Isifo seCarpal tunnel

I-Carpal tunnel syndrome yimeko apho kukho uxinzelelo olugqithisileyo kwi-nerve median. Le yimithambo-luvo esihlahleni evumela imvakalelo kunye nentshukumo kumalungu esandla. I-Carpal tunnel syndrome inokukhokelela kubuchwephesha, ukurhawuzelela, ubuthathaka, okanye ukonakala kwemisipha esandleni nakwiminwe.

I-nerian median ibonelela ngemvakalelo kunye nokunyakaza kwicala lesithupha lesandla. Oku kubandakanya isundu, isithupha, isalathiso somnwe, umnwe ophakathi, kunye necala lesithupha lomnwe womsesane.

Indawo engalweni yakho apho intsholongwane ingena khona kwisandla ibizwa ngokuba yitonela ye-carpal. Eli tonela lidla ngokuxinana. Nakuphi na ukudumba kunokucofa imithambo-luvo kwaye kubangele iintlungu, ukuba ndindisholo, ukurhawuzelela okanye ubuthathaka. Oku kubizwa ngokuba yi-carpal tunnel syndrome.

Abanye abantu abaphuhlisa i-carpal tunnel syndrome bazalwa benetonela elincinci le-carpal.

I-Carpal tunnel syndrome nayo inokubangelwa ngokwenza isandla esifanayo kunye nokunyakaza kwesandla ngaphezulu nangaphezulu. Sebenzisa izixhobo ezingcangcazelayo kunokukhokelela kwi-carpal tunnel syndrome.

Izifundo khange zibonise ukuba i-carpal tunnel ibangelwa kukuchwetheza kwikhompyuter, ukusebenzisa imouse, okanye ukuphinda-phinda iintshukumo ngelixa usebenza, ukudlala isixhobo somculo, okanye ukudlala imidlalo. Kodwa, le misebenzi inokubangela i-tendinitis okanye i-bursitis esandleni, enokunciphisa i-carpal tunnel kwaye ikhokelele kwiimpawu.

I-Carpal tunnel syndrome yenzeka kakhulu kubantu abaneminyaka engama-30 ukuya kuma-60. Ixhaphake kakhulu kwabasetyhini kunamadoda.

Ezinye izinto ezinokukhokelela kwi-carpal tunnel syndrome zibandakanya:

• Ukusetyenziswa kotywala
• Ukuqhekeka kwamathambo kunye nesifo samathambo esihlahleni
• Umqala okanye ithumba ekhula esihlahleni
• Usulelo
• Ukutyeba kakhulu
• Ukuba umzimba wakho ugcina ulwelo olongezelelekileyo ngexa lokukhulelwa okanye ukuya exesheni
• Irheumatoid Arthritis
• Izifo ezinedipozithi engaqhelekanga emzimbeni (amyloidosis)

Iimpawu zinokubandakanya nayiphi na kwezi zinto zilandelayo:

• Ukuqaqadeka kwesandla xa ubambe izinto
• Ukuba ndindisholo okanye ukurhawuzelela ubhontsi kunye neminwe emibini okanye emithathu elandelayo yesandla esinye okanye sobabini
• Ubudenge okanye ukurhawuzelela intende yesandla
• Intlungu efikelela engqinibeni
• Intlungu esihlahleni okanye isandla kwisandla esinye okanye sobabini
• Iingxaki ngokuhamba kakuhle kweminwe (ukulungelelanisa) kwisandla esinye okanye zombini
• Ukulahla umsipha phantsi kwesithupha (kwiimeko eziphambili okanye zexesha elide)
• Ukubamba buthathaka okanye ubunzima bokuphatha iibhegi (isikhalazo esiqhelekileyo)
• Ubuthathaka kwisandla esinye okanye zombini

Ngexesha lovavanyo lomzimba, umboneleli wakho wezempilo unokufumana:

• Ubungqina entendeni, ubhontsi, isalathiso somnwe, umnwe ophakathi, kunye necala lesithupha somnwe wakho womnwe
• Ukubambelela kwesandla esibuthathaka
• Ukuchwetheza ngaphaya kwethambo le-median esihlahleni sakho kunokubangela iintlungu ukudubula ukusuka esihlahleni sakho ukuya kwisandla sakho (oku kubizwa ngokuba luphawu lweTinel)
• Ukugoba isihlahla sakho phambili yonke indlela kwimizuzwana engama-60 kuhlala kukhokelela kubunqindilili, ukurhawuzelela, okanye ubuthathaka (oku kubizwa ngokuba luvavanyo lukaPhalen)

Uvavanyo olunoku-odolwa lubandakanya:

• I-x-ray yesihlahla ukukhupha ezinye iingxaki, ezinje ngesifo samathambo esihlahleni sakho
• I-Electromyography (EMG, uvavanyo lokujonga izihlunu kunye neentsholongwane ezilawulayo)
• Ukuhamba kwemithambo-luvo (kuvavanyo ukubona ukuba isantya sombane sihamba njani kwimbilini)

Umboneleli wakho unokucebisa oku kulandelayo:

• Ukunxiba isibhaxu ebusuku iiveki ezininzi. Ukuba oku akuncedi, unokufuna ukunxiba isikrufu emini.
• Kuphephe ukulala ezihlahleni zakho.
• Ukubeka uxinzelelo olufudumeleyo nolubandayo kwindawo echaphazelekayo.

Utshintsho onokulenza kwindawo osebenzela kuyo ukunciphisa uxinzelelo kwisandla sakho kubandakanya:

• Sebenzisa izixhobo ezizodwa, ezinje ngebhodi yezitshixo, iintlobo ezahlukeneyo zeempuku zekhompyuter, iiphedi zegundwane ezityiweyo, kunye neebhodi zekhibhodi.
• Ukuba nomntu uphonononge isikhundla okuso xa usenza imisebenzi yakho yomsebenzi. Umzekelo, qiniseka ukuba ikhibhodi isezantsi ngokwaneleyo ukuze izihlahla zakho zingagobeki phezulu ngelixa uchwetheza. Umboneleli wakho unokucebisa ugqirha osebenza emsebenzini.
• Ukwenza utshintsho kwimisebenzi yakho yomsebenzi okanye imisebenzi yasekhaya kunye nezemidlalo. Eminye yemisebenzi enxulunyaniswa ne-carpal tunnel syndrome ibandakanya leyo ibandakanya izixhobo zokungcangcazela.

AMAYEZA

Amayeza asetyenziselwa ukunyanga i-carpal tunnel syndrome abandakanya iziyobisi ezingezizo ezokulwa nokudumba (i-NSAIDs), ezinje nge-ibuprofen okanye i-naproxen. Inaliti ye-Corticosteroid enikezwe kwindawo yecarpal tunnel inokuphelisa iimpawu kangangexesha elithile.

UKUGQIBELA

Ukukhululwa kwetonela yaseCarpal yinkqubo yotyando enqamla kwiligament ecinezela kwi-nerve. Utyando luyaphumelela ixesha elininzi, kodwa kuxhomekeke ekubeni unexesha elingakanani une-nerve compression kunye nobukhali bayo.

Iimpawu zihlala ziphucula ngaphandle kotyando. Kodwa ngaphezulu kwesiqingatha samatyala ekugqibeleni bafuna utyando. Nokuba utyando luphumelele, unyango olupheleleyo lungathatha iinyanga.

Ukuba imeko inyangwa ngokufanelekileyo, kuhlala kungekho zingxaki. Ukuba ayinyangwa, imithambo-luvo inokonakaliswa, ibangele ubuthathaka obungapheliyo, ukuba ndindisholo, kunye nokutswina.

Biza ixesha lokubonana nomboneleli wakho ukuba:

• Unempawu zecarpal tunnel syndrome
• Iimpawu zakho aziphenduli kunyango oluqhelekileyo, njengokuphumla kunye neziyobisi ezichasayo, okanye ukuba kubonakala ngathi kukho ukulahleka kobuninzi bemisipha kwiminwe yakho.
• Iminwe yakho iphulukana nemvakalelo ngakumbi nangakumbi

Sebenzisa izixhobo nezixhobo eziyilelwe ngokufanelekileyo ukunciphisa ubungozi bokwenzakala esihlahleni.

Izinto zokuncedisa i-Ergonomic, ezinje ngeekhibhodi ezahluliweyo, iitreyini zebhodi yezitshixo, iiphedi zokuchwetheza, kunye nezikrweqe zewrist, zingasetyenziselwa ukuphucula ukuma kwesandla ngexesha lokuchwetheza. Thatha ikhefu rhoqo xa uchwetheza kwaye uhlale uyeka ukuba uziva ubetheka okanye uqaqanjelwa.

Ukungasebenzi kakuhle kwemithambo-luvo; Ukuvalelwa kwemithambo-luvo; Ukunyangwa kwemithambo-luvo

• Ukunyanzeliswa kwe-nerve median
• I-anatomy yomphezulu-isihlahla esiqhelekileyo
• Inkqubo yotyando lweCarpal
• Isifo seCarpal tunnel

ICalandruccio JH. I-Carpal tunnel syndrome, i-ulnar tunnel syndrome, kunye ne-tenenynovitis. Ku: Azar FM, Beaty JH, Kanale ST, ii-eds. Umsebenzi weCampbell's Orthopedics. Umhla we-13. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 76.

UZhao M, uBurke DT. I-median neuropathy (i-carpal tunnel syndrome). Ku: UFrontera WR, iSilver JK, uRizzo TD Jr, ii-eds. Izinto ezibaluleke kakhulu kwiNyango yePhysical and Rehabilitation: Musculoskeletal Disways, Pain and Rehabilitation. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2019: isahluko 36.