Ingabe usebenza kwikhompyutha izinsuku, uzama ukungaqapheli ukuphazamiseka esandleni sakho okukukhathaza izinyanga? Ingabe ngezinye izikhathi uzizwa ubuhlungu obuzumayo, obubukhali futhi obuhlungu futhi "lumbago" ngaphesheya kwesandla sakho? Futhi ngezinye izikhathi, ngaphandle kwesizathu nhlobo, yi-cramp? Lezi yizona zonke izimpawu ze-carpal tunnel syndrome - isimo esibuhlungu esibangelwa ukucindezela okuqhubekayo kwezinzwa eziyisihluthulelo esibukweni. Ngakho-ke, i-carpal tunnel syndrome - zize wena - isihloko sezingxoxo zanamuhla.
Iyini iCarpal Tunnel Syndrome?
Lesi sifo esinye sezimo zokungahambi kahle kubangelwa ukucindezelwa kwesibindi somzimba emhubheni we-carpal (kusukela ngaphakathi kwesandla ngaphezulu kwelayini lomgqa). Ukuzwa okungajabulisi kubonakala ukuthi baqala ukuvela ebusuku ebusweni bezandla zangaphakathi noma ezingeni lomunwe ophakathi. Ngezinye izikhathi kunezinkinga ngisho nokulala nokukhathala kwansuku zonke. Ngokuvamile esiteji sokuqala lesi sifo kunzima ukubona, izimpawu zomuntu ngamunye "zibhalwe" ngokukhathala okujwayelekile
I-nerve medial ilawula izinzwa zesundu kusukela ohlangothini lwesithupha kanye neminwe (ngaphandle komunwe omncane). Imisipha yezinhlanzi zeqembu elincane lemisipha yezingalo, futhi, libhekene nokwenza ukunyakaza okucashile kakhulu. Ngezinye izikhathi ukucindezeleka okubangelwa ukuvuvukala kwama-tendon kucindezela izinzwa. Ubuhlungu bungabonakaliswa yi-numbness ebukhali entendeni yesandla sakho futhi ngokuvamile uhlinzeka ehlombe. Nakuba lezi zinzwa ezibuhlungu zingabonisa ezinye izinkinga emzimbeni, i-carpal tunnel syndrome yisimo esivame kakhulu sokulimala kwamagciwane omzimba emzimbeni womuntu.
Izinzwa ezingathandeki nobuhlungu ingahamba kusuka ngesandla kuya ngomunwe, ingaphambili, amahlombe kanye nomhlane. Ngokuvamile kunezinkinga zokuvuvukala nokunyakaza. Ngokuvamile, umsebenzi womzimba ohlobene nokuthulwa kwezandla kuholela ezimweni ezinjalo: ukuhamba ngebhayisikili, ukugeza izandla, ezinye izindlela zokuzivocavoca nokuningi okuningi. Ngokumangalisa, kodwa isizathu esivame kakhulu akuyona imishini yomsebenzi, kodwa, ngokuphambene nalokho, uhlezi endaweni eyodwa, okungukuthi, ekhompyutheni isikhathi eside. Uma izimpawu ze-carpal tunnel syndrome ziqala ukuvela, noma yimiphi imisebenzi engabaza kufanele ishiywe. Buza umqeqeshi wakho wokuzivocavoca ukuthi ungakha kanjani ngokuqhubekayo ukusebenza okunye, buza udokotela ukuze uthole isincomo, kodwa ungazami ukwenza ngokusemthethweni othi "zisiza wena". Lesi yisifo esibi esizodinga ukuphathwa ukuze sigweme izinkinga nokulimala okwengeziwe.
I-Carpal tunnel syndrome yimbangela yezinhlanganisela zezinto ezivame ukuholela ekucindezeni okwenyuka kwezinzwa zomzimba kanye namathenda wekhanda lezinzwa zangempela. Le disorder inezinto eziphathelene nesakhi - isibonelo, isayizi elincane lesiteshi kwabanye abantu. Ezinye izici zihlanganisa ukulimala noma ukulimala esihlakalweni nokuvuvukala okulandelayo, ukwelula, ukuphuka, i-hypothyroidism, i-arthritis ye-rheumatoid, izinkinga ze-tendon, ukugqithiswa ngokweqile, ukugcinwa kwamanzi ngesikhathi sokukhulelwa noma ukuyeka esikhathini esizayo, ama-cysts noma amathumba e-carpal tumor. Kwezinye izimo, lesi sifo asikwazi ukukhonjwa.
Izimpawu zomshuwalense ogcwele we- tunnel syndrome
Izimpawu zivame ukuvela kancane kancane. Okokuqala kungumphetho, ukushisa noma ukuqina okuzungeze isundu nesinwe, ikakhulukazi phakathi kwesithupha nesithupha sangaphambili, emaphakathi neminwe, kodwa akukaze kube esifundeni somunwe omncane. Ngokuvamile iziguli ezithola ukucindezela noma ukungena eminwe yazo azikho ezinye izibonakaliso zokuvuvukala noma ukulahlekelwa kwesifo. Izimpawu zingabonakala kuqala ngakwesinye noma zombili izandla ebusuku, ikakhulukazi uma ama-wrists egobile. Ukuze unciphise ubuhlungu nobuchopho, ungenza i-mahi elula ngamabhulashi noma uhlasele amabhulashi akho ngokumelene nomunye. Uma izimpawu zimbi kakhulu, futhi akukho zinyathelo ezithathwe - izimpawu zenzeka kaningi phakathi nosuku. Isandla sinzima ukufaka isandla, kubuthakathaka, okuvimbela ukunyakaza okuncane kakhulu kweminwe. Uma kungekho ukwelashwa, indawo yesithupha ingaba yinto engafanele, ngisho kuyoba nzima ukuhlukanisa ukuzwa okunjengokubandayo nokushisa, ukuzwela ebuhlungu kuyodonswa.
Nini isikhathi sokuya kudokotela?
Qaphela izici ezilandelayo:
- ubuhlungu entendeni yesandla, ukunikeza isiphambano;
- ukuzwa ubuthakathaka nokungabi nasizo esandleni;
- izandla ezibandayo - izibopho ezifudumele;
- ukulahlekelwa amandla eminwe;
- ukulahlekelwa ubuzwe eminwe;
- ukulahlekelwa kokusebenzisana - uqala ukuyeka ukusika, izibuko, izincwadi, njll;
- ukukhukhumeza kwezinkomba, eziphakathi kanye nezindwangu;
- ukuphazamiseka kwesithupha;
- ukulahlekelwa ukunyakaza okuhle kwezandla - ukungabi namandla kweminwe;
- ubuhlungu emahlombe nasentanyeni;
- ukugubha noma ukuphazamiseka eminwe noma ngezandla, ikakhulukazi endaweni emkhatsini wesithupha nesithupha sangaphambili, emaphakathi neminwe, kodwa hhayi eduze komunwe omncane. Uyabona ukuthi uma uhlangana nomuntu, kunzima kuwe ukuxhaphaza nomlingani wakho. Ngokuqhubeka kwalesi sifo, lobu buthakathaka nokulahleka kobuzwe bungaba unomphela.
Ngubani osemngciphekweni we-carpal tunnel syndrome?
Abesifazane banamathuba amathathu okuhlushwa isifo esinjalo kunamadoda, mhlawumbe ngenxa yobuncane be-canal. I-Carpal tunnel syndrome yisimo esijwayelekile kakhulu. Amadoda angama-30% nabesifazane abangu-70% baye babhekana nalesi simo ngesikhathi esithile empilweni yabo.
Isandla esiphakeme sisongelwa njalo. Esikhathini "indawo engozini" nabo bantu abanesifo sikashukela mellitus noma ezinye izifo ezithinta umzimba ezithinta ngqo izinzwa. Lesi sifo, njengombuso, sibonakala kubantu abadala futhi singavamile kakhulu ezinganeni.
Indlela yokuphatha?
Ukwelashwa kwe-carpal tunnel syndrome kufanele kuqale ngokushesha (uma izimpawu zokuqala zitholwa) futhi kunesibopho ngaphansi kokuqondiswa udokotela. Okokuqala, kufanele ucabangele izimbangela, ezifana nesifo sikashukela noma i-arthritis. Ukwelashwa okuyisisekelo ngokuvamile kuhilela ukuphumula isandla esithintekile, isibindi, ngokulandelana, okungenani amasonto amabili, lapho isiguli akufanele sihlanganyele emisebenzini engadala isimo somzimba. Ngokuvamile kuyadingeka ukuvimbela umshini wokubhoboza nge-bandage eqinile noma ngisho ne-gypsum ukuvimbela ukuguqula nokuguqa komhubhe we-carpal. Futhi uma kukhona ukuvuvukala, ukucindezeleka okubandayo kufanele kusetshenziselwe ukunciphisa ubuhlungu nokuvuvukala.
Ukwelashwa okungelapheki
Imithi ehlukahlukene inganciphisa ubuhlungu nokuvuvukala okuhambisana ne-carpal tunnel syndrome. Ngokujwayelekile ubeka aspirin nezinye izidakamizwa ezinganciphisa izimpawu zesikhathi esifushane. Ama-corticosteroids afana ne-prednisone noma i-lidocaine angafakwa ngqo esihlakaleni noma athathwe ngomlomo (prednisolone). Bakhulula futhi ekugcineni bakhiphe ingcindezi ku-nerve medial. I-Corticosteroids kufanele isetshenziswe ngokucophelela ezigulini zesifo sikashukela kanye nabantu ababhekene nesifo sikashukela, futhi lokhu kubangela ubunzima ekulawuleni amazinga e-insulin. Kuye kwaboniswa ukuthi ukuthatha i-vitamin B6 (pyridoxine) kunganciphisa izimpawu zesifo.
Ukuzivocavoca - izandla ezelulekile nokuqinisayo, yebo, kuzoba kuhle kuphela. Kodwa kumele kwenziwe ngaphansi kokuqondiswa kwe-physiotherapist, olungiselelwe ngokukhethekile lokhu.
Ukwelashwa okunye - ukukhishwa kwesikhumba kuholela ekwenzeni ngcono iziguli ezithile, kodwa ukusebenza okuhlala isikhathi eside kwalendlela kuhlale kungavunyelwe. Okuhlukile yi-yoga, okuye kwaboniswa ukunciphisa ubuhlungu nokuqinisa ithenda phakathi kwabantu ababhekene nokuqubuka isikhathi eside.
Ukuhlinzwa
Ukulungiswa kokusebenza komhubhe we-carpal kungenye yezinqubo zokuhlinzwa ezivame kakhulu e-USA. Kwezinye iziguli, amaqhinga okuhlinzeka yindlela kuphela yokubuyela endleleni evamile yokuphila. Le nkinga inconywa ukulondoloza izimpawu okungenani izinyanga ezingu-6. Le nqubo ihilela ukususwa kwengxenye yezincubu ezicindezela izinzwa zomzimba futhi zenziwa ngaphansi kwe-anesthesia yendawo. Hlala emtholampilo usuku olulodwa kuphela. Iziguli eziningi zidinga ukuhlinzekwa kweplastiki ezandleni zombili. Ngemisebenzi "evuliwe" (indlela yendabuko), ukucubungula kwamasentimitha amahlanu kwenziwa esikhwameni, bese-ke, ukusika kwemigqa yesandla esondela emhubheni we-carpal.
Ukuhlinzeka okuhlinzekwa yi-endoscopic kuvumela ukusheshisa ukugeleza kokungenelela futhi unikeze isikhathi esifushane sokuphoqelela ukunciphisa ukuphazamiseka okungenzeka. Ngokwenza kanjalo, kwenziwa ukucutshungulwa kwamakhomitha amabili esikhwameni nangengalo, ikhamera efakiwe ebukeka ngaphakathi kwezicubu ze-ligament - futhi ama-tendon joints anqunywa. Yonke inqubo ibonakala esibukweni.
Nakuba izimpawu zaphela cishe ngokuphelele ngemva kokusebenza, ukutakula okugcwele kuthatha izinyanga. Kwezinye iziguli, ukutheleleka, ukulimala kwamagundane, ukugcoba kwama-palm tisses neminye imiphumela ikhula. Izikhathi ezilandelayo ze-physiotherapy zizosiza ukunqoba umphumela wokuqhekeka kwe-ligament. Iziguli eziningi zilulame ngokuphelele, izimpawu ezingavamile kakhulu zingagcina.
Ukujova kwendawo ye-steroids
Ukujola kwe-steroid kuyasebenza ngokwanele ukucindezela okwesikhashana izimpawu ze-carpal tunnel syndrome - zize uzifunde ngale ndlela elula. Lezi akuzona amasu wesikhathi eside asetshenziselwe ukuphatha iziguli ukuze zithuthukise indlela yabo yokuphila. Le nqubo ayifaneleka ukwelapha isikhathi eside - i-corticosteroids inemiphumela yaso emibi ngokufaka isikhathi eside, okungenani iqala ukulahlekelwa amandla.
Physiotherapy
Kukhona ubufakazi bokuthi ukusetshenziswa kokwelapha ngokomzimba kuholela ekunciphiseni okuqhubekayo kwezimpawu zeziguli ezinale nkinga. Ngokuvamile kuvame ukuqeda izimpawu zobuhlungu obungapheli. I-Physiotherapy inikeza izindlela eziningana zokuvimbela nokuphatha i-carpal tunnel syndrome. Izinqubo ezihloswe ubuhlungu (izimpawu) nokungasebenzi. Kufaka izinqubo eziningana - kusuka ekutheni ubuhlungu bezincubu ezilula futhi ukuthungela ekuzivocavoca kanye namasu okukhuthaza ngqo izinzwa zezandla. Ukushisa kuyasebenza kakhulu kulokhu. Kulesi simo, kubalulekile ukugcwalisa isimo esisodwa - ukuphumula okuphelele nokungabikho kokuhlukunyezwa ezandleni okungenani ihora ngemuva kwenqubo.
Ukuvimbela
Endaweni yokusebenza ngezikhathi ezithile, udinga ukwenza ukuzivocavoca okulula kanye namakhefu ambalwa avamile. Ungahlanganyeli emisebenzini lapho ama-wrists azohlala ephazamisekile noma ngandlela-thile overextended. Abanye abantu basebenzisa ukugqoka ama-mitt ukufudumala izandla zabo ngaleyo ndlela bagcine ukuguquguquka kwabo. Kodwa lokhu, njengoba uqonda, akuvumelekile ngaso sonke isikhathi. Ngokuvamile, le nkinga ixazululwa futhi ngendlela efanele kufaneleke ukuqeda izinkinga.