Iimbangela, iziganeko, ukuxilongwa, kunye noTyango
Ukukhulelwa kunokungahambi kakuhle ngamanye amaxesha. Unokuhlangabezana nokugula kwasekuseni , ukuguquka kwesisu, okanye iinyawo zomzimba . Kodwa, kuthekani malunga nosizi, ukuphazamiseka, nokubethelela ezandleni zakho nasezintwini? Ukuba unayo le mpawu, ingaba yi-carpal tunnel syndrome (i-CTS).
I-CTS yinto engaqhelekanga yokukhulelwa okungaqhelekanga ngayo. Nakhu okufuneka ukwazi malunga nezizathu, iimpawu, kunye nophatho lwe-carpal tunnel ekukhulelweni.
Yintoni iCarpal Tunnel Syndrome?
I-Carpal tunnel syndrome yimeko echaphazela iimbilini kwisandla sakho esibizwa ngokuba yi-median nererve. Amathunga athumela iimpawu ukusuka kwingqondo yakho emzimbeni wakho kunye nomzimba wakho kwingqondo yakho. Banoxanduva lokunyakaza komzimba kunye nokukwazi ukuchukumisa nokuvakalelwa. I-nerve median yehla ingalo yakho esandleni sakho. Iyadlula isiko kummandla omncinci obizwa ngokuba yi-carpal tunnel. I-carpal tunnel yenziwe nge-ligament kunye neqela lamathambo amancinci abizwa ngamathambo e-carpal. Ukuba nantoni na iyancipha okanye ibeka ingcinezelo kwi-nerve median njengoko idlula kule ndawo eqinile, ingabangela iimpawu ze-carpal tunnel syndrome.
I-Carpal Tunnel ekukhulelweni
I-Carpal tunnel syndrome inokucaphukisa okanye ibuhlungu kakhulu, kodwa ayithathwa njengesimo esiyingozi sonyango ngexesha lokukhulelwa. Kungenzeka ukuba ubonise ukuphela kokukhulelwa okokuqala kumama abaneminyaka engaphezu kwama-30 ubudala, kwaye ukuba unayo ekukhulelweni okukodwa, kunethuba elikhulu lokubuyela kwakhona ekukhulelweni okulandelayo.
Ukufikelela kuma-60 ekhulwini kwabasetyhini bafumana iimpawu ze-carpal tunnel ngexesha lokukhulelwa. Uninzi lwexesha linyamezela kwaye linyamezeleke. Nangona kunjalo, malunga nama-10 ekhulwini kwabasetyhini abakhulelweyo, kunokuba buhlungu kwaye kuphazamise ubomi bokulala nobomi bemihla ngemihla.
Izizathu
Ngethuba lokukhulelwa, umzimba uhamba ngeenguqu ezininzi zeemvelo kunye ne-hormone ezingakhokelela ekuvupheni emzimbeni.
Xa umbane ogqithiseleyo ubangela ukuvuvukala kwisikristsi, ubeka uxinzelelo kwi-nerve median kwaye kubangele iimpawu ze-carpal tunnel. Ezinye zezizathu ezinxulumene nokukhulelwa kweCTS zi:
- Ukufumana ubunzima obukhulu
- Ukugcinwa kwamanzi (i-edema)
- Ukhulelwe ngaphezu kwengane
- Isifo sikashukela
I-carpal tunnel nayo ingahlakulela ngexesha lokukhulelwa kwimibandela engahambelani nokukhulelwa. Ezi ziquka i-rheumatoid arthritis, ukulimala kwisikristsi, okanye ukunyakaza kwesandla sokuphindaphinda okufana nokuthayipha kwibhodibhodi.
Iimpawu
Iimpawu ze-carpal tunnel zingabonakalisa naliphi na ixesha kodwa ziqhelekileyo kwixesha lesibini okanye lesithathu . Unokufumana i-CTS ezandleni zombini, kodwa isandla sakho esiphambili singabonakalisa iimpawu ezininzi njengoko usebenzise ngaphezulu. Iimpawu zeengqungquthela ze-carp are:
- Izikhonkwane kunye neenaliti kwiminwe yakho nangesandla
- Uvakalelwa ngathi isandla sakho silele
- Ubungqina kwisandla sesandla sakho eduze kwesinyawo sakho
- Ubungqina kwisithupha sakho, isalathisi kunye neminwe ephakathi
- Ukuhlutha ngezandla zakho nokuyeka izinto
- Ubuthathaka xa uzama ukubamba izinto
- Ubuhlungu kwisandla, isalathisi, kunye neengcambu
- Kwakhona kunokuba nentlungu kwi-elbow, ingalo, ihlombe kunye nentamo
- Uvakalelo oluvuthayo esandleni sakho nangengalo
- Uvakalelo lokuvuvukala kwiminwe nangesandla
I-Carpal Tunnel ebusuku
I-carpal tunnel inokubangela intlungu yesandla ebusuku kwaye ivuse.
Ngethuba ulala, izibilini zakho zigoba okanye zantsi kwaye cinezela kwi-nerve. Ukuba ugubha izandla xa uvuka, ngokuqhelekileyo uziva ngcono. Ukuqhaqha kwamakhanda kunokukunceda, njengoko kugcina i-wrists yakho iqonde xa ulala kwaye ukhuphe uxinzelelo kwi-nerve.
Ukuxilongwa
Ukuba ufumana iimpawu ze-carpal tunnel, kufuneka uxoxe nodokotela wakho. Ugqirha uya kuphulaphula iimpawu zakho kwaye ahlolisise izandla kunye nezibonda ukujonga ukuvuvukala nentlungu. Ugqirha unokwenza iimvavanyo ezilula ukujonga ukuba unokuziva njani kwaye nokuba kukho na ubuthathaka kwimisundu yesandla sakho okanye iminwe.
Ezi mvavanyo zi:
- Uvavanyo lwe-Durkan's Compression Test: Ugqirha uya kufaka i-nerve median ngezithupha zakhe ukujonga intlungu okanye ukubetha.
- Uvavanyo lweTinel: Ugqirha uya kuluhluza i-nerf ukuze ubone ukuba uvakalelwa yini iminwe yakho.
- Uvavanyo lwe-Phalen: Ugqirha uza kukubamba iqhosha lakho nge-elbow bent kwaye uvumele isandla sakho ukuba sitshintshe ngokwemvelo ngokucima amandla, okanye uya kuba nezibilini zakho zombini zixhamla kunye neentsimbi zezandla zakho zithintela kwaye zixinzelelane ukuze zibone ukuba uziva uvutha, utyhafa, okanye unqabile.
Oogqirha basebenzisa ezinye iimvavanyo ukuxilonga i-CTS, kodwa awukwazi ukuba nawo xa ukhulelwe. Nangona kunjalo, ukuba iimpawu zakho azihambi emva kokuzalwa komntwana wakho, unakho oku kulandelayo:
- I-test ye-nerve conduction test okanye i-electromyography (EMG)
- X-ray
- Ultrasound
- Ukujonga umfanekiso weMagnetic Resonance (MRI)
Unyango ngexesha lokukhulelwa
Unyango lwe-carpal tunnel ngexesha lokukhulelwa luya kuxhomekeka kwindlela i-CTS echaphazela ngayo ubomi bakho bemihla ngemihla nokuba ungayinyamezela kangakanani. Kwiimeko ezibuhlungu, ugqirha wakho unokukunika iinkcukacha kunye neendlela zokonyango ukukhupha iimpawu zakho. Iimeko ezinzima aziqhelekanga, kodwa xa zivela, ugqirha wakho unokukuthumela kwi-neurologist ejolise kwiimbilini okanye ugqirha wamazinyo ogxininise amathambo kunye nemisipha.
Nangona ukhulelwe, kufuneka wenze okusemandleni akho ukulawula nokunyamezela iimpawu zeCTS. Ukuba unako ukufumana lonke ixesha lokukhulelwa kwakho, kufuneka kulunge ngakumbi emva kokunikezwa komntwana wakho. Ugqirha wakho unokuncoma ukuba uzame:
- Icebo
- Ukutshintsha okutshisa kunye nokubandayo kwindawo
- Ukuphepha ukunyuswa kwesandla ngokuphindaphindiweyo njengoko kunokwenzeka ukuba izenzo eziphindaphindiweyo zenza iintlungu
- Ukuphumla kwesandla sebhobhokhi ukuxhasa inkxaso yakho xa uthayipha okanye usebenza kwikhompyuter yakho
- Ukuthatha ikhefu ngokuqhelekileyo ukuba unomsebenzi ofuna ukuba uthayiphe, ubhale, okanye usebenzise izixhobo eziduduzayo
- Ukuphakamisa iingalo zakho ukunceda ukukhupha umkhuhlane kummandla
- Ukuhlawula indawo
- Ukusebenzisa umnwe omnene kunye nokuqeqesha izandla
- Ukugqithwa kweebhondi ezibizwa ngokuba yi-crystal splints zokugcina izibonda zingabandakanyeki ngokukhethekileyo ebusuku
- Ukuthatha iTylenol (i-acetaminophen) okanye imithi yokunceda intlungu ekhuselekile ukuyisebenzisa ngexesha lokukhulelwa
- Ukuzama ukunyanga okanye i-yoga
- Ulungiso lwenyama
Ukuba iimpawu zinzima, imishanguzo ye-steroid injected ngenaliti ngqo kwindawo yengingqi ye-carpal inokunceda ekunciphiseni ubuhlungu nokuvuvukala.
Unyango emva kokubeleka
Emva kokuba umntwana wakho azalwe, iimpawu zeCTS zingancinci ngokwabo njengezixhobo zamanzi kunye ne-hormone zibuyela eziqhelekileyo. Ixesha lidla ngokuba unyango olungcono lweempawu zokukhulelwa kwe-carpal tunnel syndrome. Qhubekani nithetha ngalo ngogqirha wakho ekuqeshweni okulandelelweyo. Ukuba iimpawu zakho aziphuculanga kwiiveki kunye neenyanga emva kokubeleka, ugqirha wakho unokucebisa:
- Amachiza anqabileyo ekunciphiseni ubuhlungu kunye nokuvuvukala. Ngethuba ukhulelwe, akufanele uthathe imithi enjenge-counter-counter-anti-injection efana ne-Motrin ne-Advil (i-Ibuprofen) ngaphandle kokuba imiselwe ugqirha wakho. Kodwa, ungathetha nogqirha wakho malunga nokusebenzisa emva kokunikezelwa.
- I-Diuretics (iipilisi zamanzi) ukunceda ukususa umthamo ogqithiseleyo ukusuka emzimbeni ngokucoca
- Ukuqhubeka unyango lomzimba okanye umsebenzi njengoko kuyimfuneko
- Injini ze Steroid
- Utyando alufunwa kangangoko kodwa lufumaneka xa luyimfuneko.
CTS kunye nokunxiliswa
Iimpawu ze-carpal tunnel zithatha ukuhamba emva kokuthunyelwa, kodwa ziyaqhubeka nokuncelisa . Abanye abafazi abahluphekanga kwi-CTS ngexesha lokukhulelwa, kuphela ukuba iimpawu ziqale iiveki ezimbalwa emva kokubeleka xa zibele. Ukunyangwa kwe-carpal tunnel ngexesha lokuncelisa ukubandakanya kubandakanya ukubeka isandla sakho kwisandla sakho njengoko ubambelela kwaye uncelise umntwana wakho , ugqoke izicwangciso zamandla, ukuphumla ngokukhulu kunokwenzeka , ukuthatha iipilisi zamanzi ukukhulula umzi womzimba kunye nokufumana ii-injection ze-steroid xa kuyimfuneko. Ukuxhatshazwa kwe-carpal tunnel ngokuqhelekileyo kunokusombulula xa usana usana .
> Imithombo:
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> Lawrence, uRuth A., MD, Lawrence, uRobert M., MD. Ukusondeza isiKhokelo seNgcaciso yezoPhicongo. Elsevier Health Sciences. 2015.
> Moghtaderi AR, Moghtaderi N, Loghmani A. Ukuphonononga ukusebenza komjoka we-dexamethasone wendawo kubhinqa abakhulelweyo abane-carpal tunnel syndrome. Umbhalo wophando kwizonyango zonyango: iphephandaba elisemthethweni lika-Isfahan University of Medical Sciences. NgoNovemba ka-2011; 16 (5): 687.
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