'aloʻahiʻa. Ma ka hihia o ka pathology mea akaka loa, e hoopa aku.
• Ka hana e paa mea. Ke hoomanawanui E lawe i loko o kēlā me kēia lima ma luna o ke kumuhana. Inā ia mea he uuku, e huki like, lima maikai, e ia i oi aku poe a pau e malama i ka mea e hiki ke olelo mai no o ka hoʻomanawanui.
• X-Ray keia hookolokolo ana i kekahi paa i ka maʻi de I Quervain. Photo (kiʻi) lima hōʻike mai ke alo aku o ka hanaʻia naʻe o ka pahee nā'aʻaʻa, periosteum hou.

makeʻe kulana Inc

ʻO nā mea maʻi mua i ka manao e hoopau wale mua o nei hana me ka OAXA immobilization o ka hoʻohuli ai i nā wahi. Immobilization palaki E e? Ieoaeunoai ia i ka manamana nui mea mau i loko o ka alo kulana pili ana i ka 'inideka, a waena. No kēia mau mea, o ka pono pāʻoihana mea e hoʻohana i ka nou ana la o, a ua pili i ka waena o ka forearm. Oia immobilization ua ālai 'wale ke ami, mai hiki poino. Eia hou, i ka like makeʻe kulana Inc e halihaliia oia iwaho.

Hoʻoʻino loli ligaments underlie na maʻi like de Ka Quervain ka maʻi. Lapaau komo ai i ke noi ana o kekahi physiotherapeutic ke kaʻina hana (paraffin, hydrocortisone ultrasound). No hoi, hoonoho iho antiinflammatory ai '( "Ibuprofen", "Naproxen"), steroid ka pahu kui ( "hydrocortisone").

I kaʻoki kino ua koi 'ia?

Ua paipaiʻoki kino wā makeʻe kulana Inc ka ineffective paha i kekahi wahi e eʻeluaʻaoʻao komo.

Ke hana ua lawe mai ma lalo o napoo-moku'āina kūlana o ka hoʻohana 'ana i nā anesthesia koho. Ma mua o ka hoʻomaka 'ana o anesthesia lapaau pono E nńnń pono i ka kūikawā peni mäka loa ola wahi. A laila, inputted procaine, a hooko aku la i keʻa-mahele wahi o ka ai-kapaia styloid kaʻina hana, a hele ma keia wahi. Kūmūmū makau loa akahele wehe i ka subcutaneous'aʻaʻa me aa koko hooleiiaʻi mawaho hope ligament. Kona kauka dissects a lawe aku oe i kauwahi. Pinepine, ma hope o hooloihi ae i papa o ka maʻi i hoʻomaka ai tendon adhesions i ka tendon wahī. Ma keia hihia, e excised na spike in a pau. Ka eha Ua sutured, superimposed triangular lole wili. Ua weheʻia nā sutures ma hope ma kahi o 10 lā, ma hope hoemiia hana nona iho ma ka 15 hola.

It E e mahalo i ke de- Quervain ka (maʻi) ua ana, kena ae la ia e kekahi pathological kaʻina hana i loko o ka ciia o ka annular ligament. Inā ka pololei hana, i ka hoʻomanawanui mau e overload i ka lima, ua mahuahua ma kekahi mau manawa o ka pahiki o relapse. I mea no ke aha nā mea maʻi i hooluoluia mai ai e emi i ka ha awina, a me kekahi manawa, a hiki hoʻololi i ke 'ano o ka' oihana haʻawina.

hiki complications

E ahaʻia ana ina oe e ole mai i ka maʻi de Ka Quervain ka? Hands ma manawa hou aku a me ka nui 'ole i loko o ka pathological kaʻina, a me ke kanaka haalele i ka hiki e hana kama'āina. Ia mea ke kumu ia mea ai nui i loko o ka hanana o ka iniiaiie symptoms suggestive o ka maʻi, imi palapala hōʻoia no kōkua i ka hoʻomalu kūpono. Ma ka hihia o keʻoki kino, he mea nō he uuku pahiki o ka hanana o complications e like me ke kahua o ke ola me ka makaʻu no, a no ka neʻe 'ana o ka manamana nui.

kāohi ana

Pehea e pale aku i ka Holomua o ka maʻi? Mua o nā mea a pau, kauka paipai aku i ka poe a pau i komo iloko o ka kamepiula hui, e emi i ka physical kaumaha o, hoʻopaʻa hoʻi ka neʻe 'ana o ka palaki. Eia hou, oe e ole holo ami maʻi hoʻoʻino ano. I ka eha a me mechanical poino ka palaki mea nui, e imi 'inikua'ōlelo aʻo, a undergo Inc. Like ka malama ana a pau na luna o koi, e hiki ke pale aku i ka ulu ana o ka maʻi.

ka hopena

Ma keia 'atikala, ua ho'ākāka' ia ma ka mea a na symptoms o ka maʻi ua pu e De Quervain. Ana ma ia he pathology ua paipaiʻia i loko o 80% o ka hihia. Naʻe, i ka manawa i hiki ke hoʻopau i ka maʻi, a, e loa kń i ke kūpono 'ana o nā complications hoomaka makeʻe kulana lapaau.

Mākou manaʻolana i nā mea a pau ike hoomakaukau e ia no oe i nae e maikaʻi kēia. E hoʻokaʻaʻike ola!