Ðe wò alɔnu alo abɔta le ʋuʋum hele veve sema? Ate ŋu anye Radial Tunnel Syndrome!

Ðe nèse veve wɔnuku aɖe si tso wò abɔ ƒe akpa si le eme, vevietɔ le abɔta te, kple ʋuʋudedi si kpe ɖe ŋusẽ si le wò abɔ ŋu ƒe vɔvɔ ŋu kpɔa? Ɣeaɖewoɣi la, vevesese sia nu sẽ ale gbegbe be wòawɔ na wò abe ɖe nèle agbagba dzem be yeaʋu yeƒe alɔnu ene. Esia ate ŋu anye nɔnɔme aɖe si woyɔna be Radial Tunnel Syndrome, si ŋu míele nu ƒom tsoe egbea, ƒe dzesi veviwo dometɔ ɖeka. Mègatsi dzi o, mina míaƒo nu tso esia ŋu bɔbɔe.

Nukae nye Radial Tunnel Syndrome ƒe dɔléle? Kpuie ko la,...

Bu eŋu kpɔ, lãmeka vevi aɖe li si zɔna to míaƒe alɔnu, woyɔna be radial nerve . Lãmetsi siae kpena ɖe míaƒe alɔnu ƒe lãmeka aɖewo ŋu wòwɔa dɔ eye wòsena le wo ɖokui me le teƒe aɖewo. Ne radial nerve sia va ɖo abɔta la, etoa "tunnel" sue aɖe me yia alɔnu ƒe ŋgɔgbe. Nuwo abe lãmekawo kple lãkusiwo ene ye wɔa mɔ̃ sia. Esia tae woyɔnɛ be radial tunnel .

Azɔ, nukae adzɔ ne le susu aɖe ta la, lãmeka siwo le mɔ sia si le dzogoe ene me la vuvu alo xaxa? Lãmetsi si woyɔna be radial nerve si toa mɔ ma me la dzea egɔme nɔa tetem ɖe enu henɔa ƒoƒom. Ɣemaɣie nɔnɔme aɖe si woyɔna be radial tunnel syndrome dzɔna. Ðeko wòle abe ne tsi ƒe pɔmpi aɖe tsi titina la, enaa tsia ƒe sisi sesẽna ene.

Nya nyuiae nye be zi geɖe la, woate ŋu ada nɔnɔme sia to ɖiɖiɖeme kple atikewɔwɔ bɔbɔe siwo menye amekoko o me. Eyata ne èle veve sem le wò abɔta alo wò asi ƒe ŋgɔgbe la, anyo wu be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo.

Aleke radial tunnel vevesese sena le eɖokui me? Nukawoe nye dzesiawo?

Zi geɖe la, wosea vevesese sia tso abɔta ƒe gota va ɖo abɔta ƒe ŋgɔgbe (`abɔta`) . Enye vevesese si ɖea fu na ame si tsoa ememe. Ɣeaɖewoɣi la, vevesese sia ate ŋu anɔ anyi le ŋkekea me katã, si ana ɖeɖi tea ŋuwò eye ɖeɖi tea ŋuwò.

Vevesese sia ate ŋu adzi ɖe edzi ne wole dɔ aɖewo wɔm. Le kpɔɖeŋu me:

• Dɔ geɖe bia be woazã abɔta kple asibidɛ (e.g., ne èlé nane sesĩe, zã gavi).
• Ne èle nu kpekpe aɖe kɔm.
• Ne wokeke abɔtawo ɖe enu wògbɔ eme.
• Ne èle asi ƒe ŋgɔgbekpa trɔm (e.g. ne èle ʋɔtru aɖe ʋum).
• Ne èbɔbɔ wò asibidɛ.

Le ɣeyiɣi aɖe megbe la, radial tunnel syndrome ate ŋu ana lãmeka siwo le asi ƒe ŋgɔgbe la nagbɔdzɔ eye wòaɖe asibidɛ ƒe ŋusẽ dzi akpɔtɔ. Esia ate ŋu ana wòasesẽ be woalé nu aɖewo alo akɔ wo ɖe dzi. Ame aɖewo hã ate ŋu ase veve ne wole alɔ̃ dɔm . Ƒã hafi nɔnɔme sia ate ŋu ana asibidɛa naɖiɖi (`asibidɛ ƒe ɖiɖi`) , si fia be womate ŋu akɔ asi ɖe dzi o.

Esi wònye be dzesi siawo ɖi nɔnɔme si woyɔna be "tennis elbow" vie ta la, ele vevie ŋutɔ be nàna wò dzesiwo me nakɔ ne èyi ɖɔkta gbɔ.

Nukatae radial tunnel syndrome dzɔna? Nukawoe gbɔ wòtsona?

Abe alesi míegblɔe va yi ene la, ne radial nerve la to radial tunnel si le abɔta te la, etoa lãmeka vovovowo dome kple lãkusi siwo woyɔna be `fascial bands` te. (Fascial bands nye lãkusi ƒomevi aɖe si ƒoa xlã nuwo abe lãmekawo kple ŋutinuwo ene le míaƒe ŋutilã me, ma wo dome, eye woblaa wo.)

Eyata, ne dɔdzẽ (`dɔdzẽ`) aɖe le nusiwo le radial tunnel sia me me la, edea nyaƒoɖeamenu si mehiã o ɖe radial nerve la dzi. Ema koŋue hea nɔnɔme sia vɛ. Susu geɖewo tae ate ŋu ana dɔdzẽ sia nadze ame dzi:

• Ʋuʋudedi mawo ke wɔwɔ enuenu: Vevietɔ le dɔwɔƒe. Le kpɔɖeŋu me, nuŋɔŋlɔ enuenu, zã dɔwɔnu abe gavi ene enuenu.
• Tututu kple hehe ƒe ʋuʋu ɣesiaɣi kple wò asiwo: Bu eŋu kpɔ, ne èƒo kriket bɔl alo volleyball la, èhea wò asi ɖe megbe eye nègatutunɛ yia ŋgɔ be yeaɖo bɔl la ɖa. Nu mawo tɔgbe.
• Abɔta ƒe gota alo asi ƒe ŋgɔgbe ƒoƒo tẽ sesĩe.
• Nane léle sesĩe, asibidɛwo ƒoƒo sesĩe, alo asibidɛ bɔbɔ enuenu.

Amekawoe ate ŋu axɔ nɔnɔme sia wu?

Radial tunnel syndrome bɔ ɖe amesiwo xɔ tso ƒe 30 va ɖo ƒe 50. Nyɔnuwo ate ŋu axɔ dɔlélea wu ŋutsuwo. Tsɔ kpe ɖe eŋu la, nu bubu aɖewo ate ŋu ana dɔléle sia xɔxɔ ƒe afɔkua nadzi ɖe edzi:

• Ŋusẽ kple asitɔtrɔ le asi kple asibidɛ ŋu dzi ɖe kpɔtɔ.
• Dzoxɔxɔ nyuie hafi aƒo kamedefefe o.
• Na amesiwo ŋu suklidɔ le (`Suklidɔ`) .
• Le amesiwo ƒe lãkusi si mewɔa dɔ nyuie o gome la .
• Kpe alo dɔdzẽ (`tumors alo ganglion cysts`) ƒe amesinɔnɔ le asi me.
• Asi ƒe vuvu (edema) alo tsi ƒe ƒoƒo ɖe asi me.
• Radial nerve ƒe dɔdzẽ.

Aleke ɖɔkta wɔna dea dzesi esia?

Ne èyi ɖɔkta gbɔ la, abia wò gbã tso wò vevesese, wò dzesiwo, kple wò atikewɔwɔ ŋutinya ŋu. Emegbe, woawɔ ŋutilãmedɔdada , vevietɔ wò abɔta kple wò asi ƒe ŋgɔgbe dodokpɔ. Emegbe, ɖɔktaa adze agbagba be yeanya afisi tututu radial nerve la le to asikaka wò abɔta ƒe gota gome ŋu eye wòate ɖe eŋu blewu me.

Dodokpɔ tɔxɛ kawoe wozãna tsɔ dea dzesi esia?

Dodokpɔ eve koŋ li siwo wò ɖɔkta ate ŋu azã atsɔ anya dɔléle sia:

• Tsitretsitsi ƒe dodokpɔwo: Ðɔktaa awɔ dɔlékuiwutike ƒe dodokpɔ aɖewo to wò asibidɛ kple titinasibidɛ zazã me. Ne èse veve aɖe la, àte ŋu axɔ radial tunnel syndrome.
• "Se si ku ɖe dodokpɔ enyi ŋu":Ðɔktaa azi teƒe vovovo enyi dzi blewuu le wò abɔta. Ne èse veve le teƒe aɖewo la, nɔnɔme sia ate ŋu anɔ ŋuwò.

Ke hã, `dodokpɔ siwo wowɔ le ɖoɖo nu` aɖeke meli si ate ŋu ade dzesi nusi tututu esia nye o. Eyata ate ŋu asesẽ vie be woade dzesii pɛpɛpɛ. Eya ta ɖɔktaa ate ŋu awɔ dodokpɔ bubu aɖewo atsɔ akpɔe ɖa be abi bubu aɖeke alo atikewɔwɔ ƒe nɔnɔme aɖeke mele eŋu o. Woyɔa esiawo be `nɔnɔmetata dodokpɔwo` :

• X-ray-wo wɔwɔ
• Magnetic resonance imaging (MRI) ƒe nɔnɔmetatawo .
• Dodokpɔ si dzidzea lãmekawo ƒe ʋuʋu ƒe duƒuƒu (`Lãmetsiŋusẽ ƒe ʋuʋu ŋuti numekuku`)
• Dodokpɔ si léa ŋku ɖe lãmekawo ƒe dɔwɔwɔ ŋu (`Electromyography - EMG`)

Nukawoe nye atike siwo wozãna na esia?

Mɔ nyuitɔ si dzi woato ada nɔnɔme siae nye be woadzudzɔ dɔwɔna siwo hea dzesiawo vɛ alo aɖe wo dzi akpɔtɔ ŋutɔ . Ne anya wɔ la, na wò abɔ nagbɔ ɖe eme eye nàdze agbagba aƒo asa na ʋuʋu ɖesiaɖe si ana nàse veve. Le ame akpa gãtɔ gome la, dzesiawo nyona ɖe edzi le abe kwasiɖa ade ene me ne wogbɔ ɖe eme hewɔ atike na wo.

Atikewɔwɔ bubuwo li woatsɔ aɖe vevesese si dona tso radial tunnel syndrome me dzi akpɔtɔ:

• Atike siwo woƒlena le atikedzraƒe (NSAID) siwo woate ŋu aƒle le atikedzraƒea zazã.
• Steroid dodo na ame be wòaɖe abi kple nyaƒoɖeamenu si le radial nerve ŋu dzi akpɔtɔ.
• Aŋe si wotsɔna blaa asibidɛ kple/alo abɔta dodo. Esia kpena ɖe asi ƒe ʋuʋu dzi kpɔtɔna eye wòɖea dzikudodo ɖe radial nerve ŋu dzi kpɔtɔna. (Esia ɖea vi ŋutɔ le zã me ne wole alɔ̃ dɔm.)
• Kamedefefe vovovowo wɔwɔ . Esiawo kpena ɖe ame ŋu wòkekea lãmeka/lãmeka siwo le sesẽm siwo ƒo xlã radial nerve la eye woɖea wo ɖa.

Taɖodzinu vevitɔ si le atikewɔwɔ ŋue nye be wòaɖe wò dzesiwo ɖa eye wòaxe mɔ na wo be woagatrɔ ava o.

Ne wò dɔe le dzesi siawo hem vɛ la, àte ŋu abu tɔtrɔ aɖewo wɔwɔ le wò dɔwɔƒe alo ɖiɖiɖeme geɖe wu le dɔwɔŋkekea me ŋu. Dze agbagba nàƒo asa na tutu kple hehe ƒe dɔ sesẽwo alesi nàte ŋui.

Le kamedefefewɔlawo gome la, de kamedede siwo naa ŋusẽ kple asitɔtrɔ le nɔnɔmewo ŋu sua ame si, eye mègaŋlɔ be be yeaxɔ dzo nyuie hafi aƒo fefe alo asrɔ̃e o.

Amekoko ƒe atike aɖe li na nɔnɔme sia. Gake zi geɖe la, ne gbɔɖeme kple dɔdamɔnu siwo menye amekoko o meɖe vi aɖeke o ko hafi ɖɔkta aɖo aɖaŋu nɛ. Taɖodzinu si le radial tunnel release ŋue nye be wòaɖe nyaƒoɖeamenu si le radial nerve dzi ne ele to radial tunnel me la dzi akpɔtɔ.

Nya vevi kawoe wòle be míabia ɖɔktaa?

Nyabiase aɖewo siwo nàte ŋu abia wò ɖɔkta tso radial tunnel syndrome ŋue nye esi:

• Aleke nàwɔ anya ne radial tunnel syndrome alo nu bubu aɖe le ŋunye?
• Atikewɔwɔmɔnu kawoe nèkafu?
• Nɔnɔme kawo mee nàkafui be woawɔ dɔ na ame le?
• Nukae mate ŋu awɔ be radial tunnel syndrome nagagadzɔ o?

Ðe radial tunnel syndrome ƒe nɔnɔme sia anyo ɖe edzi le eɖokui sia?

Ne womewɔ atike na wò o la, anɔ eme be wò dzesiawo manyo ɖe edzi le wo ɖokui si o. Le nyateƒe me la, dzesiawo ate ŋu agblẽ ɖe edzi le ɣeyiɣi aɖe megbe. Ne womewɔ atike na nɔnɔme sia o la, ate ŋu ana nàse veve atraɖii le wò asi ƒe ŋgɔgbe. Eyata nunya le eme be nàdi atike kaba ale si nàte ŋui.

Nukae adzɔ le atikewɔwɔ vɔ megbe? Ðe mahayaa? (`Nyagblɔɖi`)

Ne èwɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi nyuie eye nèƒo asa na abixɔxɔ le radial nerve ŋu le etsɔme la, zi geɖe la, atikewɔwɔ si menye amekoko o wɔa dɔ ŋutɔ na nɔnɔme sia. Ne atikewɔwɔ siwo menye amekoko o medze edzi o la, amekoko hã nye mɔnu bubu si ate ŋu aɖe dzesiawo dzi akpɔtɔ. Gake ame aɖewo ate ŋu ayi edzi anɔ veve sem vie le amekoko vɔ megbe.

Vevesese si nu sẽ le mɔ̃a me ate ŋu ana wòasesẽ be woawɔ gbesiagbedɔwo. Ate ŋu akpɔ ŋusẽ ɖe wò gbesiagbedɔwo, dɔwɔɖui, kamedefefewo, kple modzakaɖeɖewo dzi. Eyata ele vevie ŋutɔ be nàgbɔ ɖe eme eye nàdzudzɔ nusiwo hea dzesiwo vɛ la wɔwɔ . Kpɔ ɖɔkta eye nàxɔ atike. Ekema eteƒe madidi o, vevesese aɖeke maganɔ ŋuwò o.

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Eyata, mele mɔ kpɔm be fifia miese nusi ŋu míeƒo nu tsoe, Radial Tunnel Syndrome, gɔme nyuie wu. Nu vevi aɖewo siwo dzi wòle be woaɖo ŋkui lae nye esi:

• Ne dzesiwo abe abɔta alo asi ƒe ŋgɔgbe veve, asi ƒe ʋuʋu, kple ŋusẽ ƒe vɔvɔ le asi ŋu ene le ŋuwò la, ate ŋu anye radial tunnel syndrome.
• Esia dzɔna elabena womiã radial nerve si le asi me le teƒe aɖe.
• Esia ate ŋu atso nusiwo le abe nu ɖeka wɔwɔ zi gbɔ zi geɖe, kpekpemewo kɔkɔ, alo abɔta ƒoƒo ene gbɔ .
• Ele vevie be nàyi ɖɔkta gbɔ vɔvɔ̃manɔmee eye nànya nusi tututu kuxia nye.
• Zi geɖe la, woate ŋu ada esia to atikewɔwɔ bɔbɔewo abe ɖiɖiɖeme, vevesesenutsitike, kple kamedede ene me .
• Ðɔkta ƒe mɔfiamewo dzi wɔwɔ kple asi ɖiɖiɖeme le vevie ŋutɔ be nàhaya kaba.

Ne dzesi siawo dometɔ aɖe le ŋuwò la, mègatsi dzi o, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake. Ekema àte ŋu ahaya kaba eye nàgadze dɔ gɔme kple dzidzɔ!

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