So worehu wo nsa anaa wo nsateaa a ɛyɛ wo yaw na ɛyɛ wo yaw? Ebetumi ayɛ Radial Tunnel Syndrome!

So woate ɛyaw bi a ɛyɛ nwonwa a efi wo nsa mu, titiriw wɔ wo nsateaa ase, ne wo nsateaa a ɛyɛ wo yaw a ɛka ho ne ahoɔden a ɛyera wɔ wo nsa mu pɛn? Ɛtɔ da bi a, ɛyaw yi betumi ayɛ kɛse araa ma ɛbɛyɛ te sɛ nea worebɔ mmɔden sɛ wubebue wo nsa. Eyi betumi ayɛ tebea bi a wɔfrɛ no Radial Tunnel Syndrome a yɛbɛka ho asɛm nnɛ no ho sɛnkyerɛnne atitiriw no mu biako. Mma ɛnhaw wo, momma yɛnka eyi ho asɛm tiawa.

Dɛn ne Radial Tunnel Syndrome? Sɛ yɛbɛka no tiawa a...

Fa no sɛ, ntini bi a ɛho hia bi wɔ hɔ a ɛnam yɛn basa so, wɔfrɛ no radial nerve . Saa ntini yi na ɛboa yɛn abasa mu ntini bi ma ɛyɛ adwuma na ɛte nka wɔ mmeae bi. Sɛ saa radial nerve yi ba elbow no so a, ɛfa "tunnel" ketewa bi mu kɔ abasa no anim. Nneɛma te sɛ ntini ne ntini ahorow na ɛyɛ saa ɔkwan yi. Ɛno nti na wɔfrɛ no radial tunnel no .

Afei, sɛ biribi nti, ntini a ɛwɔ saa radial tunnel yi mu no hohoro anaasɛ ɛyɛ den a, dɛn na ɛba? Radial nerve a ɛfa saa kwan no mu no fi ase mia na ɛyɛ pintinn. Ɛno ne bere a tebea bi a wɔfrɛ no radial tunnel syndrome ba. Ɛte sɛ nea sɛ nsu paipu bi kɔ mfinimfini a, ɛma ɛyɛ den sɛ nsu no bɛsen.

Asɛmpa no ne sɛ mpɛn pii no wobetumi de ahomegye ne ayaresa a ɛnyɛ oprehyɛn a ɛnyɛ oprehyɛn asa tebea yi. Enti sɛ worete ɛyaw wɔ wo nsateaa anaa wo nsa anim a, ɛbɛyɛ papa sɛ wobɛhwehwɛ aduruyɛfo afotu.

Ɔkwan bɛn so na radial tunnel pain te nka? Dɛn ne sɛnkyerɛnne ahorow no?

Wɔtaa te ɛyaw yi fi nsateaa no akyi kosi abasa no anim (`abasa`) . Ɛyɛ ɛyaw a ɛyɛ yaw a efi mu ba. Ɛtɔ mmere bi a, ɛyaw yi betumi atra hɔ da mũ no nyinaa, na ama woate nka sɛ woabrɛ na woabrɛ.

Saa ɛyaw yi betumi ayɛ kɛse bere a woreyɛ nnwuma bi no. Nhwɛsoɔ:

• Nnwuma pii hwehwɛ sɛ wode nsateaa ne nsateaa bedi dwuma (sɛ nhwɛso no, bere a worekura biribi mu denneennen no, wode skrudraiver bedi dwuma).
• Bere a worema biribi a emu yɛ duru so no.
• Bere a wɔatrɛw nsateaa no mu akɔ akyiri dodo no.
• Bere a woredan nsa no anim fã (e.g. bere a worebue ɔpon bi).
• Bere a wobɔ wo nsateaa no.

Bere kɔ so no, radial tunnel syndrome betumi ama ntini a ɛwɔ nsa no anim no ayɛ mmerɛw na ama nsateaa no ahoɔden so atew. Eyi betumi ama ayɛ den sɛ wobɛkyere nneɛma bi anaa wobɛma so. Nnipa binom nso betumi ate ɛyaw bere a wɔada no . Ɛntaa mma sɛ saa tebea yi betumi ama nsateaa no ahwe ase (`wrist drop`) , a ɛkyerɛ sɛ wontumi mma nsa no so.

Esiane sɛ saa sɛnkyerɛnne ahorow yi te sɛ tebea bi a wɔfrɛ no "tennis elbow" kakra nti, ɛho hia yiye sɛ wobɛma wo sɛnkyerɛnne ahorow no mu da hɔ bere a worekɔ oduruyɛfo nkyɛn no.

Dɛn nti na radial tunnel syndrome ba? Dɛn na ɛde ba?

Sɛnea yɛadi kan aka no, bere a radial nerve no fa radial tunnel a ɛwɔ elbow ase no mu no, ɛfa ntini ahorow ntam ne ntini ahorow a wɔfrɛ no `fascial bands` ase. (Fascial bands yɛ ntini bi a ɛtwa nneɛma te sɛ ntini ne akwaa a ɛwɔ yɛn nipadua mu ho hyia, ɛtetew mu, na ɛkyekyere.)

Enti, sɛ ɔfe (`inflammation`) bi wɔ nneɛma a ɛwɔ saa radial tunnel yi mu a, ɛde nhyɛso a ɛho nhia ba radial nerve no so. Ɛno ne ade titiriw a ɛde tebea yi ba. Nneɛma pii nti na ebetumi ama obi anya ɔfe yi:

• Nneɛma koro no ara a wɔyɛ no mpɛn pii: Titiriw wɔ adwumam. Sɛ nhwɛso no, wokyerɛw mpɛn pii, na wode adwinnade bi te sɛ skrudraiver di dwuma mpɛn pii.
• Wo nsa a wode piapia ne twetwe bere nyinaa: Susuw ho hwɛ, sɛ wobɔ kriket bɔɔl anaa volleyball a, wotwe wo nsa san w’akyi na wosan pia kɔ w’anim bio de kɔma bɔɔl no. Nneɛma a ɛtete saa.
• Ɔhwe a ɛyɛ den tẽẽ a wɔde bɔ nsateaa no akyi anaa nsa no anim.
• Biribi a wobɛkura mu denneennen, wode wo nsateaa apiapia no denneennen, anaasɛ wo nsateaa a wobɛbɔ no mpɛn pii.

Hena na ɛda adi sɛ obenya saa tebea yi?

Radial tunnel syndrome taa ba nnipa a wɔadi fi mfe 30 kosi 50. Mmea taa nya tebea no sen mmarima. Nea ɛka ho no, nneɛma afoforo bi betumi ama asiane a ɛwɔ hɔ sɛ obi benya saa tebea yi no ayɛ kɛse:

• Ahoɔden ne nsakrae a ɛso tew wɔ nsa ne nsateaa mu.
• Ɔhyew a worennyɛ yiye ansa na woadi agumadi.
• Wɔn a wɔwɔ asikreyare (`Diabetes Mellitus`) .
• Wɔn a wɔn thyroid ntini a ɛnyɛ adwuma yiye no fam no .
• Sɛ wowɔ akuru anaa akisikuru (`akisikuru anaa ganglion cysts`) wɔ nsa mu.
• Nsa a ɛho ahonhon (edema) anaa nsu a ɛboaboa ano wɔ nsa no mu.
• Radial ntini mu ɔfe.

Ɔkwan bɛn so na oduruyɛfo hu eyi?

Sɛ wokɔ oduruyɛfo nkyɛn a, obedi kan abisa wo yaw, wo yare no ho sɛnkyerɛnne, ne w’ayaresa ho abakɔsɛm. Afei, wɔbɛyɛ nipadua mu nhwehwɛmu , titiriw sɛ wɔbɛhwehwɛ wo nsateaa ne wo nsa anim. Afei, oduruyɛfo no bɛbɔ mmɔden sɛ obehu baabi pɔtee a radial nerve no wɔ denam wo nsateaa akyi a ɔbɛka na wamia brɛoo no so.

Nhwehwɛmu titiriw bɛn na wɔde hu eyi?

Nhwehwɛmu pɔtee abien wɔ hɔ a wo duruyɛfo betumi de ahu tebea yi:

• Nsɔhwɛ a ɛfa sɛnea ɛko tia nyarewa ho: Oduruyɛfo no de wo nsateaa kɛse ne wo mfinimfini nsateaa bɛyɛ nhwehwɛmu ahorow bi a ɛkyerɛ sɛnea obi gyina ano. Sɛ wote ɛyaw biara a, ebia wowɔ radial tunnel syndrome.
• "Mmara a ɛfa sɔhwɛ akron ho":Oduruyɛfo no bɛmia nsɛntitiriw akron a ɛwɔ wo nsateaa so brɛoo. Sɛ wote ɛyaw nka wɔ mmeae bi a, ebia wubenya saa tebea yi.

Nanso, `sɔhwɛ ahorow a wɔahyɛ da ayɛ` biara nni hɔ a ebetumi akyerɛ nea eyi yɛ ankasa. Enti, ebetumi ayɛ den kakra sɛ wubehu no pɛpɛɛpɛ. Enti, oduruyɛfo no betumi ayɛ nhwehwɛmu afoforo bi de ahwɛ ahu sɛ opira anaa ayaresa tebea foforo biara nni hɔ. Wɔfrɛ eyinom `mfonini sɔhwɛ` :

• X-ray ahorow a wɔde yɛ
• Magnetic resonance imaging (MRI) a wɔde di dwuma wɔ ɔkwan a ɛyɛ hu so .
• Sɔhwɛ a ɛkyerɛ sɛnea ntini mu nkate ahoɔhare (`Nnerve conduction study`) .
• Sɔhwɛ a ɛhwɛ ntini ahorow no dwumadi (`Electromyography - EMG`) .

Dɛn ne ayaresa ahorow a wɔde sa eyi?

Ɔkwan a eye sen biara a wɔfa so sa tebea yi ne sɛ wobegyae dwumadi ahorow a ɛde sɛnkyerɛnne ahorow ba no anaasɛ wɔbɛtew so kɛse . Sɛ ɛbɛyɛ yiye a, ma wo nsa no home na bɔ mmɔden sɛ wobɛkwati sɛ wobɛka wo ho biara a ɛbɛma woayɛ yaw. Wɔ nnipa dodow no ara fam no, yare no ho sɛnkyerɛnne no tu mpɔn wɔ bɛyɛ adapɛn asia akyi bere a wɔagye wɔn ahome na wɔasa wɔn yare no.

Ayaresa afoforo wɔ hɔ a wɔde bɛtew ɛyaw a ɛbata radial tunnel syndrome ho no so:

• Nnuru a wɔtɔn a wɔde ko tia ɔyare mmoawa (NSAID) a wobetumi atɔ wɔ nnurutɔnbea a wɔde bedi dwuma.
• Steroid a wɔde twitwiw nipadua no mu na ama ɔfe ne nhyɛso a ɛba radial nerve no so no so atew.
• Sɛ wɔhyɛ aduru a wɔde kyekyere nsateaa ne/anaasɛ wo nsateaa. Eyi boa ma nsa no nkɔ baabiara na ɛtew abufuw a ɛba radial nerve no so no so. (Eyi ho wɔ mfaso titiriw anadwo bere a woada no.)
• Apɔw-mu-teɛteɛ apɔw-mu-teɛteɛ ahorow a wɔyɛ . Eyinom boa ma ntini/ntini a ɛyɛ den a atwa radial nerve no ho ahyia no trɛw na ɛsansan.

Botae titiriw a ɛwɔ ayaresa mu ne sɛ ebeyi wo yare no ho sɛnkyerɛnne ahorow no afi hɔ na amma ansan amma bio.

Sɛ w’adwuma na ɛde saa sɛnkyerɛnne ahorow yi reba a, ebia wobɛpɛ sɛ wususuw ho sɛ wobɛyɛ nsakrae bi wɔ w’adwumam tebea mu anaasɛ wubegye w’ahome pii wɔ adwuma da no mu. Bɔ mmɔden sɛ wobɛkwati nnwuma a emu yɛ duru a wɔde piapia ne twetwe sɛnea wubetumi biara.

Wɔ agumadifo fam no, sua apɔw-mu-teɛteɛ a ɛma ahoɔden ne nsakrae ba, na mma wo werɛ mmfi sɛ wobɛma wo ho ayɛ hyew yiye ansa na woadi agoru anaasɛ wobɛtete wo ho.

Oprehyɛn bi wɔ hɔ a wɔde sa tebea yi. Nanso, mpɛn pii no, sɛ ahomegye ne ayaresa a wɔnyɛ oprehyɛn mmoa nkutoo a, oduruyɛfo bɛkamfo akyerɛ. Botae a ɛwɔ radial tunnel release ho ne sɛ ɛbɛma nhyɛso a ɛwɔ radial nerve no so no afi hɔ bere a ɛfa radial tunnel no mu no.

Nsɛmmisa a ɛho hia bɛn na ɛsɛ sɛ wobisa oduruyɛfo no?

Nsɛmmisa bi a ebia wobɛpɛ sɛ wubisa wo duruyɛfo fa radial tunnel syndrome ho ni:

• Wobɛyɛ dɛn ahu sɛ mewɔ radial tunnel syndrome anaa biribi foforo?
• Ayaresa ahorow bɛn na wokamfo kyerɛ?
• Wɔ tebea horow bɛn mu na wobɛkamfo akyerɛ sɛ wɔnyɛ oprehyɛn?
• Dɛn na metumi ayɛ na amma radial tunnel syndrome no ansan amma bio?

So radial tunnel syndrome tebea yi ankasa bɛyɛ yiye?

Sɛ woansa a, ɛnyɛ den koraa sɛ wo yare no ho sɛnkyerɛnne no ankasa bɛtu mpɔn. Nokwarem no, bere kɔ so no, sɛnkyerɛnne ahorow no betumi asɛe kɛse . Sɛ wɔansa saa tebea yi a, ebetumi ama woanya ɛyaw a enni sabea wɔ wo nsa anim. Enti nyansa wom sɛ wobɛhwehwɛ ayaresa ntɛm ara sɛnea wubetumi.

Dɛn na ɛbɛba wɔ ayaresa akyi? So me ho bɛtɔ me? (`Nkɔmhyɛ`) .

Sɛ wudi wo duruyɛfo akwankyerɛ akyi yiye na wokwati sɛ wubepira radial nerve no daakye a, mpɛn pii no, ayaresa a ɛnyɛ oprehyɛn no tu mpɔn kɛse ma tebea yi. Sɛ ayaresa a ɛnyɛ oprehyɛn no antumi anyɛ yiye a, oprehyɛn yɛ ɔkwan foforo a ebetumi ama yare no ho sɛnkyerɛnne ahorow no afi hɔ. Nanso, ebia nnipa binom bɛkɔ so ate ɛyaw bi wɔ oprehyɛn akyi.

Radial tunnel pain betumi ama ayɛ den sɛ wobɛyɛ da biara da dwumadi ahorow. Ebetumi aka wo da biara da dwumadi, w’adwuma, agumadi, ne w’anigyede. Enti ɛho hia yiye sɛ wode wo nsa home na wugyae nneɛma a ɛde sɛnkyerɛnne ahorow ba no yɛ . Hwɛ oduruyɛfo na nya ayaresa. Afei ɛrenkyɛ na ɛyaw biara nni wo so.

Nea etwa to no, nneɛma a ɛsɛ sɛ wokae (Take-Home Message) .

Enti, mewɔ anidaso sɛ seesei woanya ntease pa wɔ nea yɛaka ho asɛm, Radial Tunnel Syndrome no ho. Nneɛma a ɛho hia a ɛsɛ sɛ wokae ni:

• Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ ɛyaw a ɛyɛ yaw wɔ wo nsateaa anaa nsa no anim, wo ho yɛ wo yaw, na wo nsa no ahoɔden a ɛyera , ebetumi ayɛ radial tunnel syndrome.
• Eyi ba efisɛ radial nerve a ɛwɔ nsa no mu no mia wɔ baabi.
• Eyi betumi afi nneɛma te sɛ ade koro a wɔyɛ no mpɛn pii, nneɛma a emu yɛ duru a wɔma so, anaasɛ wɔbɔ wɔn nsateaa mu .
• Ɛho hia sɛ wobɛkɔ oduruyɛfo nkyɛn a woremmɔ hu na wuhu nea ɛyɛ ɔhaw no ankasa.
• Mpɛn pii no, wobetumi de ayaresa a ɛnyɛ den te sɛ ahomegye, nnuru a wɔde kum ɛyaw, ne nipadua mu ayaresa asa eyi .
• Oduruyɛfo no akwankyerɛ a wubedi akyi ne wo nsa a wode bɛhome no ho hia yiye na ama wo ho atɔ wo ntɛmntɛm.

Sɛ wowɔ saa sɛnkyerɛnne yi bi a, mma ɛnhaw wo, hwehwɛ aduruyɛfo afotu ntɛm ara. Afei wubetumi ho atɔ wo ntɛm na woasan akɔ w’adwuma mu anigye so!

`radial tunnel syndrome, nsa mu yaw, nsateaa mu yaw, ntini a ɛtwetwe, radial ntini, akisikuru, nsa a ɛyɛ mmerɛw