Ukukhutshwa kweCarpal Tunnel

Umxholo

• Izizathu zokukhutshwa kwetoneral carpal
• Ukulungiselela ukukhutshwa kwetoneral carpal
• Iindidi zeenkqubo zokukhutshwa kwetonpal carpal
• Ukukhululwa kwetonela ye-carpal
• Ukukhutshwa kwetonoscopic carpal tunnel
• Umngcipheko wokukhutshwa kwetoneral carpal
• Ukukhathalelwa kwePosturgery yokukhululwa kwetoneral carpal

Ushwankathelo

I-Carpal tunnel syndrome yimeko ebangelwa yimithambo-luvo ecikizekileyo esihlahleni. Iimpawu zetyhubhu ye-carpal zibandakanya ukurhawuzelela okungapheliyo kunye nokuba ndindisholo kunye nokuqaqambisa iintlungu ezingalweni nasezandleni. Ngamanye amaxesha, unokufumana ubuthathaka besandla.

Le meko inokuqala kancinci kwaye inkqubela phambili ngokuthe ngcembe. Uxinzelelo kwimithambo-luvo ye-median, ebaleka isuka kwingalo iye ezandleni, ibangela iintlungu ze-carpal tunnel. Ukukhutshwa kwetonela yaseCarpal lutyando olunceda ukunciphisa uxinzelelo kule nerve kunye nokunyanga iimpawu zecarpal tunnel.

Izizathu zokukhutshwa kwetoneral carpal

Ukuhlinzwa kukhululwe itonela yaseCarpal ayinguye wonke umntu. Ngapha koko, abanye abantu bayakwazi ukunyanga iimpawu ze-carpal tunnel kunye neendlela ezingezizo ezonyango. Unokuthatha iziyobisi ezichasayo, ezifana ne-ibuprofen okanye i-aspirin, okanye amayeza eentlungu. Oogqirha banokucebisa ngenaliti ye-steroid kwaye batofe amayeza ngqo engalweni okanye esandleni sakho.

Ezinye iintlobo zeendlela ezingafunekiyo zibandakanya:

• ingqele okanye umkhenkce
• iziqwenga zokugcina isihlahla siqondile ukuze kungabikho xinzelelo kwi-nerve
• ulungiso lwenyama

Imisebenzi ephindaphindwayo, njengokuchwetheza, inokubangela okanye yenze mandundu isifo se-carpal tunnel. Ukuthatha ikhefu rhoqo kunye nokuphumla kwezandla zakho kunganciphisa iimpawu kunye nokunciphisa isidingo senkqubo yotyando.

Nangona kunjalo, ukuba iintlungu, ukuba ndindisholo, okanye ubuthathaka ziyaqhubeka okanye zisiba mbi nasemva kokuzama iindlela ezingezizo ezonyango, ugqirha wakho unokucebisa ukukhutshwa kwetarpal tunnel. Ngaphambi kokuba ucwangcise inkqubo yakho, ugqirha wakho angenza uvavanyo lokuqhutywa kwemithambo-luvo kunye novavanyo lwe-electromyogram (EMG) ukukhangela umbane womthambo ongaqhelekanga, oqhelekileyo kwi-carpal tunnel syndrome.

Ukulungiselela ukukhutshwa kwetoneral carpal

Tshela ugqirha wakho malunga nawo onke amayeza kunye nezongezelelo ozithathayo ngoku. Ugqirha wakho unokukuyalela ukuba uyeke ukuthatha amanye amayeza akho (iasprini, ibuprofen, kunye nabacoci begazi) kwiveki enye ngaphambi kotyando olucwangcisiweyo. Xelela ugqirha wakho ukuba ufumana naziphi na izigulo, ezinjengokubanda, umkhuhlane, okanye intsholongwane ngaphambi kotyando. Yiba nomntu okuqhubela esibhedlele kwaye alungiselele ukukhwela ekhaya. Sukutya iiyure ezintandathu ukuya kwezili-12 ngaphambi kokuba utyando lukhululwe.

Iindidi zeenkqubo zokukhutshwa kwetonpal carpal

Zimbini iindlela zokwenza ukukhutshwa kwetonpal carpal: ukukhutshwa kwetarpal tunnel release kunye ne-endoscopic carpal tunnel release.

Ukukhululwa kwetonela ye-carpal

Ugqirha wakho usika kancinci kufutshane necandelo elisezantsi lesandla sakho kufutshane nesihlahla sakho. Ugqirha emva koko usika i-carpal ligament, enciphisa uxinzelelo kwi-nerve median yakho. Kuxhomekeke kwimeko yakho, ugqirha wotyando usenokuzisusa izicwili kwi-nerve. Ugqirha uhambisa imithungo embalwa ukuvala inxeba aze agubungele indawo ngebhandeji.

Ukukhutshwa kwetonoscopic carpal tunnel

Ugqirha wenza ukusika okuncinci kufutshane necandelo elisezantsi lesandla sakho kufutshane nesihlahla sakho. Ugqirha ke emva koko ufake i i-endoscope esihlahleni sakho. I-endoscope yityhubhu ende, eguqukayo enokukhanya okuqhotyoshelweyo kunye nekhamera. Ikhamera ithatha ividiyo ngaphakathi kwesihlahla sakho kwaye le mifanekiso ivela kwisibeke esweni ngaphakathi kwigumbi lokusebenza. Ugqirha wakho uza kufaka ezinye izixhobo ngokuvula kwaye usike i-carpal ligament ukunciphisa uxinzelelo kwi-nerve yakho. Ugqirha ususa izixhobo kunye ne-endoscope emva koko avale ukusikwa ngentambo.

Le nkqubo yezigulana ezingalaliswayo ithatha malunga nemizuzu eli-15 ukuya kwengama-60. Uya kufumana i-anesthesia ngaphambi kwenkqubo. I-Anesthesia iya kubangela ukuba ulale kwaye uthintele iintlungu ngexesha lenkqubo. Unokufumana iintlungu okanye ungonwabi emva kokuba i-anesthesia iphelile. Nangona kunjalo, ugqirha wakho unokukunika amayeza ukuthomalalisa iintlungu.

Umngcipheko wokukhutshwa kwetoneral carpal

Iingozi ezinxulumene nolu hlobo lotyando zibandakanya:

• ukopha
• usulelo
• umonakalo wemithambo-luvo
• ukusabela komzimba kumayeza okubulala iintlungu

Ugqirha wakho uya kucwangcisa ukuqeshwa kokulandela emva kotyando ukususa iziqu zakho kunye nokujonga inkqubela yakho. Nangona kunjalo, kuya kufuneka unxibelelane nogqirha wakho okanye ufune unyango kwangoko ukuba unazo naziphi na kwezi mpawu zilandelayo:

• umkhuhlane kunye nokugodola (imiqondiso yosulelo)
• ukudumba okungaqhelekanga okanye bomvu
• ukukhutshwa kwindawo yotyando
• intlungu engaphenduliyo kumayeza
• ukuphefumla kancinci okanye iintlungu zesifuba
• isicaphucaphu okanye ukugabha

Ukukhathalelwa kwePosturgery yokukhululwa kwetoneral carpal

Ugqirha wakho uza kufaka ibhandeji okanye intambo ukukhusela isandla sakho nengalo emva kotyando.

Ngelixa utyando ngokukhawuleza luthomalalisa iintlungu kunye nokuba ndindisholo, kuthatha ubuncinci iiveki ezine ukubuyela kwimeko yesiqhelo. Nazi izinto ezimbalwa onokuzenza emva kotyando ukunceda ukubuyela kwimeko yesiqhelo:

• Thatha amayeza akho entlungu njengoko kuyalelwe ngugqirha wakho.
• Faka isicinezelo somkhenkce esandleni sakho nasesihlahleni rhoqo emva kweeyure ezimbalwa kangangemizuzu engama-20.
• Mamela imiyalelo kagqirha wakho malunga neebhafu kunye neeshawari.
• Musa ukuphakamisa izinto ezinzima.
• Nyusa isandla sakho kwiintsuku ezimbalwa zokuqala ukunciphisa ukudumba kunye nentlungu.

Kwiveki yokuqala emva kwenkqubo, kuya kufuneka unxibe intambo okanye ibhandeji yohlobo oluthile. Kuya kufuneka unyangwe ngokwasemzimbeni okanye wenze imithambo yengalo ekhethekileyo kwiiveki ezilandela inkqubo. Ixesha lokubuyisela kwimeko yesiqhelo liya kuxhomekeka kubungakanani bomonakalo oqokelelweyo obukho kwi-nerve median. Nangona uninzi lwabantu luxhamla kakhulu kolu tyando, iimpawu ezithile zinokuhlala, kuxhomekeke kwimeko yakho ngaphambi kotyando.