Turnositis Stenoid Stenoid waa caabuq aspictic oo ay sababaan xanuunka iyo bararka afduubka poursus iyo finanka pollicis-ka iyo pollicis pollicis-ka ah ee geedaha xargaha ee geedaha xargaha. Calaamadaha ayaa ka sii daraya kordhinta suulka iyo weelka calimor. Cudurka ayaa markii ugu horreysay ka soo sheegey in Switzerland uu soo sheego qalliinka Switzerland de Quaupanie sanadkii 1895, sidaa daraadeed Stenosis Stenoid Stenoid Stenoid-ka ayaa sidoo kale loo yaqaan cudurka De Queluamin.
Cudurku wuxuu ku badan yahay dadka ku hawlan curcurka isdaba-joogga ah iyo nashaadaadka farta farta, waxaana sidoo kale loo yaqaan "gacanta hooyada" iyo "farta ciyaarta". Iyada oo horumarka internetka, tirada dadka uu cudurku saameeyay uu sii kordhayo oo ka yar yahay. Marka sida loo baaro loona daweeyo cudurkan? Waxyaabaha soo socdaa waxay ku siin doonaan hordhac kooban oo laga bilaabo saddex dhinac: qaab dhismeedka jirka, qaab dhismeedka jirka, ogaanshaha caafimaad iyo qaababka daaweynta!
I.natomy
Geedi socodka strooid ee radius wuxuu leeyahay cidhiidh jilicsan, qoto dheer oo uu daboolay xargaha roobka ee samafalka ah oo sameysma galleyda galleyda ee galmada. Afduubka pollicalis Longus Tendon iyo finanka pollicis Brevis The Galk The Sengs oo ku laalaada xagal oo ku dhufo salka laftiisa metacalpal iyo salka phalanx-ka ugu horreeya ee suulka, siday u kala horreeyaan (Jaantus 1). Marka bogagga 'Tendon', waxaa jira xoog jahwareer weyn, gaar ahaan marka uu u dhawaaqo qalooca ama dhaqdhaqaaqa suulka, xagal dabacsan, kor u qaadida kala-baxa u dhexeeya the derdada iyo gidaarka galleyda. Ka dib kicinta muddada dheer soo noqnoqda ee soo noqnoqda, sporovium-ka ayaa soo bandhigaya isbeddelada bararka sida bararka iyo hyperplasicia, taasoo keenta dhumuc, gidaarka gidaarka, taasoo dhalisay astaamaha caafimaad ee crosenos-ka stenosis.
Jaantusyada Cudurka Sawir
II.Clinical cudurka
1. Taariikhda caafimaadku waxay ku badan tahay wadayaasha da'da-dhexe, buugga-gacmeedyada, oo ay ku badan yihiin dumarka dhexdooda; Onset waa gaabis, laakiin astaamaha ayaa si lama filaan ah u dhici kara.
2.Maafin: Xanuunno ku saleysan geedi socodka strooid ee radius, kaas oo u soo kicin kara gacanta iyo gacanta, daciifnimada suulka, wasakhda xadidan, marka loo eego is-weydaarsiga suulka, NODELES PLULLES waxaa laga yaabaa in laga yaabo inuu ku dhexjiro geedi socodka strooid ee radius, oo u eg ceeb saminnimo, oo jilicsan oo jilicsan.
3.Tijaabada Finkeelstein (IE, tijaabada Fashka Ulntar ee Ulnar) waa mid togan (sida ka muuqata Jaantuska 2), suulka ayaa la istaagaa waxaana lagu hayaa timir, oo gacanta ku haya geedi socodka radius styloid waa wax laga sii xumaado.
Baadhitaanka 4.Auciliary Tilmaamaha loogu talagalay daaweynta isku-darka badan ee stenositis ee xargaha ee stenoids ee xargaha ee xasaasiga ah ayaa loo baahan yahay in baaritaannada kale ee jirka loo baahan yahay in lagu kala sooco osteoarthritis-ka, cilladaha laanta heerka sare ee dareeraha radial ee dareemayaasha radial, iyo iskeed isku-dhafka ah ee cudurka ogaanshaha waqtiga cudurka.
Iii.tratment
Conservative therapyLocal immobilization therapy: In the early stage, patients can use an external fixation brace to immobilize the affected limb to reduce local activities and relieve the friction of the tendon in the tendon sheath to achieve the goal of treatment. Si kastaba ha noqotee, is-ka-qaadista ma hubo in addinka ay dhibaatadu saameysey ay jirto, iyo is -dajinta daba dheeraata waxay ku dambayn kartaa adkaanta muddada-dheer. In kasta oo aan caawinaynin-caawinta daaweynta kale ee daaweynta kale ah ee loo isticmaalo tacliinta caafimaad, waxtarka daaweynta ayaa wali ah mid khilaafsan.
Daaweynta maxalliga ah: Maaddaama daawada muxaafidka ah ee la doorbido ee daaweynta kiliinikada, daaweynta gudaha ee deegaanka waxaa loola jeedaa cirbadaha wax-dhigga ee goobta xanuunka ee xanuunka maxalliga ah si loo gaaro ujeedada anti-anti-maxalliga. Daaweynta ku dhaca waxay ku duri kartaa daroogada aagga xanuunka leh, saxaafadda wadajirka ah, geerida neerfaha iyo qaybaha kale, oo yareyn kara jajabinta iyo kaalinta ugu weyn ee daaweynta ugu badan ee dawada maxalliga ah. Daaweyntu waxay ka kooban tahay inta badan triamcinolone acetonide iyo lidocaine hydrochloride. Cirbadaha jiilaalka sodium sidoo kale waa la isticmaali karaa. Si kastaba ha noqotee, hormoonnada waxay yeelan karaan dhibaatooyin ay ka mid yihiin xanuunka duritaanka ka dib, maqaarka maqaarka ee maxalliga ah, dheriga maqaarka ee hoosaadka, dhaawaca dareemayaasha dareeraha ah, iyo gulukoos dhiig oo kor u kaca. Waxyaabaha ugu weyn ee waxyaabaha gaarsiinta ugu weyn waa xasaasiyad hormoonno, bukaannada uurka leh iyo kuwa nuujinaya. Hyluronate Sodium Hylusuronate ayaa laga yaabaa inay amaan ahaadaan oo ay ka hortegi karto nabarrada kudhaca ee ku wareegsan the shond oo kor u qaadida bogsashada. Saamaynta caafimaad ee daaweynta ay wax ku oolsan tahay waa wax iska cad, laakiin waxaa jira warbixino caafimaad oo ay sababaan duritaan maxalli ah oo aan habooneyn (Jaantuska 3).
Jaantuska 3 qayb ahaan waxay horseedaa necrosis ee faraha faraha faraha faraha-tilmaameedka: A. Maqaarka gacanta ayaa ah mid aad u sarreeya oo farta-dhexe ah fog, iyo faraha faraha ayaa ah necrosis
TAARIIKHDA Daaweynta ku dhaca ee daaweynta xajmiga xawaashka xargaha ee 'Stloids styloid' 2) Iftiiminta ku habboon addinka ay dhibaatadu saameysey si looga fogaado hawl dhicis ah; 3) Kadib mudista hoormoonka, inta badan waxaa jira heerar kala duwan oo xanuun ah, iyo xitaa wasakhda xanuunka, haddii ay tahay in lagu daweeyo 'andsicluhulant' waa in la sameeyaa sida ugu dhakhsaha badan ee suurtogalka ah, sidaa darteed looma baahna, si aan loo daahin xaalada; 4) Ka hortagga hormoonnada ah sida dhiig karka, kaadi macaanka, cudurka wadnaha, iwm, waa in lagu daaweyn karaa dhacdo maxalli ah.
Shockwave: waa daaweyn muxaafid ah, oo aan ka qaadin oo faa'iido u leh abuurista tamarta ka baxsan jirka iyo soo saarista meelaha la beegsaday ee ku dhex jira jirka oo ka dhex dhacaya unugyada ku xeeran. Waxay leedahay saameynta kor u qaadida dheef-shiid kiimikaadka, xoojinta dhiigga iyo wareegga dheecaanka, hagaajinta nafaqada unugyada, iyo furitaanka caqabadaha unugyada jilicsan ee jilicsan. Si kastaba ha noqotee, waxay ku soo daahday daaweynta chenositis-ka stenoid ee stenoid ee radius, iyo warbixinteedii cilmi-baarista waa mid aad u yar, iyo daraasadihii la xakameeyay ee miisaanka ah ayaa wali loo baahan yahay si loo dhiibo adeegsiga cudurrada ku-saleysan ee cudurka 'Trosenositis' ee 'Thenoide'.
Daaweynta Acupuncture-ka: Daaweynta acupuncture-ka yar waa hab siideyn ah oo u dhexeeya daaweynta qalliinka iyo daaweynta qalliinka, iyo goynta dhiigga ee loo yaqaan 'graingsions' ee ku hagaagaya ee loo yaqaan 'benign kicinta' acupuncture ', oo yareynaya falcelinta gubashada, iyo gaaritaanka ujeeddada anti-bararka iyo xanuunka.
Daawooyinka caadiga ah ee Shiinaha: Radial Stloids Stenoid Stenoid Stenoids waxay ka mid tahay "strositdrome" curyaanka "" ee dawada ka shaqeysa ee cudurka hooyo, oo cudurku wuxuu ku saleysan yahay yaraanta iyo heerka. Sababo la xiriira waxqabadka muddada dheer ee wadajirka gacanta ee gacanta, culeys xad dhaaf ah, taasoo dhalisay QI iyo kuwa maxalliga ah ee ah, dhiigga, tan waxaa loo yaqaannaa yaraanta asalka ah; Sababo la xiriira Qiyaasta QI iyo Dhiigga, Muruqyada iyo xididdada ayaa ku luma nafaqo iyo sibidhka, iyo wasakhda iyo wasakhda, sidaas darteedna waxaa laga helaa in xanuunka maxalliga ah ee loo yaqaan 'Cloud', sidaa darteedna ay tahay xanuunka wadajirka gacanta ee dhaqdhaqaaqa. sii xumeeyey rugta caafimaadka, oo ah heer. Waxaa la helay caafimaad ahaan in daweynta moxibution, danaashada lagu daaweeyo, daaweynta dibedda ee daawada Shiinaha ee dhaqanka iyo daaweynta acupuncture ay leedahay saameyn caafimaad.
Daaweynta qalliinka: Qalliinka qalliinka rooga samafalka ee xariga iyo ka soo bixitaan xadidan ayaa ah mid ka mid ah daawooyinka loo yaqaan crosenositis-ka stenosis-ka ee geedi socodka strolous. Waxay ku habboon tahay bukaannada qaba Teenosenovitis soo noqnoqda ee Stloid Stloid Stloid Strooid, oo aan waxtar lahayn ka dib dhacdooyin badan oo maxalli ah iyo dawooyin kale oo muxaafid ah, oo astaamuhu waa daran yihiin. Gaar ahaan bukaannada qaba xasaasiyadda xasaasiyad sare leh, waxay yareysaa xanuun daran oo dib-u-dhac ah.
Direct open surgery: The conventional surgical method is to make a direct incision at the tender area, expose the first dorsal muscle septum, cut the thickened tendon sheath, and release the tendon sheath so that the tendon can slide freely within the tendon sheath. Qalliinka tooska ah ee tooska ah ayaa si dhakhso leh loo gaadhsiiyaa, laakiin waxay xambaarsan tahay qatarta qalliinka ee taxanaha ah sida infekshanka, oo ay sabab u tahay ka saarida tooska ah ee kooxda qalliinka, lugta ka saarida iyo waxyeelada dareemayaasha radial ayaa dhici kara.
1-aad septOlysis: Habka qalliinkan ma gooyo godka 'the the the strest', laakiin wuxuu ka saarayaa cyple cypt-ka ee laga helay septum 1-dathemp-ka ama jahwareerka inta udhaxeysa Afduubyada Longasus iyo finanka Qaabkan wuxuu la mid yahay qaliin furan oo toos ah, oo leh farqiga ugu weyn ee ah in goynta kooxda taageerada fidsan, the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the the Genet logned 'ee galmada. In kasta oo subson stron laga yaabo inuu ku dhexjiro qaabkan, waxay ilaalisaa 1-dadii hore ee setursemor-ka oo muddo dheer oo wax ku ool ah u leh xasilloonida Tenn-ka marka loo eego deganaanshaha Tenden. Faa'iido darrooyinka habkan ayaa inta badan sabab u ah xaqiiqda ah in galmada 'Tender Senten' aan laga saarin, oo dhagxaanta qaro weyn leh ayaa wali noqon kara barar, iyo kala-goysyo leh lugaha ayaa horseedi doonta soo noqnoqda cudurka.
Arthroscopic osteofbibrous paut Dheecaannada ah Si kastaba ha noqotee, wali waxaa jira muran, oo culimada qaarna waxay aaminsan yihiin in qalliinka arthroscopic waa qaali oo waqti qaadasho ah, iyo faa'iidooyinkooda ku saabsan qalliinka tooska ah ee tooska ah ma ahan wax ku filan. Sidaa darteed, daaweynta arthroscopic-ka guud ahaan looma doorto inta badan dhakhaatiirta iyo bukaannada.
Waqtiga Post: Oct-29-2024
