Tenosynovitis - chii? Tenosynovitis ari mudzira. Tenosynovitis mumakwenzi - kurapwa

Tenosynovitis - chii? Mhinduro kumubvunzo, unogona kuwana zvinhu inopiwa nyaya. Uyezve, isu achakuudzai chii chinokonzera kutsauka ichi, uye kudonongodza kwayo kunotoda mufananidzo.

Tenosynovitis - chii?

Zvokurapa rokuti "tenosynovitis" vakauya kwatiri kubva muLatin shoko kubva tendovaginitis. Chaizvoizvo zvashandurwa, ichi kurehwa zvinotevera: tendo - ndiye "mudzira", uye nyinyo - ndiye "nyinyo". Kana suffix -itis, iye ngatizivei pamusoro inoyerera pamusoro anogumbura kwendangariro.

Saka, mubvunzo tenosynovitis - chii chinogona kuva nyore kutaura kuti uyu womukati kuzvimba synovial Kamudzira pamusoro nyinyo (fibrous) tsandanyama mudzira.

zvinokonzera

Tenosynovitis mudzira, kana inonzi nyanzvi tenosynovitis kazhinji kunoitika nokuda kwenguva refu overvoltage tsandanyama kana Micro-traumas mune vashandi vamwe sika (semuenzaniso, loader, typists, pianists, kushanda rinorema bhizimisi uye nezvimwewo.), Izvo kwenguva refu ushande oga chete kufamba pamwe kutora chikamu boka duku revanhu tsandanyama tishu. Uyezve, kutsauka iyi kazhinji kuchengetwa mune dzimwe vatambi panguva overtraining (semuenzaniso, skaters, skiers, uye zvichingodaro.).

Mhaka nonspecific tendovaginitis anogona zvavaita agovere chero anogumbura kwaiita purulent Kusimbisa synovial mumuhara mudzira. Chaizvoizvo anovandudza purulent arthritis, osteomyelitis uye felon.

Zvinofanira kucherechedzwa kuti tendovaginitah kazhinji anozviratidza pashure zvimwe zvirwere (zvakadai brucellosis, mwandabvu, tibhii, etc.). Chinowanzoonekwa kuchengetwa hematogenous kupararira chero utachiona.

Uyezve, tenosynovitis tsoka, emberi nemamwe majoini vari kuchengetwa rheumatic zvirwere zvakadai scleroderma, dzinonzi rheumatoid arthritis, rheumatic fivha, Reiter kuti urwere, ankylosing spondylitis , uye nezvimwewo. Uyewo, kutsauka ichi inogona kugadzirwa tikafunga reactive kuzvimba, riri chepfu zvakasikwa.

kupatsanura zvirwere

Zvino imi munoziva mashoko tenosynovitis - chii. Zvinofanira kucherechedzwa kuti kutsaudzira iri Classified ne:

1. Zvikonzero:

• kutapuriranwa tenosynovitis (yakananga uye nonspecific);
• Aseptic (reactive uye nyanzvi).

2. Clinical zviratidzo:

• refu;
• unopinza.

3. zvakaita anogumbura mhinduro:

• seroplastic;
• serous;
• purulent.

zvekuchipatara mufananidzo

Avo kana zvimwe zviratidzo chirwere anoenderana ndokworudzii. Zvinofanira kucherechedzwa kuti zviri zvikuru kuona zviratidzo nguva uye pakarepo kubvunza chiremba.

Saka, isu funga muudzame chii zviratidzo zviri runozivisa kutsauka ichi.

Nonspecific tenosynovitis, unoyerera ari rikwanise muchimiro

Chakadaro pathological mamiriro dzinoratidzwa rikwanise Pazvinotanga uye kukurumidza kubuda ari panzvimbo kurwadza kuzvimba pa nzvimbo zvakakanganisa mudzira mumuhara dziri.

Inonyanyoshandiswa kuchengetwa varwere rikwanise tenosynovitis bhurasho. Mabatirwo kutsauka ichi ipfupi kugamuchira waingoita Anti-anogumbura zvinodhaka, uye kushandisa dzakasiyana hurongwa uye majekiseni. Kana nguva haaoni chiremba, zvinorwadza pakazvimba uye kuzvimba achaenda nokururamisira nokukurumidza riine bhurasho pamusoro honokono, iyo kukutadzisa zvikuru murwere kufamba.

Krepitiruyuschie tenosynovitis (chakasimba kana aseptic)

kutsauka ichi maitiro synovial sheaths, izvo vanoda patsoka, dorsum ruoko, uyewo biceps. Rinotanga chirwere ichi rakanyatsojeka zvikuru. Munzvimbo iyi rinowanika zvimba nokukurumidza, uye pane crepitus pamusoro palpation. Kana anovandudza chiningoningo tenosynovitis, ipapo anenge pakarepo murwere ishoma chiningoningo kufamba uye minwe, uyewo avo akasimba soreness. Zvinofanira kucherechedzwa kuti rikwanise kwakadaro chirwere ane aseptic anogona nyore kwaramba.

chisingaperi tenosynovitis

kutsauka ichi kazhinji ikabuda sheaths pakati nemarunda extensor uye flexor digitorum, kureva mudunhu retainer yavo. The kunotoda mufananidzo uyu ezvinhu ari carpal tanera syndrome. Kana vakachengeta bundu uye pachinzvimbo kukuvadzwa inotungamirwa, rine elongated chimiro (kazhinji chinhu hourglass), kwakavharwa nenyama kusachinja-chinja uye riri mune carpal mugero. Zvinofanira kucherechedzwa kuti yakadaro kutsaudzira anogona nyore kunzwa panguva palpation.

Anosimbisa chimiro chirwere, riri chisingaperi, riri of Quervain kuti tenosynovitis (kana constrictive tenosynovitis).

tuberculous tenosynovitis

The kunotoda mufananidzo chirwere ichi kunoratidzwa paumbwe "miviri mupunga" inonzi, izvo akaronga achitevedza kuwedzerwa mudzira sheaths. Vanogona kuonekwa ne palpation.

Kupi angatanga?

Tenosynovitis - chinhu anogumbura chirwere chinogona kukanganisa chero vagari zvachose. Funga uko pathological mamiriro hwapedyo unowanzosangana.

Tenosynovitis maoko. kutsauka ichi ndicho. Izvi imhaka yokuti wava rokumusoro kumugumo nhema mukuru mutoro. Uyezve, ruoko kazhinji vachibatwa kukuvara siyana uye hypothermia.

• Tenosynovitis mumakwenzi. Sezvataurwa pamusoro apa, maoko pangozi zvikuru chikamu muviri. Minor kunotevera, kakawanda supercooling uye kunyanyisa mitoro kunotungamirira anogumbura chinja ari mudzira sheaths. Kazhinji, chirwere haisi rwarisa zvakasikwa uye ukama chete kune nyanzvi mumabasa wacho.
• Tenosynovitis of honokono. chirwere ichi mberi nokukurumidza zvikuru. Kazhinji, chikamu ichi muviri zvakunoita krepitiruyuschie tenosynovitis. The chirwere inotanga yakakwirira kuneta maoko kurwadza, uyewo pomoto, tingling uye chiveve.
• Tenosynovitis gunwe. Panguva kutanga kwekupwanyiwa kutsauka izvi zvakaoma chaizvo kuziva. Kazhinji, izvi zvinoda vaishandisa munhu anofanira kuongorora murwere uye kuitisa inoda kufunga njodzi yacho. Kana kuzvimba ichi muchapfekei purulent, murwere anogona chokunyunyuta pamusoro marwadzo uye chinokosha kuzvimba.
• Tenosynovitis of chiningoningo. The chirwere kazhinji anova seri mutundu. Kazhinji, kutsauka ichi rinokanganisa mudzira mutoro kuswatura guru toe. Pachena zviratidzo munhu pathological mamiriro marwadzo ari chiningoningo, iyo pakupedzisira kuwedzera pamwe Kutama, asi pamwe zororo uye kutandara maoko dzimwe nguva kudzikama.
• Tenosynovitis of chiningoningo rwakashodoka. With kurambwa akadaro ane mudzira, riri basa napagumwe roruoko. Kazhinji richikora, uye kurwadziwa yomuka ari chiningoningo, anopiwa papfudzi kana repamusoro ruoko.
• Tendonitis pamusoro pamafudzi rwakashodoka. kutsauka ichi rinowanzoberekera muna mukana, vavezi, polishers, nezvimwewo mhizha. chirwere kwakadaro kunogona kugara kwevhiki 2-3, uye vobva vaita subacute kutotanga.
• Tendonitis pakati kugokora rwakashodoka. Akauya nokuda Chirwere zvisinganyanyi kuitika. It kazhinji anovandudza somugumisiro chero kukuvara kana kukuvara.
• Tenosynovitis flexors. The chirwere kazhinji kunoitika vakadzi vane basa remaoko.

Tenosynovitis ahilovogo mudzira. kutsauka Izvi kachitanga nokuda zvakanyanyisa yakakwirira mitoro pamusoro mhuru tsandanyama kana achilles mudzira.

Tendonitis of ibvi rwakashodoka. The chirwere kukura somugumisiro kwenguva refu chaiko mutoro pamusoro pejoinhi. Uyezve, unogona kukonzerwa kururama mamiriro, mamiriro emunhu muviri neVadzidzi utachiona, uye zvichingodaro.

Tenosynovitis hudyu. munhu pathological mamiriro kwakadaro kunokonzerwa kuzara kuti tsandanyama rinenge nemarunda, uyewo dzakasiyana-siyana akuvara. Zvinofanira kucherechedzwa kuti naka pabonde vari tichikurumidza chirwere pane simba hafu yevanhu.

Uyezve, tenosynovitis kunogona kuitika munyika nemarunda rutsoka, neketani uchingodzikira gumbo.