So wote nka sɛ ntini bi akɔhyɛ wo nsateaa anaa wo nsateaa mu? Momma yɛnka Ulnar Nerve Entrapment ho asɛm!

So ɛtɔ mmere bi a wote nka sɛ wo nsateaa ayɛ wo yaw, anaasɛ ɛyaw bi a ɛyɛ nwonwa wɔ wo nsateaa mu, anaasɛ wote nka sɛ woayɛ mmerɛw bere a wobɔ mmɔden sɛ wode wo nsa bɛka biribi ho no? Anaasɛ ɛte sɛ nea wo nsateaa ketewaa ne ring nsateaa no akyeakyea kɛkɛ? Eyinom nyɛ nneɛma a wɔanhyɛ da kɛkɛ. Ebia nhyɛso bi wɔ ulnar ntini, ntini a ɛho hia wɔ wo nsam no so. Ɛnnɛ yɛrebɛka tebea yi a wɔfrɛ no Ulnar Nerve Entrapment ho asɛm . Mma ɛnhaw wo, sɛ wunim eyi a, wubetumi anya ano aduru ntɛm.

Dɛn ne Ulnar Nnerve Entrapment?

Sɛ yɛbɛka no tiawa a, ulnar nerve compression yɛ bere a biribi de nhyɛso ba ulnar nerve a ɛwɔ wo nsateaa anaa wo nsateaa mu no so. Wɔsan frɛ eyi sɛ ntini mu nhyɛso a ɛba . Sɛnea nsu paipu mu yɛ den na nsu ntumi nkɔ no, sɛ wɔhyɛ ntini no mu a, nsɛnkyerɛnne a ɛfa mu no twa mu.

Sɛ wɔmia ntini bi wɔ saa kwan yi so a, ebetumi ayɛ hyew, na ɛde ntini mu ɛyaw ne ntini mu yare aba . Wɔ tebea horow bi mu no, eyi betumi aka ahoɔden a wode kura mu mpo , na ama ayɛ den sɛ wobɛyɛ nneɛma te sɛ biribi a wobɛfa na woakura mu.

Momma yenni kan nhwɛ, dɛn ne Ulnar Nerve yi?

Ulnar ntini no yɛ yɛn nipadua no ntini a ɛwɔ akyi no fã . Saa nhyehyɛe yi na ɛde nsɛm fi yɛn amemene mu fa akyi berɛmo mu kɔ nipadua no afã afoforo, na efi saa afã horow no, ɛde nsɛm san ba amemene no mu.

Ulnar ntini no boa wo titiriw ma wokotow na wotrɛw wo nsateaa ketewa (pinky) ne ring finger . Ɛne sɛ, nsateaa abien yi kankan ho hia na ama obi atumi akyere biribi. Ɛboa nso ma wɔde nkate mu nsɛm te sɛ nsa a wɔde ka, ɛyaw, ne ɔhyew kɔ amemene no mu. Ebia wobɛkae, ɛtɔ da bi a sɛ wobɔ wo nsateaa wɔ baabi a, wo ho yɛ wo yaw a ɛyɛ nwonwa, te sɛ "anyinam ahoɔden a ɛbɔ," ɛnte saa? Ɛno na wɔfrɛ no "serew dompe." Saa bere no, wɔabɔ ulnar ntini no mu ankasa. Yɛwɔ ulnar nerves te sɛ eyi wɔ yɛn nsa abien no nyinaa mu.

Dɛn ne ulnar ntini a ɛkyere nipadua no mu nneɛma atitiriw?

Ulnar ntini a ɛbɛkyere no betumi aba wɔ mmeae atitiriw abien: wo nsateaa anaa wo nsateaa so. Nea ɛne eyi hyia no, ahorow abien na ɛwɔ hɔ:

• Cubital Tunnel Syndrome: Eyi ba bere a wɔahyɛ ulnar ntini no mu anaasɛ wɔatrɛw mu wɔ nsateaa no so no. Fa no sɛ ulnar ntini a ɛwɔ yɛn nsateaa mu no te sɛ ɔkwan ketewaa bi. Ɛno nti na wɔfrɛ no Cubital Tunnel no. Saa tebea yi ba bere a ntini no kɔhyɛ saa ɔkwan yi mu no.
• Guyon Asubɔnten mu Yare:Eyi ba bere a wɔde nhyɛso ba ulnar ntini a ɛwɔ nsateaa no so no. Ɔkwan pɔtee bi (canal) bi wɔ hɔ a saa ntini yi fa so wɔ nsateaa no mu. Saa tebea yi ba bere a ɛyɛ nea wɔahyɛ no den no.

Saa tebea yi abu so dɛn?

Cubital Tunnel Syndrome ne ntini mu yare a ɛto so abien a ɛtaa ka yɛn akwaa a ɛwɔ soro no ntini. (Nea edi kan a abu so sen biara ne Carpal Tunnel Syndrome , a ɛfa ntini a ɛwɔ nsateaa no mfinimfini ho.) Nanso , Guyon’s Canal Syndrome yɛ tebea a ɛntaa nsi.

Dɛn nti na saa ulnar ntini yi yɛ pintinn? Dɛn na ɛde ba?

Nneɛma pii nti na ulnar ntini no betumi ayɛ pintinn.

Nea ɛde cubital tunnel syndrome ba titiriw ne sɛnea ɛkɔ so trɛw anaasɛ ɛhyɛ ulnar ntini a ɛwɔ nsateaa no so no. Sɛ nhwɛso no, suban te sɛ wo nsateaa a wobɛda a woabɔ wo nsateaa anadwo no betumi de tebea yi aba anaasɛ ayɛ kɛse . Fa no sɛ, sɛ wotra gyinabea koro no ara mu a wo nsateaa abɔ nnɔnhwerew pii a, sɛnea ntini no bɛtrɛw na ayɛ nhyɛso kɛse.

Ganglion cysts yɛ akisikuru a ɛnyɛ kokoram, nsu ahyɛ mu ma a ɛtaa ba nsateaa mu. Wosusuw sɛ ganglion cysts na ɛde Guyon’s Canal Syndrome bɛyɛ 40% ba . Wɔ bɛyɛ 45% mu no, wonhu nea ɛde ba pefee (a wɔfrɛ no idiopathic). Ɛntaa mma sɛ saa ntini a ɛwɔ nsateaa mu yi nso betumi de nhyɛso aba ulnar ntini no so.

Nea ɛka eyi ho no, nneɛma afoforo pii wɔ hɔ a enti ulnar ntini no betumi ayɛ pintinn na asɛe:

• Akwanhyia ne ahodwiriw: Ɔhwe ase, ɔhwe denneennen wɔ ne nsateaa anaa ne nsateaa so.
• Ntini mu yare: Nkwaa a ɛyɛ hyew no ma ɛho hohoro na ɛma nhyɛso a atwa ntini no ho ahyia no yɛ kɛse.
• Nnompe ne nnompe a abubu: Nnompe asinasin a abubu anaa nnompe foforo a abubu betumi apia ntini no.
• Nsɛnnennen a ɛba wɔ oprehyɛn ahorow bi mu: Sɛ nhwɛso no, bere a wɔayɛ wɔn nsateaa no oprehyɛn akyi, anaasɛ bere a wɔayɛ wɔn oprehyɛn bere a wɔabubu mmati no akyi.
• Asikreyare: Asikreyare ma asiane a ɛwɔ hɔ sɛ ntini no bɛsɛe no yɛ kɛse.
• Elbow a atutu.
• Nhyɛso a efi plaster of Paris (casts) a wɔde gu so, poma a wɔde di dwuma, anaasɛ nhama a wɔde kyekyere nneɛma ho de ba.
• Akisikuru afoforo anaasɛ akisikuru a nsu ahyɛ mu ma.

Hena na ɔwɔ asiane kɛse mu sɛ obenya saa tebea yi?

Ulnar ntini a ɛkyere no abu so wɔ mmarima mu sen mmea. Ɛtaa ba nnipa a wɔwɔ nnwuma anaa dwumadi ahorow a ɛde nhyɛso ba wɔn nsateaa anaa wɔn nsateaa so bere nyinaa, anaasɛ wɔtaa twetwe wɔn ntini no nso mu. Nhwɛso kakraa bi ni:

• Agodifo te sɛ baseball, golf, ne tɛnis: Wɔde nsateaa ne nsateaa di dwuma boro so wɔ saa agumadi ahorow yi mu.
• Wɔn a wɔde sakre tu kwan: Sɛ wokura nsateaa no mu a, ebetumi de nhyɛso aba nsateaa no so.
• Adwumayɛfo a wɔwɔ adansi adwuma mu: esiane nneɛma a emu yɛ duru a wɔma so ne nnwinnade a wɔde di dwuma nti.
• Wɔn a wɔnom sigaret: Sigaretnom betumi asɛe mogya no na asɛe ntini ahorow.
• Wɔn a wɔkyerɛw nsɛm, akyerɛwfo, ne wɔn a wɔtaa de kɔmputa so keyboard di dwuma: esiane sɛnea wogyina hɔ yiye na wɔnyɛ adwuma wɔ gyinabea koro mu bere tenten nti.
• Wɔn a wɔma wɔn mu duru so: Wɔde nhyɛso a ɛboro so ba nsateaa ne nsateaa so.

Dɛn ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ ulnar ntini no akyere na asɛe?

Saa sɛnkyerɛnne ahorow yi mma mpofirim. Wonyin nkakrankakra , na ɛtɔ mmere bi a wɔba na wɔkɔ. Nsɛnkyerɛnne no betumi asɛe kɛse anadwo ne dwumadi ahorow a ɛde nhyɛso anaa nhyɛso ba nsateaa anaa nsateaa so no.

Nsɛnkyerɛnne atitiriw no bi ni:

• Nsateaa ketewa ne nsateaa a ɛyɛ nkatabo a ɛbɔ (clawing): Nsateaa abien no twitwiw kɔ mu, te sɛ nsateaa.
• Ɛyaw a ɛba nsateaa mu (sɛ ɛyɛ cubital tunnel syndrome a) anaasɛ ɛyaw wɔ nsateaa mu (sɛ ɛyɛ Guyon’s canal syndrome a).
• Nsateaa ketewa ne ring nsateaa no mu a ɛyɛ mmerɛw na ɛyɛ mmerɛw.
• Nsa a ɛyɛ mmerɛw: Eyi ma ɛyɛ den sɛ wobɛkyere nneɛma anaa wobɛma so, ne nnwuma a ɛyɛ mmerɛw te sɛ atade a wɔkyerɛw anaa abɔso a wobɛbɔ nso.
• Ntini a ɛyera wɔ nsateaa a ɛyɛ ring anaa nsateaa ketewa no mu: Eyi yɛ sɛnkyerɛnne a ɛntaa nsi, nanso sɛ ɛba a, ɛkyerɛ sɛ ntini a asɛe kɛse.

Dɛn ne nipadua mu nhwehwɛmu ahorow a wɔde hu tebea yi?

Sɛ wokɔ oduruyɛfo nkyɛn a, ɔbɛyɛ nipadua mu nhwehwɛmu kakraa bi de ahwɛ sɛnea wo yare no te. Ɛwom sɛ ebia ɛbɛyɛ te sɛ nea nhwehwɛmu ahorow yi yɛ mmerɛw de, nanso ebetumi aboa oduruyɛfo no ma wate sɛnea wo nsateaa ne wo nsa mu yɛ den no ase.

• Froment sɔhwɛ: Wɔ sɔhwɛ yi mu no, wo duruyɛfo bɛka akyerɛ wo sɛ fa krataa bi kura wo nsateaa kɛse ne wo nsateaa a wode kyerɛ ade ntam. Sɛ interphalangeal joint a ɛwɔ wo nansoaa kɛse no ano no kotow bere a wokura mu no a, eyi betumi akyerɛ sɛ ntini mu haw bi wɔ hɔ.
• Tinel sɔhwɛ no:Wɔ sɔhwɛ yi mu no, oduruyɛfo no bɛbɔ "dompe a ɛyɛ serew" a ɛwɔ wo nsateaa mu (baabi a ulnar ntini no tu mmirika) no brɛoo. Sɛ wo nsateaa ketewa anaa wo nsateaa a ɛyɛ ring no te sɛ nea anyinam ahoɔden abɔ denneennen a, ebetumi akyerɛ sɛ ntini mu haw bi wɔ hɔ.
• Wartenberg sɛnkyerɛnne: Wɔ sɔhwɛ yi mu no, oduruyɛfo no de wo nsa bɛto baabi a ɛyɛ tratraa, atrɛw wo nsateaa mu, na afei waka akyerɛ wo sɛ fa san ba. Sɛ wuntumi mfa wo nsateaa ketewa no ne nsateaa afoforo no nkabom bere a woreyɛ eyi no, a ɛkyerɛ sɛ ɛte sɛ nea wo nsateaa ketewa no retwe ne ho afi nsateaa afoforo no ho a, eyi nso betumi ayɛ ntini mu haw.

Nhwehwɛmu afoforo bɛn na wɔyɛ de hu eyi?

Wɔ nipadua mu nhwehwɛmu akyi no, wobetumi ayɛ nhwehwɛmu afoforo pii de akyerɛ sɛ ebia ulnar nerve compression wɔ hɔ anaasɛ enni hɔ, anaasɛ wɔbɛhwɛ sɛ ɔhaw afoforo wɔ hɔ anaa.

• Electromyography (EMG) ne ntini a ɛkɔ nipadua no mu ho nhwehwɛmu: Saa sɔhwɛ ahorow yi hwɛ sɛnea nsɛnkyerɛnne fa ntini ahorow no mu yiye ne sɛnea ɛkanyan ntini ahorow no yiye. Sɛ wɔhyɛ ntini no mu a, ebia ahoɔhare a nsɛnkyerɛnne tu kwan no bɛbrɛ ase.
• MRI (magnetic resonance imaging), neuromuscular ultrasound, anaa X-rays: Saa nhwehwɛmu ahorow yi betumi ahwɛ sɛ ntini no mu ayɛ den na aboa ma wɔayi ɔhaw afoforo te sɛ ntini mu yare, ntini a apira, anaa akisikuru afi hɔ.

Ayaresa bɛn na ɛnyɛ oprehyɛn na ɛwɔ hɔ?

Mpɛn pii no, wobetumi ama tebea yi afi hɔ a wɔnyɛ oprehyɛn. Ayaresa atitiriw a wɔde yɛ eyi ne:

• Nnuru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa (NSAID): Eyinom betumi atew ntini mu ɛyaw ne ɔfe so, nanso ɛsɛ sɛ wɔnom wɔ aduruyɛfo hwɛ ase nkutoo.
• Apɔw-mu-teɛteɛ ne adwuma mu ayaresa: Saa ayaresa ho animdefo yi betumi akyerɛkyerɛ wo apɔw-mu-teɛteɛ na ama wo nsa atumi ayɛ nsakrae kɛse. Wobetumi nso akyerɛ wo akwan foforo a wobɛfa so ayɛ da biara da dwumadi ahorow a ɛmma ulnar ntini no nhyɛ wo so. Nneɛma te sɛ apɔw-mu-teɛteɛ a ɛma ntini a ɛtwetwe no betumi aboa ma ulnar ntini no akɔ so yiye, a ɛrenkɔhyɛ cubital tunnel no mu.
• Slints anaa braces a wobɛhyɛ: Sɛ wode eyinom hyɛ wo nsateaa anaa wo nsateaa so a, ebetumi aboa ma nhyɛso a ɛba ntini no so no so atew na abɔ ho ban na wɔantwe. Eyinom betumi aboa ma wo nsateaa ayɛ tẽẽ, titiriw anadwo.

Bere bɛn na oprehyɛn ayaresa ho hia?

Sɛ ayaresa a ɛnyɛ oprehyɛn mmoa a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ oprehyɛn. Ɛdenam nea ɛde ntini a ɛyɛ pintinn no ba so no, nneɛma pii wɔ hɔ a wobetumi de oprehyɛn ayɛ:

• "Releasing" ulnar ntini no fi ne afiri muƐne sɛ, wotwa ntini a ɛremia ntini no na woyi fi hɔ, na ɛma ntini no tumi tu kwan a ɛnyɛ hwee.
• Sɛ akisikuru anaasɛ akisikuru a nsu ahyɛ mu ma wɔ hɔ a, yi fi hɔ.
• Ɛtɔ mmere bi a, wɔde ulnar ntini no kɔ nnompe no nsateaa nkwaa no anim . Eyi ma nhyɛso ne nhyɛso a ɛba ntini no so bere a wɔatrɛw nsateaa no mu no so tew.

Wobɛyɛ dɛn asiw ulnar nerve yi ano sɛ ɛrentwiw?

Nneɛma pii wɔ hɔ a wubetumi ayɛ de atew asiane a ɛwɔ hɔ sɛ wubenya saa tebea yi so, anaasɛ sɛ wowɔ saa yare no ho sɛnkyerɛnne ahorow no so:

• Sɛ w’adwuma anaa w’adwuma hwehwɛ sɛ wobɔ wo nsateaa bere tenten a , teɛ wo nsa bere ne bere mu da mũ no nyinaa.
• Sɛ woreyɛ adwuma wɔ kɔmputa so anaa worekyerɛw a, mfa wo nsateaa nsi pon so anaa w’akongua no nsateaa so. Sɛ ɛbɛyɛ yiye a, fa biribi te sɛ pad a ɛyɛ mmerɛw di dwuma.
• Mma wo nsateaa nkɔda anadwo. Nea ɛbɛyɛ na woaboa no, wubetumi ama wo nsa no ayɛ tẽẽ na wode mpopaho abɔ ho. Anaasɛ wubetumi ahyɛ abɔso a wɔde hyɛ wo nsateaa mu, a woadan no sɛnea ɛbɛyɛ a ɛbɛtra wo nsateaa nkwaa no akyi.

Dɛn ne nsɛnnennen a ebetumi afi ulnar ntini a ɛkyere no mu aba?

Sɛ ulnar ntini a ɛhyɛ wo nsateaa anaa wo nsateaa mu no mu yɛ den a, ebetumi ama wo nsa mu ntini asɛe . Wɔ tebea horow bi mu no, saa ɔsɛe yi betumi ayɛ nea ɛtra hɔ daa . Ɛno nti na ɛho hia sɛ wokɔ oduruyɛfo nkyɛn bere a woafi ase ahu sɛnkyerɛnne ahorow no ara pɛ no. Dodow a wufi ayaresa ase ntɛm no, dodow no ara na ɛda adi sɛ wubesiw ɔsɛe a ɛtra hɔ daa ano.

Dɛn ne nkɔmhyɛ a ɛwɔ hɔ ma nnipa a wɔwɔ saa tebea yi? (Nkɔmhyɛ) .

Asɛmpa no ne sɛ nnipa a wɔn ulnar nerve entrapment no mu bɛyɛ fã betumi anya ahotɔ afi wɔn sɛnkyerɛnne ahorow no mu denam ayaresa a ɛnyɛ oprehyɛn so .

Sɛ ɛho hia a, oprehyɛn betumi ama ntini mu yaw ne sɛnkyerɛnne afoforo afi hɔ. Nanso, nnipa a wɔwɔ cubital tunnel syndrome no mu bɛyɛ 8 biara mu 1 benya yare no ho sɛnkyerɛnne asan aba bere a wɔayɛ wɔn oprehyɛn awie no. Ebia eyi te saa esiane sɛ wɔansa nea ɛde bae no yiye nti. Asiane ketewaa bi nso wɔ hɔ sɛ ntini a ɛwɔ mfinimfini, ulnar artery, anaa ligaments a ɛwɔ elbow/carpal bone no mu bɛsɛe bere a wɔreyɛ oprehyɛn no.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wowɔ sɛnkyerɛnne a edidi so yi mu biako anaa nea ɛboro saa a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn akɔhwehwɛ afotu:

• Sɛ biribi yɛ den sɛ wobɛkura anaa wobɛma so a.
• Sɛ wowɔ ɛyaw wɔ wo nsateaa anaa wo nsateaa mu a.
• Sɛ wote nka sɛ wo nsa anaa wo nsateaa ayɛ wo yaw anaasɛ wo ho ayɛ wo yaw a.
• Sɛ ɛyɛ den ma wo sɛ wobɛyɛ da biara da nnwuma te sɛ atade a wobɛbɔ anaa kyerɛwdua a wobɛkura mu a.

Mma wo werɛ mmfi sɛ, sɛ wubu w’ani gu saa sɛnkyerɛnne ahorow yi so a, ɛbɛma tebea no asɛe kɛse. Sɛ wohwehwɛ aduruyɛ mu afotu ntɛm a, wubenya hokwan kɛse sɛ wobɛsan anya ahoɔden denam ayaresa a ɛnyɛ den so.

Ulnar nerve entrapment yɛ bere a biribi pia anaasɛ ɛhyɛ ulnar nerve a ɛkɔ wo basa so no abufuw. Cubital tunnel syndrome ka ulnar nerve a ɛwɔ elbow no so na ɛyɛ ulnar nerve a ɛtaa kyere no. Guyon’s canal syndrome a ɛka ntini a ɛwɔ wo nsateaa mu no yɛ ntini mu yare a ɛntaa nsi. Sɛ wo nsa anaa wo nsateaa ho yɛ wo yaw, wote yaw, anaasɛ wo ho yɛ wo yaw a, wo ne wo duruyɛfo nkasa. Nneɛma bi wɔ hɔ a wubetumi ayɛ de asiw ntini a ɛbɛsɛe no ano.

Nneɛma a ɛho hia a ɛsɛ sɛ wokae (Take-Home Message) .

Okay, enti momma yɛnbɔ nneɛma bi a ɛsɛ sɛ wokae fi nea yɛaka ho asɛm no mu no mua:

• Ulnar ntini a ɛkyere no yɛ nhyɛso a ɛba ulnar ntini a ɛwɔ nsateaa anaa nsateaa so no so.
• Ebia nsateaa ketewa ne nsateaa ketewa no a ɛyɛ mmerɛw, ɛyaw, ne mmerɛwyɛ ne sɛnkyerɛnne atitiriw.
• Sɛ woma wo nsateaa kotow bere tenten na woyɛ adwuma a ɛde nhyɛso ba wo nsateaa/nsateaa so a, ɛma asiane no yɛ kɛse.
• Sɛ wowɔ sɛnkyerɛnne ahorow a, hwehwɛ aduruyɛfo afotu ntɛm ara. Sɛ wɔtwentwɛn ayaresa ase a, ebetumi ama ntini no asɛe daa.
• Mpɛn pii no, wobetumi de ayaresa a ɛnyɛ oprehyɛn (apɔw-mu-teɛteɛ, nhama a wɔde kyekyere nipadua no ho, nnuru) ama obi ho atɔ no .
• Wobetumi adi tebea yi ho dwuma na wɔasiw ano denam gyinabea pa a wɔbɛkɔ so akura mu, nsa a wɔde bɛhome, ne nnuruyɛfo afotu a wobedi akyi so .

Hwɛ wo nipadua so yiye. Mmu w’ani ngu yare no ho sɛnkyerɛnne ketewaa bi mpo so. Kɔ so nya apɔwmuden!

` Ulnar ntini a ɛkyere, nsateaa mu yaw, nsateaa mu yaw, nsa a ɛyɛ mmerɛw, ntini a ɛyɛ den, cubital tunnel syndrome, nsa a ɛyɛ mmerɛw