So wo nso wo ho yɛ wo yaw wɔ wo akwaa mu? Momma yensua Tinel Nsɛnkyerɛnne a ɛkyerɛ sɛ ntini a ɛyɛ mmerɛw no ho ade!

Ɛtɔ da bi a, yɛte nka sɛ yɛn nsa anaa yɛn nan biako mu ayɛ mmerɛw, te sɛ nea yɛreyɛ ayɛ yɛn yaw, ɛnte saa? Ɛtɔ da bi a eyi betumi ayɛ sɛnkyerɛnne ara kwa, nanso ɛtɔ mmere bi a ebetumi afi ɔhaw bi a ɛwɔ ntini bi a ɛwɔ yɛn nipadua mu no mu. Wɔ tebea horow a ɛtete saa mu no, sɔhwɛ bi a ɛnyɛ den bi wɔ hɔ a nnuruyɛfo de di dwuma, na wɔfrɛ no Tinel’s Sign . So yɛbɛka eyi ho asɛm kakra nnɛ?

Dɛn ne Tinel Nsɛnkyerɛnne?

Sɛ yɛbɛka no tiawa a, Tinel's Sign yɛ "tingling" anaa "pins and needles" atenka a wote nka bere a wo duruyɛfo no bɔ wo honam ani brɛoo wɔ baabi a ntini bi tu mmirika no. Ɛte sɛ nea ɛyɛ mmerɛw kakra, te sɛ anyinam ahoɔden a wɔde abɔ obi . Saa atenka yi betumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ ntini a ɛwɔ baabi a wɔrebɔ no no ayɛ mmerɛw anaasɛ asɛe.

Dɛn ankasa na worehwehwɛ wɔ eyi mu?

Nnuruyɛfo de sɔhwɛ yi (Tinel’s Sign) di dwuma de hwɛ sɛ ebia ntini bi asɛe anaasɛ ɛhyɛ abufuw wɔ beae pɔtee bi anaa. Ɛne sɛ, sɔhwɛ yi atirimpɔw ne sɛ ɛbɛbɔ mmɔden ahu sɛ ebia wɔremia ntini a ɛwɔ saa beae no wɔ ɔkwan bi so anaasɛ ne dwumadi resɛe anaa.

So edin afoforo wɔ hɔ? Hena na ɔyɛɛ eyi?

Yiw, ɛtɔ mmere bi a nnuruyɛfo frɛ no Hoffmann-Tinel sɛnkyerɛnne . Edin abien no nyinaa fi nnipa baanu a wodii kan kaa sɛnkyerɛnne no ho asɛm wɔ 1915. Na wɔyɛ nipadua ho ɔbenfo Paul Hoffmann ne ntini ho ɔbenfo Jules Tinel. Enti wɔde edin no di dwuma de hyɛ wɔn anuonyam.

Bere bɛn na nnuruyɛfo de saa (Tinel Nsɛnkyerɛnne) nhwehwɛmu yi di dwuma?

Sɛ oduruyɛfo bi susuw sɛ ntini asɛe anaasɛ ntini no ayɛ hyew a, wobetumi ayɛ nhwehwɛmu yi (Tinel’s Sign). Sɛ wo ho yɛ wo hyew bere nyinaa, wote ɛyaw, anaa woyɛ mmerɛw wɔ beae pɔtee bi a, eyi betumi aboa ma woahu sɛ ebia efi ntini mu haw bi anaa.

Ma yɛnhwɛ nhwɛso ahorow bi?

Tebea ahorow pii wɔ hɔ a mfaso wɔ saa (Tinel Nsɛnkyerɛnne) yi so. Ma yɛnhwɛ nea wɔyɛ:

• Carpal Tunnel Syndrome: Ebia woate eyi ho asɛm. Saa tebea yi ba bere a wɔahyɛ mfinimfini ntini a ɛfa yɛn nsateaa mu no. Eyi betumi ama nsa ne nsateaa ayɛ mmerɛw, ayɛ yaw, na ɛtɔ mmere bi a ahoɔden a ɛyera. Fa no sɛ, ɛda adi sɛ obi a ɔde kɔmputa kyerɛw nsɛm da mũ nyinaa anaa ɔyɛ nsaanodwuma a emu yɛ duru no benya saa tebea yi. Afei, sɛ oduruyɛfo no bɔ nsateaa no so yiye na ɔte nka sɛ ne ho ayɛ no yaw a, ebetumi ayɛ Carpal Tunnel Syndrome.

• Cubital Tunnel Syndrome: Eyi ba bere a wɔahyɛ yɛn nsateaa mu ntini a ɛwɔ yɛn nsateaa mu no.- binom nso frɛ eyi "sereserew dompe", a ɛyɛ bere a ntini bi asɛe anaasɛ wɔahyɛ no den. Eyi betumi ama nsa (titiriw nsateaa ketewa ne nsateaa a ɛyɛ ring) ne nsateaa ayɛ mmerɛw na ayɛ yaw. Nnipa binom, a ɛyɛ wɔn su sɛ wɔde wɔn nsateaa bɛmia pon no so, anaasɛ wɔn nsateaa anya akwanhyia no betumi anya saa tebea yi.

• Tarsal Tunnel Syndrome: Eyi ne bere a Posterior Tibial Nerve a ɛnam yɛn nansoaa mu no twetwe. Eyi betumi ama yɛn nan ase ayɛ yɛn yaw, ayɛ yɛn yaw, anaasɛ yɛahwere nkate, titiriw yɛn nan ase. Ɛtɔ mmere bi a, saa ntini yi betumi amia bere a yɛhyɛ mpaboa a ɛmfata anaa bere a yɛapira yɛn nan ase no.

Nea ɛho hia: Eyinom yɛ nhwɛso kakraa bi pɛ. Saa sɔhwɛ yi (Tinel’s Sign) betumi aboa ma wɔahu ntini mu haw afoforo pii.

Dɛn ne ntini a ɛyɛ mmerɛw anaa ntini a asɛe ho sɛnkyerɛnne?

Sɛ wowɔ ntini bi a ayɛ wo yaw anaasɛ asɛe a, wubetumi anya saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa:

• Ɔhyew a ɛyɛ hyew
• Nhumu a ɛyɛ mmerɛw anaasɛ nkate a ɛyera koraa
• Ɛyaw (ebetumi ayɛ nnam anaasɛ ɛyɛ kusuu) .
• Nkate a ɛma obi ho dwiriw no
• Mmerewa wɔ beae a ɛfa ho, kyerɛ sɛ, ahoɔden a ɛso tew.

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, ntwɛn kɛkɛ sɛ ebefi hɔ. Ɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn.

Hena na ɔyɛ Tinel’s Sign sɔhwɛ no?

Akwahosan ho ɔyaresafo biara a osusuw sɛ ntini a ɛyɛ mmerɛw, sɛ́ ɛyɛ w’abusua oduruyɛfo anaa oduruyɛfo titiriw no betumi ayɛ nhwehwɛmu yi (Tinel’s Sign). Ɛyɛ mmerɛw yiye.

So ɛsɛ sɛ wudi kan siesie wo ho ma sɔhwɛ yi?

Dabi, ɛho nhia sɛ wɔyɛ ahosiesie titiriw biara. Wubetumi ama wɔayɛ nhwehwɛmu yi wɔ hɔ ara bere a wokɔ wo duruyɛfo nkyɛn sɛnea wotaa yɛ no.

Dɛn na ɛba ansa na sɔhwɛ no aba?

Oduruyɛfo no bedi kan abisa wo wo sɛnkyerɛnne ahorow no ho nkyerɛkyerɛmu a edi mũ. Sɛ nhwɛso no, baabi a wo ho yɛ wo yaw, bere a wote nka kɛse, ne dwumadi ahorow a ɛma ɛyɛ kɛse. Afei, sɛ́ nipadua mu nhwehwɛmu no fã no, wɔhwɛ eyi (Tinel Nsɛnkyerɛnne) mu.

Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?

Eyi yɛ adeyɛ a ɛyɛ mmerɛw yiye. Oduruyɛfo no de ne nsateaa anaa hama ketewa bi bɛbɔ wo honam ani baabi a wosusuw sɛ ntini no wɔ no brɛoo. Oduruyɛfo no bebisa wo sɛnea wote nka bere a wɔbɔ wɔn ho ban no. Eyi nyɛ yaw, enti ɛho nhia sɛ yesuro.

Dɛn na sɔhwɛ no mu aba ka?

• Adepa a efii mu bae:Sɛ wote nka sɛ wo ho yɛ wo yaw anaasɛ wo ho yɛ wo yaw bere a oduruyɛfo no bɔ wo saa kwan no so a, ɛkyerɛ sɛ ebia ntini a ɛwɔ saa beae no bɛsɛe anaasɛ ɛbɛhyɛ wo abufuw bi.
• Nea enye a efi mu ba: Sɛ woante nka sɛ wo ho ayɛ wo yaw bere a wobɔ wo so a, ɛyɛ nea enye. Nanso, ade titiriw bi wɔ hɔ a ɛsɛ sɛ yɛkae wɔ ha. Nea enye a efi mu ba no nkyerɛ sɛ ntini mu nhyɛso biara nni hɔ. Ɛtɔ da bi a, sɛ wɔmia ntini no mpo a, ebia eyi (Tinel Nsɛnkyerɛnne) renkyerɛ.

Enti, saa (Tinel Nsɛnkyerɛnne) sɔhwɛ yi yɛ mmoa ara kwa ma oduruyɛfo no ma ɔte wo tebea no ase. Wɔde gyinaesi a edi mũ ka sɛnkyerɛnne afoforo ne aduruyɛ ho abakɔsɛm ho.

Dɛn na ɛba wɔ sɔhwɛ no akyi?

Ɛdenam nea efii Tinel’s Sign nhwehwɛmu no mu bae, wo sɛnkyerɛnne afoforo, ne nea woahu wɔ aduruyɛ mu nhwehwɛmu no mu so no, wo duruyɛfo betumi akamfo nhwehwɛmu afoforo pii akyerɛ. Nhwɛsoɔ:

• Electromyography (EMG): Eyi sɔ anyinam ahoɔden dwumadi a ɛwɔ ntini ne ntini ahorow mu hwɛ. Eyi boa ma wohu sɛ ebia ntini bi asɛe ne baabi a ɛbɛkɔ akodu.
• MRI scan: Eyi tumi hu ntini ne ntini a atwa ho ahyia no pefee. Eyi ho hia na ama woahu nea ɛrema ntini no ayɛ den (e.g. akisikuru, ɔfe).
• X-ray: Eyi betumi aboa ma woahu sɛ ebia ɔhaw bi a ɛwɔ dompe no ho (sɛ nhwɛso no, dompe no a abubu, dompe a asɛe) na ɛrepia ntini no anaa.

So asiane bi wɔ saa (Tinel Nsɛnkyerɛnne) sɔhwɛ yi mu?

Dabi, asiane biara nni hɔ. Eyi yɛ sɔhwɛ a ɛyɛ mmerɛw yiye na ahobammɔ wom. Ɛyɛ tapping kakra kɛkɛ. Enti nsuro biribiara.

Bere tenten ahe na egye ansa na wɔanya sɔhwɛ no mu aba?

Nea eye sen biara ne sɛ wubetumi ahu nea efi mu ba no ntɛm ara . Wubetumi ahu ntɛm ara sɛ wote nka sɛ wo ho ayɛ wo yaw anaasɛ wo ho ayɛ wo yaw bere a wobɔ so no. Afei oduruyɛfo no ne wo bɛkasa na wasusuw nea ɛsɛ sɛ woyɛ akyi.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wowɔ sɛnkyerɛnne ahorow a ɛkyerɛ sɛ wowɔ ntini a ɛyɛ mmerɛw anaasɛ ɛhyɛ wo abufuw (sɛ nhwɛso no, ɔhyew, akisikuru, mmerɛwyɛ, ɛyaw a ɛkɔ so daa) a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn. Mma w’ani ngu eyinom so sɛ nneɛma a ɛnyɛ den. Sɛ wonya ayaresa ntɛm a, ebetumi aboa ma tebea no ansɛe.

So metumi asɔ eyi (Tinel Nsɛnkyerɛnne) ahwɛ wɔ fie?

Ɛyɛ nea ɛfata sɛ wubebisa eyi. Nanso, ɛyɛ papa sɛ wobɛma oduruyɛfo ayɛ nhwehwɛmu yi. Efisɛ egye aduruyɛ ho nimdeɛ na ama wɔate baabi pɔtee a ntini no wɔ, sɛnea wɔbɔ no, ne nea efi mu ba no ase. W’ankasa wubetumi akɔyɛ na woaba awiei a ɛnteɛ. Enti, sɛ w’adwene mu yɛ wo naa a, kɔ oduruyɛfo nkyɛn na yɛ eyi.

Nneɛma a ɛho hia paa sɛ wobɛkae (Take-Home Message) .

Okay, enti, nneɛma a ɛho hia paa a ɛsɛ sɛ wokae fi nea yɛaka ho asɛm nnɛ no mu ni:

• Tinel’s Sign yɛ sɔhwɛ a ɛnyɛ den, ɛyɛ ntɛm, na ɛnyɛ yaw a ɛkyerɛ sɛ ntini no amia anaasɛ asɛe.
• Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ wo akwaa a ɛyɛ wo yaw, ɛyaw, anaa mmerɛwyɛ wɔ wo nsa a, mma wo ne no nhu amane. Mmu w’ani ngu wɔn so.
• Sɛ wuhu saa sɛnkyerɛnne ahorow yi a, kɔ oduruyɛfo nkyɛn ntɛm ara na wɔne wo nsusuw wo yare no ho sɛnkyerɛnne, ayaresa a wubetumi apaw, ne akwan a wobɛfa so anya ahotɔ wɔ fie ho.
• Kae sɛ, sɛ wohu yare no ntɛm na wosa wo yare yiye a, wubetumi ho atɔ wo ntɛm.

Mewɔ anidaso sɛ wubehu sɛ mfaso wɔ saa nsɛm yi so. Kɔ so nya apɔwmuden!

` Tinel sɛnkyerɛnne, ntini a ɛhyɛ, ntini a ɛyɛ mmerɛw, carpal tunnel, cubital tunnel, tarsal tunnel, ntini a ɛsɛe