Ukungasebenzi kakuhle kwemithambo-luvo

Ukungasebenzi kakuhle kwe-median nerve luhlobo luhlobo lwe-peripheral neuropathy echaphazela ukuhamba okanye uvakalelo ezandleni.

Uhlobo oluqhelekileyo lwe-distal median nerve dysfunction yi-carpal tunnel syndrome.

Ukungasebenzi kweqela elinye le-nerve, njenge-distal median nerve, ibizwa ngokuba yi-mononeuropathy. I-Mononeuropathy ithetha ukuba kukho unobangela wendawo yomonakalo wemithambo-luvo. Izifo ezichaphazela umzimba uphela (ukuphazamiseka kwenkqubo) nazo zinokubangela ukonakala kwentliziyo.

Le meko yenzeka xa intsholongwane ivutha, ibanjisiwe, okanye yenzakele ngumothuko. Esona sizathu siqhelekileyo kukubambisa (ukubanjwa). Ukubambisa kubeka uxinzelelo kwimithambo-luvo apho idlula kwindawo encinci. Ukuqhekeka kwesandla kunokulimaza ngqo i-nerve median. Okanye, kunokunyusa umngcipheko wokubamba inzwa kamva.

Ukudumba kweetoni (tendonitis) okanye amalungu (iarthritis) nako kunokubeka uxinzelelo kwimithambo-luvo. Ezinye iintshukumo eziphindaphindayo zonyusa ithuba lokuphuhlisa ukubanjwa kwetonpal carpal. Abasetyhini bachaphazeleka ngakumbi kunamadoda.

Iingxaki ezichaphazela isicwili esikufutshane ne-nerve okanye ezibangela ukuba iidipozithi zenze kwifom ye-tissue zinokuthintela ukuhamba kwegazi kwaye zikhokelele kuxinzelelo kwi-nerve. Ezi meko zibandakanya:

• Ihomoni yokukhula kakhulu emzimbeni (acromegaly)
• Seswekile
• Ukungasebenzi kwe-thyroid (hypothyroidism)
• Isifo sezintso
• Umhlaza wegazi ubizwa ngokuba yi-myeloma emininzi
• Ukukhulelwa
• Ukutyeba kakhulu

Ngamanye amaxesha, akukho sizathu sinokufunyanwa. Isifo seswekile singayenza mandundu le meko.

Iimpawu zinokubandakanya nayiphi na kwezi zinto zilandelayo:

• Ubuhlungu esihlahleni okanye isandla esinokuba nzima kwaye sikuvuse ebusuku, kwaye sinokuziva kwezinye iindawo, ezinje ngengalo ephezulu (oku kubizwa ngokuba yintlungu ebhekisiweyo)
• Utshintsho lweemvakalelo kusithupha, kwisalathiso, embindini, nakwinxalenye yeminwe yesangqa, ezinje ngemvakalelo yokutsha, ukuncipha kwemvakalelo, ukuba ndindisholo nokubetha
• Ubuthathaka besandla esibangela ukuba ulahle izinto okanye ube nzima ukubamba izinto okanye ucofe iqhosha kwihempe

Umboneleli wakho wezempilo uya kuvavanya isihlahla sakho kwaye abuze malunga nembali yakho yezonyango. Uvavanyo olunokwenziwa lunokubandakanya:

• I-Electromyogram (EMG) ukujonga umsebenzi wombane wezihlunu
• Uvavanyo lokuqhutywa kwemithambo ukukhangela ukuba ngaba amandla ombane akhawuleza kangakanani na nge-nerve
• I-ultrasound ye-Neuromuscular ukujonga iingxaki kwiimisipha kunye neentsholongwane
• I-biopsy yamathambo apho izicubu zemithambo-luvo zisuswe ukuba zihlolwe (kunqabile ukuba zifuneke)
• Imagnetic resonance neurography (inkcazo ebanzi kakhulu yemithambo-luvo)

Unyango lujolise kwisizathu esingunobangela.

Ukuba imithambo-luvo ye-median ichaphazeleka yi-carpal tunnel syndrome, isiziba sesandla sinokunciphisa ukonzakala okungakumbi kwi-nerve kunye nokunceda ukukhulula iimpawu. Ukunxiba isibambo ebusuku kuphumla indawo kwaye kunciphise ukudumba. Inaliti esihlahleni inokunceda ngeempawu, kodwa ayizukulungisa ingxaki esisiseko. Utyando lunokufuneka ukuba intambo okanye amayeza awancedi.

Kwezinye izizathu, unyango lunokubandakanya oku kulandelayo:

• Amayeza okulawula iintlungu zemithambo-luvo (ezinje nge-gabapentin okanye i-pregabalin)
• Ukunyanga ingxaki yezonyango ebangela ukonakala kwemithambo-luvo, njengesifo seswekile okanye isifo sezintso
• Unyango lomzimba ukunceda ukugcina amandla emisipha

Ukuba unobangela wokungasebenzi kakuhle kwemithambo-luvo unokuchongwa kwaye uphathwe, kukho ithuba elihle lokufumana kwakhona ngokupheleleyo. Ngamanye amaxesha, kukho enye okanye ilahleko epheleleyo yokuhamba okanye yokuziva usiva. Intlungu yesibindi inokuba nzima kwaye iqhubeke ixesha elide.

Iingxaki zinokubandakanya:

• Ukukhubazeka kwesandla (kunqabile)
• Ukuphulukana okungaphelelanga okanye okupheleleyo kokuhamba kwesandla
• Ukuphulukana ngokungaphelelanga okanye ngokupheleleyo kwiminwe
• Ukulimala okuphindaphindiweyo okanye okungabonakaliyo esandleni

Fowunela umnikezeli wakho ukuba uneempawu zokungasebenzi kakuhle kwemithambo. Ukuchongwa kwangoko kunye nonyango kunyusa ithuba lokunyanga okanye lokulawula iimpawu.

Uthintelo luyahluka, kuxhomekeka kwisizathu. Kubantu abanesifo seswekile, ukulawula iswekile yegazi kunokunciphisa umngcipheko wokuba nengxaki yokuphazamiseka kwemithambo-luvo.

Kubantu abanemisebenzi ebandakanya ukuphindaphindwa kokuhamba kwesihlahla, utshintsho kwindlela owenziwa ngayo umsebenzi lunokufuneka. Ukuqhekeka rhoqo kwimisebenzi nako kunokunceda.

I-Neuropathy -i-distal median nerve

• Inkqubo ye-nervous central kunye ne-peripheral system

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