Yintoni ebangela iCarpal Tunnel Syndrome ngexa lokukhulelwa, kwaye iphathwa njani?

Umxholo

• Zithini iimpawu zecarpal tunnel syndrome xa ukhulelwe?
• Yintoni unobangela wecarpal tunnel syndrome?
• Umzobo wemithambo ye-Median
• Ngaba abanye abasetyhini abakhulelweyo basemngciphekweni owandayo?
• Ukutyeba kakhulu okanye ukutyeba kakhulu ngaphambi kokuba ukhulelwe
• Ukuba neswekile enxulumene nokukhulelwa okanye uxinzelelo lwegazi
• Ukukhulelwa kwangaphambili
• I-CTS ifunyaniswa njani xa ukhulelwe?
• Ungayinyanga njani i-carpal tunnel syndrome xa ukhulelwe
• I-Carpal tunnel syndrome kunye nokuncancisa
• Yintoni imbonakalo?

I-Carpal tunnel syndrome kunye nokukhulelwa

I-Carpal tunnel syndrome (i-CTS) ibonakala ngokukhulelwa. I-CTS ivela kwipesenti ezi-4 zoluntu ngokubanzi, kodwa yenzeka nge-31 ukuya kuma-62 eepesenti yabasetyhini abakhulelweyo, uqikelelo lwesifundo sango-2015.

Iingcali aziqinisekanga ncam ukuba yintoni eyenza ukuba i-CTS ixhaphake kakhulu ngexesha lokukhulelwa, kodwa bacinga ukuba ukudumba okunxulumene nehomoni kunokuba sisikhubekiso. Njengokugcinwa kwamanzi xa ukhulelwe kunokubangela ukuba amaqatha kunye neminwe yakho idumbe, inokubangela nokudumba okukhokelela kwi-CTS.

Funda ukuze ufunde ngakumbi nge-CTS xa ukhulelwe.

Zithini iimpawu zecarpal tunnel syndrome xa ukhulelwe?

Iimpawu eziqhelekileyo zeCTS xa ukhulelwe zibandakanya:

• ukuphazamiseka kunye nokubetha (phantse njengezikhonkwane kunye neenaliti ukuziva) kwiminwe, izihlunu, kunye nezandla, ezinokuthi zibuhlungu ebusuku
• imvakalelo yokubetha ezandleni, izihlahla, kunye neminwe
• ukudumba kweminwe
• ingxaki yokubamba izinto kunye neengxaki zokwenza izakhono ezifanelekileyo zemoto, ezinjengokufaka iqhosha kwihempe okanye ukusebenza kweclass yomqala

Isandla esinye okanye zombini sinokuchaphazeleka. Uphononongo luka-2012 lwafumanisa ukuba phantse abathathi-nxaxheba abakhulelweyo abane-CTS babenazo zombini izandla.

Iimpawu zinokuba mandundu njengoko ukukhulelwa kuqhubeka. Olunye uphando lufumene iipesenti ezingama-40 zabathathi-nxaxheba baxela ukuqala kweempawu ze-CTS emva kweeveki ezingama-30 zokukhulelwa. Ngelo xesha ke xa ubuninzi besisindo kunye nokugcinwa kwamanzi kwenzeka.

Yintoni unobangela wecarpal tunnel syndrome?

I-CTS yenzeka xa i-nerve median icinezelekile njengoko idlula kwi-carpal tunnel esihlahleni. I-median nerve isebenza ukusuka entanyeni, ezantsi engalweni, nasesihlahleni. Olu luvo lulawula imvakalelo kwiminwe.

I-carpal tunnel yindlela emxinwa eyenziwe ngamathambo amancinci "carpal" kunye nemisipha. Xa itonela incitshisiwe kukudumba, inzwa icinezelwe. Oku kukhokelela kwintlungu yesandla kunye nokuba ndindisholo okanye ukutshiswa kweminwe.

Umzobo wemithambo ye-Median

[IMephu YOMZIMBA IBAMBILE: / iimephu zomzimba womntu / imithambo-luvo]

Ngaba abanye abasetyhini abakhulelweyo basemngciphekweni owandayo?

Abanye abantu basetyhini abakhulelweyo banomdla wokukhulisa i-CTS kunabanye. Nazi izinto ezinobungozi be-CTS:

Ukutyeba kakhulu okanye ukutyeba kakhulu ngaphambi kokuba ukhulelwe

Akucaci ukuba ubunzima bubangela i-CTS, kodwa abasetyhini abakhulelweyo abatyebe kakhulu okanye abatyebe kakhulu bafumana ukuxilongwa ngale meko kunabasetyhini abakhulelweyo abangatyebanga kakhulu okanye abatyebe kakhulu.

Ukuba neswekile enxulumene nokukhulelwa okanye uxinzelelo lwegazi

Isifo seswekile sokukhulelwa kunye noxinzelelo lwexinzelelo kunokubangela ukugcinwa kolwelo kunye nokudumba okulandelayo. Oku, kunokunyusa umngcipheko we-CTS.

Amanqanaba eswekile egazi aphezulu anokubangela nokudumba, kubandakanya itoniphu ye-carpal. Oku kunokunyusa umngcipheko we-CTS.

Ukukhulelwa kwangaphambili

Ukuphumla kunokubonwa kwixabiso eliphezulu ekukhulelweni okulandelayo. Le hormone inceda i-pelvis kunye nomlomo wesibeleko ukwandisa ngexesha lokukhulelwa ukulungiselela ukubeleka. Inokubangela nokudumba kwitenal ye-carpal, ucofe i-median nerve.

I-CTS ifunyaniswa njani xa ukhulelwe?

I-CTS ihlala ichongwa ngokusekwe kwinkcazo yempawu kugqirha wakho. Ugqirha wakho unokuqhuba uvavanyo lomzimba.

Ngexesha lovavanyo lomzimba, ugqirha wakho unokusebenzisa uvavanyo lwe-electrodiagnostic ukuqinisekisa isifo, ukuba kukho imfuneko. Uvavanyo lwe-Electrodiagnostic lisebenzisa iinaliti ezincinci okanye ii-electrode (iingcingo ezifakwe kulusu) ukurekhoda kunye nokuhlalutya imiqondiso oyithumelayo kunye neyamkelayo. Umonakalo kwi-nerve median unokucothisa okanye uthintele le miqondiso yombane.

Ugqirha wakho unokusebenzisa uphawu lukaTinel ukuchonga umonakalo we-nerve. Olu vavanyo lunokwenziwa njengenxalenye yovavanyo lomzimba, nalo. Ngexesha lovavanyo, ugqirha wakho uyakucofa kancinci indawo kunye ne-nerve echaphazelekayo. Ukuba uziva unomsindo, oku kunokubonisa ukonakala kwentliziyo.

Uphawu lweTinel kunye novavanyo lwe-electrodiagnostic zikhuselekile ekusebenziseni ngexesha lokukhulelwa.

Ungayinyanga njani i-carpal tunnel syndrome xa ukhulelwe

Uninzi loogqirha lucebisa ukunyanga i-CTS ngokufanelekileyo xa ukhulelwe. Kungenxa yokuba abantu abaninzi baya kufumana isiqabu kwiiveki neenyanga emva kokubeleka. Kwisifundo esinye, kuphela 1 kubathathi-nxaxheba ababene-CTS ngexesha lokukhulelwa ababesenempawu zeenyanga ezili-12 emva kokubeleka.

Kungenzeka ukuba uqhubeke nokufumana i-CTS emva kokubeleka ukuba iimpawu zakho ze-CTS ziqale kwangoko xa ukhulelwe okanye ukuba iimpawu zakho zinzima.

Olu nyango lulandelayo lunokusetyenziswa ngokukhuselekileyo ngexesha lokukhulelwa:

• Sebenzisa ubuhlanti. Khangela i-brace egcina isandla sakho kwindawo yokungathathi hlangothi (engagobanga). Xa iimpawu zihlala zibi kakhulu, ukunxiba izihlangu zezilima ezidityaniswe ngentsinjana / ngeplangana ebusuku kunokuba luncedo ngokukhethekileyo. Ukuba iyasebenza, ungayinxiba nasemini.
• Nciphisa imisebenzi ebangela ukuba isihlahla sakho sigobe. Oku kubandakanya ukuthayipha kwikhibhodi.
• Sebenzisa unyango olubandayo. Faka isicelo somkhenkce esongelwe ngetawuli esihlahleni sakho kangangemizuzu eli-10, amatyeli aliqela ngemini, ukunceda ukunciphisa ukudumba. Unokuzama into ebizwa ngokuba "yibhafu yokuthelekisa": Faka isandla sakho emanzini abandayo malunga nomzuzu omnye, emva koko emanzini ashushu ngomnye umzuzu. Qhubeka utshintshana imizuzu emihlanu ukuya kwemithandathu. Phinda rhoqo njengoko kunokwenzeka.
• Phumla. Nanini na xa uziva iintlungu okanye ukudinwa esihlahleni sakho, yiphumle kancinci, okanye utshintshele komnye umsebenzi.
• Nyusa izihlahla zakho nanini na apho unako. Ungasebenzisa imithwalo ukwenza njalo.
• Ziqhelanise neyoga. Iziphumo zokufumanisa ukuba ukuziqhelanisa neyoga kunokunciphisa iintlungu kwaye kwandise ukubamba amandla kubantu abane-CTS. Olunye uphando luyafuneka, nangona kunjalo, ngakumbi ukuqonda izibonelelo ze-CTS enxulumene nokukhulelwa.
• Fumana unyango lomzimba. Unyango lokukhululwa kwe-Myofascial lunokunciphisa iintlungu ezinxulumene ne-CTS kunye nokwandisa ukusebenza kwesandla. Olu luhlobo lokuthambisa ukunciphisa ubungqongqo kunye nokufutshane kwimigudu kunye nezihlunu.
• Thatha ukuphelisa iintlungu. Sebenzisa i-acetaminophen (iTylenol) ngalo naliphi na ixesha lokukhulelwa kuthathwa njengokukhuselekileyo, ukuba awudluli kwi-3,000 mg yonke imihla. Thetha nogqirha wakho ukuba unengxaki. Gwema ibuprofen (Advil) ngexesha lokukhulelwa ngaphandle kokuba kuvunyelwe ngokukodwa ukusetyenziswa ngugqirha wakho. I-Ibuprofen idityaniswe ne-amniotic fluid ephantsi kunye nezinye iimeko.

I-Carpal tunnel syndrome kunye nokuncancisa

Ukuncancisa kunokuba buhlungu kwi-CTS kuba kuya kufuneka usebenzise isihlahla sakho ukubamba intloko yosana lwakho kunye nesifuba sakho kwindawo efanelekileyo yokonga. Zama ukuzama izikhundla ezahlukeneyo. Sebenzisa imiqamelo neengubo ukuxhasa, ukuxhasa okanye ukudibanisa izihlangu zezilima ezidityaniswe ngentsinjana / ngeplangana xa kufuneka njalo.

Unokufumanisa ukuba ukuncancisa xa ulele ngecala kunye nomntwana ojongene nawe usebenza kakuhle. "Ukubanjwa kwebhola ekhatywayo" kunokuba lula esihlahleni. Ngesi sikhundla, uhlala uthe nkqo kwaye ubeke umntwana wakho kwicala lengalo yakho kunye nentloko yosana lwakho kufutshane nomzimba wakho.

Unokukhetha ukuba ngumongikazi ongenazandla, apho usana lwakho lutyisa khona xa isilingi sinxitywe kufutshane nomzimba wakho.

Ukuba unengxaki yokuncancisa okanye ukufumana indawo ekulungeleyo kunye nosana lwakho, cinga ukuthetha nomcebisi we-lactation. Banokukunceda ufunde iindawo ezikhululekileyo kwaye banokukunceda ekuboneni naziphi na iingxaki onazo wena okanye usana lwakho ngonesi.

Yintoni imbonakalo?

I-CTS iqhelekile ngexesha lokukhulelwa. Amanyathelo alula njengokuqhekeka kunye nokuthatha i-acetaminophen ziindlela zonyango eziqhelekileyo kwaye zihlala zizisa isiqabu.

Uninzi lwabantu luya kubona ukuba iimpawu zabo zisonjululwe kwiinyanga ezili-12 emva kokubeleka. Nangona kunjalo, kunokuthatha iminyaka kwezinye iimeko. Thetha nogqirha wakho malunga neendlela zokulawula ngokukhuselekileyo iimpawu zakho.