Styloid Stenosis tenosynovitis ndi kutupa kwa Aseptic komwe kumayambitsidwa ndi zowawa ndi kutupa kwa a Abductor Crelis Tendons panjira yopanda ma dorsol. Zizindikiro zimakula ndi zowonjezera zazikulu ndi kupatuka kwa ma calor. Matendawa adanenedwa koyamba ndi opaleshoni ya Switzerland de Quervain mu 1895, kotero kuti styloviid stendesis stendesit imadziwikanso kuti de Quervain matenda a SEEVINE.
Matendawa amakhala ofala kwambiri mwa anthu omwe amachita chiuno komanso zochitika za chala cha palman, ndipo amadziwikanso kuti "dzanja la Amayi" ndi "Game" ndi "Masewera a Game" ndi "Game". Ndi chitukuko cha intaneti, chiwerengero cha anthu omwe chakhudzidwa ndi matendawa chikuwonjezeka komanso chaching'ono. Ndiye kodi mungadziwe ndi kuchiza matendawa? Otsatirawa amakupatsani gawo lalifupi kuchokera pazinthu zitatu: kapangidwe ka mankhwala, matenda azachipatala ndi njira zamankhwala!
I.Anatomy
Njira yokhazikika ya radius ili ndi gawo lopapatiza, losaya lomwe limakutidwa ndi zingwe zopanga zochititsa chidwi zomwe zimapanga chingwe chamiyala. The Acductone Polilis Indon utoto ndi onjezerani polotis brevis tendon kudzera pamalingaliro a metacarpal ndi maziko a pronlalx ya chala, motero (Chithunzi 1). Tendon ikamaloka, pali gulu lalikulu la mikangano, makamaka pamene chipani cha chipani cha chipani kapena kusamukiratu, khola limawonjezeka, ndikuwonjezera mikangano pakati pa tendo ndi khoma. Pambuyo pokhathamangitsidwa mwachangu, synovium imapereka kutupa monga edema ndi hyperplasia, zomatira kapena khoma la tendon, zomwe zimapangitsa kuwonetsera kwa steeynovitis.
Mkuwa.1 Anatomical Chithunzi cha mawonekedwe a styloiid a radius
Matenda a II.Clinical
Mbiri ya zachipatala ili yofala kwambiri mu okalamba azaka zapakati, ogwiritsa ntchito amagetsi, komanso ofala kwambiri mwa akazi; Zoyambira zimachedwa, koma zizindikiro zimatha kuchitika mwadzidzidzi.
Kupweteka: Kupweteka kwapadera mu radius, komwe kumatha kukotha dzanja ndi kutsogolo, kufooka kwa chala, kukulitsa zizindikiro zamphamvu ndi chithokomiro cha manja; Magulu otchuka amatha kukhala otanganidwa ndi rayloiiid njira ya radius, yofanana ndi kutchuka kwambiri, ndi mtima wowoneka bwino.
3.Kuyesedwa kwa Finkelstein (mwachitsanzo, kuyesa kwa zingwe zoyeserera) ndi zabwino (monga zikuwonekera pa Chithunzi 2), chala chimasinthidwa ndikulowetsedwa, ndipo ululu womwe uli ku radius styloid njira umakulitsidwa.
4.Aunicary Kuyeserera: X-ray kapena mawonekedwe a ultrasound imatha kuchitidwa ngati kuli kofunikira kuti mutsimikizire ngati pali mafupa osawoneka bwino kapena synovitis. Maupangiri a mankhwala ofunikira a styloim stenosynovitis a radius syteius yakumaso, kusokonezeka kwa nthambi yapamwamba kwambiri.
Iii.redvy
Conservaticalcal mankhwala osasinthika mankhwala: Kumayambiriro, odwala amatha kugwiritsa ntchito njira yosinthira njira yomwe yakhudzidwayo ndikuchepetsa zochitika zakomweko ndikuchepetsa mikangano ya tendon kuti akwaniritse cholinga cha chithandizo. Komabe, umunthu sungathe kuwonetsetsa kuti miyendo yomwe yakhudzidwayo ili m'malo mwake, ndipo nthawi yayitali isayansi imatha kuyambitsa kuuma kwa nthawi yayitali. Ngakhale osagwirizana ndi chithandizo china chomwe chimagwiritsidwa ntchito pochita masewera olimbitsa thupi, kufunikira chithandizo kwa chithandizo kumatsutsana.
Mankhwala ogwiritsa ntchito am'deralo: monga momwe amakondera chithandizo chamankhwala chothandizira chithandizo chamankhwala, njira zamagetsi zam'deralo zimatchula jakisoni wam'deralo kuti mukwaniritse cholinga cha anti-yotupa. Kugwiritsa ntchito mankhwalawa kumatha kubzala mankhwala opweteka, thunthu lolumikizana ndi thunthu la mitsempha ndi zigawo zina, zomwe zingachepetse kutupa komanso kuthetsa ululu komanso kuthetsa spate nthawi yayitali pochizira zotupa zakomweko. Mankhwalawa amakhala makamaka kwa triamcinolone acetonide ndi lidocaine wa hydrochloride. Jakisoni wa sodium hyolurongote amathanso kugwiritsidwanso ntchito. Komabe, mahomoni amatha kukhala ndi zovuta monga kupweteka kwa jekeseni wa positi, khungu lam'deralo, lapaderalo lam'mimba, zizindikiro zowonjezera mitsempha, komanso kuphulika kwa magazi. Zogwirizana kwambiri ndi mahormone ziwengo, odwala komanso ovutitsa odwala. Sodium hysulimonate imakhala yotetezeka ndipo imatha kupewa kuwonongeka kozungulira pakati pa tendon ndikulimbikitsa mamondo. Kuchita zamankhwala kwa mankhwalawa kumachitika bwino, koma pali malipoti azachipatala a necrosis yoyambitsidwa ndi jakisoni wamba (Chithunzi 3).
Mpukutu wocheperako umabweretsa necrosis ya zala za zala za index: A. Khungu la dzanja ndi lala
Kusamala ndi mankhwalawa mankhwala a radius styloid stenosynovitis: 1) Malowo ndi olondola, ndipo syringe iyenera kuchotsedwa musanalowetse mankhwalawa. 2) Wosautsa mtundu woyenera wa chiani kuti mupewe kuchita masewera olimbitsa thupi; 3) Pambuyo pa jakisoni wa mahomoni, nthawi zambiri pamakhala ma digirikidwe osiyanasiyana opweteka, kutupa, komanso kuwonongeka kwa mankhwalawa, ndipo osachedwa kuchitika mwachangu ngati kuli koyenera, kuti musachedwe. 4) Zotsutsana ndi matenda oopsa, matenda ashuga, matenda a mtima, ndi zina zambiri, siziyenera kuthandizidwa ndi zomwe zimachitika.
Shockwave: ndi mankhwala osokoneza bongo, osakhala owononga omwe ali ndi mwayi wopanga mphamvu kunja kwa thupi ndikupanga zotsatira m'malo omwe akuyang'aniridwa mkati mwa thupi popanda kuwononga minofu yozungulira. Zimakhala ndi mphamvu yolimbikitsa kagayidwe kagayidwe, magazi ndi kupsinjika kwa magazini, kukonza matenda oletsedwa, ndikumasulira ma capillaries, ndikumasulira pamodzi minofu yotsatira minofu. Komabe, zidayamba mochedwa pogwiritsa ntchito styloisis osynovitis a radius, ndipo malipoti ake ofufuza ndi ochepa, ndipo akuluakulu olamulidwa bwino amafunikirabe kugwiritsa ntchito umboni wa Styyynovitis.
Chithandizo cha acupunctuctuct: Njira yaying'ono ya acupunctucture ndi njira yotseguka pakati pa opaleshoni ya opaleshoni komanso kusamvana ndi kusefukira kwa mitsempha yam'mimba, ndikuchepetsa kutukuka kwamphamvu, ndikuchepetsa cholinga cha anti-kutupa komanso analgesic.
Mankhwala achikunja aku China: radial stylois stenosis stenosynovitis ndi gulu la "ziwopsezo matenda a mayi, ndipo matendawa amachokera kuperewera ndi muyezo. Chifukwa cha ntchito yayitali yolumikizirana, zovuta zambiri, zomwe zimapangitsa kuti zikhale zopanda pake zam'madzi ndi magazi, izi zimatchedwa kuchepa koyambirira; Chifukwa cha kuchepa kwa Qi ndi magazi, minofu ndi mitsempha zimasowa chakudya, komanso chifukwa chotupa cham'madzi, kotero zimapezeka kuti zotupa zadzuwa ndi zoyambirira Cholumikizira cha metacarpophalaalaal chimakulitsidwa kuchipatala, chomwe ndi muyezo. Zinapezeka kuti matenda a moxibustion, mankhwala ochizira, kuchiritsa kwakunja kwa mankhwala achikhalidwe achitetezo cha chilengedwe ndi chithandizo cha acupunicy kuli zotsatira zina zamankhwala.
Mankhwala othandizira: opaleshoni yazochita zamapata opanga ma radius komanso kuperekera pang'ono ndi imodzi mwamankhwala a steyosisitis mu radius. Ndioyenera odwala omwe ali ndi mannsosynovitis a radius styloid stonis stenosis stenosis, yomwe sinachite bwino pambuyo poti mankhwala ena am'deralo ndi mankhwala ena ogwirira ntchito. Makamaka odwala omwe ali ndi stenotititititititititist'snovitis, imatsitsidwa kupweteka kwambiri.
Paleshoni mwachindunji: Njira yopangira opaleshoni ikuyambitsa malo achifundo, imapangitsa kuti tepile ikhalepo, iduleni utoto wowuma, ndikutulutsa tendon kuti tenony ithe. Opaleshoni yotseguka mwachindunji imatha kukwaniritsa, koma imakhala ndi zoopsa zingapo monga matenda opangira ma dorsal omwe amachitiridwa opaleshoni, ndipo chifukwa cha kuchotsedwa mwachindunji kwa gulu la madokotala, ma tendon amawonongeka ndi mitsempha.
1st septolysis: Njira yopanga opaleshoni iyi sinadutse chipani cha utoto, koma chimachotsa zigawenga zopezeka mu 1 septis botis bostis breatus seppor septim. Njirayi ndi yofanana ndi opaleshoni yotseguka, ndi kusiyana kwakukulu ndikuti atadula gulu lowonjezera, tenton limamasulidwa ndipo tendon imachotsedwa m'malo momata kwambiri teon. Ngakhale kuphwanya kwa tenin kungakhalepo mwanjira imeneyi, kumateteza septim 1 septim yokwera kwambiri ndipo imakhala ndi chitsimikizo chambiri cha kukhazikika kwa tendon kuposa kutengera mwachindunji kwa tendon. Zovuta za njirayi makamaka chifukwa chakuti uleton wowuma sunachotsedwa, ndipo uleton ulemerero ukhoza kukhalabe wotupa, edema, ndi mikangano ndi tendon imabweretsa kubwereza matendawa.
Arthroscopic osteofacrous reaction! Chithandizo cha Arthroscopic chimakhala ndi phindu locheperako, chitetezero chachikulu, zovuta zochepa ndikuti lamba lowonjezerapo silinathe, ndipo sipadzakhala mwayi wosasinthika. Komabe, pakutsutsabe, ndipo akatswiri ena amakhulupirira kuti opaleshoni ya Arphoscofic ndiokwera mtengo komanso nthawi yambiri, komanso zabwino zake kwa opaleshoni mwachindunji sizowonekeratu. Chifukwa chake, mankhwala a arthroscopic samasankhidwa ndi ambiri madotolo ndi odwala.
Post Nthawi: Oct-29-2024
