Utyando lweCarpal tunnel: yenziwa njani kwaye ichache

Umxholo

• Lwenziwa njani utyando
• Imingcipheko enokwenzeka
• Ukubuyiselwa kwimeko yoqhaqho lwe-carpal

Utyando lwe-carpal tunnel syndrome lwenziwa ukukhupha imithambo-luvo ecinezelweyo esihlahleni, ukukhulula iimpawu zeklasikhi ezinje ngokugungqa okanye ukubetha kwesandla kunye neminwe. Olu tyando luboniswa xa unyango ngamayeza, ii-immobilizers (orthoses) kunye ne-physiotherapy, azikhuthazi ukuphuculwa kweempawu okanye xa kukho uxinzelelo olukhulu kwi-nerve.

Olu tyando kufuneka lwenziwe ngugqirha wamazinyo, lulula, lunokwenziwa phantsi kwe-anesthesia yendawo okanye ekhuthaza unyango olupheleleyo nolusisigxina, kubalulekile ukuba umntu aqhubeke engenamandla kwaye ahlala ephakamise isandla kangangeeyure ezingama-48 ukuze ukuchacha kwenzeka ngokulula ngakumbi.

Lwenziwa njani utyando

Utyando lwe-carpal tunnel syndrome kufuneka lwenziwe ngugqirha wamathambo kwaye luqulathe ukuvula kancinci phakathi kwentende yesandla kunye nesihlahla ukuze usike phakathi iphoneurosis yesundu, eyimbumba egubungela izicwili ezithambileyo kunye neethoni ezikhoyo isandla, esixineneyo luvo, ukhulula uxinzelelo kuyo. Utyando lunokwenziwa ngeendlela ezimbini ezahlukeneyo:

• Inkqubo yesiko: ugqirha usika enkulu entendeni yesandla ngaphezulu kwetonela ye-carpal kwaye usike inwebu yesandla, i-aponeurosis esembindini wesundu, edibanisa imithambo-luvo;
• Inkqubo ye-Endoscopy: Ugqirha usebenzisa isixhobo esinekhamera encinci eqhotyoshelwe ukubona ngaphakathi kwetonela ye-carpal kwaye esenza ukusikwa kumbindi we-aponeurosis yesundu, edibanisa imithambo-luvo.

Utyando kufuneka lwenziwe phantsi kwe-anesthesia, enokwenziwa ekuhlaleni kuphela esandleni, kufutshane negxalaba okanye ugqirha unokukhetha i-anesthesia ngokubanzi. Nangona kunjalo, nokuba yeyiphi na i-anesthesia, umntu akaziva zintlungu ngexesha lotyando.

Imingcipheko enokwenzeka

Ngaphandle kotyando olulula nolukhuselekileyo, utyando lwe-carpal tunnel lunokubonisa umngcipheko, njengokosuleleka, ukopha, ukonzakala kwemithambo-luvo kunye neentlungu eziqhubekayo esihlahleni okanye engalweni.

Ukongeza, kwezinye iimeko kunokwenzeka ukuba, emva kotyando, iimpawu ezinje ngokurhawuzelela kunye nokuziva kweenaliti esandleni zisenokunganyamalali ngokupheleleyo, kwaye zinokubuya. Ke, kubaluleke kakhulu ukuba uthethe nogqirha malunga neengozi zokwenyani zotyando, ngaphambi kokwenza inkqubo.

Ukubuyiselwa kwimeko yoqhaqho lwe-carpal

Ixesha lokufumana kwakhona liyahluka ngohlobo lwendlela esetyenzisiweyo, kodwa ngokubanzi ixesha lokufumana kwakhona lotyando lwesiko lide kancinci kunexesha lokubuyisa lotyando lwe-endoscopic. Ngokubanzi, abantu abasebenza eziofisini kwaye kufuneka baqhubeke nokuchwetheza kufuneka babe kude nomsebenzi ukuya kuthi ga kwiintsuku ezingama-21.

Nangona kunjalo, ngaphandle kwendlela esetyenzisiweyo, kwisithuba sasemva kotyando lwe-carpal kubalulekile ukuba uthathe amanyathelo okhuseleko anje ngala:

• Phumla kwaye uthathe amayeza aboniswe ngugqirha, ezinje ngeParacetamol okanye i-Ibuprofen yokuqaqanjelwa kunye nokuqaqanjelwa;
• Sebenzisa isiqwenga sokuhambisa isihlahla ukuthintela umonakalo obangelwe yintshukumo edibeneyo yeentsuku ezisibhozo ukuya kwezili-10;
• Gcina isandla esisebenzayo siphakanyisiwe kangangeeyure ezingama-48 ukunceda ukunciphisa nakuphi na ukudumba nokuqina kwiminwe yakho;
• Emva kokususa ubuqhetseba, ipakethe yomkhenkce ingabekwa kuloo ndawo ukuthomalalisa iintlungu kunye nokunciphisa ukudumba.

Kuqhelekile ukuba kwiintsuku zokuqala emva kotyando ungaziva iintlungu okanye ubuthathaka obunokuthatha iiveki ezimbalwa okanye iinyanga ukudlula, nangona kunjalo, umntu, ngokukhokelwa ngugqirha, aqhubeke nokusebenzisa isandla ukwenza ukukhanya imisebenzi engabangeli iintlungu okanye ukungonwabi.

Emva kotyando kuhlala kuyimfuneko ukwenza iiseshoni ezimbalwa ze-physiotherapy kwitonela ye-carpal kunye nokuzivocavoca ukuthintela amanxeba koqhaqho ekubambeleleni nasekuthinteleni ukuhamba simahla kwe-nerve echaphazelekayo. Jonga imizekelo yemithambo oza kuyenza ekhaya.

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