Intlungu yesihlahla

Intlungu yesihlahla nayiphi na intlungu okanye ukungonwabi esihlahleni.

Isifo seCarpal tunnel Unobangela oqhelekileyo wentlungu yesandla yi-carpal tunnel syndrome. Unokuziva uqaqanjelwa, uvutha, ubundindisholo, okanye ubetheka entendeni yesandla sakho, esihlahleni, kubhontsi, okanye eminweni. Imisipha yesithupha inokuba buthathaka, yenze kube nzima ukuqonda izinto. Iintlungu zinokunyuka ziye engqinibeni.

I-Carpal tunnel syndrome yenzeka xa i-median nerve icinezelwa esihlahleni ngenxa yokudumba. Le yimithambo-luvo esihlahleni evumela imvakalelo kunye nentshukumo kumalungu esandla. Ukudumba kunokwenzeka ukuba:

• Yenza intshukumo ephindaphindayo ngesihlahla sakho, njengokuchwetheza ikhibhodi yekhompyuter, usebenzisa imouse yecomputer, ukudlala i-racquetball okanye ibhola yesandla, ukuthunga, ukupeyinta, ukubhala, okanye ukusebenzisa isixhobo esingcangcazelayo
• Ngaba ukhulelwe, uyeke ukuya exesheni, okanye utyebe kakhulu
• Unesifo seswekile, isifo sokuqala kwangaphambi kokuya exesheni, idlala lengqula elingasebenziyo, okanye isifo samathambo

Ukwenzakala: Intlungu yesandla ngokugruzuka kunye nokudumba kuhlala kungumqondiso wokonzakala. Iimpawu zethambo elaphukileyo elinokubakho zibandakanya amalungu adibeneyo kunye nokungakwazi ukuhambisa isihlahla, isandla, okanye umnwe. Kunokubakho nokwenzakala kwe-cartilage esihlahleni. Olunye ukonzakala okuqhelekileyo kubandakanya ukubola, ubunzima, i-tendinitis, kunye ne-bursitis.

Isifo samathambo:Isifo samathambo sesinye sezizathu eziqhelekileyo zobuhlungu besandla, ukudumba, kunye nokuqina. Zininzi iintlobo zesifo samathambo:

• I-Osteoarthritis yenzeka ngokuguga nokusetyenziswa gwenxa.
• I-rheumatoid arthritis ngokubanzi ichaphazela izihlahla zombini.
• I-Psoriatic arthritis ihamba ne-psoriasis.
• Isifo samathambo esosulelayo sisisifo esingxamisekileyo. Iimpawu zosulelo zibandakanya ubomvu kunye nokufudumala kwesihlahla, umkhuhlane ongaphezulu kwe-100 ° F (37.7 ° C), kunye nokugula okutsha.

Abanye oonobangela

• Igawuthi: Oku kwenzeka xa umzimba wakho uvelisa i-uric acid eninzi, imveliso yenkunkuma. I-uric acid yenze iikristali kumalungu, kunokuba ikhutshwe kumchamo.
• I-Pseudogout: Oku kwenzeka xa i-calcium ifaka emalungeni, ibangela iintlungu, ukuba bomvu kunye nokudumba. Izihlahla kunye namadolo zihlala zichaphazeleka.

Kwi-carpal tunnel syndrome, unokufuna ukwenza uhlengahlengiso kwimikhwa yakho yokusebenza kunye nokusingqongileyo:

• Qiniseka ukuba ikhibhodi yakho isezantsi ngokwaneleyo ukuba izihlahla zakho azigobanga phezulu ngelixa uchwetheza.
• Thatha ikhefu elininzi kwizinto ezandisa iintlungu. Xa uchwetheza, yima rhoqo ukuphumla izandla, ukuba umzuzwana kuphela. Phumla izandla zakho emacaleni, hayi izihlahla.
• Unyango kwezomsebenzi unokukubonisa iindlela zokunciphisa iintlungu kunye nokudumba kwaye unqande isifo ukuba singabuyi.
• Amayeza eentlungu angaphezulu kwekhawuntari, anje nge-ibuprofen okanye naproxen, anokuthomalalisa iintlungu nokudumba.
• Iindidi ezahlukeneyo, iiphedi zokuchwetheza, ikhibhodi ezahluliweyo, kunye neziqwenga zesihlahla (izihlangu zezandla) ziyilelwe ukunciphisa iintlungu zesandla. Oku kunokunceda iimpawu. Zama iintlobo ezimbalwa ezahlukeneyo ukuze ubone ukuba lukhona na uncedo.
• Kuya kufuneka unxibe isihlakala sesandla ebusuku ngelixa ulele. Oku kunceda ukunciphisa ukudumba. Ukuba oku akuncedi, unokufuna ukunxiba isikrufu emini.
• Faka isicelo sokufudumeza okanye ukubanda amaxesha ambalwa emini.

Ukonzakala kutshanje:

• Phumla isihlahla sakho. Gcina iphakanyisiwe ngaphezulu kwenqanaba lentliziyo.
• Faka ipakethe yomkhenkce kwindawo yethenda kwaye idumbile. Songela umkhenkce ngelaphu. Musa ukubeka umkhenkce ngqo kulusu. Faka isicelo somkhenkce kangangemizuzu eli-10 ukuya kweli-15 ngeyure yonke kusuku lokuqala kunye neeyure ezi-3 ukuya kwezi-4 emva koko.
• Thatha amayeza eentlungu, njenge-ibuprofen okanye i-acetaminophen. Landela imiyalelo yephakheji malunga nokuba ungathatha malini. Sukuthatha ngaphezulu kwesixa esinconywayo.
• Buza umboneleli wakho wezempilo ukuba kulungile ukugqoka i-splint iintsuku eziliqela. Iziqwenga zesihlahla zingathengwa kwiivenkile ezininzi nakwiivenkile zonyango.

Isifo esinganyangekiyo samathambo:

• Yenza ubhetyebhetye kwaye uqinise imithambo yonke imihla. Sebenza nonyango lomzimba ukuze ufunde ezona ndlela zokuzilolonga zikhuselekileyo.
• Zama ukuzilolonga emva kwebhafu eshushu okanye ishawa ukuze isihlahla sakho sifudumale kwaye siqinise kancinci.
• MUSA ukwenza umthambo xa isihlahla sakho sidumbile.
• Qinisekisa ukuba uliphumle ngokudibeneyo. Ukuphumla nokuzilolonga kubalulekile xa unesifo samathambo.

Fumana ukhathalelo olungxamisekileyo ukuba:

• Awunakho ukushukumisa isihlahla sakho, isandla okanye umnwe.
• Isandla sakho, isandla, okanye iminwe ayilunganga.
• Wopha kakhulu.

Fowunela umboneleli wakho wezempilo kwangoko ukuba unayo nayiphi na kwezi zinto zilandelayo:

• Umkhuhlane ongaphezu kwe-100 ° F (37.7 ° C)
• Irhashalala
• Ukudumba nokubomvu kwesandla sakho kwaye unesifo esitsha (njengentsholongwane okanye olunye usulelo)

Fowunela umboneleli wakho ukuze ubonane ukuba unazo ezi zinto zilandelayo:

• Ukudumba, ukuba bomvu okanye ukuqina kwisandla esinye okanye zombini
• Ubudenge, ukubetha, okanye ubuthathaka esihlahleni, isandla, okanye iminwe ngeentlungu
• Ilahlekile nayiphi na imisipha esihlahleni, esandleni, okanye eminweni
• Sisenentlungu nasemva kokulandela unyango lokuzinakekela iiveki ezimbini

Umboneleli wakho uya kwenza uvavanyo lomzimba. Uya kubuzwa malunga neempawu zakho. Imibuzo ingabandakanya ukuqala kwentlungu esihlahleni, inokuba yintoni ebangele iintlungu, nokuba unentlungu kwenye indawo, nokuba ukhe wenzakala okanye ugula kutshanje. Usenokubuzwa nangohlobo lomsebenzi onawo kunye nemisebenzi oyenzayo.

X-reyi zinokuthathwa. Ukuba umboneleli wakho ucinga ukuba unentsholongwane, i-gout, okanye i-pseudogout, i-fluid ingasuswa kwilungu ukuze ihlolwe phantsi kwe-microscope.

Amayeza alwa nokudumba anokumiselwa. Inaliti ngeyeza le-steroid linokwenziwa. Utyando lunokufuneka ukunyanga ezinye iimeko.

Iintlungu - isihlahla; Ubuhlungu - i-carpal tunnel; Ukwenzakala - isihlahla; Isifo samathambo - isihlahla; Igawuthi - isihlahla; Pseudogout - isihlahla

• Isifo seCarpal tunnel
• Isiqwenga somzimba

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I-Swigart CR, neFishman FG. Intlungu yesandla kunye nesihlahla. Ku: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, ii-eds. Incwadi kaKelly noFirestein yeRheumatology. Ngomhla we-10. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 50.

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.