Ukukhululwa kwetonela yeCarpal

Ukukhutshwa kwetonela yeCarpal lutyando lokunyanga i-carpal tunnel syndrome. I-Carpal tunnel syndrome yintlungu kunye nobuthathaka esandleni esibangelwa luxinzelelo kwi-nerve median esihlahleni.

I-median nerve kunye neetoni eziguqukayo (okanye ezirholayo) iminwe yakho idlula kwindlela ebizwa ngokuba yitonela le-carp kwisandla sakho. Le tonela imxinwa, ngoko ke nakuphi na ukudumba okunokuyiphina imbilini kuze kubangele nentlungu. I-ligament eshinyeneyo (izicubu) phantsi nje kolusu lwakho (i-carpal ligament) yenza umphezulu wale tonela. Ngexesha lokusebenza, ugqirha ugqobhoza i-carpal ligament ukwenza indawo engakumbi ye-nerve kunye neethenda.

Olu tyando lwenziwa ngale ndlela ilandelayo:

• Okokuqala, ufumana iyeza elenzayo ukuze ungaziva iintlungu ngexesha lotyando. Ungavuka kodwa uyakufumana amayeza anokukwenza uphumle.
• Ukusikwa okuncinci kwenziwa entendeni yesandla sakho kufutshane nesihlahla sakho.
• Emva koko, i-ligament egubungela i-carpal tunnel iyanqunyulwa. Oku kunciphisa uxinzelelo kwi-nerve median. Ngamanye amaxesha, izicubu ezijikeleze imithambo-luvo ziyasuswa nazo.
• Ulusu kunye nezicubu ngaphantsi kolusu lwakho zivaliwe ngemisonto (yomthungo).

Ngamanye amaxesha le nkqubo yenziwa kusetyenziswa ikhamera encinci eqhotyoshelwe esweni. Ugqirha ufaka ikhamera esihlahleni sakho ngokusika okuncinci kakhulu kwaye ujonge esweni ukubona ngaphakathi kwesihlahla sakho. Oku kubizwa ngokuba yi-endoscopic surgeon. Isixhobo esisetyenzisiweyo sibizwa ngokuba yi-endoscope.

Abantu abaneempawu ze-carpal tunnel syndrome bahlala bezama unyango lonyango kuqala. Oku kunokubandakanya:

• Amayeza anti-ukudumba
• Unyango lokufunda umthambo kunye nokuzolula
• Utshintsho kwindawo yokusebenza ukuphucula indawo yokuhlala nendlela oyisebenzisa ngayo ikhompyuter yakho okanye esinye isixhobo
• Iziqwenga zesihlahla
• Ukudutyulwa kwamayeza e-corticosteroid kwi-carpal tunnel

Ukuba akukho nanye kwezi zonyango ezincedayo, abanye oogqirha baya kuvavanya umsebenzi wombane we-median nerve nge-EMG (electromyogram). Ukuba uvavanyo lubonisa ukuba ingxaki yi-carpal tunnel syndrome, kunokucetyiswa utyando lwe-carpal tunnel.

Ukuba izihlunu ezisesandleni sakho nasesihlahleni ziyancipha ngenxa yokuba imithambo-luvo icinyiwe, uqhaqho luya kwenziwa ngokukhawuleza.

Iingozi zolu tyando zezi:

• Ukunyanga kwamayeza kunyango
• Ukopha
• Usulelo
• Ukwenzakala kwi-median nerve okanye imithambo-luvo ephuma kuyo
• Ubuthathaka kunye nokuba ndindisholo esandleni
• Kwiimeko ezinqabileyo, ukwenzakala komnye umthambo okanye umthambo wegazi (umthambo okanye umthambo)
• Ukuthamba kwentliziyo

Ngaphambi kotyando, kuya kufuneka:

• Xelela ugqirha wakho wotyando ukuba ngawaphi amayeza owasebenzisayo. Oku kubandakanya amayeza, izongezo, okanye amayeza owathengileyo ngaphandle kommiselo.
• Unokucelwa ukuba uyeke okwethutyana iziyobisi zakho zokucoca igazi. Oku kubandakanya i-aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), kunye nezinye iziyobisi.
• Buza umboneleli wakho ukuba ngawaphi amayeza ekufuneka uwathathe ngosuku lotyando lwakho.
• Ukuba uyatshaya, zama ukuyeka. Cela uncedo kumboneleli wakho. Ukutshaya kunokuthoba ukunyanga.
• Vumela umboneleli wakho azi ngayo nayiphi na into ebandayo, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, okanye esinye isifo. Ukuba uyagula, utyando lwakho lunokufuna ukuba limiswe elinye ixesha.

Ngomhla wotyando:

• Landela imiyalelo malunga nokuba ufuna ukuyeka ukutya okanye ukusela ngaphambi kotyando.
• Thatha nawaphi na amayeza oceliwe ukuba uwathabathe ngesiphunga esincinci samanzi.
• Landela imiyalelo ukuba ufike nini esibhedlele. Qiniseka ukuba ufika ngexesha.

Olu tyando lwenziwa ngokunyanga ngaphandle. Akukho mfuneko yokuba uhlale esibhedlele.

Emva koqhaqho, isihlakala sakho siyakube sikwi-splint okanye kwi-bandage enzima kangange veki. Gcina oku de utyelele ugqirha wakho wokuqala emva kotyando, kwaye ugcine ucocekile kwaye womile. Emva kokuqhekeka okanye ibhandishi isusiwe, uya kuqala ukwenza umthambo okanye inkqubo yonyango.

Ukukhutshwa kweCarpal tunnel kunciphisa iintlungu, ukubetha kwentliziyo, kunye nokuqaqamba, kunye nokubuyisa amandla emisipha. Uninzi lwabantu luyancedwa lolu tyando.

Ubude bokubuyiswa kwakho buya kuxhomekeka ekubeni uneempawu ezingakanani ngaphambi kotyando kunye nokuba wonakaliswe kakubi kangakanani yimithambo-luvo yakho. Ukuba ubunezimpawu ixesha elide, awunakuba nazo ngokupheleleyo iimpawu emva kokuba uphinde wachacha.

Ukudodobala kwemithambo yamaMediya; Ukudodobala kweCarpal tunnel; Utyando - i-carpal tunnel

• Unonophelo lwenxeba lotyando - luvulekile

• Isifo seCarpal tunnel
• I-anatomy yomphezulu-isundu esiqhelekileyo
• I-anatomy yomphezulu-isihlahla esiqhelekileyo
• I-anatomy yesihlahla
• Ukulungiswa kwetonela yeCarpal - uthotho

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IMackinnon SE, iNovak CB. Uxinzelelo lweeuropathies. Ku: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, Cohen MS, ii-eds. Utyando lwesandla esisebenzayo sikaGreen. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 28.

UZhao M, uBurke DT. I-median neuropathy (i-carpal tunnel syndrome). Ku: UFrontera WR, iSilver JK, uRizzo TD, ii-eds. Izinto ezibaluleke kakhulu kwiNyango yePhysical and Rehabilitation: Musculoskeletal Disways, Pain and Rehabilitation. Ngomhla wesi-3. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 36.