Yintoni ebangela ukuba uNyango luxinaniswe engalweni kunye nendlela yokunyanga

Umxholo

• Yintoni enokubangela ukuba kuvaleke incindi engalweni?
• Izizathu eziqhelekileyo
• Uxinzelelo lweMedian
• Uxinzelelo lwe-Ulnar
• Uxinzelelo lwe-Radial nerve
• Iradial tunnel syndrome
• Isifo esingasemva sangaphakathi
• Izizathu ezimbalwa eziqhelekileyo
• Isifo sepronator
• Ngaphambili isifo sentliziyo esingaphakathi
• Ulnar itonela isifo
• Ukucinezelwa kwemithambo-luvo engaphezulu
• Ungayifumana imithambo-luvo ephinjiweyo ekhwapheni?
• Ngaba ungafumana imithambo-luvo ekhanyiweyo engalweni yakho?
• Zeziphi iimpawu kunye neempawu zemithambo-luvo ecinjiweyo engalweni?
• Iimpawu zemithambo-luvo
• Iimpawu zemoto zemithambo-luvo
• Iimpawu zecarpal tunnel syndrome
• Iimpawu zecubital tunnel syndrome
• Iimpawu zesifo seTadial tunnel
• Iimpawu zesifo esingasemva sasemva kwesifo
• Ifunyaniswa njani i-nerve eqinisiweyo?
• Iphathwa njani imithambo-luvo?
• Phumla
• Amayeza eentlungu ngaphezulu kwekhawuntareni
• Ubushushu okanye umkhenkce
• Ukwahlula
• Inaliti yeCorticosteroid
• Ugqirha
• Kuthatha ixesha elingakanani ukuphinda ubuye kwimithambo-luvo ekhanyiweyo engalweni?
• Ngaba kukhona ukuzilolonga okanye ukuzolula onokukwenza ukunceda ukukhulula imithambo-luvo ekhanyiweyo engalweni?
• Yintoni onokuyenza ukuthintela i-pinched nerve engalweni?
• Ukuthatha

I-nerve eqinisiweyo sisiphumo sento ethile ngaphakathi okanye ngaphandle komzimba wakho ucinezelekileyo kwi-nerve. I-nerve ecinezelekileyo iyavutha, nto leyo ebangela iimpawu.

Amagqabantshintshi ezonyango kwimithambo-luvo ecinjiweyo kukucinezelwa kwemithambo-luvo.

I-nerve eqinisiweyo inokwenzeka phantse naphi na emzimbeni wakho. Enye yeendawo eziqhelekileyo yingalo yakho.

Qhubeka ufunda ukuze ufunde ngezinto eziqhelekileyo (nezingaqhelekanga) ezibangela imithambo-luvo ecinjiweyo engalweni yakho, nendlela esifunyaniswa ngayo nokunyangwa ngayo. Siza kukukhomba kwakhona kwimithambo ethile enokukunceda ukhulule umthambo oxineneyo, kunye neengcebiso zokuthintela.

Yintoni enokubangela ukuba kuvaleke incindi engalweni?

Iimbilini ezintathu zengalo yakho kunye neendlela zabo ezihambelanayo zi:

• imithambo-luvo ephakathi, eyehlela ezantsi embindini wengalo yakho
• imithambo-luvo ye-radial, yehla ngecala lobhontsi wengalo yakho
• imithambo-luvo ye-ulnar, ehla ngomnwe omncinci wengalo yakho

Le mithambo-luvo okanye amasebe awo anokutshixwa kwiindawo ezininzi njengoko behla ngengalo.Rhoqo, oku kwenzeka kufutshane nengqiniba okanye isihlahla sakho, apho amathambo kunye nolunye ulwakhiwo lwenza iitonela kunye neendlela ezincinane zokuhamba kwemithambo-luvo yakho.

Izizathu eziqhelekileyo

Uxinzelelo lweMedian

I-Carpal tunnel syndrome (i-CTS) sesona sifo siqhelekileyo sokucinezelwa kwemithambo-luvo. I-nerve median iyacinezeleka njengoko ihamba nge-carpal tunnel kwisandla sakho.

Ukwandisa kunye nokuguqula isihlahla sakho kunokukhokelela kuxinzelelo ngokunciphisa ubungakanani betonela. I-CTS ihlala ibangelwa ziintshukumo eziphindaphindayo zezihlahla zakho.

Uxinzelelo lwe-Ulnar

Isifo sesibini esiqhelekileyo sokucinezelwa kwemithambo-luvo yi-cubital tunnel syndrome.

I-nerve ye-ulnar inokucinezelwa njengoko ibaleka kwi-tuneral ye-cubital okanye kwenye indawo eqinileyo ejikeleze ingqiniba yakho. Kuhlala kusenzeka xa ugcina ingalo yakho igobile ixesha elide, njengaxa uphumlisa ingalo yakho kumda wefestile yemoto yakho ngelixa uqhuba okanye ungqiyame engqinibeni etafileni.

Uxinzelelo lwe-Radial nerve

Kufuphi nengqiniba lakho, amasebe e-radial nerve kwi-nervers yangaphakathi kunye ne-nerves yangaphandle. Omabini la masebe anokucinezelwa ngokwesiqhelo ngokuphinda-phindwe ngengalo yakho.

Iradial tunnel syndrome

Isebe eliphezulu le-radial nerve lihamba nge-tunnel ye-radial kunye namanye amabala aqinileyo ajikeleze ingqiniba yakho, apho inokucinezelwa khona.

Isifo esingasemva sangaphakathi

I-nerost ye-posterior interosseous nerve nayo idlula kwiindawo ezininzi ezixineneyo kwingalo yakho kufutshane nengqiniba yakho, kubandakanya ne-tunnel ye-radial. Inokucinezelwa njengoko ihamba ngayo nayiphi na kwezi ndawo.

Izizathu ezimbalwa eziqhelekileyo

Isifo sepronator

I-nerve median inokucinezelwa yimisipha kwingalo yakho engaphantsi kwengqiniba yakho.

Iimpawu ziyafana ne-CTS, ngaphandle kokuba ubundindisholo bunokwandisa entendeni yesandla sakho, kwaye ungaziva iintlungu kwingalo yakho engqinibeni. Ngokungafaniyo neCPS, ihlala ingabangeli zimpawu ebusuku.

Ngaphambili isifo sentliziyo esingaphakathi

Le nzwa yemoto lisebe le-median nerve. Ukunyanzeliswa kwenzeka kwindawo enye okanye ezingaphezulu kwingalo yakho yangaphambili. Kubangela ubuthathaka kubhontsi wakho nakumnwe wesalathiso, usenza kubenzima ukubamba ipensile okanye wenze uphawu "OK".

Ezinye iimpawu bubuthathaka xa ujija ingalo yakho kunye nentlungu engacacanga yangaphambi.

Ulnar itonela isifo

Le meko ingaqhelekanga yenzeka xa i-ulnar nerve icinezelwe kwitonela kwicala le-pinkie esihlahleni sakho. Ngokwesiqhelo, i-ulnar tunnel syndrome ibangelwa yi-ganglion cyst okanye i-trauma engapheliyo yesandla esinjengokuhamba komkhweli webhayisikile.

Iimpawu kumnwe wakho womnwe kunye nepinkie zinokuba yimoto, uvakalelo, okanye zombini kuxhomekeke kwindawo yoxinzelelo. Ngokungafaniyo ne-cubital tunnel syndrome, umva wesandla sakho awuchaphazeleki.

Ukucinezelwa kwemithambo-luvo engaphezulu

Imithambo-luvo ye-radial iba ngaphezulu ngaphezulu kwesandla sakho. Iimpawu zi-numbness kunye ne-tingling phezulu kwicala lesithupha lesandla sakho, ngamanye amaxesha nge-forearm kunye nentlungu yesandla.

Nantoni na elunge ngokuqinileyo esihlahleni sakho enje ngee-handcuffs okanye iwotshi inokuyicinezela. Ukwayama kwingalo yakho ixesha elide sesinye isizathu.

Ungayifumana imithambo-luvo ephinjiweyo ekhwapheni?

Ewe ungayicofa imithambo-luvo ekhwapheni lakho.

I-axillary nerve yakho iqala entanyeni yakho kwaye ibaleke ikhwapha ngaphambi kokuwela ithambo lengalo yakho ephezulu (ihumerus). Amasebe ayo angena kwimithambo-luvo yemisipha egxalabeni (i-deltoid kunye ne-teres encinci) kunye nemithambo-luvo yoluvo kwigxalaba lakho.

I-nerve yakho ye-axillary inokucinwa ngu:

• igxalaba elishenxileyo
• Ukuqhekeka kwehumerus
• uxinzelelo lwekhwapha oluqhubekayo, njengokusebenzisa ikratshi
• ukuphinda-phinda ukuhamba kwentloko, njengokuphosa ibaseball okanye ukubetha ibhola yevoli
• ukwenzakala kwimithambo-luvo ngexesha lotyando lwenqanawa

Iimpawu ezinokubakho zibandakanya:

• Ubuhlungu begxalaba
• ukudinwa kwemisipha yengalo ngelixa usenza intshukumo ephezulu
• ubunzima bokuphakamisa okanye ukujikeleza ingalo
• Ukuba ndindisholo kunye nokugungqa kwicala nasemva kwengalo yakho ephezulu

Ngaba ungafumana imithambo-luvo ekhanyiweyo engalweni yakho?

Ewe unga! Ukulala nentloko yakho esihlahleni okanye kwindawo ebeka uxinzelelo rhoqo engqinibeni yakho kunokubangela ukuba uxinaniswe yimithambo. I-median nerve kwisandla sakho kunye ne-ulnar nerve engqinibeni yakho sesichengeni ngenxa yokuba zikufuphi kumphezulu kwezi ndawo.

Zeziphi iimpawu kunye neempawu zemithambo-luvo ecinjiweyo engalweni?

I-nerve iyavutha xa icinezelwe, nto leyo ebangela ukungafani kweempawu kuxhomekeke kuhlobo lwe-nerve ebandakanyekayo.

Imithambo-luvo ithumela ulwazi malunga nezinto zomzimba wakho kwingqondo yakho. Xa i-nerve sensory icinyiwe, iimpawu zinokubandakanya:

Iimpawu zemithambo-luvo

• "izikhonkwane kunye neenaliti" ukuva ukuva
• ukutshisa
• ukulahleka kwemvakalelo
• ukuba ndindisholo
• intlungu

Iimpawu zemoto zemithambo-luvo

Imithambo-luvo yeemoto ithumela imiqondiso evela kwingqondo yakho iye emzimbeni wakho, ngakumbi izihlunu zakho, iyixelela indlela yokusabela kulwazi. Iimpawu ze-motor pin nerve zibandakanya:

• ubuthathaka bemisipha
• ukulahleka kokuhamba

Eminye imithambo-luvo ineemvakalelo kunye nemisebenzi yemoto. Xa ezi zicinyiwe, iimpawu zazo zombini iintlobo zinokwenzeka.

Iimpawu zecarpal tunnel syndrome

Imithambo-luvo ye-medial luvo lweemvakalelo zesithupha sakho, isalathiso kunye neminwe ephakathi, kunye nesiqingatha somnwe wakho womsesane.

I-CTS ibangela ukuphazamiseka, ukubetha kunye nentlungu kwezo ndawo. Iimpawu zinokuqaqamba ziye kwingalo nasemagxeni akho. Iimpawu zihlala zibi kakhulu ebusuku.

Imithambo-luvo ye-medial ikwayimbilini yemoto kwisithupha sakho, ngenxa yoko i-CTS inokubangela ubuthathaka besithupha kunye nokuqina kwakhona. Oku kunokwenza kube nzima ukubamba izinto. Njengoko i-CTS iba qatha, unokubona ukuchitheka kwemisipha phantsi kwesithupha (ukuphakama kwangoko).

Iimpawu zecubital tunnel syndrome

I-ulnar nerve inika imvakalelo kunye nemoto kumnwe wakho omncinci kunye nesiqingatha somnwe wakho womsesane.

Uxinzelelo lubangela ukuba ndindisholo kunye nokutswina (kodwa hayi iintlungu) kuleyo minwe kunye nobuthathaka kwimisipha encinci esesandleni sakho. Ekugqibeleni, ukuchitheka kwemisipha kunokwenzeka, ukuhambisa iminwe yakho kwizikhundla ezingaqhelekanga.

Iimpawu zesifo seTadial tunnel

Isebe elingaphezulu liyi-nerve ye-sensory. Ayinzulu kakhulu, ngoko icinezelwa ngokulula yiyo nantoni na ebeka uxinzelelo kwingalo yakho. Xa ucinezelwe, ibangela iintlungu ezibuhlungu kwingalo yakho enokuphakama engqinibeni.

Iimpawu zifana kakhulu nengqiniba yentenetya (i-epicondylitis esecaleni).

Iimpawu zesifo esingasemva sasemva kwesifo

Le yimithambo-luvo yemoto ekhonza izihlunu ezincinci kwiminwe yakho, ubhontsi, kunye nesihlahla. Ukucinezelwa kwenza kube nzima ukwandisa iminwe yakho kunye nobhontsi ngqo. Ikwachaphazela ukubanakho kwakho ukujika icala lesithupha lesandla sakho uye kwingalo yakho.

Ifunyaniswa njani i-nerve eqinisiweyo?

Ugqirha unokukwazi ukufumanisa isifo esivakalayo, njenge-CTS, esekwe kuphela kwiimpawu zakho kunye noviwo.

Xa kufuneka, ugqirha unokusebenzisa enye okanye nangaphezulu kwezi mvavanyo zilandelayo ukwenza okanye ukuqinisekisa isifo.

• X-reyi. Azisoloko ziluncedo kodwa zinokuveza olunye uxilongo, njengokuqhekeka.
• IMRI. Oku kusetyenziswa ngamanye amaxesha ukucacisa ukuxilongwa okanye ukuphinda uvavanye imithambo-luvo encinzisiweyo engangcoliyo.
• Umbane wombane. Olu vavanyo lubonisa umsebenzi wombane kwimisipha.
• Isifundo sokuqhutywa kwemithambo. Olu vavanyo lubonisa isantya seempawu zemithambo-luvo.
• I-Ultrasound. Ngamanye amaxesha kusetyenziswa ukuvavanya imithambo-luvo.

Iphathwa njani imithambo-luvo?

Unyango olulondolozayo lwe-nerve eqinisiweyo luhlala luzanywa kuqala ngenjongo yokunciphisa iintlungu kunye nokwenza ngcono umsebenzi.

Phumla

Kubalulekile ukuba uphumle ingalo kangangoko kunokwenzeka ukuvumela ukuba iphilise.

Amayeza eentlungu ngaphezulu kwekhawuntareni

Iyeza ezichasayo ezifana ne-ibuprofen (i-Advil) okanye i-naproxen (i-Aleve) inokunciphisa ukuvuvukala kwimbilini, ukukhulula iimpawu.

Ubushushu okanye umkhenkce

Ukufudumeza okanye umkhenkce osetyenzisiweyo ngaphezulu kwembindi yeminwe kwiiseshoni zemizuzu engama-20 kunokunceda ekunciphiseni iimpawu zakho. Lumka ungatshisi okanye ukhenkceze ulusu lwakho ukuba ulwazelelo lwakho luyancipha.

Ukwahlula

Isinqe sinokusetyenziselwa ukukhulula isihlahla sakho, ingqiniba, okanye ingalo, okanye ukunceda izihlunu ezibuthathaka.

Inaliti yeCorticosteroid

I-CTS inokunyangwa nge-one-time corticosteroid injection ukunciphisa ukuvuvukala kunye nokunciphisa uxinzelelo kwi-nerve yakho. Ihlala isebenza malunga nenyanga.

Ugqirha

Utyando lokukhupha uxinzelelo kwi-nerve luhlala lusetyenziselwa uninzi lwee-syndromes zoxinzelelo lwe-nerve. Unokuba ngumgqatswa olungileyo kotyando ukuba:

• iimpawu aziphucuki emva kweenyanga ezintathu ukuya kwezintandathu zonyango olulondolozayo
• iimpawu zinzima
• Ukuphazamiseka kwezihlunu kwenzeka

Kuthatha ixesha elingakanani ukuphinda ubuye kwimithambo-luvo ekhanyiweyo engalweni?

Ixesha lokubuyisela liyahluka ngokuxhomekeka kwinani lezinto, kubandakanya:

• luvo olubandakanyekayo
• ubunzulu bokwenzakala
• indlela yokwenzakala ephendula ngayo kunyango olulondolozayo
• imfuneko yotyando
• umsebenzi okanye imisebenzi oya kubuyela kuyo

Imithambo edityanisiweyo ngenxa yoxinzelelo lwexeshana kwi-nerve yangaphandle ihlala izisombulula ngokwazo kwiiyure ezimbalwa. Ezo zibangelwe yi-ganglion cyst aziyi kuphucuka de isuswe i-cyst.

Ngaba kukhona ukuzilolonga okanye ukuzolula onokukwenza ukunceda ukukhulula imithambo-luvo ekhanyiweyo engalweni?

Ukolula ukugcina ubhetyebhetye okanye ukugcina okanye ukwakha amandla emisipha kunokuba luncedo kakhulu ekunciphiseni uphawu lweempawu zemithambo-luvo, ukuphilisa kunye nokuthintela.

Amanqaku alandelayo achaza ukolula kunye nokuzivocavoca iingalo zakho kunye nezihlahla:

• wolula izihlahla kunye nezandla
• Ukuzilolonga ngokunyanga itoneral carpal
• I-5 elungileyo ye-yoga yolula iingalo zakho
• Ukuzivocavoca kweetunnel syndrome kukuthomalalisa iintlungu

Ngaphambi kokuba uqalise inkqubo yokuzilolonga, thetha nogqirha ukuze uqiniseke ukuba ikhuselekile kwaye ayizukubangela ukonzakala okungaphezulu. Ugqirha wakho unokukuthumela kunyangi onokuthi ayile inkqubo yesiqhelo eyenzelwe wena.

Misa umthambo kwangoko ukuba ubangela ukungaphatheki kakuhle okanye iintlungu.

Yintoni onokuyenza ukuthintela i-pinched nerve engalweni?

Nazi izinto onokuzenza ukuthintela i-pinched nerve ukuba iphinde iphinde iphinde ibekho:

• Nciphisa okanye unqande ukuphindaphinda okuphindaphindiweyo kunye nemisebenzi ebangela oko.
• Ukuba ukwenzakala kwakho bekuhambelana nomsebenzi, kungafuneka utshintshe indlela ozisebenzisa ngayo izandla neengalo ukwenza umsebenzi wakho.
• Ukuba awukwazi ukwenza umsebenzi wakho ngaphandle kokuphindaphinda iintshukumo, unokufuna ukuqaphela ukutshintsha imisebenzi.
• Sitshintsha isandla nengalo yakho rhoqo ngelixa usenza umsebenzi.
• Thatha ikhefu rhoqo ukuze uphumle okanye wolule izihlahla zakho neengalo.
• Kulumkele nayiphi na imisebenzi kunye nezikhundla ezibeka uxinzelelo kwimithambo-luvo.
• Qiniseka ukuba awubeki xinzelelo kwimithambo-luvo engaphezulu xa ulele.
• Phumla iingalo zakho kangangoko kunokwenzeka imini yonke.

Ukuthatha

Nayiphi na imithambo-luvo engalweni yakho inokuncinwa ukuba icinezelwe zizakhiwo eziyingqongileyo. Kungenzeka ukuba kwenzeke apho i-nerve ihamba nge-tunnel okanye enye indawo encinci.

Iimpawu zixhomekeke kuhlobo lwentliziyo kwaye zinokubandakanya ukuba ndindisholo kunye nentlungu, ubuthathaka bemisipha, okanye zombini. Unyango lokuqala lunonyango olulondolozayo, kodwa utyando luyafuneka rhoqo ukususa uxinzelelo kwi-nerve.

Eyona ndlela yokuthintela ukuphinda-phinda kwe-pinched nerve kukuphepha isenzo okanye ukuphindaphinda iintshukumo ebezizibangele.